Integrating Mindfulness Into the Patient-Centered Medical Home (Phase 2)

Summary

Among primary care patients, compare the effectiveness of an 8-week mindfulness-based intervention (Mindfulness Training for Primary Care\[MTPC\]) vs. a low-dose mindfulness introduction comparator on self-management of chronic illness and illness-related health behavior action plan initiation, as well as on measures related to anxiety, depression, and stress.

Conditions

• Depression
• Anxiety
• Stress Related Disorder
• Adjustment Disorders

Interventions

BEHAVIORAL

Mindfulness Training for Primary Care

MTPC is a referral-based, insurance-reimbursable 8-week program that can be delivered as group psychotherapy by Patient-Centered Medical Home-integrated behavioral clinicians or as an 8-week primary care group visit delivered by a primary care provider. MTPC groups are 2 hours long for 8 weeks with a 7-hour weekend day of silent practice. MTPC emphasizes mindfulness-oriented skills for self-regulation, self-management of chronic illness, and health behavior change. All participants complete an action planning protocol during Week 7.

BEHAVIORAL

60-minute Introduction to Mindfulness

Participants in the low-dose comparator arm receive a 60-minute introduction to mindfulness. Participants are introduced to the definition(s) of mindfulness, brief mindfulness practices, discussion, and an orientation to an 8-week mindfulness group. They are also given a list of leading community, online, print, and smartphone mindfulness resources.

Sponsors & Collaborators

• The Arthur Vining Davis Foundations

  collaborator UNKNOWN

• The Arnold P. Gold Foundation

  collaborator OTHER

• National Institutes of Health (NIH)

  collaborator NIH

• Brown University

  collaborator OTHER

• National Center for Complementary and Integrative Health (NCCIH)

  collaborator NIH

• Cambridge Health Alliance

  lead OTHER

Principal Investigators

• Zev D Schuman-Olivier, MD · Cambridge Health Alliance

Study Design

Allocation

RANDOMIZED

Purpose

TREATMENT

Masking

NONE

Model

PARALLEL

Eligibility

Min Age

18 Years

Sex

ALL

Healthy Volunteers

No

Timeline & Regulatory

Start

2017-02-01

Primary Completion

2018-09-15

Completion

2020-08-01

Countries

• United States

Study Locations