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Adapting Mindfulness Training for Military Service Members With Chronic Pain.

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This study adapted mindfulness-based stress reduction (MBSR) for active-duty military personnel with chronic pain. The resulting program is relevant to military culture and easily accessible, with plans for future effectiveness trials.

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Area of Science:

  • Behavioral Science
  • Military Health
  • Pain Management

Background:

  • Chronic pain rates are high in military personnel.
  • Comorbid mental health and substance use disorders complicate pain management.
  • Mindfulness-based interventions (MBIs) show promise for chronic pain and related issues.

Purpose of the Study:

  • To adapt the Mindfulness-Based Stress Reduction (MBSR) program for active-duty military personnel with chronic pain.
  • To create a mindfulness training program relevant to the unique military context.
  • To delineate the adaptation process and resulting program.

Main Methods:

  • The adaptation involved three iterative stages: stakeholder consultation, protocol refinement through pretesting, and cohort feedback.
  • Adaptations focused on military culture, language, and logistical factors.
  • The final program is a live, online, six-session intervention.

Main Results:

  • The adaptation process successfully created an engaging and relevant mindfulness training program.
  • Key modifications included incorporating military-specific examples and optimizing session length and structure.
  • Stakeholder input and iterative feedback were crucial for successful adaptation.

Conclusions:

  • The adapted MBSR program is relevant to the military context and maintains core MBI principles.
  • The program is designed for accessibility and responsiveness to the military's need for non-pharmacological pain treatments.
  • Future research will evaluate the intervention's effectiveness in improving chronic pain for Service Members.