- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT03659409
Stroke Of Mindfulness: Investigating Physiological and Psychological Well-being (SOM)
Investigating the Impact of Mindfulness on the Physiological and Psychological Well-being of Stroke Survivors and Their Caregivers.
Study Overview
Status
Conditions
Intervention / Treatment
Detailed Description
Stroke survivors face many concerns, including the physical, psychological, cognitive and psychosocial consequences of stroke, as well as impaired function and quality of life. Also important for stroke survivors is the possibility of recurrence that may result in death and further disability. Survivors depend on their caregivers to provide assistance for daily living tasks, emotional support and taking on new roles and responsibilities with changing social dynamics, often causing long-term strain.
Mindfulness-based interventions (MBIs) are psychotherapeutic interventions which have been shown to improve psychological, physiological and psychosocial outcomes such as anxiety, depression, mental fatigue, blood pressure and overall quality of life. However, data is limited for stroke survivors and their caregivers, especially in Asians. This study will evaluate the impact of MBIs on the psychological well-being and perceived quality of life among stroke survivors and their family caregivers in Singapore.
This study employs a randomized treatment-waitlist crossover design with outcome measures administered before and after the intervention as well as at 3 months follow-up for the treatment group.
The intervention consists of 4 weekly 2-hour mindfulness sessions. Participants will be introduced, taught and guided in practice of mindfulness-based interventions that are focused on their (1) breath, (2) senses, (3) body and bodily movement, (4) feelings of empathy and compassion. Pre- and post-intervention questionnaires will be conducted to assess symptoms associated with depression, anxiety, stress and perceived quality of life. Blood pressure and heart rate variability recordings before and after intervention will also be noted.
Study Type
Enrollment (Actual)
Phase
- Not Applicable
Contacts and Locations
Study Locations
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-
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Singapore, Singapore, 169608
- Singapore General Hospital
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Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
- Stroke Survivors
- Family Caregivers
- Able to speak and understand English Fluently
- Comprehends and provides consent independently
Exclusion Criteria:
- Cognitively impaired individuals with a MMSE Score of less than 20, MoCA score of less than 23
- Depression and Anxiety Stress Scale Scores, DASS, Depression >7, Anxiety >8, and Stress >13
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Crossover Assignment
- Masking: None (Open Label)
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Experimental: Mindfulness Based Intervention
4 weekly 2-hour sessions.
Participants will be introduced, taught and guided in practice of mindfulness-based interventions that are focused on their (1) breath, (2) senses, (3) body and bodily movements, (4) feelings of empathy and compassion.
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4 weekly 2-hour sessions.
Participants will be introduced, taught and guided in practice of mindfulness-based interventions that are focused on their (1) breath, (2) senses, (3) body and bodily movements, (4) feelings of empathy and compassion.
|
Other: Treatment Waitlist Group
Participants will receive no intervention, except for a baseline follow-up at the start and again at the end of the first phase.
2 months after the end of the first intervention phase, participants in this group will receive the same mindfulness-based intervention for 4 weeks.
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Participants in this group will only receive the Mindfulness-Based Intervention 3-months after they have started the study and baseline measurements.
While participants in the Intervention Arm are receiving the treatment, this group will receive No intervention for the first four weeks and will continue as treatment as usual until it is their turn to receive the Intervention.
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What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Cohen Perceived Stress Scale
Time Frame: Past 1 Month
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A 10-item measure evaluating the perception of stress.
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Past 1 Month
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Centre for Epidemiologic Studies Depression Scale (CES-D)
Time Frame: Past 1 Week
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A 20-item measure for epidemiological research on depression.
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Past 1 Week
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Stroke Specific Quality of Life Scale (SS-QOL)
Time Frame: Past 1 Month
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A 49-item self-report questionnaire designed to measure the heath related quality of life specific to stroke survivors across 12 domains.
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Past 1 Month
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Stroke Impact Scale (SIS)
Time Frame: 1 week
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A 64-item questionnaire that assesses across 8 domains
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1 week
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Short-Form-36 (SF-36)
Time Frame: A range from the past 4 to 52 weeks
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A 36-item self-report survey of health, including physical and mental health.
Higher scaled scores reflect better quality of health.
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A range from the past 4 to 52 weeks
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Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Zarit Burden Interview
Time Frame: Past 1 Month
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A 22-item self-report questionnaire to measure for level of caregiver burden or stress.
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Past 1 Month
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Five Facet Mindfulness Questionnaire
Time Frame: Past 1 Month
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This 39-item instrument is based on a factor analytic study of five independently developed mindfulness questionnaires.
The analysis yielded five factors that appear to represent elements of mindfulness as it is currently conceptualized.
The five facets are observing, describing, acting with awareness, non-judging of inner experience, and non-reactivity to inner experience.
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Past 1 Month
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Big Five Personality Inventory
Time Frame: Past 1 Month
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44-item inventory that measures an individual on the Big Five Factors (dimensions) of personality (Goldberg, 1993).
Each of the factors is then further divided into personality facets.
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Past 1 Month
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Other Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Mental Fatigue Scale (MFS)
Time Frame: 1 Month
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A 15-item questionnaire that cover the most common symptoms that occur after brain injury such as that sustained after a stroke.
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1 Month
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Collaborators and Investigators
Sponsor
Study record dates
Study Major Dates
Study Start (Actual)
Primary Completion (Actual)
Study Completion (Actual)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Actual)
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
- 2016/2361
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
IPD Plan Description
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
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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