Evidence map›Paper›PMID 40162193›Full record

ArticleGlobal advances in integrative medicine and health

The Hidden Complexity of Virtual Mindfulness-Based Group Medical Visits: Comfort, Challenge, and the Influence of Social Determinants of Health.

Jessica L Barnhill, Gabriela Castro, Christine Lathren, Elondra Harr, Isabel Roth, Jose E Baez, Ruth Rodriguez, Suzanne Lawrence, Paula Gardiner, Carol M Greco and 5 more

Registry-linked trialAbstract read
In one paragraph

Article in Global advances in integrative medicine and health. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04129450 (Group-based Mindfulness for Patients With Chronic Low Back Pain in the Primary Care Setting), which is not on this map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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.

NCT04129450 nacompletednot on this map

Group-based Mindfulness for Patients With Chronic Low Back Pain in the Primary Care Setting

TypeinterventionalSponsorBoston Medical CenterRan2021 to 2024Enrolled451ConditionsChronic Pain, Back PainArmsGroup medical visits with mindfulness-based stress reduction, Usual PCP care
3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

  1. Article
  2. Article
  3. 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

15 authors.

Jessica L BarnhillUniversity of North Carolina at Chapel Hill, Chapel Hill, NC, USA.ORCID https://orcid.org/0000-0003-3360-4217
Gabriela CastroUniversity of North Carolina at Chapel Hill, Chapel Hill, NC, USA.
Christine LathrenUniversity of North Carolina at Chapel Hill, Chapel Hill, NC, USA.
Elondra HarrUniversity of North Carolina at Chapel Hill, Chapel Hill, NC, USA.
Isabel RothUniversity of North Carolina at Chapel Hill, Chapel Hill, NC, USA.
Jose E BaezBoston University Boston Medical Center, Boston, MA, USA.
Ruth RodriguezBoston University Boston Medical Center, Boston, MA, USA.
Suzanne LawrenceUniversity of Pittsburgh School of Medicine, Pittsburgh, PA, USA.
Paula GardinerDirector of Primary Care Implementation Research, Center for Mindfulness and Compassion, Cambridge Health Alliance, Cambridge, MA, USA.ORCID https://orcid.org/0000-0002-3663-000X
Carol M GrecoUniversity of Pittsburgh School of Medicine and School of Health and Rehabilitation Sciences, Pittsburgh, PA, USA.ORCID https://orcid.org/0000-0002-3078-2918
Holly N ThomasUniversity of Pittsburgh School of Medicine, Pittsburgh, PA, USA.
Susan A GaylordUniversity of North Carolina at Chapel Hill, Chapel Hill, NC, USA.
Graham DoreUniversity of Pittsburgh School of Medicine, Pittsburgh, PA, USA.ORCID https://orcid.org/0000-0001-9444-4822
Anita BengertUniversity of Pittsburgh School of Medicine, Pittsburgh, PA, USA.
Natalia E MoroneBoston University Boston Medical Center, Boston, MA, USA.ORCID https://orcid.org/0000-0002-8405-5396

Funding

NIH Health Care Systems Research Collaboratory-Coordinating Center (U24)U24AT009676 · NCCIH · DUKE UNIVERSITY · PI LESLEY H CURTIS, Adrian Hernandez · 2017 to 2026
$21.5M
HEAL Collaboratory Resource Coordinating Center (PRISM) (U24): Bioethics SupplementU24AT010961 · NCCIH · DUKE UNIVERSITY · PI CURTIS, LESLEY H, HERNANDEZ, ADRIAN · 2019 to 2021
$6.4M
Group-based mindfulness for patients with chronic low back pain in the primary care settingUG3AT010621 · NCCIH · BOSTON MEDICAL CENTER · PI MORONE, NATALIA E. · 2019 to 2019
$908k
Scaling-Up Integrative Pain Management in Federally Qualified Health CentersK01AT011578 · NCCIH · UNIV OF NORTH CAROLINA CHAPEL HILL · PI ROTH, ISABEL · 2022 to 2025
$556k
NCCIH NIH HHS K01 AT011578NCCIH NIH HHS U24 AT009676NCCIH NIH HHS U24 AT010961NCCIH NIH HHS UG3 AT010621
6 · The paper itself

Abstract

Background: Chronic low back pain is globally prevalent and associated with significant impairment in quality of life. Furthermore, people from historically marginalized communities are less likely to receive treatment, contributing to health inequities. Group mindfulness-based interventions improve pain and function, and virtual delivery has been demonstrated to be feasible. Little is known about how participants experience the virtual delivery of mindfulness-based interventions, especially participants from historically marginalized communities. Objective: This study explored participant perspectives of a virtual mindfulness-based group medical visit for people with chronic low back pain. Methods: Participants were recruited from the intervention arm of OPTIMUM, a study of virtual medical group visits using an adapted Mindfulness-Based Stress Reduction program for chronic low back pain. Semi-structured exit interviews were examined, and reflexive thematic analysis was used to compose key themes. Results: Interviews from 59 participants (mean 56 years, 69.5% women; 45.8% Black or African American) were examined. Two major themes were derived from analysis. The first theme was 'effects of the external environment,' ie, the physical location from which the participant engaged with the session. The subthemes were comfort, social demands in the home setting, and sharing personal spaces. The second theme was 'navigating the virtual platform.' Subthemes were ease, struggle, and levels of support. Conclusion: Patient experiences varied substantially during the virtual mindfulness-based group medical visit intervention and this variation was influenced by social determinants of health. The key themes bring attention to the effects of the external environment and the technology itself on participation for people from historically marginalized communities. Basic tenets of mindfulness, such as Clinicaltrialsgov ID number: NCT04129450.

Indexed as

mindfulnessmindfulness-baseed stress reductionpaintelemedicinevirtualwhole health

Identifiers

PMID40162193
PMCPMC11951895

What OpenQuestion holds

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LicenceCC BY-NC
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Registered trials

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.