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Characterizing Interprofessional Collaboration and Referral to Mindfulness-Based Stress Reduction Programs.

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Primary Care Providers (PCPs) familiar with Mindfulness-Based Stress Reduction (MBSR) are more likely to refer patients. Enhancing PCP-instructor collaboration can improve access to this non-pharmacological treatment for chronic low back pain.

Keywords:
chronic low back painintegrative medicineinterprofessional collaborationmindfulness

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Area of Science:

  • Integrative Health
  • Pain Management
  • Mindfulness Research

Background:

  • Mindfulness-Based Stress Reduction (MBSR) is a recommended non-pharmacological treatment for chronic low back pain.
  • Interprofessional collaboration between mindfulness instructors and Primary Care Providers (PCPs) is not well understood.

Purpose of the Study:

  • Assess communication between mindfulness instructors and PCPs.
  • Identify predictors of referral to MBSR.
  • Determine interventions to increase patient access to MBSR.

Main Methods:

  • A 25-question survey was distributed to PCPs across four major US medical centers.
  • Descriptive statistics and logistic regression were used for data analysis.

Main Results:

  • 70.1% of PCPs were familiar with MBSR, and 59.0% referred patients yearly.
  • PCPs significantly more familiar with MBSR (odds ratio [OR] 5.10) or younger than 50 (OR 3.30) were more likely to refer patients.
  • Only 16.3% of referring PCPs reported collaboration with mindfulness instructors.

Conclusions:

  • This study is the first to examine interprofessional collaboration between PCPs and mindfulness instructors.
  • Familiarity with MBSR and PCP age are key factors influencing referrals.
  • Further research on communication and education is needed to improve MBSR accessibility and utilization.