- ICH GCP
- 미국 임상 시험 레지스트리
- 임상시험 NCT03124446
Mindfulness-Based College: Stage 1 (MB-College)
Mindfulness-Based College: Stage 1 Randomized Controlled Trial for Emerging Adult Well-Being
연구 개요
상태
상세 설명
Background and Rationale
Mindfulness interventions in school- and work-place settings are expanding exponentially, often with a limited evidence base. Increasingly, mindfulness interventions are customized to specific populations and health outcomes to increase intervention efficacy and efficiency. Emerging adulthood and the college undergraduate experience is a sensitive life course period, with strong peer effects, diminished parental influence, and compelling opportunities for exploring health behaviors having sustained effects, including social relationships, sleep patterns, alcohol and substance use, dietary patterns, and physical or sedentary activities.6 Few mindfulness interventions focus specifically on this population, but preliminary results are promising. Specifically, a randomized controlled trial (RCT) evaluating effects of the low time-burden Koru mindfulness intervention showed significant improvements in perceived stress, sleep, mindfulness and self-compassion immediately following the 4-week intervention, vs. waitlist control. An intensive mindfulness intervention RCT, customized to enhance physical activity, nutrition, sleep, mindfulness, compassion, relationships and well-being, demonstrated significant improvements in physical health, working memory, standardized test performance, mood, self-esteem, self-efficacy mindfulness and life satisfaction vs. control, at 6 weeks follow-up.8 We developed the moderate intensity Mindfulness-Based College (MB-College) intervention, which in a pre/post pilot study showed significant improvements in emotion regulation, diastolic blood pressure, stress, mindfulness and cognitive performance at 8 weeks follow-up (Table 1). Overall, early studies suggest potential benefit for college student health, however these studies require replication, longer term follow-up, and rigorous study designs.
Objective
The primary objective is to perform an RCT to evaluate effects of MB-College vs. health education waitlist control, on a college undergraduate student health summary score at 6 months follow-up.
- Methods
Overall, a superiority randomized controlled trial with parallel groups will be performed with 40 participants per arm. Participants will be randomly assigned to MB-College or health education waitlist control. Investigators will be blinded to treatment allocation, including staff performing assessments, randomization, and data analyses. Participants will be assessed at baseline, 10 weeks, and 6 months follow-up. Standard CONSORT guidelines will be followed, including trial registration at ClinicalTrials.gov.
The study population inclusion criteria are 18-28 years of age, current undergraduate student at any university, and English communication. Exclusion criteria follow standard recommendations, specifically current regular meditation practice, substance abuse, suicidal ideation, or history of bipolar or psychotic disorders or self-injurious behaviors.
Participants will be recruited using print medium (e.g. recruitment cards and posters distributed throughout campuses), distributing advertisement graphics via social media, and advertisement emails sent to student listservs.
The intervention is MB-College, which is an 8-week, 9-session curriculum providing systematic and intensive training in mindfulness meditation practices, applied to health behaviors relevant to college students. The curriculum (available upon request) is based on the manualized and standardized Mindfulness-Based Stress Reduction (MBSR) developed at the University of Massachusetts Medical School. The course builds a foundation of mindfulness self-regulation skills, including attention control, self-awareness and emotion regulation. It then directs those skills towards participants' relationships with health-related factors particularly salient in college undergraduates, including physical activity, diet, alcohol consumption, sleep, stress, social relationships, cognitive performance, and emotion regulation. Health behavior goal setting, and support for behavior change are integrated in the curriculum.
The control condition is a health education wait list control, which participants will be offered a 30 minute, one-on-one meeting with the MB-College instructor. There, participants will learn about the MB-College curriculum, and have opportunities to share their relationship with common determinants of undergraduate student health and performance, described above. Together, the student and instructor will explore ways the course may assist in shifting these parts of their lives, as they see best. A deliberate relationship will be formed with the instructor.
The primary outcome is a college health summary score, assessed using the following seven evidence-based determinants of health particularly relevant to college student well-being: body mass index (height and weight, directly assessed using standard epidemiologic methods); physical activity (MET minutes and step counts per week, using validated actigraphy and IPAQ - International Physical Activity Questionnaire); diet (mean daily fruit and vegetable consumption, utilizing validated Willet food frequency questionnaire); alcohol consumption (mean drinks per day, via standard questions from Behavioral Risk Factor Surveillance Survey); sleep quantity (mean sleep hours per night, using Pittsburgh Sleep Quality Index); perceived stress (validated Perceived Stress Scale score); and loneliness (validated R-UCLA [University of California Los Angeles] Loneliness Scale score). Specifically, analyses will assess changes in mean Z-scores of college health summary score, using a single mean health summary score across the seven aforementioned college health domains. Secondary analyses will evaluate which of the seven domains are most driving associations. Further primary analyses will determine if participant-identified health domains to focus on showed improvements in MB-College vs. control, utilizing the z-score approach described above, but restricting only to health domains identified by participants as having high readiness to change.
Secondary outcomes, utilizing the National Institutes of Health (NIH) Science of Behavior Change Framework and NIH Stage Model for Intervention Development, include measures of self-regulation hypothesized to be proximal targets to the mindfulness intervention such as self-awareness (e.g. via validated Multidimensional Assessment of Interoceptive Awareness) and attention control (e.g. via validated Sustained Attention to Response Task and Mindful Attention Awareness Scale). Potential effect modifiers assessed include age, race, ethnicity, and socioeconomic status, as well as adverse childhood experiences utilizing the Adverse Childhood Experiences Questionnaire.
All in-person assessments will take place at the Brown School of Public Health by trained research staff experienced in assessing all aforementioned measures. For the estimated timeline, please see Figure 1.
Stratified randomization will be used for intervention allocation, performed using Research Randomizer (www.randomizer.org). Variables used to create strata include gender and race/ethnicity. Blinded, simple random sampling will occur within each strata.
The analytic approach will evaluate whether MB-College vs. control is associated with college health summary score, described above. Analyses will incorporate generalized linear models (GLM) with properly chosen link functions, performed using generalized estimating equations (GEE) with robust standard error estimators. Following "intention-to-treat" principles, analyses will be conducted on all participants, regardless of intervention completion.
Focus groups of participants will take place following MB-College, facilitated by Prof. Abigail Harrison, who is an experienced focus group moderator and researcher. The goal is to customize MB-College to the unique needs of this population. NVivo software (QSR International, Burlington, MA) will be utilized to analyze results in collaboration with Dr. Harrison.
연구 유형
등록 (실제)
단계
- 해당 없음
연락처 및 위치
연구 장소
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Rhode Island
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Providence, Rhode Island, 미국, 02912
- Brown University School of Public Health
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참여기준
자격 기준
공부할 수 있는 나이
건강한 자원 봉사자를 받아들입니다
연구 대상 성별
설명
Inclusion Criteria: (1) 18-28 years of age; (2) Currently matriculated undergraduate students at any university; and (3) Able to read, write, and speak in English
Exclusion Criteria: (1) Current regular meditation practice (>once/week); (2) Serious medical illness precluding regular class attendance; (3) Current substance abuse, suicidal ideation or eating disorder; and (4) History of bipolar or psychotic disorders or self-injurious behaviors.
공부 계획
연구는 어떻게 설계됩니까?
디자인 세부사항
- 주 목적: 방지
- 할당: 무작위
- 중재 모델: 병렬 할당
- 마스킹: 없음(오픈 라벨)
무기와 개입
참가자 그룹 / 팔 |
개입 / 치료 |
---|---|
실험적: Mindfulness-Based College
MB-College is an 8-week, 9-session curriculum providing systematic and intensive training in mindfulness meditation practices, applied to health behaviors relevant to college students.
The curriculum is based on the manualized and standardized Mindfulness-Based Stress Reduction.
The course builds a foundation of mindfulness self-regulation skills, including attention control, self-awareness and emotion regulation.
It then directs those skills towards participants' relationships with health-related factors particularly salient in college undergraduates, including physical activity, diet, alcohol consumption, sleep, stress, social relationships, cognitive performance, and emotion regulation.
Health behavior goal setting, and support for behavior change are integrated in the curriculum.
|
MB-College is an 8-week, 9-session curriculum providing systematic and intensive training in mindfulness meditation practices, applied to health behaviors relevant to college students.
The curriculum is based on the manualized and standardized Mindfulness-Based Stress Reduction.
The course builds a foundation of mindfulness self-regulation skills, including attention control, self-awareness and emotion regulation.
It then directs those skills towards participants' relationships with health-related factors particularly salient in college undergraduates, including physical activity, diet, alcohol consumption, sleep, stress, social relationships, cognitive performance, and emotion regulation.
Health behavior goal setting, and support for behavior change are integrated in the curriculum.
|
활성 비교기: Enhanced Usual Care Control
Participants in the enhanced usual care control group were spoken with by trained study staff, and as part of the enhanced usual care, were offered a referral to the study's psychiatrist and University counseling resources, if anxiety, depression, or suicidal ideation levels at baseline or follow-up reached clinical levels on the Beck Anxiety Inventory or the Revised Centers for Epidemiologic Studies Depression (CESD-R) scale.
Participants in the control group were eligible to take the MB-College program during the following university term.
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Participants in the enhanced usual care control group were spoken with by trained study staff, and as part of the enhanced usual care, were offered a referral to the study's psychiatrist and University counseling resources, if anxiety, depression, or suicidal ideation levels at baseline or follow-up reached clinical levels on the Beck Anxiety Inventory or the Revised Centers for Epidemiologic Studies Depression (CESD-R) scale.
Participants in the control group were eligible to take the MB-College program during the following university term.
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연구는 무엇을 측정합니까?
주요 결과 측정
결과 측정 |
측정값 설명 |
기간 |
---|---|---|
Health Summary Score
기간: Baseline, 3-month, 6-month
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The primary outcome is change in a college health summary score from baseline to 6 months follow-up, assessed using the following 7 evidence-based determinants of health relevant to college student well-being: body mass index; physical activity (MET minutes and step counts per week, using validated actigraphy and IPAQ); diet (mean daily fruit and vegetable consumption, utilizing validated food frequency questionnaire); alcohol consumption (mean drinks per day); sleep quantity (mean sleep hours per night); perceived stress (validated Perceived Stress Scale score); and loneliness (validated R-UCLA Loneliness Scale score).
Secondary analyses will evaluate which of the seven domains are most driving associations.
Further secondary analyses will determine if participant-identified health domains to focus on showed improvements in MB-College vs. control, restricting only to health domains identified by participants as having high readiness to change.
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Baseline, 3-month, 6-month
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2차 결과 측정
결과 측정 |
측정값 설명 |
기간 |
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Self-Awareness
기간: Baseline, 3-month, 6-month
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Multidimensional Assessment of Interoceptive Awareness: 32-item measure
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Baseline, 3-month, 6-month
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Attention Control
기간: Baseline, 3-month, 6-month
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Sustained Attention to Response Task: a computerized go/no-go task that evaluates sustained attention, response inhibition as well as self-regulation.
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Baseline, 3-month, 6-month
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Self-Compassion
기간: Baseline, 3-month, 6-month
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Self-Compassion Scale- short form: 12 item version and evaluate both a total score as well as six sub-scales of self-compassion: Self-Kindness, Self-Judgment, Common Humanity, Isolation, Mindfulness, and Over-Identification.
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Baseline, 3-month, 6-month
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공동 작업자 및 조사자
스폰서
수사관
- 수석 연구원: Eric B Loucks, PhD, Brown University
간행물 및 유용한 링크
일반 간행물
- Nardi WR, Harrison A, Saadeh FB, Webb J, Wentz AE, Loucks EB. Mindfulness and cardiovascular health: Qualitative findings on mechanisms from the mindfulness-based blood pressure reduction (MB-BP) study. PLoS One. 2020 Sep 23;15(9):e0239533. doi: 10.1371/journal.pone.0239533. eCollection 2020.
- Loucks EB, Nardi WR, Gutman R, Saadeh FB, Li Y, Vago DR, Fiske LB, Spas JJ, Harrison A. Mindfulness-Based College: A Stage 1 Randomized Controlled Trial for University Student Well-Being. Psychosom Med. 2021 Jul-Aug 01;83(6):602-614. doi: 10.1097/PSY.0000000000000860.
연구 기록 날짜
연구 주요 날짜
연구 시작 (실제)
기본 완료 (실제)
연구 완료 (실제)
연구 등록 날짜
최초 제출
QC 기준을 충족하는 최초 제출
처음 게시됨 (실제)
연구 기록 업데이트
마지막 업데이트 게시됨 (실제)
QC 기준을 충족하는 마지막 업데이트 제출
마지막으로 확인됨
추가 정보
이 연구와 관련된 용어
기타 연구 ID 번호
- 1608001570
개별 참가자 데이터(IPD) 계획
개별 참가자 데이터(IPD)를 공유할 계획입니까?
IPD 계획 설명
약물 및 장치 정보, 연구 문서
미국 FDA 규제 의약품 연구
미국 FDA 규제 기기 제품 연구
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신체 활동에 대한 임상 시험
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University Hospital, Grenoble완전한관절만곡증 Amyoplasia 또는 원위 관절만곡증의 진단 | National Reference Center의 AMC Clinic에서 5일 다학제 평가 | Grenoble Alpes 병원의 Physical Medecin, Medical Genetic and Imaging 부서와 함께프랑스
Mindfulness-Based College에 대한 임상 시험
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Eric Loucks알려지지 않은신체 활동 | 스트레스, 심리적 | 잠 | 우울 증상 | 다이어트 | 좌식 행동 | 외로움 | 감정 조절 | 마음챙김 | 음주, 청소년미국
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Qazvin University Of Medical Sciences완전한
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Qazvin University Of Medical Sciences알려지지 않은
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Oregon Health and Science UniversityMedical Research Foundation, Oregon완전한