Trial Summary
What is the purpose of this trial?To evaluate the effectiveness of the goal development intervention in guiding individual patients through the identification of high quality, specific, measurable, relevant and time-bound goal for treatment.
What data supports the idea that Goal Setting Intervention for Chronic Knee Pain is an effective treatment?The available research shows that Goal Setting Intervention, also known as Goal Attainment Scaling, has been effective in managing chronic pain conditions like arthritis and low back pain. For example, in a study with older adults with arthritis, 76% of participants met their goals at the expected level or above. They also reported using pain management methods like exercise more often and found them more helpful after the intervention. This suggests that setting personal goals can help people manage their pain better. While the research specifically mentions arthritis and low back pain, it indicates that goal setting can be a useful approach for chronic pain management, which may include knee pain.34567
Do I have to stop taking my current medications for this trial?The trial protocol does not specify whether you need to stop taking your current medications.
Is the treatment Goal Attainment, Goal Development, Goal Tracking a promising treatment for chronic knee pain?Yes, the treatment is promising. Goal Attainment Scaling (GAS) helps patients set and achieve personal goals, making it a useful tool for managing chronic pain. It allows for personalized treatment plans that focus on what matters most to the patient, leading to meaningful improvements in their condition.13457
What safety data exists for goal setting interventions for chronic knee pain?The provided research does not directly address safety data for goal setting interventions specifically for chronic knee pain. However, Goal Attainment Scaling (GAS) and similar goal setting interventions have been applied in various chronic pain settings, including low back pain and arthritis, without reported safety concerns. These studies focus on the effectiveness and application of GAS in managing pain and improving patient outcomes, suggesting that the intervention is generally well-tolerated and beneficial in chronic pain management.12457
Eligibility Criteria
This trial is for adults over 21 who are new or existing patients scheduled to see an orthopaedic surgeon for knee issues. It's not open to those unable to consent, non-English speakers, or anyone less than a year out from prior spine, hip, or knee surgery.Treatment Details
The study tests a goal development intervention that helps patients set and track specific and measurable goals for their knee treatment. The effectiveness of this personalized approach will be evaluated.
3Treatment groups
Active Control
Group I: Goal Development and Tracking InterventionActive Control2 Interventions
Group II: Goal Attainment InterventionActive Control1 Intervention
Group III: Goal Development InterventionActive Control1 Intervention
Find a clinic near you
Research locations nearbySelect from list below to view details:
Dartmouth Hitchcock Medical CenterLebanon, NH
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Who is running the clinical trial?
Dartmouth-Hitchcock Medical CenterLead Sponsor
Medacta USAIndustry Sponsor
References
The application of goal attainment scaling in chronic pain settings. [2019]Although the multidimensional nature of chronic pain has been recognized since the 1960s, pain management continues to reflect a biomedical model for many chronic pain patients. The application of a biopsychosocial approach would be aided by measurement tools that reflect the multidimensional nature of pain, facilitate interdisciplinary care planning, and focus treatment on the consequences of pain that are important to patients. Goal Attainment Scaling (GAS) is an individualized health outcome measure that is suitable for health problems that warrant a multidimensional and individualized approach to treatment planning and outcome measurement. This paper describes the use of GAS as a treatment and research tool in cancer pain, pediatric pain, work-related nonmalignant pain, and geriatric pain. Unlike the typical process where goals are not explicitly stated, GAS allows goals to be stated in a systematic measurable manner that is relevant and meaningful for each patient, and that can guide individual treatment planning. GAS is an appropriate technique for guiding and monitoring the treatment of individual chronic pain patients, and may provide a useful tool for evaluating chronic pain programs.
Goal attainment scaling: an effective outcome measure for rural and remote health services. [2019]The aim of this paper is to demonstrate the utility of Goal Attainment Scaling (GAS) as an effective, multidisciplinary measure of client outcomes for rural and remote health services. Goal Attainment Scaling was adopted by the Spinal Outreach Team (SPOT) as a client-focussed evaluation tool, as it is sensitive to the individual nature of clients' presenting issues and the multidisciplinary focus of the team. It enables individualised goals to be set on a five-point scale. Goal Attainment Scaling was introduced to the SPOT service after a pilot trial established guidelines for its effective implementation. An ongoing review process ensures that goal scaling remains realistic and relevant. Service outcomes can be effectively summarised using a frequency distribution of GAS scores. One of the important benefits of GAS is its facilitation of collaborative goal setting between clinician and client. Goal Attainment Scaling is recommended to rural and remote multidisciplinary health services because of its ability to summarise outcomes from heterogeneous service activities.
Goal attainment scaling in evaluating a multidisciplinary pain management programme. [2017]To examine the value of Goal Attainment Scaling (GAS) as a therapeutic tool and an outcome measure in a rehabilitation programme in the management of chronic pain.
A goal attainment pain management program for older adults with arthritis. [2022]The purpose of this study was to test a pain management intervention that integrates goal setting with older adults (age > or =65) living independently in residential settings. This preliminary testing of the Goal Attainment Pain Management Program (GAPMAP) included a sample of 17 adults (mean age 79.29 years) with self-reported pain related to arthritis. Specific study aims were to: 1) explore the use of individual goal setting; 2) determine participants' levels of goal attainment; 3) determine whether changes occurred in the pain management methods used and found to be helpful by GAPMAP participants; and 4) determine whether changes occurred in selected pain-related variables (i.e., experience of living with persistent pain, the expected outcomes of pain management, pain management barriers, and global ratings of perceived pain intensity and success of pain management). Because of the small sample size, both parametric (t test) and nonparametric (Wilcoxon signed rank test) analyses were used to examine differences from pretest to posttest. Results showed that older individuals could successfully participate in setting and attaining individual goals. Thirteen of the 17 participants (76%) met their goals at the expected level or above. Two management methods (exercise and using a heated pool, tub, or shower) were used significantly more often after the intervention, and two methods (exercise and distraction) were identified as significantly more helpful. Two pain-related variables (experience of living with persistent pain and expected outcomes of pain management) revealed significant change, and all of those tested showed overall improvement.
Goal scaling for low back pain in primary care: development of a semi-structured interview incorporating minimal important change. [2021]Goal attainment scaling was an individualized assessment technique developed to evaluate the provision of complex public services. However, this produced a measure which was driven more by the need to demonstrate clinical efficacy rather than reflecting a patient's own aspirations. People with low back pain have problems ranging from functional daily activities to areas which impinge upon their wider role in society and quality of life. Commonly used scales to measure back pain-related disability may not capture domains of relevance to patients. The aim of this project was to develop a goal-based individualized assessment tool capable of defining meaningful change in condition from the patient perspective for use in longitudinal clinical studies.
Patient led goal setting in chronic low back pain-What goals are important to the patient and are they aligned to what we measure? [2019]To determine the extent of alignment between clinical outcome measures and patient-derived goals for the management of chronic low back pain (cLBP).
Goal attainment scaling for patients with low back pain in rehabilitation: A systematic review. [2022]Goal attainment scaling (GAS) has been widely applied to chronic conditions; however, only recently has it been used for patients with low back pain (LBP). The objectives of this systematic review were to (a) examine the characteristics and rigor of published studies of GAS in the rehabilitation of patients with LBP, (b) describe how GAS has been applied in patients with LBP, and (c) evaluate the responsiveness and validity of GAS as an outcome measure in patients with LBP.