Evidence map›Paper›PMID 32961500›Full record

ArticleJournal of psychosomatic research2020

One-day Acceptance and Commitment Therapy workshop for preventing persistent post-surgical pain and dysfunction in at-risk veterans: A randomized controlled trial protocol.

McKenzie K Roddy, Derrecka M Boykin, Katherine Hadlandsmyth, James N Marchman, David M Green, Joseph A Buckwalter, Lauren Garvin, Bridget Zimmerman, Jaewon Bae, Jordan Cortesi and 4 more

Registry-linked trialOpen access · greenAbstract readClinical Trial Protocol
In one paragraph

Article in Journal of psychosomatic research, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06483191 (Acceptability and Feasibility of Acceptance and Commitment Therapy in Total Knee Arthroplasty Patients), which is not on this map. Cited by 8 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 1 pooled it
0.4field-weighted citation impact, top 36% of its field
1 · What the graph read from 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.

2 · The registry

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.

NCT06483191 nanot yet recruitingnot on this mapstarted 2025, after this paper: background citation

Acceptability and Feasibility of Acceptance and Commitment Therapy in Total Knee Arthroplasty Patients

TypeinterventionalSponsorBelfast Health and Social Care TrustRan2025 to 2026Enrolled50ConditionsTotal Knee Arthroplasty, Knee OsteoarthritisArmsAcceptance and Commitment Therapy
3 · Its place in the literature

Who cites it

8 citing papers in PubMed, 1 synthesis or guideline pooled it, 9 citations in OpenAlex.

  1. Pooled it
  2. Intersectional pain disparities and resilience in veterans with chronic pain.Health psychology : official journal of the Division of Health Psychology, American Psychological Association · 2026
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

14 authors at 5 institutions in 1 country.

McKenzie K RoddyMenninger Department of Psychiatry and Behavioral Sciences, Baylor College of Medicine, Houston, TX, United States of America.
Derrecka M BoykinSouth Central Mental Illness, Research and Clinical Center, Michael E. DeBakey VA Medical Center, Houston, TX, United States of America.
Katherine HadlandsmythDepartment of Anesthesia, Carver College of Medicine, University of Iowa, Iowa City, IA, United States of America.
James N MarchmanDepartment of Psychology, University of Iowa, Iowa City, IA, United States of America.
David M GreenMichael E. DeBakey Veteran Affairs Medical Center, Houston, TX, United States of America.
Joseph A BuckwalterDepartment of Orthopedics and Rehabilitation, Carver College of Medicine, University of Iowa, United States of America.
Lauren GarvinDepartment of Psychiatry, University of Iowa Hospitals and Clinics, Iowa City, IA, United States of America.
Bridget ZimmermanCollege of Public Health, University of Iowa, Iowa City, IA, United States of America.
Jaewon BaeCollege of Nursing, University of Iowa, Iowa City, IA, United States of America.
Jordan CortesiCollege of Nursing, University of Iowa, Iowa City, IA, United States of America.
Merlyn RodriguesDepartment of Medicine, Baylor College of Medicine, Houston, TX, United States of America.
Jennie EmbreeCollege of Nursing, University of Iowa, Iowa City, IA, United States of America.
Barbara A RakelCollege of Nursing, University of Iowa, Iowa City, IA, United States of America. Electronic address: barbara-rakel@uiowa.edu.
Lilian DindoDepartment of Medicine, Baylor College of Medicine, Houston, TX, United States of America; Houston VA HSR&D Center for Innovations in Quality, Effectiveness and Safety, Michael E. DeBakey Veterans Affairs Medical Center, Houston, TX, United States of America. Electronic address: lilian.dindo@bcm.edu.
University of Iowa · USBaylor College of Medicine · USMichael E. DeBakey VA Medical Center · USCenter for Innovation · USUniversity of Iowa Hospitals and Clinics · US

Funding

Preventing Persistent Post-Surgical Pain and Dysfunction in At-Risk Veterans: Effect of a Brief Behavioral InterventionR01NR017610 · NINR · UNIVERSITY OF IOWA · PI DINDO, LILIAN NAZAR, RAKEL, BARBARA · 2019 to 2023
$3.2M
Exploratory Center of Excellence for Advancing Multimorbidity Science (CAMS)P20NR018081 · NINR · UNIVERSITY OF IOWA · PI GARDNER, SUE E, RAKEL, BARBARA · 2018 to 2022
$2.2M
NINR NIH HHS P20 NR018081NINR NIH HHS R01 NR017610
6 · The paper itself

Abstract

objectivePersistent post-surgical pain is common among patients undergoing surgery, is detrimental to patients' quality of life, and can precipitate long-term opioid use. The purpose of this randomized controlled trial is to assess the effects of a behavioral intervention offered prior to surgery for patients at risk for poor post-surgical outcomes, including persistent pain and impaired functioning.

methodsDescribed herein is an ongoing randomized, patient- and assessor-blind, attention-controlled multisite clinical trial. Four hundred and thirty Veterans indicated for total knee arthroplasty (TKA) with distress and/or pain will be recruited for this study. Participants will be randomly assigned to a one-day (~5 h) Acceptance and Commitment Therapy workshop or one-day education and attention control workshop. Approximately two weeks following their TKA surgery, patients receive an individualized booster session via phone. Following their TKA, patients complete assessments at 1 week, 6 weeks, 3 months, and 6 months.

resultsThe primary outcomes are pain intensity and knee-specific functioning; secondary outcomes are symptoms of distress and coping skills. Mediation analyses will examine whether changes in symptoms of distress and coping skills have an impact on pain and functioning at 6 months in Veterans receiving ACT. This study is conducted mostly with older Veterans; therefore, results may not generalize to women and younger adults who are underrepresented in this veteran population.

conclusionsThe results of this study will provide the first evidence from a large-scale, patient- and assessor-blind controlled trial on the effectiveness of a brief behavioral intervention for the prevention of persistent post-surgical pain and dysfunction.

Indexed as

Acceptance and Commitment TherapyFemaleHumansMaleMulticenter Studies as TopicPain MeasurementPostoperative PainQuality of LifeRandomized Controlled Trials as TopicTreatment OutcomeVeteransACTChronic post-surgical painEfficacyFunctionMechanisms of changeModerators

Identifiers

PMID32961500
PMCPMC7554120
OpenAlexW3084586141

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

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.