Trial reportThe journal of pain2018
Acceptance and Commitment Therapy for Prevention of Chronic Postsurgical Pain and Opioid Use in At-Risk Veterans: A Pilot Randomized Controlled Study.
Trial report in The journal of pain, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 5 registered trials, which are not on this map. Cited by 57 papers, 2 of them syntheses that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Preventing Persistent Post-Surgical Pain and Opioid Use In At-Risk Veterans: Effect of ACT
Quantifying Pain and Narcotic Usage Following Orthopedic Surgery Using a Text-Messaging Robot
Interoceptive Mechanisms of Body Image Disturbance in Anorexia Nervosa
Advancing Online Psychology Tools for the Transitional Pain Service (ADOPT-TPS): Pilot Feasibility and Efficacy Randomized-Controlled Trial of a Scalable, Online Psychology Intervention for Post-Surgical Pain and Opioid Use
Acceptability and Feasibility of Acceptance and Commitment Therapy in Total Knee Arthroplasty Patients
Who cites it
57 citing papers in PubMed, 2 syntheses or guidelines pooled it, 120 citations in OpenAlex.
- Pooled it
- What are the benefits of cultivating self-compassion in adults with low back pain? A systematic review.Frontiers in psychology · 2023Pooled it
- Mindfulness in the Orthopedic Clinic Waiting Room Decreases Pain: Results From A Randomized Controlled Trial.International journal of behavioral medicine · 2026Trial
- ACT for postsurgical pain and dysfunction in at-risk veterans: Multisite, double-blind, cluster RCT.Journal of psychosomatic research · 2025Trial
- Patients' Perception of a Brief Web- and Mindfulness-Based Intervention for Pain Following Discharge After Total Joint Arthroplasty: Qualitative Description.JMIR nursing · 2025Trial
- Brief Mindfulness-Based Cognitive Behavioral Therapy is Associated with Faster Recovery in Patients Undergoing Total Knee Arthroplasty: A Pilot Clinical Trial.Pain medicine (Malden, Mass.) · 2023Trial
- A longitudinal assessment of posttraumatic stress symptoms and pain catastrophizing after injury.Rehabilitation psychology · 2023Trial
- Perioperative Opioid Counseling Reduces Opioid Use Following Primary Total Joint Arthroplasty.The Iowa orthopaedic journal · 2022Trial
- A Psycholgical Intervention Delivered by Automated Mobile Phone Messaging Stabilized Hip and Knee Function During the COVID-19 Pandemic: A Randomized Controlled Trial.The Journal of arthroplasty · 2022Trial
- To be mindful of the breath or pain: Comparing two brief preoperative mindfulness techniques for total joint arthroplasty patients.Journal of consulting and clinical psychology · 2021Trial
- Trial
- Patient-Reported Outcomes Measurement Information System (PROMIS) Instruments: Reliability and Validity in Veterans Following Orthopedic Surgery.Evaluation & the health professions · 2020Trial
- Acceptance and Commitment Therapy Delivered via a Mobile Phone Messaging Robot to Decrease Postoperative Opioid Use in Patients With Orthopedic Trauma: Randomized Controlled Trial.Journal of medical Internet research · 2020Trial
- A single-session acceptance and commitment therapy intervention among women undergoing surgery for breast cancer: A randomized pilot trial to reduce persistent postsurgical pain.Psycho-oncology · 2019Trial
- Acceptance and commitment therapy for prevention of chronic pain after total knee arthroplasty.Pain medicine (Malden, Mass.) · 2026Article
- A 20-Minute Mindful Jazz Intervention Decreased Chronic Pain Patients' Pain and Anxiety 4 Weeks Later: Results from a Pilot Randomized Controlled Clinical Trial.European journal of investigation in health, psychology and education · 2025Article
- Acceptance and Commitment Therapy for Co-occurring Mental and Chronic Health Conditions.The Psychiatric clinics of North America · 2025Review
- Pain Acceptance in Chronic Postoperative Pain: Concept Analysis.Pain management nursing : official journal of the American Society of Pain Management Nurses · 2025Article
- Persisting with Purpose: Using Acceptance and Commitment Therapy to Target Comorbid Opioid Use Disorder and Chronic Pain in a Racially and Economically Marginalized Population.Journal of contextual behavioral science · 2025Article
- Acceptance and commitment therapy for enhancing mental health in military personnel: A comprehensive review and meta-analysis.World journal of psychiatry · 2025Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
8 authors at 2 institutions in 1 country.
Funding
Abstract
High levels of pain, significant anxiety, or depressive symptoms before surgery put patients at elevated risk for chronic pain and prolonged opioid use following surgery. The purpose of this preliminary study was to assess the efficacy of a 1-day Acceptance and Commitment Therapy (ACT) workshop in "at-risk" veterans for the prevention of chronic pain and opioid use following orthopedic surgery. In a randomized controlled trial, 88 at-risk veterans undergoing orthopedic surgery were assigned to treatment as usual (TAU; n = 44) or TAU plus a 1-day ACT workshop (n = 44). Pain levels and opioid use were assessed up to 3 months following surgery. Pain acceptance and values-based behavior were assessed at baseline and 3-month follow-up. Participants who completed the ACT workshop reached pain and opioid cessation sooner than those in TAU. Postoperative complications exhibited a moderating effect on these outcomes, such that the effects of ACT were greater in patients without complications. Increases in pain acceptance and values-based behavior, processes targeted in ACT, were related to better outcomes. These promising results merit further investigation in a larger clinical trial. Providing an intervention before surgery for at-risk veterans has the potential to change clinical practice from a focus on management of postoperative pain to prevention of chronic pain in at-risk individuals. PERSPECTIVE: This pilot study compared the effects of a 1-day preventive behavioral intervention (ACT) to TAU in at-risk veterans undergoing orthopedic surgery. Three months following the intervention, veterans receiving ACT exhibited quicker cessation of pain and opioid use. Focusing on preoperative pain management may help prevent chronic postsurgical pain.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.