Postoperative Pain
Conditions
Keywords
postoperative pain, opioid
Brief summary
This study will trial the impact of teaching surgical patients a pain self-management approach to compliment medical post-surgical pain management.
Detailed description
Surgery can precipitate the development of both chronic pain and long-term opioid use. There is a need for strategies to augment perioperative pharmacotherapeutic management of pain with non-pharmacologic strategies to prevent long-term sequelae. Psychological interventions such as cognitive behavioral therapy (CBT) can effectively reduce distress and improve functioning among patients with chronic pain. While CBT has been used extensively in patients with established chronic pain, it has not been used as a preventive intervention targeting the transition from acute to chronic postsurgical pain. The Perioperative Pain Self-management (PePS) program has the potential to reduce the incidence of chronic post-surgical pain and long-term opioid use among Veterans. This study will: Examine the efficacy of PePS compared to standard care on 6-month pain (primary outcome), mood and functioning outcomes as well as time to post-surgical opioid and other analgesic use cessation.
Interventions
BEHAVIORALPerioperative Pain Self-management (PePS)
4 sessions of telephone CBT-based pain self-management.
Sponsors
VA Office of Research and Development
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
PREVENTION
Masking
SINGLE (Outcomes Assessor)
Masking description
The outcomes assessor will be blinded to randomization status.
Intervention model description
Participants will be randomized to either receive the pain self-management sessions (PePS) or standard care (SC).
Eligibility
Sex/Gender
ALL
Age
18 Years to 100 Years
Healthy volunteers
No
Inclusion criteria
* scheduled for total hip, knee, or shoulder joint arthroplasty through the Iowa City, IA, Des Moines, IA, Minneapolis, IA, or Milwaukee WI, VA medical centers
Exclusion criteria
* inability to complete study forms/procedures because of a language/literacy barrier * active bipolar or psychotic disorder * history of brain injury * dementia * CBT therapy within the past year * lack of access to a telephone for PePS sessions
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Numeric Pain Rating Scale | 6-months post-surgery | Surgical Site Pain The Numeric Rating Scale (NRS) is a 0-10 measure where 0 = no pain. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| opioid use | time to cessation post surgery (weekly phone calls for the first 6 weeks) | Time to opioid cessation following surgery: daily opioid use will be collected via weekly phone calls for the first 6 weeks post-surgery. |
Countries
United States
Contacts
PRINCIPAL_INVESTIGATORDiana J. Burgess, PhD
Minneapolis VA Health Care System, Minneapolis, MN
Outcome results
None listed