TOPLINE:Mindfulness-based interventions (MBIs) via telehealth improves pain-related function and biopsychosocial outcomes in veterans with chronic pain as compared with usual care.
METHODOLOGY:Researchers conducted a randomized clinical trial of 811 veterans who had moderate to severe chronic pain and were recruited from three Veterans Affairs facilities in the United States.Participants were divided into three groups: Group MBI (270), self-paced MBI (271), and usual care (270), with interventions lasting 8 weeks.The primary outcome was pain-related function measured using a scale on interference from pain in areas like mood, walking, work, relationships, and sleep at 10 weeks, 6 months, and 1 year.Secondary outcomes included pain intensity, anxiety, fatigue, sleep disturbance, participation in social roles and activities, depression, and posttraumatic stress disorder (PTSD).TAKEAWAY:Pain-related function significantly improved in participants in both the MBI groups vs usual care group, with a mean difference of −0.4 (95% CI, −0.7 to −0.2) for group MBI and −0.7 (95% CI, −1.0 to −0.4) for self-paced MBI (P <.001 with the usual care group both mbi groups had significantly improved secondary outcomes including pain intensity depression and ptsd.the probability of achieving improvement in pain-related function was higher for at weeks months self-paced all three timepoints.no significant differences were found between primary outcomes.in practice: viability similarity these approaches delivering mbis increase patient options meeting their individual needs could help accelerate improve implementation nonpharmacological treatment health systems study authors wrote. source:the led by diana j. burgess phd center delivery research va minneapolis published online on august jama internal medicine. limitations:the trial not designed to compare less resource-intensive more intensive mindfulness-based stress reduction programs or in-person mbis. did address cost-effectiveness control time attention other contextual factors. high nonresponse rate initial recruitment may have affected generalizability findings. disclosures:the supported management collaboratory clinical trials demonstration. various reported grants from national complementary integrative institute nursing research. this article created using several editorial tools ai as part process. human editors reviewed content before publication.>
Source : Medscape