Mindful Action for Pain
CompletedNot applicableNCT03800654
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This study has no listed site in Canada in this snapshot. It is included as part of the worldwide chronic pain corpus.
Brief summary (from the registry)
An emerging scientific model that has been applied to chronic pain is the psychological flexibility (PF) model. PF refers to the ability to behave consistently with one's values even in the face of unwanted thoughts, feelings, and bodily sensations such as pain. Acceptance and Commitment Therapy (ACT) is the best known treatment derived from the PF model and is as effective as the gold standard Cognitive Behavioral Therapy (CBT), but falls short on achieving meaningful changes in functional improvement. Although ACT was designed to impact PF, methods from different treatment approaches are also consistent with the model. An experiential strategy that holds promise for enhancing PF is formal mindfulness meditation, a practice used to train non-judgmental awareness and attention to present-moment experiences, which has never been tested within the PF model. There is compelling theoretical and empirical rationale that the mechanisms underlying formal mindfulness meditation will bolster PF processes and thereby can be applied to facilitate functional improvement. To test this, the principal investigator, has developed a novel 8-week group-based intervention, Mindful Action for Pain (MAP), which integrates formal mindfulness meditation with experiential methods from different evidence-based treatment approaches in accordance with the PF model. MAP is designed such that daily mindfulness meditation practice is used to develop the capacity to more completely utilize strategies to address the key psychosocial barriers (e.g., pain catastrophizing) to optimal functioning. This career development award (CDA-2) project consists of two phases. Phase 1 (years 1 - 2) consists of using qualitative and quantitative methods to iteratively develop and refine MAP over the course of 4 MAP cycles (n = 20). Phase 2 (years 3 - 5) consists of a pilot randomized controlled trial (RCT) (n = 86) of MAP vs. cognitive behavioral therapy (CBT) for chronic pain (CBT-CP) in order to establish feasi…
Study details
- Official title
- Mindful Action for Pain: An Integrated Approach to Improve Chronic Pain Function
- Conditions
- Interventions
- Behavioral: Mindful Action for Pain
- Behavioral: Cognitive Behavioral Therapy for Chronic Pain
- Sponsor
- VA Office of Research and Development
- Start date
- 2019-08-28
- Primary completion
- 2023-09-29
- Sex
- All
- Results posted
- Yes, on ClinicalTrials.gov
- Countries
- United States
- Total sites listed
- 1
Eligibility criteria
Show eligibility criteria (verbatim from the registry)
Inclusion Criteria: * Veteran * Diagnosis of a chronic, non-terminal pain condition * Pain most days (\> 3 days/week) for at least 6 months * Average pain severity and interference with enjoyment of life and/or general activity rated \> 4/10 over the past week Exclusion Criteria: * Serious or unstable medical or psychiatric illness * (e.g., unmanaged psychosis, manic episode, or substance abuse within the past year) or psychosocial instability * (e.g., homelessness) that could compromise study participation * Active suicidal ideation or history of suicide attempt within past 3 years * Current participation in group psychotherapy for pain or any type of individual psychotherapy * Changes to professionally delivered pain or mood treatments * (e.g., no discontinuation of a treatment; no increasing the dose of medication) one month preceding the baseline assessment.
Source: ClinicalTrials.gov (US National Library of Medicine), snapshot October 2026. Check the registry for current recruiting status. Record: https://clinicaltrials.gov/study/NCT03800654