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Digital Health Psychosocial Intervention for Adolescent Spine Surgery Preparation and Recovery

This is a randomized controlled trial to test effectiveness of the SurgeryPal intervention vs. education control to improve acute and chronic pain and health outcomes in youth undergoing major musculoskeletal surgery. Youth will be randomized on an individual level using a factorial design to SurgeryPal or Education during 2 phases of intervention: 1) pre-operative phase (4 week duration delivered over the 4 weeks leading up to surgery), and 2) post-operative phase (4 week duration following surgery). Thus there will be 4 treatment arms. Participants will undergo 4 assessments, independent of their treatment assignment: T1: Baseline (pre-randomization); T2: acute post-surgery outcomes (daily assessment of acute outcomes beginning day 1 through day 14 after hospital discharge from surgery); T3: Post-surgery follow-up (assessment of outcomes at 3-months post-surgery); T4: Final post-surgery follow-up (assessment of outcomes at 6-months post-surgery).

Stanford is currently accepting patients for this trial.

Stanford Investigator(s):

Intervention(s):

  • behavioral: CBT (SurgeryPal)
  • behavioral: Education

Eligibility


Inclusion Criteria:

Teen

   - 12 to 18 years old at the time of enrollment

   - Undergoing scheduled spinal fusion surgery (eligible indications: juvenile/adolescent
   idiopathic scoliosis, congenital scoliosis, spondylolisthesis or kyphosis)

Parent/Caregiver

   - Parent or legal guardian of child who meets study criteria

Exclusion Criteria:

Teen

   - Does not speak or understand English

   - Has severe learning disability, cognitive impairment or intellectual delay (i.e.
   unable to read at 5th grade level)

   - Does not have access to a smart device (smartphone, iPad or tablet; Teens can borrow
   an iPad from the study team if one is available)

   - Recent psychiatric admission (in the past 30 days)

   - Severe systemic disease (neuromuscular scoliosis, cancer)

   - On a regular treatment regimen for a severe chronic medical condition

   - Prior major surgery (open surgery such as heart, lung, brain, abdominal surgery, or
   prior spine surgery)

   - Diagnosed chronic musculoskeletal pain condition (e.g. complex regional pain syndrome,
   fibromyalgia, widespread musculoskeletal pain)

Parent/Caregiver

   - Does not speak or understand English

   - Does not have access to a smart device (smartphone, iPad or tablet)

Ages Eligible for Study

12 Years - 18 Years

Genders Eligible for Study

All

Now accepting new patients

Contact Information

Stanford University
School of Medicine
300 Pasteur Drive
Stanford, CA 94305
Recruiting