Results of a feasibility randomized controlled trial (RCT) of the Toolkit for Optimal Recovery (TOR): a live video program to prevent chronic pain in at-risk adults with orthopedic injuries

Pilot and Feasibility Studies
Ana-Maria VranceanuDavid Ring

Abstract

Orthopedic injuries are the leading cause of hospital admissions in the USA, and many of these patients transition into chronic pain. Currently, there are no evidence-based interventions targeting prevention of chronic pain in patients with orthopedic injuries. We iteratively developed a four-session intervention "The Toolkit for Optimal Recovery" (TOR) which we plan to subsequently test for efficacy in a phase III hybrid efficacy-effectiveness multi-site clinical trial. In order to prevent methodological weaknesses in the subsequent trial, we conducted a feasibility pilot to evaluate the TOR delivered via secure live video versus usual care (UC) in patients with orthopedic injuries from an urban, level I trauma clinic, who screen in as at risk for chronic pain and disability. We tested the feasibility of recruitment, acceptability of screening, and randomization methods; acceptability of the intervention, treatment adherence, and treatment fidelity; satisfaction with the intervention; feasibility of the assessment process at all time points; acceptability of outcome measures for the definitive trial; and within-treatment effect sizes. We aimed to recruit 50-60 participants, randomize, and retain them for ~ 4 months. Assessment...Continue Reading

References

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Citations

Oct 10, 2019·Journal of Orthopaedic Trauma·Lars Matkin, David Ring
Apr 7, 2020·The Journal of Bone and Joint Surgery. American Volume·David Ring
Dec 20, 2019·Clinical Orthopaedics and Related Research·Ana-Maria Vranceanu
Aug 10, 2021·Journal of Psychosomatic Research·Asish SubediPashupati Chaudhary
Nov 14, 2020·The Journal of Bone and Joint Surgery. American Volume·Teun CremersAmirreza Fatehi
Sep 8, 2021·Journal of Neuro-oncology·Sarah Ellen BraunAshlee R Loughan
Oct 5, 2021·Journal of Clinical Psychology in Medical Settings·Ana-Maria VranceanuUNKNOWN International Musculoskeletal Mental and Social Health Consortium (IMESH)
Oct 16, 2021·Clinical Orthopaedics and Related Research·Teun TeunisAmirreza Fatehi

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Software Mentioned

Toolkit for Optimal Recovery ( TOR )
Toolkit for Optimal Recovery
TOR
REDCap

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