Trustees of Dartmouth College
SpinePal is a self-guided digital intervention developed for patients undergoing spine surgery. The goal of this study is to learn if SpinePal is acceptable to people undergoing spine surgery. The main questions the investigators aim to answer are: * Is the SpinePal platform considered usable and acceptable by people undergoing spine surgery? * Is the SpinePal intervention feasible among people undergoing spine surgery? Participants will: * Take a screening questionnaire * Engage with SpinePal for about 2 weeks before surgery and 4 weeks after surgery * Wear a smartwatch * Complete questionnaires about 4 weeks after surgery * Complete a brief virtual interview to share feedback with the study team
SpinePal will be piloted in a sample of N = 10 patients who are scheduled to undergo lumbar or cervical spine surgery. A pre-surgery enrollment visit will occur via Zoom at least 2 weeks prior to the patient's surgery. Prior to the visit, the participant will complete screening and baseline measures. The research coordinator will then provide instructions for accessing SpinePal, including a unique user ID and password assigned to the participant. During the enrollment visit, participants will also be provided with instructions for completing physiological monitoring via a wrist-worn Garmin Viv…
Inclusion Criteria: * 18 years or older * English-speaking * Able and willing to provide informed consent * Scheduled for lumbar or cervical fusion surgery at least 2 weeks from the date of enrollment * Owns a smartphone with reliable internet and/or data access * Willing to engage with SpinePal and physiological monitoring via wrist-worn Garmin Exclusion Criteria: * Undergoing surgery for infection, malignancy, or trauma * Undergoing isolated thoracic fusion * Undergoing another major surgery within 3 months * Active suicidal ideation and/or severe mental illness (e.g., psychosis)
SpinePal is a web-based app designed to support patients undergoing spine surgery. The app includes tailored pain education, cognitive-behavioral skills, mindfulness and relaxation activities, and guided imagery exercises. SpinePal was developed through an iterative refinement process with patients who previously underwent surgery and experienced persistent pain, impairment, and opioid use.
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