Date of Award

5-18-2020

Document Type

Dissertation

Degree Name

Doctor of Psychology (PsyD)

Department

Graduate Department of Clinical Psychology

First Advisor

Mary Peterson, PhD, ABPP, Chair

Second Advisor

Glena Andrews, PhD, MSCP, ABPP

Third Advisor

Jeri Turgesen, PsyD, ABPP, MSCP

Abstract

In pursuit of the Quadruple Aim, hospitals and health care clinics are adapting a biopsychosocial perspective in order to best meet both patient and system needs. One specialty area of healthcare with stark interactions of biological, psychological, and social factors is orthopedic surgery. Literature suggests self-efficacy may be an important factor for improving health outcomes post-surgery; biofeedback interventions have been repeatedly shown to increase patient self-efficacy. The current study examined effectiveness of a biofeedback intervention on orthopedic patients’ self-efficacy, pain interference, and physiological regulation. Researchers recruited 12 orthopedic patients to participate in the study and randomly assigned them to either the control or experimental condition. All participants completed pre/post self-report measures and biofeedback measurements as well as engaged in a daily self-regulation exercise; participants in the experimental condition also partook in weekly biofeedback interventions. Results were analyzed using a mixed two-way MANOVA and a three-way ANOVA with repeated measures. Although there were no statistically significant results, there were clinically significant effect sizes in patients’ pain interference and self-regulatory abilities, suggesting biofeedback interventions are an effective strategy for teaching pain management and self-regulation. Together, these findings provide further evidence to support a holistic approach to healthcare and have numerous implications for post-operative rehabilitation.

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