A mind-body program for older adults with chronic low back pain: results of a pilot study.
Open accessAbstract
OBJECTIVES: Determine the impact of an 8-week mindfulness meditation program on disability, psychological function, and pain severity in community-dwelling older adults with chronic low back pain, and to test the education control program for feasibility. DESIGN: Randomized controlled trial. Participants. Forty community-dwelling older adults with moderate low back pain or greater for at least the previous 3 months. Intervention. Participants were randomized to an 8-week meditation program or an 8-week education control program. OUTCOME MEASURES: Disability, psychological function, and pain severity were assessed. The same measures were obtained for both groups at baseline, at the end of the program, and 4 months after program completion. RESULTS: Sixteen participants (80%) completed the meditation program and 19 (95%) completed the education program. Both the meditation and control group improved on measures of disability, pain, and psychological function, both at program completion and 4-month follow-up. The differences between the two groups did not reach statistical significance. The meditation group practiced mindfulness meditation a mean of 5 days/week (range 1-7) and mean of 31 minutes/session (range 22-48). At 4 months follow-up 14/16 (88%) participants continued to meditate. CONCLUSION: Both the intervention group and the education control group improved on outcome measures suggesting both programs had a beneficial effect. Participants continued to meditate on 4-month follow-up. The control program was feasible but not inert. Piloting the control program in mind-body research can inform the design of larger clinical trials.
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Attendance averaged ∼75%, or three out of four sessions, which is within the range of 5.5 to 7.6 sessions attended (out of eight) found in previous studies of MBIs for chronic pain.
“Attendance averaged ∼75%, or three out of four sessions, which is within the range of 5.5 to 7.6 sessions attended (out of eight) found in previous studies of MBIs for chronic pain [19, 47–49].”
From Feasibility and Acceptability of an Abbreviated, Four-Week Mindfulness Program for Chronic Pain Management. (2020) · cites this paper as [47]
Another RCT in aging reported improvement on disability, pain severity, and psychological functioning for both the MBSR and education group.
“The other RCT reported improvement on disability, pain severity, and psychological functioning for both the MBSR and education group (Morone et al., 2009).”
From Mindfulness Training for People With Dementia and Their Caregivers: Rationale, Current Research, and Future Directions (2018) · cites this paper as Morone et al., 2009
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- Authors
- Morone, N. E., Rollman, B. L., Moore, C. G., Li, Q., & Weiner, D. K.
- Affiliations
- University of Pittsburgh (US)
- Geriatric Research Education and Clinical Center (US)
- Corresponding author
- Morone, Natalia E.
- Venue
- Pain Medicine
- Publisher
- Oxford University Press (OUP)
- Published
- 2009-11
- Volume
- 10
- Issue
- 8
- Pages
- 1395-1407
- ISSN
- 1526-2375 (ISSN-L)
- 1526-4637
- PMC
- PMC2849802
- OpenAlex
- W2021515131
- Cited by
- 157
- References
- 35
- Citations by year
- 2026: 3 · 2025: 3 · 2024: 5 · 2023: 9 · 2022: 10 · 2021: 19 · 2020: 11 · 2019: 9 · 2018: 10 · 2017: 15 · 2016: 17 · 2015: 12 · 2014: 11 · 2013: 5 · 2012: 9
- FWCI
- 6.38
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- Pain Medicine (publishedVersion)
- PubMed (publishedVersion)
- Europe PMC (PubMed Central) (acceptedVersion)
- PubMed Central (acceptedVersion)
- Funders
- National Institutes of Health (UL1TR000005, KL2TR000146)
- National Center for Research Resources (UL1RR024153, KL2RR024154)
- National Center for Advancing Translational Sciences
- Topics
- Social Sciences › Psychology › Clinical Psychology › Mindfulness and Compassion Interventions
- Health Sciences › Medicine › Pharmacology › Musculoskeletal pain and rehabilitation
- Life Sciences › Neuroscience › Cognitive Neuroscience › Pain Management and Placebo Effect
- Keywords
- mindfulness meditation, chronic low back pain, older adults, mind-body interventions, disability, psychological functioning, pain intensity, feasibility, community-dwelling older adults
- MeSH terms
- Aged, Aged, 80 and over, Aging, Behavior Therapy, Disability Evaluation, Female, Humans, Male, Pain Measurement, Patient Education as Topic, Pilot Projects, Random Allocation, Treatment Outcome, Patient Satisfaction, Outcome Assessment, Health Care, Low Back Pain, Meditation, Mind-Body Therapies
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