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An Application Study of Stage-Based Cognitive Behavioral Intervention Based on the Fear-Avoidance Model under the PRIME Framework in Patients after Total Hip Arthroplasty

Staged Intervention Guided by PRIME/Fear-Avoidance Model to Mitigate Pain Catastrophizing in Post-THA Patients

Status
Active, not recruiting
Phases
Unknown
Study type
Interventional
Source
ChiCTR
Registry ID
ChiCTR2600116076
Enrollment
Unknown
Registered
2026-01-05
Start date
2026-02-02
Completion date
Unknown
Last updated
2026-01-12

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Chronic pain and functional disability after total hip arthroplasty (THA)

Interventions

Intervention Group:Patients in the intervention group received a stage-based cognitive behavioral intervention based on the PRIME framework and the Fear-Avoidance Model, in addition to routine periope
(2) Risk Identification (R): Individualized health education and interviews were conducted to help patients recognize excessive fear, catastrophic thinking, and their negative impact on functional rec
(3) Intervention (I): Cognitive-behavioral strategies, including cognitive restructuring, relaxation training, graded activity exposure, and goal setting, were implemented to reduce movement-related f
(4) Monitoring (M): Patients’ pain intensity, fear-avoidance beliefs, and functional recovery were continuously monitored during follow-up, and the intervention plan was adjusted accordingly
(5) Evaluation (E): Intervention effects were evaluated at predefined postoperative time points, including pain severity, fear-avoidance beliefs, and hip joint functional outcomes.
Control Group:The control group received routine perioperative care and standard rehabilitation guidance without structured cognitive behavioral intervention.

Sponsors

Yancheng Third People's Hospital
Lead Sponsor

Eligibility

Sex/Gender
All
Age
18 Years to 75 Years

Inclusion criteria

Inclusion criteria: 1. Patients without severe postoperative complications (e.g., prosthetic loosening, severe infection, etc.). 2. Patients without severe cognitive impairment or psychiatric history, who are able to understand and comply with the cognitive behavioral intervention. 3. Patients exhibiting some degree of postoperative pain fear, activity avoidance, or functional impairment.

Exclusion criteria

Exclusion criteria: 1. Patients with other severe diseases that may affect rehabilitation (e.g., severe heart disease, stroke, etc.). 2. Patients unable to participate in the intervention due to severe psychological disorders or cognitive issues.

Design outcomes

Primary

MeasureTime frame
(Pain Catastrophizing Scale, PCS) ;(Harris Hip Score, HHS) WOMAC;—

Countries

China

Contacts

Public ContactXiuxia Wei

Yancheng Third People's Hospital, Jiangsu Province

wxxok.hi@163.com+86 158 6198 3067

Outcome results

None listed

Source: ChiCTR (via WHO ICTRP) · Data processed: Feb 4, 2026