Feasibility of Mindfulness-Based Intervention for Veterans Managing Chronic Pain.

Shu-Ping Chen, Huei-Tsz Liu, Joanne C Appelt, Bonnie L Klassen, Lili Liu, Janet L Smith, Antonio Miguel-Cruz
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Abstract

Background. Chronic pain impacts people's activity participation, productivity, mental health, and sense of wellbeing. Purpose. This study aimed to (1) evaluate the feasibility of the Mindfulness-Based Chronic Pain Management (MBCPMTM) program on reducing pain perception and enhancing the quality of life, and (2) understand veterans' experience with the program. Method. The pretest-posttest single-group, mixed-methods design was used. Thirty-one veterans were offered the 12-week intervention. The Pain Catastrophizing Scale (PCS) and the Patient-Reported Outcomes Measurement Information System-29 were administered before and after the program. Focus groups and individual interviews were conducted to understand the experience. Findings. Participants' PCS scores improved (Z = -3.116, p = .002), but the pain intensity did not change significantly. Themes from qualitative data include: (1) We are not alone! (2) I have a sense of awareness, choices, and control; and (3) It does work! Implications. The study shows preliminary feasibility of MBCPMTM for veterans. This promising effect supports future rigorous testing of this intervention.

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正念干预老兵慢性疼痛治疗的可行性。
背景。慢性疼痛会影响人们的活动参与度、生产力、心理健康和幸福感。目的。本研究旨在(1)评估基于正念的慢性疼痛管理(MBCPMTM)项目在减少疼痛感知和提高生活质量方面的可行性;(2)了解退伍军人对该项目的体验。方法。采用前测后测单组混合方法设计。31名退伍军人接受了为期12周的干预。在项目前后分别使用疼痛灾难化量表(PCS)和患者报告结果测量信息系统-29。通过焦点小组和个人访谈来了解经验。发现。受试者的PCS评分提高(Z = -3.116, p = 0.002),但疼痛强度无显著变化。定性数据的主题包括:(1)我们并不孤单!(2)我有一种意识、选择和控制的感觉;(3)它确实有效!的影响。本研究初步显示MBCPMTM在退伍军人中的可行性。这一有希望的效果支持未来对这种干预措施进行严格的测试。
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来源期刊
CiteScore
2.80
自引率
11.10%
发文量
46
审稿时长
>12 weeks
期刊介绍: The Canadian Journal of Occupational Therapy was first published in September 1933. Since that time, it has fostered advancement and growth in occupational therapy scholarship. The mission of the journal is to provide a forum for leading-edge occupational therapy scholarship that advances theory, practice, research, and policy. The vision is to be a high-quality scholarly journal that is at the forefront of the science of occupational therapy and a destination journal for the top scholars in the field, globally.
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