Chronic Low Back Pain Clinical Trial
This pilot feasibility experimental study is designed as a randomized wait-list controlled
trial of mindfulness meditation for CLBP. A sample of 37 older adults 65 years of age and
older will be recruited from a chronic pain clinic, posted flyers, and newspaper
advertisements over a 6-month period. Eligibility will be determined by self-report from a
checklist reviewed with potential participants over the phone (see appendix for checklist).
Pre-intervention study participants will be consented and study measures obtained. After
consent and baseline measures, participants will be randomized in blocks of six using a
simple randomization process with no stratification using a table of random numbers. After
randomization, participants in the intervention group will receive the intervention of eight
weekly 90-minute mindfulness meditation sessions. Instead of waiting until all 37
participants have been recruited into the study to do the intervention, the intervention
will be done on a rolling basis. This means there will be a minimum of 6 participants per
intervention group, with the possibility of three separate intervention groups. If
recruitment goes better than expected, then we will offer the intervention to all 18
participants at one time. Controls will not receive any intervention during this time.
Immediately post-intervention the measures will be administered again to participants and
wait-list controls. Once the intervention is complete and participants and wait-list
controls have completed post-intervention measures the mindfulness meditation program will
be offered to the wait-list controls. We will try to combine the wait-list controls into one
eight-week program. 3 months after the intervention is completed, participants will be asked
to complete the measures a third time and any mindfulness meditation they continue to do at
home will be quantified.
The primary hypotheses are:
1. We expect to be able to recruit 37 eligible individuals with CLBP into the study within
a six-month period.
2. We expect participants randomized to the mindfulness meditation intervention to meet an
adherence standard of attending 75% of the 8 weekly 90-minute sessions.
3. We expect mindfulness meditation will result in a moderate effect size difference (0.5)
between the intervention participants and wait-list control participants on outcome
measures of pain, mood, physical function, attention, and QOL.
n/a
Allocation: Randomized, Endpoint Classification: Efficacy Study, Intervention Model: Crossover Assignment, Masking: Single Blind (Outcomes Assessor), Primary Purpose: Treatment
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