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Phone-delivered mindfulness training for patients with implantable cardioverter defibrillators: results of a pilot randomized controlled trial.

Annals of behavioral medicine : a publication of the Society of Behavioral Medicine
October 1, 2013
Elena Salmoirago-Blotcher et al. (9 authors)
Journal ArticleRandomized Controlled TrialResearch Support, N.I.H., ExtramuralHuman StudyClinical
Study Details

Study Goal

The researchers aimed to determine the feasibility of a phone-delivered mindfulness intervention for patients with implantable cardioverter defibrillators and assess its preliminary efficacy on mindfulness and anxiety.

Results Summary

The study found that mindfulness training delivered via phone improved mindfulness (statistically significant) and showed a trend toward reducing anxiety (marginally significant). Retention and attendance rates were high (93% and 94%, respectively).

Population

Clinically stable outpatients with implantable cardioverter defibrillators (age 43-83; 30% women).

Effective Dosage

Eight weekly individual phone sessions.

Duration

8 weeks.

Interactions

None mentioned.

Extracted Claims (2)
InterventionDirectionEndpointPopulationDosageImpactClaim #
phone-delivered mindfulness intervention
increase
mindfulness
patients with defibrillators
beta = 3.31; p = 0.04
improved
#1
phone-delivered mindfulness intervention
decrease
anxiety
patients with defibrillators
beta = -1.15; p = 0.059
improved
#2
Abstract

BACKGROUND: The reduction in adrenergic activity and anxiety associated with meditation may be beneficial for patients with implantable cardioverter defibrillators. PURPOSE: This study aims to determine the feasibility of a phone-delivered mindfulness intervention in patients with defibrillators and to obtain preliminary indications of efficacy on mindfulness and anxiety. METHODS: Clinically stable outpatients were randomized to a mindfulness intervention (eight weekly individual phone sessions) or to a scripted follow-up phone call. We used the Hospital Anxiety and Depression Scale and the Five Facets of Mindfulness to measure anxiety and mindfulness, and multivariate linear regression to estimate the intervention effect on pre-post-intervention changes in these variables. RESULTS: We enrolled 45 patients (23 mindfulness and 22 control; age, 43-83; 30 % women). Retention was 93 %; attendance was 94 %. Mindfulness (beta = 3.31; p = 0.04) and anxiety (beta = -1.15; p = 0.059) improved in the mindfulness group. CONCLUSIONS: Mindfulness training can be effectively phone-delivered and may improve mindfulness and anxiety in cardiac defibrillator outpatients.

Medical Subject Headings (MeSH)
AdultAgedAged, 80 and overAnxietyDefibrillators, ImplantableFemaleHumansMaleMiddle AgedMindfulnessPatient CompliancePilot ProjectsTelephone
Study Links
Quality Scores
SafetyNot Assessed
Efficacy75/10
Quality80/10
Citation Metrics
Total Citations22
Citations/Year1.8
Relative Citation Ratio0.95
NIH Percentile48.4%
Research Impact Scores
APT Score0.75
Weight Score1.53
Normalized Score0.66
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