Mindfulness for people with chronic pain: Factors affecting engagement and suggestions for programme optimisation
Fathima L Marikar Bawa1, Stewart W Mercer2, Jane W Sutton3
1Institue of Applied Health Sciences, Centre of Academic Primary Care, University of Aberdeen, Aberdeen, UK.
Summary
This study identified physical, psychological, and social factors influencing engagement in mindfulness programs for chronic pain. Tailoring interventions based on these factors can improve accessibility and acceptance for better pain management.
Area of Science:
- Pain Management
- Mindfulness Interventions
- Qualitative Research
Background:
- Chronic pain is a prevalent, complex condition with limited pharmacological treatment efficacy.
- Mindfulness offers a holistic approach to chronic pain management, but high attrition rates hinder its widespread adoption.
- Understanding factors influencing engagement is crucial for developing accessible and acceptable mindfulness programs for chronic pain patients.
Purpose of the Study:
- To identify factors affecting engagement in mindfulness-based interventions for chronic pain.
- To inform the design of a more accessible and acceptable mindfulness program for individuals with chronic pain.
- To generate suggestions for tailoring mindfulness programs based on patient and healthcare professional input.
Main Methods:
- Interpretative phenomenological analysis of interviews with chronic pain patients who participated in an 8-week mindfulness program.
- Nominal group technique with healthcare professionals and a focus group with service users to generate program modifications.
- Involvement of a service user group in the study design.
Main Results:
- Physical factors (disability, discomfort), psychological factors (expectations, understanding pain-mindfulness link), and social factors (loneliness, support) impact engagement.
- Patients reported specific challenges and provided suggestions for program improvement.
- Healthcare professionals and service users collaborated to propose tailored modifications.
Conclusions:
- Addressing physical, psychological, and social factors is essential for enhancing engagement in mindfulness programs for chronic pain.
- Tailoring mindfulness interventions, with input from patients and professionals, can improve program acceptability and accessibility.
- This research provides a framework for developing more effective mindfulness-based pain management strategies.
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