Adaptability and Resilience in Aging Adults-2 (ARIAA-2)
Aging, Chronic Low-back Pain
About this trial
This is an interventional treatment trial for Aging focused on measuring aging, resilience, low back pain, positive affect, hope, self-efficacy, acceptance
Eligibility Criteria
Inclusion Criteria:
- Age 60 and older
- Low back pain on at least half the days over the previous 6 months
- Average daily back pain score ≥3 on a 0-10 numerical rating scale
- At least moderate (≥3/10) CLBP-related interference on a 0-10 numerical rating scale
- Able to read/write in English
Exclusion Criteria:
- Current participation in another psychological treatment
- Severe psychiatric illness not adequately controlled by medication (e.g., schizophrenia, bipolar disorder) or other conditions anticipated to impair intervention engagement (e.g., substance abuse/dependence)
- Presence of chronic, malignant pain (e.g., HIV, cancer) or systemic inflammatory disease (e.g., rheumatoid arthritis, ankylosing spondylitis, systemic lupus erythematosus, etc.)
- Significant cognitive impairment on the MoCA
- If currently taking prescription analgesic or psychotropic medication, must be stabilized on these treatments for ≥4 weeks prior to the baseline assessment
Sites / Locations
- University of Florida
Arms of the Study
Arm 1
Experimental
Resilience Intervention
Participants will initially complete a baseline assessment assessing study eligibility. The Resilience intervention consists of seven weekly 1.5-hour group sessions guided by trained clinicians. Due to the COVID-19 pandemic, these group session may be conducted through Zoom. Skills and content will be directed toward improving pain management by enhancing positive emotions, setting goals, learning to live a life according to one's values, and boosting self-confidence in one's ability to manage pain. Self-administered activities include the identification of personal strengths, pleasant activity scheduling, expressing gratitude, values clarification, mindfulness practice, goal setting, positive reappraisal, and noting positive events.