Mindfulness for Chronic Pain: Insights from the LAMP Clinical Trial

A Patient Friendly Summary

Study Title: Telehealth Mindfulness-Based Interventions for Chronic Pain: The LAMP Randomized Clinical Trial
Published in JAMA Internal Medicine, October 1, 2024
Read the full article

Purpose of the Study:

To determine if mindfulness practices delivered via telehealth—either through group sessions or self-paced modules—can improve daily functioning and reduce the impact of chronic pain in veterans.

Study Design:

  • Participants: 811 veterans with moderate to severe chronic pain.
  • Groups:
    • Group Mindfulness: Weekly 90-minute Zoom sessions with a facilitator.
    • Self-Paced Mindfulness: Online modules completed individually, with occasional facilitator check-ins.
    • Usual Care: Standard VA medical care without added mindfulness interventions.
  • Duration: Participants were followed for 12 months.

Key Findings:

  • Both mindfulness approaches led to significant improvements in pain-related function compared to usual care.
  • Self-Paced Mindfulness showed slightly greater benefits:
    • 42% achieved a ≥30% improvement in pain interference.
    • 21% achieved a ≥50% improvement.
  • Improvements were also noted in:
    • Pain intensity
    • Depression and PTSD symptoms
    • Sleep quality
    • Fatigue
    • Social engagement

What This Means for a Person with Pain:

Mindfulness practices, even when self-guided and delivered remotely, can be effective tools for managing chronic pain. These interventions offer:

  • Flexibility to practice at your own pace.
  • Nonpharmacological options to complement existing treatments.
  • Potential improvements in overall well-being and daily functioning.

If you’re interested in exploring mindfulness-based approaches to manage chronic pain, consider discussing these options with your healthcare provider or support group facilitator.