Gastro-intestinal Pain
Conditions
Brief summary
Research questions/hypotheses 1. Can an individual mindfulness intervention for Gastro Intestinal Failure inpatients reduce pain-related distress, improve quality of life, and increase confidence in pain self-management? 2. How useful and applicable do Gastro Intestinal Failure inpatients find Mindfulness methods?
Interventions
Mindfulness is a psychological intervention based on increasing skills of non-judgemental awareness using meditations. In this study a self-directed 8 week course of mindfulness will be used involving self-help materials in the form of a book and 8 guided meditations on audio files.
Sponsors
Study design
Eligibility
Inclusion criteria
* \>18 years, pain experienced * \>3 months, proficiency in English
Exclusion criteria
* previous mindfulness experience * severe cognitive impairment * profound hearing difficulties
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Change in pain distress rating on 11 point numerical rating scale | Baseline, week 1, week 2, week 3, week 4, week 5 , week 6, week 7, week 8 | A numerical rating scale scored from 0 to 10 which asks how distressing is the pain on average in the last week with 0 being not distressing at all and 10 being extreme distress |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Hospital Anxiety and Depression Scale | At baseline, week 8 | — |
| Chronic Pain Acceptance Questionnaire | At baseline, week 8 | a 20 item measure included to provide a rating of acceptance of pain |
| Five Facet Mindfulness Questionnaire | At baseline, week 8 | a 39 item questionnaire which has been developed from five mindfulness questionnaires using exploratory factor analysis |
| Pain Self Efficacy Questionnaire | At baseline, week 8 | a 10 item scale that attempts to capture a measure of individual's confidence in being active despite pain, rated on a numerical scale from 0 not at all confident to 6 completely confident |
| Brief account of experience of pain and doing the mindfulness exercises | Week 1, week 2, week 3, week 4, week 5, week 6, week 7, week 8 | participants will be asked to write a brief (\<1 page) account of their experience of their pain and of doing the mindfulness exercises over the preceding week |
| Change in pain intensity rating on 11 point numerical rating scale | Baseline, week 1, week 2, week 3, week 4, week 5 , week 6, week 7, week 8 | A numerical rating scale scored from 0 to 10 which asks how intense is the pain on average in the last week with 0 being no pain and 10 being extreme pain |
| Self-report record of using mindfulness exercises (frequency and duration) | Week 1, week 2, week 3, week 4, week 5, week 6, week 7, week 8 | — |
Countries
United Kingdom