Remote-delivered MBCT for SCAD Survivors
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ClinicalTrials.gov Identifier: NCT04983680 |
Recruitment Status :
Completed
First Posted : July 30, 2021
Last Update Posted : March 15, 2023
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Condition or disease | Intervention/treatment | Phase |
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Acute Coronary Syndrome Coronary Artery Disease Anxiety Sleep | Behavioral: MBCT | Phase 1 |
Study Type : | Interventional (Clinical Trial) |
Actual Enrollment : | 18 participants |
Allocation: | N/A |
Intervention Model: | Single Group Assignment |
Masking: | None (Open Label) |
Primary Purpose: | Treatment |
Official Title: | Remote-delivered Mindfulness-Based Cognitive Therapy to Target Fear of Recurrence Among SCAD Survivors |
Actual Study Start Date : | November 4, 2021 |
Actual Primary Completion Date : | June 7, 2022 |
Actual Study Completion Date : | June 7, 2022 |
Arm | Intervention/treatment |
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Experimental: Mindfulness-Based Cognitive Therapy
Mindfulness-Based Cognitive Therapy (MBCT) is an 8-week group intervention (1.5-hour weekly sessions) that combines cognitive-behavioral therapy and mindfulness training to treat emotional problems.
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Behavioral: MBCT
Mindfulness-Based Cognitive Therapy (MBCT) is an 8-week group intervention (1.5-hour weekly sessions) that combines cognitive-behavioral therapy and mindfulness training. In this study, MBCT has been adapted to include education about cardiac health and fear of recurrence, and the intervention is delivered remotely via synchronous group videoconference. There is 15-20 minutes of daily mindfulness practice between sessions. Participants are provided a home practice record form and asked to submit the completed form to study staff each week. |
- Feasibility of enrollment: percent of participants enrolled [ Time Frame: 1 year ]Feasibility will be assessed by >70% of eligible patients enroll and <20% ineligible due to each criterion
- Feasibility of retention: percent of enrolled participants retained at post-intervention [ Time Frame: 1 year ]Feasibility of retention will be assessed by <20% participant attrition
- Feasibility of survey completion: percent of participants who complete the study surveys [ Time Frame: 1 year ]Feasibility of survey completion will be assessed by >70 pre-intervention and post-intervention surveys completed, >70% daily diaries completed for 7 consecutive days, <20% missing data on daily diaries
- Feasibility of actigraphy use: percent of participants who adhere to actigraphy procedures [ Time Frame: 1 year ]Feasibility of actigraphy use will be assessed by >70% completed for 7 consecutive days
- Feasibility of MBCT intervention: participant attendance rates [ Time Frame: 1 year ]Feasibility of UpBeat-MBCT intervention components will be assessed by >70% session attendance
- Feasibility of videoconferencing delivery: percent of sessions with videoconferencing problems [ Time Frame: 1 year ]Feasibility of videoconferencing delivery will be assessed by <20% of sessions missed due to videoconference problems and <20% connections dropped during session
- Acceptability of study surveys [ Time Frame: 1 year ]Acceptability of surveys and daily diaries will be assessed by ease of survey completion (1=not at all, 10=extremely, M<7.0) and level of survey interference in daily life (1=not at all, 10=extremely, M<2.0)
- Acceptability of actigraphy [ Time Frame: 1 year ]Acceptability of actigraphy will be assessed by ratings of ease of actigraphy completion (1=not at all, 10 =extremely, M>7.0)
- Intervention home practice completion [ Time Frame: 1 year ]Acceptability of the UpBeat-MBCT intervention will be assessed by >70% of home practice completed <3days/week
- Intervention content acceptability [ Time Frame: 1 year ]Intervention acceptability will be assessed by >70% plan to use the skills and would recommend the program to others
- Intervention perspectives [ Time Frame: 1 year ]Intervention perspectives will be assessed by likes, dislikes, and suggestions for program improvement reported in the exit interview
- Non-judgmental body awareness [ Time Frame: 1 year ]The multidimensional assessment of interoceptive awareness, a validated self-report survey, will be used to explore levels of non-judgmental body awareness before and after the intervention, including daily diaries
- Attention regulation [ Time Frame: 1 year ]The Cognitive Affective Mindfulness Scale-Revised, a validated self-report survey, will be used to explore levels of trait mindfulness before and after the intervention, including daily diaries
- Cognitive de-centering [ Time Frame: 1 year ]The Experiences Questionnaire, a validated self-report survey, will be used to explore levels of trait cognitive de-centering before and after the intervention (i.e., the ability to notice mental events as transient objects separate from the self), including daily diaries
- Distress tolerance [ Time Frame: 1 year ]The Distress Tolerance Scale, a validated self-report survey, will be used to explore levels of the ability to withstand negative emotional states before and after the intervention, including daily diaries
- Interoceptive bias [ Time Frame: 1 year ]The Body Vigilance Scale, a validated self-report survey, will be used to explore attentional bias, hypervigilance, and sensitivity toward physical sensations around the chest before and after the intervention, including daily diaries
- Intolerance of uncertainty [ Time Frame: 1 year ]The Intolerance of Uncertainty Scale-12, a validated self-report survey, will be used to explore the ability to tolerate uncertainty before and after the intervention, including daily diaries
- Fear of recurrence [ Time Frame: 1 year ]The Assessment of Survivor Concerns, a validated self-report survey, will be used to explore the severity of fears of recurrent cardiac events before and after the intervention, including daily diaries
- Self-reported sleep outcomes [ Time Frame: 1 year ]Sleep duration, sleep efficiency, and sleep onset latency will be assessed by self-report survey via the Consensus Sleep Diary before and after the intervention, including daily diaries
- Actigraphy sleep outcomes [ Time Frame: 1 year ]Sleep duration, sleep efficiency, and sleep onset latency will be assessed via Actigraphy (7 consecutive days before and after the intervention)
- Self-reported physical activity [ Time Frame: 1 year ]Moderate-vigorous physical activity engagement will be assessed by self-report survey via the Physical Activity Vital sign before and after the intervention, including daily diaries
- Actigraphy physical activity outcomes [ Time Frame: 1 year ]Moderate-vigorous physical activity, total steps, and sedentary time will be assessed via Actigraphy (7 consecutive days)
Choosing to participate in a study is an important personal decision. Talk with your doctor and family members or friends about deciding to join a study. To learn more about this study, you or your doctor may contact the study research staff using the contacts provided below. For general information, Learn About Clinical Studies.
Ages Eligible for Study: | 18 Years and older (Adult, Older Adult) |
Sexes Eligible for Study: | All |
Accepts Healthy Volunteers: | No |
Inclusion Criteria:
- Age >18 years
- Cardiologist-confirmed diagnosis of SCAD in the past 1-12 months
- English-speaking and reading
- Internet access (via computer or mobile device).
Exclusion Criteria:
- Terminal illness with life expectancy <1 year
- Severe mental illness requiring urgent psychiatric intervention (e.g., active suicidal ideation) or past-year psychiatric hospitalization)
- Significant cognitive impairment preventing informed consent determined by study staff or medical record review (e.g., medical history of cognitive impairment)
- Deemed unable to complete research procedures (e.g., group sessions or surveys) per clinical judgment of study staff
- Unavailable for intervention sessions (e.g., schedule conflicts)
To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.
Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT04983680
United States, Massachusetts | |
Mongan Institute: Health Policy Research Center | |
Boston, Massachusetts, United States, 02114 |
Principal Investigator: | Christina M Luberto, PhD | Massachusetts General Hospital |
Responsible Party: | Christina Luberto, Assistant Professor of Psychology, Massachusetts General Hospital |
ClinicalTrials.gov Identifier: | NCT04983680 |
Other Study ID Numbers: |
2021P001519 |
First Posted: | July 30, 2021 Key Record Dates |
Last Update Posted: | March 15, 2023 |
Last Verified: | March 2023 |
Individual Participant Data (IPD) Sharing Statement: | |
Plan to Share IPD: | No |
Studies a U.S. FDA-regulated Drug Product: | No |
Studies a U.S. FDA-regulated Device Product: | No |
Coronary Artery Disease Acute Coronary Syndrome Coronary Disease Myocardial Ischemia Heart Diseases |
Cardiovascular Diseases Arteriosclerosis Arterial Occlusive Diseases Vascular Diseases |