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A Brief Report on an 8-Week Course of Mindfulness-based Care for Chronic Pain in the Treatment of Veterans With Back Pain: Barriers Encountered to Treatment Engagement and Lessons Learned.

Medical care
September 1, 2020
Erica Eaton et al. (5 authors)
Clinical TrialJournal ArticleResearch Support, U.S. Gov't, Non-P.H.S.Human StudyClinical
Study Details

Study Goal

The researchers aimed to test the feasibility of engaging and retaining veterans with chronic lower back pain in a mindfulness-based intervention (MBCP) and assess clinical outcomes.

Results Summary

The study found that 55% of participants attended 5 or more sessions, with some showing clinically meaningful decreases in pain intensity, depressive symptoms, pain bothersomeness, and functional impairment, though retention was challenging.

Population

Veterans with chronic lower back pain (mean age 49.77, 18% women) recruited from a VA Medical Center in the Northeastern US.

Effective Dosage

8-week MBCP course including meditation, gentle yoga, and psychoeducation (specific frequency not detailed).

Duration

8 weeks

Interactions

None mentioned

Extracted Claims (4)
InterventionDirectionEndpointPopulationDosageImpactClaim #
mindfulness-based care for chronic pain (MBCP)
decrease
pain intensity
veterans with chronic lower back pain
-
had a clinically meaningful decrease
#1
mindfulness-based care for chronic pain (MBCP)
decrease
depressive symptoms
veterans with chronic lower back pain
-
had a clinically meaningful decrease
#2
mindfulness-based care for chronic pain (MBCP)
decrease
pain bothersomeness
veterans with chronic lower back pain
-
had a meaningful decrease
#3
mindfulness-based care for chronic pain (MBCP)
decrease
functional impairment
veterans with chronic lower back pain
-
had a meaningful decrease
#4
Abstract

BACKGROUND: Chronic pain and associated symptoms are debilitating for veterans. Medical costs of treatments are high and current treatment options, most notably with opioid medications, have been associated with significant risk. Mindfulness-based interventions appear promising for chronic pain, but require additional testing in veteran care settings. OBJECTIVE: This project was designed to test the feasibility of engaging and retaining veterans with chronic lower back pain in a new mindfulness protocol tailored for veterans, mindfulness-based care for chronic pain (MBCP). Clinical outcomes were also assessed. DESIGN: An open pilot trial of an 8-week MBCP course that included meditation, gentle yoga, and psychoeducation. SUBJECTS: Twenty-two veterans (mean age=49.77; 18% women) were recruited from a VA Medical Center in the Northeastern US. After screening for inclusion/exclusion criteria, 20 were eligible at baseline. MEASURES: Veterans were assessed at baseline and postintervention for functional impairment, pain intensity and bothersomeness, depression, and mindfulness. RESULTS: The average number of sessions completed was 5; only 4 (20%) attended all sessions. Eleven of the 20 participants (55%) attended 5 or more sessions and had complete preintervention and postintervention visits. Five of the 11 had a clinically meaningful decrease in pain intensity and in depressive symptoms, while 6 of 11 had a meaningful decrease in pain bothersomeness and functional impairment. CONCLUSIONS: It was challenging to enroll and retain participants in this study, even with our intervention designed for veterans. We discuss possible adaptations and refinements in MBCP for veterans with chronic pain to enhance feasibility and improve upon these interventions.

Medical Subject Headings (MeSH)
AdultAgedChronic DiseaseClinical ProtocolsDepressionDisability EvaluationFemaleHealth StatusHumansLow Back PainMaleMeditationMiddle AgedMind-Body TherapiesMindfulnessPain MeasurementPatient Education as TopicPhysical Functional PerformancePilot ProjectsSeverity of Illness IndexSocioeconomic FactorsVeteransVeterans HealthYoga
Study Links
Quality Scores
SafetyNot Assessed
Efficacy60/10
Quality65/10
Citation Metrics
Total Citations7
Citations/Year1.4
Relative Citation Ratio0.81
NIH Percentile42.7%
Research Impact Scores
APT Score0.50
Weight Score1.99
Normalized Score0.57
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