Readiness Outcomes Affecting Return to Sport 3.0
Boston Children's Hospital
Summary
The primary aim is to determine if MST will improve coping skills in young athletes returning to sport after ACLR as measured by ACSI-28. Participants will undergo MST led by masters-level mental skills specialist pre-operatively, 3 months, 6 months, and 9 months post-operatively. Power analysis suggested at least 52 pairs are needed (α=0.05, β=0.80). There will be 65 patients enrolled in both the MST group and the control group (no MST) for a total of 130 patients. This will allow for a 4-point difference in ACSI and a 20% dropout rate. The secondary aim is to determine if MST will improve psychological readiness and athletic identity as well as decrease psychological stress, anxiety, depression, and PTSD symptoms of young athletes returning to sport after ACLR as measured by ACL-RSI, AIMS, PROMIS-PSE, GAD-7, PHQ-9, and CRIES, respectively.
Eligibility
- Age range
- 8–25 years
- Sex
- All
- Healthy volunteers
- No
Inclusion Criteria: * Diagnosis of a complete ACL tear * Undergoing ACL reconstruction at Boston Children's Hospital by a study-participating surgeon * Age at time of surgery between 8 and \<=25 * English-speaking patient Exclusion Criteria: * Previous ACL tear * Torn MCL, LCL, or PCL that require reconstruction in addition to ACL * Non-English speaking patient/family * Lack of intention to return to sports/sporting activities
Interventions
- BehavioralMental Skills Training (MST)
Mental skills training aims to enhance coping strategies, motivation, and confidence. MST has been identified as a potential way to improve an athlete's psychological readiness both prior to injury a
Location
- Boston Children's WalthamWaltham, Massachusetts