{"doi":"10.1007/s12529-026-10464-4","title":"Evaluation of a Spanish-language Adaptation of Brief Mindfulness-Oriented Recovery Enhancement for Chronic Pain: A Pilot Randomized Controlled Trial","abstract":"<jats:title>Abstract</jats:title>\n                  <jats:sec>\n                    <jats:title>Background</jats:title>\n                    <jats:p>Spanish-speaking individuals in the U.S. face a number of barriers to quality pain care and limited access to culturally adapted treatments. While mindfulness-based interventions are effective for chronic pain, few have been translated for Spanish-speaking populations. This pilot study tested a brief, Spanish-language adaptation of Mindfulness-Oriented Recovery Enhancement (Spanish B-MORE) for Spanish-speaking adults with chronic pain.</jats:p>\n                  </jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods</jats:title>\n                    <jats:p>\n                      A single-site, waitlist-controlled randomized clinical trial was conducted to assess the feasibility, acceptability, and preliminary efficacy of Spanish B-MORE. Spanish-speaking adults with chronic pain (\n                      <jats:italic>N</jats:italic>\n                       = 20) were randomized 1:1 to receive the Spanish B-MORE intervention or a waitlist control. Outcomes were assessed at baseline, 2-week, and 6-week follow-up. Primary outcome was chronic pain symptoms (PEG-3); secondary and tertiary outcomes included participant-rated intervention acceptability, depression, anxiety, well-being, pain catastrophizing, and proposed therapeutic mechanisms (self-transcendence, mindful reappraisal of pain). Acute effects were also assessed immediately before and after the intervention sessions.\n                    </jats:p>\n                  </jats:sec>\n                  <jats:sec>\n                    <jats:title>Results</jats:title>\n                    <jats:p>All participants completed both sessions and all follow-ups. Participants rated the intervention as highly acceptable (M = 9.4/10) and would recommend it to others (M = 9.67/10). Immediately following the intervention, B-MORE significantly reduced pain intensity, pain unpleasantness, and anxiety, all with large Cohen’s d effect sizes (d = 1.32–1.48). At six weeks, relative to those in the waitlist-controlled condition, B-MORE participants showed greater improvements on all clinical outcomes.</jats:p>\n                  </jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions</jats:title>\n                    <jats:p>Spanish B-MORE may represent a brief, scalable, and culturally responsive intervention for chronic pain in Spanish-speaking populations. These promising findings support further evaluation in larger trials.</jats:p>\n                  </jats:sec>\n                  <jats:sec>\n                    <jats:title>Clinical Trial Registration</jats:title>\n                    <jats:p>NCT06316713.</jats:p>\n                  </jats:sec>","journal":"International Journal of Behavioral Medicine","year":2026,"id":645228,"datarank":0.0,"base_score":0.0,"endowment":0.0,"self_citation_contribution":0.0,"citation_network_contribution":0.0,"self_endowment_contribution":0.0,"citer_contribution":0.0,"corpus_percentile":null,"corpus_rank":null,"citation_count":0,"citer_count":0,"citers_with_citation_signal":0,"citers_with_endowment":0,"datacite_reuse_total":0,"is_dataset":false,"is_dataset_confidence":null,"is_data_producer":false,"deposit_databanks":null,"is_oa":false,"file_count":0,"downloads":0,"has_version_chain":false,"published_date":null,"fair_score":null,"fair_percentile":null,"algorithm_id":"datarank_citation_only_1hop_v6","ranking_scope":"data_only","authors":[{"id":403020,"name":"Adam W. Hanley","orcid":"0000-0001-8965-6898","position":1,"is_corresponding":false},{"id":403023,"name":"Eric L. Garland","orcid":"0000-0003-2891-857X","position":2,"is_corresponding":false},{"id":1679952,"name":"Carter Minnick","orcid":null,"position":0,"is_corresponding":false}],"reference_count":0,"raw_metadata":{"has_enrichment":true,"resolved":true,"title":"Evaluation of a Spanish-language Adaptation of Brief Mindfulness-Oriented Recovery Enhancement for Chronic Pain: A Pilot Randomized Controlled Trial","abstract":"<jats:title>Abstract</jats:title>\n                  <jats:sec>\n                    <jats:title>Background</jats:title>\n                    <jats:p>Spanish-speaking individuals in the U.S. face a number of barriers to quality pain care and limited access to culturally adapted treatments. While mindfulness-based interventions are effective for chronic pain, few have been translated for Spanish-speaking populations. This pilot study tested a brief, Spanish-language adaptation of Mindfulness-Oriented Recovery Enhancement (Spanish B-MORE) for Spanish-speaking adults with chronic pain.</jats:p>\n                  </jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods</jats:title>\n                    <jats:p>\n                      A single-site, waitlist-controlled randomized clinical trial was conducted to assess the feasibility, acceptability, and preliminary efficacy of Spanish B-MORE. Spanish-speaking adults with chronic pain (\n                      <jats:italic>N</jats:italic>\n                       = 20) were randomized 1:1 to receive the Spanish B-MORE intervention or a waitlist control. Outcomes were assessed at baseline, 2-week, and 6-week follow-up. Primary outcome was chronic pain symptoms (PEG-3); secondary and tertiary outcomes included participant-rated intervention acceptability, depression, anxiety, well-being, pain catastrophizing, and proposed therapeutic mechanisms (self-transcendence, mindful reappraisal of pain). Acute effects were also assessed immediately before and after the intervention sessions.\n                    </jats:p>\n                  </jats:sec>\n                  <jats:sec>\n                    <jats:title>Results</jats:title>\n                    <jats:p>All participants completed both sessions and all follow-ups. Participants rated the intervention as highly acceptable (M = 9.4/10) and would recommend it to others (M = 9.67/10). Immediately following the intervention, B-MORE significantly reduced pain intensity, pain unpleasantness, and anxiety, all with large Cohen’s d effect sizes (d = 1.32–1.48). At six weeks, relative to those in the waitlist-controlled condition, B-MORE participants showed greater improvements on all clinical outcomes.</jats:p>\n                  </jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions</jats:title>\n                    <jats:p>Spanish B-MORE may represent a brief, scalable, and culturally responsive intervention for chronic pain in Spanish-speaking populations. These promising findings support further evaluation in larger trials.</jats:p>\n                  </jats:sec>\n                  <jats:sec>\n                    <jats:title>Clinical Trial Registration</jats:title>\n                    <jats:p>NCT06316713.</jats:p>\n                  </jats:sec>","is_dataset_classified":null,"base_score":0.0,"endowment":0.0,"datacite_reuse_total":0,"file_count":0,"downloads":0,"views":0,"has_version_chain":false,"is_dataset":false,"is_oa":false,"pmid":"42284007","pmcid":null,"openalex_id":"https://openalex.org/W7164563045","authors":[],"funders":[],"total_grants":0,"fwci":0.0,"citation_percentile":0.72511914,"influential_citations":0,"citation_trend":[],"oa_status":"hybrid","license":"cc-by","oa_locations":[{"url":"https://link.springer.com/content/pdf/10.1007/s12529-026-10464-4.pdf","host_type":"journal"},{"url":"https://link.springer.com/content/pdf/10.1007/s12529-026-10464-4.pdf","host_type":"publisher"},{"url":"https://link.springer.com/article/10.1007/s12529-026-10464-4","host_type":"publisher"},{"url":"https://doi.org/10.1007/s12529-026-10464-4","host_type":"journal"},{"url":"https://pubmed.ncbi.nlm.nih.gov/42284007","host_type":"repository"}],"fields_of_study":["Mindfulness and Compassion Interventions","Musculoskeletal pain and rehabilitation","Pain Mechanisms and Treatments"],"mesh_terms":[],"keywords":["Randomized controlled trial","Chronic pain","Intervention (counseling)","Psychological intervention","Clinical trial","Quality of life (healthcare)","Health psychology","Adaptation (eye)","Mindfulness","Brief Treatment","Spanish-language Intervention","Mindfulness-oriented Recovery Enhancement"],"sdg_mappings":[{"sdg_number":0,"sdg_label":"Quality Education"}],"linked_datasets":[],"clinical_trials":[],"software_tools":[],"database_accessions":[{"name":"nct"}],"source":"live","citation_network_status":"fetched"},"created_at":"2026-08-09T03:48:51.978622Z","pmid":null,"pmcid":null,"fwci":null,"citation_percentile":null,"influential_citations":0,"oa_status":null,"license":null,"views":0,"total_file_size_bytes":0,"version_count":0,"fair_f":null,"fair_a":null,"fair_i":null,"fair_r":null,"fair_zscore":null,"fair_rationale":null,"fair_model":null,"fair_agent_version":null,"fair_fulltext_source":null,"fair_has_llm":null,"fair_computed_at":null,"clinical_trials":[],"software_tools":[],"db_accessions":[],"linked_datasets":[],"topics":[]}