COPE – Cognitive Behavioural Therapy to Optimize Post-Operative Recovery:

A Randomized Controlled Trial

McMaster Led

PI: Dr. Jason Busse, Dr. Sheila Sprague

Local PI: Dr. Herman Johal

Project Coordinator: Sarah Piekarski MacRae (

Status: 3- Recruiting

Recruitment Start Date: January 2021

Recruitment End Date: TBD

Objective: To determine if CBT, versus usual care, reduces the prevalence of moderate to severe PPSP over 12 months post-fracture in participants with an open or closed fracture of the appendicular skeleton.

Funding Received: Orthopaedic Trauma Association, Michael G. DeGroote Institute for Pain Research & Care, and the Canadian Institutes of Health Research (CIHR)

Anatomical Location: Open and closed fractures of the appendicular skeleton.