Total Knee Replacement
Conditions
Brief summary
To determine if education about pain given prior to Knee Arthroplasty will result in better outcomes following surgery
Detailed description
To determine if a preoperative pain neuroscience education (PNE) program would result in superior outcomes compared to usual preoperative education for total knee arthroplasty (TKA). Patients will receive traditional hospital preoperative TKA program (usual care group) or receive the same program plus an additional 30-minute PNE program (experimental group). Pre and post measurements at 1, 3 and 6 months for pain, function, fear of movement and pain catastrophization. We will also compare opioid usage, healthcare expenses and patient satisfaction between groups.
Interventions
BEHAVIORALPain Neuroscience Education
See arm/group description
Sponsors
University of Nevada, Las Vegas
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
QUADRUPLE (Subject, Caregiver, Investigator, Outcomes Assessor)
Masking description
Outcome measures were mailed by patients in prepaid envelopes
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* be scheduled to have a TKA and their standard preoperative TKA education program, indicate their willingness to participate in the study, ability to read and understand English, as the study included the use of an educational booklet, and be able and willing to complete outcome data for 6 months after TKA
Exclusion criteria
* Because all potential participants for this study had been screened and cleared for their orthopedic surgery, the only exclusion criterion was an unwillingness to participate in the study and having had a previous TKA or scheduled for a bilateral TKA.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Pain | Change from Baseline to 1 month, 3 months and 6 months post-surgery | Numeric Pain Rating Scale |
| Function | Change from Baseline to 1 month, 3 months and 6 months post-surgery | Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) |
| Pain Catastrophization | Change from Baseline to 1 month, 3 months and 6 months post-surgery | Pain Catastrophization Scale |
| Fear of movement | Change from Baseline to 1 month, 3 months and 6 months post-surgery | Tampa Scale of Kinesiophobia |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Healthcare Expenses | Change from Baseline to 1 month, 3 months and 6 months post-surgery | Costs associated with healthcare utilization |
| Patient Satisfaction | Change at 1 month, 3 months and 6 months post-surgery | Likert questions |
| Opioid Use | Change at 1 month | Oral Morphine Dose Equivalents |
Countries
United States
Outcome results
None listed