Internet-delivered mindfulness-based cognitive therapy (iMBCT) for chronic pain symptom management in adults: A pilot randomized controlled trial

IF 4 2区医学 Q1 CLINICAL NEUROLOGY

Journal of Pain Pub Date : 2025-05-14 DOI:10.1016/j.jpain.2025.105429

Ingrid Bindicsova , Leanne M. Hides , Katherine Brain , Fiona J. Hodson , Paul Jackson , Mark P. Jensen , Dawn M. Ehde , Melissa A. Day

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引用次数: 0

Abstract

The purpose of this pilot randomized controlled trial was to examine the feasibility of an internet delivered, self-directed mindfulness-based cognitive therapy (iMBCT) program compared to a delayed treatment (DT) control. This trial employed a 2-group parallel (1:1), design and was pre-registered (ANZCTR Identifier: 12623000833662). Participants were N = 48 adults with chronic pain, randomized into either the 4-week iMBCT program or the DT control. The feasibility indicators were treatment engagement, study retention, treatment acceptability, and at least a small within-condition pre- to post-treatment effect size change in pain intensity or interference. The primary outcome was change in pain intensity, and secondary outcomes were pain interference, depression, sleep disturbance, and positive and negative affect at post-treatment/DT (primary endpoint). A high degree of engagement with iMBCT was found, with participants reporting it acceptable and of benefit; retention rate (88%) was high. Within iMBCT, a small-to-medium effect size improvement in pain interference (p =.031, d = 0.48) was found, and change in pain intensity was small (p =.347, d =.20). Small-to-medium changes were found for the other secondary outcomes within iMBCT. Small-to-less than small effect sizes were observed within DT. These preliminary findings indicate iMBCT is a feasible, tolerable, and acceptable treatment for chronic pain, and may result in meaningful improvements in pain interference. Taken together, the results suggest iMBCT may have the capacity to overcome access barriers and provide individuals with chronic pain a much needed, evidence-based treatment to enhance pain self-management.

Perspective

This article presents the feasibility findings of an internet delivered, self-directed mindfulness-based cognitive therapy for chronic pain program. This novel digital platform may represent a scalable solution to increase access to critically needed chronic pain management services.

查看原文本刊更多论文

互联网提供的基于正念的认知疗法（iMBCT）用于成人慢性疼痛症状管理：一项随机对照试验

本试点随机对照试验的目的是比较延迟治疗（DT）对照，检验互联网提供的、自我导向的基于正念的认知治疗（iMBCT）项目的可行性。该试验采用两组平行（1:1）设计，并进行了预注册（ANZCTR标识符：12623000833662）。参与者是N = 48名患有慢性疼痛的成年人，随机分为为期4周的iMBCT计划或DT对照组。可行性指标包括治疗参与、研究保留、治疗可接受性，以及在疼痛强度或干扰方面至少有一个小的条件内治疗前后效应大小变化。主要结局是疼痛强度的改变，次要结局是疼痛干扰、抑郁、睡眠障碍以及治疗后/DT（主要终点）的积极和消极影响。发现iMBCT的参与度很高，参与者表示可以接受并从中受益；保留率（88%）高。在iMBCT中，疼痛干扰的小到中等效应改善(p =。031, d = 0.48)，疼痛强度变化较小(p =。347, d =.20)。在iMBCT的其他次要结果中发现了小到中等的变化。在DT内观察到小到小于小的效应量。这些初步研究结果表明，iMBCT是一种可行、可耐受和可接受的慢性疼痛治疗方法，并可能对疼痛干扰产生有意义的改善。综上所述，结果表明，iMBCT可能有能力克服准入障碍，为慢性疼痛患者提供急需的循证治疗，以增强疼痛自我管理。这篇文章提出了一种基于互联网的、自我导向的、基于正念的慢性疼痛认知治疗方案的可行性研究结果。这种新颖的数字平台可能代表一种可扩展的解决方案，以增加对急需的慢性疼痛管理服务的访问。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of Pain 医学-临床神经学

CiteScore

6.30

自引率

7.50%

发文量

441

审稿时长

42 days

期刊介绍： The Journal of Pain publishes original articles related to all aspects of pain, including clinical and basic research, patient care, education, and health policy. Articles selected for publication in the Journal are most commonly reports of original clinical research or reports of original basic research. In addition, invited critical reviews, including meta analyses of drugs for pain management, invited commentaries on reviews, and exceptional case studies are published in the Journal. The mission of the Journal is to improve the care of patients in pain by providing a forum for clinical researchers, basic scientists, clinicians, and other health professionals to publish original research.