Evidence map›Paper›PMID 39991526›Full record

Trial reportJournal of pain research2025

Development and Initial Validation of Mindfulness-Based Pain Reduction (MBPR) in Patients With Chronic Low Back Pain.

Wolf E Mehling, Carrie E Brintz, Wendy Hartogensis, Christiane Wolf, Kirsten Rogers, Shelley R Adler, Irina A Strigo, Frederick M Hecht

Abstract readCase ReportsClinical Trial
In one paragraph

Trial report in Journal of pain research, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. The Intersection of Interoception and Anticipation Related to Pain.Current topics in behavioral neurosciences · 2025
    Review
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Wolf E MehlingDepartment of Family and Community Medicine, University of California, San Francisco, San Francisco, CA, USA.ORCID 0000-0002-0932-9844
Carrie E BrintzDepartment of Anesthesiology, Center for Musculoskeletal Research, Vanderbilt University Medical Center, Nashville, TN, USA.
Wendy HartogensisOsher Center for Integrative Health, University of California, San Francisco, San Francisco, CA, USA.
Christiane WolfInsightLA, Los Angeles, CA, USA.
Kirsten RogersOsher Center for Integrative Health, University of California, San Francisco, San Francisco, CA, USA.
Shelley R AdlerDepartment of Family and Community Medicine, University of California, San Francisco, San Francisco, CA, USA.
Irina A StrigoEmotion and Pain Laboratory and VA Advanced Imaging Research Center San Francisco Veterans Affairs Health Care Center, San Francisco, CA, USA.
Frederick M HechtOsher Center for Integrative Health, University of California, San Francisco, San Francisco, CA, USA.

Funding

Feasibility Clinical Trial of Integrated Mind-Body Therapy for Chronic Low Back PainR34AT010921 · NCCIH · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI HECHT, FREDERICK M, MEHLING, WOLF E · 2021 to 2023
$727k
Postoperative Telehealth Mindfulness Intervention to Improve Pain-related Outcomes and Reduce Opioid Use after Lumbar Spine SurgeryK23AT011569 · NCCIH · VANDERBILT UNIVERSITY MEDICAL CENTER · PI BRINTZ, CARRIE ELIZABETH · 2021 to 2025
$631k
CSRD VA IK6 CX002926NCCIH NIH HHS K23 AT011569NCCIH NIH HHS R34 AT010921
6 · The paper itself

Abstract

Purpose: Mindfulness-Based Stress Reduction (MBSR) has shown efficacy for alleviating chronic low back pain (cLBP) and is included in current treatment guidelines. However, benefits are moderate. We aimed to optimize MBSR for chronic pain by using recent research to develop Mindfulness-Based Pain Reduction (MBPR) and test it in patients with cLBP. Patients and Methods: Phase 1: We modified the MBSR curriculum with theory-driven components and convened focus groups with local and international mindfulness and clinical pain management experts to refine an 8-week MBPR program. Phase 2: We recruited participants with cLBP from Northern California using outreach in newsletters, social media, and other methods to test and iteratively modify the curriculum. MBPR was delivered in a group format by videoconference. The first three groups received MBPR; a fourth group was randomized to MBSR or MBPR to assess randomization feasibility. We assessed feasibility and acceptability by attendance, practice logs, and exit interviews. We assessed changes in patient-reported outcome measures for low back pain trials using a single arm (treatment group only) approach at 2 and 6 months with linear mixed models (primary: pain intensity and interference (PEG) scores). Results: Phase 1: The MBPR curriculum included: 1) mindful interoceptive exposure to pain, 2) pain neuroscience education, and 3) yoga postures specifically for cLBP. Phase 2: we enrolled 58 patients in 4 cohorts; 49 completed post-intervention and 41 completed 6-month follow-up assessments; 29 of the 41 received MBPR. Participants attended a mean of 80% of sessions and 23 of 24 participants accepted randomization in the 4th cohort. Mean PEG scores improved for 20 of 29 MBPR participants in a clinically meaningful way (PEG scores >30%). Conclusion: MBPR was feasible and acceptable. Two-thirds of MBPR participants experienced clinically meaningful improvements in pain intensity and interference scores. MBPR warrants further investigation through a randomized, controlled trial.

Indexed as

attentionchronic paininteroceptioninteroceptive exposuremindfulnesspain management

Identifiers

PMID39991526
PMCPMC11846508

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.