正念结合在线运动（MOVE）与慢性疼痛成人自我管理指南比较：一项可行性随机对照试验。

Mindfulness Combined With Exercise Online (MOVE) Compared With a Self-management Guide for Adults With Chronic Pain: A Feasibility Randomized Controlled Trial.

机构信息

School of Public Health, Physiotherapy and Sports Science, University College Dublin.

Discipline of Physiotherapy, School of Medicine, Trinity College Dublin.

出版信息

Clin J Pain. 2023 Aug 1;39(8):394-407. doi: 10.1097/AJP.0000000000001126.

DOI:10.1097/AJP.0000000000001126

PMID:37140219

Abstract

OBJECTIVE

Limited studies exist combining mindfulness-based stress reduction (MBSR) and exercise in a pain management programme (PMP), with none thus far delivering a combined intervention as an online PMP. This study aimed to explore the acceptability and feasibility of a combined MBSR and exercise online PMP for adults with chronic pain and to examine the feasibility of conducting a randomized controlled trial (RCT) comparing MBSR and exercise delivered online with an online self-management guide.

MATERIALS AND METHODS

A feasibility RCT was conducted with participants randomized into the MOVE group (8-wk MBSR and exercise live online) or the self-management (SM) group (8-wk online self-management guide). Primary outcomes included recruitment, attrition, intervention adherence, and satisfaction. Participants wore a Fitbit watch during the study and completed patient-reported outcome measures at baseline, postintervention, and 12-week follow-up.

RESULTS

Ninety-six participants were randomized and 80 (83.3%) completed the interventions. Higher mean satisfaction (Client Satisfaction Questionnaire-8) was reported in the MOVE group 26.2 (±5.5) than the SM group 19.4 (±5.6). The Patient Global Impression of Change scale showed favourable changes in both groups; 65.1% of the MOVE group, 42.3% of the SM group reporting improvement. Seventy-three participants (76.3%) adhered to wearing the Fitbit for 8 weeks. Comparable improvements postintervention and at a 12-week follow-up were noted within both groups for Brief Pain Inventory, Pain Self-Efficacy Questionnaire, Pain Disability Index, Pain Catastrophising Scale, Fear Avoidance Belief Questionnaire and Short Form-36 Health Survey.

DISCUSSION

The findings suggest both interventions explored are acceptable and feasible. A fully powered RCT examining the effectiveness of MBSR combined with exercise, delivered live online is warranted.

摘要

目的

将正念减压（MBSR）与运动相结合的方案在疼痛管理方案（PMP）中应用的研究有限，目前还没有一项研究将联合干预作为在线 PMP 进行。本研究旨在探讨将 MBSR 与运动相结合的在线慢性疼痛成人 PMP 的可接受性和可行性，并检验比较在线 MBSR 和运动与在线自我管理指南的随机对照试验（RCT）的可行性。

材料和方法

一项可行性 RCT 招募了参与者，将其随机分为 MOVE 组（8 周的 MBSR 和在线运动）或自我管理（SM）组（8 周的在线自我管理指南）。主要结果包括招募、流失、干预依从性和满意度。参与者在研究期间佩戴 Fitbit 手表，并在基线、干预后和 12 周随访时完成患者报告的结局测量。

结果

96 名参与者被随机分配，80 名（83.3%）完成了干预。MOVE 组的平均满意度（客户满意度问卷-8）为 26.2（±5.5），高于 SM 组的 19.4（±5.6）。患者总体变化量表显示两组均有良好变化；65.1%的 MOVE 组和 42.3%的 SM 组报告有改善。73 名参与者（76.3%）坚持佩戴 Fitbit 8 周。两组在干预后和 12 周随访时的 Brief Pain Inventory、疼痛自我效能问卷、疼痛残疾指数、疼痛灾难化量表、恐惧回避信念问卷和简明健康调查问卷都有类似的改善。