MBCT-T for Preoperative Pain Catastrophizing and Pain Outcomes After Spine Surgery
Study Details
Study Description
Brief Summary
This is a two phase study. In phase 1, a focus group (N=5) will be conducted to adapt MBCT-T for use in the study population. In phase 2, a single-arm trial will be conducted examining four, weekly sessions of preoperative MBCT-T in subjects with high pain catastrophizing scheduled for spine surgery (N=20). Subjects will then be followed for two weeks postoperatively.
| Condition or Disease | Intervention/Treatment | Phase |
|---|---|---|
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N/A |
Study Design
Arms and Interventions
| Arm | Intervention/Treatment |
|---|---|
| Experimental: MBCT-T Participants with high pain catastrophizing who are scheduled for spine surgery will receive four weekly sessions of preoperative telephone-delivered mindfulness-based cognitive therapy (MBCT-T). They will then be followed for two weeks postoperatively. |
Behavioral: Telephone-Delivered Mindfulness-based Cognitive Therapy (MBCT-T)
MBCT-T will be delivered in groups of four to eight subjects by telephone using a conference line with NYULH WebEx. Participants will receive a workbook containing session content and home practice logs and audio guides for home practice. Subjects will complete individual orientation sessions with the MBCT-T facilitator prior to start of the group sessions. The four subsequent weekly group sessions are approximately 90 minutes long. Participants will be encouraged to practice daily meditation in between group sessions for 20-30 minutes, six days per week
|
Outcome Measures
Primary Outcome Measures
- Percentage of Participants who Attend More than Half of Scheduled Sessions [Up to Week 8 (End of Intervention)]
- Client Satisfaction Questionnaire (CSQ-8) Score [Week 8 (End of Intervention)]
The CSQ-8 is an 8-item questionnaire assessing satisfaction with the intervention. Each item is rated on a 4-point scale from 1-4. The total score is the sum of responses and ranges from 8 to 32, with the higher number indicating greater satisfaction.
Secondary Outcome Measures
- Change in Pain Catastrophizing Scale (PCS) Score [Baseline, Week 8]
The PCS is a 13-item questionnaire designed to quantify an individual's pain experience, asking about how they feel and what they think about when they are in pain. Each item is rated on a 5-point scale ranging from 0 (not at all) to 4 (all the time). The total score is the sum of responses and ranges from 0 to 52. Higher scores represent greater pain catastrophizing.
Eligibility Criteria
Criteria
Inclusion Criteria:
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Scheduled for one or two level lumbar spine surgery requiring an inpatient stay as well as patients having ambulatory 1 or 2 level lumbar spine surgeries
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PCS score ≥ 20
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Able to provide voluntary informed consent
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Telephone access
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Internet access
Exclusion Criteria:
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Non-English speaking
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Cognitively impaired, by history
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Bipolar disorder
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Borderline personality disorder
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Active post-traumatic stress disorder
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Schizoaffective disorder or any other disorder characterized by delusions or hallucinations
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History of self-harm or suicidality in past three months
Contacts and Locations
Locations
| Site | City | State | Country | Postal Code | |
|---|---|---|---|---|---|
| 1 | NYU Langone Health | New York | New York | United States | 10016 |
Sponsors and Collaborators
- NYU Langone Health
Investigators
- Principal Investigator: Lisa Doan, MD, NYU Langone Health
Study Documents (Full-Text)
None provided.More Information
Publications
None provided.- 19-00339