- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT05949177
Graded Exposure and Mindfulness Meditation for Patients Post-ACL Reconstruction
The GEMM Trial: Graded Exposure and Mindfulness Meditation for Patients Post- ACL Reconstruction
Study Overview
Status
Conditions
Intervention / Treatment
Detailed Description
Study Type
Enrollment (Estimated)
Phase
- Not Applicable
Contacts and Locations
Study Contact
- Name: Shelby E Baez, Ph.D., ATC
- Phone Number: 919-445-1500
- Email: sbaez@unc.edu
Study Locations
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North Carolina
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Chapel Hill, North Carolina, United States, 27514
- Fetzer Hall, 210 South Road
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Contact:
- Shelby E Baez, Ph.D.., ATC
- Phone Number: 919-445-1500
- Email: sbaez@unc.edu
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Participation Criteria
Eligibility Criteria
Ages Eligible for Study
- Adult
Accepts Healthy Volunteers
Description
Inclusion Criteria:
- Ages 18-25 years
- Have self-reported levels of fear on the Tampa Scale of Kinesiophobia-11 and the Photographic Series of Sports Activities for ACLR
- Injured their knee playing or training for sports (recreational or organized)
- Have a history of unilateral ACLR
- 1 to 5-years post-ACLR
Exclusion Criteria:
- History of secondary ACL injury
- Do not exhibit elevated injury-related fear
- Concomitant surgeries at the time of ACL reconstruction
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: Double
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Experimental: Graded Exposure and Mindfulness Meditation
The participants randomized to the GEMM group will complete 1) written exposure and 2) in vivo exposure and will be asked to rate their task specific fears after baseline tests.
Tasks identified to be fearful will be used to develop the graded-hierarchy of fearful situations, and these fearful situations will be addressed in the GEMM.
Participants will be instructed to watch a 30-min video that provides education on the rationale of cognitive behavioral therapies, specifically the benefits of exposure therapy and mindfulness meditation.
Participants randomized into the GEMM group will also complete 5-weeks of Mobile Mindfulness Meditation.
Participants randomized into the GEMM group will be guided through 4, 10-minute Mobile Mindfulness Meditation per week (20 total sessions) via the Headspace mobile application where they will learn the fundamentals of mindfulness meditation and how to apply mindfulness meditation to sports rehabilitation.
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Participants will complete graded exposure and will be encouraged to face fear-eliciting situations.
Participants will also complete mindfulness meditation guided through the Headspace mobile application.
Participants will complete the graded exposure one time per week and will complete the mindfulness meditation 4 times per week.
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Placebo Comparator: Waitlist Control
Participants will be randomized to a waitlist control group.
Participants will receive an email stating that they will receive access to 5-weeks of Headspace after 5-weeks.
Participants will be also asked to not change their normal routines or download apps for relaxation, meditation, or sleep during 5-weeks.
After completion of the outcome assessments at 5-weeks, participants in this group will receive access to 5-weeks of Headspace.
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Participants will receive an email stating that they will receive access to 5-weeks of Headspace after 5-weeks.
Participants will be also asked to not change their normal routines or download apps for relaxation, meditation, or sleep during 5-weeks.
After completion of the outcome assessments at 5-weeks, participants in this group will receive access to 5-weeks of Headspace.
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What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Change in Task Specific Fears
Time Frame: Collected at baseline and post-treatment after completion of the intervention or waitlist control at week 5
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The Photographic Series of Sports Activities for ACLR is a patient-reported outcome designed to measure fear of harm of specific tasks through photographical assessment.
Patients will be instructed to rate each photograph of sports activities on a scale of 0 to 10, with 0 representing "not harmful at all" and 10 representing "extremely harmful."
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Collected at baseline and post-treatment after completion of the intervention or waitlist control at week 5
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Change in Overall Injury-Related Fear
Time Frame: Collected at baseline and post-treatment after completion of the intervention or waitlist control at week 5
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The Tampa Scale of Kinesiophobia-11 is a valid and reliable questionnaire that consists of 11-items and evaluates fear of movement and re-injury. A 4-point Likert scale is used to score each item. Scores range from 11-44 with higher scores representing higher kinesiophobia. AIM 1: Determine the efficacy of GEMM compared to a waitlist control group to decrease injury-related fear and reinjury anxiety in participants with a history of ACLR 1-5 years post-reconstruction. |
Collected at baseline and post-treatment after completion of the intervention or waitlist control at week 5
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Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Change in Reinjury Anxiety
Time Frame: Collected at baseline and post-treatment after completion of the intervention or waitlist control at week 5
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The reinjury anxiety inventory (RIAI) is a valid and reliable 28-item questionnaire of reinjury anxiety which consists of two subscales, rehabilitation reinjury anxiety and reentry into competition reinjury anxiety.
A 4-point Likert scale is used to score each item.
The RIAI is scored by computing a separate score for the two subscales and adding these scores together for an overall total score.
Total score ranges from 0-84 with higher scores representing higher reinjury anxiety
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Collected at baseline and post-treatment after completion of the intervention or waitlist control at week 5
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Change in Lower Extremity Reaction Time
Time Frame: Collected at baseline and post-treatment after completion of the intervention or waitlist control at week 5
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Participants will complete a standardized and novel lower extremity reaction time assessment using the FitLight Trainer.
Participants will be instructed to respond to a visual stimulus and deactivate a series of 5 targets arranged in a semicircle with their feet.
The protocol will last for 1 minute and completed bilaterally.
Test limb order will be counterbalanced between participants.
Participants will complete 3 familiarization trials and 1 test trial per limb (ms).
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Collected at baseline and post-treatment after completion of the intervention or waitlist control at week 5
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Collaborators and Investigators
Collaborators
Investigators
- Principal Investigator: Shelby E Baez, Ph.D., ATC, UNC-Chapel Hill
Study record dates
Study Major Dates
Study Start (Estimated)
Primary Completion (Estimated)
Study Completion (Estimated)
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
- 23-1412
- 2223GP01 (Other Grant/Funding Number: National Athletic Trainers' Research and Education Foundation)
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
IPD Plan Description
IPD Sharing Time Frame
IPD Sharing Access Criteria
Investigator has approved IRB, IEC, or REB and an executed data use/sharing agreement with UNC.
To further protect the privacy and confidentiality of the data, the data and associated documentation will be made available only under a data-sharing agreement that provides for: (1) requirements to protect patients' privacy and data confidentiality including appropriate data security; (2) restrictions for the transferring of data to others; (3) commitments that the data will be used for research purposes only and not for a profit-making enterprise, and (4) prohibition of manipulation of data for the purposes of attempting to identify research participants.
IPD Sharing Supporting Information Type
- STUDY_PROTOCOL
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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