An Empirical Examination of the Role of Common Factors of Therapy During a Mindfulness-based Cognitive Therapy Intervention for Headache Pain

Abstract

Common factors play an important role in improving pain outcomes and patient satisfaction during a MBCT for headache pain intervention. Stimulating positive pretreatment expectations and patient motivation, as well as building strong rapport is an important component of treatment success.

The Utility of Home-Practice in Mindfulness-Based Group Interventions: A Systematic Review

“…Three studies (Bondolfi et al 2010 ; Crane et al 2014 ; Perich et al 2013 ) were conducted in Europe and Australia and the remaining 11 studies were carried out in North America. The design of the studies included one secondary analysis of an RCT (Day et al 2016 ), one study reported on data that was collected as part of an RCT of a mindfulness intervention (Crane et al 2014 ), one study implemented a non-randomised controlled trial design (King et al 2013 ) and the remaining 11 studies were RCTs. Six studies utilised MBCT and eight studies utilised MBSR.…”

“…of units of informal practice was 80.44 over treatment 26.51% A significant positive association between mean daily duration of formal home-practice and outcome in MBCT was found. Those who practiced on an average of 3 or more days per week were approximately half as likely to relapse to depression over 12 months of follow-up as those who practiced less frequently [ B = −0.03, SE = 0.013, Wald (1) = 5.51, p = 0.018, HR = 0.97, Cl = 0.947 to 0.995] No association between amount of informal home-practice and time to relapse was found [ B = −0.002 (SE = 0.002), Wald 1.74, p = 0.19, HR = 1.00, Cl = 0.99 to 1.00] Day et al ( 2016 ) 45 min × 6 days a week, practice No information noted Self-report daily meditation practice diary (online administration) Reported a mean total of 21.69 h of practice throughout MBCT programme 60.25% In-session engagement significantly positively predicted client attendance ( β = 0.454; R 2 = 0.207; F 1,19 = 4.945; p = 0.038; power = 0.6) and time spent in at-home meditation practice throughout treatment ( β = 0.482; R 2 = 0.232; F 1, 19 = 5.749; p = 0.027; power = 0.7). Fidelity ratings were not associated with amount of home-practice ( p > 0.05) Davidson et al ( 2003 ) Assigned formal and informal practices 1 h × 6 days a week Guided audio-tapes to guide mindfulness practices Self-report daily log of the frequency, number of minutes and techniques of formal meditation practice Reported mean practice on 2.48 days out of 6 and mean practice 16.19 min per time after intervention, after 4 month follow-up reported mean practice on 1.70 days out of 6 and mean practice 14.21 min per time 14.87% There were no significant associations between the measures of practice and brain activity or biological or self-report measures Dimidjian et al ( 2016 ) Specific practices assigned for 6 days each week but amount of time not specifically reported Audio-files to guide mindfulness practices and a DVD to guide yoga practice Self-report weekly log of no.…”

“…Cash et al ( 2015 ) used both a log and a retrospective qualitative report of the number of times practiced per week at the end of each assessment period. Day et al ( 2016 ) was the only study to administer their log of home-practice via an online portal. Johns et al ( 2015 ) gave a financial incentive ($5 for each weekly log) to participants to monitor their home-practice.…”

Mindfulness-based cognitive therapy for headache pain: An evaluation of the long-term maintenance of effects

“…The MBCT intervention took place at the Kilgo Headache Clinic, or the University of Alabama Psychology Clinic. Several manuscripts have been published from data obtained in this trial, including the primary outcome paper,(8) two mechanisms papers, (13,14) and a qualitative paper. (15) Both the MBCT group and the DT-MBCT group were invited to complete a 6-month follow-up assessment, and the follow-up data collapsed across these two groups is the focus of this current study; this 6-month follow-up data has not been previously analyzed or reported in previous research.…”

Los Siete Secretos Mágicos De La Efectividad Terapéutica

“…Los factores inespecíficos parecen ser más predictores de los resultados clínicos que cualquier técnica (Day, Halpin, y Thorn, 2016;Laska, et al, 2014). De hecho, los metaanálisis indican tamaños del efecto elevadosmoderados de los factores inespecíficos, unos tamaños mayores que los que presentan las diferencias entre tratamientos (Laska, et al, 2014).…”