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Depressive SymptomsNCT05550610

Evaluation of Mindfulness and Yoga in Basic Combat Training

A study testing Mindfulness Based Attention Training (MBAT) and Yoga in people with Depressive Symptoms and Anxiety, run by Walter Reed Army Institute of Research (WRAIR) 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 present study is a group randomized trial assessing the impact of mindfulness and yoga training on the health, performance, and well-being of soldiers in Basic Combat Training (BCT). Read more about this study

Who is it for?
Ages 17 years and olderHealthy volunteers can take part
Conditions the study is for
Depressive Symptoms, Anxiety, Sleep
What is being tested?
Mindfulness Based Attention Training (MBAT) and Yoga
Could I receive a placebo?
No, everyone receives an active treatment
How many people
1,896 participants
Where
1 siteUnited States
Study dates
12 Oct 2020to 31 Dec 2021
Phase
Interventional
Are there results?
None posted in the registry

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 17 years and older
  • All sexes
  • Healthy volunteers accepted
  • Child, Adult, Older adult

Who may be able to join

  • U.S. Army soldiers participating in basic combat training from OCT - DEC 2020 at a U.S. Army installation in the southeastern United States.

Who cannot join

  • None

Trial locations and contacts

1 site in 1 country.

United States1 site
  • Fort Jackson

    Fort Jackson, South Carolina, 29702

Other trials in United States

About this study

The present study is a group randomized trial assessing the impact of mindfulness and yoga training on the health, performance, and well-being of soldiers in Basic Combat Training (BCT). Randomization occurred at the platoon level, and platoons received either a combined mindfulness and yoga regimen or training as usual.

Read the detailed description

This program evaluation assessed a training initiative developed and implemented by the U.S. Army Training and Doctrine Command. Four surveys were conducted with soldiers in all participating platoons over the course of BCT, and two additional surveys were administered with those soldiers in the mindfulness and yoga intervention condition. A follow-up survey was distributed to all participants 6-12 months after BCT. In addition, two surveys were conducted with BCT cadre and drill sergeants. Army data reflecting performance, attrition, and health were also obtained for analysis.

Being tested
Mindfulness Based Attention Training (MBAT) and Yoga
Keywords
military, basic combat training, soldier, drill sergeant, Mindfulness-Based Attention Training
Medical subject headings
Depression, Anxiety Disorders, Emotional Regulation, Pain

What participants receive

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

  • Mindfulness Based Attention Training (MBAT) and YogaBehavioural

    Mindfulness-Based Attention Training (MBAT) was delivered in 4, 2-hour sessions over 4 weeks. Participants also completed 15 minutes of group mindfulness practice 6 days/week and received information on embedded practice during the duty day. Yoga was delivered 6 days/week, 30 minutes per day during warm-up (15 min) and cool-down (15 min) as part of Army physical readiness training.

Study groups in NCT05550610
Study groupRoleWhat they receive
Mindfulness and YogaExperimentalMindfulness-Based Attention Training (MBAT) was delivered in 4, 2-hour sessions over 4 weeks. Yoga was delivered 6 days/week, 30 minutes per day.
Receives: Behavioral: Mindfulness Based Attention Training (MBAT) and Yoga
Training as UsualNo interventionTraining as usual included standard exercises 30 minutes per day during warm-up (15 min) and cool-down (15 min) as part of Army physical readiness training.

What is being measured

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

  1. Patient Health Questionnaire (PHQ) Two-Item Version: Change in Scores Over Time

    The PHQ-2 is a validated screening tool for depression. The PHQ-2 included a single item assessing impairment in functioning attributable to reported symptoms.

    Measured: 0, 3-4, 6-7, and 9-10 weeks; 6-12 month follow-up

  2. ICD-10 Musculoskeletal Diagnoses: Occurrence Over Time

    ICD-10 musculoskeletal diagnoses (M group) and associated encounter information drawn from U.S. Army records

    Measured: 0-10 weeks

Secondary outcomes (23)
  1. Generalized Anxiety Disorder (GAD) Two Item Version: Change Over Time

    The GAD-2 is a validated screening tool for anxiety. The GAD-2 included a single item assessing impairment in functioning attributable to reported symptoms.

    Measured: 0, 3-4, 6-7, and 9-10 weeks; 6-12 month follow-up

  2. Insomnia Severity Index (ISI): Change Over Time

    The ISI is a validated screening tool for insomnia and sleep-related problems.

    Measured: 0, 3-4, 6-7, and 9-10 weeks

  3. Pittsburgh Sleep Quality Index (PSQI) Sleep Quality Item: Change Over Time

    A single item from the PSQI was used to assess overall sleep quality.

    Measured: 0, 3-4, 6-7, and 9-10 weeks

  4. Defense and Veterans Pain Rating Scale (DVPRS): Change Over Time

    The DVPRS is a measure of self-reported pain designed for use in military and veteran populations. The DVPRS was adapted for the present study to assess pain-related interference with training, sleep, mood, and stress.

    Measured: 0, 3-4, 6-7, and 9-10 weeks; 6-12 month follow-up

  5. Patient Health Questionnaire (PHQ-15): Change Over Time

    The PHQ-15 is a validated measure of a range of patient health outcomes. Ten items from the PHQ-15 were used to assess physical pain and assorted medical symptoms.

    Measured: 0, 3-4, 6-7, and 9-10 weeks; 6-12 month follow-up

  6. Mental Toughness Inventory (MTI): Change Over Time

    The MTI is a measure of mental toughness and resilience. Eight items from the MTI were used in the present evaluation: Four items assessed mental toughness during stressful events, and four items assessed mental toughness following stressful events.

    Measured: 0, 3-4, 6-7, and 9-10 weeks; 6-12 month follow-up

  7. Multidimensional Assessment of Interoceptive Awareness (MAIA): Change Over Time

    The MAIA is a measure of interoceptive awareness and mindfulness-related constructs. Ten items from the MAIA were used in the present evaluation: Six items assessed the capacity to not self-distract, and four items assessed capacity for self-regulation.

    Measured: 0, 3-4, 6-7, and 9-10 weeks; 6-12 month follow-up

  8. Five Facet Mindfulness Questionnaire (FFMQ): Change Over Time

    The FFMQ is a measure of engagement in mindful awareness.

    Measured: 0, 3-4, 6-7, and 9-10 weeks

  9. Brief Difficulties in Emotion Regulation Scale (DERS): Change Over Time

    The Brief DERS is a shortened version of a validated measure assessing ability to manage difficult emotions. Subscales assessed difficulties with emotional awareness, impulse control, and engaging in goal-directed behavior.

    Measured: 0, 3-4, 6-7, and 9-10 weeks; 6-12 month follow-up

  10. Attitudes toward Mindfulness Training: Change Over Time

    Four items developed for the current evaluation were used to assess perceived acceptability and utility of mindfulness training.

    Measured: 0, 3-4, 6-7, and 9-10 weeks

  11. Overall Health: Change Over Time

    A single item was used to assess self-rated health.

    Measured: 0, 3-4, 6-7, and 9-10 weeks; 6-12 month follow-up

  12. Indiscipline: Occurrence Over Time

    Seven items developed for the current evaluation were used to assess behaviors that reflect indiscipline and consequences experienced as a result of indiscipline.

    Measured: 3-4, 6-7, and 9-10 weeks

  13. Satisfaction with Yoga or Preparatory and Recovery Drills: Change Over Time

    Eleven items developed for this evaluation were used to assess satisfaction with yoga intervention and preparatory and recovery drills.

    Measured: 3-4, 6-7, and 9-10 weeks

  14. Unit Cohesion: Change Over Time

    A validated three-item measure was used to assess unit cohesion.

    Measured: 3-4, 6-7, and 9-10 weeks

  15. Self-Reported Medical Visits: Occurrence Over Time

    A single item measure developed for this evaluation was used to assess frequency of medical visits.

    Measured: 0, 3-4, 6-7, and 9-10 weeks

  16. Self-Reported Pain: Change Over Time

    Three items were developed for this evaluation assessing the frequency of pain, level of pain, and chronicity of pain.

    Measured: 0, 3-4, 6-7, and 9-10 weeks

  17. Impact of Injury on Training: Change Over Time

    Eight items developed for the present evaluation were used to assess disruption in training due to injury, trainee response to injury, and outcomes associated with experience of injury.

    Measured: 3-4, 6-7, and 9-10 weeks

  18. Use of Mindfulness following Training

    Twenty-five items were developed for the present evaluation to assess use of mindfulness and attitudes towards mindfulness practice following basic combat training.

    Measured: 6-12 month follow-up

  19. Use of Yoga or Preparatory and Recovery Drills (PRT) following Training

    Twenty-three items were developed for the present evaluation to assess use of yoga/PRT drills and attitudes towards yoga/PRT drills following basic combat training.

    Measured: 6-12 month follow-up

  20. Use of Mindfulness and Yoga Resources following Training

    Nine items were developed for this evaluation to assess receipt and use of mindfulness and yoga resources following training.

    Measured: 6-12 month follow-up

  21. Use of Mindfulness during Training: Change Over Time

    Thirteen items were developed for this evaluation to assess use of MBAT during basic combat training.

    Measured: 3-4 weeks; 9-10 weeks

  22. Perceived Drill Sergeant Support for Mindfulness during Training: Change Over Time

    Six items were developed for this evaluation to assess trainees' perception of drill sergeant support for MBAT during basic combat training.

    Measured: 3-4 weeks; 9-10 weeks

  23. Drill Sergeant Leadership: Change Over Time

    Nine items were used to assess participants' perceptions of the quality of drill sergeant's leadership and instruction.

    Measured: 3-4 weeks; 9-10 weeks

Timeline

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

  1. First posted22 Sep 2022
  2. Study start12 Oct 2020
  3. Primary completion16 Dec 2020
  4. Study completion31 Dec 2021

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
Prevention
Allocation
Randomised
Intervention model
Parallel groups
Model description
group randomized trial
Masking
None (open label)
Enrolment
1,896 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT05550610
Sponsor's protocol ID
WRAIR #2815
Status last verified
Sep 2022
First submitted
2 Aug 2022
Last updated
22 Sep 2022
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No: Data are available for research upon reasonable request and completion of institute-related agreements.

Publications

  • Nassif TH, Start AR, Toblin RL, Adler AB. Self-reported mindfulness and soldier health following a combat deployment. Psychol Trauma. 2019 May;11(4):466-474. doi: 10.1037/tra0000413. Epub 2018 Nov 5.

    PubMed 30394773
  • Janssen M, Heerkens Y, Kuijer W, van der Heijden B, Engels J. Effects of Mindfulness-Based Stress Reduction on employees' mental health: A systematic review. PLoS One. 2018 Jan 24;13(1):e0191332. doi: 10.1371/journal.pone.0191332. eCollection 2018.

    PubMed 29364935
  • Domingues RB. Modern postural yoga as a mental health promoting tool: A systematic review. Complement Ther Clin Pract. 2018 May;31:248-255. doi: 10.1016/j.ctcp.2018.03.002. Epub 2018 Mar 10.

    PubMed 29705463
  • Jha AP, Stanley EA, Kiyonaga A, Wong L, Gelfand L. Examining the protective effects of mindfulness training on working memory capacity and affective experience. Emotion. 2010 Feb;10(1):54-64. doi: 10.1037/a0018438.

    PubMed 20141302
  • Jha AP, Denkova E, Zanesco AP, Witkin JE, Rooks J, Rogers SL. Does mindfulness training help working memory 'work' better? Curr Opin Psychol. 2019 Aug;28:273-278. doi: 10.1016/j.copsyc.2019.02.012. Epub 2019 Mar 6.

    PubMed 30999122
  • Zanesco AP, Denkova E, Rogers SL, MacNulty WK, Jha AP. Mindfulness training as cognitive training in high-demand cohorts: An initial study in elite military servicemembers. Prog Brain Res. 2019;244:323-354. doi: 10.1016/bs.pbr.2018.10.001. Epub 2018 Nov 27.

    PubMed 30732844
  • Nassif TH, Gutierrez IA, Smith CD, Jha AP, Adler AB. The Effect of a Combined Mindfulness and Yoga Intervention on Soldier Mental Health in Basic Combat Training: A Cluster Randomized Controlled Trial. Depress Anxiety. 2023 Dec 1;2023:6869543. doi: 10.1155/2023/6869543. eCollection 2023.

    PubMed 40224611
  • Smith CD, Gutierrez IA, Nassif TH, Jordan KL, Taylor KM, Jha AP, Adler AB. Impact of mindfulness training and yoga on injury and pain-related impairment: a group randomized trial in basic combat training. Front Psychol. 2023 Oct 6;14:1214039. doi: 10.3389/fpsyg.2023.1214039. eCollection 2023.

    PubMed 37868598

Questions about this trial

What is this clinical trial studying?

A study testing Mindfulness Based Attention Training (MBAT) and Yoga in people with Depressive Symptoms and Anxiety, run by Walter Reed Army Institute of Research (WRAIR) 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 1 inclusion and 1 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 22 Sep 2022. 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?

The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.

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?

Patient Health Questionnaire (PHQ) Two-Item Version: Change in Scores Over Time (time frame: 0, 3-4, 6-7, and 9-10 weeks; 6-12 month follow-up). The study lists 2 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 NCT05550610, which also lists 8 linked publications.

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 22 Sep 2022.

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