Mindfulness Meditation for Cognition and Mood
The purpose of this pilot study is to collect feasibility and acceptability of an internet mindfulness meditation intervention for older adults and to collect preliminary data on mood and cognition changes from before to after the intervention. Up to 32 older adults will be randomized to receive a mindfulness meditation intervention or a time and attention control, both delivered over the internet (16 completers). Participants will have a one-hour session weekly for six weeks with daily home practice between sessions. Participants will complete the sessions online with a study iPad. Their home practice will also be installed on the study iPad as well as an objective adherence monitoring program that the investigators developed to track actual home practice between sessions. The feasibility and acceptability measures are enrollment rate, completion rate, and participant satisfaction. Self-report mood questionnaires and cognitive tasks will be measured before and after the intervention period and data used to conduct power analyses and sample size estimation for a larger clinical trial.
Behavioral: Mindfulness Meditation
|Study Design:||Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Double Blind (Investigator, Outcomes Assessor)
|Official Title:||Mindfulness Meditation for Cognition and Mood: A Pilot Study Evaluating Feasibility and Collecting Preliminary Data|
- Recruitment [ Time Frame: Week 8 ] [ Designated as safety issue: No ]Enrollment and dropout rates will be calculated for each participant and summarized for all participants in the study.
- Participant satisfaction [ Time Frame: Week 8 ] [ Designated as safety issue: No ]Client Satisfaction Questionnaire
- Mood [ Time Frame: Week 0, Week 8 ] [ Designated as safety issue: No ]Mood (Center for Epidemiologic Studies Depression Scale)
- Cognition [ Time Frame: Week 0, Week 8 ] [ Designated as safety issue: No ]Simple Reaction Time, Flanker Task, Letter-Number Sequencing, Phonetic and Semantic Verbal Fluency, and AVLT Rey Auditory-Verbal Learning Test (AVLT).
- Perceived Stress Scale [ Time Frame: Week 0, Week 8 ] [ Designated as safety issue: No ]
- Pittsburgh Sleep Quality Index [ Time Frame: Week 0, Week 8 ] [ Designated as safety issue: No ]
- Mindfulness-Five-factor Mindfulness Scale [ Time Frame: Week 0, Week 8 ] [ Designated as safety issue: No ]
- Positive and Negative Affect Scale [ Time Frame: Week 0, Week 8 ] [ Designated as safety issue: No ]
|Study Start Date:||September 2013|
|Study Completion Date:||May 2015|
|Primary Completion Date:||May 2015 (Final data collection date for primary outcome measure)|
Experimental: Mindfulness Meditation
One session per week for 6 weeks online through study iPAD. The intervention is a standardized and structured program. The objectives are to: 1) help participants understand their personal reactions to stress, 2) teach them skills to modify their stress reactions, and 3) promote their desire for self-care and feelings of competence and mastery.
Behavioral: Mindfulness Meditation
A standardized and structured program based on Mindfulness Based Cognitive Therapy and Mindfulness Based Stress Reduction and has been piloted in our laboratory.Each session included 1) discussion on stress, relaxation, meditation, and mind-body interaction, 2) instruction and practice in formal and informal MM, and 3) enquiry about problem-solving techniques regarding success and difficulty in practicing mindfulness. Formal meditation instruction included a mindful Body Scan and Sitting Meditation (awareness of breath, body sensations, cognitive and emotional processes). Informal practice of mindful daily activities (e.g., washing dishes) was also taught to generalize mindfulness beyond the formal meditations. A 3-minute meditation was offered as a quick coping strategy, and it could be practiced with or without a guided recording.
Active Comparator: Education
Education sessions- 1 session per week for 6 weeks on study iPAD.
The Education control was matched for session time and home practice. The internet sessions included a general health video and questions about the material. For home practice, the participants listened to podcasts about the same topic. The session topics were 1) Healthy Eating, 2) Healthy Exercise, 3) Healthy Sleep, 4) Healthy Brain, 5) Healthy Mood, and 6) Community Involvement.
Please refer to this study by its ClinicalTrials.gov identifier: NCT01946893
|Principal Investigator:||Helane Wahbeh||Oregon Health and Science University|