Positive affirmations and imagery to ease preoperative anxiety before joint replacement
Official title: The Effect of Guided Imagery and Positive Affirmations on Preoperative Anxiety in Patients Scheduled for a Total Joint Replacement
Run by Hackensack Meridian Health · NCT07832253 · Data updated 2026-11-12
This study tests whether guided imagery and positive affirmations can reduce anxiety in adults waiting for knee or hip replacement surgery.
Quick facts
| Study type | Interventional |
|---|---|
| Ages | 18 Years and up |
| Sex | All |
| Enrollment | 60 (estimated) |
| Sponsor | Hackensack Meridian Health Academic / other |
| Locations | 1 site (Old Bridge, New Jersey) |
| Status | Recruiting |
| Started | October 20, 2026 |
| Main results expected | December 31, 2027 |
| Study ends | January 15, 2028 |
| Registry record updated | November 2, 2026 |
| Trial ID | NCT07832253 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Adults 18 years or older scheduled for total knee or total hip replacement who read/speak English and have access to a smartphone, tablet, or computer.
✕Probably not a fit
Patients without access to digital devices or who do not experience anxiety could see little to no benefit.
A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.
What this trial studies
This prospective, quasi-experimental study will enroll adults undergoing total knee or total hip replacement at a single New Jersey center. Participants will complete an anxiety assessment after the TJR education class, listen to a guided imagery and positive affirmations recording daily for three days before surgery (starting on the third day before), and again on the morning of surgery before entering the operating room. The intervention is delivered via a digital recording and is paired with standard preoperative care. Anxiety levels are measured to see if the intervention correlates with lower preoperative anxiety.
Why it matters
Potential benefit: If successful, patients may experience lower anxiety before surgery, which could improve comfort and perioperative experience.
How similar studies have gone: Prior research suggests that relaxation and imagery techniques can help reduce anxiety in perioperative settings, though this specific combination with positive affirmations is less established.
Who can join: the full rules
Show full inclusion / exclusion criteria
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
Where it's running
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HMH Old Bridge Medical Center
Old Bridge, New Jersey, United States Recruiting
Study contacts
- Principal investigator: Paula O'Neill, MS, RN, HNB-BC, MEDSURG-BC — Hackensack Meridian Health
- Study coordinator: Paula O'Neill, MS, RN, HNB-BC, MEDSURG-BC
- Email: paula.oneill@hmhn.org
- Phone: 732-324-3217
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How to take part
- Review the eligibility criteria above with your treating physician.
- Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
- Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.