Comparison of an Online Mindfulness-based Cognitive Therapy Intervention With Online Pain Management Psychoeducation

Abstract

The results of the study provide evidence that although there were equivalent changes across outcomes of interest for participants in both conditions over time, the MIA program showed a number of unique benefits. However, the level of participant attrition in the study highlighted a need for further attention to participant engagement with online chronic pain programs.

The Efficacy and Acceptability of Third-Wave Behavioral and Cognitive eHealth Treatments: A Systematic Review and Meta-Analysis of Randomized Controlled Trials

“…Carlbring et al (2013) and Kivi et al (2014) tested an 8-week guided Internet-delivered intervention combining components of behavioral activation and ACT. One study evaluated an 8-week guided MBCT program administered via smartphone application (Ly et al, 2014), while another examined an unguided Internetdelivered MBCT intervention (Dowd et al, 2015). An off-line computer-based CBASP treatment was tested by Braithwaite and Fincham (2007) and Cukrowicz and Joiner (2007).…”

Mindfulness Meditation for Chronic Pain: A Systematic Review

“…However, using the trim and fill method to correct for this bias yielded an estimate identical to the original pooled result The effect was very similar when nine poor quality studies were excluded from analysis (SMD 0.2; CI 0.03, 0.38; not displayed); heterogeneity was moderate (I 2 43.8%). Eleven RCTs followed study participants more than 12 weeks (median: 20 weeks; range: 16-60 weeks) Cash et al, 2015;Dowd et al, 2015;Morone et al, 2009;Omidi and Zargar, 2014;Parra-Delgado and Latorre-Postigo, 2013;Rahmani and Talepasand, 2015;Gaylord et al, 2011). Figure 3.4 shows that there is an effect of meditation on pain for participants in six of these studies but not overall (SMD 0.37; C −0.01, 0.74; 11 RCTs, I 2 74.7%) Omidi and Zargar, 2014;Parra-Delgado and Latorre-Postigo, 2013;Rahmani and Talepasand, 2015;Gaylord et al, 2011).…”

“…Seven studies obtained a "good" quality rating Fogarty et al, 2015;Ljotsson, Falk, et al, 2010;Parra-Delgado and Latorre-Postigo, 2013;Zautra et al, 2008). Ten studies were judged to be of fair quality, primarily due to being unclear in some aspects of the methods (Cash et al, 2015;Davis and Zautra, 2013;Day et al, 2014;Dowd et al, 2015;Gaylord et al, 2011;la Cour and Petersen, 2015;Morone, Greco, and Weiner, 2008;Wells et al, 2014). Eleven studies were judged to be poor; eight of these were primarily due to issues with completeness of reporting outcome data, such as inadequate or missing ITT analysis or less than 80-percent follow-up Brown and Jones, 2013;Cathcart et al, 2014;Esmer et al, 2010;Meize-Grochowski et al, 2015;Morone et al, 2009;Omidi and Zargar, 2014;PlewsOgan et al, 2005).…”

“…Pain scales and comparators varied from study to study (Astin et al, 2000;Brown and Jones, 2013;Cash et al, 2015;Cathcart et al, 2014;Davis and Zautra, 2013;Day et al, 2014;Dowd et al, 2015;Esmer et al, 2010;la Cour and Petersen, 2015;Meize-Grochowski et al, 2015;Morone, Greco, and Weiner, 2008;Morone et al, 2009;Omidi and Zargar, 2014;Plews-Ogan et al, 2005;Teixeira, 2010;Wells et al, 2014;Zautra et al, 2008;Parra-Delgado and Latorre-Postigo, 2013;Rahmani and Talepasand, 2015;Gaylord et al, 2011;Ljotsson, Falk, et al, 2010). The median follow-up time was 12 weeks, with a range of four to 60 weeks.…”

“…Nonsignificance persisted when poor quality studies were dropped from analysis (SMD 0.11; CI −0.10, 0.32; 6 RCTs; I 2 0%; not displayed). Eight RCTs examined the effect of mindfulness meditation on pain compared with education or support groups Davis and Zautra, 2013;Dowd et al, 2015;Morone et al, 2009;Gaylord et al, 2011;Ljotsson, Falk, et al, 2010;Zautra et al, 2008) (see Figure 3.7). The effect of meditation was significant in three of these studies, and not significant when studies were pooled (SMD 0.19; CI −0.11, 0.49; 8 RCTs; I 2 63.9%) Gaylord et al, 2011;Ljotsson, Falk, et al, 2010).…”