Table 2.
Session outline for the Active Brains (AB) intervention and Health Enhancement Program (HEP) for older adults with chronic pain (CP) and early cognitive decline.
Session | AB topic | AB skills and session content | HEP topic | HEP session content |
1 | Taking charge of pain and MRPa | Deep breathing | Program overview and CP and MRP | Program goals, understanding CP and MRP, how CP and MRP are connected, and the impact of stress |
2 | Pace yourself | Mindful breathing and quota-based pacing | The connection among CP, MRP, and physical wellness | The connection between CP and MRP |
3 | Walk all over pain and MRP | Body scan, mindful walking, and gratitude | Sleep and wellness | Healthy sleeping strategies and cognitive and physical health |
4 | Mindfulness of pain and MRP | Self-compassion and mindful STOPb | Exercise and wellness | Physical exercise, maintaining healthy weight, and tips for becoming active |
5 | Building brain reserve | Mindful focus | Nutrition 1: the basics | Basic nutrition, portion size and calories, and understanding food labels |
6 | Staying in the upward spiral | Skill review | Nutrition 2: healthy weight and weight loss | Eating healthy meals and snacks, eating out healthy, and weight loss and BMI |
7 | Feeling connected with others | Love and kindness mindfulness | Managing your health care for CP and MRP | Communicating with physicians, health diary, medical emergencies, and medication adherence |
8 | Staying on track and maintaining your progress | Mountain mindfulness | Review of AB | Overview of program content |
aMRP: memory-related problem.
bStop, Take a breath, Observe with curiosity, Proceed mindfully.