Are Formal and Informal Home Mindfulness Practice Quantities Associated With Outcomes? Results From a Pilot Study of a Four-Week Mindfulness Intervention for Chronic Pain Management

Carrie E Brintz; Geneva Polser; Rogelio A Coronado; Benjamin French; Keturah R Faurot; Susan A Gaylord

doi:10.1177/27536130241236775

Are Formal and Informal Home Mindfulness Practice Quantities Associated With Outcomes? Results From a Pilot Study of a Four-Week Mindfulness Intervention for Chronic Pain Management

Glob Adv Integr Med Health. 2024 Feb 29:13:27536130241236775. doi: 10.1177/27536130241236775. eCollection 2024 Jan-Dec.

Authors

Carrie E Brintz^{1

2

3}, Geneva Polser⁴, Rogelio A Coronado^{2

3

5

6}, Benjamin French⁷, Keturah R Faurot⁸, Susan A Gaylord⁸

Affiliations

¹ Department of Anesthesiology, Vanderbilt University Medical Center, Nashville, TN, USA.
² Vanderbilt Center for Musculoskeletal Research, Vanderbilt University Medical Center, Nashville, TN, USA.
³ Osher Center for Integrative Health, Vanderbilt University Medical Center, Nashville, TN, USA.
⁴ Department of Counseling Psychology, University of Denver, Denver, CO, USA.
⁵ Department of Orthopaedic Surgery, Vanderbilt University Medical Center, Nashville, TN, USA.
⁶ Department of Physical Medicine and Rehabilitation, Vanderbilt University Medical Center, Nashville, TN, USA.
⁷ Department of Biostatistics, Vanderbilt University Medical Center, Nashville, TN, USA.
⁸ Program on Integrative Medicine, Department of Physical Medicine and Rehabilitation, University of North Carolina at Chapel Hill School of Medicine, Chapel Hill, NC, USA.

Abstract

Background: The association between home mindfulness practice quantity in standard length mindfulness-based interventions (MBIs) and chronic pain outcomes is variable. Few studies focus on abbreviated MBIs (< 8 weeks) and distinguish between formal guided practices and informal practices in daily life.

Objectives: To characterize home mindfulness practice and explore associations between home practice quantity and pre-to-post-outcome changes after an MBI for chronic pain.

Methods: In this single-arm study, 21 adults with chronic pain (mean age = 54 years, 81% White, mean pain duration = 7 years) completed an MBI with four weekly group sessions. Pre and post self-report measures of pain intensity/interference, physical function, depression, anxiety, positive affect, sleep disturbance (all PROMIS measures), and pain acceptance, catastrophizing, perceived stress and mindfulness were completed, along with daily surveys of formal (mindfulness of breath, body scan) and informal (breathing space, mindfulness of daily activities) practice. Bivariate correlations and multivariable regression models were used to assess the association between days and minutes of practice and change in outcomes.

Results: On average, formal practice was completed on 4.3 days per week and 13.5 minutes per day. Informal practice was completed on 3.5 days per week and 8.6 minutes per day. Formal practice was not significantly correlated with outcomes (Spearman's ρ = |.01|-|.32|), whereas informal practice was correlated with multiple outcomes (ρ = |.04|-|.66|). Number of days practiced informally was associated with improved pain interference, physical function, sleep disturbance, and catastrophizing (p's ≤ .05). Number of minutes practiced informally was associated with improved pain interference, anxiety, positive affect, and catastrophizing (p's ≤ .05).

Conclusion: Informal home practice quantity, but not formal practice quantity, is associated with improved outcomes during an abbreviated MBI for chronic pain. For these MBIs, it is important to evaluate the distinct roles of formal and informal practice.

Clinicaltrialsgov registration: NCT03495856.

Keywords: adherence; chronic pain; engagement; home practice; mindfulness; mindfulness intervention.

Associated data

ClinicalTrials.gov/NCT03495856

Abstract

Associated data

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