Join us as we dive into four different types of brief behavioral interventions that provided longer-term analgesia after surgery.
Date: Wednesday, February 5, 1:30 p.m. to 3:00 p.m., Eastern (US) Time
This webinar is being produced by IASP’s Acute Pain Special Interest Group.
The Acute Pain SIG advances and promotes the understanding of mechanisms, assessment, prevention, and management of acute pain through the following:
- Collaboration between basic and clinical research.
- Study of the underlying mechanisms of acute pain, including the transition from acute to chronic pain, and the implications of acute pain therapy for clinical outcome and quality of life.
- Exchange of guideline developments, methodology, and implementation strategies.
- Exchange of information and experience about the assessment and treatment of acute pain, both within IASP and in exchanges with other national and international NGOs such as the World Federation of Societies of Anaesthesiologists.
- Identification and implementation of programs to minimize the development of acute pain and related suffering.
- Furthering the educational objectives of the SIG via international meetings, an annual symposium, workshops at IASP World Congresses, Congress satellite meetings, a newsletter, and the IASP website.
This webinar centers around identified perioperative behavioral interventions with randomized controlled evidence supporting efficacy for extending analgesia after surgery, based on the following work:
Darnall BD, Abshire L, Courtney RE, Davin S. “Upskilling Pain Relief After Surgery: A scoping review of perioperative behavioral intervention efficacy and practical considerations.” (in press, Reg Anes Pain Med)
In this article, authors reported that out of 20 included RCTs, four reported evidence for four different types of brief behavioral interventions that provided longer-term analgesia after surgery (e.g., 1 to 6 months). This webinar will describe the evidence for all four interventions, and include presentation from the principal investigators of three of these interventions. Only one of the four interventions is being widely utilized clinically as standard care. Practical considerations for broad implementation, as well as gaps in scientific research and understandings and in-progress research, will be discussed by an experienced team.
Participants include:
- Madelon Peters, PhD, Maastricht University, Netherlands
Need for accessible and effective interventions in post-surgical pain relief and recovery - Katherine Hadlandsmyth, PhD, University of Iowa, USA
Preventing persistent postsurgical pain: The Perioperative Pain Self-management (PePS) intervention - Samantha Meints, PhD, Brigham and Women’s Hospital, Boston, Massachusetts, USA
Mindfulness-based cognitive behavioral therapy in arthroplasty patients - Sara Davin, PsyD, MPH, Cleveland Clinic, Ohio, USA
Embedding empowered relief into spinal surgery at Cleveland Clinic - Regina “Rianne” L.M. van Boekel, RN, PhD, Radboud University Medical Center, Nijmegen, Netherlands
- Beth Darnall, PhD, Stanford Health Care, Redwood City, California, USA (speaker/moderator)
About the Presenters
Madelon Peters, PhD,is a professor in Health Psychology and serves as head of the Experimental Health Psychology section at Maastricht University (The Netherlands). Her interdisciplinary work investigates psychological risk and resilience factors in chronic pain, combining experimental work on potential underlying mechanisms with clinical studies. A main focus of her work is on identifying predictors of chronic post-operative pain, and on interventions to mitigate the risk of chronification. She currently leads two multicenter clinical trials on the efficacy of perioperative cognitive behavioral intervention to reduce the prevalence of chronic pain after breast cancer surgery and spinal fusion surgery. Together with her team, she also studies how psychological and dyadic aspects are involved in female genital pain, and she is involved in the development of new instruments that can be used in research and treatment of genital pain. Peters has published over 200 peer-reviewed journal articles and created a web-based positive psychology self-help treatment for chronic pain that is disseminated free of charge. She also serves as member of the guideline committee for cognitive behavioral treatment for cancer pain and is a member of the Committee for Scientific Integrity at Maastricht University.
Katherine Hadlandsmyth, PhD, is an associate professor of Anesthesia and Psychiatry and Psychology at the Carver College of Medicine at the University of Iowa (USA). The primary goal of her current research is to improve the lives of people living with chronic pain. Specifically, her lab is trialing behavioral pain self-management interventions during the acute pain phase to prevent the development of chronic pain and long-term opioid use, and examining epidemiological opioid-prescribing patterns to identify optimal points for early behavioral interventions. She is also passionate about tailoring behavioral pain self-management interventions to underserved populations.
Samantha Meints, PhD, is a psychologist in the Department of Anesthesiology, Perioperative and Pain Medicine at Brigham and Women’s Hospital (Massachusetts, USA). She is interested in psychosocial factors that influence the experience and treatment of pain. Her lab is currently working on projects examining 1) pain sensitization among patients with chronic low back pain, 2) stress on the experience of acute and chronic pain, and 3) the cognitive effects of acute and chronic pain. Meints has also been working with clients with chronic pain, chronic health conditions, women’s health issues, medical trauma, insomnia, depression, and anxiety for more than 10 years. She strives to help provide clients with both brief and long-term therapy to help set and reach goals according to their own personal values. Meints uses an interdisciplinary approach that incorporates cognitive behavior therapy, acceptance and commitment therapy, mindfulness, and dialectical behavior therapy to help achieve these goals.
Sara Davin, PsyD, MPH, is the director of the Center for Pain Recovery within the Center for Spine Health, in the Neurological Institute at the Cleveland Clinic (Ohio, USA). Davin leads a multidisciplinary team of chronic pain specialists and has a robust practice as a clinical psychologist specializing in pain. Prior to obtaining her doctorate in clinical psychology, she worked as a public health professional developing program health prevention and promotion programs at IU Health in Indianapolis (formerly Clarian Health) and in the area of population health for two employee-based wellness companies. Davin has a passion for the intersection between pain psychology and public health. This passion has facilitated the development of pain-specific programs within the Neurological Institute at the Cleveland Clinic. Davin’s research interests center upon optimization within the perioperative period through the use of behavioral and psychological techniques, specifically in the area of spine surgery. Davin also holds appointments as adjunct assistant professor at the Case Western Reserve School of Psychological Sciences and is a clinical assistant professor within the Cleveland Clinic Lerner College of Medicine. She also supervises the pain psychology fellowship at the Cleveland Clinic.
Regina “Rianne” L.M. van Boekel RN, PhD is a skilled nurse, educator, epidemiologist, and researcher who earned her PhD from Radboud University, the Netherlands, in 2017. Currently serving as an assistant professor at the Department of Anesthesiology, Pain, and Palliative Medicine at Radboud University Medical Center, her research centers on acute postoperative pain management, as well as the prediction pain and pain services. Additionally, Rianne holds a senior researcher position at the Lectorate Emergency and Critical Health Care of the Knowledge Centre of Sustainable Healthcare, School of Health Studies at HAN University of Applied Sciences. She initiated a two-year post-graduate program for pain nurse consultants at HAN in 2011 and remains actively involved in its development. Rianne’s commitment to advancing pain nursing is evident through her presidency of the Dutch Association of Pain Nurses from 2015 to 2021, an organization she founded in 2006. Under her leadership, she oversaw the establishment of the Pain Nursing area of expertise and domain within the Nurses’ Quality Register. Furthermore, Rianne collaborated with European colleagues to develop the Core Curriculum for the European Diploma in Pain Nursing, published in 2019. Beyond her (inter)national contributions, Rianne served as the president of the multidisciplinary Working Group tasked with preparing the quality indicator Hospital-wide Pain Management for the Healthcare Inspectorate. She also held positions as a board member of the Dutch Pain Society and the Pain Alliance in the Netherlands (P.A.I.N.). Currently, she serves as the president of the Acute Pain SIG of the International Association for the Study of Pain (IASP). Recognized for her contributions, Rianne has received numerous personal scholarships and awards. She is a member of several national and international scientific committees, where she provides valuable expertise and guidance.
About the Moderator
Beth Darnall, PhD, is a Professor of Anesthesiology, Perioperative, and Pain Medicine at Stanford University School of Medicine and Director of the Stanford Pain Relief Innovations Lab. A psychologist-scientist, she leads NIH and PCORI-funded national studies that on scalable behavioral analgesic interventions and patient-centered opioid reduction. Her work centers on developing, investigating and disseminating solutions that offer more equitable access to evidence-based behavioral pain care for diverse and underserved populations. She created Empowered Relief® a 1-session group intervention that rapidly equips individuals with effective pain relief skills for acute, chronic, and post-surgical pain. Empowered Relief® is being delivered by certified instructors in 29 countries and in 8 languages. She has three times briefed the U.S. Congress and the FDA on patient-centered pain care and opioid stewardship. She is a scientific member of the NIH Interagency Pain Research Coordinating Committee, served on the CDC Opioid Workgroup (2021), is Chief Science Advisor for AppliedVR, and is author of four books for patients and clinicians. She has keynoted national pain society conferences in Australia, New Zealand, The Netherlands, Switzerland and the U.K. In 2018, she spoke on the psychology of pain relief at the World Economic Forum in Davos, Switzerland.