Health Effects of Mindfulness Based Stress Reduction Course in Treatment of Back Pain
Health Effects of Mindfulness Based Stress Reduction Course Versus Usual Care in Treatment of Back Pain: a Randomized Clinical Trial
- Health effects of mindfulness based stress reduction course versus usual care in treatment of back pain: a randomized clinical trial
- Mindfulness based stress reduction (MBSR) course intervention for half of the research patients
- MBSR course lasts for 8 weeks.
- follow-up time 2 years.
- research data is collected by Recdap
- Working-age (18-64 years) patients with back pain in thoracal or lumbar area (NRS at least 4) with or without radiculation over 12 weeks will be recruited.
- The primary outcome measure is Numeric pain rating scale (NRS, 0-10).
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Study Type
Study Type
Enrollment (Estimated)
Enrollment
Phase
Phase
- Not Applicable
Contacts and Locations
Study Contact
Study Contact
- Name: Jenna Sisouno Researcher, M.D., Pediatric surgeon
- Phone Number: 01041400
- Email: jennasisouno@gmail.com
Study Contact Backup
- Name: Jussi Repo Study director, PhD, M.D. orthopedical surgeon
- Phone Number: 090030000
- Email: jussi.repo@pirha.fi
Study Locations
-
-
-
Tampere, Finland
- Recruiting
- Tampere University Hospital
-
Contact:
- Jussi Repo Study director, Phd, MD, orthopedical surgeon
- Phone Number: 090030000
- Email: jussi.repo@pirha.fi
-
Contact:
- Jenna Sisouno Researcher, MD, pediatric surgeon
- Phone Number: 01041400
- Email: jennasisouno@gmail.com
-
Tampere, Finland
- Recruiting
- Mehilainen
-
Contact:
- Kaisla Lahdensuo Phd, psychiatrician, Phd, psychiatrician
- Phone Number: 01041400
- Email: kaisla.lahdensuo@mehilainen.fi
-
Tampere, Finland
- Recruiting
- Pirte
-
Contact:
- Teija Mertimo Phd, occupational health, Phd, occupational health
- Phone Number: 0356564600
- Email: teija.mertimo@pirte.fi
-
Tampere, Finland
- Recruiting
- Terveystalo
-
Contact:
- Riina-Riitta Helminen Phd, occupational health
- Phone Number: 090030000
- Email: riina-riitta.helminen@terveystalo.com
-
-
Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
- Adult
Accepts Healthy Volunteers
Description
Inclusion Criteria:
- Working-age (18-64 years) patients
- Back pain in thoracal or lumbar area
- NRS at least 4
- With or without radiculative symptoms
- Pain duration over 12 weeks
- Pain can be localized or widespread
- Also patients with multiple pain are eligible
- X-ray or MRI scan is not needed
- Patients can be both gender
- Finnish language skills and adequate competence are needed for filling the survey forms and participation in interventions
Exclusion Criteria:
- Pregnancy
- Recent delivery (<12 months)
- Mental health problems with psychotic symptoms
- Acute severe psychological trauma (3 months)
- Sings of back infection
- Acute severe trauma in the back (fracture)
- surgery (< 6 months)
- planned surgery in the future
- tumor in the back
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: None (Open Label)
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
|
Experimental: MBSR intervention
|
8-week mindfulness course lead by psychologist, psychotherapist
|
|
No Intervention: Control group with usual care for back pain
|
What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Numeric pain rating scale
Time Frame: 2 years
|
0 (no pain), 10 (worst imaginable pain)
|
2 years
|
Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Total patient-experienced pain interference
Time Frame: 2 years
|
0 (no interference), 10 (worst imaginable interference)
|
2 years
|
|
Claudication distance
Time Frame: 2 years
|
2 years
|
|
|
Radiculative symptoms
Time Frame: 2 years
|
2 years
|
|
|
Multiple pain in other areas
Time Frame: 2 years
|
Localized pain in other areas of the (head, neck and shoulders, arms, legs, abdomen, chest, no pain in other parts of the body)
|
2 years
|
|
Amount of physiotherapy contacts
Time Frame: 2 years
|
Amount of physiotherapy contacts before the study (during previous 3 months) and contacts between the survey points
|
2 years
|
|
Amount of mental health contacts
Time Frame: 2 years
|
Amount of mental health (psychiatrist, psychologist, nurse) contacts before the study (during previous 3 months) and contacts between the survey points
|
2 years
|
|
Amount of sick leave
Time Frame: 2 years
|
Amount of sick leave (in days) in the start point (during previous 3 months) and between the survey points
|
2 years
|
|
Burnout assessement tool (BAT-12)
Time Frame: 2 years
|
2 years
|
|
|
GAD-7
Time Frame: 2 years
|
2 years
|
|
|
BDI-2
Time Frame: 2 years
|
2 years
|
|
|
EQ-5D-5L
Time Frame: 2 years
|
2 years
|
|
|
ODI
Time Frame: 2 years
|
2 years
|
|
|
Consumption of alcohol
Time Frame: 2 years
|
Consumptions of alcohol portions during the last week (1 portion is 1 beer (33 cl), 1 glass of wine (12 cl), 4 cl of distilled spirits).
|
2 years
|
|
Sleeping problems
Time Frame: 2 years
|
Amount of nights with sleeping problems during the last week
|
2 years
|
|
Consumption of cigarettes
Time Frame: 2 years
|
Consumption of cigarettes per day
|
2 years
|
|
Body weight
Time Frame: 2 years
|
2 years
|
|
|
Physical acitivity
Time Frame: 2 years
|
Times of physical acitivity (over 30 minutes) per week
|
2 years
|
|
Consumption of painkillers
Time Frame: 2 years
|
Consumption of painkillers per week: paracetamol, NSAID, opioid
|
2 years
|
|
Consumption of antidepressants
Time Frame: 2 years
|
Consumption of antidepressants per day
|
2 years
|
|
Consumption of benzodiazepines
Time Frame: 2 years
|
Consumption of benzodiazepines per week (for sleep or/and anxiety)
|
2 years
|
|
Consumption of muscle relaxants
Time Frame: 2 years
|
Consumption of muscle relaxants per week
|
2 years
|
|
Experienced benefit from the MBSR- course
Time Frame: 2 years
|
0 (no benefit), 10 (the most imaginable benefit)
|
2 years
|
|
Complications of the intervention
Time Frame: 2 years
|
Experienced complications of the intervention (open text)
|
2 years
|
|
Experienced total work ability now
Time Frame: 2 years
|
0 (worst imaginable total work ability), 10 (best imaginable total work ability)
|
2 years
|
|
Experienced mental work ability now
Time Frame: 2 years
|
0 (worst imaginable mental work ability), 10 (best imaginable mental work ability)
|
2 years
|
|
Experienced physical work ability now
Time Frame: 2 years
|
0 (worst imaginable physical work ability), 10 (best imaginable physical work ability)
|
2 years
|
|
Experienced total work ability after 2 years
Time Frame: 2 years
|
0 (worst imaginable total work ability), 10 (best imaginable total work ability)
|
2 years
|
|
Experienced mental work ability after 2 years
Time Frame: 2 years
|
0 (worst imaginable mental work ability), 10 (best imaginable mental work ability)
|
2 years
|
|
Experienced physical work ability after 2 years
Time Frame: 2 years
|
0 (worst imaginable physical work ability), 10 (best imaginable physical work ability)
|
2 years
|
|
Previous psychological diagnoses
Time Frame: 2 years
|
Previous diagnosis in depression, anxiety disorder or burn-out
|
2 years
|
|
Rate of participation in MBSR course meetings
Time Frame: 2 years
|
Rate of participation in MBSR course meetings (only week 8), 0-9 (meetings)
|
2 years
|
|
Amount of daily mindfulness practice
Time Frame: 2 years
|
Amount of (daily 20 minutes, private) mindfulness practice during and after the course (daily, weekly, monthly, less, none)
|
2 years
|
|
Other received rehabilitation
Time Frame: 2 years
|
No, rehabilitation course, McKenzie therapy, TENS, manipulation or psychophysical physiotherapy for back pain
|
2 years
|
|
Amount of contacts to the doctor for back pain
Time Frame: 2 years
|
Amount of contacts to the doctor for back pain before (during previous 3 months) and between the survey points
|
2 years
|
|
Experienced calmness during the last week
Time Frame: 2 years
|
all the time, most of the time, sometimes, seldom, never
|
2 years
|
|
Experienced happiness during the last week
Time Frame: 2 years
|
all the time, most of the time, sometimes, seldom, never
|
2 years
|
|
Experienced state of feeling energetic during the last week
Time Frame: 2 years
|
all the time, most of the time, sometimes, seldom, never
|
2 years
|
|
Experienced contentment during the last week
Time Frame: 2 years
|
all the time, most of the time, sometimes, seldom, never
|
2 years
|
Collaborators and Investigators
Sponsor
Sponsor
Collaborators
Collaborators
Investigators
Investigators
- Study Director: Jussi Repo, PhD, M.D. orthopedical surgeon, Tampere University Hospital
Study record dates
Study Major Dates
Study Start (Actual)
Study Start
Primary Completion (Estimated)
Primary Completion
Study Completion (Estimated)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (Actual)
First Posted
Study Record Updates
Last Update Posted (Actual)
Last Update Posted
Last Update Submitted That Met QC Criteria
Last Update Submitted That Met QC Criteria
Last Verified
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
Other Study ID Numbers
- R23051
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
IPD Sharing Time Frame
IPD Sharing Access Criteria
IPD Sharing Supporting Information Type
- STUDY_PROTOCOL
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
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