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Optimising Treatment Expectations Using a Video-Based Intervention in Orthopaedic Surgery: Results From a Randomised

Simon F Zerth1, Christian Volberg2,3, Ann-Kristin Schubert2

  • 1Department of Psychology, Clinical Psychology and Psychotherapy, Philipps University of Marburg, Marburg, Germany.

European Journal of Pain (London, England)
|November 15, 2025
PubMed
Summary
This summary is machine-generated.

A brief video intervention improved surgical patients' treatment expectations but did not reduce pain. Negative expectation violations were linked to higher pain, suggesting this is a key area for future interventions.

Keywords:
acute postsurgical painexpectation violationexpectationspostoperative painpsychological interventionsurgery

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Area of Science:

  • Orthopaedic Surgery
  • Psychological Interventions
  • Pain Management

Background:

  • Psychological interventions can optimize patient expectations in surgery.
  • Resource-intensive interventions limit clinical application.
  • Brief, video-based approaches offer a scalable alternative.

Purpose of the Study:

  • To optimize treatment expectations in elective orthopaedic surgery patients using a brief video intervention.
  • To explore the role of violated expectations in postoperative outcomes.

Main Methods:

  • A three-arm randomized clinical trial with 125 participants undergoing elective orthopaedic surgery.
  • Intervention group received an expectation-focused video; control group received an active control video or standard care.
  • Primary outcome was pain intensity, measured at baseline and postoperatively (days 1 and 7).

Main Results:

  • The video intervention successfully increased treatment expectations compared to control and standard care.
  • No significant effect of the intervention on postoperative pain intensity was observed.
  • Negative expectation violations (feeling worse than expected) correlated with higher pain intensity.

Conclusions:

  • Brief video interventions can optimize patient treatment expectations in surgical settings.
  • The clinical relevance of improved expectations alone may be limited.
  • Focusing on avoiding negative expectation violations shows promise for future interventions.