AzTrials
AzTrials

Single Level Spinal FusionI-MASSNCT06429072

Integration of Mindfulness and Acupuncture After Spine Surgery

A study testing Mindfulness training, Acupuncture and Enhanced education in people with Single Level Spinal Fusion and Discetomy, run by Duke University at 1 site in United States.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
Search all trials

Trial summary

The Integration of Mindfulness and Acupuncture for individuals undergoing Spine Surgery (I-MASS) is a novel combination of integrative treatments to improve post-surgical recovery. Read more about this study

Who is it for?
Ages 18 to 80 years
Conditions the study is for
Single Level Spinal Fusion, Discetomy, Laminectomy
What is being tested?
Mindfulness training, Acupuncture and Enhanced education
Could I receive a placebo?
No, everyone receives an active treatment
How many people
50 participants
Where
1 siteUnited States
Study dates
15 Aug 2024to 15 Oct 2025
Phase
Interventional
Are there results?
None posted in the registry

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 to 80 years
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • undergoing single level fusion, discectomy or laminectomy of the cervical or lumbar spine for management of pain
  • 18 years of age or older
  • has access to a smartphone or mobile device (with android or iOS operating system) and internet to complete training and questionnaires.

Who cannot join

  • have conditions making consent, follow-up data collection and/or use of the intervention prohibitive (e.g., Non-English speaking, serious psychiatric conditions [i.e., schizophrenia], traumatic brain injury, or dementia-type illness)
  • undergoing surgery for neoplastic disease
  • current daily opioid use greater than 100mg morphine equivalents
  • unable to receive acupuncture due to injury, infection, or other contraindication to the use of needles at acupuncture sites
  • not possible to attend outpatient clinic for AA follow-up (e.g., from out-of-state)
  • currently practicing mindfulness or receiving acupuncture
  • in Hospice, receiving palliative care.

Trial locations and contacts

1 site in 1 country.

United States1 site
  • Duke Sports Science Institute

    Durham, North Carolina, 27705

Other trials in United States

About this study

Official title: Integration of Mindfulness and Acupuncture After Spine Surgery: Aim 2

The Integration of Mindfulness and Acupuncture for individuals undergoing Spine Surgery (I-MASS) is a novel combination of integrative treatments to improve post-surgical recovery.

This is a single-site, two-arm randomized feasibility and acceptability pilot trial of the I-MASS program plus enhanced patient education compared to enhanced patient education alone in patients undergoing spine surgery. Outcomes data will come from a combination of passive electronic health record data augmented with patient-reported data collected through the Pattern Health app (the mHealth platform used for delivering mindfulness training and collecting data). Outcomes will focus on feasibility and acceptability of I-MASS, feasibility of recruitment and retention strategies, and data collection procedures through both the Pattern Health app and electronic health record. Feasibility will be supported by mindfulness module completion rates, acupuncture visits attended, participant retention, and questionnaire completion rates. Acceptability will be supported by patient-reported satisfaction, acceptability and usability thresholds.

Read the detailed description

Participants will be randomized to one of two study arms: 1) the I-MASS program plus enhanced education or 2) the enhanced education intervention only.

I-MASS program plus enhanced education (Intervention) Arm: This arm begins with one introductory telephone call by a mindfulness coach within 1 week of the patient scheduling surgery to introduce the participant to the Pattern Health app, discuss the benefits of combining mindfulness and acupuncture, discuss how to access the Healthwise educational content, and lead a brief (~10 min) mindfulness exercise, as desired. Thereafter, participants will complete 4 self-directed mindfulness modules through the Pattern Health app (1 prior to surgery, 3 following surgery). The modules will include a guided series of videos, audio files and interactive text features. Each week-long module includes daily sessions comprised of a short (4-5 min) background video, a 6-8 min guided mediation (users could choose either a female or male voice) and interactive suggestions for how to apply mindfulness within their daily routine (~10-12 min total per session). The pre-operative training (module 1) focuses on developing an awareness of breath, which is a fundamental mindfulness technique. Following surgery, participants will initiate training module 2, building awareness of body systems, followed by modules 3 and 4 over the subsequent 2 weeks. Automated activity reminders in the app will alert the participant to complete the daily session. Each module builds upon skills learned in the previous module and participants are encouraged to continue using learned skills and resources within the app after completion of the modules.

The initial acupuncture session will occur within one week prior to surgery. The second acupuncture session will occur within the first week following surgery. Afterwards, participants will receive acupuncture in participating community outpatient clinics for up to 8 sessions total within 12 weeks of surgery. The investigators will allow flexibility in scheduling these visits with a window of 5-10 days between acupuncture sessions. Acupuncturists will also be trained to facilitate discussion about mindful awareness and non-judgmental thoughts regarding pain, giving participants an opportunity to reflect on their experiences during the acupuncture session. Auricular acupuncture will be the preferred form of acupuncture used. If participants are unable to tolerate auricular acupuncture, they will have the option to receive peripheral acupuncture.

The program consists of enhanced education prior to and after surgery for all participants. All of the educational material is delivered via the Pattern Health App. All educational content is from the Healtwise.net Duke Health Library (https://www.healthwise.net/dukehealth/Content) and is carefully selected with input by surgeons to be delivered during the appropriate phase of recovery. Educational topics include learning how to lift and sit when experiencing pain, proper precautions following surgery, how to ease back into daily activities following surgery, and ways to self-manage pain. Education is in the form of short reading materials or videos, all designed to help safely and effectively recover from surgery.

Enhanced Education Arm: Participants in this arm will receive an introductory call from study staff to introduce the participant to the Pattern Health app, discuss how to access the Healthwise educational content, and answer any questions about the program. They will then receive the same course of enhanced educational material as the Intervention arm in the Pattern Health app.

All trial participants will not be prevented from receiving any other care deemed necessary by their health care team and surgeon. This program is designed to complement their usual care, not replace it. Participant involvement with the study will be complete at 3 months following surgery. All follow-up questionnaires will be administered through the Pattern Health app for participants in both study arms.

Being tested
Mindfulness training, Acupuncture, Enhanced education

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Mindfulness trainingBehavioural

    • I-MASS begins with one introductory telephone call by a mindfulness coach within 1 week of the patient scheduling surgery to introduce the participant to the Pattern Health app, discuss the benefits of combining mindfulness and acupuncture, discuss how to access the Healthwise educational content, and lead a brief (~10 min) mindfulness exercise, as desired. Thereafter, participants will complete 4 self-directed mindfulness modules through the Pattern Health app (1 prior to surgery, 3 following surgery). Each mindfulness module is anticipated to last one week and includes a short (4-5 min) introductory video, daily sessions comprised of a 6-8 min guided mediation, and interactive suggestions for how to apply mindfulness within a daily routine (~10-12 min total per daily session).
  • AcupunctureOther

    This arm also includes up to 8 total acupuncture treatments (1 prior to surgery and up to 7 treatments in the 12 weeks after surgery). Auricular acupuncture will be the preferred form of acupuncture used. This technique involves inserting tiny needles in specific areas of the outer ear to target points believed to influence pain. If participants are unable to tolerate auricular acupuncture, they will have the option to receive peripheral acupuncture.

  • Enhanced educationBehavioural

    • The program consists of education prior to and after surgery for all participants. All of the educational material is delivered via the Pattern Health App. All educational content is from the Healthwise.net Duke Health Library (https://www.healthwise.net/dukehealth/Content) and is carefully selected with input by surgeons to be delivered during the appropriate phase of recovery. Education is in the form of short reading materials or videos, all designed to help safely and effectively recover from surgery. Educational topics include learning how to lift and sit when experiencing pain, proper precautions following surgery, how to ease back into daily activities following surgery, and ways to self-manage pain.
Study groups in NCT06429072
Study groupRoleWhat they receive
I-MASS Program plus Enhanced EducationExperimentalNot described
Receives: Behavioral: Mindfulness training; Other: Acupuncture; Behavioral: Enhanced education
Enhanced Education Intervention OnlyActive comparatorNot described
Receives: Behavioral: Enhanced education

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Client Satisfaction Questionnaire (CSQ-8)

    The CSQ-8 assesses credibility and satisfaction with health-related services (8 items, 4-point Likert, with higher scores indicating higher credibility/satisfaction).

    Measured: up to 3 months post-surgery

  2. Recruitment

    Percentage of contacted patients that are eligible and agree to participate

    Measured: up to 3 months post-surgery

  3. Data Collection

    Percentage of participants who complete self-report follow-up questionnaires at each of the 4 timepoints.

    Measured: up to 3 months post-surgery

  4. Number of completed acupuncture visits

    Percentage of acupuncture visits completed out of 8 possible visits

    Measured: up to 3 months post-surgery

  5. Number of completed mindfulness modules

    Percentage of completed mindfulness modules out of 4 possible in the Pattern Health app

    Measured: up to 3 months post-surgery

Secondary outcomes (6)
  1. PROMIS-29 v2. 0

    This profile assesses pain intensity using a single 0-10 numeric rating item and seven health domains (physical function, fatigue, pain interference, depressive symptoms, anxiety, ability to participate in social roles and activities, and sleep disturbance) using four items per domain and a one-item measure of pain intensity. This measure will be used to assess feasibility of data collection, no formal comparisons will be made across treatment arms.

    Measured: Baseline (prior to surgery), 2weeks, 6weeks, 3 months post-surgery

  2. Daily Pain Intensity

    Daily pain intensity during the week prior to surgery and for two weeks following surgery will be measured with the following two questions: 1) Please rate your worst pain in the last 24 hours on a scale from 0 (no pain) to 10 (worst possible pain), and 2) Please rate your average pain in the last 24 hours on a scale from 0 (no pain) to 10 (worst possible pain). These measures will be used to assess feasibility of data collection, no formal comparisons will be made across treatment arms.

    Measured: week before surgery, for 2 weeks after surgery

  3. SPARE Fear Avoidance Short-form

    The SPARE-FA short form is a 4 item questionnaires that measures characteristics of pain-related fear avoidance, catastrophizing, and kinesiophobia. This measure will be used to assess feasibility of data collection, no formal comparisons will be made across treatment arms.

    Measured: Baseline (prior to surgery) , 2weeks, 6weeks, 3 months post-surgery

  4. Medication Prescriptions

    We will collect self-reported information on medication prescriptions for pain (e.g., Opioids, Benzodiazepines, Gabapentin/Neurontin, NSAIDs) at baseline, 6 weeks, and 3 months. We will also collect self-reported pain medication use daily during the first 2 weeks following surgery. This measure will be used to assess feasibility of data collection, no formal comparisons will be made across treatment arms.

    Measured: Baseline (prior to surgery) , 2weeks, 6weeks, 3 months post-surgery

  5. Number of hospital readmission's related to spine surgery

    ADT alerts in the Epic EHR and periodic chart reviews through 3 months. This measure will be used to assess feasibility of data collection, no formal comparisons will be made across treatment arms.

    Measured: up to 3 months post-surgery

  6. Number of emergency room visits related to Spine.

    ADT alerts in the Epic EHR and periodic chart reviews through 3 months. This measure will be used to assess feasibility of data collection, no formal comparisons will be made across treatment arms.

    Measured: up to 3 months post-surgery

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted24 May 2024
  2. Study start15 Aug 2024
  3. Primary completion15 Oct 2025
  4. Study completion15 Oct 2025

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase N/A
Primary purpose
Other
Allocation
Randomised
Intervention model
Parallel groups
Masking
None (open label)
Enrolment
50 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT06429072
Sponsor's protocol ID
Pro00114814
Acronym
I-MASS
Status last verified
Jul 2025
First submitted
4 Mar 2024
Last updated
19 Nov 2025
Results posted
No
Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No

Publications

  • Lentz TA, Porter LS, McGarvey L, Rhodes C, Rocos B, Gremore T, Reinke EK, Eucker SA, Green CL, Poehlein E, Dixon A, Mill M, Finley S, Goertz CM. Integration of Mindfulness and Acupuncture After Spine Surgery: Protocol for a Randomized Acceptability and Feasibility Trial. JMIR Res Protoc. 2025 Nov 17;14:e77236. doi: 10.2196/77236.

    PubMed 41247820

Questions about this trial

What is this clinical trial studying?

A study testing Mindfulness training, Acupuncture and Enhanced education in people with Single Level Spinal Fusion and Discetomy, run by Duke University at 1 site in United States.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 3 inclusion and 7 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 19 Nov 2025. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in United States. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Client Satisfaction Questionnaire (CSQ-8) (time frame: up to 3 months post-surgery). The study lists 5 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT06429072, which also lists 1 linked publication.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 19 Nov 2025.

Free account

Log in to keep searching

You’ve used your 3 free searches. AzTrials is free: log in or create a free account to keep searching clinical trials and save the ones you want to follow.

Create a free accountLog in