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A Systematic Review of the Adherence to Home-Practice Meditation Exercises in Patients with Chronic Pain.

International journal of environmental research and public health
January 1, 1970
Alberto Barceló-Soler et al. (9 authors)
Systematic ReviewJournal ArticleReviewResearch Support, Non-U.S. Gov'tHuman Study
Study Details

Study Goal

The researchers aimed to evaluate the frequency, duration, and effects of home meditation practice in patients with chronic pain undergoing "third wave" psychotherapies.

Results Summary

The study found moderately frequent practice (around four days/week) with high variability in time invested, significant associations between practice amount and positive health outcomes, and low adherence to recommended home practice (39.6% of the time). Mindfulness-Based Stress Reduction and Mindfulness-Based Cognitive Therapy were the most common interventions.

Population

Patients with chronic pain, including some adolescents.

Effective Dosage

Around four days/week (frequency), with variable duration.

Duration

Not specified in the abstract.

Interactions

None mentioned.

Extracted Claims (8)
InterventionDirectionEndpointPopulationDosageImpactClaim #
Mindfulness-, compassion-, and acceptance-based (i.e., "third wave") psychotherapies
decrease
chronic pain conditions
patients
-
are effective for treating
#1
home practice of meditation experiences
increase
meditation skills
patients
-
so they can develop
#2
home practice
neutral
frequency of practice
patients with chronic pain undergoing a "third wave" psychotherapy
around four days/week
moderately frequent practice
#3
home practice
neutral
time invested
patients with chronic pain undergoing a "third wave" psychotherapy
-
very high variability in terms of
#4
home practice
increase
positive health outcomes
patients with chronic pain undergoing a "third wave" psychotherapy
-
significant associations between the amount of practice and
#5
Mindfulness-Based Stress Reduction and Mindfulness-Based Cognitive Therapy
decrease
home practice
-
39.6% of the recommended time
presented low levels of adherence to
#6
home practice
decrease
duration of practice
adolescents
-
practiced very few minutes
#7
eHealth interventions
neutral
adherence to home practice
-
-
with heterogeneous adherence levels
#8
Abstract

Mindfulness-, compassion-, and acceptance-based (i.e., "third wave") psychotherapies are effective for treating chronic pain conditions. Many of these programs require that patients engage in the systematic home practice of meditation experiences so they can develop meditation skills. This systematic review aimed at evaluating the frequency, duration, and effects of home practice in patients with chronic pain undergoing a "third wave" psychotherapy. A comprehensive database search for quantitative studies was conducted in PubMed, Embase, and Web of Sciences Core Collection; 31 studies fulfilled the inclusion criteria. The reviewed studies tended to indicate a pattern of moderately frequent practice (around four days/week), with very high variability in terms of time invested; most studies observed significant associations between the amount of practice and positive health outcomes. Mindfulness-Based Stress Reduction and Mindfulness-Based Cognitive Therapy were the most common interventions and presented low levels of adherence to home practice (39.6% of the recommended time). Some studies were conducted on samples of adolescents, who practiced very few minutes, and a few tested eHealth interventions with heterogeneous adherence levels. In conclusion, some adaptations may be required so that patients with chronic pain can engage more easily and, thus, effectively in home meditation practices.

Medical Subject Headings (MeSH)
AdolescentHumansMeditationChronic PainCognitive Behavioral TherapyMindfulnessChronic Disease
Study Links
Quality Scores
SafetyNot Assessed
Efficacy75/10
Quality80/10
Citation Metrics
Total Citations10
Citations/Year5.0
Relative Citation Ratio3.69
NIH Percentile88.9%
Research Impact Scores
APT Score0.75
Weight Score1.65
Normalized Score0.66
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