Complementary Therapies in Spinal Fusion Patients
A Pilot Study of the Effectiveness of Complementary Therapies to Reduce Pain in Spinal Fusion Patients
1 other identifier
interventional
30
1 country
1
Brief Summary
In this pilot study, our central hypothesis is that two CAM modalities, hypnosis and healing touch as adjunct therapies to the standard of care, will improve analgesic use for post operative pain. In this pilot study the investigators will randomize 30 adolescents undergoing spinal fusion for idiopathic scoliosis to two test groups: Hypnosis with Pain Management Standard of Care for Post Op Pain, Healing Touch with Pain Management Standard of Care, and a control group (Pain Management Standard of Care only).
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at below P25 for not_applicable
Started Aug 2014
Typical duration for not_applicable
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
Click on a node to explore related trials.
Study Timeline
Key milestones and dates
Study Start
First participant enrolled
August 1, 2014
CompletedFirst Submitted
Initial submission to the registry
April 1, 2015
CompletedFirst Posted
Study publicly available on registry
April 7, 2015
CompletedPrimary Completion
Last participant's last visit for primary outcome
March 27, 2017
CompletedStudy Completion
Last participant's last visit for all outcomes
March 27, 2017
CompletedResults Posted
Study results publicly available
August 27, 2024
CompletedAugust 27, 2024
August 1, 2024
2.7 years
April 1, 2015
November 15, 2019
August 23, 2024
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
Postoperative Pain (Total Opioid Use)
Total Opioid use will be measured in mg/kg/hour daily until discharge, and at postoperative follow-up visit. Postoperative time in PACU starts on admission to PACU until discharged to general nursing care floors. Postoperative Day #0 (POD #0) start on the day of surgery from the time the patient is discharged from the PACU to 7:00 AM the following morning. POD #1 is from 07:00 the day after surgery to the following morning (24 hour period) at 07:00. POD #2, POD #3 are the following 24 hour periods until time of discharge. The first outpatient postoperative appointment was four weeks after surgery.
up to postoperative day 4
Secondary Outcomes (3)
Pain Score
up to postoperative day 4
Cortisol Level
up to 4-week postoperatively
Child Pain Anxiety Symptoms Scale (CPASS)
up to 4 weeks postoperatively
Study Arms (3)
Hypnosis Group
ACTIVE COMPARATORHypnosis Group: ten participants will receive Hypnosis therapy in addition to the standard postoperative pain management protocol
Healing Touch Group
ACTIVE COMPARATORHealing Touch Group: ten participants will receive Healing Touch therapy in addition to the standard postoperative pain management protocol
Control Group
NO INTERVENTIONControl Group: ten participants will receive standard postoperative pain management protocol
Interventions
A technique called Wakeful Hypnosis that involves suggestions for healing given to a person while in a normal state of consciousness
Healing Touch An energery based therapy that uses light body or above body touch to help balance the energy field and energy centers of the body to restore harmony within the body for greater healing.
Eligibility Criteria
You may qualify if:
- Females, ages 12 - 17
- Diagnosis of idiopathic scoliosis
You may not qualify if:
- Patients with chronic or severe disease conditions requiring spinal fusion surgery.
- Children with profound mental disabilities or developmental delay not allowing them to voluntarily assent to participate.
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- Nemours Children's Cliniclead
- Healing Touch Worldwide Foundationcollaborator
Study Sites (1)
Nemours / A I duPont Hospital for Children
Wilmington, Delaware, 19803, United States
Related Publications (7)
Kemper KJ, Vohra S, Walls R; Task Force on Complementary and Alternative Medicine; Provisional Section on Complementary, Holistic, and Integrative Medicine. American Academy of Pediatrics. The use of complementary and alternative medicine in pediatrics. Pediatrics. 2008 Dec;122(6):1374-86. doi: 10.1542/peds.2008-2173.
PMID: 19047261BACKGROUNDBarnes PM, Bloom B, Nahin RL. Complementary and alternative medicine use among adults and children: United States, 2007. Natl Health Stat Report. 2008 Dec 10;(12):1-23.
PMID: 19361005BACKGROUNDSanders H, Davis MF, Duncan B, Meaney FJ, Haynes J, Barton LL. Use of complementary and alternative medical therapies among children with special health care needs in southern Arizona. Pediatrics. 2003 Mar;111(3):584-7. doi: 10.1542/peds.111.3.584.
PMID: 12612240BACKGROUNDPost-White J, Fitzgerald M, Hageness S, Sencer SF. Complementary and alternative medicine use in children with cancer and general and specialty pediatrics. J Pediatr Oncol Nurs. 2009 Jan-Feb;26(1):7-15. doi: 10.1177/1043454208323914. Epub 2008 Oct 20.
PMID: 18936292BACKGROUNDHagen LE, Schneider R, Stephens D, Modrusan D, Feldman BM. Use of complementary and alternative medicine by pediatric rheumatology patients. Arthritis Rheum. 2003 Feb 15;49(1):3-6. doi: 10.1002/art.10931.
PMID: 12579587BACKGROUNDLew MW, Kravits K, Garberoglio C, Williams AC. Use of preoperative hypnosis to reduce postoperative pain and anesthesia-related side effects. Int J Clin Exp Hypn. 2011 Oct-Dec;59(4):406-23. doi: 10.1080/00207144.2011.594737.
PMID: 21867377BACKGROUNDAccardi MC, Milling LS. The effectiveness of hypnosis for reducing procedure-related pain in children and adolescents: a comprehensive methodological review. J Behav Med. 2009 Aug;32(4):328-39. doi: 10.1007/s10865-009-9207-6. Epub 2009 Mar 3.
PMID: 19255840BACKGROUND
Results Point of Contact
- Title
- Karen Sacks, MSN PNP
- Organization
- Nemours/A I duPont Hospital for Children
Study Officials
- PRINCIPAL INVESTIGATOR
Karen Sacks, MSN, PNP
Nemours / A I duPont Hospital for Children
Publication Agreements
- PI is Sponsor Employee
- No
- Restrictive Agreement
- No
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- RANDOMIZED
- Masking
- NONE
- Purpose
- TREATMENT
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
- Responsible Party
- PRINCIPAL INVESTIGATOR
- PI Title
- MSN, PNP
Study Record Dates
First Submitted
April 1, 2015
First Posted
April 7, 2015
Study Start
August 1, 2014
Primary Completion
March 27, 2017
Study Completion
March 27, 2017
Last Updated
August 27, 2024
Results First Posted
August 27, 2024
Record last verified: 2024-08