Mindfulness Meditation Training in HIV (MBSR)
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Purpose
The purpose of this study is to investigate whether Mindfulness-Based Stress Reduction (MBSR) vs a one-day MBSR seminar improves immune (CD4+ T lymphocytes) and virological (HIV viral load) status in HIV-1 infected adults. The secondary goal of the study is to determine if MBSR vs a one-day MBSR seminar improves self-reported HIV-related quality of life.
| Condition | Intervention | Phase |
|---|---|---|
|
HIV Infections |
Behavioral: MBSR |
Phase 2 |
| Study Type: | Interventional |
| Study Design: | Allocation: Randomized Endpoint Classification: Efficacy Study Intervention Model: Parallel Assignment Masking: Single Blind (Outcomes Assessor) Primary Purpose: Treatment |
| Official Title: | Biobehavioral Effects of Mindfulness-Based Stress Reduction in HIV |
- CD4+ T lymphocytes (counts) [ Time Frame: Pre-test and post-test ] [ Designated as safety issue: No ]
- HIV-related Quality of Life [ Time Frame: Pre-test and post-test ] [ Designated as safety issue: No ]
- HIV viral load [ Time Frame: Pre-test and post-test ] [ Designated as safety issue: No ]
| Enrollment: | 50 |
| Study Start Date: | June 2005 |
| Study Completion Date: | January 2008 |
| Primary Completion Date: | December 2007 (Final data collection date for primary outcome measure) |
| Arms | Assigned Interventions |
|---|---|
|
Active Comparator: 1-Day MBSR
One-day condensed MBSR class
|
Behavioral: MBSR
Mindfulness-Based Stress Reduction Intervention
Other Names:
|
|
Experimental: 8-week MBSR
8-week Mindfulness-Based Stress Reduction Intervention
|
Behavioral: MBSR
Mindfulness-Based Stress Reduction Intervention
Other Names:
|
Detailed Description:
Mindfulness meditation, which is described as a process of bringing awareness to moment-to-moment experience, has been receiving substantial scientific attention as a process that can be stress and health protective (Brown, Ryan, & Creswell, 2007). Recent reviews by Baer (2003), Bishop (2002), and Grossman et al (2004) support the effectiveness of the standardized and manualized MBSR program in reducing stress and functional disability in a variety of chronic illnesses, although no studies have tested if MBSR impacts clinical markers of HIV, although some evidence suggests that MBSR improves some markers of innate immunity and quality of life in HIV-infected adults (see Robinson, Mathews, & Witek-Janusek, 2003). In this study, we propose to extend this work by investigating the impact of this intervention on biological and functional health status in HIV-positive adults.
We propose to determine whether the 8-week MBSR program is more effective than a one-day MBSR seminar in: (1) maintaining immune resistance in HIV infection (i.e. maintaining counts of CD4+ T lymphocytes and reducing HIV viral load), and (2) improving HIV-related quality of life. Additional analyses will test for a dose-response effect of MBSR by examining if MBSR class attendance and daily meditation practice are associated with the primary and secondary outcomes. These aims will be tested in a sample of 50 HIV-positive adults that is diverse with respect to ethnicity, gender and sexual orientation.
Eligibility| Ages Eligible for Study: | 18 Years and older |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | No |
Inclusion Criteria:
- Diagnosed HIV for > 6 months
- English speaking
- 18 years old or older
- Indicate some distress (>4 on the Patient Health Questionnaire-9)
- Willing to be randomized
Exclusion Criteria:
- Any substance abuse or treatment for a psychiatric disorder in the past 30 days
- Currently diagnosed with AIDS or had CD4+ T lymphocytes <200 cells
- Hepatitis (A, B, or C)
- Indicate a regular mind-body practice (e.g., yoga, meditation) in the past six months
Contacts and Locations| United States, California | |
| Cousins Center for Psychoneuroimmunology, UCLA | |
| Los Angeles, California, United States, 90095 | |
| Principal Investigator: | Hector F Myers, PhD | UCLA Department of Psychology |
| Study Director: | J. David Creswell, PhD | Cousins Center for Psychoneuroimmunology, UCLA |
More Information
Publications:
Additional publications automatically indexed to this study by ClinicalTrials.gov Identifier (NCT Number):
| Responsible Party: | Hector F. Myers, PhD, UCLA Department of Psychology |
| ClinicalTrials.gov Identifier: | NCT00600561 History of Changes |
| Other Study ID Numbers: | MBSR-HIV-Trial-Seedgrant, M01-RR00865 |
| Study First Received: | January 14, 2008 |
| Last Updated: | January 14, 2008 |
| Health Authority: | United States: Institutional Review Board |
Keywords provided by University of California, Los Angeles:
|
meditation mindfulness HIV CD4 Complementary Therapies |
Additional relevant MeSH terms:
|
HIV Infections Acquired Immunodeficiency Syndrome Lentivirus Infections Retroviridae Infections RNA Virus Infections Virus Diseases |
Sexually Transmitted Diseases, Viral Sexually Transmitted Diseases Immunologic Deficiency Syndromes Immune System Diseases Slow Virus Diseases |
ClinicalTrials.gov processed this record on May 23, 2013