Knee Arthroplasty Pain Coping Skills Training (KASTPain): A Randomized Trial
| Status: | Completed |
|---|---|
| Conditions: | Arthritis, Osteoarthritis (OA) |
| Therapuetic Areas: | Rheumatology |
| Healthy: | No |
| Age Range: | 45 - Any |
| Updated: | 10/21/2018 |
| Start Date: | December 2012 |
| End Date: | June 30, 2018 |
Patients undergoing knee replacement surgery and who have high levels of pain catastrophizing
are at risk for poor outcome. The clinical trial is designed to determine if a pain coping
skills training intervention delivered by physical therapists and supervised by psychologists
is more effective at reducing pain and improving function and is more cost effective than
arthritis education or usual care.
are at risk for poor outcome. The clinical trial is designed to determine if a pain coping
skills training intervention delivered by physical therapists and supervised by psychologists
is more effective at reducing pain and improving function and is more cost effective than
arthritis education or usual care.
Approximately 25% of patients following knee arthroplasty have disabling pain following
apparently successful surgery. Recent research suggests that pain catastrophizing plays a key
role in determining which patients with knee arthroplasty have a poor outcome. In addition to
this evidence, a substantial literature suggests that pain coping skills training is
effective for patients with chronic pain but the intervention has not been studied for
surgical patients with severe arthritic knee pain. We designed the Knee Arthroplasty pain
coping Skills Training (KASTPain) trial to address this research need. This Phase III
three-arm randomized clinical trial seeks to combine a strong and diverse group of
researchers to examine an important and understudied area in the joint arthroplasty
literature. The KASTPain trial will be the first to examine the utility of a perioperative
pain coping intervention for this substantial population of patients.
apparently successful surgery. Recent research suggests that pain catastrophizing plays a key
role in determining which patients with knee arthroplasty have a poor outcome. In addition to
this evidence, a substantial literature suggests that pain coping skills training is
effective for patients with chronic pain but the intervention has not been studied for
surgical patients with severe arthritic knee pain. We designed the Knee Arthroplasty pain
coping Skills Training (KASTPain) trial to address this research need. This Phase III
three-arm randomized clinical trial seeks to combine a strong and diverse group of
researchers to examine an important and understudied area in the joint arthroplasty
literature. The KASTPain trial will be the first to examine the utility of a perioperative
pain coping intervention for this substantial population of patients.
Inclusion Criteria:
- Adults 45 years and older and capable of providing informed consent
- Diagnosis of osteoarthritis as determined by participating orthopaedic surgeons
- Scheduled for an elective unilateral total or unicompartmental knee arthroplasty no
sooner than 1 week and no later than 8 weeks from the time of recruitment
- Score of greater than or = to 16 on the Pain Catastrophizing Scale
- Score of greater than or = to 5 on the WOMAC Pain Scale
- Able to read and speak English
Exclusion Criteria:
- Scheduled for revision arthroplasty surgery
- Underwent contralateral knee arthroplasty surgery or hip arthroplasty surgery within 6
months of currently planned surgery
- Unable to or declines study participation
- Self-reported diagnosis of rheumatoid arthritis, psoriatic arthritis, systemic lupus
erythematosis, ankylosing spondylitis
- Arthroplasty surgery scheduled because of fracture, malignancy or infection
- Scheduled for bilateral arthroplasty surgery
- Scheduled to undergo hip or knee arthroplasty within 6 months of current knee
arthroplasty
- Score of 20 or greater on the PHQ-8 depression scale
- Score of less than 3 on the six-item cognitive screener
We found this trial at
5
sites
Virginia Commonwealth University Since our founding as a medical school in 1838, Virginia Commonwealth University...
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Duke University Younger than most other prestigious U.S. research universities, Duke University consistently ranks among...
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70 Washington Square S
New York, New York 10012
New York, New York 10012
(212) 998-1212
Phone: 212-598-6146
New York University More than 175 years ago, Albert Gallatin, the distinguished statesman who served...
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Southern Illinois University From its humble beginnings as the state's second teachers college - founded...
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