The Effect of Mindfulness Training Before Primary Total Joint Arthroplasty on Sleep Quality

The Effect of Mindfulness Training Before Primary Total Joint Arthroplasty on Sleep Quality

The primary purpose of this study is the determine whether a 15 minute Mindfulness Meditation (MM) administered at the preoperative appointment prior to primary unilateral total joint arthroplasty (TJA) results in any improvement in Pittsburg Sleep Quality Index (PSQI) score, a validated metric for sleep quality, at 2, 6 or 12 weeks post-operatively.

The primary purpose of this study is the determine whether a 15 minute Mindfulness Meditation (MM) administered at the preoperative appointment prior to primary unilateral total joint arthroplasty (TJA) results in any improvement in Pittsburg Sleep Quality Index (PSQI) score, a validated metric for sleep quality, at 2, 6 or 12 weeks post-operatively. We hypothesize that patients in the MM cohort will have lower PSQI scores, indicating higher sleep quality, at both post-operative time points. Secondary aims include characterizing differences between cohorts in Visual Analog Scale (VAS) for pain, Epworth Sleepiness Scale (ESS) scores, Patient Reported Outcome Measurement Information System - Sleep Disturbance - Short Form, and Knee Injury and Osteoarthritis Outcome Scores (KOOS) at 2, 6 and 12 weeks following TJA.

Inclusion Criteria:

• Patients undergoing primary unilateral total joint arthroplasty at Colorado Joint Replacement
• Between the ages of 18 and 90 years old will be included in the study.

Exclusion Criteria:

• Simultaneous total joint arthroplasty
• Uni-compartmental knee arthroplasty
• Revision surgery for infection, fracture or other indication.
• History of Drug or Alcohol Abuse
• Patients who are unable to present at a standard pre-operative appointment within 4 weeks prior to scheduled surgery will also be excluded, as the MM intervention would not be possible to administer.