Subjects in the control group will receive standard care.

Assessed using the Depression Anxiety Stress Scale (DASS-21) electronically administered patient reported outcome questionnaire

• General adult population average total score: 9.43 (SD 9.66)
• An average total score >1 SD above the mean would be considered significantly different from normative data
• General adult population average stress subscale scores: 4.73±4.20
• Average stress subsection score above 12.27 correlate with clinical depression and generalized anxiety disorders
• A change of 4.90 or more points in the anxiety subscore reliably represents clinical improvement.

Assessed via the Shortened Tampa Scale for Kinesiophobia (TSK-11) electronically administered patient reported outcome questionnaire

• The survey is a 11-question test scored from 11-44, where higher scores indicate increasing fear of movement.
• A value of 11 is presumed in a nonpainful population.
• Adults with chronic musculoskeletal pain undergoing outpatient chronic pain therapy report an average TSK score of 30.4 (+/- 6.6).
• Successful evaluation of Kinesiophobia will be indicated if increases in TSK-11 scores are found to be significantly associated with increased pain and decreased physical function (HOOS, PROMIS-PI, PROMIS-PB, PROMIS-PF) or increased self-reporting of opioid use.
• The finding of no significant association, but increased presence of maladaptive features compared to normative data for US adolescents would also be considered a successful finding.

Assessed via The Brief Resiliency Scale (BRS) electronically administered patient reported outcome questionnaire

• An 8 question survey scored from 1-5 points
• The average score for US adults age 24-34 is 3.2 (SD 0.7)
• A statistically significant lower Grit score would be >1SD below this average value.
• Successful evaluation of Grit will be indicated if increases in GRIT-S scores are found to be significantly associated with increased pain and decreased physical function (HOOS, PROMIS-PI, PROMIS-PB, PROMIS-PF) or increased self-reporting of opioid use.
• The finding of no significant association, but increased presence of maladaptive features compared to normative data for US adolescents would also be considered a successful finding.

Assessed via The Short Grit Scale (GRIT-S) electronically administered patient reported outcome questionnaire

• A 6-question test with low resiliency defined as a score of <3.00.
• Prior descriptive studies indicate an average score of 3.57 (SD 0.76) for young adults age 19.8±3.0 years.
• Statistically significant lower resilience would be >1SD below this average value.
• Successful evaluation of Resiliency will be indicated if increases in GRIT-S scores are found to be significantly associated with increased pain and decreased physical function (HOOS, PROMIS-PI, PROMIS-PB, PROMIS-PF) or increased self-reporting of opioid use.
• The finding of no significant association, but increased presence of maladaptive features compared to normative data for US adolescents (for those tests where this data exists) would also be considered a successful finding.

Assessed via Pain Catastrophizing Scale (PCS) electronically administered patient reported outcome questionnaire

• Scored on a 13 point scale.
• Normative average values from a population of adults adults age 42.2 (17-63 years) with low back pain: mean 20.90 (SD 12.5),
• Successful evaluation of Pain Catastrophization will be indicated if increases in PCS scores are found to be significantly associated with increased pain and decreased physical function (HOOS, PROMIS-PI, PROMIS-PB, PROMIS-PF) or increased self-reporting of opioid use.
• The finding of no significant association, but increased presence of maladaptive features compared to normative data for US adolescents would also be considered a successful finding.

Assessed via The General Self-Efficacy Scale (GSE) electronically administered patient reported outcome questionnaire

• 10-question test, scored from 10-40, with lower scores representing low self efficacy.
• Average US adult values: 29.48 (SD 5.13)
• Successful evaluation of Self-Efficacy will be indicated if increases in GSE scores are found to be significantly associated with increased pain and decreased physical function (HOOS, PROMIS-PI, PROMIS-PB, PROMIS-PF) or increased self-reporting of opioid use.
• The finding of no significant association, but increased presence of maladaptive features compared to normative data for US adolescents would also be considered a successful finding.

Assessed via Alcohol Use Disorders Identification Test (AUDIT) electronically administered patient reported outcome questionnaire

• A 10-question test with a threshold score >7 considered "AUDIT-positive", indicating risky or hazardous alcohol use behavior.
• National data suggests 15-20% of US 14-18 year olds screen positive
• Successful evaluation of Alcohol Use Disorders will be indicated if increases in AUDIT scores are found to be significantly associated with increased pain and decreased physical function (HOOS, PROMIS-PI, PROMIS-PB, PROMIS-PF) or increased self-reporting of opioid use.
• The finding of no significant association, but increased presence of maladaptive features compared to normative data for US adolescents would also be considered a successful finding.

Measured via the following electronically administered patient reported outcome questionnaires.

• PROMIS: Physical Function (PF)
• Normative T-score generated from US adult population data: mean 50 (SD 10).
• For this study, an average T-score <40 would be considered significantly different compared to normative values.
• The minimally important difference (MID) of 1.9 - 2.2 calculated from research in nonoperative treatment of knee osteoarthritis will be representative of clinical improvement at eight weeks.

Measured via the following electronically administered patient reported outcome questionnaires.

• The Hip disability and osteoarthritis outcome score (HOOS)
• Scored from 0-100
• Increasing score represent better function.
• Average scopres for hip preservation patients prior to surgery is well established

Measured via self reported opioid use after surgery