The investigators aim to conduct a randomized controlled trial to compare two symptom-management programs for Black older adults with early cognitive decline (self-reported confirmed by testing) and chronic pain. The programs are Mindfulness-Based Cognitive Therapy with Walking (MBCT+w) and Active Living Every Day (ALED). The investigators will assess how each program may help in improving physical, cognitive, and emotional function. The investigators will also assess whether improvements in outcomes from the two programs are maintained through a 6-month follow-up.
Black adults, male and females, age 50 or older
Have nonmalignant musculoskeletal chronic pain for more than three months
Reports early cognitive decline (subjective and objective)
Telephone Interview for Cognitive Status-41 score greater than or equal to 31
Diagnosed with dementia or neurodegenerative disease
Regular use of nonpharmacological pain management
Diagnosed with serious mental illness or substance abuse
Current suicidal ideation on self-report