An interventional study of Guided imagery and positive affirmations in Total Joint Replacement Surgery and Preoperative Anxiety, sponsored by Hackensack Meridian Health. Recruiting at 1 site in United States. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2026-11-02.
Sponsored by Hackensack Meridian Health · Not applicable, Interventional, and Supportive care
This study is a prospective, quasi-experimental design using a convenience sample. This study will include patients who are having total knee or total hip replacement surgery. Participants will be invited to complete an anxiety scale at the conclusion of the total joint replacement (TJR) education class, listen to a guided imagery and positive affirmations recording once/day for three days prior to surgery, beginning on the third day before surgery and continuing to the day before their scheduled surgical procedure, listen to positive affirmations the morning of surgery in the preop area, and then complete an anxiety scale before entering the operating room.
Hackensack Meridian Health is the lead sponsor of 113 studies on the registry; 28 are open to participants now.
Of its 17 completed or terminated interventional studies of FDA-regulated products, 12 (71%) have results posted.
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Exclusion Criteria:
Participants will listen to a guided imagery recording followed by positive affirmations (approximately 23:26 minutes in length) once/day beginning on the third day before surgery and ending on the day before surgery. On the day of the surgery, participants will only listen to positive affirmations.
Behavioral: Guided imagery and positive affirmations
Daily recordings for 3 days before surgery up until the morning of the surgery.
Visual Facial Anxiety Scale
The 6 item Visual Facial Anxiety Scale (VFAS) is an emoji based tool used to measure preoperative anxiety. It utilizes 6 emoji faces that reflect levels of anxiety from none to high (corresponding to 0-10 scale, with 0 being no anxiety and 10 being the highest anxiety). . The surveys are completed in the TJR education class, before listening to the guided imagery and positive affirmations, and after listening to positive affirmations, which is done in the preop area immediately before entering the operating room the day of surgery. The completion of the scale takes approximately 7-8 secs. Listening to the guided imagery and positive affirmation recordings takes 23:26 minutes, and listening to the positive affirmations on the day of surgery takes 3:11 minutes.
Time frame: At baseline and immediately before entering the operating room on the day of the surgery
Plan to share: No
No publications or documents are linked to this record.
Started Oct 2026 (actual). Primary completion is estimated for Dec 2027, 14 months after the start.
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From the registry record's own update history. This site started tracking changes on Sep 25, 2026; for anything earlier, see the record history on ClinicalTrials.gov ↗
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