None listed
Conditions
Brief summary
The aim of this study is to examine the effects of a “challenge state intervention” on the ability of elective orthopaedic patients to cope with recovering from surgery and on their perceptions of the surgery itself by delivering a pre-operative verbal intervention via phone. We will be examining whether there is a relationship between short-term (at 2 and 6 weeks) post-operative outcomes and satisfaction in participants compared to those who have not received a challenge state intervention. The research has its basis in the Biopsychosocial Model of Challenge and Threat which is a theory in psychology that provides insight into individual responses to stressful situations. The theory hypothesises that individuals who perceive a situation as a challenge (i.e., in which they believe they have sufficient resources to cope with the situation) have a more adaptive approach than those who perceive the situation as a threat. Previous evidence suggests that those who appraise a situation as a challenge have more positive performance outcomes in various contexts including sports. In recent years, the focus has shifted to examining the effect of challenge and threat states in patients undergoing surgery and we hope to extent what we know with this study.
Interventions
Participants are patients who will be undergoing elective hip and knee replacements and lumbar decompression.
The intervention is a motivational script developed based on previous Challenge and Threat state studies. It will be delivered by a trained member of the study team via phone to the participant undergoing surgery. The intervention will be delivered once two days prior to the scheduled date of operation. The participants will be expected to receive the phone call in their own home.
Part
Participants are patients who will be undergoing elective hip and knee replacements and lumbar decompression. The intervention is a motivational script developed based on previous Challenge and Threat state studies. It will be delivered by a trained member of the study team via phone to the participant undergoing surgery. The intervention will be delivered once two days prior to the scheduled date of operation. The participants will be expected to receive the phone call in their own home. Participants from the same group will receive the same scripted intervention, i.e. those in the intervention group will receive the Intervention Script and those in the control group will receive the Control script (a scripted phone call without the intervention). The initial script for both phone calls are the same: participants will be asked questions about their feelings towards the operation and post-operative recovery and then informed that they will meet a member of the research team and answer some questionnaires on the day of surgery. The script for the control group terminates here. For the intervention group, the script continues and the intervention is delivered. Topics covered includes: - supports available during hospital stay and post-discharge - what participants can expect post-operatively The phone calls are anticipated to last 5-10 minutes depending on which script the patient receives. The intervention will be delivered by a member of the research team; phone logs will be audited to monitor the delivery of the intervention.
Sponsors
Waikato Hospital
Study design
Allocation
Randomised controlled trial
Intervention model
Parallel
Primary purpose
Treatment
Masking
Blinded (masking used) (Subject, Investigator, Outcomes Assessor)
Eligibility
Sex/Gender
All
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
o Aged 18 or older and able to give informed consent o Elective surgery o Surgeries: lumbar decompression, knee joint replacement, hip joint replacement o Public patients and private outsource patients
Exclusion criteria
o Revision surgery o Previous major surgery (requiring general, spinal or epidural anaesthetic) o Less than 18 years of age o Hard of hearing/unable to converse on phone
Outcome results
None listed