Comparing Mindfulness-based Breath Training and Heart Rate Variability Biofeedback for Shoulder Surgery Patients in the Postoperative Pain.

NCT ID: NCT05917262

Last Updated: 2023-11-22

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

RECRUITING

Clinical Phase

NA

Total Enrollment

120 participants

Study Classification

INTERVENTIONAL

Study Start Date

2023-11-13

Study Completion Date

2026-07-31

Brief Summary

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Although shoulder surgeries can effectively relieve pain intensity and restore shoulder function, some patients reported persistent post-operative pain at the 6-month post-surgery follow-up visit. This randomized study aims to determine the effectiveness of three different types of bio-psychosocial support to pre-operative shoulder surgery patients. This study will examine the differential effects of brief mindfulness-based breathing, heart rate variability biofeedback (HRV-BF), and cognitive behavioral pain psychoeducation for pre-operative patients.

Detailed Description

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Conditions

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Pain, Postoperative Shoulder Pain

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

SUPPORTIVE_CARE

Blinding Strategy

SINGLE

Participants

Study Groups

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Mindfulness-based breathing

20-minute mindfulness-based breathing training

Group Type EXPERIMENTAL

Mindfulness-based breathing

Intervention Type BEHAVIORAL

The 20-minute mindfulness session is a scripted mindfulness exercise that incorporates mindfulness principles of intentionally paying attention to present-moment experiences in a non-judgmental fashion.

HRV biofeedback

20-minute HRV biofeedback

Group Type EXPERIMENTAL

HRV biofeedback

Intervention Type BEHAVIORAL

The 20-minute HRV biofeedback is based on the resonant frequency breathing with an external pacemaker. Generally, the breath rhythm is between 4.5 and 6.5 times per min.

cognitive-behavioral pain psychoeducation

20-minute psychoeducation session

Group Type ACTIVE_COMPARATOR

cognitive-behavioral pain psychoeducation

Intervention Type BEHAVIORAL

The 20-minute psychoeducation session is a supportive session where behavioral coping strategies for pain management are discussed.

Interventions

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Mindfulness-based breathing

The 20-minute mindfulness session is a scripted mindfulness exercise that incorporates mindfulness principles of intentionally paying attention to present-moment experiences in a non-judgmental fashion.

Intervention Type BEHAVIORAL

HRV biofeedback

The 20-minute HRV biofeedback is based on the resonant frequency breathing with an external pacemaker. Generally, the breath rhythm is between 4.5 and 6.5 times per min.

Intervention Type BEHAVIORAL

cognitive-behavioral pain psychoeducation

The 20-minute psychoeducation session is a supportive session where behavioral coping strategies for pain management are discussed.

Intervention Type BEHAVIORAL

Eligibility Criteria

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Inclusion Criteria

shoulder pain patients with

* (1) pain ≥3months and ≥3 days per week
* (2) pain intensity ≥ 40 (VAS scale from 0 no pain to 100 very painful)
* (3) the surgical indication would be based on orthopedics opinions

Exclusion Criteria

* history of shoulder surgery in the prior 3 years
* osteoporotic vertebral fractures or rheumatologic diseases
* chronic widespread pain syndromes (fibromyalgia or chronic fatigue syndrome)
* neurological disease (i.e., stroke, parkinson's disease, etc..)
* psychiatric disease (i.e., dementia, depression, schizophrenia, etc)
* cancer
* patients who practiced yoga, meditation, chi-qong, mindfulness, or deep breathing exercises more than three times per week
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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National Science and Technology Council

FED

Sponsor Role collaborator

Chang Gung Memorial Hospital

OTHER

Sponsor Role lead

Responsible Party

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Poyu Chen

Assistant professor

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Chih-Hao Chiu, M.D.

Role: STUDY_CHAIR

Chang Gung MH

Locations

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Chang Gung Memorial Hospital

Taoyuan District, , Taiwan

Site Status RECRUITING

Countries

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Taiwan

Central Contacts

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Poyu Chen, PhD

Role: CONTACT

+886-3211-8800 ext. 5449

Facility Contacts

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ChihHao Chiu, PhD

Role: primary

Other Identifiers

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202202303B0

Identifier Type: -

Identifier Source: org_study_id