Online Mindfulness-Based Intervention to Decrease Pre-Procedural Anxiety Before a First-Time Screening Colonoscopy

NCT ID: NCT06233253

Last Updated: 2025-02-24

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

100 participants

Study Classification

INTERVENTIONAL

Study Start Date

2023-09-29

Study Completion Date

2024-07-12

Brief Summary

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This clinical trial tests how well an online mindfulness-based intervention (MBI) works to decrease anxiety in patients before a first-time screening colonoscopy. Elevated pre-procedural anxiety can affect patient outcomes including bowel preparation adherence and quality, the amount of sedation required, procedure time, patient satisfaction, cancellation or no-shows, and intention for future cancer screening. Mindfulness is a form of meditation that focuses on staying within the present moment to reduce anxiety. Previous research supports mindfulness practice among cancer survivors to decrease anxiety, fear of cancer re-occurrence, and to improve quality of life. Online MBIs have the potential to include targeted meditations and educational information designed to promote behavior change. This study may help researchers learn whether a mindfulness intervention works to decrease anxiety in patients before a first-time screening colonoscopy.

Detailed Description

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PRIMARY OBJECTIVE:

I. To establish intervention feasibility and acceptability, and to collect preliminary efficacy data on a developed online mindfulness-based intervention (MBI) to reduce pre-procedural anxiety before a first-time screening colonoscopy compared to usual care.

OUTLINE: Patients are randomized to 1 of 2 groups.

GROUP I: Patients receive usual care prior to their scheduled screening colonoscopy.

GROUP II: Patients receive an online mindfulness intervention including infographics and 5-minute meditations once daily (QD) for 5 days prior to their scheduled screening colonoscopy.

After completion of study intervention, patients are followed up 1-2 days post-colonoscopy.

Conditions

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Colorectal Carcinoma

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

SUPPORTIVE_CARE

Blinding Strategy

NONE

Study Groups

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Group I (usual care)

Patients receive usual care prior to their scheduled screening colonoscopy.

Group Type ACTIVE_COMPARATOR

Best Practice

Intervention Type OTHER

Receive usual care

Medical Chart Review

Intervention Type OTHER

Ancillary studies

Survey Administration

Intervention Type OTHER

Ancillary studies

Group II (online mindfulness intervention)

Patients receive an online mindfulness intervention including infographics and 5-minute meditations QD for 5 days prior to their scheduled screening colonoscopy.

Group Type EXPERIMENTAL

Medical Chart Review

Intervention Type OTHER

Ancillary studies

Online Mindfulness Meditation

Intervention Type BEHAVIORAL

Receive an online mindfulness intervention

Survey Administration

Intervention Type OTHER

Ancillary studies

Interventions

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Best Practice

Receive usual care

Intervention Type OTHER

Medical Chart Review

Ancillary studies

Intervention Type OTHER

Online Mindfulness Meditation

Receive an online mindfulness intervention

Intervention Type BEHAVIORAL

Survey Administration

Ancillary studies

Intervention Type OTHER

Other Intervention Names

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standard of care standard therapy Chart Review Online MBSR Online Mindful Meditation Online Mindfulness Relaxation Online Mindfulness-Based Stress Reduction Web-Based Mindfulness Meditation

Eligibility Criteria

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Inclusion Criteria

* Patients must be ages 45-75
* Patients must be at average risk for colorectal cancer (CRC)
* Patients must have scheduled their first-time screening colonoscopy as an outpatient at Ohio State University (OSU) at least 14 days in advance
* Patients must be able to speak and read English
* Patients must have daily access to a working telephone, email address, and internet connection
* Patients must provide consent

Exclusion Criteria

* Previous colonoscopy
* Colonoscopy for diagnostic purposes
* Auditory or visual impairment that prevents internet use
* Previous cancer diagnosis (other than skin cancer)
* Previous diagnosis of a mental health disorder
* Current mental health treatment
* Family history of CRC
* Personal history of inflammatory bowel disease (ulcerative colitis or Crohn's disease)
* Confirmed or suspected hereditary CRC syndrome, such as familial adenomatous polyposis or Lynch syndrome
Minimum Eligible Age

45 Years

Maximum Eligible Age

75 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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Ohio State University Comprehensive Cancer Center

OTHER

Sponsor Role lead

Responsible Party

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Mira Katz

Principal Investigator

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Katz

Role: PRINCIPAL_INVESTIGATOR

Ohio State University Comprehensive Cancer Center

Locations

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Ohio State University Comprehensive Cancer Center

Columbus, Ohio, United States

Site Status

Countries

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United States

Related Links

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Other Identifiers

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NCI-2023-10496

Identifier Type: REGISTRY

Identifier Source: secondary_id

OSU-23136

Identifier Type: -

Identifier Source: org_study_id

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