The Effect of Mindfulness-Based Cognitive Therapy on Kinesiophobia in Older Adults with Chronic Knee Osteoarthritis: A Randomized Controlled Trial.
- 1Trauma Nursing Research Center, Kashan University of Medical Sciences, Kashan, Iran.
- 2Social Determinants of Health (SDH) Research Center, Kashan University of Medical Sciences, Kashan, Iran.
- 3Isfahan University of Medical Sciences, Department of Orthopedics and Joint Surgery, Isfahan, Iran.
Abstract
Purpose
To determine the effect of mindfulness-based cognitive therapy on kinesiophobia in older adults with chronic knee osteoarthritis.Patients and methods
This randomized clinical trial conducted among 56 older patients with knee osteoarthritis at health centers in Kashan, Iran, in 2024. Participants were selected via consecutive sampling and randomly assigned to either an intervention (n = 28) or a control (n = 28) group using block randomization. The intervention group participated in eight 90 minute sessions of Mindfulness Based Cognitive Therapy, while the control group received routine care. Kinesiophobia was measured with the Tampa Scale for Kinesiophobia (TSK11) at baseline, week 4 (immediately post intervention), and week 8 (four week follow up). Covariate adjusted repeated measures ANCOVA was performed, adjusting for age, number of children, and baseline pain intensity. Statistical significance was set at p < 0.05. All participants completed follow up.Results
The mean kinesiophobia score decreased from 29.46 ± 3.81 at baseline to 25.68 ± 3.22 at week 8 in the intervention group and from 28.64 ± 4.78 to 26.68 ± 5.15 in the control group. The adjusted repeated-measures analysis showed a significant group-by-time interaction (Wilks' Λ = 0.88, F(2.50) = 3.34, p = 0.040, ηp² = 0.11), indicating different trajectories of change between groups. However, adjusted between-group differences were not statistically significant at baseline, week 4, or week 8 (all p > 0.05). The adjusted difference in change from baseline to week 8 was -1.60 points (95% CI -3.25 to 0.05; p = 0.05). Within-group Bonferroni-adjusted comparisons showed significant reductions across all time intervals in the intervention group (all p < 0.001) and from baseline to week 4 and week 8 in the control group (p = 0.0022 and p = 0.0028, respectively), but not between weeks 4 and 8 (p = 0.13).Conclusion
Four weeks of MBCT may influence the trajectory of kinesiophobia over time in older adults with knee osteoarthritis.Trial registration
Registered in the Iranian Registry of Clinical Trials (IRCT20231105059961N1).
Related
- Effects of mindfulness-based yoga and physical exercise on psychological well-being in individuals with visual impairment: a three-armed randomized controlled trial
- Mindfulness-based pain management for patients with chronic musculoskeletal pain: a randomized controlled trial
- Therapeutic Exercise for Chronic Whiplash-Associated Disorders: A Systematic Review of Randomized Controlled Trials on Pain, Disability, and Kinesiophobia.
- Exercise-based rehabilitation interventions for kinesiophobia after total knee arthroplasty: a systematic review and meta-analysis of randomized controlled trials.
- Gait-triggered neuromuscular electrical stimulation as an adjunct to an offloading knee brace in medial knee osteoarthritis: a pilot randomized controlled trial
BibTeX
@article{kheirkhah2026effect,
title = {{The Effect of Mindfulness-Based Cognitive Therapy on Kinesiophobia in Older Adults with Chronic Knee Osteoarthritis: A Randomized Controlled Trial.}},
author = {Zahra Kheirkhah and Fatemeh Fallahi and Khadijeh Sharifi and Fatemeh Sadat Asgarian and Amir Hossein Fallahi},
journal = {Clinical interventions in aging},
year = {2026},
month = oct,
doi = {10.2147/cia.s638393},
url = {https://europepmc.org/article/MED/42927343},
note = {CC BY-NC},
}
RIS
TY - JOUR
TI - The Effect of Mindfulness-Based Cognitive Therapy on Kinesiophobia in Older Adults with Chronic Knee Osteoarthritis: A Randomized Controlled Trial.
AU - Zahra Kheirkhah
AU - Fatemeh Fallahi
AU - Khadijeh Sharifi
AU - Fatemeh Sadat Asgarian
AU - Amir Hossein Fallahi
PY - 2026
DA - 2026/10/20
JO - Clinical interventions in aging
DO - 10.2147/cia.s638393
UR - https://europepmc.org/article/MED/42927343
AB - Purpose To determine the effect of mindfulness-based cognitive therapy on kinesiophobia in older adults with chronic knee osteoarthritis.Patients and methods This randomized clinical trial conducted among 56 older patients with knee osteoarthritis at health centers in Kashan, Iran, in 2024. Participants were selected via consecutive sampling and randomly assigned to either an intervention (n = 28) or a control (n = 28) group using block randomization. The intervention group participated in eight 90 minute sessions of Mindfulness Based Cognitive Therapy, while the control group received routine care. Kinesiophobia was measured with the Tampa Scale for Kinesiophobia (TSK11) at baseline, week 4 (immediately post intervention), and week 8 (four week follow up). Covariate adjusted repeated measures ANCOVA was performed, adjusting for age, number of children, and baseline pain intensity. Statistical significance was set at p < 0.05. All participants completed follow up.Results The mean kinesiophobia score decreased from 29.46 ± 3.81 at baseline to 25.68 ± 3.22 at week 8 in the intervention group and from 28.64 ± 4.78 to 26.68 ± 5.15 in the control group. The adjusted repeated-measures analysis showed a significant group-by-time interaction (Wilks' Λ = 0.88, F(2.50) = 3.34, p = 0.040, ηp² = 0.11), indicating different trajectories of change between groups. However, adjusted between-group differences were not statistically significant at baseline, week 4, or week 8 (all p > 0.05). The adjusted difference in change from baseline to week 8 was -1.60 points (95% CI -3.25 to 0.05; p = 0.05). Within-group Bonferroni-adjusted comparisons showed significant reductions across all time intervals in the intervention group (all p < 0.001) and from baseline to week 4 and week 8 in the control group (p = 0.0022 and p = 0.0028, respectively), but not between weeks 4 and 8 (p = 0.13).Conclusion Four weeks of MBCT may influence the trajectory of kinesiophobia over time in older adults with knee osteoarthritis.Trial registration Registered in the Iranian Registry of Clinical Trials (IRCT20231105059961N1).
SN - 1176-9092
SN - 1178-1998
ER -