Feasibility and acceptability of a single-session perioperative acceptance and commitment therapy workshop for preventing chronic postsurgical pain: a single-arm, non-randomized pilot trial
ObjectiveThis pilot trial evaluated the feasibility, acceptability, and preliminary effects of a single-session, group-based Acceptance and Commitment Therapy (ACT) intervention for patients undergoing spine surgery (SS) to prevent chronic postsurgical pain (CPSP).MethodsForty-five adults (Mage = 64...
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Frontiers Media S.A.
2025-04-01
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| Series: | Frontiers in Pain Research |
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| Online Access: | https://www.frontiersin.org/articles/10.3389/fpain.2025.1558753/full |
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| author | Jolin B. Yamin Jolin B. Yamin Jenna M. Wilson Jenna M. Wilson Bethany D. Pester Caroline Allen JiHee Yoon Marise C. Cornelius Marise C. Cornelius Diya Dharmendran Diya Dharmendran Kylie Steinhilber Kylie Steinhilber Madelyn Crago Savannah Kazemipour Angelina Franqueiro Delia Fentazi Kristin L. Schreiber Kristin L. Schreiber Kevin E. Vowles Robert R. Edwards Robert R. Edwards Robert N. Jamison Robert N. Jamison Samantha M. Meints Samantha M. Meints |
| author_facet | Jolin B. Yamin Jolin B. Yamin Jenna M. Wilson Jenna M. Wilson Bethany D. Pester Caroline Allen JiHee Yoon Marise C. Cornelius Marise C. Cornelius Diya Dharmendran Diya Dharmendran Kylie Steinhilber Kylie Steinhilber Madelyn Crago Savannah Kazemipour Angelina Franqueiro Delia Fentazi Kristin L. Schreiber Kristin L. Schreiber Kevin E. Vowles Robert R. Edwards Robert R. Edwards Robert N. Jamison Robert N. Jamison Samantha M. Meints Samantha M. Meints |
| author_sort | Jolin B. Yamin |
| collection | DOAJ |
| description | ObjectiveThis pilot trial evaluated the feasibility, acceptability, and preliminary effects of a single-session, group-based Acceptance and Commitment Therapy (ACT) intervention for patients undergoing spine surgery (SS) to prevent chronic postsurgical pain (CPSP).MethodsForty-five adults (Mage = 64 years) scheduled for SS enrolled and were asked to complete baseline questionnaires, and 28 attended a 5 h virtual ACT workshop, which focused on enhancing psychological flexibility and acceptance. Feasibility was assessed by tracking enrollment and attendance, while treatment credibility, expectancy, and helpfulness were evaluated using the Credibility and Expectancy Questionnaire (CEQ) and the Treatment Helpfulness Questionnaire (THQ). Health-related outcomes, including pain severity and interference (Brief Pain Inventory; BPI), anxiety, and depression (PROMIS-29), were measured at baseline, 1-month, 3-months, and 6-months post-surgery.ResultsOf the enrolled participants, 58% attended the workshop, all of whom completed the entire workshop. CEQ and THQ scores indicated high credibility and helpfulness immediately after the intervention and at 1-month post-surgery. Exploratory analyses examining health outcome changes following ACT during the post-surgery period revealed that pain severity and interference, depression and anxiety all decreased over time.DiscussionThese findings suggest that a single-session ACT intervention is feasible and acceptable for patients undergoing SS and may enhance both pain-related functioning and improve psychological outcomes following surgery. Future research should explore the efficacy of this approach in larger, randomized controlled trials to further establish its impact on CPSP prevention. |
| format | Article |
| id | doaj-art-e2aecc79493e43b8a8307cb5f515602d |
| institution | DOAJ |
| issn | 2673-561X |
| language | English |
| publishDate | 2025-04-01 |
| publisher | Frontiers Media S.A. |
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| series | Frontiers in Pain Research |
| spelling | doaj-art-e2aecc79493e43b8a8307cb5f515602d2025-08-20T03:17:43ZengFrontiers Media S.A.Frontiers in Pain Research2673-561X2025-04-01610.3389/fpain.2025.15587531558753Feasibility and acceptability of a single-session perioperative acceptance and commitment therapy workshop for preventing chronic postsurgical pain: a single-arm, non-randomized pilot trialJolin B. Yamin0Jolin B. Yamin1Jenna M. Wilson2Jenna M. Wilson3Bethany D. Pester4Caroline Allen5JiHee Yoon6Marise C. Cornelius7Marise C. Cornelius8Diya Dharmendran9Diya Dharmendran10Kylie Steinhilber11Kylie Steinhilber12Madelyn Crago13Savannah Kazemipour14Angelina Franqueiro15Delia Fentazi16Kristin L. Schreiber17Kristin L. Schreiber18Kevin E. Vowles19Robert R. Edwards20Robert R. Edwards21Robert N. Jamison22Robert N. Jamison23Samantha M. Meints24Samantha M. Meints25Department of Anesthesiology, Perioperative and Pain Medicine, Brigham and Women’s Hospital, Boston, MA, United StatesHarvard Medical School, Boston, MA, United StatesDepartment of Anesthesiology, Perioperative and Pain Medicine, Brigham and Women’s Hospital, Boston, MA, United StatesHarvard Medical School, Boston, MA, United StatesDepartment of Anesthesiology and Pain Medicine, University of Washington Medicine, Seattle, WA, United StatesDepartment of Anesthesiology, Perioperative and Pain Medicine, Brigham and Women’s Hospital, Boston, MA, United StatesDepartment of Psychology, Indiana University, Indianapolis, IN, United StatesDepartment of Anesthesiology, Perioperative and Pain Medicine, Brigham and Women’s Hospital, Boston, MA, United StatesHarvard Medical School, Boston, MA, United StatesDepartment of Anesthesiology, Perioperative and Pain Medicine, Brigham and Women’s Hospital, Boston, MA, United StatesDepartment of Psychological and Brain Sciences, Texas A&M University, College Station, TX, United StatesDepartment of Anesthesiology, Perioperative and Pain Medicine, Brigham and Women’s Hospital, Boston, MA, United StatesHarvard Medical School, Boston, MA, United StatesUniversity of Massachusetts Medical School, Worcester, MA, United StatesLake Erie College of Osteopathic Medicine, Erie, PA, United StatesDepartment of Anesthesiology, Perioperative and Pain Medicine, Brigham and Women’s Hospital, Boston, MA, United StatesDepartment of Anesthesiology, Perioperative and Pain Medicine, Brigham and Women’s Hospital, Boston, MA, United StatesDepartment of Anesthesiology, Perioperative and Pain Medicine, Brigham and Women’s Hospital, Boston, MA, United StatesHarvard Medical School, Boston, MA, United StatesSchool of Psychology, Queen’s University Belfast, Belfast, United KingdomDepartment of Anesthesiology, Perioperative and Pain Medicine, Brigham and Women’s Hospital, Boston, MA, United StatesHarvard Medical School, Boston, MA, United StatesDepartment of Anesthesiology, Perioperative and Pain Medicine, Brigham and Women’s Hospital, Boston, MA, United StatesHarvard Medical School, Boston, MA, United StatesDepartment of Anesthesiology, Perioperative and Pain Medicine, Brigham and Women’s Hospital, Boston, MA, United StatesHarvard Medical School, Boston, MA, United StatesObjectiveThis pilot trial evaluated the feasibility, acceptability, and preliminary effects of a single-session, group-based Acceptance and Commitment Therapy (ACT) intervention for patients undergoing spine surgery (SS) to prevent chronic postsurgical pain (CPSP).MethodsForty-five adults (Mage = 64 years) scheduled for SS enrolled and were asked to complete baseline questionnaires, and 28 attended a 5 h virtual ACT workshop, which focused on enhancing psychological flexibility and acceptance. Feasibility was assessed by tracking enrollment and attendance, while treatment credibility, expectancy, and helpfulness were evaluated using the Credibility and Expectancy Questionnaire (CEQ) and the Treatment Helpfulness Questionnaire (THQ). Health-related outcomes, including pain severity and interference (Brief Pain Inventory; BPI), anxiety, and depression (PROMIS-29), were measured at baseline, 1-month, 3-months, and 6-months post-surgery.ResultsOf the enrolled participants, 58% attended the workshop, all of whom completed the entire workshop. CEQ and THQ scores indicated high credibility and helpfulness immediately after the intervention and at 1-month post-surgery. Exploratory analyses examining health outcome changes following ACT during the post-surgery period revealed that pain severity and interference, depression and anxiety all decreased over time.DiscussionThese findings suggest that a single-session ACT intervention is feasible and acceptable for patients undergoing SS and may enhance both pain-related functioning and improve psychological outcomes following surgery. Future research should explore the efficacy of this approach in larger, randomized controlled trials to further establish its impact on CPSP prevention.https://www.frontiersin.org/articles/10.3389/fpain.2025.1558753/fullspine surgeryACTacceptance and commitment therapychronic painbrief intervention |
| spellingShingle | Jolin B. Yamin Jolin B. Yamin Jenna M. Wilson Jenna M. Wilson Bethany D. Pester Caroline Allen JiHee Yoon Marise C. Cornelius Marise C. Cornelius Diya Dharmendran Diya Dharmendran Kylie Steinhilber Kylie Steinhilber Madelyn Crago Savannah Kazemipour Angelina Franqueiro Delia Fentazi Kristin L. Schreiber Kristin L. Schreiber Kevin E. Vowles Robert R. Edwards Robert R. Edwards Robert N. Jamison Robert N. Jamison Samantha M. Meints Samantha M. Meints Feasibility and acceptability of a single-session perioperative acceptance and commitment therapy workshop for preventing chronic postsurgical pain: a single-arm, non-randomized pilot trial Frontiers in Pain Research spine surgery ACT acceptance and commitment therapy chronic pain brief intervention |
| title | Feasibility and acceptability of a single-session perioperative acceptance and commitment therapy workshop for preventing chronic postsurgical pain: a single-arm, non-randomized pilot trial |
| title_full | Feasibility and acceptability of a single-session perioperative acceptance and commitment therapy workshop for preventing chronic postsurgical pain: a single-arm, non-randomized pilot trial |
| title_fullStr | Feasibility and acceptability of a single-session perioperative acceptance and commitment therapy workshop for preventing chronic postsurgical pain: a single-arm, non-randomized pilot trial |
| title_full_unstemmed | Feasibility and acceptability of a single-session perioperative acceptance and commitment therapy workshop for preventing chronic postsurgical pain: a single-arm, non-randomized pilot trial |
| title_short | Feasibility and acceptability of a single-session perioperative acceptance and commitment therapy workshop for preventing chronic postsurgical pain: a single-arm, non-randomized pilot trial |
| title_sort | feasibility and acceptability of a single session perioperative acceptance and commitment therapy workshop for preventing chronic postsurgical pain a single arm non randomized pilot trial |
| topic | spine surgery ACT acceptance and commitment therapy chronic pain brief intervention |
| url | https://www.frontiersin.org/articles/10.3389/fpain.2025.1558753/full |
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