Design and methods for a pilot study of a phone-delivered, mindfulness-based intervention in patients with implantable cardioverter defibrillators.
Design and methods for a pilot study of a phone-delivered, mindfulness-based intervention in patients with implantable cardioverter defibrillators.
复制标题
对植入式心律转复除颤器患者进行电话传递、基于正念的干预的试点研究的设计和方法。
DOI:
10.1155/2012/972106
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发表时间:
2012
期刊:
影响因子:
--
通讯作者:
Ockene,Ira
中科院分区:
文献类型:
--
作者:
Salmoirago-Blotcher,Elena;Carmody,James;Yeh,Gloria;Crawford,Sybil;Rosenthal,Lawrence;Ockene,Ira
Background. Meditation practices are associated with a reduction in adrenergic activity that may benefit patients with severe cardiac arrhythmias. This paper describes the design and methods of a pilot study testing the feasibility of a phone‐delivered mindfulness‐based intervention (MBI) for treatment of anxiety in patients with implantable cardioverter defibrillators (ICDs).Design and Methods. Consecutive, clinically stable outpatients (n= 52) will be screened for study eligibility within a month of an ICD‐related procedure or ICD shock and will be randomly assigned to MBI or to usual care. MBI patients will receive eight weekly individual phone sessions based on two mindfulness practices (awareness of breath and body scan) plus home practice with a CD for 20 minutes daily. Patients assigned to usual care will be offered the standard care planned by the hospital. Assessments will occur at baseline and at the completion of the intervention (between 9 and 12 weeks after randomization). The primary study outcome is feasibility; secondary outcomes include anxiety, mindfulness, and number of administered shocks during the intervention period.Conclusions. If proven feasible and effective, phone‐delivered mindfulness‐based interventions could improve psychological distress in ICD outpatients with serious cardiovascular conditions.