While guideline-directed nonpharmacological strategies for chronic low back pain are well established, optimal chronic pain management for emergency department patients has yet to be defined. Mindfulness interventions can be used for management of chronic conditions, yet are understudied as a primary approach for patients with chronic pain discharged from the emergency department. Currently, there is limited evidence examining whether an individual telehealth mindfulness intervention is a feasible and acceptable for these patients. This study will develop, pilot, and evaluate the feasibility and effects of an 8-session (12-week) telehealth mindfulness intervention for patients with an acute exacerbation of chronic low back pain
Study Type
INTERVENTIONAL
Allocation
NA
Purpose
OTHER
Masking
NONE
Enrollment
12
Enrolled participants will participate in an individual (one-on-one) Telehealth-delivered (online with audio and video) mindfulness intervention with a trained mindfulness therapist. The intervention is adapted from mindfulness-based cognitive therapy and includes eight sessions lasting 75 minutes each (except the first session which lasts 90 minutes) over a 3-month period.
Vanderbilt University Medical Center
Nashville, Tennessee, United States
Feasibility - Recruitment
Proportion of eligible patients enrolled in study.
Time frame: 3 months after discharge from emergency department
Feasibility - Retention
Proportion of enrolled participants who complete study.
Time frame: 3 months after discharge from the emergency department.
Feasibility - Session attendance
Average number of sessions attended.
Time frame: 3 months after discharge from the emergency department.
Patient satisfaction with treatment
Single item assessing satisfaction of overall results from telehealth mindfulness program.
Time frame: Baseline and 3 months after discharge from the emergency department.
Patient Reported Outcomes Measurement Information System - Physical Function Short Form
4-item physical function short form from the 29-item Patient Reported Outcomes Measurement Information System scale. Total raw scores range from 4 to 20. A higher score indicates higher physical function, a better outcome.
Time frame: Baseline and 3 months after discharge from the emergency department.
Patient Reported Outcomes Measurement Information System - Pain Interference Short Form
4-item pain interference short form from the 29-item Patient Reported Outcomes Measurement Information System scale. Total raw scores range from 4 to 20. A lower score indicates lower pain interference, a better outcome.
Time frame: Baseline and 3 months after discharge from the emergency department.
Patient Reported Outcomes Measurement Information System - Pain Intensity
Single item from the 29-item Patient Reported Outcomes Measurement Information System scale assessing average pain intensity over the past 7 days rated on a 0 to 10 scale, with lower values indicates less pain, a better outcome.
Time frame: Baseline and 3 months after discharge from the emergency department.
Self-reported opioid medication use
Average number of pills per day (name and dose specified) and covered to morphine equivalent dose.
Time frame: Baseline and 3 months after discharge from the emergency department.
Self-reported return visits to the emergency department
Single item assessing return visits to emergency department.
Time frame: 3 months after discharge from the emergency department.
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