[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"health-study-detail:100553215":3},{"organization":4,"armGroups":7,"interventions":19,"overallOfficials":27,"centralContacts":31,"locations":41,"responsibleParty":53,"collaborators":55,"id":61,"slug":62,"hasResults":63,"nctId":64,"briefTitle":65,"officialTitle":66,"acronym":67,"eligibilityCriteria":68,"healthyVolunteers":63,"sex":69,"minAge":70,"maxAge":71,"enrollmentInfo":72,"targetDuration":18,"studyType":75,"phases":76,"briefSummary":78,"conditions":79,"keywords":18,"overallStatus":82,"whyStopped":18,"lastUpdateSubmitDate":83,"lastUpdatePostDateStruct":84,"startDateStruct":87,"completionDateStruct":89,"leadSponsor":91,"locationsCount":92},{"fullName":5,"class":6},"Belfast Health and Social Care Trust","OTHER",[8,14],{"label":9,"type":10,"description":11,"interventionNames":12},"Acceptance and Commitment Therapy (ACT)","EXPERIMENTAL","Patients will attend a half-day virtual pre-operative ACT group workshop delivered by physiotherapists. Intervention group patients will also receive booster post-operative ACT text messages once a week for 6 weeks and a telephone follow-up with a physiotherapist at 6-8 weeks. The workshop, text messages and follow-up with a physiotherapist will be in addition to standard care.",[13],"Behavioral: Acceptance and Commitment Therapy",{"label":15,"type":16,"description":17,"interventionNames":18},"Control","NO_INTERVENTION","Patients in the control group will receive standard care; All patients should attend a 1-hour face-to-face group pre-operative education class. Patients in either group will have access to a helpline where they can speak to a nurse to discuss any problems or concerns. All patients will also receive a follow-up phone call from a nurse within 5 days of discharge to check their progress and will attend a 6-12 week follow-up clinic with their surgeon.",null,[20],{"type":21,"name":22,"description":23,"armGroupLabels":24,"otherNames":25},"BEHAVIORAL","Acceptance and Commitment Therapy","A half-day pre-operative virtual ACT group workshop, booster post-operative ACT text messages once a week for 6 weeks and a telephone follow-up with a physiotherapist at 6-8 weeks (all in addition to standard care).",[9],[26],"ACT",[28],{"name":29,"affiliation":5,"role":30},"Richard Napier","PRINCIPAL_INVESTIGATOR",[32,37],{"name":33,"role":34,"phone":35,"phoneExt":18,"email":36},"Nicola Gallagher","CONTACT","02895043746","nicola.gallagher@belfasttrust.hscni.net",{"name":38,"role":34,"phone":39,"phoneExt":18,"email":40},"Janet Hill","02895046799","janet.hill@belfasttrust.hscni.net",[42],{"facility":43,"status":18,"city":44,"state":18,"zip":18,"country":45,"countryCode":46,"cosmosGeoPoint":47,"geoPoint":52,"contacts":18},"Musgrave Park Hospital","Belfast","United Kingdom","UK",{"type":48,"coordinates":49},"Point",[50,51],-5.92541,54.59682,{"lat":51,"lon":50},{"type":54,"investigatorFullName":18,"investigatorTitle":18,"investigatorAffiliation":18,"oldNameTitle":18,"oldOrganization":18},"SPONSOR",[56,58],{"name":57,"class":6},"Queen's University, Belfast",{"name":59,"class":60},"Trauma and Orthopaedics Research Charity","UNKNOWN","100553215","improving-outcomes-with-act-after-knee-surgery-100553215",false,"NCT06483191","IMProving Outcomes With ACT After Knee Surgery","Acceptability and Feasibility of Acceptance and Commitment Therapy in Total Knee Arthroplasty Patients","IMPACTS","Inclusion Criteria:\n\n* Patients ≥ 18 years old scheduled for routine primary elective TKA.\n* Participants must have a functional level of spoken and written English and be able to complete the online pre-operative psychosocial questionnaire independently.\n* Patients must have scored 10 or more on the Depression subscale of the (Depression, Anxiety and Stress Scale) DASS-21 of the pre-operative psychosocial questionnaire.\n\nExclusion Criteria:\n\n* Any patient who does not have access to a mobile phone to receive the booster text messages, or online facilities to answer online questionnaires.\n* Any patient who has a significant change (≥3 months) in scheduled date of surgery i.e. has a delayed surgery or surgery earlier than expected.\n* Any patient who does not attend the pre-operative education class.\n* Any patient scheduled for revision, uni-compartmental or bilateral TKA.\n* Any patient who has further orthopaedic surgery planned in the next 3 months.\n* Any patient who cannot commit to the schedule of events.\n* Any patient currently receiving any other \"talking therapy\".","ALL","18 Years","100 Years",{"count":73,"type":74},50,"ESTIMATED","INTERVENTIONAL",[77],"NA","Regarding psychosocial factors and outcomes in total knee arthroplasty (TKA), most of the current literature and the investigators' previous work suggest that depression, anxiety and pre-operative pain strongly predict worse outcomes following TKA. Despite some conflicting evidence, on the whole, the current literature suggests that psychological intervention in TKA patients could help to improve outcomes. In recent years, Acceptance and Commitment Therapy (ACT) has been receiving more attention as it may be more effective than the more traditional cognitive behavioural therapy in treating older people with chronic pain. ACT includes a combination of acceptance and mindfulness methods along with activation and behaviour change methods.\n\nThere have been several studies examining ACT in patients undergoing orthopaedic surgery. These studies have found that attending a pre-operative ACT workshop and receiving text messages reinforcing ACT can reduce use of pain medication, reduce post-operative pain and improve function following surgery. There are also two study protocols published which plan to investigate ACT in TKA patients but the findings of these studies are yet to be reported.\n\nIn this feasibility study, the investigators propose to investigate the acceptability and feasibility of a pre-operative ACT workshop in TKA patients considered to be at risk of poorer outcome based on a depression score. If found to be acceptable and feasible to both patients and those who will deliver the ACT sessions, a larger study will be performed.",[80,81],"Total Knee Arthroplasty","Knee Osteoarthritis","NOT_YET_RECRUITING","2025-05-08",{"date":85,"type":86},"2025-05-13","ACTUAL",{"date":88,"type":74},"2025-09",{"date":90,"type":74},"2026-12",{"name":5,"class":6},1]