Anxiety After Surgery, Pain After Surgery
Conditions
Keywords
Colorectal surgery patients, Mindfulness, Enhanced Recovery After Surgery
Brief summary
This study teaches participants who are having colorectal surgery how to use mindfulness to feel calmer and manage pain better. Participants will be randomized (like a flip of a coin) into one of two groups: Mindfulness Intervention or Standard Treatment. Those in the Mindfulness group will have a 30-minute Zoom session before surgery to learn simple mindfulness exercises like deep breathing, using senses, and staying focused on the present. On the day after surgery, participants will watch a short video review of the mindfulness exercises. Regardless of the group assigned, participants may be asked to complete questionnaires, and some participants will be asked to complete a semi-structured interview via Zoom, about 2 weeks to 1 month after surgery. Additionally, access to the mindfulness curriculum will be provided to those not randomized to that group. Investigators will collect information such as age, surgery details, pain levels, and pain medication usage. Participants will also fill out surveys before and after surgery to assess physical and mental well-being. All personal information will be kept safe, and interviews or Zoom sessions will be deleted after notes are taken without names attached. Participants will be in this study for about 4 weeks.
Interventions
BEHAVIORALMindfulness Intervention
Those in the Mindfulness Intervention group will have a 30-minute Zoom session before surgery to learn simple mindfulness exercises like deep breathing, using senses, and staying focused on the present. After surgery, these participants will receive a refresher on the mindfulness curriculum.
Sponsors
University Hospitals Cleveland Medical Center
UH Connor Whole Health
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
SUPPORTIVE_CARE
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* Patients scheduled for a bowel resection and enrolled in the UH Institutional ERAS pathway * Patients will be admitted to the inpatient hospital for at least one day postoperatively * Aged 18 or older * Receiving surgery at designated University Hospitals locations (Cleveland Medical Center, Ahuja, St. John's Medical Center) * English-speaking * Access to the internet via phone, laptop, or iPad
Exclusion criteria
* Surgery for palliative purposes only * Surgery for ostomy take-down only * Discharged on day of surgery * History of substance use disorder * Allergy or intolerance to all opioids * Insufficient English proficiency * No access to the internet outside clinical settings * Significant visual, hearing or cognitive impairment
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Percentage of participants who completed all mindfulness interventions as measured by study logs | Up to one year |
Secondary
| Measure | Time frame |
|---|---|
| Percentage of participants who complete all study questionnaires/text message reminders as measured by study logs | Up to one year |
Countries
United States
Contacts
CONTACTEmily Simon, MD
PRINCIPAL_INVESTIGATOREmily Steinhagen, MD
University Hospitals Cleveland Medical Center
Outcome results
None listed