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The Mindfulness Intervention as Myocardial Infarction Rehabilitation Additive (MIMIRA) Study (MIMIRA)

8. november 2017 opdateret af: Oskar Lundgren, Linkoeping University
The Mindfulness Intervention as Myocardial Infarction Rehabilitation Additive (MIMIRA) study aimed at studying the feasibility and acceptability of Mindfulness Based Stress Reduction - an 8 week course in meditation and yoga - in patients with a recent coronary artery event and elevated depressive symptoms. To address these questions patients with elevated scores on a depression scale were invited to participate in MBSR, and there evaluation of the course as well as a panel of psychological risk factors and resources was measured.

Studieoversigt

Status

Afsluttet

Betingelser

Intervention / Behandling

Detaljeret beskrivelse

Depressive symptomatology in patients with coronary artery disease (CAD) has prognostic importance. Yet, psychological interventions in clinical practice are scarce. Here, we explored the feasibility and acceptability of mindfulness-based stress reduction (MBSR) in patients with depressive symptoms after a recent coronary event. A second aim was to investigate psychological risk factors and resources among participants.

To address the research questions, depressive symptoms were first measured in a reference population, at 1 and 12 months after a coronary event (myocardial infarction or unstable angina pectoris), and a cut-off for elevated depressive symptoms were obtained from the median in this group. Thereafter, similar CAD patients with elevated depressive symptoms (above median in the reference group), from the same outpatient clinic, were consecutively invited to an 8-week MBSR program. Serious physical or psychiatric illness that would be an obstacle to participation were exclusion criteria.

Patients who completed the MBSR-course were asked to evaluate its various facets, and completion rate and attendance were feasibility outcomes. Psychological variables were measured before, after the course as well as 12 months later.

Undersøgelsestype

Interventionel

Tilmelding (Faktiske)

24

Fase

  • Ikke anvendelig

Kontakter og lokationer

Dette afsnit indeholder kontaktoplysninger for dem, der udfører undersøgelsen, og oplysninger om, hvor denne undersøgelse udføres.

Studiesteder

  • Sverige
      • Linköping, Sverige, 581 83
        • Linköping University

Deltagelseskriterier

Forskere leder efter personer, der passer til en bestemt beskrivelse, kaldet berettigelseskriterier. Nogle eksempler på disse kriterier er en persons generelle helbredstilstand eller tidligere behandlinger.

Berettigelseskriterier

Aldre berettiget til at studere

18 år til 70 år (Voksen, Ældre voksen)

Tager imod sunde frivillige

Ingen

Køn, der er berettiget til at studere

Alle

Beskrivelse

Inclusion Criteria:

  1. Recent (within 12 month) first time coronary artery event; defined as a diagnosis of myocardial infarction or unstable angina pectoris addressed with either percutaneous coronary intervention (PCI) or coronary artery by-pass graft surgery (CABG).
  2. Depressive symptoms above a score of 8 on the questionnaire centre for epidemiological studies depression scale (CES-D).
  3. Interest for participation in MBSR.

Exclusion Criteria:

  1. Major depression or other serious psychiatric illness (such as psychosis or ongoing life crisis).
  2. Severe comorbidities, such as cancer, severe cognitive impairment and alcohol or drug abuse.
  3. Practical hindrances for participation in MBSR.

Studieplan

Dette afsnit indeholder detaljer om studieplanen, herunder hvordan undersøgelsen er designet, og hvad undersøgelsen måler.

Hvordan er undersøgelsen tilrettelagt?

Design detaljer

  • Primært formål: Støttende pleje
  • Tildeling: N/A
  • Interventionel model: Enkelt gruppeopgave
  • Maskning: Ingen (Åben etiket)

Våben og indgreb

Deltagergruppe / Arm
Intervention / Behandling
Eksperimentel: MBSR participation
Participation in the 8 week Mindfulness Based Stress Reduction (MBSR) course.
Adfærdsmæssigt: Mindfulness Based Stress Reduction (MBSR)
An 8-week course in mindfulness meditation, yoga training and weekly group support in the form of weekly 2,5 hour meetings at the hospital.

Hvad måler undersøgelsen?

Primære resultatmål

Resultatmål
Foranstaltningsbeskrivelse
Tidsramme
Feasibility
Tidsramme: Immediately after the 8-week intervention.
Patient evaluation questionnaire
Immediately after the 8-week intervention.

Sekundære resultatmål

Resultatmål
Foranstaltningsbeskrivelse
Tidsramme
Depressive Symptoms
Tidsramme: Before, immediately after and 12 months post intervention.
Centre for Epidemiological Studies Scale Depression (CES-D) questionnaire (Radloff)
Before, immediately after and 12 months post intervention.
Anxiety
Tidsramme: Before, immediately after and 12 months post intervention.
Generalized Anxiety Disorder Scale - 7 (GAD-7) questionnaire (Spitzer)
Before, immediately after and 12 months post intervention.
Mindfulness
Tidsramme: Before, immediately after and 12 months post intervention.
Five Facets of Mindfulness Questionnaire (FFMQ) (Baer)
Before, immediately after and 12 months post intervention.
Acceptance
Tidsramme: Before, immediately after and 12 months post intervention.
Acceptance and Action Questionnaire II (AAQII) (Block)
Before, immediately after and 12 months post intervention.
Mastery
Tidsramme: Before, immediately after and 12 months post intervention.
Mastery questionnaire (Pearlin & Shooler)
Before, immediately after and 12 months post intervention.
Self-esteem
Tidsramme: Before, immediately after and 12 months post intervention.
Self-esteem questionnaire (Rosenberg)
Before, immediately after and 12 months post intervention.
Patients experiences of mindfulness training
Tidsramme: Continuously during the 8 week course.
Written journal entries (linguistic content)
Continuously during the 8 week course.

Samarbejdspartnere og efterforskere

Det er her, du vil finde personer og organisationer, der er involveret i denne undersøgelse.

Sponsor

Linkoeping University

Efterforskere

  • Ledende efterforsker: Lena LJ Jonasson, M.D. Ph.D., Division of Cardiovascular Medicine, Department of Medical and Health Sciences, Linköping University

Publikationer og nyttige links

Den person, der er ansvarlig for at indtaste oplysninger om undersøgelsen, leverer frivilligt disse publikationer. Disse kan handle om alt relateret til undersøgelsen.

Generelle publikationer

Datoer for undersøgelser

Disse datoer sporer fremskridtene for indsendelser af undersøgelsesrekord og resumeresultater til ClinicalTrials.gov. Studieregistreringer og rapporterede resultater gennemgås af National Library of Medicine (NLM) for at sikre, at de opfylder specifikke kvalitetskontrolstandarder, før de offentliggøres på den offentlige hjemmeside.

Studer store datoer

Studiestart (Faktiske)

31. januar 2012

Primær færdiggørelse (Faktiske)

18. november 2014

Studieafslutning (Faktiske)

30. november 2014

Datoer for studieregistrering

Først indsendt

6. november 2017

Først indsendt, der opfyldte QC-kriterier

8. november 2017

Først opslået (Faktiske)

14. november 2017

Opdateringer af undersøgelsesjournaler

Sidste opdatering sendt (Faktiske)

14. november 2017

Sidste opdatering indsendt, der opfyldte kvalitetskontrolkriterier

8. november 2017

Sidst verificeret

1. november 2017

Mere information

Begreber relateret til denne undersøgelse

Nøgleord

Yderligere relevante MeSH-vilkår

Andre undersøgelses-id-numre

  • 2013/17/31

Plan for individuelle deltagerdata (IPD)

Planlægger du at dele individuelle deltagerdata (IPD)?

UBESLUTET

IPD-planbeskrivelse

Individual participant data will be available on reasonable request.

Lægemiddel- og udstyrsoplysninger, undersøgelsesdokumenter

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Ingen

Studerer et amerikansk FDA-reguleret enhedsprodukt

Ingen

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Kliniske forsøg med Koronararteriesygdom

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Sponsorer og samarbejdspartnere

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Betingelser

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Kosttilskud

Sponsor / samarbejdspartnere

Placeringer

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