Psychological Assessment of Scoliosis Patients Undergoing Surgical Management PASS

What this Trial Is About

Researchers are evaluating mental health, pain, and function in adolescents aged 10 to 19 with Adolescent Idiopathic Scoliosis AIS undergoing spinal fusion surgery. The study aims to test a structured psychological intervention program called Aim to Decrease Anxiety and Pain Treatment ADAPT, based on cognitive behavioral therapy CBT protocols, to manage pediatric pain and anxiety around surgery. The research focuses on improving both short-term and long-term physical and mental health outcomes after surgery while addressing risks like anxiety, depression, and opioid use. Participants are randomly assigned in a 21 ratio to either receive the ADAPT psychological intervention or standard care without psychological support. The ADAPT program involves one pre-operative and three post-operative CBT sessions within the first two months after surgery, starting 2-3 weeks post-surgery. Additionally, an optional HIPAA-compliant mobile app, SMART-MH, may be used to deliver the same CBT content and allow electronic completion of patient-reported outcome questionnaires. Throughout the study, participants will complete assessments of anxiety, depression, pain catastrophizing, and overall mental health before surgery and again at 6 weeks, 6 months, and 1 year after surgery. These evaluations use validated tools including the Beck Anxiety Inventory, Beck Depression Inventory, PROMIS short forms, and the Scoliosis Research Society questionnaire-22 revised. Researchers will also collect sociodemographic data and monitor patient-reported outcomes to measure the interventions impact on psychological and physical recovery over time.

Psychological Assessment of Scoliosis Patients Undergoing Surgical Management