258 Participants Needed

Goal Setting Intervention for Chronic Knee Pain

(mGAME Trial)

ED
JM
JE
Overseen ByJiaoyuan Elisabeth Diallo
Age: 18+
Sex: Any
Trial Phase: Academic
Sponsor: Dartmouth-Hitchcock Medical Center
No Placebo GroupAll trial participants will receive the active study treatment (no placebo)

Trial Summary

What is the purpose of this trial?

To evaluate the effectiveness of the goal development intervention in guiding individual patients through the identification of high quality, specific, measurable, relevant and time-bound goal for treatment.

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

The trial information does not specify whether you need to stop taking your current medications.

What data supports the effectiveness of the treatment Goal Setting Intervention for Chronic Knee Pain?

Research on similar treatments, like Goal Attainment Scaling (GAS) for chronic pain, shows that setting personal goals can help people manage their pain better. For example, in a study with older adults with arthritis, 76% of participants met their goals, and they found certain pain management methods more helpful after the intervention.12345

Is goal setting intervention for chronic knee pain safe for humans?

Goal setting interventions, like Goal Attainment Scaling (GAS), have been used safely in various chronic pain conditions, including arthritis and low back pain, without reported safety concerns.12367

How is the Goal Setting Intervention for Chronic Knee Pain treatment different from other treatments?

This treatment is unique because it uses Goal Attainment Scaling (GAS), which involves setting personalized goals for each patient and tracking their progress. Unlike standard treatments that may focus solely on physical symptoms, this approach considers the patient's personal aspirations and quality of life, making it more tailored and meaningful for the individual.12357

Research Team

KJ

Kevin J McGuire, MD

Principal Investigator

Dartmouth-Hitchcock Medical Center

Eligibility Criteria

This trial is for adults over 21 who are new or existing patients scheduled to see an orthopaedic surgeon for knee issues. It's not open to those unable to consent, non-English speakers, or anyone less than a year out from prior spine, hip, or knee surgery.

Inclusion Criteria

I am 21 years old or older.
I am scheduled for a knee consult with an orthopaedic surgeon for a new issue.

Exclusion Criteria

I can consent and complete surveys without help.
I had knee surgery less than a year ago, spine surgery less than 6 months ago, or another knee/hip surgery less than 3 months ago.

Timeline

Screening

Participants are screened for eligibility to participate in the trial

2-4 weeks

Treatment

Participants undergo the goal development intervention to identify high quality, specific, measurable, relevant, and time-bound goals for treatment

8 months

Follow-up

Participants are monitored for the effectiveness of the goal development intervention and shared decision making

4 weeks

Treatment Details

Interventions

  • Goal Attainment
  • Goal Development
  • Goal Tracking
Trial Overview The study tests a goal development intervention that helps patients set and track specific and measurable goals for their knee treatment. The effectiveness of this personalized approach will be evaluated.
Participant Groups
3Treatment groups
Active Control
Group I: Goal Development and Tracking InterventionActive Control2 Interventions
Group II: Goal Attainment InterventionActive Control1 Intervention
Group III: Goal Development InterventionActive Control1 Intervention

Find a Clinic Near You

Who Is Running the Clinical Trial?

Dartmouth-Hitchcock Medical Center

Lead Sponsor

Trials
548
Recruited
2,545,000+

Medacta USA

Industry Sponsor

Trials
17
Recruited
2,100+

Findings from Research

Goal attainment scaling (GAS) has been shown to be a feasible and patient-centered approach for individuals with low back pain (LBP), allowing patients to set personalized goals during rehabilitation.
GAS may be more sensitive to changes in patient outcomes compared to traditional fixed-item measures, suggesting it could enhance patient satisfaction and therapeutic effects, although it still requires further development and validation for effective use.
Goal attainment scaling for patients with low back pain in rehabilitation: A systematic review.Haladay, D., Swisher, L., Hardwick, D.[2022]
A new individualized assessment tool was developed to better capture meaningful changes in low back pain from the patient's perspective, involving 15 patients who identified 45 important goals related to their condition.
The majority of participants (69%) were able to define a 'minimal important change' for their goals, demonstrating that patients can effectively engage in setting targets for their recovery.
Goal scaling for low back pain in primary care: development of a semi-structured interview incorporating minimal important change.Mullis, R., Hay, EM.[2021]
In a study involving 17 older adults (average age 79) with arthritis, 76% successfully set and achieved their individual pain management goals through the Goal Attainment Pain Management Program (GAPMAP).
Participants reported increased use and effectiveness of pain management methods, particularly exercise and heated water therapies, leading to significant improvements in their experience of persistent pain and expectations for pain management outcomes.
A goal attainment pain management program for older adults with arthritis.Davis, GC., White, TL.[2022]

References

Goal attainment scaling for patients with low back pain in rehabilitation: A systematic review. [2022]
Goal scaling for low back pain in primary care: development of a semi-structured interview incorporating minimal important change. [2021]
A goal attainment pain management program for older adults with arthritis. [2022]
Patient led goal setting in chronic low back pain-What goals are important to the patient and are they aligned to what we measure? [2019]
Goal attainment scaling in evaluating a multidisciplinary pain management programme. [2017]
Goal attainment scaling: an effective outcome measure for rural and remote health services. [2019]
The application of goal attainment scaling in chronic pain settings. [2019]
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