Skip to main content
Journal cover image

Learning to Apply Mindfulness to Pain (LAMP): Design for a Pragmatic Clinical Trial of Two Mindfulness-Based Interventions for Chronic Pain.

Publication ,  Journal Article
Burgess, DJ; Evans, R; Allen, KD; Bangerter, A; Bronfort, G; Cross, LJ; Ferguson, JE; Haley, A; Hagel Campbell, EM; Mahaffey, MR; Matthias, MS ...
Published in: Pain Med
December 12, 2020

BACKGROUND: Mindfulness-based interventions (MBIs) are evidence-based nonpharmacological treatments for treating chronic pain. However, the predominant MBI, mindfulness-based stress reduction, has features that pose significant implementation barriers. OBJECTIVES: This study will test two approaches to delivering MBIs for improving Veterans' chronic pain and mental health comorbidities. These two approaches address key implementation barriers. METHODS: We will conduct a four-site, three-arm pragmatic randomized controlled trial, Learning to Apply Mindfulness to Pain (LAMP), to test the effectiveness of two MBIs at improving pain and mental health comorbidities. Mobile+Group LAMP consists of prerecorded modules presented by a mindfulness instructor that are viewed in an online group setting and interspersed with discussions led by a facilitator. Mobile LAMP consists of the same prerecorded modules but does not include a group component. We will test whether either of these MBIs will be more effective than usual care at improving chronic pain and whether the Mobile+Group LAMP will be more effective than Mobile LAMP at improving chronic pain. Comparisons for the primary hypotheses will be conducted with continuous outcomes (Brief Pain Inventory interference score) repeated at 10 weeks, 6 months, and 12 months. The secondary hypotheses are that Mobile+Group LAMP and Mobile LAMP will be more effective than usual care at improving secondary outcomes (e.g., post-traumatic stress disorder, depression). We will also confirm the comparisons for the primary and secondary hypotheses in gender-specific strata. IMPLICATIONS: This trial is expected to result in two approaches for delivering MBIs that will optimize engagement, adherence, and sustainability and be able to reach large numbers of Veterans.

Duke Scholars

Altmetric Attention Stats
Dimensions Citation Stats

Published In

Pain Med

DOI

EISSN

1526-4637

Publication Date

December 12, 2020

Volume

21

Issue

Suppl 2

Start / End Page

S29 / S36

Location

England

Related Subject Headings

  • Veterans
  • Treatment Outcome
  • Mindfulness
  • Learning
  • Humans
  • Chronic Pain
  • Anesthesiology
  • 5203 Clinical and health psychology
  • 4203 Health services and systems
  • 3202 Clinical sciences
 

Citation

APA
Chicago
ICMJE
MLA
NLM
Burgess, D. J., Evans, R., Allen, K. D., Bangerter, A., Bronfort, G., Cross, L. J., … Taylor, B. C. (2020). Learning to Apply Mindfulness to Pain (LAMP): Design for a Pragmatic Clinical Trial of Two Mindfulness-Based Interventions for Chronic Pain. Pain Med, 21(Suppl 2), S29–S36. https://doi.org/10.1093/pm/pnaa337
Burgess, Diana J., Roni Evans, Kelli D. Allen, Ann Bangerter, Gert Bronfort, Lee J. Cross, John E. Ferguson, et al. “Learning to Apply Mindfulness to Pain (LAMP): Design for a Pragmatic Clinical Trial of Two Mindfulness-Based Interventions for Chronic Pain.Pain Med 21, no. Suppl 2 (December 12, 2020): S29–36. https://doi.org/10.1093/pm/pnaa337.
Burgess DJ, Evans R, Allen KD, Bangerter A, Bronfort G, Cross LJ, et al. Learning to Apply Mindfulness to Pain (LAMP): Design for a Pragmatic Clinical Trial of Two Mindfulness-Based Interventions for Chronic Pain. Pain Med. 2020 Dec 12;21(Suppl 2):S29–36.
Burgess, Diana J., et al. “Learning to Apply Mindfulness to Pain (LAMP): Design for a Pragmatic Clinical Trial of Two Mindfulness-Based Interventions for Chronic Pain.Pain Med, vol. 21, no. Suppl 2, Dec. 2020, pp. S29–36. Pubmed, doi:10.1093/pm/pnaa337.
Burgess DJ, Evans R, Allen KD, Bangerter A, Bronfort G, Cross LJ, Ferguson JE, Haley A, Hagel Campbell EM, Mahaffey MR, Matthias MS, Meis LA, Polusny MA, Serpa JG, Taylor SL, Taylor BC. Learning to Apply Mindfulness to Pain (LAMP): Design for a Pragmatic Clinical Trial of Two Mindfulness-Based Interventions for Chronic Pain. Pain Med. 2020 Dec 12;21(Suppl 2):S29–S36.
Journal cover image

Published In

Pain Med

DOI

EISSN

1526-4637

Publication Date

December 12, 2020

Volume

21

Issue

Suppl 2

Start / End Page

S29 / S36

Location

England

Related Subject Headings

  • Veterans
  • Treatment Outcome
  • Mindfulness
  • Learning
  • Humans
  • Chronic Pain
  • Anesthesiology
  • 5203 Clinical and health psychology
  • 4203 Health services and systems
  • 3202 Clinical sciences