Cystic Fibrosis Clinical Trial
Official title:
The Effectiveness of a Systemic Mindfulness-based Intervention Program in a Cystic Fibrosis Clinic
Hypothesis 1: Mindfulness is a feasible tool for use within a cystic fibrosis (CF) clinic
Hypothesis 2: Participants in the mindfulness intervention will show an increased level of
quality of life post intervention with the Mindfulness course
Hypothesis 3. Levels of mindfulness:
Participants in the mindfulness intervention will report increased mindfulness levels
post-program completion as compared to pre-program completion
Hypothesis 4. Levels of stress:
Participants in the mindfulness intervention will report lower levels of stress post-program
completion as compared with pre-program commencement.
Hypothesis 5. Levels of residual depressive symptoms post-mindfulness intervention program:
Residual symptoms of depression are a risk factor for relapse of depression. Post -program
participants of mindfulness will purport fewer residual depressive symptoms compared with
pre-program.
Hypothesis 6. CF is associated with severe neutrophilic inflammation of the airways. As
mindfulness intervention has been shown to modulate immune system it may improve physical
aspects of CF including markers of inflammation and markers of lung disease (lung function
tests and rate of pulmonary exacerbations) and nutritional state.
The study will be an active interventional program for approximately six months in duration. All participants will initially undergo an initial assessment interview. Personnel trained and certified in mindfulness-based stress reduction (MBSR) will run mindfulness-based groups in 6-8 weekly 1 1/2 hour sessions (the staff group will comprise of 6 sessions and the parents' and patients' groups will be 8 sessions long). Participants will learn and engage in various formal and informal meditation practices during experiential learning of skills, including concentration, mindfulness of thoughts, emotions, feelings and bodily sensations, decentering, and letting go. Each group will include both practical exercises and a psycho-educational component. Daily homework, an essential aspect of the course, will include meditation practices together with exercises designed to integrate application of awareness skills into daily life. On day 0, participants will complete a battery of questionnaires as well as tests of the physical status of CF disease. This battery will be repeated at 8 weeks, and again at 6 months. ;
Allocation: Non-Randomized, Endpoint Classification: Efficacy Study, Intervention Model: Single Group Assignment, Masking: Open Label, Primary Purpose: Supportive Care
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