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RecruitingNCT05295004Updated Jul 10, 2023

The Effect of Mindfulness Training Before Primary Total Joint Arthroplasty on Sleep Quality

An interventional study of Mindfulness Meditation Training in Sleep Disturbance and Arthropathy, sponsored by Colorado Joint Replacement. Recruiting at 1 site in United States. Open to participants aged 18 Years to 90 Years. Per ClinicalTrials.gov, last updated 2023-07-10.

Sponsored by Colorado Joint Replacement · Not applicable, Interventional, and Treatment

From the registry’s dates

  • Primary completion was expected by Mar 2024, 2 years 6 months ago, but the record still lists the study as recruiting.
  • Started Mar 2022; still recruiting 4 years 6 months later.
Phase
Not applicable
Study type
Interventional
Enrollment
282
Allocation
Randomized
Ages
18 Years to 90 Years
Sex
All
01

Study summary

The primary purpose of this study is the determine whether a 15 minute Mindfulness Meditation (MM) administered at the preoperative appointment prior to primary unilateral total joint arthroplasty (TJA) results in any improvement in Pittsburg Sleep Quality Index (PSQI) score, a validated metric for sleep quality, at 2, 6 or 12 weeks post-operatively.

Read the detailed description

The primary purpose of this study is the determine whether a 15 minute Mindfulness Meditation (MM) administered at the preoperative appointment prior to primary unilateral total joint arthroplasty (TJA) results in any improvement in Pittsburg Sleep Quality Index (PSQI) score, a validated metric for sleep quality, at 2, 6 or 12 weeks post-operatively. We hypothesize that patients in the MM cohort will have lower PSQI scores, indicating higher sleep quality, at both post-operative time points. Secondary aims include characterizing differences between cohorts in Visual Analog Scale (VAS) for pain, Epworth Sleepiness Scale (ESS) scores, Patient Reported Outcome Measurement Information System - Sleep Disturbance - Short Form, and Knee Injury and Osteoarthritis Outcome Scores (KOOS) at 2, 6 and 12 weeks following TJA.

02

Conditions studied

  • Sleep Disturbance
  • Arthropathy
03

In context

Joint Diseases

712 studies on the registry are indexed under Joint Diseases; 127 are open to participants now.

This study's planned enrollment of 282 is above the median of 60 across 470 interventional studies indexed under Joint Diseases.

Browse Joint Diseases studies →

Lead sponsor

Colorado Joint Replacement is the lead sponsor of 8 studies on the registry; 3 are open to participants now.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years to 90 Years
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  • Patients undergoing primary unilateral total joint arthroplasty at Colorado Joint Replacement
  • Between the ages of 18 and 90 years old will be included in the study.

Exclusion criteria

Exclusion Criteria:

  • Simultaneous total joint arthroplasty
  • Uni-compartmental knee arthroplasty
  • Revision surgery for infection, fracture or other indication.
  • History of Drug or Alcohol Abuse
  • Patients who are unable to present at a standard pre-operative appointment within 4 weeks prior to scheduled surgery will also be excluded, as the MM intervention would not be possible to administer.
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Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
282 participants (estimated)

Study arms

  • No intervention
    No Treatment

    Patient will receive no mindfulness meditation training.

  • Experimental
    Mindfulness at Pre-Op

    Patient will receive a one time training at their pre-operative appointment.

    Behavioral: Mindfulness Meditation Training

  • Experimental
    Multiple Mindfulness Meditation

    Mindfulness Video Training at Pre-Op, 1 Day Prior to surgery, 3 day's Post OP and 2 Weeks Post OP.

    Behavioral: Mindfulness Meditation Training

Interventions

  • BehavioralMindfulness Meditation Training

    Patient will watch a 10 minute video on how to use mindfulness meditation to help with sleep after a total joint replacement procedure.

06

What researchers measure

Primary outcomes

  1. Pittsburg Sleep Quality Index score

    Improvement in Pittsburg Sleep Quality Index (PSQI) score, Scale is 0 to 21, higher score is worse outcome.

    Time frame: Change from Pre-Op to 2, 6 and 12 weeks post op.

Secondary outcomes

  1. Visual Analog Score

    Improvement in Visual Analog Score (VAS), Scale is 1 to 10, higher score is worse outcome

    Time frame: Change from Pre-Op to 2, 6 and 12 weeks post op.

  2. Epworth Sleepiness Scale

    Improvement in Epworth Sleepiness Scale (ESS), Scale is 0 to 24, higher score is worse outcome

    Time frame: Change from Pre-Op to 2, 6 and 12 weeks post op.

  3. Knee Injury and Osteoarthritis Outcome Scores JR

    Improvement in Knee Injury and Osteoarthritis Outcome Scores JR (KOOS JR), Scale is 1 to 100, lower score is worse outcome

    Time frame: Change from Pre-Op to 2, 6 and 12 weeks post op.

  4. Knee Society Score (KSS)

    Improvement in Knee Society Score (KSS), Scale is 0 to 100, lower score is worse outcome

    Time frame: Change from Pre-Op to 6 Weeks post op.

  5. Patient Reported Outcome Measurement Information System - Sleep Disturbance (PROMIS-SD)

    Improvement in Patient Reported Outcome Measurement Information System - Sleep Disturbance (PROMIS-SD), Scale is 8 to 40, higher score is worse outcome

    Time frame: Change from Pre-Op to 2, 6 and 12 weeks post op.

07

Study locations

1 of 1 sites recruiting
  • Colorado Joint Replacement
    Denver, Colorado 80210, United States
    • Roseann Johnson, BS, CCRP · Contact · RoseannJohnson@centura.org · 303-260-2940
    • Jason Jennings, MD · Principal investigator
    • Douglas Dennis, MD · Sub investigator
    • Todd Miner, MD · Sub investigator
    • Jessica Phillips, MD · Sub investigator
    • Hayley Ennis, MD · Sub investigator
    • Charlie Yang, MD · Sub investigator
    Recruiting
08

References and documents

Publications

  • Mollayeva T, Thurairajah P, Burton K, Mollayeva S, Shapiro CM, Colantonio A. The Pittsburgh sleep quality index as a screening tool for sleep dysfunction in clinical and non-clinical samples: A systematic review and meta-analysis. Sleep Med Rev. 2016 Feb;25:52-73. doi: 10.1016/j.smrv.2015.01.009. Epub 2015 Feb 17. PubMed 26163057 ↗
  • Chen AF, Orozco FR, Austin LS, Post ZD, Deirmengian CA, Ong AC. Prospective Evaluation of Sleep Disturbances After Total Knee Arthroplasty. J Arthroplasty. 2016 Jan;31(1):330-2. doi: 10.1016/j.arth.2015.07.044. Epub 2015 Aug 30. PubMed 26455403 ↗
  • Er MS, Altinel EC, Altinel L, Erten RA, Eroglu M. An assessment of sleep quality in patients undergoing total knee arthroplasty before and after surgery. Acta Orthop Traumatol Turc. 2014;48(1):50-4. doi: 10.3944/AOTT.2014.3163. PubMed 24643100 ↗
  • Chhangani BS, Roehrs TA, Harris EJ, Hyde M, Drake C, Hudgel DW, Roth T. Pain sensitivity in sleepy pain-free normals. Sleep. 2009 Aug;32(8):1011-7. PubMed 19725252 ↗
  • Manrique J, Gomez MM, Parvizi J. Stiffness after total knee arthroplasty. J Knee Surg. 2015 Apr;28(2):119-26. doi: 10.1055/s-0034-1396079. Epub 2014 Dec 16. PubMed 25513992 ↗
  • Dowsey M, Castle D, Knowles S, Monshat K, Salzberg M, Nelson E, Dunin A, Dunin J, Spelman T, Choong P. The effect of mindfulness training prior to total joint arthroplasty on post-operative pain and physical function: A randomised controlled trial. Complement Ther Med. 2019 Oct;46:195-201. doi: 10.1016/j.ctim.2019.08.010. Epub 2019 Aug 12. PubMed 31519279 ↗
  • Hanley AW, Gililland J, Erickson J, Pelt C, Peters C, Rojas J, Garland EL. Brief preoperative mind-body therapies for total joint arthroplasty patients: a randomized controlled trial. Pain. 2021 Jun 1;162(6):1749-1757. doi: 10.1097/j.pain.0000000000002195. PubMed 33449510 ↗
  • Kiran U, Ladha S, Makhija N, Kapoor PM, Choudhury M, Das S, Gharde P, Malik V, Airan B. The role of Rajyoga meditation for modulation of anxiety and serum cortisol in patients undergoing coronary artery bypass surgery: A prospective randomized control study. Ann Card Anaesth. 2017 Apr-Jun;20(2):158-162. doi: 10.4103/aca.ACA_32_17. PubMed 28393774 ↗
  • Packiasabapathy S, Susheela AT, Mueller A, Patxot M, Gasangwa DV, O'Gara B, Shaefi S, Marcantonio ER, Yeh GY, Subramaniam B. Guided meditation as an adjunct to enhance postoperative recovery after cardiac surgery: study protocol for a prospective randomized controlled feasibility trial. Trials. 2019 Jan 11;20(1):39. doi: 10.1186/s13063-018-3103-8. PubMed 30635064 ↗
  • Chavez JL, Porucznik CA, Gren LH, Guan J, Joyce E, Brodke DS, Dailey AT, Mahan MA, Hood RS, Lawrence BD, Spiker WR, Spina NT, Bisson EF. The Impact of Preoperative Mindfulness-Based Stress Reduction on Postoperative Outcomes in Lumbar Spine Degenerative Disease: 3-Month and 12-Month Results of a Pilot Study. World Neurosurg. 2020 Jul;139:e230-e236. doi: 10.1016/j.wneu.2020.03.186. Epub 2020 Apr 9. PubMed 32278820 ↗
  • Ong JC, Manber R, Segal Z, Xia Y, Shapiro S, Wyatt JK. A randomized controlled trial of mindfulness meditation for chronic insomnia. Sleep. 2014 Sep 1;37(9):1553-63. doi: 10.5665/sleep.4010. PubMed 25142566 ↗
  • Rusch HL, Rosario M, Levison LM, Olivera A, Livingston WS, Wu T, Gill JM. The effect of mindfulness meditation on sleep quality: a systematic review and meta-analysis of randomized controlled trials. Ann N Y Acad Sci. 2019 Jun;1445(1):5-16. doi: 10.1111/nyas.13996. Epub 2018 Dec 21. PubMed 30575050 ↗
  • Shakya H, Wang D, Zhou K, Luo ZY, Dahal S, Zhou ZK. Prospective randomized controlled study on improving sleep quality and impact of zolpidem after total hip arthroplasty. J Orthop Surg Res. 2019 Sep 3;14(1):289. doi: 10.1186/s13018-019-1327-2. PubMed 31481074 ↗
09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Jul 10, 2023, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
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Registry details

Key details

Study ID
NCT05295004
Lead sponsor
Colorado Joint Replacement
Responsible party
Jason Jennings (Orthopedic Surgeon, Colorado Joint Replacement) — Principal investigator
First posted
Mar 24, 2022
Start date
Mar 15, 2022
Primary completion
Mar 15, 2024 (estimated)
Completion
Jul 31, 2024 (estimated)
Last update
Jul 10, 2023

Study contacts

Roseann Johnson, BS, CCRP
Contact
roseannjohnson@centura.org
7203552190
Jason M Jennings, MD, DPT
principal investigator · Colorado Joint Replacement

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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