Clinical Trials Logo

Clinical Trial Details — Status: Completed

Administrative data

NCT number NCT03308071
Other study ID # IRB-41122
Secondary ID
Status Completed
Phase N/A
First received
Last updated
Start date September 20, 2017
Est. completion date August 30, 2020

Study information

Verified date August 2021
Source Stanford University
Contact n/a
Is FDA regulated No
Health authority
Study type Interventional

Clinical Trial Summary

The purpose of the study is to determine if teaching self-hypnosis techniques to patients prior to knee replacement surgery will decrease their pain medication requirements, pain medication side-effects, length of stay in the hospital, readmission rates, pain, anxiety, physical function, satisfaction scores, and cost of admission.


Description:

Patients will be recruited by through orthopedic surgery clinics or contacted by after pre-screening via chart review and given an information brochure. If they are interested in the trial will be emailed or given a paper copy of the consent form and scheduled for a single additional visit in the Integrative Medicine Center at Hoover Pavilion approximately 1 week before surgery. At the single study visit, participants would be consented, then a mini-mental state test would be performed to determine if participants are eligible by a score of 25 or above. If eligible, participants would be asked to fill out surveys relating to demographics, attitudes and experience with hypnosis, and detailed pain medication usage. Then, participants would be randomized to hypnosis vs. no hypnosis. The hypnosis group will undergo a Hypnotic Induction Profile to score hypnotizability, then be lead through a hypnosis induction and read a perioperative symptom management script, then re-alerted from hypnosis. Patients in this group would then be asked to listen to the same hypnosis script on a telephone recording twice per day until after the surgery when participants feel they don't need it anymore. The control group will fill out the surveys and the study visit will end. Participants will be asked not to use any hypnosis until the trial period is over. Data regarding pain, activity, and satisfaction is already collected by email survey or by Ipad in orthopedic clinic at or before the pre-op visit, and 3 months post-op. Patients in the knee study will be asked to fill out the same surveys around the two week and six week post-op orthopedic clinic visits as well. One additional survey will be added at the 2 week post-op visit to reassess attitudes and experience with hypnosis, and detailed pain medication usage. Those participants who do not fill out the survey will be called and/or emailed to remind them to fill it out.


Recruitment information / eligibility

Status Completed
Enrollment 64
Est. completion date August 30, 2020
Est. primary completion date August 30, 2019
Accepts healthy volunteers No
Gender All
Age group 18 Years and older
Eligibility Inclusion Criteria: - At least 18 years old. - scheduled for a primary, unilateral, total knee replacement surgery within the study period - able to commit to a single study clinic visit at least one week prior to their scheduled surgery and use of phone recordings - able to read and understand English - Score at least 25 on mini-mental state exam Exclusion Criteria: - severe psychiatric or structural brain disease (ie. psychosis, stroke with functional impairment, dementia) - current use of hypnosis/self-hypnosis - enrolled in other clinical trials related to pain management or length of stay - hearing impairment that would impede ability to listen to a phone recording

Study Design


Intervention

Behavioral:
Hypnosis
Hypnotic induction, relaxation, and guided imagery specific to perioperative symptoms will be administered.

Locations

Country Name City State
United States Stanford University/Stanford Healthcare Palo Alto California

Sponsors (1)

Lead Sponsor Collaborator
Stanford University

Country where clinical trial is conducted

United States, 

Outcome

Type Measure Description Time frame Safety issue
Primary Narcotic use Total narcotic use during the hospital stay will be calculated in "morphine equivalents" Index hospitalization for total knee replacement, average 2-3 days
Secondary Narcotic prescriptions Total narcotics prescribed in the outpatient setting 1 month before, and 3 months and 1 year after joint replacement
Secondary Narcotic-associated side effects Incidence of delirium, constipation, urinary retention, respiratory depression Index hospitalization for total knee replacement, average 2-3 days
Secondary UCLA activity scores Classifies the activity level of joint replacement patients At the pre-op visit with the surgeon and 2, 6 and 12 weeks post-op
Secondary KOOS Jr Survey Knee injury and osteoarthritis outcome score At the pre-op visit with the surgeon and 2, 6 and 12 weeks post-op
Secondary VR-12 Survey Measures health-related quality of life At the pre-op visit with the surgeon and 2, 6 and 12 weeks post-op
Secondary Knee Society Score Prosthesis function and patients' functional abilities after total knee arthroplasty (TKA) At the pre-op visit with the surgeon and 12 weeks post-op
Secondary Number of days hospitalized Total number of days hospitalized for total knee replacement surgery Reported once , after patient is discharged (1 day)
Secondary Satisfaction with hypnosis survey Attitudes and expectations regarding hypnosis Pre-op and 2 weeks post-op
See also
  Status Clinical Trial Phase
Completed NCT04633850 - Implementation of Adjuvants in Intercostal Nerve Blockades for Thoracoscopic Surgery in Pulmonary Cancer Patients
Recruiting NCT03181620 - Sedation Administration Timing: Intermittent Dosing Reduces Time to Extubation N/A
Completed NCT04579354 - Virtual Reality (VR) Tour to Reduce Preoperative Anxiety Before Anaesthesia N/A
Recruiting NCT06007378 - Optimizing Postoperative Pain Control After Laparoscopic Colorectal Surgery N/A
Recruiting NCT05943015 - Analgesic Efficacy of Quadratus Lumborum, Paravertebral Blocks N/A
Completed NCT04544228 - Ketamine or Neostigmine for Serratus Anterior Plane Block in Modified Radical Mastectomy N/A
Completed NCT03678168 - A Comparison Between Conventional Throat Packs and Pharyngeal Placement of Tampons in Rhinology Surgeries N/A
Completed NCT03286543 - Electrical Stimulation for the Treatment of Pain Following Total Knee Arthroplasty Using the SPRINT Beta System N/A
Completed NCT03663478 - Continuous TQL Block for Elective Cesarean Section Phase 4
Completed NCT04176822 - Designing Animated Movie for Preoperative Period N/A
Completed NCT05170477 - Influence of Apical Patency Concept Upon Postoperative Pain After Root Canal Treatment N/A
Completed NCT06425601 - A Comparison of Silicone Versus Polyvinylchloride (PVC) Drains Following VATS Lobectomy N/A
Not yet recruiting NCT04561856 - Fascia Iliaca Block Supplemented With Perineural Vs Intravenous Dexamethasone Phase 4
Completed NCT03612947 - TAP Block in Laparoscopic Cholecystectomy. Phase 2
Completed NCT05974501 - Pre vs Post Block in Total Knee Arthroplasty (TKA) Phase 4
Completed NCT05995912 - Efficacy and Safety of Etoricoxib-tramadol Tablet in Acute Postoperative Pain Phase 2
Completed NCT04571515 - Dose-Response Study of MR-107A-01 in The Treatment of Post-Surgical Dental Pain Phase 2
Active, not recruiting NCT04190355 - The Effect of Irrigant Types Used During Endodontic Treatment on Postoperative Pain N/A
Recruiting NCT05145153 - Incidence of Chronic Pain After Thoracic Surgery
Recruiting NCT03697278 - Monitoring Postoperative Patient-controlled Analgesia (PCA) N/A