COPC Administrative Supplement to Group-Based Mindfulness for Patients with Chronic Low Back Pain in the Primary Care

COPC 针对初级保健中慢性腰痛患者的团体正念行政补充

• 批准号: 10521941
• 负责人: Natalia E. Morone
• 金额: $ 59.19万
• 依托单位: BOSTON MEDICAL CENTER
• 依托单位国家: 美国
• 财政年份: 2022
• 资助国家: 美国
• 起止时间: 2022-09-06 至 2024-08-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/10521941
• 关键词: Address; Administrative Supplement; African American population; Age; Anatomy; Caring; Characteristics; Chronic; Chronic Fatigue Syndrome; Chronic low back pain; Conditioned Reflex; Development; Discrimination; Economics; Education; Enrollment; Fibromyalgia; Food; Health; Health Personnel; Health Services Accessibility; Hospitals; Housing; Insurance Carriers; Interstitial Cystitis; Intervention; Interview; Irritable Bowel Syndrome; Knowledge; Lead; Learning; Life; Light; Literature; Location; Measures; Medical; Migraine; Neighborhood Health Center; New England; North Carolina; Pain; Pain intensity; Pain interference; Pain management; Participant; Patients; Persons; Pragmatic clinical trial; Prevalence; Primary Health Care; Reporting; Research; Risk Factors; Role; Rural; Sampling Studies; Severities; Socioeconomic Status; Stress; Symptoms; Syndrome; Telemedicine; Temporomandibular Joint Disorders; Tension Headache; Translating; Underrepresented Populations; Visit; Vulvodynia; Woman; base; biopsychosocial factor; central sensitization; chronic pain; chronic pain management; chronic painful condition; cost; demographics; disability; endometriosis; ethnic diversity; evidence base; experience; health care settings; health disparity; intervention participants; low socioeconomic status; marginalized population; mindfulness; mindfulness intervention; mindfulness meditation; mindfulness-based stress reduction; pain outcome; pain processing; pain-related disability; perceived discrimination; primary care setting; psychologic; psychological distress; racial diversity; racism; recruit; resilience; response; safety net; skills; social health determinants; study population; tool; treatment as usual

PROJECT SUMMARY/ABSTRACT Chronic pain is one of the most common conditions treated in the primary care setting, with chronic low back pain (cLBP) costing over 30 billion dollars a year; yet treatment remains unsatisfactory for many patients. Chronic pain is commonly defined by anatomic location; however, the underlying mechanisms of chronic pain conditions may be more closely related to the central sensitization of pain processing with significant overlap existing among chronic pain syndromes. The term Chronic Overlapping Pain Conditions (COPCs) refers to commonly coexisting or co-prevalent idiopathic pain conditions, and cLBP is one of the conditions identified as a COPC. Other examples include fibromyalgia and chronic migraine. It is estimated that among people with chronic low back pain, two-thirds have additional COPCs. Although COPCs are common, risk factors and protective mechanisms are not well characterized. This study will use a tool called the Chronic Overlapping Pain Conditions screener to identify people with COPCs among participants enrolled in the OPTIMUM study (Optimizing Pain Treatment in Medical settings Using Mindfulness). The first aim of this study is to measure the prevalence and risks factors associated with Chronic Overlapping Pain Conditions in our study sample. The second aim is to identify how the response to the OPTIMUM intervention differs between people with isolated cLBP and those with additional COPCs. The third aim is to explore the experiences of study participants with COPCs from historically marginalized populations. The OPTIMUM study is a pragmatic clinical trial of mindfulness-based stress reduction (MBSR) adapted to address chronic pain and delivered via telemedicine in a primary care setting as group medical visits. The OPTIMUM study is recruiting people with cLBP from three primary care health settings that together provide for a racially and ethnically diverse study population. Given the “real life” setting of the OPTIMUM study, we expect findings to be highly relevant across multiple primary care settings including urban and rural safety net organizations. Additional findings regarding the prevalence and demographics of COPCs, the response of participants with COPCs to the OPTIMUM intervention, and the interviews with people with COPCs from historically marginalized populations, will advance knowledge about the characteristics and potential treatments for COPCs.

项目总结/文摘