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A mind-body program for older adults with chronic low back pain: results of a pilot study.

Natalia E. Morone, Bruce L Rollman, Charity G Moore, Qin Li, Debra K. Weiner

Pain medicine (Malden, Mass.) November 2009 DOI: 10.1111/j.1526-4637.2009.00746.x (opens in new tab)

Study at a glance

AI-extracted from the abstract
Characteristics Randomized controlled trial Pilot study Peer reviewed
Sample size 40
Population Community-dwelling older adults with moderate low back pain or greater for at least the previous 3 months
Interventions Mindfulness meditation Education control program
Duration 8-week intervention, 4-month follow-up
Key findings Both the mindfulness meditation and education control groups improved on measures of disability, pain, and psychological function at program completion and 4-month follow-up, with no statistically significant differences between groups. The education program was feasible but not inert.

Abstract

Determine the impact of an 8-week mindfulness meditation program on disability, psychological function, and pain severity in community-dwelling older adults with chronic low back pain, and to test the education control program for feasibility. Randomized controlled trial. Participants. Forty community-dwelling older adults with moderate low back pain or greater for at least the previous 3 months. Intervention. Participants were randomized to an 8-week meditation program or an 8-week education control program. Disability, psychological function, and pain severity were assessed. The same measures were obtained for both groups at baseline, at the end of the program, and 4 months after program completion. Sixteen participants (80%) completed the meditation program and 19 (95%) completed the education program. Both the meditation and control group improved on measures of disability, pain, and psychological function, both at program completion and 4-month follow-up. The differences between the two groups did not reach statistical significance. The meditation group practiced mindfulness meditation a mean of 5 days/week (range 1-7) and mean of 31 minutes/session (range 22-48). At 4 months follow-up 14/16 (88%) participants continued to meditate. Both the intervention group and the education control group improved on outcome measures suggesting both programs had a beneficial effect. Participants continued to meditate on 4-month follow-up. The control program was feasible but not inert. Piloting the control program in mind-body research can inform the design of larger clinical trials.