Guided Meditation as an Adjunct to Enhance Postoperative Recovery: A Feasibility Study
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Feasibility of a Meditation Program Perioperatively
- Sponsor
- Beth Israel Deaconess Medical Center
- Enrollment
- 29
- Locations
- 1
- Primary Endpoint
- Adherence to implementing a meditation program in the perioperative period
- Status
- Completed
- Last Updated
- last year
Overview
Brief Summary
The primary purpose of this trial is to test the feasibility of implementing a meditation program in the perioperative period.
Detailed Description
This is a prospective, randomized, controlled study involving 30 adult patients undergoing cardiac surgery. Investigators will test the feasibility of implementing a meditation program in the perioperative period. Patients will be randomized to one of three groups: those who complete Isha Kriya (IK) meditation before and after surgery, those who complete postoperative IK meditation only, and those who receive the standard of care with no meditation intervention. In addition to testing feasibility, the investigators will explore whether a meditation program can affect recovery after surgery. Patients enrolled will be followed postoperatively for up to one month to assess their cognitive function, pain, and sleep. Blood will also be collected for analysis of biomarkers of inflammation.
Investigators
Balachundhar Subramaniam
Principal Investigator
Beth Israel Deaconess Medical Center
Eligibility Criteria
Inclusion Criteria
- •18 years of age or older
- •Undergoing any of the following types of cardiac surgery: CABG with or without valve surgery (aortic and/or mitral); isolated valve surgery; isolated aortic surgery
- •Surgery scheduled for at least 14 days after enrollment
Exclusion Criteria
- •Urgent and/or emergent surgery
- •Non-English speaking
- •Cognitive impairment as defined by total MoCA score \< 10
- •Baseline DASS-21 depression score \>10
- •Pre-existing history of psychiatric illness as documented in the medical record or divulged in history taking in pre-enrollment patient interview, such as anxiety, depression, or bipolar disorder
- •History of cerebrovascular accident or recent history (\< 3 months) of seizures
- •History of dementia, Parkinson's disease, Alzheimer's disease, or other forms of cognitive decline
- •Current use of cognition enhancing drugs
- •Current management for chronic pain
- •Currently enrolled in another interventional study that could impact the primary outcome, as determined by the PI
Outcomes
Primary Outcomes
Adherence to implementing a meditation program in the perioperative period
Time Frame: Baseline through 1 month post surgery
In this descriptive, feasibility study, evaluation of feasibility will include adherence to meditation intervention (total number of sessions completed).
Secondary Outcomes
- Cognitive function - MoCA(Baseline and hospital discharge (approximately 5 days))
- Total Opioid Consumption(Intraoperatively through 48 hours postoperatively)
- Changes in Sleep - PSQI(Baseline and 1 month postoperatively)
- Biomarkers of inflammation(Baseline, preoperatively, and Day 2 postoperatively)
- Pain scores(Postoperative Day 1 through hospital discharge (approximately 5 days))
- Changes in Sleep - PROMIS(Baseline through 1 month postoperatively)