Mindfulness for Postoperative Pain and Anxiety

ES
Overseen ByEmily Simon, MD
Age: 18+
Sex: Any
Trial Phase: Academic
Sponsor: University Hospitals Cleveland Medical Center
No Placebo GroupAll trial participants will receive the active study treatment (no placebo)

What You Need to Know Before You Apply

What is the purpose of this trial?

This trial explores how mindfulness techniques, such as deep breathing and focusing on the present, can help patients manage pain and anxiety after colorectal surgery. Participants will either learn mindfulness techniques or receive standard treatment. The goal is to determine if mindfulness can improve recovery by reducing pain levels and the need for pain medication. This trial may suit those scheduled for bowel resection surgery at specific University Hospitals locations who have internet access.

As an unphased trial, this study offers participants the chance to explore innovative pain management techniques that could enhance their recovery experience.

Do I need to stop my current medications for this trial?

The trial information does not specify whether you need to stop taking your current medications. It seems focused on teaching mindfulness techniques rather than changing medication use.

What prior data suggests that this mindfulness intervention is safe for postoperative patients?

Research has shown that mindfulness exercises are generally safe. Studies have found these techniques can improve mental health and reduce stress without major safety issues. Mindfulness practices, such as deep breathing and focusing on the present moment, are easy for most people to perform. No reports indicate serious problems from using mindfulness to manage post-surgery pain. Participants usually find these exercises helpful and simple to follow.

This trial will explore how well mindfulness reduces pain and anxiety after surgery. Participants in the mindfulness group will learn easy exercises to help them feel calmer. This method is non-invasive and doesn't involve medication, enhancing its safety.12345

Why are researchers excited about this trial?

Researchers are excited about the Mindfulness Intervention for postoperative pain and anxiety because it offers a non-drug approach that empowers patients to manage their symptoms through mental techniques. Unlike standard care that typically involves medication and physical therapy, this intervention teaches patients mindfulness exercises, such as deep breathing and present-moment awareness, which can be practiced anywhere without side effects. Another standout feature is the convenience of delivery, as patients receive training via Zoom, making it accessible and easy to integrate into their pre- and post-surgery routine. This method could revolutionize how we support recovery, providing patients with tools to reduce pain and anxiety naturally.

What evidence suggests that mindfulness is effective for managing postoperative pain and anxiety?

Research has shown that mindfulness can help reduce anxiety and pain for patients undergoing surgery. In this trial, participants in the Mindfulness Intervention group will learn exercises such as deep breathing and focusing on the present moment. Studies have found these techniques can lower anxiety levels after surgery. Notably, nine out of ten studies reported reduced anxiety with meditation techniques. Additionally, mindfulness has been shown to reduce pain in most cases. This suggests that learning mindfulness before surgery might help patients feel calmer and manage pain better afterward. Participants in the Standard Care group will follow standard protocols without specific mindfulness interventions.16789

Who Is on the Research Team?

ES

Emily Steinhagen, MD

Principal Investigator

University Hospitals Cleveland Medical Center

Are You a Good Fit for This Trial?

This trial is for individuals undergoing colorectal surgery, aiming to see if mindfulness can help with postoperative pain and anxiety. Participants must be willing to learn and practice mindfulness exercises via Zoom before and after surgery, complete questionnaires, and possibly engage in a follow-up interview.

Inclusion Criteria

Access to the internet via phone, laptop, or iPad
I am scheduled for bowel surgery and am part of the ERAS program at UH.
English-speaking
See 3 more

Exclusion Criteria

Allergy or intolerance to all opioids
Insufficient English proficiency
No access to the internet outside clinical settings
See 5 more

Timeline for a Trial Participant

Screening

Participants are screened for eligibility to participate in the trial

1-2 weeks

Pre-Surgery Mindfulness Training

Participants in the Mindfulness group have a 30-minute Zoom session to learn mindfulness exercises

1 day
1 visit (virtual)

Post-Surgery Recovery

Participants watch a video review of mindfulness exercises and complete daily text message check-ins

1-2 days

Follow-up

Participants complete questionnaires and some participate in a semi-structured interview via Zoom

2-4 weeks
1 visit (virtual)

What Are the Treatments Tested in This Trial?

Interventions

  • Mindfulness Intervention
Trial Overview The study compares the effects of a Mindfulness Intervention against Standard Treatment on recovery after colorectal surgery. Participants are randomly assigned to either group, with the Mindfulness group receiving training in exercises like deep breathing.
How Is the Trial Designed?
2Treatment groups
Experimental Treatment
Active Control
Group I: Mindfulness InterventionExperimental Treatment1 Intervention
Group II: Standard CareActive Control1 Intervention

Find a Clinic Near You

Who Is Running the Clinical Trial?

University Hospitals Cleveland Medical Center

Lead Sponsor

Trials
348
Recruited
394,000+

UH Connor Whole Health

Collaborator

Citations

Meditation for perioperative pain and anxiety: A systematic ...Ten studies assessed anxiety outcomes after invasive procedures: nine reported a decrease in overall anxiety levels as a result of meditation ...
Effects of mindfulness-based preoperative intervention for ...Our findings suggest preoperative mindfulness-based interventions can effectively manage preoperative anxiety and postoperative pain in patients scheduled for ...
Effects of Mobile-based Mindfulness Intervention to ...Mindfulness-based interventions (MBIs) have demonstrated efficacy in improving various clinical outcomes especially in reducing stress and anxiety. Mindfulness- ...
Effects of Mindfulness on Postoperative Pain, Anxiety, and ...Twelve articles focused on postoperative pain as the primary outcome and 11 of these reported that mindfulness decreased pain scores, mainly after ...
Mindfulness for patients undergoing surgery: a cost-effective ...There is a wealth of Level I evidence that illustrates the ability of mindfulness to improve symptoms of anxiety and depression.
Mindfulness-Based Interventions for the Reduction of ...The aim of this systematic review and meta-analysis is to evaluate the effect of mindfulness-based interventions (MBIs) on post-surgical pain in patients ...
Mindfulness Training for Postoperative PainStudies have shown that it can improve mental health and reduce stress levels, with no significant safety concerns reported. Show more.
Effectiveness of a Mindfulness-Based Intervention Integrated ...This study (MIND-PT) is a multisite randomized trial that compares an enriched pain management (EPM) pathway that integrates physical therapy and mindfulness.
Mindfulness-based intervention for non-farmacological ...MBIs are associated with a significant reduction in postoperative pain following THA and TKA, representing a viable non-pharmacological option for pain ...
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