App-based therapy shows promise in preventing chronic pain after teen spinal surgery
NCT ID NCT04637802
First seen Jun 24, 2026 · Last updated Jun 27, 2026 · Updated 1 time
Summary
This study tested a mobile app called SurgeryPal that teaches teens coping skills before and after major spine surgery. 433 teens aged 12-18 were randomly assigned to use the app or receive standard education. The goal was to see if the app could reduce pain and prevent pain from becoming chronic. Results are being analyzed to see if this simple, at-home approach can improve recovery.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- Cognitive-behavioral therapy (CBT) delivered via a mobile app (SurgeryPal)
- What this could lead to
- If it works, this could give teens a simple, drug-free way to recover from major surgery with less pain and a lower risk of long-term chronic pain.
- What could go wrong
- This is a completed trial, but the intervention is behavioral and effects may vary. It may not work for everyone, and long-term benefits beyond 6 months are not yet known.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Phase
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Not a phased trial
Phase numbers describe drug development. The registry uses this when they do not apply, as it does for trials of devices, procedures or behaviour changes, and for observational studies.
- Participants
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433 people
The number who actually took part.
- Started
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Dec 2020
- Finished
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Mar 2025
- Lead sponsor
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Other sponsor
The registry's catch-all category, for sponsors it does not file as a company, a government agency, or a research network.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
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12 to 18 years
- Sex
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Anyone
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
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Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: Teen * 12 to 18 years old at the time of enrollment * Undergoing scheduled spinal fusion surgery (eligible indications: juvenile/adolescent idiopathic scoliosis, congenital scoliosis, spondylolisthesis or kyphosis) Parent/Caregiver * Parent or legal guardian of child who meets study criteria Exclusion Criteria: Teen * Does not speak or understand English * Has severe learning disability, cognitive impairment or intellectual delay (i.e. unable to read at 5th grade level) * Does not have access to a smart device (smartphone, iPad or tablet; Teens can borrow an iPad from the study team if one is available) * Recent psychiatric admission (in the past 30 days) * Severe systemic disease (neuromuscular scoliosis, cancer) * On a regular treatment regimen for a severe chronic medical condition * Prior major surgery (open surgery such as heart, lung, brain, abdominal surgery, or prior spine surgery) * Diagnosed chronic musculoskeletal pain condition (e.g. complex regional pain syndrome, fibromyalgia, widespread musculoskeletal pain) Parent/Caregiver * Does not speak or understand English * Does not have access to a smart device (smartphone, iPad or tablet)
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
Contacts and locations
Locations
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Seattle Children's Hospital
Seattle, Washington, 98105, United States
More trials for these conditions
Other studies related to the condition(s) this trial covers.
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