Systematic review of the efficacy of pre-surgical mind-body based therapies on post-operative outcome measures

Nelson, Elizabeth A.; Dowsey, Michelle M.; Knowles, Sandra R.; Castle, David; Salzberg, Michael; Monshat, Kaveh; Dunin, Anthony; Choong, Peter F. M.

doi:10.1016/j.ctim.2013.08.020

Cited by 72 publications

(53 citation statements)

References 50 publications

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“…T. Rispler & Sara, 2011; Yang, Dubé, Eaton, McAlindon, & Lapane, 2013). Guided imagery (GI), the generation of positive sensory and affective images to promote therapeutic outcomes (Nelson et al, 2013), is a complementary approach for persons with osteoarthritis (Fouladbakhsh, 2012). GI has been recommended as a mind-body therapy for pain relief following orthopaedic surgery by the American Association of Orthopedic Surgeons (Alternative methods to help manage pain after orthopaedic surgery.2011).…”

Section: Introductionmentioning

confidence: 99%

Acceptability of a Guided Imagery Intervention for Persons Undergoing a Total Knee Replacement

Draucker

Jacobson

Umberger

et al. 2015

Orthopaedic Nursing

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Background Guided imagery (GI) has been recommended as a mind-body therapy for pain relief following orthopaedic surgery, but little is known about the acceptability of the intervention. Purpose Describe the perceptions of patients undergoing total knee replacement surgery (TKR) regarding the acceptability of a customized GI intervention to promote TKR outcomes. Methods Narrative and survey data collected during a randomized controlled trial of the GI intervention were analyzed to assess the acceptability of the intervention. Results Most participants were satisfied with and actively engaged in the intervention, and they perceived it to be helpful. For the smaller group who did not find the intervention to be acceptable, reasons for dissatisfaction and barriers to engagement were identified. Conclusions GI is an acceptable intervention for many persons undergoing TKR surgery. The results of this study can provide information to further develop a targeted and customized GI intervention for this population.

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Section: Introductionmentioning

confidence: 99%

Acceptability of a Guided Imagery Intervention for Persons Undergoing a Total Knee Replacement

Draucker

Jacobson

Umberger

et al. 2015

Orthopaedic Nursing

View full text Add to dashboard Cite

show abstract

“…1,2 Guided imagery focuses attention on visual, auditory, or other sensory images for therapeutic purposes. Clinical uses include safely reducing acute and chronic pain, [3][4][5] reducing preoperative and preprocedural anxiety, 6,7 soothing pain and anxiety in emergency settings, 8 facilitating postoperative recovery, 9 promoting relaxation during childbirth, 10 and promoting behavioral change for children with enuresis and adults attempting to quit smoking or change other problematic behaviors or habits. 11,12 Over the past 20 years, guided imagery training has become available through numerous national and regional societies for clinical hypnosis (eg, the American Society for Clinical Hypnosis, the Society for Clinical and Experimental Hypnosis, and the National Pediatric Hypnosis Training Institute) as well as on CDs and applications for smartphones and tablets.…”

mentioning

confidence: 99%

The Feasibility and Effectiveness of Online Guided Imagery Training for Health Professionals

Rao

Kemper

2016

J Evid Based Complementary Altern Med

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This study evaluated the feasibility and impact of brief online guided imagery training (up to 3 hours) for health professionals. Paired t tests were used to measure pre-to-post-training changes in stress (Perceived Stress Scale,), anxiety (Patient Reported Outcomes Measurement Information System-Anxiety Scale), empathy (Empathic Concern Scale, and Perspective-taking Scale), and self-efficacy (Self-Efficacy in providing Non-Drug Therapies Scale). Online guided imagery training attracted diverse health professionals and trainees (n ¼ 273; 14% trainees; 34% registered nurses, 20% physicians, 14% social workers, 5% registered dititians, and 27% others). Participants reported small but significant pre-to-post-module improvements in stress (17.8 to 13.5), anxiety (T-scores 56.4 to 54.3), empathy (both empathic concern, 29.8 to 30.7, and perspective taking, 28.0 to 29.4), and selfefficacy in providing nondrug therapies for common symptoms (58.5 to 77.0) (P < .001 for all). Future studies will need to examine the clinical impact of online guided imagery training for health professionals.

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“…20,22,25,26 In the context of surgery, GI involves patients imagining healing after surgery and being confident about the health care team. 25 Because preoperative psychological states influence postoperative TKR outcomes, 27,28 complementary and alternative strategies that influence mind-body dimensions of the TKR experience may improve outcomes in this large population.…”

Section: Introductionmentioning

confidence: 99%

Guided Imagery for Total Knee Replacement: A Randomized, Placebo-Controlled Pilot Study

Jacobson

Umberger

Palmieri

et al. 2016

The Journal of Alternative and Complementary Medicine

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Objectives: To determine the effect of guided imagery (GI) on functional outcomes of total knee replacement (TKR), explore psychological and neuroimmune mediators, and assess feasibility of study implementation. Design: Investigator-blinded, randomized, placebo-controlled pilot study. Settings: Hospital, surgeon's office, participant's home. Participants: 82 persons undergoing TKR. Interventions: Audiorecordings of TKR-specific GI scripts or placebo-control audiorecordings of audiobook segments. Outcome measures: Gait velocity and Western Ontario and McMaster Universities Arthritis Index (WOMAC) Function scale.Results: Outcomes for 58 participants (29 receiving GI and 29 controls) were analyzed at 6 months after surgery. The most frequent reason for noncompletion was protocol-driven exclusion at 6 months for having the contralateral knee replaced before the study endpoint (n = 15). With imaging ability as a moderator, gait velocity, but not WOMAC Function score, was significantly improved at 6 months in the GI group. Participants in the GI group, but not the control group, had lower WOMAC Pain scores at 3 weeks after surgery than at baseline. Hair cortisol concentration was significantly lower at 6 months after surgery than at baseline in the GI group but not the control group. GI group participants had lower treatment adherence but greater treatment credibility than the control group. Conclusion: Randomized controlled trials of GI in the TKR population are feasible, but inclusion/exclusion criteria influence attrition. Further studies are needed to elaborate this study's findings, which suggest that guided imagery improves objective, but not patient-reported, outcomes of TKR. Hair cortisol concentration results suggest that engagement in a time-limited guided imagery intervention may contribute to stress reduction even after the intervention is terminated. Further investigation into optimal content and dosing of GI is needed.

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Systematic review of the efficacy of pre-surgical mind-body based therapies on post-operative outcome measures

Abstract: This review demonstrated that the quality of evidence for the efficacy of mind-body therapies for improving post-surgical outcomes is limited. Recommendations have been made for future RCTs.

Cited by 72 publications

References 50 publications

Acceptability of a Guided Imagery Intervention for Persons Undergoing a Total Knee Replacement

Acceptability of a Guided Imagery Intervention for Persons Undergoing a Total Knee Replacement

The Feasibility and Effectiveness of Online Guided Imagery Training for Health Professionals

Guided Imagery for Total Knee Replacement: A Randomized, Placebo-Controlled Pilot Study

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