IMProving Outcomes With ACT After Knee Surgery

Launched by BELFAST HEALTH AND SOCIAL CARE TRUST · Jun 25, 2024

Keywords

ClinConnect Summary

This clinical trial, called "IMProving Outcomes With ACT After Knee Surgery," is exploring how a specific type of therapy, known as Acceptance and Commitment Therapy (ACT), can help patients who are about to undergo total knee replacement surgery (TKA). The researchers believe that many patients experience feelings of depression or anxiety, which can negatively affect their recovery after surgery. By offering a pre-operative ACT workshop, they hope to see if this therapy can improve outcomes, such as reducing pain and enhancing recovery.

To be eligible for this study, participants must be at least 18 years old, scheduled for a routine primary knee surgery, and have some level of depression as indicated by a specific questionnaire. They should also be comfortable using technology, as the study involves completing online questionnaires and receiving text message support. If the workshop is found to be acceptable and helpful, the researchers plan to conduct a larger study in the future. Participants can expect to engage in activities focused on acceptance and mindfulness, which may help them cope better with pain and improve their overall recovery experience.

Gender

ALL

Eligibility criteria

• Inclusion Criteria:
• • Patients ≥ 18 years old scheduled for routine primary elective TKA.
• • Participants must have a functional level of spoken and written English and be able to complete the online pre-operative psychosocial questionnaire independently.
• • Patients must have scored 10 or more on the Depression subscale of the (Depression, Anxiety and Stress Scale) DASS-21 of the pre-operative psychosocial questionnaire.
• Exclusion Criteria:
• • Any patient who does not have access to a mobile phone to receive the booster text messages, or online facilities to answer online questionnaires.
• • Any patient who has a significant change (≥3 months) in scheduled date of surgery i.e. has a delayed surgery or surgery earlier than expected.
• • Any patient who does not attend the pre-operative education class.
• • Any patient scheduled for revision, uni-compartmental or bilateral TKA.
• • Any patient who has further orthopaedic surgery planned in the next 3 months.
• • Any patient who cannot commit to the schedule of events.
• • Any patient currently receiving any other "talking therapy".