Psychosocial Support for Pre-operative Pain and Distress (Mind-Body JRA)

Экспериментальный: Mindfulness

15 minute mindfulness session

Поведенческий: Mindfulness

The 15 minute mindfulness session is a scripted mindfulness exercise that incorporates mindfulness principles of intentionally paying attention to present-moment experience in a non-judgmental fashion.

Экспериментальный: Suggestion

15 minute therapeutic suggestion session

Поведенческий: Suggestion

The 15 minute suggestion session is a scripted suggestion exercise that incorporates imagery and suggestions for changes in cognition, emotion, and body sensations.

Активный компаратор: Psychoeducation

15 minute psychoeducation session

Поведенческий: Psychoeducation

The 15 minute psychoeducation session is a supportive session in which behavioral coping strategies for pain management are discussed.

Без вмешательства: Usual Care

The usual care comparison group was comprised of patients who underwent total joint arthroplasty of the hip or knee at the same academic medical center during the study period but who did not attend Joint Academy.

Pain Intensity Numeric Rating Scale

Single Likert scale item ranging from 0-10, with 0 indicating no pain and 10 representing the most intense pain imaginable.

Pain Unpleasantness Numeric Rating Scale

Single Likert scale item ranging from 0-10, with 0 indicating no pain and 10 representing the most unpleasant pain imaginable.

Pain Medication Desire Numeric Rating Scale

Single Likert scale item ranging from 0-10, with 0 indicating no desire for pain medication and 10 representing a strong desire for pain medication.

Anxiety Numeric Rating Scale

Single Likert scale item ranging from 0-10, with 0 indicating no anxiety and 10 representing very anxious.

Postoperative Patient Reported Outcomes Measurement Information System (PROMIS) Physical Functioning Item Bank, v2.0

The PROMIS physical functioning computer assisted test draws from a bank of 123 items all scored on a 5 point Likert scale.

T-Score distributions are standardized such that a 50 represents the average (mean) for the US general population, and the standard deviation around that mean is 10 points. A high score better physical functioning.

Nondual Awareness Dimensional Assessment - State

Three Likert scale item ranging from 0-30, with 0 indicating no nondual awareness and 10 representing complete nondual awareness. Items can also be used individually. Item one is a single Likert scale item ranging from 0-10, with 0 indicating no relational unity and 10 representing complete relational unity. Item two is a single Likert scale item ranging from 0-10, with 0 indicating no annihilational unity and 10 representing complete annihilational unity. Item three is a single Likert scale item ranging from 0-10, with 0 indicating no bliss and 10 representing complete bliss.

Sensation Manikin Body Sensation Report

The ratio of pleasant to unpleasant bodily sensations reported on a sensation manikin. Ratio scores below 1 indicate unpleasant sensations predominate in the body and ratio scores above 1 indicate pleasant scores predominate.

Present Moment Awareness Numeric Rating Scale (Manipulation Check)

Single Likert scale item ranging from 0-10, with 0 indicating no awareness of the present and 10 representing complete awareness of the present moment.

Decentering Numeric Rating Scale (Manipulation Check)

Single Likert scale item ranging from 0-10, with 0 indicating no decentering and 10 representing a completely decentered perspective.