Trial Outcomes & Findings for Managing Pain and Cognitions in Older Adults With Mild Cognitive Impairment or Memory Related Problems and Chronic Pain (NCT NCT04044183)

NCT ID: NCT04044183

Last Updated: 2023-07-20

Results Overview

Items are summed to generate a total score; scores range from 3 to 12, with higher values indicating higher satisfaction

Recruitment status

COMPLETED

Study phase

NA

Target enrollment

21 participants

Primary outcome timeframe

8 Weeks

Results posted on

2023-07-20

Participant Flow

Participant milestones

Participant milestones
Measure
Active Brains
Active Brains 1: Active Brains uses a multimodal approach to introduce and reinforce new skills, including didactics, in-session activities, discussions, and weekly practice assignments (homework). The Active Brains sessions reflect a purposeful integration of the three treatment approaches (relaxation methods, stress appraisal \& coping, and growth enhancement). The format is an 8-week program with weekly meetings and a focus on relaxation response strategies, cognitive behavioral training, positive psychology and mind-body interactions. Active Brains 1 uses a digital monitoring device (i.e., Fitbit) for recording of physical activity.
Active Brains 2
Active Brains 2: This active comparison condition controls for the effect of time spent, group member support/feedback, and interventionist support/feedback. The original HEP was adapted to provide population-specific information on chronic pain and MCI/MRP symptoms. Participants also receive lifestyle education consistent from public health recommendations and standards for health promotion (e.g., "Sleep", "Nutrition", "Healthy Weight", and "Medical appointments"). The HEP program consists on 8 group sessions (each session is 90 minutes) that occur concurrently with the active intervention condition. The HEP is conducted in the same format as Active Brains-Fitbit but are not taught the mind-body, walking, or cognitive-behavioral skills. HEP participants are encouraged to set lifestyle goals instead of quota-based walking goals aided by the Fitbit as in the Active Brains-Fitbit condition.
Overall Study
STARTED
10
11
Overall Study
COMPLETED
8
11
Overall Study
NOT COMPLETED
2
0

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Managing Pain and Cognitions in Older Adults With Mild Cognitive Impairment or Memory Related Problems and Chronic Pain

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Active Brains
n=9 Participants
Active Brains 1: Active Brains uses a multimodal approach to introduce and reinforce new skills, including didactics, in-session activities, discussions, and weekly practice assignments (homework). The Active Brains sessions reflect a purposeful integration of the three treatment approaches (relaxation methods, stress appraisal \& coping, and growth enhancement). The format is an 8-week program with weekly meetings and a focus on relaxation response strategies, cognitive behavioral training, positive psychology and mind-body interactions. Active Brains 1 uses a digital monitoring device (i.e., Fitbit) for recording of physical activity.
Active Brains 2
n=11 Participants
Active Brains 2: This active comparison condition controls for the effect of time spent, group member support/feedback, and interventionist support/feedback. The original HEP was adapted to provide population-specific information on chronic pain and MCI/MRP symptoms. Participants also receive lifestyle education consistent from public health recommendations and standards for health promotion (e.g., "Sleep", "Nutrition", "Healthy Weight", and "Medical appointments"). The HEP program consists on 8 group sessions (each session is 90 minutes) that occur concurrently with the active intervention condition. The HEP is conducted in the same format as Active Brains-Fitbit but are not taught the mind-body, walking, or cognitive-behavioral skills. HEP participants are encouraged to set lifestyle goals instead of quota-based walking goals aided by the Fitbit as in the Active Brains-Fitbit condition.
Total
n=20 Participants
Total of all reporting groups
Age, Continuous
68.9 years
STANDARD_DEVIATION 5.9 • n=93 Participants
70.8 years
STANDARD_DEVIATION 8.4 • n=4 Participants
69.9 years
STANDARD_DEVIATION 7.3 • n=27 Participants
Sex: Female, Male
Female
6 Participants
n=93 Participants
7 Participants
n=4 Participants
13 Participants
n=27 Participants
Sex: Female, Male
Male
3 Participants
n=93 Participants
4 Participants
n=4 Participants
7 Participants
n=27 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
0 Participants
n=93 Participants
0 Participants
n=4 Participants
0 Participants
n=27 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
9 Participants
n=93 Participants
11 Participants
n=4 Participants
20 Participants
n=27 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants
n=93 Participants
0 Participants
n=4 Participants
0 Participants
n=27 Participants
Race (NIH/OMB)
American Indian or Alaska Native
1 Participants
n=93 Participants
0 Participants
n=4 Participants
1 Participants
n=27 Participants
Race (NIH/OMB)
Asian
0 Participants
n=93 Participants
0 Participants
n=4 Participants
0 Participants
n=27 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=93 Participants
0 Participants
n=4 Participants
0 Participants
n=27 Participants
Race (NIH/OMB)
Black or African American
0 Participants
n=93 Participants
0 Participants
n=4 Participants
0 Participants
n=27 Participants
Race (NIH/OMB)
White
7 Participants
n=93 Participants
10 Participants
n=4 Participants
17 Participants
n=27 Participants
Race (NIH/OMB)
More than one race
1 Participants
n=93 Participants
1 Participants
n=4 Participants
2 Participants
n=27 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants
n=93 Participants
0 Participants
n=4 Participants
0 Participants
n=27 Participants
Region of Enrollment
United States
9 Participants
n=93 Participants
11 Participants
n=4 Participants
20 Participants
n=27 Participants
Marital Status
Single, never married
0 Participants
n=93 Participants
1 Participants
n=4 Participants
1 Participants
n=27 Participants
Marital Status
Living with significant other
3 Participants
n=93 Participants
6 Participants
n=4 Participants
9 Participants
n=27 Participants
Marital Status
Married
1 Participants
n=93 Participants
0 Participants
n=4 Participants
1 Participants
n=27 Participants
Marital Status
Separated/Divorced
2 Participants
n=93 Participants
3 Participants
n=4 Participants
5 Participants
n=27 Participants
Marital Status
Widowed
3 Participants
n=93 Participants
1 Participants
n=4 Participants
4 Participants
n=27 Participants
Education
Completed high school or GED (12 years)
0 Participants
n=93 Participants
1 Participants
n=4 Participants
1 Participants
n=27 Participants
Education
Some college/Associates degree (<16 years)
3 Participants
n=93 Participants
3 Participants
n=4 Participants
6 Participants
n=27 Participants
Education
Completed college (16 years)
3 Participants
n=93 Participants
2 Participants
n=4 Participants
5 Participants
n=27 Participants
Education
Graduate/professional degree (>16 years)
3 Participants
n=93 Participants
5 Participants
n=4 Participants
8 Participants
n=27 Participants
Employment
Employed full-time
0 Participants
n=93 Participants
1 Participants
n=4 Participants
1 Participants
n=27 Participants
Employment
Employed part-time
1 Participants
n=93 Participants
1 Participants
n=4 Participants
2 Participants
n=27 Participants
Employment
Retired
4 Participants
n=93 Participants
6 Participants
n=4 Participants
10 Participants
n=27 Participants
Employment
Unemployed
1 Participants
n=93 Participants
1 Participants
n=4 Participants
2 Participants
n=27 Participants
Employment
Other situation
3 Participants
n=93 Participants
2 Participants
n=4 Participants
5 Participants
n=27 Participants
Pain medications
Opioids
2 Participants
n=93 Participants
4 Participants
n=4 Participants
6 Participants
n=27 Participants
Pain medications
Other analgesics
5 Participants
n=93 Participants
4 Participants
n=4 Participants
9 Participants
n=27 Participants
Pain medications
None
2 Participants
n=93 Participants
3 Participants
n=4 Participants
5 Participants
n=27 Participants
Reported pain location
Upper
3 Participants
n=93 Participants
4 Participants
n=4 Participants
7 Participants
n=27 Participants
Reported pain location
Lower
2 Participants
n=93 Participants
0 Participants
n=4 Participants
2 Participants
n=27 Participants
Reported pain location
Multi-site
4 Participants
n=93 Participants
7 Participants
n=4 Participants
11 Participants
n=27 Participants
Pain duration
Less than or equal to 5 years
4 Participants
n=93 Participants
2 Participants
n=4 Participants
6 Participants
n=27 Participants
Pain duration
6-10 years
2 Participants
n=93 Participants
3 Participants
n=4 Participants
5 Participants
n=27 Participants
Pain duration
Greater than or equal to 11 years
3 Participants
n=93 Participants
6 Participants
n=4 Participants
9 Participants
n=27 Participants
Cognitive status
Normal
4 Participants
n=93 Participants
8 Participants
n=4 Participants
12 Participants
n=27 Participants
Cognitive status
Cognitive Impairment
5 Participants
n=93 Participants
3 Participants
n=4 Participants
8 Participants
n=27 Participants

PRIMARY outcome

Timeframe: 8 Weeks

Items are summed to generate a total score; scores range from 3 to 12, with higher values indicating higher satisfaction

Outcome measures

Outcome measures
Measure
Active Brains
n=9 Participants
Active Brains 1: Active Brains uses a multimodal approach to introduce and reinforce new skills, including didactics, in-session activities, discussions, and weekly practice assignments (homework). The Active Brains sessions reflect a purposeful integration of the three treatment approaches (relaxation methods, stress appraisal \& coping, and growth enhancement). The format is an 8-week program with weekly meetings and a focus on relaxation response strategies, cognitive behavioral training, positive psychology and mind-body interactions. Active Brains 1 uses a digital monitoring device (i.e., Fitbit) for recording of physical activity.
Active Brains 2
n=11 Participants
Active Brains 2: This active comparison condition controls for the effect of time spent, group member support/feedback, and interventionist support/feedback. The original HEP was adapted to provide population-specific information on chronic pain and MCI/MRP symptoms. Participants also receive lifestyle education consistent from public health recommendations and standards for health promotion (e.g., "Sleep", "Nutrition", "Healthy Weight", and "Medical appointments"). The HEP program consists on 8 group sessions (each session is 90 minutes) that occur concurrently with the active intervention condition. The HEP is conducted in the same format as Active Brains-Fitbit but are not taught the mind-body, walking, or cognitive-behavioral skills. HEP participants are encouraged to set lifestyle goals instead of quota-based walking goals aided by the Fitbit as in the Active Brains-Fitbit condition.
Client Satisfaction Questionnaire 3-Item (CSQ-3): Number of Participants With Scores Above and Below Scale Midpoint
Scored above the scale midpoint
8 Participants
9 Participants
Client Satisfaction Questionnaire 3-Item (CSQ-3): Number of Participants With Scores Above and Below Scale Midpoint
Scored below the scale midpoint
0 Participants
1 Participants
Client Satisfaction Questionnaire 3-Item (CSQ-3): Number of Participants With Scores Above and Below Scale Midpoint
Did not complete the scale
1 Participants
1 Participants

SECONDARY outcome

Timeframe: 0 Weeks, 8 Weeks

The proportion of patients with valid ActiGraph (digital monitoring device) wear for greater than or equal to 6 days (7+ hr/day) at baseline and 5 days at post test

Outcome measures

Outcome measures
Measure
Active Brains
n=9 Participants
Active Brains 1: Active Brains uses a multimodal approach to introduce and reinforce new skills, including didactics, in-session activities, discussions, and weekly practice assignments (homework). The Active Brains sessions reflect a purposeful integration of the three treatment approaches (relaxation methods, stress appraisal \& coping, and growth enhancement). The format is an 8-week program with weekly meetings and a focus on relaxation response strategies, cognitive behavioral training, positive psychology and mind-body interactions. Active Brains 1 uses a digital monitoring device (i.e., Fitbit) for recording of physical activity.
Active Brains 2
n=11 Participants
Active Brains 2: This active comparison condition controls for the effect of time spent, group member support/feedback, and interventionist support/feedback. The original HEP was adapted to provide population-specific information on chronic pain and MCI/MRP symptoms. Participants also receive lifestyle education consistent from public health recommendations and standards for health promotion (e.g., "Sleep", "Nutrition", "Healthy Weight", and "Medical appointments"). The HEP program consists on 8 group sessions (each session is 90 minutes) that occur concurrently with the active intervention condition. The HEP is conducted in the same format as Active Brains-Fitbit but are not taught the mind-body, walking, or cognitive-behavioral skills. HEP participants are encouraged to set lifestyle goals instead of quota-based walking goals aided by the Fitbit as in the Active Brains-Fitbit condition.
Proportion of Participants With Valid Digital Monitoring Device Wear
Wore the FitBit for at least 5 out of 7 days for 6 out of the 8 weeks of the program
8 Participants
0 Participants
Proportion of Participants With Valid Digital Monitoring Device Wear
Did not wear the FitBit for at least 5 out of 7 days for 6 out of the 8 weeks of the program
1 Participants
11 Participants

SECONDARY outcome

Timeframe: 0 Weeks, 8 Weeks

Proportion of participants completing at least 5 out of 7 days of homework assigned throughout the study

Outcome measures

Outcome measures
Measure
Active Brains
n=9 Participants
Active Brains 1: Active Brains uses a multimodal approach to introduce and reinforce new skills, including didactics, in-session activities, discussions, and weekly practice assignments (homework). The Active Brains sessions reflect a purposeful integration of the three treatment approaches (relaxation methods, stress appraisal \& coping, and growth enhancement). The format is an 8-week program with weekly meetings and a focus on relaxation response strategies, cognitive behavioral training, positive psychology and mind-body interactions. Active Brains 1 uses a digital monitoring device (i.e., Fitbit) for recording of physical activity.
Active Brains 2
n=11 Participants
Active Brains 2: This active comparison condition controls for the effect of time spent, group member support/feedback, and interventionist support/feedback. The original HEP was adapted to provide population-specific information on chronic pain and MCI/MRP symptoms. Participants also receive lifestyle education consistent from public health recommendations and standards for health promotion (e.g., "Sleep", "Nutrition", "Healthy Weight", and "Medical appointments"). The HEP program consists on 8 group sessions (each session is 90 minutes) that occur concurrently with the active intervention condition. The HEP is conducted in the same format as Active Brains-Fitbit but are not taught the mind-body, walking, or cognitive-behavioral skills. HEP participants are encouraged to set lifestyle goals instead of quota-based walking goals aided by the Fitbit as in the Active Brains-Fitbit condition.
Proportion of Participants With Valid Adherence to Homework
Completed ≥ 5 of seven homework logs
8 Participants
0 Participants
Proportion of Participants With Valid Adherence to Homework
Did not complete ≥ 5 of seven homework logs
1 Participants
11 Participants

SECONDARY outcome

Timeframe: 0 Weeks, 8 Weeks

Percentage of audio recordings, progress notes, and checklists that were completed with 100% of content delivered for each session

Outcome measures

Outcome measures
Measure
Active Brains
n=8 Sessions
Active Brains 1: Active Brains uses a multimodal approach to introduce and reinforce new skills, including didactics, in-session activities, discussions, and weekly practice assignments (homework). The Active Brains sessions reflect a purposeful integration of the three treatment approaches (relaxation methods, stress appraisal \& coping, and growth enhancement). The format is an 8-week program with weekly meetings and a focus on relaxation response strategies, cognitive behavioral training, positive psychology and mind-body interactions. Active Brains 1 uses a digital monitoring device (i.e., Fitbit) for recording of physical activity.
Active Brains 2
n=8 Sessions
Active Brains 2: This active comparison condition controls for the effect of time spent, group member support/feedback, and interventionist support/feedback. The original HEP was adapted to provide population-specific information on chronic pain and MCI/MRP symptoms. Participants also receive lifestyle education consistent from public health recommendations and standards for health promotion (e.g., "Sleep", "Nutrition", "Healthy Weight", and "Medical appointments"). The HEP program consists on 8 group sessions (each session is 90 minutes) that occur concurrently with the active intervention condition. The HEP is conducted in the same format as Active Brains-Fitbit but are not taught the mind-body, walking, or cognitive-behavioral skills. HEP participants are encouraged to set lifestyle goals instead of quota-based walking goals aided by the Fitbit as in the Active Brains-Fitbit condition.
Rate of Interventionist's Delivering the Programs by Following the Established Session Topics and Skills
97.3 percentage of therapist adherence
91.4 percentage of therapist adherence

SECONDARY outcome

Timeframe: 0 Weeks, 8 Weeks

Percentage of questionnaires that were entirely missing in \>25% of participants and/or had an internal reliability below .70

Outcome measures

Outcome measures
Measure
Active Brains
n=19 Questionnaires
Active Brains 1: Active Brains uses a multimodal approach to introduce and reinforce new skills, including didactics, in-session activities, discussions, and weekly practice assignments (homework). The Active Brains sessions reflect a purposeful integration of the three treatment approaches (relaxation methods, stress appraisal \& coping, and growth enhancement). The format is an 8-week program with weekly meetings and a focus on relaxation response strategies, cognitive behavioral training, positive psychology and mind-body interactions. Active Brains 1 uses a digital monitoring device (i.e., Fitbit) for recording of physical activity.
Active Brains 2
n=19 Questionnaires
Active Brains 2: This active comparison condition controls for the effect of time spent, group member support/feedback, and interventionist support/feedback. The original HEP was adapted to provide population-specific information on chronic pain and MCI/MRP symptoms. Participants also receive lifestyle education consistent from public health recommendations and standards for health promotion (e.g., "Sleep", "Nutrition", "Healthy Weight", and "Medical appointments"). The HEP program consists on 8 group sessions (each session is 90 minutes) that occur concurrently with the active intervention condition. The HEP is conducted in the same format as Active Brains-Fitbit but are not taught the mind-body, walking, or cognitive-behavioral skills. HEP participants are encouraged to set lifestyle goals instead of quota-based walking goals aided by the Fitbit as in the Active Brains-Fitbit condition.
Percentage of Missing or Low Reliability Measures (Feasibility of Quantitative Measures)
85 Percentage of questionnaires were entire
99 Percentage of questionnaires were entire

SECONDARY outcome

Timeframe: 0 Weeks

Single-item question on demographics form indicating whether participant used rescue (non-narcotic) analgesics at baseline

Outcome measures

Outcome measures
Measure
Active Brains
n=9 Participants
Active Brains 1: Active Brains uses a multimodal approach to introduce and reinforce new skills, including didactics, in-session activities, discussions, and weekly practice assignments (homework). The Active Brains sessions reflect a purposeful integration of the three treatment approaches (relaxation methods, stress appraisal \& coping, and growth enhancement). The format is an 8-week program with weekly meetings and a focus on relaxation response strategies, cognitive behavioral training, positive psychology and mind-body interactions. Active Brains 1 uses a digital monitoring device (i.e., Fitbit) for recording of physical activity.
Active Brains 2
n=11 Participants
Active Brains 2: This active comparison condition controls for the effect of time spent, group member support/feedback, and interventionist support/feedback. The original HEP was adapted to provide population-specific information on chronic pain and MCI/MRP symptoms. Participants also receive lifestyle education consistent from public health recommendations and standards for health promotion (e.g., "Sleep", "Nutrition", "Healthy Weight", and "Medical appointments"). The HEP program consists on 8 group sessions (each session is 90 minutes) that occur concurrently with the active intervention condition. The HEP is conducted in the same format as Active Brains-Fitbit but are not taught the mind-body, walking, or cognitive-behavioral skills. HEP participants are encouraged to set lifestyle goals instead of quota-based walking goals aided by the Fitbit as in the Active Brains-Fitbit condition.
Proportion of Participants Using Rescue (Non-Narcotic) Analgesics
4 Participants
5 Participants

SECONDARY outcome

Timeframe: 0 Weeks

Single-item question on demographics form indicating whether participant used narcotic analgesics at baseline

Outcome measures

Outcome measures
Measure
Active Brains
n=9 Participants
Active Brains 1: Active Brains uses a multimodal approach to introduce and reinforce new skills, including didactics, in-session activities, discussions, and weekly practice assignments (homework). The Active Brains sessions reflect a purposeful integration of the three treatment approaches (relaxation methods, stress appraisal \& coping, and growth enhancement). The format is an 8-week program with weekly meetings and a focus on relaxation response strategies, cognitive behavioral training, positive psychology and mind-body interactions. Active Brains 1 uses a digital monitoring device (i.e., Fitbit) for recording of physical activity.
Active Brains 2
n=11 Participants
Active Brains 2: This active comparison condition controls for the effect of time spent, group member support/feedback, and interventionist support/feedback. The original HEP was adapted to provide population-specific information on chronic pain and MCI/MRP symptoms. Participants also receive lifestyle education consistent from public health recommendations and standards for health promotion (e.g., "Sleep", "Nutrition", "Healthy Weight", and "Medical appointments"). The HEP program consists on 8 group sessions (each session is 90 minutes) that occur concurrently with the active intervention condition. The HEP is conducted in the same format as Active Brains-Fitbit but are not taught the mind-body, walking, or cognitive-behavioral skills. HEP participants are encouraged to set lifestyle goals instead of quota-based walking goals aided by the Fitbit as in the Active Brains-Fitbit condition.
Proportion of Participants Using Narcotic Analgesics
2 Participants
4 Participants

SECONDARY outcome

Timeframe: 0 Weeks

Number of participants rating expectations and believed credibility for the program above and below the scale midpoint, with higher ratings indicating more belief that the program is logical and will help with the intended outcome

Outcome measures

Outcome measures
Measure
Active Brains
n=9 Participants
Active Brains 1: Active Brains uses a multimodal approach to introduce and reinforce new skills, including didactics, in-session activities, discussions, and weekly practice assignments (homework). The Active Brains sessions reflect a purposeful integration of the three treatment approaches (relaxation methods, stress appraisal \& coping, and growth enhancement). The format is an 8-week program with weekly meetings and a focus on relaxation response strategies, cognitive behavioral training, positive psychology and mind-body interactions. Active Brains 1 uses a digital monitoring device (i.e., Fitbit) for recording of physical activity.
Active Brains 2
n=11 Participants
Active Brains 2: This active comparison condition controls for the effect of time spent, group member support/feedback, and interventionist support/feedback. The original HEP was adapted to provide population-specific information on chronic pain and MCI/MRP symptoms. Participants also receive lifestyle education consistent from public health recommendations and standards for health promotion (e.g., "Sleep", "Nutrition", "Healthy Weight", and "Medical appointments"). The HEP program consists on 8 group sessions (each session is 90 minutes) that occur concurrently with the active intervention condition. The HEP is conducted in the same format as Active Brains-Fitbit but are not taught the mind-body, walking, or cognitive-behavioral skills. HEP participants are encouraged to set lifestyle goals instead of quota-based walking goals aided by the Fitbit as in the Active Brains-Fitbit condition.
Credibility and Expectancy Questionnaire (CEQ): Number of Participants With Scores Above and Below Scale Midpoint
Credibility · Scored above the scale midpoint
9 Participants
11 Participants
Credibility and Expectancy Questionnaire (CEQ): Number of Participants With Scores Above and Below Scale Midpoint
Credibility · Scored below the scale midpoint
0 Participants
0 Participants
Credibility and Expectancy Questionnaire (CEQ): Number of Participants With Scores Above and Below Scale Midpoint
Expectancy · Scored above the scale midpoint
5 Participants
4 Participants
Credibility and Expectancy Questionnaire (CEQ): Number of Participants With Scores Above and Below Scale Midpoint
Expectancy · Scored below the scale midpoint
4 Participants
7 Participants

SECONDARY outcome

Timeframe: 0 Weeks, 8 Weeks

Population: Participant dropout as cited in consort.

Assesses several cognitive domains and detection of mild cognitive impairment (MCI), with scores ranging from 0-30 and lower scores indicating greater cognitive decline

Outcome measures

Outcome measures
Measure
Active Brains
n=9 Participants
Active Brains 1: Active Brains uses a multimodal approach to introduce and reinforce new skills, including didactics, in-session activities, discussions, and weekly practice assignments (homework). The Active Brains sessions reflect a purposeful integration of the three treatment approaches (relaxation methods, stress appraisal \& coping, and growth enhancement). The format is an 8-week program with weekly meetings and a focus on relaxation response strategies, cognitive behavioral training, positive psychology and mind-body interactions. Active Brains 1 uses a digital monitoring device (i.e., Fitbit) for recording of physical activity.
Active Brains 2
n=11 Participants
Active Brains 2: This active comparison condition controls for the effect of time spent, group member support/feedback, and interventionist support/feedback. The original HEP was adapted to provide population-specific information on chronic pain and MCI/MRP symptoms. Participants also receive lifestyle education consistent from public health recommendations and standards for health promotion (e.g., "Sleep", "Nutrition", "Healthy Weight", and "Medical appointments"). The HEP program consists on 8 group sessions (each session is 90 minutes) that occur concurrently with the active intervention condition. The HEP is conducted in the same format as Active Brains-Fitbit but are not taught the mind-body, walking, or cognitive-behavioral skills. HEP participants are encouraged to set lifestyle goals instead of quota-based walking goals aided by the Fitbit as in the Active Brains-Fitbit condition.
Montreal Cognitive Assessment (MoCA)
Baseline
24.8 score on a scale
Standard Deviation 2.4
26.3 score on a scale
Standard Deviation 3.5
Montreal Cognitive Assessment (MoCA)
Post-Test
26.2 score on a scale
Standard Deviation 1.7
26.6 score on a scale
Standard Deviation 3.7

SECONDARY outcome

Timeframe: 0 Weeks, 8 Weeks

Population: Participant dropout as cited in consort.

Rate of participant's leisure time and physical activity levels by indicating how many days per week are spent doing the activity for more than 15 minutes. Scores range from 0-119, with higher scores indicating greater levels of activity.

Outcome measures

Outcome measures
Measure
Active Brains
n=9 Participants
Active Brains 1: Active Brains uses a multimodal approach to introduce and reinforce new skills, including didactics, in-session activities, discussions, and weekly practice assignments (homework). The Active Brains sessions reflect a purposeful integration of the three treatment approaches (relaxation methods, stress appraisal \& coping, and growth enhancement). The format is an 8-week program with weekly meetings and a focus on relaxation response strategies, cognitive behavioral training, positive psychology and mind-body interactions. Active Brains 1 uses a digital monitoring device (i.e., Fitbit) for recording of physical activity.
Active Brains 2
n=11 Participants
Active Brains 2: This active comparison condition controls for the effect of time spent, group member support/feedback, and interventionist support/feedback. The original HEP was adapted to provide population-specific information on chronic pain and MCI/MRP symptoms. Participants also receive lifestyle education consistent from public health recommendations and standards for health promotion (e.g., "Sleep", "Nutrition", "Healthy Weight", and "Medical appointments"). The HEP program consists on 8 group sessions (each session is 90 minutes) that occur concurrently with the active intervention condition. The HEP is conducted in the same format as Active Brains-Fitbit but are not taught the mind-body, walking, or cognitive-behavioral skills. HEP participants are encouraged to set lifestyle goals instead of quota-based walking goals aided by the Fitbit as in the Active Brains-Fitbit condition.
Godin Leisure-Time Exercise Questionnaire
Baseline
36 score on a scale
Standard Deviation 34.9
20 score on a scale
Standard Deviation 20.9
Godin Leisure-Time Exercise Questionnaire
Post-Test
74 score on a scale
Standard Deviation 57.5
30.8 score on a scale
Standard Deviation 35.8

SECONDARY outcome

Timeframe: 0 Weeks, 8 Weeks

Population: Participant dropout as cited in consort.

Rate of a participant's self-reported perceived stress self-management skills, with items ranging from 0-4 and a total score ranging from 0-52, and higher scores reflecting more usage of stress self-management skills

Outcome measures

Outcome measures
Measure
Active Brains
n=9 Participants
Active Brains 1: Active Brains uses a multimodal approach to introduce and reinforce new skills, including didactics, in-session activities, discussions, and weekly practice assignments (homework). The Active Brains sessions reflect a purposeful integration of the three treatment approaches (relaxation methods, stress appraisal \& coping, and growth enhancement). The format is an 8-week program with weekly meetings and a focus on relaxation response strategies, cognitive behavioral training, positive psychology and mind-body interactions. Active Brains 1 uses a digital monitoring device (i.e., Fitbit) for recording of physical activity.
Active Brains 2
n=11 Participants
Active Brains 2: This active comparison condition controls for the effect of time spent, group member support/feedback, and interventionist support/feedback. The original HEP was adapted to provide population-specific information on chronic pain and MCI/MRP symptoms. Participants also receive lifestyle education consistent from public health recommendations and standards for health promotion (e.g., "Sleep", "Nutrition", "Healthy Weight", and "Medical appointments"). The HEP program consists on 8 group sessions (each session is 90 minutes) that occur concurrently with the active intervention condition. The HEP is conducted in the same format as Active Brains-Fitbit but are not taught the mind-body, walking, or cognitive-behavioral skills. HEP participants are encouraged to set lifestyle goals instead of quota-based walking goals aided by the Fitbit as in the Active Brains-Fitbit condition.
Measure of Current Status (MOCS-A)
Baseline
30.4 score on a scale
Standard Deviation 12.4
25.6 score on a scale
Standard Deviation 10.1
Measure of Current Status (MOCS-A)
Post-Test
36.1 score on a scale
Standard Deviation 14.2
28.3 score on a scale
Standard Deviation 8.7

SECONDARY outcome

Timeframe: 0 Weeks, 8 Weeks

Rate of participant's cognitively mediated functional abilities, with items ranging from 1-5. Total scores are an average of the items (range = 1-5), with higher scores indicating greater cognitive decline.

Outcome measures

Outcome measures
Measure
Active Brains
n=8 Participants
Active Brains 1: Active Brains uses a multimodal approach to introduce and reinforce new skills, including didactics, in-session activities, discussions, and weekly practice assignments (homework). The Active Brains sessions reflect a purposeful integration of the three treatment approaches (relaxation methods, stress appraisal \& coping, and growth enhancement). The format is an 8-week program with weekly meetings and a focus on relaxation response strategies, cognitive behavioral training, positive psychology and mind-body interactions. Active Brains 1 uses a digital monitoring device (i.e., Fitbit) for recording of physical activity.
Active Brains 2
n=11 Participants
Active Brains 2: This active comparison condition controls for the effect of time spent, group member support/feedback, and interventionist support/feedback. The original HEP was adapted to provide population-specific information on chronic pain and MCI/MRP symptoms. Participants also receive lifestyle education consistent from public health recommendations and standards for health promotion (e.g., "Sleep", "Nutrition", "Healthy Weight", and "Medical appointments"). The HEP program consists on 8 group sessions (each session is 90 minutes) that occur concurrently with the active intervention condition. The HEP is conducted in the same format as Active Brains-Fitbit but are not taught the mind-body, walking, or cognitive-behavioral skills. HEP participants are encouraged to set lifestyle goals instead of quota-based walking goals aided by the Fitbit as in the Active Brains-Fitbit condition.
The Measurement of Everyday Cognition (eCog)
Baseline
2.3 mean of items
Standard Deviation 1
1.9 mean of items
Standard Deviation 0.6
The Measurement of Everyday Cognition (eCog)
Post-Test
2 mean of items
Standard Deviation 0.9
1.8 mean of items
Standard Deviation 0.5

SECONDARY outcome

Timeframe: 0 Weeks, 8 Weeks

Population: Participant dropout as cited in consort.

Rate of a participant's pain at rest and with activity using a Likert scale with 0 being no pain and 10 being the worst possible pain

Outcome measures

Outcome measures
Measure
Active Brains
n=9 Participants
Active Brains 1: Active Brains uses a multimodal approach to introduce and reinforce new skills, including didactics, in-session activities, discussions, and weekly practice assignments (homework). The Active Brains sessions reflect a purposeful integration of the three treatment approaches (relaxation methods, stress appraisal \& coping, and growth enhancement). The format is an 8-week program with weekly meetings and a focus on relaxation response strategies, cognitive behavioral training, positive psychology and mind-body interactions. Active Brains 1 uses a digital monitoring device (i.e., Fitbit) for recording of physical activity.
Active Brains 2
n=11 Participants
Active Brains 2: This active comparison condition controls for the effect of time spent, group member support/feedback, and interventionist support/feedback. The original HEP was adapted to provide population-specific information on chronic pain and MCI/MRP symptoms. Participants also receive lifestyle education consistent from public health recommendations and standards for health promotion (e.g., "Sleep", "Nutrition", "Healthy Weight", and "Medical appointments"). The HEP program consists on 8 group sessions (each session is 90 minutes) that occur concurrently with the active intervention condition. The HEP is conducted in the same format as Active Brains-Fitbit but are not taught the mind-body, walking, or cognitive-behavioral skills. HEP participants are encouraged to set lifestyle goals instead of quota-based walking goals aided by the Fitbit as in the Active Brains-Fitbit condition.
Numerical Rating Scale
Pain at rest (Baseline)
5.9 score on a scale
Standard Deviation 2.5
4.4 score on a scale
Standard Deviation 2.6
Numerical Rating Scale
Pain at rest (Post-Test)
3.9 score on a scale
Standard Deviation 2.1
4.3 score on a scale
Standard Deviation 1.8
Numerical Rating Scale
Pain with activity (Baseline)
6.2 score on a scale
Standard Deviation 1.8
5.7 score on a scale
Standard Deviation 2.6
Numerical Rating Scale
Pain with activity (Post-Test)
4.2 score on a scale
Standard Deviation 2.5
5.7 score on a scale
Standard Deviation 2.2

SECONDARY outcome

Timeframe: 0 Weeks, 8 Weeks

Rate of a participant's broad conceptualization of mindfulness, items range from 1-4 and scores range from 12-48, with higher values reflecting higher levels of mindfulness

Outcome measures

Outcome measures
Measure
Active Brains
n=8 Participants
Active Brains 1: Active Brains uses a multimodal approach to introduce and reinforce new skills, including didactics, in-session activities, discussions, and weekly practice assignments (homework). The Active Brains sessions reflect a purposeful integration of the three treatment approaches (relaxation methods, stress appraisal \& coping, and growth enhancement). The format is an 8-week program with weekly meetings and a focus on relaxation response strategies, cognitive behavioral training, positive psychology and mind-body interactions. Active Brains 1 uses a digital monitoring device (i.e., Fitbit) for recording of physical activity.
Active Brains 2
n=11 Participants
Active Brains 2: This active comparison condition controls for the effect of time spent, group member support/feedback, and interventionist support/feedback. The original HEP was adapted to provide population-specific information on chronic pain and MCI/MRP symptoms. Participants also receive lifestyle education consistent from public health recommendations and standards for health promotion (e.g., "Sleep", "Nutrition", "Healthy Weight", and "Medical appointments"). The HEP program consists on 8 group sessions (each session is 90 minutes) that occur concurrently with the active intervention condition. The HEP is conducted in the same format as Active Brains-Fitbit but are not taught the mind-body, walking, or cognitive-behavioral skills. HEP participants are encouraged to set lifestyle goals instead of quota-based walking goals aided by the Fitbit as in the Active Brains-Fitbit condition.
The Cognitive and Affective Mindfulness Scale - Revised (CAMS-R)
Baseline
31.9 score on a scale
Standard Deviation 7.3
33.8 score on a scale
Standard Deviation 8
The Cognitive and Affective Mindfulness Scale - Revised (CAMS-R)
Post-Test
33.9 score on a scale
Standard Deviation 6.1
35.3 score on a scale
Standard Deviation 6

SECONDARY outcome

Timeframe: 0 Weeks, 8 Weeks

Population: Participant dropout as cited in consort.

Rate of a participant's health and disability, with items ranging from 0-4, total scores ranging from 0-100, and higher scores reflecting greater disability

Outcome measures

Outcome measures
Measure
Active Brains
n=10 Participants
Active Brains 1: Active Brains uses a multimodal approach to introduce and reinforce new skills, including didactics, in-session activities, discussions, and weekly practice assignments (homework). The Active Brains sessions reflect a purposeful integration of the three treatment approaches (relaxation methods, stress appraisal \& coping, and growth enhancement). The format is an 8-week program with weekly meetings and a focus on relaxation response strategies, cognitive behavioral training, positive psychology and mind-body interactions. Active Brains 1 uses a digital monitoring device (i.e., Fitbit) for recording of physical activity.
Active Brains 2
n=11 Participants
Active Brains 2: This active comparison condition controls for the effect of time spent, group member support/feedback, and interventionist support/feedback. The original HEP was adapted to provide population-specific information on chronic pain and MCI/MRP symptoms. Participants also receive lifestyle education consistent from public health recommendations and standards for health promotion (e.g., "Sleep", "Nutrition", "Healthy Weight", and "Medical appointments"). The HEP program consists on 8 group sessions (each session is 90 minutes) that occur concurrently with the active intervention condition. The HEP is conducted in the same format as Active Brains-Fitbit but are not taught the mind-body, walking, or cognitive-behavioral skills. HEP participants are encouraged to set lifestyle goals instead of quota-based walking goals aided by the Fitbit as in the Active Brains-Fitbit condition.
WHO Disability Assessment Schedule 2.0
Baseline
17.1 score on a scale
Standard Deviation 14.3
23.9 score on a scale
Standard Deviation 17.2
WHO Disability Assessment Schedule 2.0
Post-Test
16 score on a scale
Standard Deviation 14.7
22.2 score on a scale
Standard Deviation 15

SECONDARY outcome

Timeframe: 0 Weeks, 8 Weeks

Population: Participant dropout as cited in consort.

Rate of a participant's proneness to experience gratitude in daily life, with items ranging from 1-7, total scores ranging from 6-24, and a higher score indicating greater amount of gratitude

Outcome measures

Outcome measures
Measure
Active Brains
n=9 Participants
Active Brains 1: Active Brains uses a multimodal approach to introduce and reinforce new skills, including didactics, in-session activities, discussions, and weekly practice assignments (homework). The Active Brains sessions reflect a purposeful integration of the three treatment approaches (relaxation methods, stress appraisal \& coping, and growth enhancement). The format is an 8-week program with weekly meetings and a focus on relaxation response strategies, cognitive behavioral training, positive psychology and mind-body interactions. Active Brains 1 uses a digital monitoring device (i.e., Fitbit) for recording of physical activity.
Active Brains 2
n=11 Participants
Active Brains 2: This active comparison condition controls for the effect of time spent, group member support/feedback, and interventionist support/feedback. The original HEP was adapted to provide population-specific information on chronic pain and MCI/MRP symptoms. Participants also receive lifestyle education consistent from public health recommendations and standards for health promotion (e.g., "Sleep", "Nutrition", "Healthy Weight", and "Medical appointments"). The HEP program consists on 8 group sessions (each session is 90 minutes) that occur concurrently with the active intervention condition. The HEP is conducted in the same format as Active Brains-Fitbit but are not taught the mind-body, walking, or cognitive-behavioral skills. HEP participants are encouraged to set lifestyle goals instead of quota-based walking goals aided by the Fitbit as in the Active Brains-Fitbit condition.
The Gratitude Questionnaire (GQ-6)
Baseline
36.2 score on a scale
Standard Deviation 5.9
32.5 score on a scale
Standard Deviation 7.6
The Gratitude Questionnaire (GQ-6)
Post-Test
35.5 score on a scale
Standard Deviation 7.1
35.9 score on a scale
Standard Deviation 5.1

SECONDARY outcome

Timeframe: 0 Weeks, 8 Weeks

Population: Participant dropout as cited in consort.

Rate of a participant's capability rather than performance of physical activities, with items ranging from 1-4, and total scores ranging from 8-40, with a higher score reflecting greater physical function

Outcome measures

Outcome measures
Measure
Active Brains
n=9 Participants
Active Brains 1: Active Brains uses a multimodal approach to introduce and reinforce new skills, including didactics, in-session activities, discussions, and weekly practice assignments (homework). The Active Brains sessions reflect a purposeful integration of the three treatment approaches (relaxation methods, stress appraisal \& coping, and growth enhancement). The format is an 8-week program with weekly meetings and a focus on relaxation response strategies, cognitive behavioral training, positive psychology and mind-body interactions. Active Brains 1 uses a digital monitoring device (i.e., Fitbit) for recording of physical activity.
Active Brains 2
n=11 Participants
Active Brains 2: This active comparison condition controls for the effect of time spent, group member support/feedback, and interventionist support/feedback. The original HEP was adapted to provide population-specific information on chronic pain and MCI/MRP symptoms. Participants also receive lifestyle education consistent from public health recommendations and standards for health promotion (e.g., "Sleep", "Nutrition", "Healthy Weight", and "Medical appointments"). The HEP program consists on 8 group sessions (each session is 90 minutes) that occur concurrently with the active intervention condition. The HEP is conducted in the same format as Active Brains-Fitbit but are not taught the mind-body, walking, or cognitive-behavioral skills. HEP participants are encouraged to set lifestyle goals instead of quota-based walking goals aided by the Fitbit as in the Active Brains-Fitbit condition.
PROMIS Physical Function
Baseline
39.9 score on a scale
Standard Deviation 5.5
37.1 score on a scale
Standard Deviation 6.2
PROMIS Physical Function
Post-Test
43.4 score on a scale
Standard Deviation 9.6
38.2 score on a scale
Standard Deviation 5.8

SECONDARY outcome

Timeframe: 0 Weeks, 8 Weeks

Population: Participant dropout as cited in consort.

Rate of a participant's perceived feelings of being cared and values for as an individual, with items ranging from 1-5. Items are normed to T-scores (mean = 50, standard deviation = 10), with higher T-scores indicating higher perceived social support.

Outcome measures

Outcome measures
Measure
Active Brains
n=9 Participants
Active Brains 1: Active Brains uses a multimodal approach to introduce and reinforce new skills, including didactics, in-session activities, discussions, and weekly practice assignments (homework). The Active Brains sessions reflect a purposeful integration of the three treatment approaches (relaxation methods, stress appraisal \& coping, and growth enhancement). The format is an 8-week program with weekly meetings and a focus on relaxation response strategies, cognitive behavioral training, positive psychology and mind-body interactions. Active Brains 1 uses a digital monitoring device (i.e., Fitbit) for recording of physical activity.
Active Brains 2
n=11 Participants
Active Brains 2: This active comparison condition controls for the effect of time spent, group member support/feedback, and interventionist support/feedback. The original HEP was adapted to provide population-specific information on chronic pain and MCI/MRP symptoms. Participants also receive lifestyle education consistent from public health recommendations and standards for health promotion (e.g., "Sleep", "Nutrition", "Healthy Weight", and "Medical appointments"). The HEP program consists on 8 group sessions (each session is 90 minutes) that occur concurrently with the active intervention condition. The HEP is conducted in the same format as Active Brains-Fitbit but are not taught the mind-body, walking, or cognitive-behavioral skills. HEP participants are encouraged to set lifestyle goals instead of quota-based walking goals aided by the Fitbit as in the Active Brains-Fitbit condition.
PROMIS Emotional Support
Baseline
51.1 score on a scale
Standard Deviation 11.2
49.4 score on a scale
Standard Deviation 9.6
PROMIS Emotional Support
Post-Test
52.1 score on a scale
Standard Deviation 9.1
48.8 score on a scale
Standard Deviation 9.5

SECONDARY outcome

Timeframe: 0 Weeks, 8 Weeks

Population: Participant dropout as cited in consort.

Rate of a participant's depressive symptoms, with items ranging from 1-5. Items are normed to T-scores (mean = 50, standard deviation = 10), with higher T-scores indicating higher depression.

Outcome measures

Outcome measures
Measure
Active Brains
n=9 Participants
Active Brains 1: Active Brains uses a multimodal approach to introduce and reinforce new skills, including didactics, in-session activities, discussions, and weekly practice assignments (homework). The Active Brains sessions reflect a purposeful integration of the three treatment approaches (relaxation methods, stress appraisal \& coping, and growth enhancement). The format is an 8-week program with weekly meetings and a focus on relaxation response strategies, cognitive behavioral training, positive psychology and mind-body interactions. Active Brains 1 uses a digital monitoring device (i.e., Fitbit) for recording of physical activity.
Active Brains 2
n=11 Participants
Active Brains 2: This active comparison condition controls for the effect of time spent, group member support/feedback, and interventionist support/feedback. The original HEP was adapted to provide population-specific information on chronic pain and MCI/MRP symptoms. Participants also receive lifestyle education consistent from public health recommendations and standards for health promotion (e.g., "Sleep", "Nutrition", "Healthy Weight", and "Medical appointments"). The HEP program consists on 8 group sessions (each session is 90 minutes) that occur concurrently with the active intervention condition. The HEP is conducted in the same format as Active Brains-Fitbit but are not taught the mind-body, walking, or cognitive-behavioral skills. HEP participants are encouraged to set lifestyle goals instead of quota-based walking goals aided by the Fitbit as in the Active Brains-Fitbit condition.
T-Score for PROMIS Depression
Baseline
51.6 T-score
Standard Deviation 6.6
55.6 T-score
Standard Deviation 11.1
T-Score for PROMIS Depression
Post-Test
52.5 T-score
Standard Deviation 8.6
54.3 T-score
Standard Deviation 11.7

SECONDARY outcome

Timeframe: 0 Weeks, 8 Weeks

Population: Participant dropout as cited in consort.

Rate of a participant's fear, anxious, hyper arousal, and somatic symptoms pertaining to arousal. Items are normed to T-scores (mean = 50, standard deviation = 10), with higher T-scores indicating higher anxiety.

Outcome measures

Outcome measures
Measure
Active Brains
n=9 Participants
Active Brains 1: Active Brains uses a multimodal approach to introduce and reinforce new skills, including didactics, in-session activities, discussions, and weekly practice assignments (homework). The Active Brains sessions reflect a purposeful integration of the three treatment approaches (relaxation methods, stress appraisal \& coping, and growth enhancement). The format is an 8-week program with weekly meetings and a focus on relaxation response strategies, cognitive behavioral training, positive psychology and mind-body interactions. Active Brains 1 uses a digital monitoring device (i.e., Fitbit) for recording of physical activity.
Active Brains 2
n=11 Participants
Active Brains 2: This active comparison condition controls for the effect of time spent, group member support/feedback, and interventionist support/feedback. The original HEP was adapted to provide population-specific information on chronic pain and MCI/MRP symptoms. Participants also receive lifestyle education consistent from public health recommendations and standards for health promotion (e.g., "Sleep", "Nutrition", "Healthy Weight", and "Medical appointments"). The HEP program consists on 8 group sessions (each session is 90 minutes) that occur concurrently with the active intervention condition. The HEP is conducted in the same format as Active Brains-Fitbit but are not taught the mind-body, walking, or cognitive-behavioral skills. HEP participants are encouraged to set lifestyle goals instead of quota-based walking goals aided by the Fitbit as in the Active Brains-Fitbit condition.
T-Score for PROMIS Anxiety
Baseline
51 score on a scale
Standard Deviation 10
52.9 score on a scale
Standard Deviation 10.1
T-Score for PROMIS Anxiety
Post-Test
47.9 score on a scale
Standard Deviation 10.2
53.7 score on a scale
Standard Deviation 11

SECONDARY outcome

Timeframe: 0 Weeks, 8 Weeks

Population: Participant dropout as cited in consort.

Rate of a participant's pain experience, with items ranging from 0-4, and total scores ranging from 0-52, with higher scores indicating higher levels of pain catastrophizing

Outcome measures

Outcome measures
Measure
Active Brains
n=9 Participants
Active Brains 1: Active Brains uses a multimodal approach to introduce and reinforce new skills, including didactics, in-session activities, discussions, and weekly practice assignments (homework). The Active Brains sessions reflect a purposeful integration of the three treatment approaches (relaxation methods, stress appraisal \& coping, and growth enhancement). The format is an 8-week program with weekly meetings and a focus on relaxation response strategies, cognitive behavioral training, positive psychology and mind-body interactions. Active Brains 1 uses a digital monitoring device (i.e., Fitbit) for recording of physical activity.
Active Brains 2
n=11 Participants
Active Brains 2: This active comparison condition controls for the effect of time spent, group member support/feedback, and interventionist support/feedback. The original HEP was adapted to provide population-specific information on chronic pain and MCI/MRP symptoms. Participants also receive lifestyle education consistent from public health recommendations and standards for health promotion (e.g., "Sleep", "Nutrition", "Healthy Weight", and "Medical appointments"). The HEP program consists on 8 group sessions (each session is 90 minutes) that occur concurrently with the active intervention condition. The HEP is conducted in the same format as Active Brains-Fitbit but are not taught the mind-body, walking, or cognitive-behavioral skills. HEP participants are encouraged to set lifestyle goals instead of quota-based walking goals aided by the Fitbit as in the Active Brains-Fitbit condition.
Pain Catastrophizing Scale (PCS)
Baseline
9.4 score on a scale
Standard Deviation 6.8
11.6 score on a scale
Standard Deviation 9.4
Pain Catastrophizing Scale (PCS)
Post-Test
7.1 score on a scale
Standard Deviation 5.6
11 score on a scale
Standard Deviation 7.1

SECONDARY outcome

Timeframe: 0 Weeks, 8 Weeks

Population: Participant dropout as cited in consort.

Rate of a participant's feelings of loneliness and social isolation and items range from 0-3, with a higher score reflecting greater feelings of loneliness, with total scores ranging from 0-24

Outcome measures

Outcome measures
Measure
Active Brains
n=9 Participants
Active Brains 1: Active Brains uses a multimodal approach to introduce and reinforce new skills, including didactics, in-session activities, discussions, and weekly practice assignments (homework). The Active Brains sessions reflect a purposeful integration of the three treatment approaches (relaxation methods, stress appraisal \& coping, and growth enhancement). The format is an 8-week program with weekly meetings and a focus on relaxation response strategies, cognitive behavioral training, positive psychology and mind-body interactions. Active Brains 1 uses a digital monitoring device (i.e., Fitbit) for recording of physical activity.
Active Brains 2
n=10 Participants
Active Brains 2: This active comparison condition controls for the effect of time spent, group member support/feedback, and interventionist support/feedback. The original HEP was adapted to provide population-specific information on chronic pain and MCI/MRP symptoms. Participants also receive lifestyle education consistent from public health recommendations and standards for health promotion (e.g., "Sleep", "Nutrition", "Healthy Weight", and "Medical appointments"). The HEP program consists on 8 group sessions (each session is 90 minutes) that occur concurrently with the active intervention condition. The HEP is conducted in the same format as Active Brains-Fitbit but are not taught the mind-body, walking, or cognitive-behavioral skills. HEP participants are encouraged to set lifestyle goals instead of quota-based walking goals aided by the Fitbit as in the Active Brains-Fitbit condition.
UCLA Loneliness Scale
Baseline
12.9 score on a scale
Standard Deviation 3.3
13.4 score on a scale
Standard Deviation 4.4
UCLA Loneliness Scale
Post-Test
12.6 score on a scale
Standard Deviation 5.2
13.3 score on a scale
Standard Deviation 3.6

SECONDARY outcome

Timeframe: 0 Weeks, 8 Weeks

Population: Participant dropout as cited in consort.

Rate of a participant's confidence to do various activities despite their pain, with items ranging from 0-6, and a higher score showing greater levels of confidence with pain self-efficacy, with total scores ranging from 0-60

Outcome measures

Outcome measures
Measure
Active Brains
n=9 Participants
Active Brains 1: Active Brains uses a multimodal approach to introduce and reinforce new skills, including didactics, in-session activities, discussions, and weekly practice assignments (homework). The Active Brains sessions reflect a purposeful integration of the three treatment approaches (relaxation methods, stress appraisal \& coping, and growth enhancement). The format is an 8-week program with weekly meetings and a focus on relaxation response strategies, cognitive behavioral training, positive psychology and mind-body interactions. Active Brains 1 uses a digital monitoring device (i.e., Fitbit) for recording of physical activity.
Active Brains 2
n=11 Participants
Active Brains 2: This active comparison condition controls for the effect of time spent, group member support/feedback, and interventionist support/feedback. The original HEP was adapted to provide population-specific information on chronic pain and MCI/MRP symptoms. Participants also receive lifestyle education consistent from public health recommendations and standards for health promotion (e.g., "Sleep", "Nutrition", "Healthy Weight", and "Medical appointments"). The HEP program consists on 8 group sessions (each session is 90 minutes) that occur concurrently with the active intervention condition. The HEP is conducted in the same format as Active Brains-Fitbit but are not taught the mind-body, walking, or cognitive-behavioral skills. HEP participants are encouraged to set lifestyle goals instead of quota-based walking goals aided by the Fitbit as in the Active Brains-Fitbit condition.
Pain Self Efficacy Questionnaire (PSEQ)
Baseline
38 score on a scale
Standard Deviation 14.2
35.5 score on a scale
Standard Deviation 18.9
Pain Self Efficacy Questionnaire (PSEQ)
Post-Test
42.9 score on a scale
Standard Deviation 14.5
38 score on a scale
Standard Deviation 13.5

SECONDARY outcome

Timeframe: 0 Weeks, 8 Weeks

Population: Participant dropout as cited in consort.

Rate of a participant's fear of movement, with items ranging from 1-4, and a total scores ranging from 17-68, and higher scores indicating higher levels of fear of movement

Outcome measures

Outcome measures
Measure
Active Brains
n=8 Participants
Active Brains 1: Active Brains uses a multimodal approach to introduce and reinforce new skills, including didactics, in-session activities, discussions, and weekly practice assignments (homework). The Active Brains sessions reflect a purposeful integration of the three treatment approaches (relaxation methods, stress appraisal \& coping, and growth enhancement). The format is an 8-week program with weekly meetings and a focus on relaxation response strategies, cognitive behavioral training, positive psychology and mind-body interactions. Active Brains 1 uses a digital monitoring device (i.e., Fitbit) for recording of physical activity.
Active Brains 2
n=9 Participants
Active Brains 2: This active comparison condition controls for the effect of time spent, group member support/feedback, and interventionist support/feedback. The original HEP was adapted to provide population-specific information on chronic pain and MCI/MRP symptoms. Participants also receive lifestyle education consistent from public health recommendations and standards for health promotion (e.g., "Sleep", "Nutrition", "Healthy Weight", and "Medical appointments"). The HEP program consists on 8 group sessions (each session is 90 minutes) that occur concurrently with the active intervention condition. The HEP is conducted in the same format as Active Brains-Fitbit but are not taught the mind-body, walking, or cognitive-behavioral skills. HEP participants are encouraged to set lifestyle goals instead of quota-based walking goals aided by the Fitbit as in the Active Brains-Fitbit condition.
Tampa Kinesiophobia Scale
Baseline
31.9 score on a scale
Standard Deviation 6.2
37.6 score on a scale
Standard Deviation 8.9
Tampa Kinesiophobia Scale
Post-Test
31.2 score on a scale
Standard Deviation 13.5
35.8 score on a scale
Standard Deviation 7.4

SECONDARY outcome

Timeframe: 0 Weeks, 8 Weeks

Population: Participant dropout as cited in consort.

Rate of a participant's acceptance of chronic pain, with scores ranging from 0-6, with the total score ranging from 0-48, and higher scores indicating higher levels of acceptance of chronic pain

Outcome measures

Outcome measures
Measure
Active Brains
n=8 Participants
Active Brains 1: Active Brains uses a multimodal approach to introduce and reinforce new skills, including didactics, in-session activities, discussions, and weekly practice assignments (homework). The Active Brains sessions reflect a purposeful integration of the three treatment approaches (relaxation methods, stress appraisal \& coping, and growth enhancement). The format is an 8-week program with weekly meetings and a focus on relaxation response strategies, cognitive behavioral training, positive psychology and mind-body interactions. Active Brains 1 uses a digital monitoring device (i.e., Fitbit) for recording of physical activity.
Active Brains 2
n=11 Participants
Active Brains 2: This active comparison condition controls for the effect of time spent, group member support/feedback, and interventionist support/feedback. The original HEP was adapted to provide population-specific information on chronic pain and MCI/MRP symptoms. Participants also receive lifestyle education consistent from public health recommendations and standards for health promotion (e.g., "Sleep", "Nutrition", "Healthy Weight", and "Medical appointments"). The HEP program consists on 8 group sessions (each session is 90 minutes) that occur concurrently with the active intervention condition. The HEP is conducted in the same format as Active Brains-Fitbit but are not taught the mind-body, walking, or cognitive-behavioral skills. HEP participants are encouraged to set lifestyle goals instead of quota-based walking goals aided by the Fitbit as in the Active Brains-Fitbit condition.
Chronic Pain Acceptance Questionnaire
Baseline
30.1 score on a scale
Standard Deviation 8.7
24.3 score on a scale
Standard Deviation 10.7
Chronic Pain Acceptance Questionnaire
Post-Test
31 score on a scale
Standard Deviation 8.2
27.1 score on a scale
Standard Deviation 3.7

SECONDARY outcome

Timeframe: 0 Weeks, 8 Weeks

Population: Participant dropout as cited in consort.

Rate of a participant's amount of self-compassion, with items ranging from 1-5, and total scores ranging from 12-60 and higher scores indicating higher levels of self-compassion

Outcome measures

Outcome measures
Measure
Active Brains
n=8 Participants
Active Brains 1: Active Brains uses a multimodal approach to introduce and reinforce new skills, including didactics, in-session activities, discussions, and weekly practice assignments (homework). The Active Brains sessions reflect a purposeful integration of the three treatment approaches (relaxation methods, stress appraisal \& coping, and growth enhancement). The format is an 8-week program with weekly meetings and a focus on relaxation response strategies, cognitive behavioral training, positive psychology and mind-body interactions. Active Brains 1 uses a digital monitoring device (i.e., Fitbit) for recording of physical activity.
Active Brains 2
n=11 Participants
Active Brains 2: This active comparison condition controls for the effect of time spent, group member support/feedback, and interventionist support/feedback. The original HEP was adapted to provide population-specific information on chronic pain and MCI/MRP symptoms. Participants also receive lifestyle education consistent from public health recommendations and standards for health promotion (e.g., "Sleep", "Nutrition", "Healthy Weight", and "Medical appointments"). The HEP program consists on 8 group sessions (each session is 90 minutes) that occur concurrently with the active intervention condition. The HEP is conducted in the same format as Active Brains-Fitbit but are not taught the mind-body, walking, or cognitive-behavioral skills. HEP participants are encouraged to set lifestyle goals instead of quota-based walking goals aided by the Fitbit as in the Active Brains-Fitbit condition.
Self-Compassion Scale (SCS)
Baseline
45.6 score on a scale
Standard Deviation 7.9
44.4 score on a scale
Standard Deviation 8.5
Self-Compassion Scale (SCS)
Post-Test
43.2 score on a scale
Standard Deviation 7.4
43.6 score on a scale
Standard Deviation 6.9

SECONDARY outcome

Timeframe: 0 weeks, 8 weeks

Population: Participant dropout as cited in consort.

Participants wore a ActiGraph accelerometer around their waist for 8 days to measure their daily average step count.

Outcome measures

Outcome measures
Measure
Active Brains
n=9 Participants
Active Brains 1: Active Brains uses a multimodal approach to introduce and reinforce new skills, including didactics, in-session activities, discussions, and weekly practice assignments (homework). The Active Brains sessions reflect a purposeful integration of the three treatment approaches (relaxation methods, stress appraisal \& coping, and growth enhancement). The format is an 8-week program with weekly meetings and a focus on relaxation response strategies, cognitive behavioral training, positive psychology and mind-body interactions. Active Brains 1 uses a digital monitoring device (i.e., Fitbit) for recording of physical activity.
Active Brains 2
n=10 Participants
Active Brains 2: This active comparison condition controls for the effect of time spent, group member support/feedback, and interventionist support/feedback. The original HEP was adapted to provide population-specific information on chronic pain and MCI/MRP symptoms. Participants also receive lifestyle education consistent from public health recommendations and standards for health promotion (e.g., "Sleep", "Nutrition", "Healthy Weight", and "Medical appointments"). The HEP program consists on 8 group sessions (each session is 90 minutes) that occur concurrently with the active intervention condition. The HEP is conducted in the same format as Active Brains-Fitbit but are not taught the mind-body, walking, or cognitive-behavioral skills. HEP participants are encouraged to set lifestyle goals instead of quota-based walking goals aided by the Fitbit as in the Active Brains-Fitbit condition.
ActiGraph Average Steps
Post-Test
4283.8 steps per day
Standard Deviation 1905.7
2604.4 steps per day
Standard Deviation 1912.8
ActiGraph Average Steps
Baseline
3643.1 steps per day
Standard Deviation 1679.9
3195.3 steps per day
Standard Deviation 1975.7

SECONDARY outcome

Timeframe: 0 weeks, 8 weeks

Population: Participant dropout as cited in consort.

The Six-Minute Walk Test (6MWT) measures the distances participants can walk at an accelerated pace in meters over a 6-minute span.

Outcome measures

Outcome measures
Measure
Active Brains
n=9 Participants
Active Brains 1: Active Brains uses a multimodal approach to introduce and reinforce new skills, including didactics, in-session activities, discussions, and weekly practice assignments (homework). The Active Brains sessions reflect a purposeful integration of the three treatment approaches (relaxation methods, stress appraisal \& coping, and growth enhancement). The format is an 8-week program with weekly meetings and a focus on relaxation response strategies, cognitive behavioral training, positive psychology and mind-body interactions. Active Brains 1 uses a digital monitoring device (i.e., Fitbit) for recording of physical activity.
Active Brains 2
n=11 Participants
Active Brains 2: This active comparison condition controls for the effect of time spent, group member support/feedback, and interventionist support/feedback. The original HEP was adapted to provide population-specific information on chronic pain and MCI/MRP symptoms. Participants also receive lifestyle education consistent from public health recommendations and standards for health promotion (e.g., "Sleep", "Nutrition", "Healthy Weight", and "Medical appointments"). The HEP program consists on 8 group sessions (each session is 90 minutes) that occur concurrently with the active intervention condition. The HEP is conducted in the same format as Active Brains-Fitbit but are not taught the mind-body, walking, or cognitive-behavioral skills. HEP participants are encouraged to set lifestyle goals instead of quota-based walking goals aided by the Fitbit as in the Active Brains-Fitbit condition.
Six-Minute Walk Test (6MWT)
Baseline
407.6 meters per 6 minutes
Standard Deviation 110.2
415.6 meters per 6 minutes
Standard Deviation 123.1
Six-Minute Walk Test (6MWT)
Post-Test
426.6 meters per 6 minutes
Standard Deviation 147.6
435.2 meters per 6 minutes
Standard Deviation 101.6

Adverse Events

Active Brains

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Active Brains 2

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Adverse event data not reported

Additional Information

Ana-Maria Vranceanu

Center for Health Outcomes and Interdisciplinary Research, Department of Psychiatry, Massachusetts General Hospital

Phone: (617) 724-3953

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place