Health Experiences & Early Life Disadvantages (HEELD)
An Affective Intervention to Reverse the Biological Residue of Low Childhood SES
Growing up in a low-income household has been shown to increase risk for, and susceptibility to many illnesses.The purpose of the study is to test an affective intervention for reversing biological risk factors, as related to childhood adversity, in midlife.
Participants will be asked to make two lab visits; attend six weekly, 1-hour meditation classes; as well as complete brief online daily surveys for 11 weeks, five biweekly surveys, and two 30-minute surveys prior to each lab visit. During the lab visits, participants will have their psychophysiology monitored for heart rate, blood pressure, respiration, and pulse. Participants will also have their blood drawn.
All surveys and questionnaires inquire about participants' current demographics, family history, perceptions about life and well-being, physical health, and monetary choices.
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Study Type
Study Type
Enrollment (Actual)
Enrollment
Phase
Phase
- Not Applicable
Contacts and Locations
Study Locations
-
-
North Carolina
-
Chapel Hill, North Carolina, United States, 27514
- UNC PEP Lab
-
-
Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
- fluent in written and spoken English
- have daily access to internet and a computer
Exclusion Criteria:
- engaged in regular meditation practice, either recently or in the past
- previously participated in a meditation study
- have allergies to adhesive materials (includes latex)
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Basic Science
- Allocation: Randomized
- Interventional Model: Factorial Assignment
- Masking: Triple
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
|
Experimental: Lovingkindness
A six-week formal meditation workshop for 1 hour per week.
|
Six weeks of formal instruction in Lovingkindness or Mindfulness meditation.
|
|
Placebo Comparator: Mindfulness
A six-week formal meditation workshop for 1 hour per week.
|
Six weeks of formal instruction in Lovingkindness or Mindfulness meditation.
|
What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Change in meditation time (Self-reported meditation time recorded daily)
Time Frame: Weeks 3, 4, 5, 6, 7, 8, 9 ,10, 11, 12
|
Self-reported meditation time recorded daily.
|
Weeks 3, 4, 5, 6, 7, 8, 9 ,10, 11, 12
|
Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Leukocyte basal gene expression (evaluated through blood samples)
Time Frame: Week 0, Week 12
|
Gene expression evaluated through blood samples.
|
Week 0, Week 12
|
|
Levels of mistrust (Self-report questionnaire measure of hostility using 9-item Cooke-Medley scale)
Time Frame: Week 0, Week 12
|
Self-report questionnaire measure of hostility using 9-item Cooke-Medley scale.
|
Week 0, Week 12
|
|
Temporal Discounting (Monetary choice questionnaire to assess impulsive decision-making)
Time Frame: Week 0, Week 12
|
Monetary choice questionnaire to assess impulsive decision-making.
|
Week 0, Week 12
|
|
Cardiac vagal tone (Respiration and echocardiogram measured with respiration band and 2-lead electrode placement)
Time Frame: Week 0, Week 12
|
Respiration and echocardiogram measured with respiration band and 2-lead electrode placement, respectively.
Three-minute spontaneous breath followed by five minutes of paced breathing intervals.
|
Week 0, Week 12
|
Collaborators and Investigators
Sponsor
Sponsor
Collaborators
Collaborators
Investigators
Investigators
- Principal Investigator: Barbara L Fredrickson, PhD, University of North Carolina, Chapel Hill
Publications and helpful links
General Publications
- Miller GE, Chen E, Fok AK, Walker H, Lim A, Nicholls EF, Cole S, Kobor MS. Low early-life social class leaves a biological residue manifested by decreased glucocorticoid and increased proinflammatory signaling. Proc Natl Acad Sci U S A. 2009 Aug 25;106(34):14716-21. doi: 10.1073/pnas.0902971106. Epub 2009 Jul 14.
- Cohen S, Doyle WJ, Turner RB, Alper CM, Skoner DP. Childhood socioeconomic status and host resistance to infectious illness in adulthood. Psychosom Med. 2004 Jul-Aug;66(4):553-8. doi: 10.1097/01.psy.0000126200.05189.d3.
- Miller GE, Chen E, Parker KJ. Psychological stress in childhood and susceptibility to the chronic diseases of aging: moving toward a model of behavioral and biological mechanisms. Psychol Bull. 2011 Nov;137(6):959-97. doi: 10.1037/a0024768.
- Cole SW, Hawkley LC, Arevalo JM, Cacioppo JT. Transcript origin analysis identifies antigen-presenting cells as primary targets of socially regulated gene expression in leukocytes. Proc Natl Acad Sci U S A. 2011 Feb 15;108(7):3080-5. doi: 10.1073/pnas.1014218108. Epub 2011 Feb 7.
- Kok BE, Fredrickson BL. Upward spirals of the heart: autonomic flexibility, as indexed by vagal tone, reciprocally and prospectively predicts positive emotions and social connectedness. Biol Psychol. 2010 Dec;85(3):432-6. doi: 10.1016/j.biopsycho.2010.09.005. Epub 2010 Sep 22. Erratum In: Biol Psychol. 2016 May;117:240.
- West TN, Zhou J, Brantley MM, Kim SL, Brantley J, Salzberg S, Cole SW, Fredrickson BL. Effect of Mindfulness Versus Loving-kindness Training on Leukocyte Gene Expression in Midlife Adults Raised in Low-Socioeconomic Status Households. Mindfulness (N Y). 2022 May;13(5):1185-1196. doi: 10.1007/s12671-022-01857-z. Epub 2022 Mar 16.
Study record dates
Study Major Dates
Study Start
Study Start
Primary Completion (Actual)
Primary Completion
Study Completion (Actual)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (Estimate)
First Posted
Study Record Updates
Last Update Posted (Estimate)
Last Update Posted
Last Update Submitted That Met QC Criteria
Last Update Submitted That Met QC Criteria
Last Verified
Last Verified
More Information
Terms related to this study
Other Study ID Numbers
Other Study ID Numbers
- 14-1938
- R01AG048811 (U.S. NIH Grant/Contract)
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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