TY - JOUR
KW - Adult
KW - Buprenorphine/therapeutic use
KW - Feasibility Studies
KW - Female
KW - Humans
KW - Male
KW - mindfulness
KW - Opioid-Related Disorders/epidemiology/therapy
KW - Pilot Projects
KW - Pregnancy
KW - Primary Health Care
KW - Addictions
KW - Family Medicine
KW - meditation
KW - opiate use disorder
KW - Qualitative Research
AU - J. Bloom-Foster
AU - L. Mehl-Madrona
A1 - 
AB - Objectives: To demonstrate the feasibility and acceptability of a brief mindfulness-based intervention taught by physicians for patients with opioid addiction and to determine if the intervention reduces likelihood of relapse or treatment failure within 6 months. Design: A prospective, feasibility, single-group, cohort pilot study. Setting: A Family Medicine teaching clinic serving a mixed urban and rural population in Bangor, Maine. Subjects: Adult patients initiating outpatient treatment for opioid addiction with buprenorphine (N = 40). Interventions: Study physicians conducted a 10- to 12-min education session for all patients starting treatment during the enrollment period, including a 5-min mindfulness exercise. Enrolled subjects received an MP3 player loaded with six mindfulness audio exercises (5-19 min) and were instructed to practice at least 5 min daily and record their practice in a logbook. Outcome measures: Acceptability and subjective usefulness to recovery were evaluated at 2, 4, and 6 months of follow-up, with qualitative analysis of themes in recorded poststudy interviews. Logbook entries and tablet-based surveys provided data on home mindfulness practice, classified as "high" or "low." Relapse or treatment failure was documented. Results: Feasibility and acceptability were demonstrated with 82% enrollment and 100%, 97%, and 90% completion of follow-up visits at 2, 4, and 6 months, respectively, among those still in treatment. Sustained positive impressions of the intervention and exercises remained at 6 months. Relapse or treatment failure was reduced in the "high" practice uptake group compared with "low" practice uptake (11% vs. 42%, p = 0.033). Conclusions: In contrast to more intensive 8-week models of meditation training, this study demonstrates that even a brief single training session can induce sustained home meditation practice that subjectively helped patients in recovery for opioid addiction and was associated with lower risk of relapse. Brief mindfulness-based interventions may be useful to increase access to mindfulness training in this population.
AD - Family Medicine Residency, Northern Light Eastern Maine Medical Center, Bangor, ME.; Family Medicine Residency, Northern Light Eastern Maine Medical Center, Bangor, ME.; Coyote Institute, Orono, ME.; Wabanaki Health and Wellness, Bangor, ME.; Graduate School, University of Maine, Orono, ME.; Department of Psychiatry, University of Vermont College of Medicine, Burlington, VT.
BT - Journal of alternative and complementary medicine (New York, N.Y.)
C5 - Education & Workforce; Opioids & Substance Use
CP - 1
CY - United States
DO - 10.1089/acm.2019.0242
IS - 1
JF - Journal of alternative and complementary medicine (New York, N.Y.)
LA - eng
M1 - Journal Article
N2 - Objectives: To demonstrate the feasibility and acceptability of a brief mindfulness-based intervention taught by physicians for patients with opioid addiction and to determine if the intervention reduces likelihood of relapse or treatment failure within 6 months. Design: A prospective, feasibility, single-group, cohort pilot study. Setting: A Family Medicine teaching clinic serving a mixed urban and rural population in Bangor, Maine. Subjects: Adult patients initiating outpatient treatment for opioid addiction with buprenorphine (N = 40). Interventions: Study physicians conducted a 10- to 12-min education session for all patients starting treatment during the enrollment period, including a 5-min mindfulness exercise. Enrolled subjects received an MP3 player loaded with six mindfulness audio exercises (5-19 min) and were instructed to practice at least 5 min daily and record their practice in a logbook. Outcome measures: Acceptability and subjective usefulness to recovery were evaluated at 2, 4, and 6 months of follow-up, with qualitative analysis of themes in recorded poststudy interviews. Logbook entries and tablet-based surveys provided data on home mindfulness practice, classified as "high" or "low." Relapse or treatment failure was documented. Results: Feasibility and acceptability were demonstrated with 82% enrollment and 100%, 97%, and 90% completion of follow-up visits at 2, 4, and 6 months, respectively, among those still in treatment. Sustained positive impressions of the intervention and exercises remained at 6 months. Relapse or treatment failure was reduced in the "high" practice uptake group compared with "low" practice uptake (11% vs. 42%, p = 0.033). Conclusions: In contrast to more intensive 8-week models of meditation training, this study demonstrates that even a brief single training session can induce sustained home meditation practice that subjectively helped patients in recovery for opioid addiction and was associated with lower risk of relapse. Brief mindfulness-based interventions may be useful to increase access to mindfulness training in this population.
PP - United States
PY - 2020
SN - 1557-7708; 1075-5535
SP - 34
EP - 43
EP - 
T1 - An Ultra-Brief Mindfulness-Based Intervention for Patients in Treatment for Opioid Addiction with Buprenorphine: A Primary Care Feasibility Pilot Study
T2 - Journal of alternative and complementary medicine (New York, N.Y.)
TI - An Ultra-Brief Mindfulness-Based Intervention for Patients in Treatment for Opioid Addiction with Buprenorphine: A Primary Care Feasibility Pilot Study
U1 - Education & Workforce; Opioids & Substance Use
U2 - 31825240
U3 - 10.1089/acm.2019.0242
VL - 26
VO - 1557-7708; 1075-5535
Y1 - 2020
Y2 - Jan
ER -