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NCT04302493

Mindfulness Based Stress Reduction and Post-Stroke Cognition

Completed NA Results posted Last updated 20 December 2024
What this trial tests

NA trial testing Mindfulness Based Stress Reduction (MBSR) in Stroke in 30 participants. Completed in 1 June 2023.

Timeline
1 January 2021
Primary endpoint
1 June 2023
1 June 2023

Quick facts

Lead sponsorJohns Hopkins University
PhaseNA
StatusCompleted
Study typeINTERVENTIONAL
Allocationrandomized
Designparallel
Maskingsingle
Primary purposetreatment
Enrollment30
Start date1 January 2021
Primary completion1 June 2023
Estimated completion1 June 2023
Sites1 location across United States

Drugs / interventions tested

Conditions studied

Sponsor

Johns Hopkins University

Who can join

Adults 18 to 100, any sex, with Stroke or Stroke Sequelae. Patients with the condition only — healthy volunteers not accepted.

Results — posted to ClinicalTrials.gov

Per-arm endpoint measurements with 95% confidence intervals where reported. Source: trial results section.

Change in Cognition as Assessed by the Montreal Cognitive Assessment Score Primary · Pre-intervention (1 month post-stroke) and post-intervention visit (6 months post-stroke)

The Montreal Cognitive Assessment (MoCA) tests executive function, attention, concentration, memory, and processing speed. The MoCA is scored on a scale of 0-30. Scores of less than 26 are considered abnormal.

1 month
GroupValue95% CI
Mindfulness Based Stress Reduction (MBSR)23.5± 5.2
Stroke Support Group (SSG)22.5± 5.9
6 months
GroupValue95% CI
Mindfulness Based Stress Reduction (MBSR)25.5± 3.7
Stroke Support Group (SSG)23.7± 6.0
Change in Cerebral Activity as Assessed by Functional Connectivity on Magnetoencephalography (MEG) Primary · Pre-intervention (1 month post-stroke) and post-intervention visit (6 months post-stroke)

Participants will undergo an MEG evaluating functional connectivity during resting state. GC links within the ipsilesional FPC were determined and differences in link count is reported below.

1 month
GroupValue95% CI
Mindfulness Based Stress Reduction (MBSR)1.99± 0.83
Stroke Support Group (SSG)0± 0
6 months
GroupValue95% CI
Mindfulness Based Stress Reduction (MBSR)2.19± 0.90
Stroke Support Group (SSG)0± 0
Change in Quality of Life as Assessed by a Likert Scale Primary · Pre-intervention (1 month post-stroke) and post-intervention visit (6 months post-stroke)

Patient-reported assessment of quality of life (Likert scale 1-7 with 7 being a better QOL) at the 1 and 6 month visits. Mean of participant choice is reported.

1 month
GroupValue95% CI
Mindfulness Based Stress Reduction (MBSR)5.7± 2.2
Stroke Support Group (SSG)6.1± 1.1
6 months
GroupValue95% CI
Mindfulness Based Stress Reduction (MBSR)5.2± 1.9
Stroke Support Group (SSG)5.1± 1.8
Change in Depression as Assessed by the Patient Health Questionnaire (PHQ-9) Primary · Pre-intervention (1 months post-stroke) and post-intervention visit (6 months post-stroke)

The PHQ-9 will be administered to participants to evaluate for post-stroke depression. The PHQ-9 is scored on a scale of 0-27 with scores of 5-9 being indicative of mild depression and higher scores more severe depression.

1 month
GroupValue95% CI
Mindfulness Based Stress Reduction (MBSR)6.7± 7.3
Stroke Support Group (SSG)5.2± 5.9
6 months
GroupValue95% CI
Mindfulness Based Stress Reduction (MBSR)6.1± 6.9
Stroke Support Group (SSG)4.9± 3.9

Sponsor's own description

The investigators don't fully understand how, regardless of the size or location in the brain, minor strokes can result in significant problems with focus, attention, and multi-tasking that prevent individuals from returning to an active lifestyle, and negatively impact quality of life; but the investigators' preliminary data using magnetoencephalography (MEG) suggest that there may be disruption of the neuronal network and abnormal frontal lobe activity in the brain after stroke. Mindfulness Based Stress Reduction (MBSR) is effective at treating frontal lobe dysfunction in the form of anxiety and depression occurring during the chronic phase of stroke recovery. The aim of this study is to use MBSR to improve other forms of frontal lobe dysfunction (cognitive outcomes) during the subacute phase of recovery, when patients are making critical decisions regarding patients' ability to return to work or live independently; and to use MEG, a tool capable of imaging brain activity and neuronal networks, to understand the brain changes that correspond to improvement after treatment.

Publications & conference data

3 peer-reviewed publications reference this trial (live from Europe PMC):

  1. Pharmacological, non-invasive brain stimulation and psychological interventions, and their combination, for treating depression after stroke.
    Allida SM, Hsieh CF, Cox KL, Patel K, et al · · 2023 · cited 11× · PMID 37417452 · DOI 10.1002/14651858.cd003437.pub5
  2. Meditation for the primary and secondary prevention of cardiovascular disease.
    Rees K, Takeda A, Court R, Kudrna L, et al · · 2024 · cited 5× · PMID 38358047 · DOI 10.1002/14651858.cd013358.pub2
  3. Modified-mindfulness-based stress reduction as a treatment for cognitive recovery in patients with minor stroke: a randomized controlled pilot study.
    Girgenti SG, Dallasta I, Lawrence E, Merbach D, et al · · 2025 · cited 1× · PMID 40933043 · DOI 10.3389/fneur.2025.1534480

Verify or expand the search:

Other trials of Mindfulness Based Stress Reduction (MBSR)

Trials testing the same drug.

Other recruiting trials for Stroke

Currently open trials in the same condition.

Other Johns Hopkins University trials

Trials by the same sponsor.

Verify against primary sources

Data sources for this page

Drug Landscape aggregates and links these public records for informational use only. Always verify against the primary source before clinical or regulatory decisions. Canonical URL: https://druglandscape.com/trial/NCT04302493.

Primary sources · FDA · ClinicalTrials.gov · EMA · SEC EDGAR · ChEMBL · Wikidata · full sourcing