Mind Your Heart-II
Targeting Cognitive Function and Interoceptive Awareness to Improve Self-management in Patients With Co-morbid Heart Failure and Cognitive Impairment.
The Miriam Hospital
176 participants
Nov 30, 2022
INTERVENTIONAL
Conditions
Summary
This projects studies the role of mindfulness training (MT) to improve self-care among patients with heart failure and cognitive impairment.
Eligibility
Inclusion Criteria5
- Age \> 18 years old
- A documented diagnosis of HF
- Access to a telephone
- Mild cognitive impairment (MoCA score \< = 26)
- Ability to understand and speak English or Spanish
Exclusion Criteria10
- Unwillingness/inability to provide informed consent
- Reversible causes of HF (e.g., takotsubo syndrome; myocarditis)
- Severe hearing impairment not allowing phone delivery
- Suicidal ideation or plan
- Current (at least once a month) mind/body practice
- Planning to move out of the area during the study period
- Severe cognitive impairment (MoCA scores \< 15)
- New York Heart Association (NYHA) class IV heart failure or clinically unstable
- Ongoing psychiatric or neurologic conditions
- Current enrollment in another study
Interventions
Participants will receive a 30-minute, individual, phone-delivered session once a week for 8 weeks. MT involves training in the following (1) Awareness of breath; (2) Body scan; (3) Directing attention to simple activities of daily life; (4) Becoming aware of own thoughts and emotions; (5) "Open awareness" - a technique by which the participant is invited to direct his/her attention to any event arising in their field of experience at a given moment. In addition, participants will practice mindfulness techniques for 20 minutes daily on their own with the guidance of a digitally recorded, standardized guided mindfulness practice.
Usual care will be enhanced in BOTH conditions with printed education materials provided to all participants using publicly available materials (the "Healthier Living with Heart Failure" guide available at the AHA Heart Failure Resource Center).66 The guide is organized in 7 chapters containing information on topics such as understanding HF, making healthy lifestyle changes, managing HF symptoms, taking medications, and living well with HF. Printed materials will be mailed weekly to all participants during the first 8 weeks of the study.
Locations(1)
View Full Details on ClinicalTrials.gov
For the most up-to-date information, visit the official listing.
NCT05431192