慢性肌肉骨骼疼痛的在线正念减压计划的可行性和可接受性:一项试点随机对照试验的方案。

IF 1.6 Q3 MEDICINE, RESEARCH & EXPERIMENTAL
Anita B Amorim, Trudy Rebbeck, Nicholas T Van Dam, Charlotte Johnstone, Claire Ashton-James, Nathalia Costa, Talia Barnet-Hepples, Matthew Jennings, Kathryn Refshauge, Evangelos Pappas
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引用次数: 0

摘要

背景:慢性肌肉骨骼疼痛影响着全世界数百万人,给个人和卫生保健系统带来了沉重的负担。管理慢性肌肉骨骼疼痛需要多学科的方法,考虑生物,心理和社会因素。然而,获得多学科的疼痛护理是具有挑战性的,长时间的等待会导致压力增加和健康恶化。正念减压(MBSR)是一种身心方法,专门用于减轻慢性疾病(如慢性肌肉骨骼疼痛)带来的痛苦。这项研究提出了一种新颖的方法,为澳大利亚公共医疗系统多学科疼痛诊所的等待名单上的患者提供在线正念减压课程,可以改善健康结果。该研究旨在评估可行性,可接受性,并使用混合方法的试点研究设计,该方法的潜在功效。方法:这是一项混合方法的随机对照试验,其中包括一项嵌入的定性研究。参与者将从澳大利亚新南威尔士州悉尼地方卫生区的两个多学科疼痛管理中心的候补名单中招募。这项试点试验将随机分配32名慢性肌肉骨骼疼痛患者到在线正念减压组或常规护理对照组。可行性结果、患者报告的结果、对正念练习的依从性和不良事件将使用有效的问卷进行评估。将对正念减压小组的参与者进行半结构化访谈,以探索他们的经历,评估他们对干预的可接受性、障碍和促进因素。讨论:本试点研究将评估一种将正念减压纳入澳大利亚公共医疗保健系统的新方法,作为一种机制,为等待多学科疼痛管理计划的慢性肌肉骨骼疼痛患者提供支持。本研究的结果将表明该方法在患者报告结果方面的可行性、可接受性、安全性和初步有效性,以指导未来大规模临床试验的设计。试验注册:该试验已在澳大利亚新西兰临床试验注册中心(ACTRN12622000822785)前瞻性注册。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

The feasibility and acceptability of an online mindfulness-based stress reduction program for chronic musculoskeletal pain: protocol for a pilot randomised controlled trial.

The feasibility and acceptability of an online mindfulness-based stress reduction program for chronic musculoskeletal pain: protocol for a pilot randomised controlled trial.

The feasibility and acceptability of an online mindfulness-based stress reduction program for chronic musculoskeletal pain: protocol for a pilot randomised controlled trial.

Background: Chronic musculoskeletal pain conditions affect millions of people worldwide and place a significant burden on individuals and the healthcare systems. Managing chronic musculoskeletal pain requires a multidisciplinary approach that considers biological, psychological, and social factors. However, access to multidisciplinary pain care is challenging, and long wait times can lead to increased stress and health deterioration. Mindfulness-based stress reduction (MBSR) is a mind-body approach developed specifically to reduce the distress of living with chronic conditions, such as chronic musculoskeletal pain. This study proposed a novel approach by offering an online MBSR program to patients on waitlists to attend a multidisciplinary pain clinic in Australia's public healthcare system that could improve health outcomes. The study aims to assess the feasibility, acceptability, and potential efficacy of this approach using a pilot study design with a mixed-methods approach.

Methods: This is a mixed-methods pilot randomised controlled trial with an embedded qualitative study. Participants will be recruited from waitlists at two multidisciplinary pain management centres within the Sydney Local Health District in New South Wales, Australia. This pilot trial will randomly assign 32 individuals with chronic musculoskeletal pain to either an online MBSR group or a usual care control group. Feasibility outcomes, patient-reported outcomes, adherence to mindfulness practice, and adverse events will be assessed using validated questionnaires. Semi-structured interviews will be conducted with participants in the MBSR group to explore their experiences and evaluate acceptability, and barriers and facilitators of engagement with the intervention.

Discussion: This pilot study will evaluate a novel approach to integrating MBSR into the Australian public healthcare system as a mechanism for providing support to individuals with chronic musculoskeletal pain who are waitlisted for a multidisciplinary pain management program. Findings from this study will indicate the feasibility, acceptability, safety, and preliminary efficacy of this approach in terms of patient-reported outcomes to guide the design of future large-scale clinical trials.

Trial registration: This trial was prospectively registered in the Australian New Zealand Clinical Trials Registry (ACTRN12622000822785).

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来源期刊
Pilot and Feasibility Studies
Pilot and Feasibility Studies Medicine-Medicine (miscellaneous)
CiteScore
2.70
自引率
5.90%
发文量
241
审稿时长
9 weeks
期刊介绍: Pilot and Feasibility Studies encompasses all aspects of the design, conduct and reporting of pilot and feasibility studies in biomedicine. The journal publishes research articles that are intended to directly influence future clinical trials or large scale observational studies, as well as protocols, commentaries and methodology articles. The journal also ensures that the results of all well-conducted, peer-reviewed, pilot and feasibility studies are published, regardless of outcome or significance of findings. Pilot and feasibility studies are increasingly conducted prior to a full randomized controlled trial. However, these studies often lack clear objectives, many remain unpublished, and there is confusion over the meanings of the words “pilot” and “feasibility”. Pilot and Feasibility Studies provides a forum for discussion around this key aspect of the scientific process, and seeks to ensure that these studies are published, so as to complete the publication thread for clinical research.
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