Massachusetts General Hospital
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?
Co-morbid chronic pain and early cognitive decline is common among older Black adults and this co-morbidity worsens physical and emotional function. Access to evidence based non-pharmacological management is limited. Mindfulness based cognitive therapy (MBCT) is an evidence-based, non-pharmacological intervention that could address the chronic pain-depression co-morbidity among older Black adults, but it requires tailoring. The proposed study will establish the feasibility, acceptability and credibility of Quiet Focus, a cultural adaptation of MBCT aimed at the chronic pain-depression co-morbi…
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 pro…
Mindfulness-based cognitive therapy adapted for older adults at-risk for chronic pain and early cognitive decline
Time- and dose-matched control for Feeling of Being.
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