Community-based Approach to Lowering Stress Through Mindfulness
For patients and families
In plain language
An automatic summary of structured registry data. It is an orientation aid, not a substitute for the official protocol or a physician assessment.
- What is being studied
- The protocol lists: Mindfulness-Based Stress Reduction (MBSR; CALM-Chicago Study).
- Who it may be relevant to
- Registry conditions: Depression, Hypertension. Basic parameters: from 18 years · All.
- What needs checking
- Age, condition and sex are only basic indicators. Prior treatment, laboratory values and other mandatory requirements appear in the eligibility criteria below.
- Where it takes place
- United States
- Next step
- Save the trial, show it to the treating physician, and confirm current recruitment with the study center. Costs, documents and travel →
Unsure about the terms? Read our patient guide →
Official title
Addressing Depression for African American Adults With Hypertension: Applying Community-Engaged Implementation Science
Overview
The goal of this clinical trial is to test a culturally adapted mindfulness-based stress reduction intervention in a community setting for African American adults with high blood pressure (hypertension) and depression. The main questions it aims to answer are: * Does participation in a culturally adapted mindfulness-based intervention improve depressive symptoms? * Does participation in a culturally adapted mindfulness-based intervention improve blood pressure control? * Is the intervention acceptable, appropriate, and feasible as delivered in a community setting? Participants will: * Participate in an 8-week group-based mindfulness intervention (CALM-Chicago). During intervention sessions, participants will learn about mindfulness and stress management and complete mindfulness-based activities, such as guided deep breathing and meditation. * Complete surveys online * Have their blood pressure measured with a non-invasive blood pressure cuff * Attend 1 focus group (optional)
Interventions
- Behavioral Mindfulness-Based Stress Reduction (MBSR; CALM-Chicago Study)
This clinical trial will evaluate the effectiveness of the culturally adapted intervention, CALM-Chicago, in a community setting. CALM-Chicago has been previously used in a clinical setting.
Primary outcome measures
- Effectiveness: Depressive Symptom Response [Time frame: From enrollment to the end of treatment at 8 weeks]
- Effectiveness: Systolic Blood Pressure Response [Time frame: From enrollment to the end of treatment at 8 weeks]
- Implementation: Acceptability [Time frame: Assessed every 6 during the clinical trial enrollment and follow-up for up to 3 years]
- Implementation: Appropriateness [Time frame: Assessed every 6 during the clinical trial enrollment and follow-up for up to 3 years]
- Implementation: Feasibility [Time frame: Assessed every 6 during the clinical trial enrollment and follow-up for up to 3 years]
Secondary outcome measures (4)
- Effectiveness: Depressive Symptom Remission [Time frame: From enrollment to the end of treatment at 8 weeks]
- Effectiveness: Blood Pressure Control [Time frame: From enrollment to the end of treatment at 8 weeks]
- Effectiveness: Medication Adherence [Time frame: From enrollment to the end of treatment at 8 weeks]
- Implementation: Fidelity [Time frame: Assessed after each intervention group during the clinical trial enrollment and follow-up for up to 3 years]
Eligibility criteria
Inclusion criteria
- ≥18 years old
- Lives, works, or spends much of their time in the South Side of Chicago neighborhood
- Self-reports diagnosis of hypertension or high blood pressure by a clinician
- Endorses elevated depressive symptoms as Patient Health Questionnaire (PHQ)-9 scores ≥10
- Not taking antidepressant medication or stable on antidepressant medication for ≥6 months as self-reported
Exclusion criteria
- <18 years old
- Severe mental illness (e.g., bipolar disorder, psychosis)
- Current suicidal ideation (PHQ-9 item 9) or recent (past 6 months) suicide attempt
- Unable to provide informed consent or complete study activities in English
Criteria are shown verbatim from the registry (in English). Final eligibility is always assessed by the study center.
Healthy volunteers: No
Study design
- Allocation
- N/A
- Model
- Single group
- Masking
- Open label
- Primary purpose
- Treatment
Study locations
United States · 1 center
- The Salvation Army Ray and Joan Kroc Corps Community Center Chicago — Chicago
Publications
- Burnett-Zeigler I, Zhou E, Martinez JH, Zumpf K, Lartey L, Moskowitz JT, Wisner KL, McDade T, Brown CH, Gollan J, Ciolino JD, Schauer JM, Petito LC. Comparative effectiveness of a mindfulness-based intervention (M-Body) on depressive symptoms: study protocol of a randomized controlled trial in a Federally Qualified Health Center (FQHC). Trials. 2023 Feb 17;24(1):115. doi: 10.1186/s13063-022-07012- PMID 36803835
Identifiers
NCT: NCT06987799 · STU00215977 · K23HL168234