Managing Pain and Cognitions in Older Adults With Early Cognitive Decline and Chronic Pain

Inclusion Criteria: * Male and female outpatients, age 60 years or older * Have nonmalignant chronic pain for more than 3 months * Reports early cognitive decline (subjective or objective) * Telephone Interview for Cognitive Status-30 score greater than or equal to 17 * Functional Activities Questionnaire score less than 9 * Able to perform a 6-minute walk test at an accelerated pace * English fluency/literacy * Willingness and ability to participate and use an ActiGraph watch and smartphone app to view and sync the step count and sleep data * 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 and no self-reported concerns about physical functioning on the revised Physical Activity Readiness Questionnaire (PAR-Q; score 0) Exclusion Criteria: * Diagnosed with dementia or neurodegenerative disease * Diagnosed with medical illness expected to worsen in the next 6 months * Diagnosed with serious untreated mental illness (i.e., schizophrenia) or untreated substance use disorder * Current suicidal ideation reported on self-report * Engaging in regular mindfulness practice \> 45 min/week or has completed a course of cognitive behavioral therapy in the past 3 months * Regular use of a digital-monitoring device * Engagement in regular intensive physical exercis…