Mindfulness Interventions and Chronic Widespread Pain in Adolescents
2 other identifiers
interventional
29
1 country
1
Brief Summary
The primary objective of this study to determine the feasibility and acceptability of a mindfulness intervention for adolescents with juvenile fibromyalgia/ chronic widespread pain and other similar chronic symptoms.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at below P25 for not_applicable
Started Jul 2014
Typical duration for not_applicable
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
Study Start
First participant enrolled
July 1, 2014
CompletedFirst Submitted
Initial submission to the registry
July 11, 2014
CompletedFirst Posted
Study publicly available on registry
July 15, 2014
CompletedPrimary Completion
Last participant's last visit for primary outcome
December 1, 2016
CompletedStudy Completion
Last participant's last visit for all outcomes
December 1, 2016
CompletedMarch 3, 2017
March 1, 2017
2.4 years
July 11, 2014
March 2, 2017
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
Feasibility and retention
Feasibility and retention will be assessed after each cohort completes the group sessions. Feasibility of the intervention will be assessed by the proportion of eligible patients approached for the study who consent to participate and the proportion of the weekly sessions that are attended.
8 weeks
Secondary Outcomes (7)
Program Adherence
8 weeks
Program Use
8 weeks
Program Practicality
8 weeks
Functional Disability Inventory (FDI)
8 weeks
Juvenile Revised Fibromyalgia/Symptom Impact Questionnaire (FIQR/SIQR)
8 weeks
- +2 more secondary outcomes
Study Arms (1)
Mindfulness Group
EXPERIMENTALThese adolescents will be invited to participate in a group mindfulness meditation program based on a protocol refined by the investigative team. The weekly group meetings will be taught by an MBSR teacher at the Yale School of Medicine, with experience teaching mindfulness interventions to adults, children, and adolescents.
Interventions
Participants will attend weekly 1-2-hour group sessions (of 6-8 persons) led by a trained expert based on the working MBSR protocol. The weekly sessions will be scheduled in a time mutually convenient for participants and their parent/guardian that will accompany them to each group session. The MBSR group sessions will take place at the Yale School of Medicine.
Eligibility Criteria
You may qualify if:
- American College of Rheumatology (ACR) criteria based on the Widespread Pain Index (WPI) and Symptom Severity (SS) checklist.
- Functional Disability Score ≥13 indicating at least moderate disability
- Average pain intensity in the past week ≥ 4 on a 0-10 cm Visual Analog Scale.
- Access to mobile telephone/smartphone with text messaging plan in order to receive survey questions.
- Chronic symptoms such as fatigue, pain, bowel dysfunction, perceived cognitive impairment, or other non-specific symptoms persisting for 3-months or more, severe enough to have led to more than one visit to a medical provider. These symptoms must have not been found to be due to a definable general medical disorder despite adequate evaluation.
You may not qualify if:
- Diagnosis of an autoimmune or rheumatologic disease
- Current regular mindfulness meditation activity
- Serious illness (including mental illness/psychopathology) within 90 days prior to screening
- Inability or unwillingness of a parent to give consent/permission or child to assent
- Current use of opioid analgesics
- Current prescription for antidepressant medications
- Screening positive on the Columbia Suicide Screen (CSS)
- Active participation (weekly or more often) in a fibromyalgia or chronic disease support group
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
Yale University
New Haven, Connecticut, 06519, United States
Related Publications (1)
Ali A, Weiss TR, Dutton A, McKee D, Jones KD, Kashikar-Zuck S, Silverman WK, Shapiro ED. Mindfulness-Based Stress Reduction for Adolescents with Functional Somatic Syndromes: A Pilot Cohort Study. J Pediatr. 2017 Apr;183:184-190. doi: 10.1016/j.jpeds.2016.12.053. Epub 2017 Jan 12.
PMID: 28088398RESULT
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Ather Ali, ND, MPH, MHS
Yale University
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- NA
- Masking
- NONE
- Purpose
- TREATMENT
- Intervention Model
- SINGLE GROUP
- Sponsor Type
- OTHER
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
July 11, 2014
First Posted
July 15, 2014
Study Start
July 1, 2014
Primary Completion
December 1, 2016
Study Completion
December 1, 2016
Last Updated
March 3, 2017
Record last verified: 2017-03