This randomized, controlled study will compare Mindfulness Awareness Practices for Insomnia (MAP-I) to sleep health education (SHE) in subjects receiving autologous hematopoietic cell transplant for multiple myeloma.
Registry Overview
Registry-reported information. Elapsed time and enrollment totals alone do not measure study progress or recruitment pace.
Recruitment status
terminated
Actual enrollment (reported)
24 participants
Study completion date
May 23, 2023
Actual (reported)
Listed locations
1 countries · 1 sites
Trial Relationships
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Study Timeline
Dates and qualifiers reported by the registry. Estimated dates do not confirm that a milestone has occurred.
SleepInsomniaMindfulness Awareness Practices for InsomniaSleep Health EducationMultiple MyelomaAutologous Hematopoietic Cell TransplantationDepressionInflammationSleep hygieneFatigue
Outcome Measures
Primary Outcomes (2)
Number of Participants Enrolling in the Study
This outcome measure is the number of participants signed consent and were enrolled compared to the number of potential participants assessed for eligibility.
Up to 2 weeks
Number of Participants Completing Study Procedures
This outcome measure is the number of participants completing the required study procedures compared to the number of participants initiating study procedures.
100 days after transplant procedure
Study Arms (2)
Mindfulness Awareness Practices for Insomnia
EXPERIMENTAL
Participants will be instructed to practice mindfulness techniques on a daily basis, beginning with 5 minutes and increasing to 20 minutes over the course of the 6-week intervention - as is standard with the Mindfulness Awareness Practices (MAPs) course - with practice prior to bedtime. An intervention training manual is the cornerstone of standardized delivery of MAP-I. Participants are also provided with a book on mindfulness (Fully Present: The Science, Art, and Practice of Mindfulness, authored by the Mindfulness Awareness Research Center (MARC) leader and MAP-I instructor Diana Winston) as well as access to the University of California Los Angeles (UCLA) Mindful App courtesy of the MARC at UCLA (via personal iPhone or study-administered tablets per patient preference), which contains pre-recorded guided meditations for use in daily practice.
Behavioral: Mindfulness Awareness Practices for Insomnia
Sleep Health Education
ACTIVE COMPARATOR
Six individual 1-hour videos will be shown to participants at the same time points as, and with equal duration to, the MAP-I intervention. These videos will be recorded presentations that have been modified for HCT recipients based upon similar SHE interventions delivered in prior studies. Similar to the intervention group, patients in the SHE group will also participate in group Zoom chat sessions with equal frequency and duration lead by a study research coordinator. These sessions will allow for general patient interaction to discuss sleep and any questions or comments they may have, as lead by the group facilitator.
Interventions
Mindfulness Awareness Practices for InsomniaBehavioral
MAP-I is a curriculum-based intervention that incorporates practice prior to bed, use of practice in the bed during night-time awakenings, and daily body scan.
Mindfulness Awareness Practices for Insomnia
Sleep Health InformationBehavioral
A video SHE seminar will serve as active comparator for nonspecific treatment elements that pose rival explanations for the effectiveness of MAP-I.
Eligibility Criteria
Age18 Years+
Sexall(Gender-based eligibility)
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)
You may qualify if:
≥18 years of age
≤ 1 year since initiation of systemic anti-myeloma therapy
Registry-reported names are shown in full. Names without a link have not yet been matched to a Syfrah profile.
No prior progression or relapse of myeloma prior to HCT
Patient should be eligible to receive melphalan 200 mg/m2 as conditioning regimen
Stem cell graft with \> 2.0 x10\^6 cluster of differentiation 34 cells (CD34+)/kg available for transplant
Karnofsky Performance Score (KPS) ≥70
Agreeable to random assignment and data collection, including survey completion and blood draws
Available to attend the outpatient intervention portion.
Voluntary written consent must be given before performance of any study related procedure not part of standard medical care, with the understanding that consent may be withdrawn by the subject at any time without prejudice to future medical care
You may not qualify if:
Prior autologous HCT
Outpatient HCT
Presence of coexistent amyloidosis
Presence of known Obstructive Sleep Apnea (OSA)
Contact the study team to confirm eligibility.
Hemic and Lymphatic Diseases
Hemorrhagic Disorders
Lymphoproliferative Disorders
Immunoproliferative Disorders
Immune System Diseases
Sleep Disorders, Intrinsic
Dyssomnias
Sleep Wake Disorders
Nervous System Diseases
Mental Disorders
Behavioral Symptoms
Behavior
Pathologic Processes
Pathological Conditions, Signs and Symptoms
Health Behavior
Signs and Symptoms
Primary Completion
May 23, 2023
Actual (reported)
Study Completion
May 23, 2023
Actual (reported)
Last Updated
October 9, 2024
Record last verified: 2024-10
Data Sharing
IPD Sharing
Will not share
Source record
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Source: ClinicalTrials.gov.
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