Mindfulness Based Functional Therapy: A preliminary open trial of an integrated model of care for people with persistent low back pain.

• Main Authors: Robert eSchutze, Helen eSlater, Peter eO'Sullivan, Jennifer eThornton, Amy eFinlay-Jones, Clare Samantha Rees
• Format: Article
• Language: English
• Published: Frontiers Media S.A. 2014-08-01
• Series: Frontiers in Psychology
• Subjects: Catastrophization; Low Back Pain; Pain; mindfulness; mindfulness practice; chronic pain and treatment
• Online Access: http://journal.frontiersin.org/Journal/10.3389/fpsyg.2014.00839/full

Objectives: This pilot study investigated the feasibility and clinical utility of implementing a novel, evidence-informed, interdisciplinary group intervention – Mindfulness Based Functional Therapy (MBFT) – for the management of persistent low back pain (LBP) in primary care. MBFT aimed to improve physical and psychological functioning in patients with persistent LBP. Design: A single-group repeated measures design was utilized to gather data about feasibility, effect sizes, clinically significant changes and patient satisfaction.Setting: A community sample of 16 adults (75% female), mean (SD) age 47.00 (9.12) years (range 26-65 years), with mean (SD) LBP duration of 8.00 (9.00) years participated, using a simulated primary care setting at Curtin University in Australia.Intervention: MBFT is an 8-week group intervention co-facilitated by psychology and physiotherapy disciplines. Content includes: mindfulness meditation training, cognitive-functional physiotherapeutic movement retraining, pain education, and group support.Main outcome measures: Several validated self-report measures were used to assess functional disability, emotional functioning, mindfulness, pain catastrophizing, health-related quality of life at baseline, post-intervention, and 6 months follow-up.Results: Adherence and satisfaction was high, with 85% of participants highly satisfied with MBFT. Clinical significance analysis and effect size estimates showed improvements in a number of variables, including pain catastrophizing, physical functioning, role limitations due to physical condition, and depression, although these may have occurred due to non-intervention effects. Conclusions: MBFT is feasible to implement in primary care. Preliminary findings suggest that a randomized controlled trial is warranted to investigate its efficacy in improving physical and emotional functioning in people with disabling persistent LBP.