Alcohol Dependence Clinical Trial
Official title:
Mindfulness Meditation For Alcohol Relapse Prevention
The purpose of this 52-week clinical trial is to see if the meditation-based intervention, adjunctive to standard of care therapy, can reduce relapse and improve psychological health among adults recovering from alcohol dependence.
The goal of this partially-blinded, two-arm clinical trial was to test whether the
Mindfulness Meditation Relapse Prevention (meditation), combined with 'standard of care'
(SOC) therapy, is more effective in preventing a return to drinking than SOC alone
(wait-list control) among adult recovering alcoholics. The intervention was manualized and
based on existing models. It was proposed that meditation may improve outcomes of interest
through reduction of the severity of stress-related relapse risk factors such as perceived
stress, anxiety, depression, craving and emotion dysregulation, and the level of
stress-sensitive biomarkers (cytokine interleukin-6, liver enzymes).
For this study, 123 adult alcohol dependent subjects were recruited from collaborating
treatment centers, randomly assigned to one of two equal study arms, and followed for
26-weeks (Period 1, Randomized Controlled Trial, RCT). The RCT evaluated the efficacy of the
meditation intervention using self-reported alcohol consumption as primary, and
drinking-related harms and subject treatment satisfaction and adherence as secondary
outcomes. It also gathered preliminary data on potential mechanisms of meditation action.
After the completion of their 26-week RCT (Period 1), controls were eligible to receive the
meditation intervention ("cross-over"), and all participants were followed-up for additional
26 weeks (non-randomized Period 2).
This study will provide evidence about the efficacy of meditation for alcohol relapse
prevention, will further our understanding of relapse and the potential mechanisms of
meditation action, direct future research and guide clinical decision-making.
;
Allocation: Randomized, Endpoint Classification: Efficacy Study, Intervention Model: Parallel Assignment, Masking: Single Blind (Outcomes Assessor), Primary Purpose: Treatment
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