MOCHI: An RCT of Mindfulness as Treatment for Chronic Pelvic Pain in AD Women

NCT ID: NCT04104542

Last Updated: 2022-07-12

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

41 participants

Study Classification

INTERVENTIONAL

Study Start Date

2019-06-01

Study Completion Date

2019-10-31

Brief Summary

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Subject Population: Active duty (AD) women with chronic pelvic pain (CPP) have different demands and stressors placed on them compared with their civilian counterparts. Due to a decrease in functionality from pain, not addressing these women's untreated CPP could be detrimental in readiness missions. With limited studies on AD women with CPP or sufficient treatments available, this study seeks to compare the effects on pain, depression, and inflammation in the mindfulness-based stress reduction (MBSR) group with a self-paced Healthy Lifestyle (HL) education control.

Research Design: This randomized controlled trial will compare depression, pain, and biomarkers known for inflammation and pain in AD women with CPP pre-post an 8-week MBSR online intervention (n=55) with a self-directed Healthy Lifestyle control (n=55).

Instruments: All participants will complete a demographic worksheet, Five Facets of Mindfulness Questionnaire (FFQ), a brief pain inventory (BPI), and a Patient Health Questionnaire (PHQ-9) pre-post intervention (MBSR or HL).

Procedure: Participants will have 8-weeks of online training with voice-over slides in RedCap. The primary investigator will contact participants weekly for both groups and review diaries to help monitor fidelity and guide progress. Blood will be drawn for biomarkers for inflammation and pain and questionnaires will be completed pre-post intervention.

Detailed Description

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The Purpose of this randomized controlled trial (RCT) is to compare the effects of an 8-week on-line MBSR training program with a HL self-directed education program (control) on pain, depression, and inflammation using questionnaires and biomarkers in AD women with CPP.

Specific Aims and Research Questions It is important to understand predictors of CPP among women in active military service and test strategies that may mitigate the negative impact of CPP. The long-term goal of this research is to identify a non-invasive, easy to learn, alternative method that can successfully assist active duty women with CPP to regulate daily perceptions of their body, improve pain management skills to better cope, and ultimately improve functionality and QOL.

Specific Aim #1: To compare the depression of active duty (AD) women with CPP pre-post an 8-week online MBSR program with an 8-week Healthy Lifestyle (HL) nutrition self-paced education.

Hypothesis #1: AD women with CPP in an 8-week MBSR Program will have an overall decreased depression pre-post as compared to the HL control.

Question #1: What is the effect of an online MBSR training program as compared to a HL control pre-post on AD women's depression scores? Specific Aim #2: To compare the perception of pain in AD women with CPP pre-post an 8-week online MBSR program with an 8-week HL control.

Hypothesis 2: AD women with CPP in an 8-week MBSR Program will have overall decreased perception of pain pre-post as compared to the HL control.

Question #2: What is the effect of an online MBSR training program as compared to a HL control pre-post on AD women's perception of pain? Specific Aim #3: Compare the inflammatory biomarkers and miRNAs changes in AD women with CPP pre-post an 8-week online MBSR program with an 8-week HL control.

Hypothesis #3: AD women with CPP in an 8-week MBSR training program will demonstrate an overall decrease in inflammation as demonstrated by the biomarker changes pre-post.

Question #3: What is the effect of an online MBSR training program as compared to a HL control pre-post on active duty women's inflammatory biomarkers?

Conditions

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Chronic Pelvic Pain Depression Inflammation Pelvic

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

BASIC_SCIENCE

Blinding Strategy

SINGLE

Participants

Study Groups

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Mindfulness MTHM

online mindfulness based stress reduction training

Group Type EXPERIMENTAL

Mindfulness based stress reduction

Intervention Type BEHAVIORAL

on-line training on the website = www.palousemindfulness.com

Mindfulness JBSA

online mindfulness based stress reduction training

Group Type EXPERIMENTAL

Mindfulness based stress reduction

Intervention Type BEHAVIORAL

on-line training on the website = www.palousemindfulness.com

Healthy Lifestyle MTHM

online healthy lifestyle training

Group Type SHAM_COMPARATOR

Healthy Lifestyle

Intervention Type BEHAVIORAL

Diet and Exercise

Healthy Lifestyle JBSA

online healthy lifestyle training

Group Type SHAM_COMPARATOR

Healthy Lifestyle

Intervention Type BEHAVIORAL

Diet and Exercise

Interventions

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Mindfulness based stress reduction

on-line training on the website = www.palousemindfulness.com

Intervention Type BEHAVIORAL

Healthy Lifestyle

Diet and Exercise

Intervention Type BEHAVIORAL

Other Intervention Names

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MBSR HL

Eligibility Criteria

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Inclusion Criteria

* 21-50 years of age
* active duty female
* English as first language
* diagnosed with chronic pelvic pain
* Has access to a computer, telephone, and wifi
* Will not PCS or deploy in the next 3 months without access to computer
* consent form signed

Exclusion Criteria

* abdominal or pelvic surgery in last 6 months
* known vaginal or pelvic infection at the time of study enrollment, not currently being treated
* menopausal
* pregnant
* breastfeeding
* underlying disease including: diabetes, tumors, auto-immune disorders
Minimum Eligible Age

21 Years

Maximum Eligible Age

50 Years

Eligible Sex

FEMALE

Accepts Healthy Volunteers

Yes

Sponsors

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University of Missouri, Kansas City

OTHER

Sponsor Role lead

Responsible Party

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Carol Crisp

Principal Investigator

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Carol D Crisp, PhD (c)

Role: PRINCIPAL_INVESTIGATOR

University of Missouri, Kansas City

Locations

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Univeristy of Missouri-Kansas City

Kansas City, Missouri, United States

Site Status

Countries

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United States

References

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Crisp CD, Baldi R, Fuller M, Abreu E, Nackley AG. Complementary Approaches for Military Women with Chronic Pelvic Pain: A Randomized Trial. J Integr Complement Med. 2023 Jan;29(1):22-30. doi: 10.1089/jicm.2022.0616. Epub 2022 Oct 12.

Reference Type DERIVED
PMID: 36251868 (View on PubMed)

Other Identifiers

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18-078

Identifier Type: -

Identifier Source: org_study_id

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