Mindfulness-Based Relapse Prevention for Methadone Maintenance

NCT03882125 | Completed

• 1 other identifier: MBRP for MMT
• Study Type: interventional
• Target: 14
• Locations: 0 countries
• Sites: N/A

Brief Summary

The current study was designed to inform protocol adaptation, and to evaluate the feasibility, acceptability, and preliminary efficacy of a mindfulness-based intervention for methadone maintenance clients. Adults (N=15) were recruited from a methadone clinic to participate in a 6-week mindfulness course. Indices of feasibility, including recruitment, retention, data from focus groups and course satisfaction surveys, supported feasibility of the intervention. Outcome measures were self-report, and included depression, craving, PTSD symptoms, and experiential avoidance, and were assessed at baseline, postcourse, and 1-month follow-up. Data were analyzed using qualitative and quantitative approaches. Mean scores on all primary outcomes changed in the expected direction at both postcourse and 1-month follow-up assessment, although only depression and experiential avoidance reached significance. Results support feasibility and acceptability, and provide preliminary data on outcomes for future trials of mindfulness-based approaches within this client population.

Conditions

Substance-Related Disorders

Keywords

mindfulness; methadone maintenance; relapse prevention

Outcome Measures

Primary Outcomes (2)

• Acceptability - Satisfaction with the Course

  Satisfaction with the course will be assessed using the Overall Course Satisfaction Survey, items #1-4 (Bowen, Chawla, \& Marlatt, 2010). This is a self-report questionnaire, the first 4 items of which are open-ended questions assessing satisfaction with the course, barriers to learning, and perceived helpfulness.

  post course (6 weeks)

• Acceptability - Enactment of Learned Skills

  Enactment will be assessed using the Overall Course Satisfaction Survey, items #5-7 (Bowen, Chawla, \& Marlatt, 2010). This is a self-report questionnaire, the last 3 questions of which are 10-point Likert-type items, and assess importance of skills and likelihood of implementing them into daily life after the course ends. Higher scores indicate higher perceived importance and likelihood.

  post course (6 weeks)

Secondary Outcomes (5)

• Depression

  1 month

• Anxiety

  1 month

• Craving

  1 month

• Trauma symptoms

  1 month

• Experiential avoidance

  1 month

Study Arms (1)

Mindfulness

EXPERIMENTAL

Assigned to a 6-week mindfulness-based relapse prevention course

Behavioral: Mindfulness-based relapse prevention

Interventions

Mindfulness-based relapse prevention BEHAVIORAL

Psychosocial intervention integrating mindfulness practice and cognitive behavioral relapse prevention approaches

Mindfulness

Eligibility Criteria

• Age: 18 Years - 70 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• Clearance from clinic staff
• Currently enrolled in a methadone maintenance program
• Agree to complete assessment questionnaires and attend treatment sessions
• Fluent in English

You may not qualify if:

• Indication of active psychosis
• Participation in past mindfulness-based relapse prevention group

Sponsors & Collaborators

• Pacific University: lead

MeSH Terms

Conditions

Substance-Related Disorders

Condition Hierarchy (Ancestors)

Chemically-Induced Disorders; Mental Disorders

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: NA
• Masking: NONE
• Purpose: TREATMENT
• Intervention Model: SINGLE GROUP
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Assistant Professor

Study Record Dates

• First Submitted: April 3, 2017
• First Posted: March 20, 2019
• Study Start: February 15, 2015
• Primary Completion: June 27, 2015
• Study Completion: June 27, 2015
• Last Updated: March 20, 2019

Record last verified: 2019-03