PREventing Pain After Surgery

The PREPS study tests whether Acceptance and Commitment Therapy (ACT) can help prevent or reduce chronic pain after spine surgery. This psychological approach helps patients develop better ways to manage pain. Participants learn skills to change how they relate to pain rather than just trying to eliminate it. You may be eligible if: - You are 22 or older - You are scheduled for spine surgery such as fusion, discectomy, vertebroplasty, kyphoplasty, or foraminotomy - You can communicate fluently in English You may NOT be eligible if: - You have cognitive impairment (delirium, dementia, psychosis) - You have a history of a severe neurologic movement disorder - You are pregnant or plan to become pregnant during the study - You have had previous spine surgery - Your surgery is for spinal deformity, infection, fracture, or cancer - You have done Acceptance and Commitment Therapy in the last 2 years Talk to your doctor to see if this trial is right for you.