OBJECTIVE: Limited studies exist combining mindfulness-based stress reduction (MBSR) and exercise in a pain management programme (PMP), with none thus far delivering a combined intervention as an online PMP. This study aimed to explore the acceptability and feasibility of a combined MBSR and exercise online PMP for adults with chronic pain and to examine the feasibility of conducting a Randomised Controlled Trial (RCT) comparing MBSR and exercise delivered online with an online self-management guide. METHODS: A feasibility RCT was conducted with participants randomised into the MOVE Group (8-week MBSR and exercise live online) or the self-management (SM) group (8-week online self-management guide). Primary outcomes included recruitment, attrition, intervention adherence, and satisfaction. Participants wore a Fitbit watch during the study and completed patient reported outcome measures at baseline, post-intervention and 12-week follow-up. RESULTS: Ninety-six participants were randomised and 80 (83.3%) completed the interventions. Higher mean satisfaction (Client Satisfaction Questionnaire-8) was reported in the MOVE group 26.2 (+/- 5.5) than the SM group 19.4 (+/- 5.6). The Patient Global Impression of Change scale showed favourable changes in both groups; 65.1% of the MOVE group, 42.3% of the SM Group reporting improvement. 73 participants (76.3%) adhered to wearing the Fitbit for 8-weeks. Comparable improvements post-intervention and at a 12-week follow-up were noted within both groups for Brief Pain Inventory, Pain Self Efficacy Questionnaire, Pain Disability Index, Pain Catastrophising Scale, Fear Avoidance Belief Questionnaire and Short Form-36 Health Survey. DISCUSSION: The findings suggest both interventions explored are acceptable and feasible. A fully powered RCT examining the effectiveness of MBSR combined with exercise, delivered live online is warranted.

Full text (sometimes free) may be available at these link(s):      help

• DOI
• PubMed
• PDF locator
• publisher