MBCT-T for Preoperative Pain Catastrophizing and Pain Outcomes After Spine Surgery

NYU Langone Health25 enrolled

Overview

This is a two phase study. In phase 1, a focus group (N=5) will be conducted to adapt MBCT-T for use in the study population. In phase 2, a single-arm trial will be conducted examining four, weekly sessions of preoperative MBCT-T in subjects with high pain catastrophizing scheduled for spine surgery (N=20). Subjects will then be followed for two weeks postoperatively.

Study Type

INTERVENTIONAL

Allocation

Purpose

TREATMENT

Masking

NONE

Enrollment

Conditions

Pain

Interventions

Telephone-Delivered Mindfulness-based Cognitive Therapy (MBCT-T)BEHAVIORAL

MBCT-T will be delivered in groups of four to eight subjects by telephone using a conference line with NYULH WebEx. Participants will receive a workbook containing session content and home practice logs and audio guides for home practice. Subjects will complete individual orientation sessions with the MBCT-T facilitator prior to start of the group sessions. The four subsequent weekly group sessions are approximately 90 minutes long. Participants will be encouraged to practice daily meditation in between group sessions for 20-30 minutes, six days per week

Eligibility

Sex: ALLMin age: 18 YearsMax age: 75 Years

Medical Language ↔ Plain English

Inclusion Criteria: * Scheduled for one or two level lumbar spine surgery requiring an inpatient stay as well as patients having ambulatory 1 or 2 level lumbar spine surgeries * PCS score ≥ 20 * Able to provide voluntary informed consent * Telephone access * Internet access Exclusion Criteria: * Non-English speaking * Cognitively impaired, by history * Bipolar disorder * Borderline personality disorder * Active post-traumatic stress disorder * Schizoaffective disorder or any other disorder characterized by delusions or hallucinations * History of self-harm or suicidality in past three months

Locations (2)

NYU Langone Health

Brooklyn, New York, United States

NYU Langone Health

New York, New York, United States

Outcomes

Primary Outcomes

Percentage of Participants who Attend More than Half of Scheduled Sessions

Time frame: Up to Week 8 (End of Intervention)

Client Satisfaction Questionnaire (CSQ-8) Score

The CSQ-8 is an 8-item questionnaire assessing satisfaction with the intervention. Each item is rated on a 4-point scale from 1-4. The total score is the sum of responses and ranges from 8 to 32, with the higher number indicating greater satisfaction.

Time frame: Week 8 (End of Intervention)

Secondary Outcomes

Change in Pain Catastrophizing Scale (PCS) Score

The PCS is a 13-item questionnaire designed to quantify an individual's pain experience, asking about how they feel and what they think about when they are in pain. Each item is rated on a 5-point scale ranging from 0 (not at all) to 4 (all the time). The total score is the sum of responses and ranges from 0 to 52. Higher scores represent greater pain catastrophizing.

Time frame: Baseline, Week 8

Data from ClinicalTrials.gov

This platform is for informational purposes only and does not constitute medical advice. Always consult a qualified healthcare professional.