Knee Arthroplasty Pain Coping Skills Training (KASTPain): A Randomized Trial

Completed · Not applicable

Conditions studied: Knee Osteoarthritis

In brief

Patients undergoing knee replacement surgery and who have high levels of pain catastrophizing are at risk for poor outcome. The clinical trial is designed to determine if a pain coping skills training intervention delivered by physical therapists and supervised by psychologists is more effective at reducing pain and improving function and is more cost effective than arthritis education or usual care.

Key facts

Study ID

NCT01620983

Run by

Virginia Commonwealth University

People needed

402

Starts

2012-12-01

Expected to finish

2018-06-30

Last updated by the study team

2018-10-19

Who can join

Age: 45 and older. Sex: any. Healthy volunteers: not accepted.

You may qualify if…

• Adults 45 years and older and capable of providing informed consent
• Diagnosis of osteoarthritis as determined by participating orthopaedic surgeons
• Scheduled for an elective unilateral total or unicompartmental knee arthroplasty no sooner than 1 week and no later than 8 weeks from the time of recruitment
• Score of greater than or = to 16 on the Pain Catastrophizing Scale
• Score of greater than or = to 5 on the WOMAC Pain Scale
• Able to read and speak English

You may not qualify if…

• Scheduled for revision arthroplasty surgery
• Underwent contralateral knee arthroplasty surgery or hip arthroplasty surgery within 6 months of currently planned surgery
• Unable to or declines study participation
• Self-reported diagnosis of rheumatoid arthritis, psoriatic arthritis, systemic lupus erythematosis, ankylosing spondylitis
• Arthroplasty surgery scheduled because of fracture, malignancy or infection
• Scheduled for bilateral arthroplasty surgery
• Scheduled to undergo hip or knee arthroplasty within 6 months of current knee arthroplasty
• Score of 20 or greater on the PHQ-8 depression scale
• Score of less than 3 on the six-item cognitive screener

Where it is running

• Southern Illinois University — Springfield, Illinois, United States
• New York University — New York, New York, United States
• Duke University — Durham, North Carolina, United States
• Wake Forest University — Winston-Salem, North Carolina, United States
• Virginia Commonwealth University — Richmond, Virginia, United States

Full record on ClinicalTrials.gov

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