Depression Clinical Trial
Official title:
Mobile Mindfulness to Improve Psychological Distress After Critical Illness
Many survivors of the intensive care unit (ICU) suffer from persistent symptoms of depression, anxiety, and post-traumatic stress disorder (PTSD). In this study, the investigators will test the impact of mindfulness to address this distress.
A majority of the >1 million people who require life support in an intensive care unit (ICU)
now survive. As survival has improved however, growing numbers suffer not only from
subsequent physical disability, but also persistent symptoms of depression, anxiety, and
post-traumatic stress disorder (PTSD). Few interventions address ICU survivors' psychological
distress. Fewer still address the physical, geographical, and logistical barriers to
receiving post-discharge support that medically ill populations encounter. Consequently, this
population suffers with an unmet need of great public health importance.
Mindfulness is an adaptable self-regulation practice that alleviates psychological distress
symptoms using a variety of meditative techniques, typically taught face-to face over months.
As an extension of standard mindfulness practices, the investigators developed a
telephone-/web-delivered mobile mindfulness-based training (mMBT) system informed by ICU
survivors' input that could address medically ill patients' delivery barriers. The
investigators' recent pilot study demonstrated early support for mMBT's feasibility and
acceptability, now with enhanced content and electronic patient-reported outcomes capability.
The investigators' early work on mMBT, while promising, identified key knowledge gaps in
population targeting, plausible ranges of psychological distress estimates relevant to study
design, and assurance of acceptability that must be addressed before a definitive clinical
trial is conducted. Therefore, the study team proposes a 2-year pilot study in which 90 ICU
survivors are randomized to an education control, 'standard' telephone sessions of mMBT, or
self-directed / app-based mMBT. A mixed methods approach will be used to determine treatment
effect.
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