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Cardiovascular DiseasesNCT04799899

MBCT Via Group Videoconferencing for Acute Coronary Syndrome Patients With Depressive Symptoms: A Pilot RCT

A study testing Adapted MBCT and Cardiac Health Enhancement in people with Cardiovascular Diseases and Acute Coronary Syndrome, run by Massachusetts General Hospital at 1 site in United States.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

The aim of this study is to establish, in a pilot RCT (approx. N=50 participants) with a time- and attention-matched health enhancement control, (a) the feasibility of the recruitment procedures (screening, eligibility, enrollment rates), and feasibility and acceptability of the (b) MBCT and control interventions… Read more about this study

Who is it for?
Ages 35 to 80 years
What is being tested?
Adapted MBCT and Cardiac Health Enhancement
Could I receive a placebo?
No, everyone receives an active treatment
How many people
24 participants
Where
1 siteUnited States
Study dates
22 Apr 2021to 28 Jan 2023
Phase
Interventional
Are there results?
Yes, posted in the registrySummary in the doctors' view

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 35 to 80 years
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Lifetime ACS per medical record and/or patient confirmation
  • Current elevated depression symptoms (PHQ-9 greater than or equal to 5)
  • Age 35-85 years
  • Access to high-speed internet

Who cannot join

  • Active suicidal ideation or past-year psychiatric hospitalization (per patient report and/or medical record review)
  • Non-English-speaking
  • Cognitive impairments preventing informed consent per medical record review and/or cognitive Screen less than or equal to 4
  • Patient deemed unable to complete the study protocol or has a condition that would likely interfere with the study

Trial locations and contacts

1 site in 1 country.

United States1 site
  • Mongan Institute: Health Policy Research Center

    Boston, Massachusetts, 02114

Other trials in United States

About this study

Official title: Mindfulness-Based Cognitive Therapy Delivered Via Group Videoconferencing for Acute Coronary Syndrome Patients With Depressive Symptoms: A Pilot RCT

The aim of this study is to establish, in a pilot RCT (approx. N=50 participants) with a time- and attention-matched health enhancement control, (a) the feasibility of the recruitment procedures (screening, eligibility, enrollment rates), and feasibility and acceptability of the (b) MBCT and control interventions (adherence, retention, fidelity, satisfaction, group videoconferencing delivery) and (c) data collection procedures by group (adherence, satisfaction). Hypothesis 1a: Recruitment will be feasible as evidenced by screening, eligibility, and enrollment rates; (1b) the MBCT and control interventions and (1c) data collection procedures in both groups will be feasible and acceptable.

Read the detailed description

The current study will employ an open pilot RCT with a time-and-attention-matched health control group to determine the feasibility and acceptability of a virtual, MBCT intervention for ACS patients. The investigators plan to enroll approximately N=50 participants (approx. 3 MBCT groups and approx. 3 health enhancement control groups with approximately 6-7 participants per group; accounting for 20% attrition). Participants will be randomized to a MBCT or a time- and attention-matched health enhancement control in a 1:1 design using a random number generator. Participants will then be stratified by antidepressant medication use. The MBCT intervention will involve 8 virtually-delivered MBCT sessions (approximately 1.5 hours each), during which participants will be taught how to use evidence-based mindfulness skills to regulate distress and choose healthy behaviors, as well as learn about cardiac health. The health enhancement control group will follow the same structure of the MBCT intervention (e.g., 8 virtually-delivered MBCT sessions, approximately 1.5 hours each) and will educate participants on depression and cardiac health (e.g., relationship between depression and cardiac health, cardiac risk factors, cardiac health behaviors, finding resources for mental health care). Participants will be asked to complete a brief survey following each session. Within one week before and after the intervention and 3-months post-intervention participants will be asked to complete a series of questionnaires and provide self-collected blood samples. Upon completion of the intervention participants will complete an audio-or video recorded exit interview (approximately 30-60 minutes).

Participants will be recruited through EPIC, the hospital's clinical data registry, advertisements (e.g., flyers, brochures) placed throughout the hospital, direct provider referrals, and from inpatient cardiac units. Patients who express interest in the study will be asked complete an eligibility screening. Eligible patients agreeable with study participation will then complete informed consent with study staff prior to enrollment.

Participants will be enrolled in either one of three MBCT intervention cohorts (approx.) or one of three health enhancement control cohorts (approx.). Participants in all of these groups will be expected to participate in 8-weekly, 1.5-hour virtual sessions. Participants in the MBCT intervention group will be expected to participate in 30 minutes of at-home daily practice. Participants in the health enhancement control group will be expected to review educational videos or readings between sessions. A licensed mental health provider (e.g., LICSW, PhD) trained in the MBCT protocol will delivered the intervention to the MBCT intervention group. A licensed clinician or pre-doctoral or post-doctoral fellow with supervision from a licensed clinician will lead the control group. Both the MBCT intervention and health enhancement control groups will be delivered via Zoom, secure, HIPPA-compliant video-conferencing software.

Study assessments will include a battery of self-report surveys administered at baseline, post-intervention, and 3-month follow-up; session satisfaction surveys administered after each intervention session; post-intervention individual exit interviews (conducted via telephone or videoconference); blood spot samples self-collected by participants at baseline, post-intervention, and 3-month follow-up (submitted to the research team via paper mail); and, for the MBCT-intervention group, home practice logs submitted between each intervention session. Primary outcomes for the intervention are feasibility and acceptability. Exploratory outcomes are changes in emotional and biological variables. Data collected from this study will generate knowledge about e-health technologies and congruent research methods to apply to other mind-body interventions and patient populations.

Being tested
Adapted MBCT, Cardiac Health Enhancement
Keywords
Mindfulness, Acute Coronary Syndrome, Videoconferencing, Depression
Medical subject headings
Cardiovascular Diseases, Acute Coronary Syndrome, Depression

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Adapted MBCTBehavioural

    The adapted MBCT intervention will involve 8 virtually-delivered MBCT sessions (approximately 1.5 hours each), during which participants will be taught how to use evidence-based mindfulness skills to regulate distress and choose healthy behaviors, as well as learn about cardiac health.

  • Cardiac Health EnhancementBehavioural

    The cardiac health enhancement control group will involve 8 virtually-delivered MBCT sessions (approximately 1.5 hours each), during which participants will learn about depression and cardiac health.

Study groups in NCT04799899
Study groupRoleWhat they receive
Virtual MBCT InterventionExperimentalParticipants will participate in 8 weekly virtual group sessions of MBCT. Participants will be asked to complete a brief survey following each session. Within one week before and after the intervention and 3-months post-intervention participants will be asked to complete a series of questionnaires and provide self-collected blood samples. Upon completion of the intervention participants will complete an audio-or video recorded exit interview (approximately 30-60 minutes).
Receives: Behavioral: Adapted MBCT
Virtual Health Enhancement ControlExperimentalParticipants will participate in 8 weekly virtual group sessions that focus on cardiac health and depression education. Participants will be asked to complete a brief survey following each session. Within one week before and after the intervention and 3-months post-intervention participants will be asked to complete a series of questionnaires and provide self-collected blood samples. Upon completion of the intervention participants will complete an audio-or video recorded exit interview (approximately 30-60 minutes).
Receives: Behavioral: Cardiac Health Enhancement

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Recruitment Feasibility: Percent of Participants Screened Eligible

    Feasibility outcomes for recruitment will include: >70% meet screening criteria

    Measured: 6 months

  2. Recruitment Feasibility: Percent of Participants Enrolled

    Feasibility outcomes for recruitment will include: >70% of eligible enroll

    Measured: 6 months

  3. MBCT Feasibility: Percent of Participants Retained

    MBCT intervention feasibility will include: >75% of participants retained at post-assessment survey

    Measured: 6 months

  4. Mindfulness Based Cognitive Therapy (MBCT) Feasibility: Percent of Participants Adherent to Treatment

    MBCT intervention feasibility will include: >75% of participants attending 6/8 sessions. "Adherent to treatment" is defined as participants attending 6 out of 8 sessions.

    Measured: 6 months

  5. Mindfulness Based Cognitive Therapy (MBCT) Feasibility: Percent of Participants Adherent to Home Practice

    MBCT feasibility will include: >75% complete home practice at least 3 days/week. Adherence was defined as completion of home practice long at least 3 days per week.

    Measured: 6 months

  6. Control Group Feasibility: Percent of Participants Retained

    Control group feasibility will include: >75% of participants retained at post-assessment survey

    Measured: 6 months

  7. Control Group Feasibility: Percent of Participants Adherent to Treatment

    Control group feasibility will include: >75% of participants attending 6/8 sessions sessions. "Adherent to treatment" is defined as participants attending 6 out of 8 sessions.

    Measured: 6 months

  8. Control Group Feasibility: Percent of Participants Adherent to Home Practice

    Control group feasibility will include: >75% complete home practice at least 3 days/week. "Adherent to home practice" is defined as participants completing home practice at least 3 days per week.

    Measured: 6 months

  9. Videoconferencing Feasibility: Number of Sessions Missed Due to Technical Problems

    Videoconferencing feasibility will be assessed by: <20% of sessions missed due to technical problems

    Measured: 6 months

  10. Blood Spot Feasibility: Percent of Blood Spot Samples Submitted at Baseline

    Blood spot feasibility will be assessed by >75% of samples submitted at baseline. Participants contributed one blood spot sample at the specified time point.

    Measured: At Baseline (Month 0)

  11. Blood Spot Feasibility: Percent of Blood Spot Samples Submitted at Post-intervention

    Blood spot feasibility will be assessed by >75% of samples submitted at post-intervention

    Measured: At Post Intervention (Month 3)

  12. Mindfulness Based Cognitive Therapy (MBCT) Acceptability: Ratings of Intervention Satisfaction

    MBCT acceptability will be assessed by overall program satisfaction (1=not at all, 10=very much). Satisfaction will be measured by mean score greater than 7.5

    Measured: At post intervention (Month 3)

  13. Mindfulness Based Cognitive Therapy (MBCT) Acceptability: Percent of Participants Who Plan to Continue Using the Skills

    MBCT and acceptability will be assessed by 75% plan to use the skills

    Measured: 6 months

  14. Mindfulness Based Cognitive Therapy (MBCT) Acceptability: Percent of Participants Who Would Recommend the Program

    MBCT and acceptability will be assessed by >75% of participants reporting that they would recommend the program to others

    Measured: 6 months

  15. Control Group Acceptability: Ratings of Intervention Satisfaction

    Control group acceptability will be assessed by overall program satisfaction (1=not at all, 10=very much). Satisfaction will be measured by an overall mean score greater than 7.5.

    Measured: 6 months

  16. Control Group Acceptability: Percent of Participants Who Plan to Continue Using the Skills

    Control group acceptability will be assessed by 75% of participants reporting that they plan to use the skills

    Measured: 6 months

  17. Control Group Acceptability: Percent of Participants Who Would Recommend the Program

    Control group acceptability will be assessed by >75% of participants reporting that they would recommend the program to others

    Measured: 6 months

  18. Videoconferencing Acceptability: Ratings of Videoconferencing Satisfaction

    Videoconferencing acceptability will be assessed in terms of overall satisfaction (1=poor,10=excellent; M>7.5)

    Measured: 6 months

  19. Blood Spot Acceptability: Blood Spot Collection Ease

    Blood spot acceptability will be assessed by ratings of ease of data collection (1=not at all, 10=extremely). Satisfaction will be measured by an overall mean score greater than 7.5.

    Measured: 6 months

  20. Blood Spot Acceptability: Blood Spot Collection Comfort

    Blood spot acceptability will be assessed by ratings of ease of level of pain (1=very much pain, 10=very little pain; M>8.0). Acceptability will be measured by an overall mean score greater than 8.0.

    Measured: 6 months

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted16 Mar 2021
  2. Study start22 Apr 2021
  3. Primary completion5 Oct 2022
  4. Study completion28 Jan 2023

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase N/A
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
None (open label)
Enrolment
24 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT04799899
Sponsor's protocol ID
2021P000544
Status last verified
Jan 2025
First submitted
12 Mar 2021
Last updated
29 Jan 2025
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No

Publications

  • Tully PJ, Ang SY, Lee EJ, Bendig E, Bauereiss N, Bengel J, Baumeister H. Psychological and pharmacological interventions for depression in patients with coronary artery disease. Cochrane Database Syst Rev. 2021 Dec 15;12(12):CD008012. doi: 10.1002/14651858.CD008012.pub4.

    PubMed 34910821

Questions about this trial

What is this clinical trial studying?

A study testing Adapted MBCT and Cardiac Health Enhancement in people with Cardiovascular Diseases and Acute Coronary Syndrome, run by Massachusetts General Hospital at 1 site in United States.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 4 inclusion and 4 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 29 Jan 2025. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in United States. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

Yes. Results are posted in the registry (first posted 29 Jan 2025). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Recruitment Feasibility: Percent of Participants Screened Eligible (time frame: 6 months). The study lists 20 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT04799899, which also lists 1 linked publication.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 29 Jan 2025.

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