Mindfulness-based Cognitive Therapy vs the Health Enhancement Program for Chronic Pain and Depression; The Quiet Focus Study

This study is comparing two therapies for older Black adults who have chronic pain AND depression: Mindfulness-Based Cognitive Therapy (MBCT) and the Health Enhancement Program (HEP). Both involve group sessions held in-person and by video. The goal is to see which approach better helps this specific population manage both pain and low mood. **You may be eligible if...** - You are 50 or older and identify as Black or African - You have had pain in muscles, joints, bones, or soft tissues for more than 3 months (pain score above 4/10) - You have mild to moderate depression (PHQ-9 score between 5 and 14) - You are fluent in English and able to participate in person and by video - Your antidepressant medication (if any) has been stable in type and dose for at least 6 weeks **You may NOT be eligible if...** - Your pain is less than 3 months old - You have severe depression or active suicidal thoughts - You recently changed your antidepressant medication - You are unable to attend both in-person and video sessions Talk to your doctor to see if this trial is right for you.