Feasibility Study of Compassion Meditation Intervention for Older Veterans in Primary Care With Anxiety or Mood Disorders
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 25
- 试验地点
- 2
- 主要终点
- Completion Rate
研究概览
简要总结
Some older Veterans with psychological distress may under-utilize mental health services due to perceived stigma of symptom-focused interventions. This study was designed to examine the feasibility of a strengths-based compassion training intervention with Veterans ages > 55 years with anxiety or depressive symptoms. Although this study was focused on feasibility if successful, this line of research could open the door to a novel and effective treatment that widens acceptance by older Veterans with psychological distress.
详细描述
Many older Veterans in VA primary care clinics experience anxiety and depressive symptoms, but only a minority of these Veterans seek care through VA mental health services. Research suggests that some older Veterans with psychological distress under-utilize mental health services due to perceived stigma of treatments focused on mental health symptoms. However, prior research with civilians, including one study of Veterans with PTSD, suggests a strengths-focused intervention that provides group training in compassion meditation may be effective in reducing negative emotions and increasing positive emotions and well-being. This project was designed to examine the feasibility of this approach with Veterans ages > 55 years with anxiety or depression. The study was designed to guide and support development of a future larger-size, more definitive follow-up project. . If successful, this line of research could open the door to a novel and effective treatment that widens acceptance by older Veterans with psychological distress.
研究设计
- 研究类型
- Interventional
- 分配方式
- Non Randomized
- 干预模型
- Parallel
- 主要目的
- Other
- 盲法
- None
入排标准
- 年龄范围
- 55 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •VA San Diego Healthcare System (VASDHS) patient
- •current mild-to-moderate anxiety or depressive symptoms as defined by scores between 5 and 14 on the Patient Health Questionnaire (PHQ-9) and or Generalized Anxiety Disorders scale (GAD-7).
- •stated intention to attend the 10 group sessions at the scheduled times at the VASDHS in addition to the baseline and follow-up study assessment visits, as well as to complete the outside homework assignments
- •provides written informed consent for participation
排除标准
- •no active suicidality/homicidality in the preceding six months
- •untreated alcohol or substance use disorders
- •changes to psychiatric medications within six months prior to the baseline evaluation
- •medical and/or psychiatric instability interfering with current ability to engage in the group sessions and outside homework assignments
结局指标
主要结局
Completion Rate
时间窗: 12 weeks
The proportion of subjects who complete 6 or more sessions (out of a total of 10 sessions) of intervention among those who start the intervention.
Enrollment Rate
时间窗: 36 months
The proportion of consented subjects among all screened and eligible patients.
Initiation Rate
时间窗: 4 months
The proportion of subjects who initiate the intervention among all consented subjects.
Practice Time at Home
时间窗: 12 weeks
Unanticipated COVID-related restrictions necessitated changing certain outcome measures. Data was not collected for this measure
次要结局
- Change in Social Connection (SCS-R) From Baseline to Post-intervention(Baseline and 14 weeks)
- Change in Depression and Anxiety From Baseline to Post-intervention(Baseline and 14 weeks)
- Mean (and SD) Change Scores for Each Inflammatory Biomarker (Hs-CRP, IL-6, and TNF- )(14 weeks)
- Satisfaction With Life (SWLS) From Baseline to Post-intervention(Baseline and 14 weeks)
- Change in Positive Emotions (mDES) From Baseline to Post-intervention(Baseline and 14 weeks)