RXWell to Decrease Post-Operative Opioid Use in Total Knee or Hip Arthroplasty

Trial statusRecruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age18-100
SponsorUniversity of Pittsburgh

About this trial

It is envisioned that multipronged benefits from this pilot work for the UPMC ISD and its members. It is expected the RxWell platform to provide the following benefits: expansion of the use of RxWell to all UPMC ISD members providing peri-operative mood management with advantage of improved peri-operative outcomes, improving saving for the UPMC ISD by hastening the recovery and decreased resource utilization, and addition to the high-value care of UPMC with this holistic approach to patient perioperative care

Eligibility criteria

Qualifiers

Adults >18 years

Scheduled for elective primary total knee arthroplasty (TKA) or hip replacement (THA) at the approved UPMC hospitals

Moderately high levels of mood disorder symptoms on validated PROMIS measures, defined as a T-score > or = to 60 on PROMIS Anxiety 4a short form and/or PROMIS Depression4a short form

Disqualifiers

Patients undergoing non-elective surgery or secondary arthroplasty

Active delirium, neurocognitive impairment, or severe intellectual disability

No access to a smart device (phone or tablet)

Active alcoholism (defined as daily use of more than 1 liter of wine and /or 3 or more shots of hard liquor) or drug abuse (defined as daily use of illicit drugs)

Trial design

Treatments tested in this trial

  • +RxWell
  • -RxWell

Treatment groups

150 Participants
are divided into 3 treatment groups

Sponsors and collaborators

University of Pittsburgh

Lead sponsor

National Institutes of Health (NIH)

Collaborator

National Institute on Drug Abuse (NIDA)

Collaborator