RecruitingNot ApplicableNCT07415941

MBM andtaVNS for Low Back Pain and Depressive Symptoms

Home-based Mindfulness-based Meditation and Transcutaneous Auricular Vagus Nerve Stimulation for Older Adults With Low Back Pain and Depressive Symptoms


Sponsor

Florida State University

Enrollment

66 participants

Start Date

Jan 30, 2026

Study Type

INTERVENTIONAL

Conditions

Summary

This two-arm randomized controlled trial aims to test the preliminary effect of home-based mindfulness-based meditation and transcutaneous auricular vagus nerve stimulation on managing pain and depressive symptoms among community-dwelling older adults with chronic low back pain and depressive symptoms; and the effect of home-based mindfulness-based meditation and transcutaneous auricular vagus nerve stimulation on the host Brain-Gut Axis.


Eligibility

Min Age: 50 YearsMax Age: 85 Years

Inclusion Criteria6

  • aged 50 to 85 years old
  • intact cognition (examined by the Mini-Mental State Exam, ≥ 24)
  • experiencing moderate low back pain daily or almost every day at least the previous three months (≥3 out of 10 on numeric rating scale \[NRS\])
  • experiencing elevated depressive symptoms with the patient health questionnaire (PHQ-9) total score ranging between 5 to 19
  • able to speak and read English
  • not intent to change medication regimens for pain throughout the trial.

Exclusion Criteria7

  • serious underlying illness (e.g., malignant neoplasms),
  • other psychosis,
  • elevated suicide risk as indicated by the Columbia-Suicide Severity Rating Scale (C-SSRS) score \> 2,
  • function limitation precluded the meditation practice,
  • participated meditation program before,
  • any other conditions/contraindications that prohibit the application of taVNS including but not limited to any current or past history of cardiovascular disorders, recent ear trauma, and metal implants above the level of the neck,
  • no access to the internet.

Interventions

BEHAVIORALMBM

MBM is designed to be applied for 20 minutes per session daily, five days per week, for 8 weeks.

DEVICEVNSM

The VNSM consists of a single daily session, five days per week, comprising 20 minutes of taVNS immediately followed by 20 minutes of MBM (total ≈ 40 minutes) for 8 weeks.


Locations(1)

Florida State University

Tallahassee, Florida, United States

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NCT07415941


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