Phone-Delivered Mindfulness Training for Patients with Implantable Cardioverter Defibrillators: Results of a Pilot Randomized Controlled Trial
Elena Salmoirago-Blotcher, Sybil L. Crawford, James Carmody, Lawrence S. Rosenthal, Gloria Y Yeh, M Goldberg Stanley, Karen C. Rose, Clifford Browning, Ira S. Ockene
Annals of Behavioral Medicine April 19, 2013 DOI: 10.1007/s12160-013-9505-7 (opens in new tab)
Study at a glance
AI-extracted from the abstract| Characteristics | Randomized controlled trial Peer reviewed |
|---|---|
| Sample size | 45 |
| Population | Clinically stable outpatients with implantable cardioverter defibrillators, aged 43-83, 30% women |
| Duration | Eight weekly sessions; pre-post intervention measurement |
| Measures | Hospital Anxiety and Depression Scale, Five Facets of Mindfulness |
| Topics | Meditation |
| Citations | 35 |
| Key findings | Phone-delivered mindfulness training was feasible in defibrillator outpatients, with 93% retention and 94% attendance. Mindfulness improved significantly (beta = 3.31) and anxiety showed a trend toward improvement (beta = -1.15) in the mindfulness group, suggesting possible benefits that require confirmation. |
Abstract
Background: The reduction in adrenergic activity and anxiety associated with meditation may be beneficial for patients with implantable cardioverter defibrillators.
Purpose: This study aims to determine the feasibility of a phone-delivered mindfulness intervention in patients with defibrillators and to obtain preliminary indications of efficacy on mindfulness and anxiety.
Methods: Clinically stable outpatients were randomized to a mindfulness intervention (eight weekly individual phone sessions) or to a scripted follow-up phone call. We used the Hospital Anxiety and Depression Scale and the Five Facets of Mindfulness to measure anxiety and mindfulness, and multivariate linear regression to estimate the intervention effect on pre-post-intervention changes in these variables.
Results: We enrolled 45 patients (23 mindfulness and 22 control; age, 43-83; 30 % women). Retention was 93 %; attendance was 94 %. Mindfulness (beta = 3.31; p = 0.04) and anxiety (beta = -1.15; p = 0.059) improved in the mindfulness group.
Conclusions: Mindfulness training can be effectively phone-delivered and may improve mindfulness and anxiety in cardiac defibrillator outpatients.
Comparable studies
Other randomized controlled trials on meditation, most cited first.
| Study | Year | Design | Participants |
|---|---|---|---|
| Alterations in Brain and Immune Function Produced by Mindfulness Meditation Healthy employees in a work environment | 2003 | Randomized controlled trial | n = 41 |
| Prevention of relapse/recurrence in major depression by mindfulness-based cognitive therapy. Recovered recurrently depressed patients | 2000 | Randomized controlled trial | n = 145 |
| Open hearts build lives: Positive emotions, induced through loving-kindness meditation, build consequential personal resources. Working adults | 2008 | Randomized controlled trial | n = 139 |
| Short-term meditation training improves attention and self-regulation Undergraduate Chinese students | 2007 | Randomized controlled trial | n = 40 |
| Mindfulness-Based Cognitive Therapy for Depression: Replication and Exploration of Differential Relapse Prevention Effects. Recovered recurrently depressed patients | 2004 | Randomized controlled trial | n = 73 |
Citations in the library
Cited by 10
- What about the “Self” is Processed in the Posterior Cingulate Cortex? Frontiers in Human Neuroscience 2013
- Mindfulness Is Associated with Lower Depression, Anxiety, and Post-Traumatic Stress Disorder Symptoms and Higher Quality of Life in Patients with an Implantable Cardioverter-Defibrillator-A Cross-Sectional Study. Healthcare May 30, 2024
- Mindfulness-based emotional regulation for patients with implantable cardioverter-defibrillators: A randomized pilot study of efficacy, applicability, and safety Cardiology Journal September 7, 2021
- Prenatal Mindfulness Training and Race-Related Vigilance The Journal of cardiovascular nursing September 23, 2026
- Meditation for Major Depressive Disorder: A Systematic Review RAND Corporation eBooks 2015
and 5 more in the library
Cites 8
- Using Self-Report Assessment Methods to Explore Facets of Mindfulness Assessment January 27, 2006
- Effects of Mindfulness-Based Stress Reduction Intervention on Psychological Well-being and Quality of Life: Is Increased Mindfulness Indeed the Mechanism? Annals of Behavioral Medicine June 1, 2008
- Mindfulness in psychotherapy: an introduction Advances in Psychiatric Treatment March 1, 2007
- Design and Methods for a Pilot Study of a Phone-Delivered, Mindfulness-Based Intervention in Patients with Implantable Cardioverter Defibrillators Evidence-based Complementary and Alternative Medicine 2012
- The effects of mindfulness-based stress reduction therapy on mental health of adults with a chronic medical disease: a meta-analysis. Journal of Psychosomatic Research December 9, 2009
and 3 more in the library