Combined online interactive mindfulness and exercise programme (MOVE-Online) compared with a self-management guide for adults with chronic pain: protocol for a randomised controlled feasibility trial.
Study Goal
The researchers aimed to explore the feasibility and acceptability of delivering a combined online Mindfulness-Based Stress Reduction (MBSR) and exercise pain management programme for adults with chronic pain, and to assess the viability of a future randomised controlled trial.
Results Summary
The study will evaluate feasibility and acceptability metrics such as recruitment, adherence, and engagement, alongside descriptive comparisons of clinical treatment effects using patient-reported outcomes, but final results are not yet reported in the abstract.
Population
Adults with chronic pain in Ireland.
Effective Dosage
2 hours of MBSR and 1 hour of supervised exercise per week.
Duration
8 weeks.
Interactions
None mentioned.
| Intervention | Direction | Endpoint | Population | Dosage | Impact | Claim # |
|---|---|---|---|---|---|---|
Online pain management programmes (PMP) | decrease | chronic pain (CP) | individuals with chronic pain (CP) | - | growing evidence as effective interventions | #1 |
Mindfulness-based stress reduction (MBSR) | decrease | chronic pain (CP) | - | - | proven to be effective | #2 |
exercise | decrease | chronic pain (CP) | - | - | large body of evidence for the efficacy | #3 |
INTRODUCTION: Online pain management programmes (PMP) have growing evidence as effective interventions for individuals with chronic pain (CP). Mindfulness-based stress reduction (MBSR) is a psychological intervention proven to be effective in the management of CP. There is also a large body of evidence for the efficacy of exercise in the management of CP however, there are limited studies combining both these interventions and none to date delivering a combined intervention in the form of an online PMP. This study aims to explore the acceptability and feasibility of delivering a combined MBSR and exercise online PMP for adults with CP, and will examine the feasibility of conducting a randomised controlled trial of a combined MBSR and exercise online programme compared with an online self-management guide. METHODS AND ANALYSIS: A parallel-group, feasibility randomised controlled trial (RCT) will be conducted among participants in Ireland, which will include an embedded qualitative study. Seventy-five participants will complete an online consent form and be individually randomised to one of two groups. Group A will participate in live online MBSR and supervised exercise sessions (2 hours MBSR, 1 hour exercise) once a week for 8 weeks. Group B will receive access to an 8-week online self-management guide, released biweekly and containing eight self-directed modules. Analyses of the feasibility study will be descriptive and will address the outcomes relating to the feasibility and acceptability of the interventions and procedures of the study including recruitment and eligibility, data collection methods, intervention adherence, engagement and attrition rates, intervention acceptability and participants' subjective perceptions of the programmes. Comparisons of clinical treatment effects, using validated patient-reported outcome measures will be explored descriptively to consider the viability of investigating a combined online MBSR and exercise intervention in a future fully powered RCT. ETHICS AND DISSEMINATION: This study was approved by the Mater Misericordiae University Hospital Institutional Review Board (1/378/2124) and the University College Dublin Human Research Ethics Committee (LS-20-76-Deegan-Doody). Informed consent will be obtained from each participant prior to randomisation. The results of this feasibility study will be published in peer-reviewed academic journals and presented at national and international conferences. TRIAL REGISTRATION: NCT04899622.