Effectiveness of Acceptance and Commitment Therapy (ACT) for the Management of Postsurgical Pain : Study Protocol of a Randomized Controlled Trial (SPINE-ACT Study)
Castaño Asins, Juan Ramon (Hospital del Mar (Barcelona, Catalunya))
Sanabria Mazo, Juan Pablo (Universitat Autònoma de Barcelona. Departament de Psicologia Bàsica, Evolutiva i de l'Educació)
Luciano, Juan Vicente (Universitat Autònoma de Barcelona. Departament de Psicologia Clínica i de la Salut)
Barcelo, Alberto (Instituto de Investigación Sanitaria de Aragón)
Martín-López, Luis M. (Hospital del Mar (Barcelona, Catalunya))
Arco-Churruca, Alejandro Del (Hospital del Mar (Barcelona, Catalunya))
Lafuente Baraza, Jesús (Hospital del Mar (Barcelona, Catalunya))
Bulbena Vilarrasa, Antonio (Universitat Autònoma de Barcelona. Departament de Psiquiatria i de Medicina Legal)
Pérez Solà, Víctor (Hospital del Mar (Barcelona, Catalunya))
Montes-Pérez, Antonio (Hospital del Mar (Barcelona, Catalunya))

Fecha:	2023
Descripción:	15 pàg.
Resumen:	Research on the use of Acceptance and Commitment Therapy (ACT) for patients with degenerative lumbar pathology awaiting surgery are limited. However, there is evidence to suggest that this psychological therapy may be effective in improving pain interference, anxiety, depression, and quality of life. This is the protocol for a randomized controlled trial (RCT) to evaluate the effectiveness of ACT compared to treatment as usual (TAU) for people with degenerative lumbar pathology who are candidates for surgery in the short term. A total of 102 patients with degenerative lumbar spine pathology will be randomly assigned to TAU (control group) or ACT + TAU (intervention group). Participants will be assessed after treatment and at 3-, 6-, and 12-month follow-ups. The primary outcome will be the mean change from baseline on the Brief Pain Inventory (pain interference). Secondary outcomes will include changes in pain intensity, anxiety, depression, pain catastrophizing, fear of movement, quality of life, disability due to low back pain (LBP), pain acceptance, and psychological inflexibility. Linear mixed models will be used to analyze the data. Additionally, effect sizes and number needed to treat (NNT) will be calculated. We posit that ACT may be used to help patients cope with the stress and uncertainty associated with their condition and the surgery itself.
Derechos:	Aquest document està subjecte a una llicència d'ús Creative Commons. Es permet la reproducció total o parcial, la distribució, la comunicació pública de l'obra i la creació d'obres derivades, fins i tot amb finalitats comercials, sempre i quan es reconegui l'autoria de l'obra original.
Lengua:	Anglès
Documento:	Article ; recerca ; Versió publicada
Materia:	Low back pain ; Lumbar spine surgery ; Acceptance and commitment therapy ; Randomized controlled trial ; Study protocol
Publicado en:	Journal of clinical medicine, Vol. 12 Núm. 12 (2023) , p. 4066-15, ISSN 2077-0383

DOI: 10.3390/jcm12124066
PMID: 37373758

15 p, 707.7 KB

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