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NCT Number: NCT07193095

This Project is a Three-arm RCT Evaluating Two, Single-session Behavioral Interventions for Adults With Chronic Musculoskeletal Pain (CMP) -- 1) Brief Mindfulness-Oriented Recovery Enhancement (B-MORE) vs. Empowered Relief (ER) -- Relative to the Traditional 8-week Version of MORE.

Researchers at Florida State University are investigating how the length of treatment influences outcomes for individuals with chronic musculoskeletal pain. The goal is to identify the most effective balance between treatment duration and pain relief. There are three treatment conditions in this study: two different brief pain management trainings and one standard-length training. Participants will be randomized to either of the brief trainings, attending a single, 2-hour, online training session, in which a trained facilitator will teach pain management techniques that are backed by research. If randomized to receive the standard-length training, participants will attend eight, 2-hour, online training session over eight weeks, in which a trained facilitator will also teach research-backed pain management techniques. Short surveys will be required at seven different time points: before starting treatment, immediately after the pain-management training, and then 2, 6, 12, 24, and 36 weeks after the training.

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Key information

Conditions

Chronic Musculoskeletal Pain Chronic Pain Neurologic Manifestations Pain Pathological Conditions, Signs and Symptoms Signs and Symptoms

Age range

18 year and older

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

Primary location

Research Building B

Tallahassee, Florida, 32310, United States

Location status: Recruiting

Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • (1) having a chronic musculoskeletal pain condition, (2) average pain of ≥ 3 in the previous week, (3) willingness to engage with study assessments and interventions, (4) understanding English instructions fluently, and (5) being 18 and above.

Exclusion criteria

  • (1) unable to consent because of physical or mental incapacity, (2) have previous, formal mindfulness training (e.g., MBSR) or previously receiving Empowered Relief, (3) have pain from a current cancer diagnosis or cancer-related treatment, (4) unstable illness that may interfere with treatment, (5) had surgery within the previous three months, and (6) had pain relieving injections, such as cortisone or hyaluronate, within the previous three months.

Treatment and study plan

Brief Mindfulness Oriented Recovery Enhancement

Behavioral

B-MORE is a 2-hour, single session adaptation of the traditional MORE program.

Empowered Relief

Behavioral

ER is an evidence-based 2-hour single session intervention for chronic pain.

Mindfulness Oriented Recovery Enhancement

Behavioral

MORE is an 8-week evidence-based treatment for chronic pain.

Primary outcomes

  1. Recruitment Feasibility

    Time frame: 6 months

    Recruitment feasibility will be assessed via total enrollment and randomization numbers within the first 6 months of the study. Study team projects that it will be feasible to recruit and randomize 30 adults with CMP within 6 months.

  2. Treatment Adherence & Acceptability

    Time frame: From baseline to 9-month follow-up

    Adherence (percentage of total treatment time attended) will be better for the single-session interventions, but all three conditions will be rated as highly acceptable (as measured by the Theoretical Framework of Acceptability; TFA).

Secondary outcomes

  1. PROMIS - Pain Intensity

    Time frame: From baseline to 9-month follow-up

    A 3-item questionnaire using a 5-point Likert-like scale (1- had no pain to 5- very severe). Questions include "In the past 7 days, How intense was your pain at its worst?"

  2. PROMIS - Pain Interference

    Time frame: From baseline to 9-month follow-up

    An 8-item questionnaire using a 5-point Likert-like scale (1- not at all to 5- very much). Questions include "In the past 7 days, how much did pain interfere with work around the home?".

Other outcomes

  1. PROMIS - Depression

    Time frame: From baseline to 9-month follow-up

    A 4-item questionnaire using a 5-point Likert-like scale (1- never to 5- very much). Statements include "In the past 7 days, I felt worthless."

  2. PROMIS - Anxiety

    Time frame: From baseline to 9-month follow-up

    A 4-item questionnaire using a 5-point Likert-like scale (1- never to 5- almost always). Statements include "In the past 7 days, my worries overwhelmed me".

  3. PROMIS - Sleep Disturbance

    Time frame: From baseline to 9-month follow-up

    A 6-item questionnaire using a 5-point Likert scale

  4. World Health Organization - Quality of Life

    Time frame: From baseline to 9-month follow-up.

    A 2-question assessment to measure self-reported quality of life. Participants will be asked "How would you rate your quality of life?" with a 5-point Likert scale (with "1- very poor" to "5-very good"). Participants will also be asked "How satisfied are you with your health?" with a 5-point Likert like scale (with "1-very dissatisfied" to "5-very satisfied").

  5. Brief Pain Catastrophizing Scale

    Time frame: From baseline to 9-month follow-up

    The Brief PCS is a validated, 6-item questionnaire on which participants rate their thoughts and feelings about pain on a 5-point Likert scale, ranging from 0 ("Not at all") to 4 ("All the time").

  6. Five Facets of Mindfulness Questionnaire

    Time frame: From baseline to 9-month follow-up

    A validated, 15-item questionnaire assessing trait mindfulness. Questions include "I do jobs or tasks automatically without being aware of what I'm doing".

  7. Savoring Beliefs Inventory

    Time frame: From baseline to 9-month follow-up

    A validated measure to assess positive savoring habits. Questions include "Before a good thing happens, I look forward to it in ways that give me pleasure in the present".

  8. Mindful Reappraisal of Pain Sensations

    Time frame: From baseline to 9-months

    A validated, 9-item questionnaire assessing one's ability to mindfully reappraise arising pain sensations. Questions include "I "step back" from the pain and see it as something outside of me".

  9. Acute Clinical Effects of Treatment Sessions

    Time frame: Immediately before and after each training session.

    Acute pain intensity, pain unpleasantness, anxiety, and desire for pain medication will all be measured via a 0-10 numeric rating scale.

Study contacts

Contact information is provided by the study sponsor or research team.

Adam Hanley, PhD

CONTACT

[email protected]

850-270-7844

Sponsors and collaborators

Lead sponsor

Florida State University

Other

Registry information

Official study title

Brief MORE: A Mindfulness Intervention For Chronic Musculoskeletal Pain

Acronym: Brief Relief

Important dates

Study start
2025
Primary completion
2026
Study completion
2026
First posted
Sep 25, 2025
Registry last updated
Sep 25, 2025

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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