Pain Self-Management for Postoperative Pain
(PePS Trial)
Recruiting in Palo Alto (17 mi)
+2 other locations
Age: 18+
Sex: Any
Travel: May Be Covered
Time Reimbursement: Varies
Trial Phase: Academic
Waitlist Available
Sponsor: VA Office of Research and Development
No Placebo Group
Approved in 1 Jurisdiction
Trial Summary
What is the purpose of this trial?
This study will trial the impact of teaching surgical patients a pain self-management approach to compliment medical post-surgical pain management.
Do I need to stop taking my current medications for this trial?
The trial protocol does not specify whether you need to stop taking your current medications.
What data supports the idea that Pain Self-Management for Postoperative Pain is an effective treatment?
The available research shows that Pain Self-Management for Postoperative Pain can be effective, especially for patients who are distressed before surgery. One study highlights that patients who participated in this treatment reported positive experiences, suggesting it helps reduce the risk of long-term pain after surgery. This treatment involves psychological support, which can be beneficial compared to relying solely on medications like opioids, which are often not enough to manage pain effectively. Additionally, the treatment can improve patient comfort and satisfaction, potentially reducing the time spent in the hospital.12345
What safety data exists for the Pain Self-Management treatment?
The provided research abstracts do not directly address the safety data for the Pain Self-Management treatment or its variants like PePS. They focus on general postoperative pain management strategies, the impact of preoperative distress, and the importance of effective pain management. Specific safety data for the Pain Self-Management intervention would require further investigation into studies specifically evaluating this treatment.16789
Is the treatment Perioperative Pain Self-management (PePS) a promising treatment for managing pain after surgery?
Yes, Perioperative Pain Self-management (PePS) is a promising treatment because it focuses on educating patients about managing their pain, which can lead to better pain control, faster recovery, and higher patient satisfaction. Effective pain management can also reduce hospital stays and costs.4791011
Eligibility Criteria
This trial is for patients scheduled for hip, knee, or shoulder joint replacement at select VA medical centers in Iowa City, Des Moines, Minneapolis, or Milwaukee. Participants must be able to complete forms and have phone access. Those with severe mental health conditions, recent brain injury, dementia or recent CBT therapy cannot join.Inclusion Criteria
I am scheduled for a hip, knee, or shoulder replacement surgery at specified VA centers.
Exclusion Criteria
Inability to complete study forms/procedures because of a language/literacy barrier
I have undergone CBT therapy in the last year.
I do not have an active bipolar or psychotic disorder.
See 3 more
Treatment Details
Interventions
- Perioperative Pain Self-management (PePS) (Behavioral Intervention)
Trial OverviewThe study tests a Perioperative Pain Self-management (PePS) program designed to teach surgical patients how to manage their pain alongside standard medical care after surgery.
Participant Groups
2Treatment groups
Experimental Treatment
Active Control
Group I: PePSExperimental Treatment1 Intervention
4 sessions of telephone CBT-based pain self-management in addition to standard perioperative care.
Group II: Standard CareActive Control1 Intervention
Standard perioperative care.
Perioperative Pain Self-management (PePS) is already approved in United States for the following indications:
🇺🇸 Approved in United States as PePS for:
- Post-surgical pain management
Find a Clinic Near You
Research Locations NearbySelect from list below to view details:
Clement J. Zablocki VA Medical Center, Milwaukee, WIMilwaukee, WI
Minneapolis VA Health Care System, Minneapolis, MNMinneapolis, MN
Iowa City VA Health Care System, Iowa City, IAIowa City, IA
Loading ...
Who Is Running the Clinical Trial?
VA Office of Research and DevelopmentLead Sponsor
References
The Impact of Preoperative Distress: A Qualitative analysis of the Perioperative Pain Self-Management Intervention. [2023]Preoperatively distressed patients are at elevated risk for chronic postsurgical pain. Active psychological interventions show promise for mitigating chronic postsurgical pain. This study describes experiences of preoperatively distressed (elevated depressive symptom, anxious symptoms, or pain catastrophizing) and non-distressed participants who participated in the psychologically based Perioperative Pain Self-management (PePS) intervention.
[Organization model for postoperative pain management in a basic-care hospital]. [2018]Small hospitals often lack the financial and personnel resources to realize innovative postoperative pain management concepts. This is not-as shown here-an absolute contradiction. The regular measurement of pain and its documentation by ward nurses as well as the appropriate prescription of analgesics play a key role in our concept. The joint establishment of guidelines, information sessions and the on-going dialog between the various professional groups guarantees the necessary consensus of all specialists involved in postoperative pain control. If an anesthetist is available 24 h a day, a nurse-based acute pain service (APS) becomes available for managing patients with patient-controlled analgesia (PCA) systems. The use of PCA and the performance of pain visits at regular intervals increase patient comfort and satisfaction. In addition, it can contribute to reduced hospitalization time in the context of fast-track rehabilitation programs. In our opinion, embedding the measures in a quality management program has a valuable catalytic effect, although implementation takes at least 1-2 years.
[Evaluation of the "initiative pain-free clinic" for quality improvement in postoperative pain management. A prospective controlled study]. [2021]Demonstration of improved postoperative pain management by implementation of the S3 guidelines on treatment of acute perioperative and posttraumatic pain, by the integrated quality management concept "quality management acute pain" of the TÜV Rheinland or by participation in the benchmark project "Quality improvement in postoperative pain management" (QUIPS).
Improving Perioperative Pain Education for Patients Prescribed Opioids: An Integrative Review. [2023]Postoperative pain is still inadequately managed for a significant number of patients despite the extensive use of opioids. Among several pain management strategies, patient education is a vital component of perioperative pain management. However, perioperative education practices remain inconsistent and incomplete in many hospital settings.
Military Veterans' Perspectives on Postoperative Opioid Use: A Secondary Analysis of Qualitative Data. [2023]This qualitative analysis of interviews with surgical patients who received a brief perioperative psychological intervention, in conjunction with standard medical perioperative care, elucidates patient perspectives on the use of pain self-management skills in relation to postoperative analgesics.
Postoperative pain management on surgical wards--do quality assurance strategies result in long-term effects on staff member attitudes and clinical outcomes? [2019]Postoperative pain management (POPM) remains suboptimal on surgical wards in many countries despite the availability of effective analgesics, new technologies for drug administration, and clinical practice guidelines for pain management. The aim of the present study was to assess remaining long-term effects on pain management routines, patient experiences, and staff member attitudes in surgical wards more than 3 years after introduction of a quality assurance program for POPM and compare the findings to those of an organization where a corresponding systematic, entire hospital, quality assurance program had not been completed. A descriptive and comparative design, based on survey data from both patients (N = 110) and staff members (N = 51) on urologic surgery wards, was used. Significant (p
Postoperative pain management. [2005]Postoperative pain management is essential and must be approached as an integral part of the perioperative care. It should be systematic and based on sound physiologic and pharmacologic principles. The intra-operative management of pain is crucial, as there is perhaps an important role for preemptive analgesia. Because of its unique nature, pain is difficult to assess, but for good results adequate and repeated assessment are vital. The literature also points to the detrimental effects of inadequate pain control. There are a variety of methods available for pain management. In choosing a method, various factors need to be considered including physician skill, knowledge of analgesics and routes of administration, patient-related and clinical circumstances, the availability of an environment supportive of effective pain management, and the knowledge and skill of staff to assess and monitor patients. These need to be considered along with the risks and benefits and cost-benefit of the various drugs and techniques. The cornerstone of therapy is opioids, which can be administered by a variety of routes. The use of TEA with opioids and local anesthetics is highly beneficial, especially in high-risk patients. The aim should be to provide all patients a balanced analgesic regimen based on the identification of multiple mechanisms involved in postoperative pain.
Current management of pediatric postoperative pain. [2005]Pain is a common complaint in children after surgery. Four out of five children require analgesia even after minor surgery, and after more extensive surgery, significant postoperative pain may last for weeks. Severe pain during, and after surgery may aggravate long-lasting negative effects to the body and mind. In order to prevent harmful effects, all children should be provided with effective analgesia. Pain management should be safe and easy to administer. Postoperative pain management in children has improved substantially during the last 5 years. Recent trials indicate that children may undergo major surgery with minimal untoward effects when effective proactive pain management is provided. This review will focus on new clinical strategies on pain management in children. Since most pediatric surgery is performed as a day-case or short-stay basic recommendations for parental guidance and pain management after discharge are also presented.
Clinical aspects of acute post-operative pain management & its assessment. [2022]Management of postoperative pain relieve suffering and leads to earlier mobilization, shortened hospital stay, reduced hospital costs, and increased patient satisfaction. An effective postoperative management is not a standardized regime rather is tailored to the needs of the individual patient, taking into account medical, psychological, and physical condition; age; level of fear or anxiety; surgical procedure; personal preference; and response to therapeutic agents given. The major goal in the management of postoperative pain is to minimize the dose of medications to lessen side effects & provide adequate analgesia. Postoperative pain is still under managed due to obstacles in implementation of Acute Pain Services due to insufficient education, fear of complications associated with available analgesic drugs, poor pain assessment and inadequate staff. This review reflects the clinical aspects of postoperative pain & its assessment & management with an emphasis on research for new analgesic molecules & delivery system.
Acute pain services and postsurgical pain management in the Netherlands: a survey. [2022]Acute postoperative pain is still inadequately managed, despite the presence of acute pain services (APSs). This study aimed to investigate the existence, structure, and responsibilities of Dutch APSs and to review the implementation of the Dutch Hospital Patient Safety Program (DHPSP).
Errors in managing postsurgical pediatric pain in Mexico. [2011]Postoperative pain is a subjective symptom that has been extensively studied in adults, but only minimally in children. In children, use of low analgesic doses and failure to document the pain and its management are common concerns. In newborns and infants pain is difficult to interpret. This was a double-blind, prospective, multicenter observational study conducted in four public Mexican hospitals to identify analgesic use. One hundred subjects were enrolled at each institution and monitored for 24 to 48 hours following surgery. Data were collected on 152 girls and 248 boys ranging in age from newborns to 14 years. Nearly 300 (290) underwent major procedures; 110 had short stay surgery. The most common analgesics used were paracetamol and dipyrone at low doses. Less frequently ibuprofen or another anti-inflammatory was used. Many children received no analgesic, including 30 newborns, and others received only one or two analgesic doses. Fifteen burn patients received ketorolac. The occurrence and characteristics of the pain were poorly documented in all four hospitals. Postoperative pain causes suffering and can prolong hospital stays. Graphic pain intensity scales exist to evaluate pain, but use of them was not documented in medial records. Nurses and doctors in training did not have the skills needed to evaluate pain. The study revealed errors in pain management and fear among staff in using high doses of common analgesics. The study results document patterns of care in most Mexican hospitals today and indicate a need for pain management training for Mexican doctors and nurses.