- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT02634697
Impact of the Relaxation Response Resiliency Program on Patients With Atrial Fibrillation
Study Overview
Status
Intervention / Treatment
Detailed Description
Study Type
Enrollment (Actual)
Phase
- Not Applicable
Contacts and Locations
Study Locations
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-
Massachusetts
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Boston, Massachusetts, United States, 02114
- Massachusetts General Hospital
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-
Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
- Age: 18-90 years
- Diagnosed with documented recurrent symptomatic paroxysmal atrial fibrillation
- Currently on stable medical therapy for AF and willing to continue on the same treatment regimen for 8 weeks while participating in the study.
- No current or prior practice of yoga, meditation, guided imagery or other techniques that elicit relaxation response (RR).
- Able to provide informed consent and to understand written and spoken English.
Exclusion Criteria:
- End Stage renal failure or heart failure, severe unstable medical or psychiatric disease
- Patients deemed unable to complete protocol due to cognitive or other reasons.
- Patients on psychoactive medications will have eligibility determined by the PI or MD co-investigator on a case-by-case basis, and will be admitted to the study if medication is deemed stable
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Supportive Care
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: None (Open Label)
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Experimental: 3RP Intervention Group
AF Patients will undergo the 3RP intervention which will comprise of the following: i. One-one-one session: each subject will spend an hour with a clinician to set specific goals for the intervention. They will also answer questionnaires. ii. ECG monitoring: Enrolled subjects may be monitored with an ECG at some point after the time of consent up to the day of the one-on-one session, and again after completing the 8 weeks. iii. Weeks 1 - 8: subjects will meet with the clinician/staff member as a group once a week for 1.5 hours each where they will be taught a variety of techniques to elicit the relaxation response as well as other cognitive skills. At the end of the 4th (mid-point) and 8th (last) weekly session, subjects will answer questionnaires. iv. 6 month follow up: 3 months after the final 3RP session to answer questionnaires. v. Subjects will be asked to keep track of their AF episodes during the course of the study. |
8-week group intervention teaching relaxation and psychological resiliency enhancing skills.
Topics include the relaxation response, meditation, and yoga
Other Names:
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Active Comparator: 3RP Waitlist Control Group
The Control Group will wait for 6 months (from the time the Intervention group starts the 3RP intervention) and then will undergo the same study procedures as the intervention group - except for the 6 month follow up.
|
8-week group intervention teaching relaxation and psychological resiliency enhancing skills.
Topics include the relaxation response, meditation, and yoga
Other Names:
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What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
AF Symptoms Severity and Burden questionnaire
Time Frame: Change between Baseline (week 0), mid-intervention (week 4), post-intervention (week 9), and 3-month follow up (week 13 or week 26)
|
A 19-item measure assessing the severity, burden, and impact of one's atrial fibrillation symptoms.
|
Change between Baseline (week 0), mid-intervention (week 4), post-intervention (week 9), and 3-month follow up (week 13 or week 26)
|
Measure of Current Status (MOCS-A)
Time Frame: Change between Baseline (week 0), mid-intervention (week 4), post-intervention (week 9), and 3-month follow up (week 13 or week 26)
|
The MOCS-A is a 13-item measure assessing participants' current self-perceived status on several skills such as: the ability to relax at will, recognize stress-inducing situations, restructure maladaptive thoughts, be assertive about needs, and choose appropriate coping responses as needed.
Responses are made on a 7-point scale with higher scores reflecting higher life satisfaction.
|
Change between Baseline (week 0), mid-intervention (week 4), post-intervention (week 9), and 3-month follow up (week 13 or week 26)
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Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Visual Analog Stress Scale
Time Frame: Change between Baseline (week 0), mid-intervention (week 4), post-intervention (week 9), and 3-month follow up (week 13 or week 26)
|
Measures one's distress, stress, and ability to cope with that stress over the past week on a scale from 0 to 10.
|
Change between Baseline (week 0), mid-intervention (week 4), post-intervention (week 9), and 3-month follow up (week 13 or week 26)
|
Buss-Perry Hostility Scale
Time Frame: Change between Baseline (week 0), mid-intervention (week 4), post-intervention (week 9), and 3-month follow up (week 13 or week 26)
|
A 29-item questionnaire that measures a one's levels of aggression.
|
Change between Baseline (week 0), mid-intervention (week 4), post-intervention (week 9), and 3-month follow up (week 13 or week 26)
|
Cognitive and Affective Mindfulness Scale (CAMS)
Time Frame: Change between Baseline (week 0), mid-intervention (week 4), post-intervention (week 9), and 3-month follow up (week 13 or week 26)
|
Measures the degree to which individuals experience their thoughts and feelings.
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Change between Baseline (week 0), mid-intervention (week 4), post-intervention (week 9), and 3-month follow up (week 13 or week 26)
|
Cigna Healthy Eating Scale
Time Frame: Change between Baseline (week 0), mid-intervention (week 4), post-intervention (week 9), and 3-month follow up (week 13 or week 26)
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A 7-item self-report instrument that measures behavioral eating.
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Change between Baseline (week 0), mid-intervention (week 4), post-intervention (week 9), and 3-month follow up (week 13 or week 26)
|
FACIT-Spirituality
Time Frame: Change between Baseline (week 0), mid-intervention (week 4), post-intervention (week 9), and 3-month follow up (week 13 or week 26)
|
Measures spiritual well-being (sense of meaning in life and the sense of strength in one's faith).
|
Change between Baseline (week 0), mid-intervention (week 4), post-intervention (week 9), and 3-month follow up (week 13 or week 26)
|
Generalized Anxiety Disorder 7-item (GAD-7)
Time Frame: Change between Baseline (week 0), mid-intervention (week 4), post-intervention (week 9), and 3-month follow up (week 13 or week 26)
|
A brief measure for assessing generalized anxiety disorder
|
Change between Baseline (week 0), mid-intervention (week 4), post-intervention (week 9), and 3-month follow up (week 13 or week 26)
|
The Gratitude Questionnaire (GQ-6)
Time Frame: Change between Baseline (week 0), mid-intervention (week 4), post-intervention (week 9), and 3-month follow up (week 13 or week 26)
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The GQ-6 revised is a 6-item measure that assesses individual differences in the proneness to experience gratitude in daily life.
Scores range from 6-42, with a higher score indicating a greater sense of gratitude.
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Change between Baseline (week 0), mid-intervention (week 4), post-intervention (week 9), and 3-month follow up (week 13 or week 26)
|
Interpersonal Reactivity Index (IRI)
Time Frame: Change between Baseline (week 0), mid-intervention (week 4), post-intervention (week 9), and 3-month follow up (week 13 or week 26)
|
The IRI assesses the cognitive and affective dimensions of empathy.
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Change between Baseline (week 0), mid-intervention (week 4), post-intervention (week 9), and 3-month follow up (week 13 or week 26)
|
Life Orientation Test (LOT) Optimism Scale
Time Frame: Change between Baseline (week 0), mid-intervention (week 4), post-intervention (week 9), and 3-month follow up (week 13 or week 26)
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The LOT Optimism Scale measures individual differences in generalized optimism versus pessimism.
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Change between Baseline (week 0), mid-intervention (week 4), post-intervention (week 9), and 3-month follow up (week 13 or week 26)
|
Medical Outcomes Study (MOS) Social Support Survey
Time Frame: Change between Baseline (week 0), mid-intervention (week 4), post-intervention (week 9), and 3-month follow up (week 13 or week 26)
|
The MOS Social Support Survey measures various dimensions of social support.
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Change between Baseline (week 0), mid-intervention (week 4), post-intervention (week 9), and 3-month follow up (week 13 or week 26)
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Positive and Negative Affect Schedule (PANAS)
Time Frame: Change between Baseline (week 0), mid-intervention (week 4), post-intervention (week 9), and 3-month follow up (week 13 or week 26)
|
The PANAS comprises two mood scales, one that measures positive affect and the other which measures negative affect.
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Change between Baseline (week 0), mid-intervention (week 4), post-intervention (week 9), and 3-month follow up (week 13 or week 26)
|
Patient Health Questionnaire (PHQ)
Time Frame: Change between Baseline (week 0), mid-intervention (week 4), post-intervention (week 9), and 3-month follow up (week 13 or week 26)
|
The PHQ measures symptoms of depression and functional impairment.
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Change between Baseline (week 0), mid-intervention (week 4), post-intervention (week 9), and 3-month follow up (week 13 or week 26)
|
Lifestyle Questionnaire
Time Frame: Change between Baseline (week 0), mid-intervention (week 4), post-intervention (week 9), and 3-month follow up (week 13 or week 26)
|
Measures physical activity and health behaviors.
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Change between Baseline (week 0), mid-intervention (week 4), post-intervention (week 9), and 3-month follow up (week 13 or week 26)
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Pittsburgh Sleep Quality Index (PSQI)
Time Frame: Change between Baseline (week 0), mid-intervention (week 4), post-intervention (week 9), and 3-month follow up (week 13 or week 26)
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Assesses sleep quality and discriminates between good and poor sleepers.
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Change between Baseline (week 0), mid-intervention (week 4), post-intervention (week 9), and 3-month follow up (week 13 or week 26)
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Perceived Stress Scale (PSS-10)
Time Frame: Change between Baseline (week 0), mid-intervention (week 4), post-intervention (week 9), and 3-month follow up (week 13 or week 26)
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The PSS is a widely used psychological instrument for the measurement of the perception of stress.
This 10-itam scale is designed to measure the degree to which situations in one's life are appraised, or considered stressful.
The scores range from 0-40, with a higher score indicating higher perceived stress.
Items were designed to detect how unpredictable, uncontrollable and overloaded respondents find their lives.
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Change between Baseline (week 0), mid-intervention (week 4), post-intervention (week 9), and 3-month follow up (week 13 or week 26)
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Penn State Worry Questionnaire (PSWQ)
Time Frame: Change between Baseline (week 0), mid-intervention (week 4), post-intervention (week 9), and 3-month follow up (week 13 or week 26)
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Measures the trait (or tendency towards) worry in individuals.
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Change between Baseline (week 0), mid-intervention (week 4), post-intervention (week 9), and 3-month follow up (week 13 or week 26)
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RR Adherence Questionnaire
Time Frame: Change between Baseline (week 0), mid-intervention (week 4), post-intervention (week 9), and 3-month follow up (week 13 or week 26)
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Assesses the number of days a week where participants practiced RR skills.
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Change between Baseline (week 0), mid-intervention (week 4), post-intervention (week 9), and 3-month follow up (week 13 or week 26)
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General Self-Efficacy Scale
Time Frame: Change between Baseline (week 0), mid-intervention (week 4), post-intervention (week 9), and 3-month follow up (week 13 or week 26)
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Measures optimistic self-beliefs to cope with a variety of difficult demands in life.
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Change between Baseline (week 0), mid-intervention (week 4), post-intervention (week 9), and 3-month follow up (week 13 or week 26)
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Fatigue and Distress Analogue Scale
Time Frame: Change between Baseline (week 0), mid-intervention (week 4), post-intervention (week 9), and 3-month follow up (week 13 or week 26)
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Measures one's distress and fatigue over the past week on a scale from 0 to 10.
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Change between Baseline (week 0), mid-intervention (week 4), post-intervention (week 9), and 3-month follow up (week 13 or week 26)
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Smoking Questionnaire
Time Frame: Change between Baseline (week 0), mid-intervention (week 4), post-intervention (week 9), and 3-month follow up (week 13 or week 26)
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Measures the prevalence and frequency of an individual's smoking habits.
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Change between Baseline (week 0), mid-intervention (week 4), post-intervention (week 9), and 3-month follow up (week 13 or week 26)
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Medication Use Questionnaire
Time Frame: Change between Baseline (week 0), post-intervention (week 9), and 3-month follow up (week 13 or week 26)
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Patients list their medication name, dosage, and frequency.
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Change between Baseline (week 0), post-intervention (week 9), and 3-month follow up (week 13 or week 26)
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Other Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Age, Gender, Race, Ethnicity, Marital Status, Education Status, and Employment Status of Patients with AF
Time Frame: Baseline (week 0)
|
This questionnaire asks AF patients to report their age, gender, race, ethnicity, marital status, highest level of education, and current employment status.
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Baseline (week 0)
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Collaborators and Investigators
Sponsor
Collaborators
Investigators
- Principal Investigator: Jeremy N Ruskin, MD, Massachusetts General Hospital
Study record dates
Study Major Dates
Study Start
Primary Completion (Actual)
Study Completion (Actual)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Estimate)
Study Record Updates
Last Update Posted (Actual)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Keywords
Additional Relevant MeSH Terms
Other Study ID Numbers
- 2015P000552
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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