Study of a Brief Acceptance and Commitment Therapy Program to Prevent Chronic Pain and Reduce Opioid Use After Lumbar Spine Surgery

What this Trial Is About

This research aims to adapt and modify a brief presurgical Acceptance and Commitment Therapy ACT to help prevent Chronic Post-Surgical Pain CPSP and reduce long-term opioid use after lumbar spine surgery. The study will evaluate the acceptability, feasibility, and preliminary effectiveness of this intervention in preventing CPSP and lowering opioid use six months after surgery. Researchers will also explore psychosocial and psychophysical factors linked to how patients respond to the treatment. Participants will be randomly assigned to one of two groups. One group will attend a one-day, in-person ACT workshop before surgery and receive a follow-up telephone booster after surgery. The other group will receive treatment as usual without the ACT intervention. This behavioral approach is being studied to see if it can improve post-surgical outcomes. During the study, participants will complete assessments immediately after the ACT workshop and at one, three, and six months after surgery. These include measures of treatment helpfulness and credibility, pain intensity and interference, and opioid dosage. The main outcome is how helpful participants find the ACT workshop right after it is given. Researchers will monitor participants for six months following surgery to understand the interventions impact and feasibility.

PREventing Pain After Surgery