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Trials
Published in: Trials 1/2016

Open Access 01-12-2016 | Study protocol

Pilot study evaluating a brief mindfulness intervention for those with chronic pain: study protocol for a randomized controlled trial

Authors: Ana Howarth, Linda Perkins-Porras, Jared G. Smith, Jeevakan Subramaniam, Claire Copland, Mike Hurley, Iain Beith, Muhammad Riaz, Michael Ussher

Published in: Trials | Issue 1/2016

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Abstract

Background

The burden of chronic pain is a major challenge, impacting the quality of life of patients. Intensive programmes of mindfulness-based therapy can help patients to cope with chronic pain but can be time consuming and require a trained specialist to implement. The self-management model of care is now integral to the care of patients with chronic pain; home-based interventions can be very acceptable, making a compelling argument for investigating brief, self-management interventions. The aim of this study is two-fold: to assess the immediate effects of a brief self-help mindfulness intervention for coping with chronic pain and to assess the feasibility of conducting a definitive randomized controlled trial to determine the effectiveness of such an intervention.

Methods/Design

A randomized controlled pilot study will be conducted to evaluate a brief mindfulness intervention for those with chronic pain. Ninety chronic pain patients who attend hospital outpatient clinics will be recruited and allocated randomly to either the control or treatment group on a 1:1 basis using the computer-generated list of random numbers. The treatment group receives mindfulness audios and the control group receives audios of readings from a non-fiction book, all of which are 15 minutes in length. Immediate effects of the intervention are assessed with brief psychological measures immediately before and after audio use. Mindfulness, mood, health-related quality of life, pain catastrophizing and experience of the intervention are assessed with standardized measures, brief ratings and brief telephone follow-ups, at baseline and after one week and one month. Feasibility is assessed by estimation of effect sizes for outcomes, patient adherence and experience, and appraisal of resource allocation in provision of the intervention.

Discussion

This trial will assess whether a brief mindfulness-based intervention is effective for immediately reducing perceived distress and pain with the side effect of increasing relaxation in chronic pain patients and will determine the feasibility of conducting a definitive randomized controlled trial. Patient recruitment began in January 2015 and is due to be completed in June 2016.

Trial registration

ISRCTN61538090 Registered 20 April 2015
Appendix
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Metadata
Title
Pilot study evaluating a brief mindfulness intervention for those with chronic pain: study protocol for a randomized controlled trial
Authors
Ana Howarth
Linda Perkins-Porras
Jared G. Smith
Jeevakan Subramaniam
Claire Copland
Mike Hurley
Iain Beith
Muhammad Riaz
Michael Ussher
Publication date
01-12-2016
Publisher
BioMed Central
Published in
Trials / Issue 1/2016
Electronic ISSN: 1745-6215
DOI
https://doi.org/10.1186/s13063-016-1405-2

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