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Mindfulness-baseret dans/bevægelsesterapi for kroniske lænderygsmerter

30. september 2026 opdateret af: Drexel University

The purpose of this study is to evaluate the feasibility, acceptability and credibility of a mindfulness-based dance/movement therapy (M-DMT) protocol that is delivered online; to assess and improve methodological procedures for conducting a randomized controlled trial (RCT) test of M-DMT; and to demonstrate proof of principle by gathering information about the process of change between M-DMT and a control condition.

This is the first study to address the potential of M-DMT as a creative, non-opioid intervention for chronic back pain. Therefore, the findings of this study will provide important methodological and protocol data and substantive pilot data necessary for the next phase of this line of research, namely a fully powered RCT to evaluate efficacy and treatment mechanisms of action. Data obtained as part of this study will be instrumental for informing the systematic evaluation of M-DMT for chronic back pain care.

Studieoversigt

Status

Afsluttet

Betingelser

Intervention / Behandling

Undersøgelsestype

Interventionel

Tilmelding (Faktiske)

66

Fase

  • Ikke anvendelig

Kontakter og lokationer

Dette afsnit indeholder kontaktoplysninger for dem, der udfører undersøgelsen, og oplysninger om, hvor denne undersøgelse udføres.

Studiesteder

    • Pennsylvania
      • Philadelphia, Pennsylvania, Forenede Stater, 19102
        • Drexel Universitsy

Deltagelseskriterier

Forskere leder efter personer, der passer til en bestemt beskrivelse, kaldet berettigelseskriterier. Nogle eksempler på disse kriterier er en persons generelle helbredstilstand eller tidligere behandlinger.

Berettigelseskriterier

Aldre berettiget til at studere

18 år og ældre (Voksen, Ældre voksen)

Tager imod sunde frivillige

Ingen

Køn, der er berettiget til at studere

Alle

Beskrivelse

Inclusion Criteria

  • age > 18 years
  • current non-specific cLBP that has persisted at least 3 months, and has resulted in pain on at least half the day in the past 6 months
  • proficient in English
  • average pain severity and interference ratings >3/10 on a 0-10 numeric rating scale
  • if taking pain medication(s), dosage must be stabilized for a minimum of 3 months
  • patients agree not to seek additional therapies for the duration of this study beyond those already included in their current treatment regimen or new treatments prescribed by their physician
  • naïve to DMT.
  • those who have adequate computer literacy (e.g., know how to use a computer to perform basic tasks such as open/send emails, use internet, fill-out online surveys) and access to the virtual delivery format (i.e., internet service and a personal computer device such as laptop, desktop, tablet PC).

Exclusion Criteria:

  • pregnancy
  • severe and/or progressive medical, neurological, substance dependence within the last 6 months or severe mental illness (i.e., psychosis, mania) that would prevent active participation
  • cognitive impairment that prohibits informed consent
  • back surgery in the last 6 months
  • low back pain attributable to a recognizable, known specific pathology (e.g. infection, tumor, osteoporosis, fracture, structural deformity, inflammatory disorder, radicular syndrome, or cauda equina syndrome
  • wheelchair-bound or unable to move without assistance
  • involvement in impending litigation or judgment for disability or worker's compensation.

Studieplan

Dette afsnit indeholder detaljer om studieplanen, herunder hvordan undersøgelsen er designet, og hvad undersøgelsen måler.

Hvordan er undersøgelsen tilrettelagt?

Design detaljer

  • Primært formål: Behandling
  • Tildeling: Randomiseret
  • Interventionel model: Parallel tildeling
  • Maskning: Enkelt

Våben og indgreb

Deltagergruppe / Arm
Intervention / Behandling
Eksperimentel: Mindfulness-based dance/movement therapy

Participants assigned to the M-DMT group condition will receive care as usual plus 12 weekly 90-minute group M-DMT sessions delivered online by a board-certified dance/movement therapist. The therapist is instructed to follow the M-DMT manualized protocol.

M-DMT includes benefits of physical activity, group psychotherapy, mindfulness training, and an art-based intervention in a unified practice. Each online session focuses on different psycho-educational topics about chronic low back pain management and links these topics with specific M-DMT activities that incorporate mindfulness-based principles and techniques.

Andre navne:
  • Danse/Bevægelsesterapi
Aktiv komparator: Chronic pain social support group

Participants assigned to the control condition will participate in a 12-session (90-minute session/week) online social support group.

The therapist will facilitate online open group discussions about participants' experiences with or reactions to the topic of discussion and will promote empathy among group members. The therapist will use client-centered, reflective listening techniques but will not prescribe any specific recommendations for change.

Each week, SSG participants will receive emails with brief information about the topic discussed during the group session.

Hvad måler undersøgelsen?

Primære resultatmål

Resultatmål
Foranstaltningsbeskrivelse
Tidsramme
Feasibility of Recruitment: Number of participants eligible
Tidsramme: Baseline

Number of participants eligible for randomization to the study intervention

Baseline
Recruitment Rate
Tidsramme: Baseline

Proportion of participants randomized relative to total trial referrals

Baseline
Recruitment time
Tidsramme: Baseline

Number of participate enrolled per month

Baseline
Feasibility of recruiting male participants: Proportion of male participant enrolled
Tidsramme: Baseline

Proportion of male participant enrolled to the study

Baseline
Treatment Completion Rate
Tidsramme: 12 weeks following receipt of treatment

We expect 80% of participants to complete at least 9/12 M-DMT sessions

12 weeks following receipt of treatment
Retention Rate
Tidsramme: 24 weeks

Proportion of participants who complete follow-up questionnaires

24 weeks
Reason for withdrawal
Tidsramme: 12 weeks following receipt of treatment

Assessed by an open-ended question, "What was the reason for discontinuing your participation?" administered by a study staff during a phone interview

12 weeks following receipt of treatment
M-DMT intervention credibility and expectancy
Tidsramme: 1 week

Credibility/Expectancy Questionnaire (range 3-27; higher scores reflect greater treatment expectancy and rationale credibility)

1 week
Treatment Fidelity
Tidsramme: 1-12 weeks

Treatment fidelity assessment form developed by the researcher (range: varies between sessions depending on the number of items included in the particular session; A total score of 80% and higher reflects adequate treatment fidelity)

1-12 weeks
Treatment satisfaction and acceptability: Likert-scale survey
Tidsramme: 12 weeks post-randomization

via Likert-scale surveys; on scale of 1 to 5, 1 being not satisfied; 5 being very satisfied (i.e higher number, better outcome).

12 weeks post-randomization
M-DMT intervention acceptability
Tidsramme: 12 weeks

Exit interview based on an interview protocol developed by the researcher

12 weeks
Adverse Event
Tidsramme: 1 -12 weeks

Number of adverse events

1 -12 weeks

Sekundære resultatmål

Resultatmål
Foranstaltningsbeskrivelse
Tidsramme
Pain intensity: PROMIS® Pain Intensity-Short Form (SF)3a
Tidsramme: Change from Baseline pain intensity at 6, 12, and 24-week time points

PROMIS® Pain Intensity-Short Form (SF)3a (A 5-point (from 1= Had no pain to 5= Very Severe) rating scale is used in each of the 3 items; higher results mean higher intensity of pain.

Change from Baseline pain intensity at 6, 12, and 24-week time points
Pain interference: PROMIS® Pain Interference -8a
Tidsramme: Change from Baseline pain interference at 6, 12, and 24-week time points

PROMIS® Pain Interference -8a (A 5-point (from 1= Not at all to 5= Very much) rating scale is used on each of the 8 items; higher scores reflect greater pain interference

Change from Baseline pain interference at 6, 12, and 24-week time points
Chronic pain acceptance: Chronic Pain Acceptance Questionnaire
Tidsramme: Change from Baseline chronic pain acceptance at 6, 12, and 24-week time points

Chronic Pain Acceptance Questionnaire (A seven-point (from 0= Never to 6 = Always) rating scale is used in each of the 20 items; higher results mean high pain acceptance)

Change from Baseline chronic pain acceptance at 6, 12, and 24-week time points
Mindfulness
Tidsramme: Change from Baseline mindfulness at 6, 12, and 24-week time points

Cognitive and Affective Mindfulness Scale (A 4-point (Rarely/not at all to almost always) rating scale is used in each of the 12 items; higher values reflect higher mindful qualities

Change from Baseline mindfulness at 6, 12, and 24-week time points
Physical activity (Accelerometry data)
Tidsramme: Change from Baseline physical activity at 12, and 24-week time points

An accelerometer, ActiGraph GT9X will be used to measure the change in participants physical activity between baseline and 2 endpoints (12 and 24 weeks)

Change from Baseline physical activity at 12, and 24-week time points
Physical activity (Self-report data)
Tidsramme: Change from Baseline physical activity at 6, 12, and 24-week time points

Self-report assessment of physical activity will be done through UCLA Activity Scale (One item out of 10 will be checked to best describe current activity level)

Change from Baseline physical activity at 6, 12, and 24-week time points

Andre resultatmål

Resultatmål
Foranstaltningsbeskrivelse
Tidsramme
Physical Function
Tidsramme: Change from Baseline physical function at 6, 12, and 24-week time points

PROMIS® Physical function-20a (A 5-point (5= without any difficulty to 1= Unable to do) rating scale is used in each of the 20 items; higher values reflect higher abilities to physically function

Change from Baseline physical function at 6, 12, and 24-week time points
Depression
Tidsramme: Change from Baseline depression at 6, 12, and 24-week time points

PROMIS® Emotional Distress-Depression-SF 4a (A 5-point (1= Never to 5= Always) rating scale is used in each of the 4 items; higher values reflect higher levels of depression

Change from Baseline depression at 6, 12, and 24-week time points
Sleep Disturbance
Tidsramme: Change from Baseline sleep disturbance at 6, 12, and 24-week time points

PROMIS® Sleep Disturbance-4a (A 5-point (5= Very poor to 1= Very good) rating scale is used in each of the 4 items; higher values reflect higher levels of sleep disturbances

Change from Baseline sleep disturbance at 6, 12, and 24-week time points
Pain Catastrophizing: Pain Catastrophizing Scale
Tidsramme: Change from Baseline pain catastrophizing at 6, 12, and 24-week time points

Pain Catastrophizing Scale - short form(SF)-4a (A 4-point (0= Not at all to 4= All the time) rating scale is used in each of the 4 items; higher scores reflect greater pain catastrophizing

Change from Baseline pain catastrophizing at 6, 12, and 24-week time points
Kinesiophobia
Tidsramme: Change from Baseline kinesiophobia at 6, 12, and 24-week time points

Tampa Scale of Kinesiophobia (A 4-point (1= Strongly disagree to 4= Strongly agree) rating scale is used in each of the 11 items; higher values reflect higher levels of kinesiophobia

Change from Baseline kinesiophobia at 6, 12, and 24-week time points
Patient Perception of Change
Tidsramme: 12 weeks

Score on single item Patient Global Impression of Change Rating (range: 1 (No change) to 7 (a great deal better))

12 weeks

Samarbejdspartnere og efterforskere

Det er her, du vil finde personer og organisationer, der er involveret i denne undersøgelse.

Sponsor

Samarbejdspartnere

Efterforskere

  • Ledende efterforsker: Minjung Shim, PhD, Drexel University
  • Ledende efterforsker: Adam Gonzalez, PhD, Stony Brook University

Datoer for undersøgelser

Disse datoer sporer fremskridtene for indsendelser af undersøgelsesrekord og resumeresultater til ClinicalTrials.gov. Studieregistreringer og rapporterede resultater gennemgås af National Library of Medicine (NLM) for at sikre, at de opfylder specifikke kvalitetskontrolstandarder, før de offentliggøres på den offentlige hjemmeside.

Studer store datoer

Studiestart (Faktiske)

15. april 2019

Primær færdiggørelse (Faktiske)

31. marts 2022

Studieafslutning (Faktiske)

31. marts 2022

Datoer for studieregistrering

Først indsendt

29. maj 2019

Først indsendt, der opfyldte QC-kriterier

13. juni 2019

Først opslået (Faktiske)

14. juni 2019

Opdateringer af undersøgelsesjournaler

Sidste opdatering sendt (Faktiske)

5. oktober 2026

Sidste opdatering indsendt, der opfyldte kvalitetskontrolkriterier

30. september 2026

Sidst verificeret

1. september 2026

Mere information

Begreber relateret til denne undersøgelse

Andre undersøgelses-id-numre

  • 1810006694
  • 7R34AT009555-02 (U.S. NIH-bevilling/kontrakt)

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