A Skills-Based Program Delivered Via Secure Live Video to Patients With Acute Musculoskeletal Trauma

A Randomized Controlled Trial Testing a Skills-Based Program Called "A Toolkit for Optimal Recovery" Delivered Via Secure Live Video Compared to Standard Medical Care in Patients With Acute Musculoskeletal Injuries

The aims of this study are to test a manualized mind body skills-building program aimed at preventing the development of chronic pain and disability following acute musculoskeletal injury in at-risk patients.

This is a pilot randomized feasibility trial of the mind body program Toolkit for Optimal Recovery versus usual medical care. The Toolkit is delivered via secure live video to patients at risk for chronic pain, at 1-2 months after injury. The primary aim of this study is to determine the feasibility and acceptability of the program, randomization, procedures and outcome measures. Secondarily, we report means and standard deviation and explore change in quantitative outcomes in the Toolkit compared to usual care.

Inclusion Criteria:

• Diagnosis of musculoskeletal injury in the past 1-2 months
• 18 years of age or older
• English fluency and literacy
• PCS OR, PASS score above median split

Exclusion Criteria:

• Major medical comorbidity expected to worsen in the next 6 months
• Comorbid chronic pain condition
• Antidepressant medication change in the past 6 months
• Secondary gains such as litigations or workers compensation procedures
• Diagnosis of psychosis, bipolar disorder or active substance dependence (by self report)
• Unwilling or unable to use videoconferencing