Cognitive Behavioural Therapy to Optimize Post-Operative Fracture Recovery (COPE): Protocol for a Randomized Controlled Trial, 2022, Busse et al

I've not read the paper, but I wonder how they got ethics permission to compare setting bones in a cast vs CBT (to persuade people they don't have a broken bone). I assume that the primary outcome was to ask people if their bones were still broken (when CBT was aimed at telling them that a break doesn't matter and ignore it) rather than using an xray.

 

At what point post surgery do they move from usual care to CBT? What usual care is the CBT actually replace

oh I see it says enroll 2-12 weeks post fracture. So it’s replacing in person physio?