Mindfulness-Based Cognitive Therapy Vs. the Health Enhancement Program for Chronic Pain and Early Cognitive Decline; The Feeling of Being Pilot RCT

The goal of this clinical trial is to pilot a randomized controlled trial comparing an adaptation of mindfulness-based cognitive therapy to the health enhancement program for chronic pain and early cognitive decline. The main questions it aims to answer in a later fully powered randomized controlled trial are: * Is an adaptation of mindfulness-based cognitive therapy for older Black adults able to improve quality of life? * Will an adapted mindfulness based cognitive therapy reduce pain interference to a greater degree than a traditional health enhancement program?

Inclusion Criteria: * Older adult (age ≥ 50) * All individuals who identify with one or more nationalities or ethnic groups originating in any of the Black racial groups of Africa * Pain in muscles, joints, bones, or associated soft tissues (NRS\>4) lasting longer than 3 months * Early Cognitive Decline (subjective or MCI) * Telephone Interview for Cognitive Status-41 score ≥ 26 * Functional Activities Questionnaire score \< 9 * English fluency/literacy * Ability and willingness to participate via in-person and video * Willing to provide informed consent and comply with all aspects of the protocol Exclusion Criteria: * Current substance abuse/dependence * Significant cognitive impairment * History of more than 8 sessions of cognitive-behavioral therapy * History of previous training in mindfulness or undergoing counseling more than once a month * History of or current diagnosis of psychosis * Active suicidal ideation or self-harm within the past 90 days