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. 2026 Apr 23;15:e82362. doi: 10.2196/82362

Table 4. Schedule of enrollment, interventions, and assessments (SPIRIT [Standard Protocol Items: Recommendations for Interventional Trials] diagram).

Description Study phase In-lab procedures Follow-up post-treatment

Enrollment

Baseline

Allocation

Week 1

Week 2

Week 3

Week 4

1-week

1-month

3-month
Time point –T1a T0b T1c T2d T3e
Enrollment
 Eligibility form
 Informed consent
 MINIf
Randomization
 Allocation  ✓
Study arm
 MBg
 MB+DPh
 WLCi
Assessments
 NADA-Sj
 EEGk
 fNIRSl
 MPoDm
 Acute pain intensity
 At-home mindfulness practice (MB and MB+DP only)
 BPIn
 Physical function
 PCSo
 PHQ-2p
 GAD-2q
 PROMISr sleep disturbance
Pain catastrophizing
a

–T1: Enrollment activities

b

T0: 1-week pretreatment (baseline).

c

T1: 1-week posttreatment.

d

T2: 1-month posttreatment.

e

T3: 3-month posttreatment.

f

MINI: Mini-International Neuropsychiatric Interview.

g

MB: mindful breathing.

h

MB+DP: mindful breathing+direct pointing.

i

WLC: waitlist control.

j

NADA-S: Nondual Awareness Dimensional Assessment-State.

k

EEG: electroencephalogram.

l

fNIRS: functional near-infrared spectroscopy.

m

MPoD: Metacognitive Processes of Decentering.

n

BPI: Brief Pain Inventory.

o

PCS: Pain Catastrophizing Scale.

p

PHQ-2: Patient Health Questionnaire 2-item.

q

GAD-2: Generalized Anxiety Disorder 2-item.

r

PROMIS: Patient-Reported Outcomes Measurement Information System.