Acceptability and feasibility of a cognitive-behavioural intervention for pain management before total knee arthroplasty: a pilot trial.

IF 1.9 3区心理学 Q2 PSYCHOLOGY, MULTIDISCIPLINARY

Psychology & Health Pub Date : 2025-09-01 DOI:10.1080/08870446.2025.2552226

Debbie J Bean, Jill Collier, David Rice, Eva Morunga, Simon Young, Matthew Walker, Peter McNair, Michal Kluger, Natalie Tuck

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引用次数: 0

Abstract

Background: Although psychological factors predict the development of persistent pain after total knee arthroplasty (TKA), psychological interventions to prevent persistent pain are under-explored. This pilot trial evaluated the acceptability and feasibility of a cognitive-behavioural intervention targeting risk factors for post-surgical pain among patients scheduled for TKA (UTN: U1111-1243-1067/ACTRN12621001095853).

Methods: Patients with elevated expectations of post-surgical pain and anxiety were recruited from TKA waiting lists. Treatment was remotely delivered by a psychologist over 3 sessions, supported by online and written resources. Eligibility, recruitment and completion rates, and perceptions of treatment were collected. Pain, disability, pain- and treatment-expectations, self-efficacy and catastrophizing were measured pre- and post- intervention.

Results: Of 241 people pre-screened, 144 were invited to complete screening, 51 declined, 58 did not meet inclusion criteria, 35 enrolled, and 30 completed the trial. Satisfaction ratings were high, and participants found the content understandable, useful and relevant. Pre to post treatment scores for pain intensity and pain catastrophizing improved with small effect sizes.

Conclusions: A psychological intervention is acceptable to patients awaiting TKA and may lead to small improvements in pain-relevant outcomes. An RCT aimed at reducing persistent post-surgical pain by combining cognitive behavioural therapy with physical therapy and medical optimisation is planned.

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认知行为干预对全膝关节置换术前疼痛管理的可接受性和可行性：一项试点试验。

背景：虽然心理因素可以预测全膝关节置换术（TKA）后持续疼痛的发展，但心理干预预防持续疼痛的研究尚不充分。该试点试验评估了针对TKA患者术后疼痛危险因素的认知行为干预的可接受性和可行性（UTN: U1111-1243-1067/ACTRN12621001095853）。方法：从TKA候诊名单中招募对术后疼痛和焦虑预期较高的患者。治疗由一名心理学家远程提供，为期3次，并有在线和书面资源支持。收集了资格、招募和完成率以及对治疗的看法。在干预前和干预后测量疼痛、残疾、疼痛和治疗预期、自我效能和灾难化。结果：在预筛选的241人中，144人被邀请完成筛选，51人被拒绝，58人不符合纳入标准，35人入组，30人完成试验。满意度评分很高，参与者发现内容可以理解、有用和相关。治疗前和治疗后疼痛强度和疼痛灾难化的评分改善，但效果较小。结论：心理干预对于等待TKA的患者是可以接受的，并且可能导致疼痛相关结果的小幅改善。一项旨在通过将认知行为疗法与物理疗法和医学优化相结合来减少术后持续疼痛的随机对照试验计划。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Psychology & Health Multiple-

CiteScore

7.30

自引率

3.00%

发文量

期刊介绍： Psychology & Health promotes the study and application of psychological approaches to health and illness. The contents include work on psychological aspects of physical illness, treatment processes and recovery; psychosocial factors in the aetiology of physical illnesses; health attitudes and behaviour, including prevention; the individual-health care system interface particularly communication and psychologically-based interventions. The journal publishes original research, and accepts not only papers describing rigorous empirical work, including meta-analyses, but also those outlining new psychological approaches and interventions in health-related fields.