Integrating Mind-Body Skills With Physical Activity to Improve Physical and Emotional Outcomes in Patients With Pain

The study has three phases. In phase I, the investigators are adapting the 3RP as a
multidisciplinary team, and then conducting two focus groups. In phase two, the investigators
are piloting the p3RP and p3RP-DMD. In phase three, the investigators are conducting a small
randomized-controlled trial of the p3RP versus p3RP-DMD.

Inclusion Criteria:

- Male and female patients, age 18 years or older

- Have nonmalignant chronic musculoskeletal pain for more than 3 months

- Able to perform a 6-minute walk test

- Owns a smart phone with Bluetooth 4.0 or computer

- Willingness and ability to participate in the 3RP-DMD intervention and to comply with
the requirements of the study protocol (including weekly sessions and DMD use)

- Free of concurrent psychotropic or pain medication for at least 2 weeks prior to
initiation of treatment, OR stable on current psychotropic or pain medication for a
minimum of 6 weeks and willing to maintain a stable dose

- Cleared by a medical doctor for study participation

- Leads a sedentary lifestyle

Exclusion Criteria:

- Diagnosed with medical illness expected to worsen in the next 6 months

- Serious mental illness or instability for which hospitalization may be likely in the
next 6 months

- Current suicidal ideation reported on self-report

- Lifetime history of schizophrenia, bipolar disorder, or other psychotic disorder, or
substance dependence

- Current substance use disorder, within the past 6 months

- Practice of yoga/meditation, or other mind-body techniques that elicit the relaxation
response, once per week for 45 minutes or more within the last 3 months or less

- Regular use of DMD in the last 3 months

- Engagement in regular intensive physical exercise for >30 minute daily

- Unable to walk or in a wheelchair