None listed
Conditions
Brief summary
This study aims to determine (a) whether a mindfulness interoceptive exposure task is more efficacious than distraction and no treatment for people with chronic pain problems; and (b) whether attentional bias towards pain-related stimuli moderates the efficacy of mindfulness versus distraction. Participants with chronic pain problems will be randomized to receive one of two active interventions (either mindfulness interoceptive exposure or distraction) or a control condition. Prior to the single-session intervention, those in the active intervention groups will complete a measure of attention bias using the dot-probe with eye tracking technology at the beginning of a single-session intervention. Participants will then complete the intervention within the session and be asked to practice at home. Participants will complete a assessment of attention bias (and self-attention check; as well as pain ratings) immediately before and after the intervention is administered. They will then be asked to practice either the mindfulness or distraction task for two weeks, before completing the outcome questionnaires. The primary outcome point for the intervention is two weeks after the intervention is administered, except for disability where it is anticipated positive outcomes will not be seen until three months post-intervention. Measures will be given at pre-treatment; post-treatment (i.e. two weeks); one, three and six months later.
Interventions
Mindfulness Interoceptive Exposure Task: This is a mindfulness-based procedure which encourages participants to mindfully focus on their pain and monitor changes in four fundamental characteristics of body sensation, namely mass, temperature, motion and cohesiveness/solidity). Participants are trained by a clinical psychologist in this technique in a single, 45 minute face-to-face session and the asked to practice daily over a period of two weeks. Adherence will be determined by logs retrieved f
Mindfulness Interoceptive Exposure Task: This is a mindfulness-based procedure which encourages participants to mindfully focus on their pain and monitor changes in four fundamental characteristics of body sensation, namely mass, temperature, motion and cohesiveness/solidity). Participants are trained by a clinical psychologist in this technique in a single, 45 minute face-to-face session and the asked to practice daily over a period of two weeks. Adherence will be determined by logs retrieved from the patient. A booklet to describe the task and record practice will be given. As it is a single, brief intervention no check for fidelity will be made.
Sponsors
The University of Sydney
Study design
Allocation
Randomised controlled trial
Intervention model
Parallel
Primary purpose
Treatment
Masking
Open (masking not used)
Eligibility
Sex/Gender
All
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
1. A diagnosis of chronic pain for at least three months 2. A current pain rating of > 3/10 on a 11 point numeric pain scale 3. Over the age of 18
Exclusion criteria
1. People with a history of serious psychiatric disorder (e.g. psychosis) or current suicidality that requires immediate treatment. 2. People with substance abuse problems
Outcome results
None listed