Chronic Illness Clinical Trial
Official title:
A Randomized-Control Trial of an In-Person vs e-Health Mindfulness-Based Intervention for Adolescents With Chronic Illness
This study will seek to compare the effect of a mindfulness meditation program for adolescents with chronic illness delivered either in person or via an online platform. The 8-week program will combine meditation practices, breathing exercises and group discussions. Participants will be recruited from different general and specialized clinics at the Hospital for Sick Children and will be allocated to either an in-person or the online group through a random process (like tossing a coin). The study will aim to recruit 60 participants ages 13-18. Each participant will provide data through research questionnaires, recorded interviews and saliva samples.
The study will be conducted as a longitudinal randomized controlled trial comparing in-person
and eHealth delivery of a mindfulness meditation intervention for adolescents with chronic
illness. There will be two arms. An experimental and a feasibility arm. In the experimental
arm, 4 groups of 10-15 participants will be formed: two in-person groups (early and late) and
two eHealth groups (early and late). The early groups will receive the intervention at the
beginning of the study period and the late groups will be wait-list controlled group that
will receive the intervention at the middle of the study period. At the end of the
recruitment period or when the target number of participants is met (60), whichever comes
first, all teens meeting the inclusion criteria will be randomly allocated to one of the four
randomized groups. Teens who are not meeting the final inclusion criteria (able to attend
mindfulness sessions at Sickkids) will be offered a spot in the feasibility arm of the study
until the maximum total number of study participants is reached (60). These participants will
be placed in eHealth groups (either early or late) through a separate randomization process.
Data collection will take place at baseline (during the intake meeting), immediately before
and following the mindfulness intervention as well as at the end of the 6-month study period.
Participants in the experimental arm will provide data through research questionnaires,
salivary cortisol analysis as well as individual semi-structured interviews with a research
assistant. Salivary samples will be provided from home for participants in the eHealth
groups. Participants in the feasibility arm will only provide information through research
questionnaires.
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