NCT04125758

Brief Summary

Chronic stress has been shown to impact long-term emotional and physical health. When nearly three-quarters of Americans report stress at levels that exceed what they consider healthy, there is a desperate need to understand factors that contribute to effective stress regulation. This work seeks to develop a measure tied to awareness and acceptance of stress that has shown promise as a predictor of multiple markers of mental and physical well-being, understand how it relates to awareness of the body, and explore whether it can be trained to alleviate suffering and promote well-being. This study aims to 1) Conceptually replicate and extend previous findings linking greater stress-physiology coherence to higher well-being. 2) Assess whether awareness of physiology is associated with stress-physiology coherence. 3) Explore whether stress-physiology coherence can be trained through a brief mindfulness training intervention.

Trial Health

87
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
120

participants targeted

Target at P50-P75 for not_applicable

Timeline
Completed

Started Jan 2020

Typical duration for not_applicable

Geographic Reach
1 country

1 active site

Status
completed

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

First Submitted

Initial submission to the registry

September 5, 2019

Completed
1 month until next milestone

First Posted

Study publicly available on registry

October 14, 2019

Completed
3 months until next milestone

Study Start

First participant enrolled

January 21, 2020

Completed
2.9 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

November 30, 2022

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

November 30, 2022

Completed
Last Updated

December 21, 2022

Status Verified

December 1, 2022

Enrollment Period

2.9 years

First QC Date

September 5, 2019

Last Update Submit

December 20, 2022

Conditions

Outcome Measures

Primary Outcomes (1)

  • Change in subjective stress-heart rate coherence

    Within-participant association between repeated measures of subjective stress (1-100 Visual Analog Scale rating) and heart rate over the course of a stress-induction paradigm. Stronger positive associations indicate higher stress-heart rate coherence.

    Baseline and post-test, separated by 4 weeks

Other Outcomes (18)

  • Mean Change in Accuracy on Method of Constant Stimuli (MCS) Interoceptive Accuracy Task

    Baseline and post-test, separated by 4 weeks

  • Mean Change in Interoceptive Sensibility measured as the total score on the Multidimensional Assessment of Interoceptive Awareness Version 2 (MAIA-2)

    Baseline and post-test, separated by 4 weeks

  • Mean Change in Meta-Awareness Measured on a Method of Constant Stimuli Light-Tone Task

    Baseline and post-test, separated by 4 weeks

  • +15 more other outcomes

Study Arms (2)

Mindfulness training

EXPERIMENTAL

Participants will listen to one to two 3-30 minute audio recordings each day for 4 weeks between study visits (28 days total) through the Healthy Minds @Work smartphone app and record when they listen to each recording on a paper log. The app will also collect data on which recordings, when, and for how long participants listen.

Behavioral: Mindfulness training

Tracking time spent on mobile device

ACTIVE COMPARATOR

Participants will record how much time they estimate they have spent on their phone in the past 24 hours, each day for 4 weeks (28 days total) between study visits.

Behavioral: Tracking time spent on mobile device

Interventions

Brief audio recordings discussing mindfulness or guided mindfulness practices.

Also known as: Mindfulness, contemplative, meditation
Mindfulness training

Participants will record each day how much time they estimate they spent on their smart phone in the past 24 hours.

Tracking time spent on mobile device

Eligibility Criteria

Age18 Years - 65 Years
Sexall
Healthy VolunteersYes
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • Age 18 to 65;
  • Comfortable reading, writing, and conversing in English
  • U.S. Citizen or permanent resident (for payment purposes)
  • Have a smartphone compatible with our study app

You may not qualify if:

  • Significant past experience with meditation, yoga, tai chi, or qi gong;
  • Current or past psychotic disorder, Bipolar Disorder, PTSD, or social phobia;
  • Current, severe major depressive episode;
  • Current, severe generalized anxiety;
  • Active prescription stimulant use (current or in the past month);
  • Active prescription beta-blocker, beta-agonist, anti-high blood pressure, or anti-anxiety medication use (current or in the past month);
  • Currently pregnant (due to physiological changes);
  • History of neurological disorder;
  • Currently diagnosed with high blood pressure, or heart murmur;
  • Have a pacemaker
  • Have participated in the Trier Social Stress Test previously

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

University of Wisconsin - Madison

Madison, Wisconsin, 53703, United States

Location

Related Publications (28)

  • Birkett MA. The Trier Social Stress Test protocol for inducing psychological stress. J Vis Exp. 2011 Oct 19;(56):3238. doi: 10.3791/3238.

    PMID: 22042290BACKGROUND
  • Ekman, P. (1992). An argument for basic emotions. Cognition & emotion, 6(3-4), 169-200.

    BACKGROUND
  • Mauss IB, Levenson RW, McCarter L, Wilhelm FH, Gross JJ. The tie that binds? Coherence among emotion experience, behavior, and physiology. Emotion. 2005 Jun;5(2):175-90. doi: 10.1037/1528-3542.5.2.175.

    PMID: 15982083BACKGROUND
  • Campbell J, Ehlert U. Acute psychosocial stress: does the emotional stress response correspond with physiological responses? Psychoneuroendocrinology. 2012 Aug;37(8):1111-34. doi: 10.1016/j.psyneuen.2011.12.010. Epub 2012 Jan 18.

    PMID: 22260938BACKGROUND
  • Carver CS, Scheier MF, Weintraub JK. Assessing coping strategies: a theoretically based approach. J Pers Soc Psychol. 1989 Feb;56(2):267-83. doi: 10.1037//0022-3514.56.2.267.

    PMID: 2926629BACKGROUND
  • Darwin, C. (2009). The expression of the emotions in man and animals (P. Ekman, Ed.). Oxford, England: Oxford University Press. (Original work published 1872)

    BACKGROUND
  • Garfinkel SN, Manassei MF, Hamilton-Fletcher G, In den Bosch Y, Critchley HD, Engels M. Interoceptive dimensions across cardiac and respiratory axes. Philos Trans R Soc Lond B Biol Sci. 2016 Nov 19;371(1708):20160014. doi: 10.1098/rstb.2016.0014. Epub 2016 Oct 10.

    PMID: 28080971BACKGROUND
  • Hirshberg MJ, Goldberg SB, Schaefer SM, Flook L, Findley D, Davidson RJ. Divergent effects of brief contemplative practices in response to an acute stressor: A randomized controlled trial of brief breath awareness, loving-kindness, gratitude or an attention control practice. PLoS One. 2018 Dec 12;13(12):e0207765. doi: 10.1371/journal.pone.0207765. eCollection 2018.

    PMID: 30540772BACKGROUND
  • Lang, P. J. (1988). What are the data of emotion? In V. Hamilton, G. H. Bower, & N. Frijda (Eds.), Cognitive perspectives on emotion and motivation (pp. 173-191). Amsterdam, The Netherlands: Martinus Nijhoff Publishers.

    BACKGROUND
  • Lazarus, R. S. (1991). Emotion and adaptation. Oxford, England: Oxford University Press.

    BACKGROUND
  • Levenson, R. W. (1994). Human emotion: A functional view. In P. Ekman & R. J. Davidson (Eds.), The nature of emotion: Fundamental questions (pp. 123-126). New York, NY: Oxford University Press.

    BACKGROUND
  • Plutchik, R. (1980). Emotion: A psychoevolutionary synthesis. New York, NY: HarperCollins College Division.

    BACKGROUND
  • Radloff, L. S. (1977). The CES-D scale: A self-report depression scale for research in the general population. Applied Psychology Measurement, 1, 385-401.

    BACKGROUND
  • Ryff, C. D. (1989). Happiness is everything, or is it? Explorations on the meaning of psychological well-being. Journal of Personality and Social Psychology, 57, 1069-1081.

    BACKGROUND
  • Sommerfeldt SL, Schaefer SM, Brauer M, Ryff CD, Davidson RJ. Individual Differences in the Association Between Subjective Stress and Heart Rate Are Related to Psychological and Physical Well-Being. Psychol Sci. 2019 Jul;30(7):1016-1029. doi: 10.1177/0956797619849555. Epub 2019 Jun 12.

    PMID: 31188735BACKGROUND
  • Spielberger, C. D. (1983). Manual for the State-Trait Anxiety Inventory (Form Y) ("Self-Evaluation Questionnaire"). Palo Alto, CA: Consulting Psychologists Press.

    BACKGROUND
  • Sze JA, Gyurak A, Yuan JW, Levenson RW. Coherence between emotional experience and physiology: does body awareness training have an impact? Emotion. 2010 Dec;10(6):803-14. doi: 10.1037/a0020146.

    PMID: 21058842BACKGROUND
  • Brener J, Ring C, Liu X. Effects of data limitations on heartbeat detection in the method of constant stimuli. Psychophysiology. 1994 May;31(3):309-12. doi: 10.1111/j.1469-8986.1994.tb02219.x.

    PMID: 8008794BACKGROUND
  • Brener J, Liu X, Ring C. A method of constant stimuli for examining heartbeat detection: comparison with the Brener-Kluvitse and Whitehead methods. Psychophysiology. 1993 Nov;30(6):657-65. doi: 10.1111/j.1469-8986.1993.tb02091.x.

    PMID: 8248457BACKGROUND
  • Baer RA, Smith GT, Lykins E, Button D, Krietemeyer J, Sauer S, Walsh E, Duggan D, Williams JM. Construct validity of the five facet mindfulness questionnaire in meditating and nonmeditating samples. Assessment. 2008 Sep;15(3):329-42. doi: 10.1177/1073191107313003. Epub 2008 Feb 29.

    PMID: 18310597BACKGROUND
  • Levenson H. Multidimensional locus of control in psychiatric patients. J Consult Clin Psychol. 1973 Dec;41(3):397-404. doi: 10.1037/h0035357. No abstract available.

    PMID: 4803272BACKGROUND
  • Cohen S, Kamarck T, Mermelstein R. A global measure of perceived stress. J Health Soc Behav. 1983 Dec;24(4):385-96. No abstract available.

    PMID: 6668417BACKGROUND
  • Gillanders DT, Bolderston H, Bond FW, Dempster M, Flaxman PE, Campbell L, Kerr S, Tansey L, Noel P, Ferenbach C, Masley S, Roach L, Lloyd J, May L, Clarke S, Remington B. The development and initial validation of the cognitive fusion questionnaire. Behav Ther. 2014 Jan;45(1):83-101. doi: 10.1016/j.beth.2013.09.001. Epub 2013 Sep 18.

    PMID: 24411117BACKGROUND
  • Buysse DJ, Reynolds CF 3rd, Monk TH, Berman SR, Kupfer DJ. The Pittsburgh Sleep Quality Index: a new instrument for psychiatric practice and research. Psychiatry Res. 1989 May;28(2):193-213. doi: 10.1016/0165-1781(89)90047-4.

    PMID: 2748771BACKGROUND
  • Mehling WE, Acree M, Stewart A, Silas J, Jones A. The Multidimensional Assessment of Interoceptive Awareness, Version 2 (MAIA-2). PLoS One. 2018 Dec 4;13(12):e0208034. doi: 10.1371/journal.pone.0208034. eCollection 2018.

    PMID: 30513087BACKGROUND
  • Bagby RM, Parker JD, Taylor GJ. The twenty-item Toronto Alexithymia Scale--I. Item selection and cross-validation of the factor structure. J Psychosom Res. 1994 Jan;38(1):23-32. doi: 10.1016/0022-3999(94)90005-1.

    PMID: 8126686BACKGROUND
  • Kesebir P, Gasiorowska A, Goldman R, Hirshberg MJ, Davidson RJ. Emotional Style Questionnaire: A multidimensional measure of healthy emotionality. Psychol Assess. 2019 Oct;31(10):1234-1246. doi: 10.1037/pas0000745. Epub 2019 Jul 1.

    PMID: 31259572BACKGROUND
  • Gamez W, Chmielewski M, Kotov R, Ruggero C, Suzuki N, Watson D. The brief experiential avoidance questionnaire: development and initial validation. Psychol Assess. 2014 Mar;26(1):35-45. doi: 10.1037/a0034473. Epub 2013 Sep 23.

    PMID: 24059474BACKGROUND

MeSH Terms

Interventions

MindfulnessMeditation

Intervention Hierarchy (Ancestors)

Cognitive Behavioral TherapyBehavior TherapyPsychotherapyBehavioral Disciplines and ActivitiesMind-Body TherapiesComplementary TherapiesTherapeuticsSpiritual TherapiesRelaxation Therapy

Study Officials

  • Sasha Sommerfeldt, M.S.

    University of Wisconsin, Madison

    PRINCIPAL INVESTIGATOR

Study Design

Study Type
interventional
Phase
not applicable
Allocation
RANDOMIZED
Masking
DOUBLE
Who Masked
INVESTIGATOR, OUTCOMES ASSESSOR
Masking Details
Researchers involved in participant testing will not know the participant's group. Researchers conducting data analysis will not know data codes assigned to groups.
Purpose
BASIC SCIENCE
Intervention Model
PARALLEL
Model Details: Participants are randomly assigned after a baseline testing to either a mindfulness intervention or control group.
Sponsor Type
OTHER
Responsible Party
SPONSOR

Study Record Dates

First Submitted

September 5, 2019

First Posted

October 14, 2019

Study Start

January 21, 2020

Primary Completion

November 30, 2022

Study Completion

November 30, 2022

Last Updated

December 21, 2022

Record last verified: 2022-12

Data Sharing

IPD Sharing
Will share

Coded data only may be banked for future use to address research questions not included in this registration. We may share coded data with other researchers within and outside of UW-Madison, and data may also be used in additional future approved research studies. These studies may include analysis of the information from this study alone or in combination with data collected in other studies. All data except Protected Health Information may be shared. Data may be shared as Supplemental Information uploaded to a journal website and/or shared on a UW data sharing website. Data sharing would not require any further participation from participants. Participants may withdraw their data from future research by submitting a request in writing to our study team.

Shared Documents
STUDY PROTOCOL, SAP, ICF, ANALYTIC CODE
Time Frame
Data will become available after Sasha Sommerfeldt's dissertation defense. The study protocol, analysis plan, informed consent form, and analytic code will be shared publicly through the open science framework upon acceptance of a manuscript detailing findings for the main aims of the study. Data will be shared upon request from qualified researchers.

Locations