Chronic Pain Clinical Trial
Official title:
Feasibility and Acceptability of a Mindfulness-based Intervention for People With Osteoarthritis (OA) Related Knee Pain.
The purpose of this project is to investigate the feasibility and acceptability of a Mindfulness based intervention for people who are attending secondary care with Osteoarthritis (OA)-related knee pain.
This study will explore the acceptability of a novel intervention (an 8-week programme of
Mindfulness training) for people with Osteoarthritis(OA)-related knee pain. Mindfulness
interventions provide intensive training in mindfulness meditation and its applications for
coping with stress, illness and pain in day to day life. The aim of the intervention is not
reduce the severity of pain per se, but to change how an individual responds and copes with
pain. If effective, patients may report improvements in pain, sleep, quality of life and
their ability to cope with pain in daily life.
Before carrying out a study to determine if such an intervention is effective, it is
important to explore whether it is acceptable to patients. Treatments for OA knee are usually
targeted at the painful joint e.g medication, injections, physiotherapy, surgery and
ultimately total knee replacement (TKR), so some patients may not expect a programme based on
meditation practice to help.
The investigators will recruit two groups of patients with OA-related knee pain from hospital
clinics, (i) those with moderate-severe knee pain who have not yet had a TKR and (ii) those
who have had a TKR who have persistent pain after one-year. All participants will complete
baseline assessments before commencing an eight-week group based programme of Mindfulness
training, delivered by an NHS physiotherapist who is also a trained Mindfulness teacher.
Participants will have daily meditation practices to carry out at home. Follow-up
questionnaires will be repeated after the intervention and again at 6 months.
After the intervention, the investigators will conduct group discussions with some of the
participants to explore their expectations and experiences of the intervention and the study.
Participants will be in the study for approximately 8 months (from time of recruitment) and
the study will last 12 months.
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