Positive Affirmations and Preoperative Anxiety

NCT07832253 — Not applicable, Not yet recruiting, 60 participants, Hackensack Meridian Health

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The Effect of Guided Imagery and Positive Affirmations on Preoperative Anxiety in Patients Scheduled for a Total Joint Replacement

Registry	NCT07832253
Status	Not yet recruiting
Phase	Not applicable
Study type	Interventional; na, single group, masking: none, supportive care
Enrollment	60 (Estimated)
Sponsor	Hackensack Meridian Health (Other)
Conditions	Total Joint Replacement Surgery, Preoperative Anxiety
Interventions	Guided imagery and positive affirmations (Behavioral)
Dates	start 2026-10-01 (estimated), primary completion 2027-12-31 (estimated), completion 2028-01-15 (estimated), first posted 2026-09-21, last updated 2026-09-21
Locations	1 site in United States

-Summary

This study is a prospective, quasi-experimental design using a convenience sample. This study will include patients who are having total knee or total hip replacement surgery. Participants will be invited to complete an anxiety scale at the conclusion of the total joint replacement (TJR) education class, listen to a guided imagery and positive affirmations recording once/day for three days prior to surgery, beginning on the third day before surgery and continuing to the day before their scheduled surgical procedure, listen to positive affirmations the morning of surgery in the preop area, and then complete an anxiety scale before entering the operating room.

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+Arms and interventions

Arm	Type	Interventions	Description
Guided imagery and positive affirmations	Experimental	Behavioral: Guided imagery and positive affirmations	Participants will listen to a guided imagery recording followed by positive affirmations (approximately 23:26 minutes in length) once/day beginning on the third day before surgery and ending on the day before surgery. On the day of the surgery, participants will only listen to positive affirmations.

Guided imagery and positive affirmations (Behavioral): Daily recordings for 3 days before surgery up until the morning of the surgery.

+Outcome measures

Primary outcomes

Visual Facial Anxiety Scale [At baseline and immediately before entering the operating room on the day of the surgery]: The 6 item Visual Facial Anxiety Scale (VFAS) is an emoji based tool used to measure preoperative anxiety. It utilizes 6 emoji faces that reflect levels of anxiety from none to high (corresponding to 0-10 scale, with 0 being no anxiety and 10 being the highest anxiety). . The surveys are completed in the TJR education class, before listening to the guided imagery and positive affirmations, and after listening to positive affirmations, which is done in the preop area immediately before entering the operating room the day of surgery. The completion of the scale takes approximately 7-8 secs. Listening to the guided imagery and positive affirmation recordings takes 23:26 minutes, and listening to the positive affirmations on the day of surgery takes 3:11 minutes.

+Eligibility

Sex: All, ages: 18 Years to any

Inclusion Criteria:

* Scheduled for total knee replacement or total hip replacement at the study facility
* 18 years of age or older
* Speak and read English
* Have access to a smartphone, tablet, or computer

Exclusion Criteria:

* < 18 years of age
* Does not speak and read English
* Does not have access to a smartphone, tablet, or computer

+Locations (1)

Facility	City	Country	Status
HMH Old Bridge Medical Center	Old Bridge, New Jersey	United States

+Investigators

Paula O'Neill, MS, RN, HNB-BC, MEDSURG-BC, Principal investigator, Hackensack Meridian Health

My Notes

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