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Clinical Trial Details — Status: Completed

Administrative data

NCT number NCT04584502
Other study ID # STUDY00031364
Secondary ID R33AT010117
Status Completed
Phase N/A
First received
Last updated
Start date May 1, 2022
Est. completion date September 30, 2023

Study information

Verified date February 2024
Source Dartmouth-Hitchcock Medical Center
Contact n/a
Is FDA regulated No
Health authority
Study type Interventional

Clinical Trial Summary

The purpose of this study is to evaluate the initial efficacy of a yoga-mindfulness intervention to promote ongoing recovery for pregnant and parenting women with Opioid Use Disorder (OUD) receiving perinatal services and medication treatment for OUD from maternity care practices in New Hampshire.


Description:

In this R33 project, the study team will conduct a randomized controlled trial to evaluate the efficacy and implementation of the Mindful Moms intervention (MMORE) with a group of pregnant women with identified OUD receiving medication treatment for OUD at partner maternity care practices. The study team will evaluate the impact of Mindful Moms as an adjunct to treatment as usual on retention in medication for opioid use disorder (MOUD) treatment, substance use, and relapse-related risks. This study has three Specific Aims: Aim 1: Evaluate MMORE in a randomized controlled study with pregnant women as an adjunct to MOUD treatment as usual care for impact on treatment retention, opioid abstinence, and relapse risks. Aim 2: Examine mechanisms of effect of MMORE on outcomes. Aim 3: Evaluate barriers and facilitators to sustainable implementation of MMORE as an adjunct to MOUD for pregnant and parenting women.


Recruitment information / eligibility

Status Completed
Enrollment 4
Est. completion date September 30, 2023
Est. primary completion date July 31, 2023
Accepts healthy volunteers No
Gender Female
Age group 18 Years and older
Eligibility Inclusion Criteria: - 18 years of age or older. - English-speaking. - Singleton pregnancy. - Receiving comprehensive medication treatment for opioid use disorder as part of prenatal care at a partner maternity care practice. Exclusion Criteria: - Cognitive or psychiatric impairments that prohibit being able to provide informed consent. - Any physical conditions that prohibit activity such as gentle yoga.

Study Design


Related Conditions & MeSH terms


Intervention

Behavioral:
Mindful Moms Yoga Mindfulness Intervention
MMORE is an 8-session yoga-mindfulness intervention protocol, offered via Zoom over the course of 10 consecutive weeks at the partner maternity care practice or a nearby location. Each session will last approximately 60 minutes (8 - 10 participants per group). Intervention participants will also be asked to use a mobile companion app at least once each week of the intervention period.

Locations

Country Name City State
United States Dartmouth Hitchcock Medical Center Lebanon New Hampshire

Sponsors (3)

Lead Sponsor Collaborator
Dartmouth-Hitchcock Medical Center National Center for Complementary and Integrative Health (NCCIH), Trustees of Dartmouth College

Country where clinical trial is conducted

United States, 

Outcome

Type Measure Description Time frame Safety issue
Other Change in pain perception from baseline, as measured by the visual analog scale (VAS) The Visual Analog Scale is a scale ranging from 0 (no pain) to 10 (worst possible pain) and anchored with descriptive faces. Baseline, 8 weeks, and 3-months postpartum
Other Change from baseline in quality of life measured by the World Health Organization (WHO) Quality of Life Brief. The World Health Organization Quality of Life - Brief instrument contains 26 questions to assess a quality of life profile based on four domains: physical health, psychological health, social relationships, and environment. Each domain ranges in score from 0 to 100 where higher scores denote higher quality of life. Baseline, 8 weeks, and 3-months postpartum
Primary Retention in medication treatment for opioid use disorder as assessed by number of weeks buprenorphine or methadone present in urine toxicology screening in clinical record conducted as part of treatment as usual. Data collected through review of clinical record review of consented participants. baseline to 3-months postpartum
Primary Change in opioid abstinence from baseline as assessed by number of weeks consistently abstinent from opioids as determined by weekly point of care urine toxicology screening conducted as part of treatment as usual. Data collected through review of clinical record of consented participants. baseline to 3-months postpartum
Secondary Change in opioid and other substance use from baseline, as assessed with the World Health Organization (WHO) Alcohol, Smoking and Substance Involvement Screening Test (ASSIST) V3.0. The Alcohol, Smoking and Substance Involvement Screening Test contains 7 questions and asks about past and current substance use and addiction to various substances. Each substance ranges in scores between 0 to 27+ with higher scores indicating greater risk level of addiction and dependence. Opioid addiction severity will be measured by 11 "yes or no" response items aligned with the Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-V) criteria with more "yes" responses indicating higher opioid addiction severity. Baseline, 8 weeks, and 3-months postpartum
Secondary Change in depression from baseline, as assessed with the Edinburgh Prenatal and Postnatal Depression Scale. The Edinburgh Prenatal and Postnatal Depression Scale contains 10 questions with scores ranging from 10 to 40 with higher scores indicating greater depression symptoms. Baseline, 8 weeks, and 3-months postpartum
Secondary Change in anxiety from baseline, as assessed with the Generalized Anxiety Disorder Scale (GAD) The Generalized Anxiety Disorder Scale contains 7 questions with scores ranging from 0 to 21, with higher scores indicating greater anxiety symptoms. Baseline, 8 weeks, and 3-months postpartum
Secondary Change in stress from baseline, as assessed with the Perceived Stress Scale The Perceived Stress Scale contains 10 questions with scores ranging from 0 to 40 with higher scores indicating greater stress. Baseline, 8 weeks, and 3-months postpartum
Secondary Change in post-traumatic stress from baseline, as assessed with the abbreviated Post-Traumatic Stress Disorder (PTSD) Checklist screening instrument. The abbreviated Post-Traumatic Stress Disorder Checklist screening instrument contains 20 questions with scores ranging from 0 to 80 with higher scores indicating greater PTSD symptoms. Baseline, 8 weeks, and 3-months postpartum
Secondary Change in mindfulness from baseline, as assessed with the Mindful Attention Awareness Scale (MAAS) The Mindful Attention Awareness Scale contains 15 questions with scores ranging between 1 and 6 with higher scores indicating greater mindfulness. Baseline, 8 weeks, and 3-months postpartum
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