OBJECTIVES The primary objective of this study is to evaluate the feasibility of recruiting and adhering to an evidence-based eight-session meditation program on Dr. Lynn Waelde's Inner Resources for stress relief for a community health clinic for adults with chronic pain and to develop initial estimates of treatment effects of measures of pain and physical functioning. Based on the literature review, we hypothesize that Inner Resources will teach chronic pain patients to identify thoughts and feelings that may exacerbate physical pain and consciously let go of these thoughts and feelings, and breathing exercises that can help them relax, reduce pain physical and improve functioning. We anticipate that the take-up rate will be approximately 70% and that patient satisfaction with the program will be high. The significance of this study lies in its potential to develop an effective adjunctive mind-body treatment for patients with chronic pain in a community healthcare setting for patients with chronic pain who would normally receive only one treatment modality for pain (such as medications alone) . BACKGROUND A need for evidence-based and community-based mind-body interventions: According to the American Pain Society (APS), pain is the most common reason people seek healthcare; It is estimated that 9 out of 10 Americans suffer from pain regularly and at some point in their lives. Chronic pain is a public health problem that is often undertreated, which has many implications for patients suffering from chronic pain. For example, patients suffering from chronic pain often experience impairments in daily activities, reduced quality of life, increased healthcare costs, and other significant physical, psychological, and financial problems (Natio...... half of paper.... .. use in older Americans. J Am Geriatr Soc, 48, 1560-1565.Kabat-Zinn, J. (1982 An outpatient behavioral medicine program for patients with chronic pain based on the practice of mindfulness meditation: theoretical and preliminary considerations). Results. General Hospital Psychiatry, 4, 33-47. National Pharmacy Council (NPC) and Joint Commission on Accreditation of Healthcare Organizations (JCAHO) (2001: Current understanding of assessment, management and treatments). January 3, 2006, from http://www.jcaho.org/news+room/health+care+issues/pain_mono_npc.pdfWaelde, LC (2006: A psychotherapeutic meditation program. The California Psychologist. Waelde, LC, Thompson, L., & Gallagher-Thompson, D. (2004. A pilot study of a yoga and meditation intervention for caregiver stress. J Clin Psychologist, 60, 677-687.
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