Mindfulness-Based Cognitive Therapy Vs. the Health Enhancement Program for Chronic Pain and Early Cognitive Decline; The Feeling of Being Pilot RCT

Summary

The goal of this clinical trial is to pilot a randomized controlled trial comparing an adaptation of mindfulness-based cognitive therapy to the health enhancement program for chronic pain and early cognitive decline. The main questions it aims to answer in a later fully powered randomized controlled trial are: * Is an adaptation of mindfulness-based cognitive therapy for older Black adults able to improve quality of life? * Will an adapted mindfulness based cognitive therapy reduce pain interference to a greater degree than a traditional health enhancement program?

Interventions

• Feeling of Being · BEHAVIORAL

  Mindfulness-based cognitive therapy adapted for older adults at-risk for chronic pain and early cognitive decline

• Health Enhancement Program · BEHAVIORAL

  Time- and dose-matched control for Feeling of Being.

Published eligibility criteria

Verbatim from the registry. Only the site can decide how these apply to a specific patient.

Inclusion Criteria:

* Older adult (age ≥ 50)
* All individuals who identify with one or more nationalities or ethnic groups originating in any of the Black racial groups of Africa
* Pain in muscles, joints, bones, or associated soft tissues (NRS\>4) lasting longer than 3 months
* Early Cognitive Decline (subjective or MCI)
* Telephone Interview for Cognitive Status-41 score ≥ 26
* Functional Activities Questionnaire score \< 9
* English fluency/literacy
* Ability and willingness to participate via in-person and video
* Willing to provide informed consent and comply with all aspects of the protocol

Exclusion Criteria:

* Current substance abuse/dependence
* Significant cognitive impairment
* History of more than 8 sessions of cognitive-behavioral therapy
* History of previous training in mindfulness or undergoing counseling more than once a month
* History of or current diagnosis of psychosis
* Active suicidal ideation or self-harm within the past 90 days

Sites (1)

• Massachusetts General Hospital, Boston, Massachusetts