One-day Acceptance and Commitment Therapy workshop for preventing persistent post-surgical pain and dysfunction in at-risk veterans: A randomized controlled trial protocol.
One-day Acceptance and Commitment Therapy workshop for preventing persistent post-surgical pain and dysfunction in at-risk veterans: A randomized controlled trial protocol.
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DOI：
10.1016/j.jpsychores.2020.110250
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发表时间：
2020-11
影响因子：
4.7
通讯作者：
Dindo L
中科院分区：
文献类型：
--
作者：
Roddy MK;Boykin DM;Hadlandsmyth K;Marchman JN;Green DM;Buckwalter JA 4th;Garvin L;Zimmerman B;Bae J;Cortesi J;Rodrigues M;Embree J;Rakel BA;Dindo L
持续性术后疼痛在接受手术的患者中很常见，对患者的生活质量有害，并可能促使长期使用阿片类药物。这项随机对照试验的目的是评估手术前提供的行为干预对有术后不良结局风险（包括持续疼痛和功能受损）的患者的影响。本文描述了一项正在进行的随机化、患者和评估者盲法、注意力控制的多地点临床试验。本研究将招募430名因痛苦和/或疼痛接受全膝关节置换术（TKA）的退伍军人。参与者将被随机分配到为期一天（约5小时）的接受和承诺治疗研讨会或为期一天的教育和注意力控制研讨会。在TKA手术后大约两周，患者通过电话接受个性化的增强治疗。TKA后，患者在1周、6周、3个月和6个月时完成评估。主要结果是疼痛强度和膝关节特异性功能;次要结果是痛苦症状和应对技能。调解分析将检查痛苦症状和应对技能的变化是否会影响接受ACT的退伍军人6个月时的疼痛和功能。这项研究主要是对老年退伍军人进行的;因此，结果可能不会推广到女性和年轻人，他们在这一退伍军人群体中的代表性不足。这项研究的结果将提供第一个证据，从一个大规模的，病人和评估员盲对照试验的有效性，一个简短的行为干预，以预防持续性术后疼痛和功能障碍。
Persistent post-surgical pain is common among patients undergoing surgery, is detrimental to patients’ quality of life, and can precipitate long-term opioid use. The purpose of this randomized controlled trial is to assess the effects of a behavioral intervention offered prior to surgery for patients at risk for poor post-surgical outcomes, including persistent pain and impaired functioning. Described herein is an ongoing randomized, patient- and assessor-blind, attention-controlled multisite clinical trial. Four hundred and thirty Veterans indicated for total knee arthroplasty (TKA) with distress and/or pain will be recruited for this study. Participants will be randomly assigned to a one-day (~5 hour) Acceptance and Commitment Therapy workshop or one-day education and attention control workshop. Approximately two weeks following their TKA surgery, patients receive an individualized booster session via phone. Following their TKA, patients complete assessments at 1 week, 6 weeks, 3 months, and 6 months. The primary outcomes are pain intensity and knee-specific functioning; secondary outcomes are symptoms of distress and coping skills. Mediation analyses will examine whether changes in symptoms of distress and coping skills have an impact on pain and functioning at 6 months in Veterans receiving ACT. This study is conducted mostly with older Veterans; therefore, results may not generalize to women and younger adults who are underrepresented in this veteran population. The results of this study will provide the first evidence from a large-scale, patient- and assessor-blind controlled trial on the effectiveness of a brief behavioral intervention for the prevention of persistent post-surgical pain and dysfunction.
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影响因子：
5.7
作者：
Hah JM;Bateman BT;Ratliff J;Curtin C;Sun E
通讯作者：
Sun E
DOI：
10.1037//0022-006x.70.5.1129
发表时间：
2002-10-01
影响因子：
5.9
作者：
Bach, P;Hayes, SC
通讯作者：
Hayes, SC
影响因子：
2.8
作者：
Cooper, Nicholas A.;Rakel, Barbara A.;Sluka, Kathleen A.
通讯作者：
Sluka, Kathleen A.
影响因子：
2.7
作者：
Gan TJ
通讯作者：
Gan TJ
影响因子：
5.9
作者：
Gregg, Jennifer A.;Callaghan, Glenn A.;Glenn-Lawson, June L.
通讯作者：
Glenn-Lawson, June L.