Trial Outcomes & Findings for Mindfulness Meditation for Health (NCT NCT01056484)

NCT ID: NCT01056484

Last Updated: 2014-11-06

Results Overview

Alcohol consumption as measured by percent heavy drinking days from baseline to 26 weeks. A heavy drinking day is defined as 4 or more drinks for women or 5 or more drinks for men, during a 24-hour period.

Recruitment status

COMPLETED

Study phase

PHASE2

Target enrollment

123 participants

Primary outcome timeframe

26 weeks

Results posted on

2014-11-06

Participant Flow

In the initial 26 weeks \[Period 1\], this was a randomized controlled trial. After the 26 week assessment, control participants were eligible to receive the meditation intervention, however, some elected not to receive the intervention \[non-randomized trial\]; all study participants were followed up for additional 26 weeks \[Period 2\].

Participant milestones

Participant milestones
Measure
Meditation
Mindfulness Based Relapse Prevention intervention + Standard of Care therapy Mindfulness Based Relapse Prevention for Alcohol Dependence: All study subjects receive outpatient standard of care (SOC) therapy for alcohol dependence. In addition, experimental subjects receive the Mindfulness Meditation Relapse Prevention ('meditation') intervention. This intervention is an extension of existing meditation-based therapies for stress, relapse prevention in addictive disorders, and depression. It has been directly patterned after Mindfulness Based Relapse Prevention and tailored to the specific needs of alcoholics. Its curriculum includes both meditation and "traditional" cognitive therapy relapse prevention components. The intervention consists of an 8-week, manualized meditation course (2 hours/week group sessions) guided by trained instructors. In addition, experimental subjects are asked to meditate at-home (30 min/day, 6 days/week) during the whole study.
Wait-list Control
Standard of Care therapy only "Wait-list" control: 'Standard of care' (SOC) outpatient therapy for alcohol dependence is provided to all subjects through their outpatient treatment centers and as recommended by their regular providers. Subjects in the control group receive SOC only. Subjects in the experimental arm will receive the study meditation intervention in addition to SOC.
Randomized Controlled Trial
STARTED
64
59
Randomized Controlled Trial
COMPLETED
57
58
Randomized Controlled Trial
NOT COMPLETED
7
1
Follow up - Non-randomized
STARTED
57
58
Follow up - Non-randomized
COMPLETED
57
56
Follow up - Non-randomized
NOT COMPLETED
0
2

Reasons for withdrawal

Reasons for withdrawal
Measure
Meditation
Mindfulness Based Relapse Prevention intervention + Standard of Care therapy Mindfulness Based Relapse Prevention for Alcohol Dependence: All study subjects receive outpatient standard of care (SOC) therapy for alcohol dependence. In addition, experimental subjects receive the Mindfulness Meditation Relapse Prevention ('meditation') intervention. This intervention is an extension of existing meditation-based therapies for stress, relapse prevention in addictive disorders, and depression. It has been directly patterned after Mindfulness Based Relapse Prevention and tailored to the specific needs of alcoholics. Its curriculum includes both meditation and "traditional" cognitive therapy relapse prevention components. The intervention consists of an 8-week, manualized meditation course (2 hours/week group sessions) guided by trained instructors. In addition, experimental subjects are asked to meditate at-home (30 min/day, 6 days/week) during the whole study.
Wait-list Control
Standard of Care therapy only "Wait-list" control: 'Standard of care' (SOC) outpatient therapy for alcohol dependence is provided to all subjects through their outpatient treatment centers and as recommended by their regular providers. Subjects in the control group receive SOC only. Subjects in the experimental arm will receive the study meditation intervention in addition to SOC.
Randomized Controlled Trial
Withdrawal by Subject
6
1
Randomized Controlled Trial
Physician Decision
1
0
Follow up - Non-randomized
Withdrawal by Subject
0
2

Baseline Characteristics

Mindfulness Meditation for Health

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Meditation
n=64 Participants
Mindfulness Based Relapse Prevention intervention + Standard of Care therapy Mindfulness Based Relapse Prevention for Alcohol Dependence: All study subjects receive outpatient standard of care (SOC) therapy for alcohol dependence. In addition, experimental subjects receive the Mindfulness Meditation Relapse Prevention ('meditation') intervention. This intervention is an extension of existing meditation-based therapies for stress, relapse prevention in addictive disorders, and depression. It has been directly patterned after Mindfulness Based Relapse Prevention and tailored to the specific needs of alcoholics. Its curriculum includes both meditation and "traditional" cognitive therapy relapse prevention components. The intervention consists of an 8-week, manualized meditation course (2 hours/week group sessions) guided by trained instructors. In addition, experimental subjects are asked to meditate at-home (30 min/day, 6 days/week) during the whole study.
Wait-list Control
n=59 Participants
Standard of Care therapy only "Wait-list" control: 'Standard of care' (SOC) outpatient therapy for alcohol dependence is provided to all subjects through their outpatient treatment centers and as recommended by their regular providers. Subjects in the control group receive SOC only. Subjects in the experimental arm will receive the study meditation intervention in addition to SOC.
Total
n=123 Participants
Total of all reporting groups
Age, Continuous
40.5 years
STANDARD_DEVIATION 12.1 • n=5 Participants
41.9 years
STANDARD_DEVIATION 11.9 • n=7 Participants
41.2 years
STANDARD_DEVIATION 11.9 • n=5 Participants
Age, Categorical
<=18 years
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Age, Categorical
Between 18 and 65 years
63 Participants
n=5 Participants
59 Participants
n=7 Participants
122 Participants
n=5 Participants
Age, Categorical
>=65 years
1 Participants
n=5 Participants
0 Participants
n=7 Participants
1 Participants
n=5 Participants
Sex: Female, Male
Female
25 Participants
n=5 Participants
28 Participants
n=7 Participants
53 Participants
n=5 Participants
Sex: Female, Male
Male
39 Participants
n=5 Participants
31 Participants
n=7 Participants
70 Participants
n=5 Participants
Region of Enrollment
United States
64 participants
n=5 Participants
59 participants
n=7 Participants
123 participants
n=5 Participants

PRIMARY outcome

Timeframe: 26 weeks

Population: Only 105 participants provided data for this measure for the 26-week follow up visit. This was due to participants not providing data as a result of either: declining participation for that visit, being unable to reach within the 26-week follow up time frame, or withdrawing from the study before the 26-week follow up visit.

Alcohol consumption as measured by percent heavy drinking days from baseline to 26 weeks. A heavy drinking day is defined as 4 or more drinks for women or 5 or more drinks for men, during a 24-hour period.

Outcome measures

Outcome measures
Measure
Meditation
n=52 Participants
Mindfulness Based Relapse Prevention intervention + Standard of Care therapy Mindfulness Based Relapse Prevention for Alcohol Dependence: All study subjects receive outpatient standard of care (SOC) therapy for alcohol dependence. In addition, experimental subjects receive the Mindfulness Meditation Relapse Prevention ('meditation') intervention. This intervention is an extension of existing meditation-based therapies for stress, relapse prevention in addictive disorders, and depression. It has been directly patterned after Mindfulness Based Relapse Prevention and tailored to the specific needs of alcoholics. Its curriculum includes both meditation and "traditional" cognitive therapy relapse prevention components. The intervention consists of an 8-week, manualized meditation course (2 hours/week group sessions) guided by trained instructors. In addition, experimental subjects are asked to meditate at-home (30 min/day, 6 days/week) during the whole study.
Wait-list Control
n=53 Participants
Standard of Care therapy only "Wait-list" control: 'Standard of care' (SOC) outpatient therapy for alcohol dependence is provided to all subjects through their outpatient treatment centers and as recommended by their regular providers. Subjects in the control group receive SOC only. Subjects in the experimental arm will receive the study meditation intervention in addition to SOC.
Percent Heavy Drinking Days
3.8 percentage of heavy drinking days
Standard Deviation 8.4
3.0 percentage of heavy drinking days
Standard Deviation 8.4

PRIMARY outcome

Timeframe: 26 weeks

Population: Only 105 participants provided data for this measure for the 26-week follow up visit. This was due to participants not providing data as a result of either: declining participation for that visit, being unable to reach within the 26-week follow up time frame, or withdrawing from the study before the 26-week follow up visit.

Measures percent days abstinent from alcohol

Outcome measures

Outcome measures
Measure
Meditation
n=52 Participants
Mindfulness Based Relapse Prevention intervention + Standard of Care therapy Mindfulness Based Relapse Prevention for Alcohol Dependence: All study subjects receive outpatient standard of care (SOC) therapy for alcohol dependence. In addition, experimental subjects receive the Mindfulness Meditation Relapse Prevention ('meditation') intervention. This intervention is an extension of existing meditation-based therapies for stress, relapse prevention in addictive disorders, and depression. It has been directly patterned after Mindfulness Based Relapse Prevention and tailored to the specific needs of alcoholics. Its curriculum includes both meditation and "traditional" cognitive therapy relapse prevention components. The intervention consists of an 8-week, manualized meditation course (2 hours/week group sessions) guided by trained instructors. In addition, experimental subjects are asked to meditate at-home (30 min/day, 6 days/week) during the whole study.
Wait-list Control
n=53 Participants
Standard of Care therapy only "Wait-list" control: 'Standard of care' (SOC) outpatient therapy for alcohol dependence is provided to all subjects through their outpatient treatment centers and as recommended by their regular providers. Subjects in the control group receive SOC only. Subjects in the experimental arm will receive the study meditation intervention in addition to SOC.
Percent Days Abstinent From Alcohol
88.5 percent of days abstinent from alcohol
Standard Deviation 22.5
94.1 percent of days abstinent from alcohol
Standard Deviation 11.6

PRIMARY outcome

Timeframe: 26 weeks

Population: Only 105 participants provided data for this measure at 26-week follow up; due to participants either: declining participation for the visit, being unable to reach within the 26-week follow up time, or withdrawing from the study before 26-week follow up. Of the 105, 3 meditation/0 controls met criteria for having relapsed during this time frame.

Alcohol consumption as measured by time to relapse (resumption of drinking) from baseline to 26 weeks.

Outcome measures

Outcome measures
Measure
Meditation
n=3 Participants
Mindfulness Based Relapse Prevention intervention + Standard of Care therapy Mindfulness Based Relapse Prevention for Alcohol Dependence: All study subjects receive outpatient standard of care (SOC) therapy for alcohol dependence. In addition, experimental subjects receive the Mindfulness Meditation Relapse Prevention ('meditation') intervention. This intervention is an extension of existing meditation-based therapies for stress, relapse prevention in addictive disorders, and depression. It has been directly patterned after Mindfulness Based Relapse Prevention and tailored to the specific needs of alcoholics. Its curriculum includes both meditation and "traditional" cognitive therapy relapse prevention components. The intervention consists of an 8-week, manualized meditation course (2 hours/week group sessions) guided by trained instructors. In addition, experimental subjects are asked to meditate at-home (30 min/day, 6 days/week) during the whole study.
Wait-list Control
Standard of Care therapy only "Wait-list" control: 'Standard of care' (SOC) outpatient therapy for alcohol dependence is provided to all subjects through their outpatient treatment centers and as recommended by their regular providers. Subjects in the control group receive SOC only. Subjects in the experimental arm will receive the study meditation intervention in addition to SOC.
Time to Relapse (Resumption of Drinking)
29.0 number of days to relapse
Standard Deviation 13.0

SECONDARY outcome

Timeframe: 26 weeks

Population: Only 98 participants provided data for this measure for the 26-week follow up visit. This was due to participants not providing data as a result of either: declining participation for that visit, being unable to reach within the 26-week follow up time frame, or withdrawing from the study before the 26-week follow up visit.

Severity of drinking related negative consequences as measured by the Drinker Inventory of Consequences (DrInC-2R). This inventory consists of 50 items rated on a scale of 0 to 3, with '0' indicating a given consequence did not happen, '1' indicating it almost happened, '2' indicating it did happen, and '3' indicating it happened more than once. The sum of all ratings (minus the 5 control questions) indicates the 'total score', with higher scores corresponding to more drinking related consequences. The 'total score' can range from 0 (did not happen) to 135 (happened all the time).

Outcome measures

Outcome measures
Measure
Meditation
n=47 Participants
Mindfulness Based Relapse Prevention intervention + Standard of Care therapy Mindfulness Based Relapse Prevention for Alcohol Dependence: All study subjects receive outpatient standard of care (SOC) therapy for alcohol dependence. In addition, experimental subjects receive the Mindfulness Meditation Relapse Prevention ('meditation') intervention. This intervention is an extension of existing meditation-based therapies for stress, relapse prevention in addictive disorders, and depression. It has been directly patterned after Mindfulness Based Relapse Prevention and tailored to the specific needs of alcoholics. Its curriculum includes both meditation and "traditional" cognitive therapy relapse prevention components. The intervention consists of an 8-week, manualized meditation course (2 hours/week group sessions) guided by trained instructors. In addition, experimental subjects are asked to meditate at-home (30 min/day, 6 days/week) during the whole study.
Wait-list Control
n=51 Participants
Standard of Care therapy only "Wait-list" control: 'Standard of care' (SOC) outpatient therapy for alcohol dependence is provided to all subjects through their outpatient treatment centers and as recommended by their regular providers. Subjects in the control group receive SOC only. Subjects in the experimental arm will receive the study meditation intervention in addition to SOC.
Drinker Inventory of Consequences
11.3 Scores on a scale
Standard Deviation 16.9
16.5 Scores on a scale
Standard Deviation 17.6

SECONDARY outcome

Timeframe: 8 weeks

Population: 48 participants provided data for this outcome measure at an 8-week follow up visit, and their responses were analyzed.

Treatment satisfaction rating on a Likert scale of 1 to 7 (1 indicating 'extremely dissatisfied', 4 'neutral', and 7 'extremely satisfied').

Outcome measures

Outcome measures
Measure
Meditation
n=48 Participants
Mindfulness Based Relapse Prevention intervention + Standard of Care therapy Mindfulness Based Relapse Prevention for Alcohol Dependence: All study subjects receive outpatient standard of care (SOC) therapy for alcohol dependence. In addition, experimental subjects receive the Mindfulness Meditation Relapse Prevention ('meditation') intervention. This intervention is an extension of existing meditation-based therapies for stress, relapse prevention in addictive disorders, and depression. It has been directly patterned after Mindfulness Based Relapse Prevention and tailored to the specific needs of alcoholics. Its curriculum includes both meditation and "traditional" cognitive therapy relapse prevention components. The intervention consists of an 8-week, manualized meditation course (2 hours/week group sessions) guided by trained instructors. In addition, experimental subjects are asked to meditate at-home (30 min/day, 6 days/week) during the whole study.
Wait-list Control
Standard of Care therapy only "Wait-list" control: 'Standard of care' (SOC) outpatient therapy for alcohol dependence is provided to all subjects through their outpatient treatment centers and as recommended by their regular providers. Subjects in the control group receive SOC only. Subjects in the experimental arm will receive the study meditation intervention in addition to SOC.
Subject Treatment Satisfaction
5.5 points
Standard Deviation 1.4

SECONDARY outcome

Timeframe: 8 weeks

Population: Of 64 enrolled participants, one withdrew prior to the first intervention session. This participant's data was included in the baseline data analyses; this participant's meditation intervention attendance was counted as "0".

Mindfulness Based Relapse Prevention for Alcohol Dependence intervention session attendance; adherence defined as attending 4 or more out of 8 total sessions.

Outcome measures

Outcome measures
Measure
Meditation
n=64 Participants
Mindfulness Based Relapse Prevention intervention + Standard of Care therapy Mindfulness Based Relapse Prevention for Alcohol Dependence: All study subjects receive outpatient standard of care (SOC) therapy for alcohol dependence. In addition, experimental subjects receive the Mindfulness Meditation Relapse Prevention ('meditation') intervention. This intervention is an extension of existing meditation-based therapies for stress, relapse prevention in addictive disorders, and depression. It has been directly patterned after Mindfulness Based Relapse Prevention and tailored to the specific needs of alcoholics. Its curriculum includes both meditation and "traditional" cognitive therapy relapse prevention components. The intervention consists of an 8-week, manualized meditation course (2 hours/week group sessions) guided by trained instructors. In addition, experimental subjects are asked to meditate at-home (30 min/day, 6 days/week) during the whole study.
Wait-list Control
Standard of Care therapy only "Wait-list" control: 'Standard of care' (SOC) outpatient therapy for alcohol dependence is provided to all subjects through their outpatient treatment centers and as recommended by their regular providers. Subjects in the control group receive SOC only. Subjects in the experimental arm will receive the study meditation intervention in addition to SOC.
Subject Treatment Adherence
71.9 Percentage of meditation participants

Adverse Events

Meditation

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Wait-list Control

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Adverse event data not reported

Additional Information

Aleksandra Zgierska, MD PhD

University of Wisconsin Madison

Phone: (608) 263-7882

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place