Attrition from mindfulness-based interventions is high among people with chronic pain, and factors affecting engagement are not well understood. This study aimed to inform the design of a mindfulness programme that would be accessible and acceptable for this population.
People with chronic pain who took an eight-week mindfulness program reported a variety of experiences, including for some a process of change that helped them live with their condition. Participants learned to listen to their bodies, gained a sense of community, accepted pain, and approached life with more self-care, awareness, appreciation, and empowerment. The program was based on Mindfulness-Based Stress Reduction (MBSR). Of 34 consenting patients, 24 took part in the program; 14 attended four or more sessions and 10 attended one to three. Twenty-three were interviewed. The findings suggest mindfulness may benefit people with chronic pain.
Mindfulness-based cognitive therapy (MBCT) is a cost-effective psychosocial program that helps people with recurrent depression stay well long-term, yet its availability across the UK is limited and inequitable. This two-phase qualitative study will interview stakeholders involved in commissioning, managing, and implementing MBCT services in all four UK countries, including areas where implementation succeeds and where it fails. In-depth case studies will identify barriers and facilitators to implementation. Findings will inform an implementation plan to promote better, more equitable access to MBCT within the UK National Health Service.