Effects of a Peri-operative Brief Mindfulness-based Intervention on Post-operative Pain and Disability

Launched by OTTAWA HOSPITAL RESEARCH INSTITUTE · Aug 4, 2016

Keywords

ClinConnect Summary

Psychological distress or anxiety is common in patients awaiting surgical procedures and can have impact on both physical and mental health, leading to significantly reduced quality of life. It has been associated with a slower and more complicated postoperative recovery and has been established as an independent predictor of pain and pain related outcomes after surgery.

Pharmacological interventions and provision of information about surgical processes are two ways that pre-operative anxiety is currently addressed. Mindfulness-based interventions have shown positive results in reducing ps...

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Eligibility criteria

• Inclusion Criteria:
• • Adult (age 18+) patients presenting at the Pre-Admission Unit (PAU) at the General campus of The Ottawa Hospital (TOH) for total hip arthroplasty (THA)
• • History of pain for ≥3 months (chronic pain)
• • Anxiety scores of ≥8 on the Generalized Anxiety Disorder 7-item (GAD-7) scale
• • Ability to understand oral and written English or French
• Exclusion Criteria:
• • Refusal or inability to provide consent
• • Severe depressive symptoms as indicated by score ≥ 20 on the Patient Health Questionnaire (PHQ-9) scale
• • Prior mindfulness training experience
• • Pre-planned same day discharge after surgery