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NCT04426318: CAHMP-ED

COVID-19 and the Healthy Minds Program for Educators

Completed NA Results posted Last updated 19 September 2024
What this trial tests

NA trial testing Healthy Minds Program Foundations Training in Anxiety in 698 participants. Completed in 12 January 2021.

Timeline
14 June 2020
Primary endpoint
12 January 2021
12 January 2021

Quick facts

Lead sponsorUniversity of Wisconsin, Madison
PhaseNA
StatusCompleted
Study typeINTERVENTIONAL
Allocationrandomized
Designparallel
Maskingsingle
Primary purposetreatment
Enrollment698
Start date14 June 2020
Primary completion12 January 2021
Estimated completion12 January 2021
Sites1 location across United States

Drugs / interventions tested

Conditions studied

Sponsor

University of Wisconsin, Madison

Who can join

18 and older, any sex, with Anxiety or Depression. 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 From Baseline on an Aggregate Measure of Psychological Distress That Averages the Patient-Reported Outcomes Measurement Information System (PROMIS) Anxiety and Depressive Measures and the NIH Perceived Stress Scale Primary · baseline, after weeks 1, 2, and 3 of the intervention, 4 weeks (post intervention), 16 weeks (3 months post-intervention)

Psychological distress will be assessed by aggregating 3 measures: PROMIS anxiety and PROMIS depression, and the NIH Toolbox Perceived Stress Scale. Averages will be z-scored with a mean of 0 and a standard deviation 1. Higher scores indicate increased psychological distress.

Baseline
GroupValue95% CI
Healthy Minds Program Foundations Training0.00± 0.88
Wait-list Control0.00± 0.91
Week 1
GroupValue95% CI
Healthy Minds Program Foundations Training-0.29± 0.89
Wait-list Control-0.10± 0.95
Week 2
GroupValue95% CI
Healthy Minds Program Foundations Training-0.40± 0.85
Wait-list Control-0.10± 1.01
Week 3
GroupValue95% CI
Healthy Minds Program Foundations Training-0.55± 0.88
Wait-list Control-0.14± 1.02
Week 4
GroupValue95% CI
Healthy Minds Program Foundations Training-0.67± 0.89
Wait-list Control-0.20± 1.03
Week 16
GroupValue95% CI
Healthy Minds Program Foundations Training-0.55± 0.87
Wait-list Control-0.24± 1.00
Change From Baseline on the Five Facet Mindfulness Questionnaire Act With Awareness Subscale Secondary · baseline, after weeks 1, 2, and 3 of the intervention, 4 weeks (post intervention), 16 weeks (3 months post-intervention)

A measure of acting with mindful awareness. The total possible range in scores is 8-40, with higher scores indicating greater levels of this facet of mindfulness.

baseline
GroupValue95% CI
Healthy Minds Program Foundations Training24.80± 5.93
Wait-list Control24.56± 6.12
Week 1
GroupValue95% CI
Healthy Minds Program Foundations Training24.19± 5.62
Wait-list Control25.57± 6.15
Week 2
GroupValue95% CI
Healthy Minds Program Foundations Training25.71± 5.47
Wait-list Control25.69± 6.44
Week 3
GroupValue95% CI
Healthy Minds Program Foundations Training26.45± 5.61
Wait-list Control26.15± 6.21
Week 4
GroupValue95% CI
Healthy Minds Program Foundations Training27.12± 5.67
Wait-list Control26.12± 6.76
Week 16
GroupValue95% CI
Healthy Minds Program Foundations Training27.1± 5.32
Wait-list Control26.02± 6.36
Change From Baseline on the Drexel Defusion Scale (DDS) Secondary · baseline, after weeks 1, 2, and 3 of the intervention, 4 weeks (post intervention), 16 weeks (3 months post-intervention)

Psychological distancing (i.e., defusion) will be assessed with the 10-item Drexel Defusion Scale (DDS). The total possible range in scores is 0-50, with higher scores indicating greater levels of psychological distancing.

baseline
GroupValue95% CI
Healthy Minds Program Foundations Training24.83± 7.89
Wait-list Control24.45± 8.23
Week 1
GroupValue95% CI
Healthy Minds Program Foundations Training27.14± 8.72
Wait-list Control26.26± 8.31
Week 2
GroupValue95% CI
Healthy Minds Program Foundations Training28.45± 8.42
Wait-list Control26.96± 8.73
Week 3
GroupValue95% CI
Healthy Minds Program Foundations Training29.61± 8.73
Wait-list Control27.52± 9.07
Week 4
GroupValue95% CI
Healthy Minds Program Foundations Training31.43± 8.54
Wait-list Control27.92± 8.63
Week 16
GroupValue95% CI
Healthy Minds Program Foundations Training30.93± 8.69
Wait-list Control28.23± 8.57
Change From Baseline on the Meaning in Life Questionnaire Secondary · baseline, after weeks 1, 2, and 3 of the intervention, 4 weeks (post intervention), 16 weeks (3 months post-intervention)

The Meaning in Life Questionnaire Presence subscale will be used to measure perceptions of meaning and purpose in life. The total possible range in scores is 5 - 35 with higher scores indicating greater levels of meaning.

baseline
GroupValue95% CI
Healthy Minds Program Foundations Training26.20± 5.44
Wait-list Control25.81± 5.46
Week 1
GroupValue95% CI
Healthy Minds Program Foundations Training26.83± 5.13
Wait-list Control26.02± 5.38
Week 2
GroupValue95% CI
Healthy Minds Program Foundations Training27.15± 5.14
Wait-list Control25.85± 5.68
Week 3
GroupValue95% CI
Healthy Minds Program Foundations Training27.62± 4.92
Wait-list Control26.13± 5.83
Week 4
GroupValue95% CI
Healthy Minds Program Foundations Training27.85± 5.35
Wait-list Control26.02± 6.07
Week 16
GroupValue95% CI
Healthy Minds Program Foundations Training27.91± 5.14
Wait-list Control26.29± 5.87
Change From Baseline on the NIH Toolbox Loneliness Scale Secondary · baseline, after weeks 1, 2, and 3 of the intervention, 4 weeks (post intervention), 16 weeks (3 months post-intervention)

A measure of loneliness (i.e, lack of social connectedness). The total possible range in scores is 1-5, representing the average across all items; higher scores indicate greater levels of loneliness.

baseline
GroupValue95% CI
Healthy Minds Program Foundations Training2.53± 0.77
Wait-list Control2.58± 0.77
Week 1
GroupValue95% CI
Healthy Minds Program Foundations Training2.34± 0.75
Wait-list Control2.49± 0.74
Week 2
GroupValue95% CI
Healthy Minds Program Foundations Training2.16± 0.72
Wait-list Control2.38± 0.72
Week 3
GroupValue95% CI
Healthy Minds Program Foundations Training2.02± 0.68
Wait-list Control2.37± 0.75
Week 4
GroupValue95% CI
Healthy Minds Program Foundations Training2.07± 0.71
Wait-list Control2.33± 0.81
Week 16
GroupValue95% CI
Healthy Minds Program Foundations Training2.13± 0.75
Wait-list Control2.38± 0.82
Conway COVID Questionnaire Subscale Scores Secondary · baseline

The Conway COVID Questionnaire is a new, 16-tem measure of coronavirus related distress and related experiences. Subscales include: perceived threat, financial scale, resource scale, psychological scale, symptoms scale, proximity to others scale, and news scale. Ratings from 1 to 7 with 1 = "not true of me at all" and 7 = "very true of me" with higher scores representing greater perceived threat. Mean for each subscale reported.

Financial Subscale
GroupValue95% CI
Healthy Minds Program Foundations Training3.09± 2.08
Wait-list Control3.00± 2.02
News Subscale
GroupValue95% CI
Healthy Minds Program Foundations Training4.03± 1.65
Wait-list Control4.10± 1.55
Proximity Subscale
GroupValue95% CI
Healthy Minds Program Foundations Training3.16± 1.70
Wait-list Control2.99± 1.66
Psychological Subscale
GroupValue95% CI
Healthy Minds Program Foundations Training4.45± 1.45
Wait-list Control4.39± 1.44
Resource Subscale
GroupValue95% CI
Healthy Minds Program Foundations Training2.13± 1.85
Wait-list Control2.00± 1.28
Symptoms Subscale
GroupValue95% CI
Healthy Minds Program Foundations Training1.65± 1.10
Wait-list Control1.70± 1.17
Threat Subscale
GroupValue95% CI
Healthy Minds Program Foundations Training5.05± 1.35
Wait-list Control5.03± 1.30
Conway COVID Questionnaire Subscale Scores Secondary · 4 weeks (post intervention)

The Conway COVID Questionnaire is a new, 16-tem measure of coronavirus related distress and related experiences. Subscales include: perceived threat, financial scale, resource scale, psychological scale, symptoms scale, proximity to others scale, and news scale. Ratings from 1 to 7 with 1 = "not true of me at all" and 7 = "very true of me" with higher scores representing greater perceived threat. Mean for each subscale reported.

Financial Subscale
GroupValue95% CI
Healthy Minds Program Foundations Training3.10± 2.08
Wait-list Control2.93± 2.02
News Subscale
GroupValue95% CI
Healthy Minds Program Foundations Training3.67± 1.55
Wait-list Control3.66± 1.53
Proximity Subscale
GroupValue95% CI
Healthy Minds Program Foundations Training3.36± 1.67
Wait-list Control3.41± 1.73
Psychological Subscale
GroupValue95% CI
Healthy Minds Program Foundations Training3.96± 1.55
Wait-list Control4.13± 1.54
Resource Subscale
GroupValue95% CI
Healthy Minds Program Foundations Training1.85± 1.17
Wait-list Control1.97± 1.34
Symptoms Subscale
GroupValue95% CI
Healthy Minds Program Foundations Training1.57± 1.06
Wait-list Control1.82± 1.24
Threat Subscale
GroupValue95% CI
Healthy Minds Program Foundations Training4.64± 1.38
Wait-list Control4.74± 1.39
Conway COVID Questionnaire Subscale Scores Secondary · 16 weeks (3 months post-intervention)

The Conway COVID Questionnaire is a new, 16-tem measure of coronavirus related distress and related experiences. Subscales include: perceived threat, financial scale, resource scale, psychological scale, symptoms scale, proximity to others scale, and news scale. Ratings from 1 to 7 with 1 = "not true of me at all" and 7 = "very true of me" with higher scores representing greater perceived threat. Mean for each subscale reported.

Financial Subscale
GroupValue95% CI
Healthy Minds Program Foundations Training2.91± 1.97
Wait-list Control3.01± 2.07
News Subscale
GroupValue95% CI
Healthy Minds Program Foundations Training3.50± 1.58
Wait-list Control3.67± 1.49
Proximity Subscale
GroupValue95% CI
Healthy Minds Program Foundations Training4.45± 1.63
Wait-list Control4.56± 1.60
Psychological Subscale
GroupValue95% CI
Healthy Minds Program Foundations Training3.98± 1.46
Wait-list Control4.18± 1.58
Resource Subscale
GroupValue95% CI
Healthy Minds Program Foundations Training1.81± 1.20
Wait-list Control1.90± 1.27
Symptoms Subscale
GroupValue95% CI
Healthy Minds Program Foundations Training1.89± 1.38
Wait-list Control2.13± 1.48
Threat Subscale
GroupValue95% CI
Healthy Minds Program Foundations Training4.81± 1.36
Wait-list Control4.90± 1.33
Self-Compassion Scale Short Form Score Secondary · baseline, 4 weeks (post intervention), 16 weeks (3 months post-intervention)

The Self-Compassion Scale Short Form will be used to measure self-compassion. The total possible range in scores is 12-60, with higher scores indicating greater levels of self-compassion.

baseline
GroupValue95% CI
Healthy Minds Program Foundations Training35.7± 8.25
Wait-list Control35.2± 8.42
Week 4
GroupValue95% CI
Healthy Minds Program Foundations Training40.1± 8.75
Wait-list Control36.4± 9.36
Week 16
GroupValue95% CI
Healthy Minds Program Foundations Training40.3± 7.62
Wait-list Control38.0± 9.28
Change From Baseline on the Perseverative Thought Questionnaire Secondary · baseline, 4 weeks (post intervention), 16 weeks (3 months post-intervention)

Negative ruminative thinking will be measured with the Perseverative Thought Questionnaire. The total possible range in scores is 0-60, with higher scores indicating greater levels negative ruminative thinking.

baseline
GroupValue95% CI
Healthy Minds Program Foundations Training29.89± 10.43
Wait-list Control29.62± 11.29
Week 4
GroupValue95% CI
Healthy Minds Program Foundations Training24.75± 10.71
Wait-list Control28.19± 12.37
Week 16
GroupValue95% CI
Healthy Minds Program Foundations Training23.47± 10.74
Wait-list Control25.91± 12.19
Change From Baseline on the World Health Organization 5-item (WHO-5) Well-being Scale Secondary · baseline, 4 weeks (post intervention), 16 weeks (3 months post-intervention)

Well-being will be measured using the WHO-5. The total possible range in scores is 0-25, with higher scores indicating greater levels of well-being.

baseline
GroupValue95% CI
Healthy Minds Program Foundations Training12.76± 4.71
Wait-list Control12.47± 4.33
Week 4
GroupValue95% CI
Healthy Minds Program Foundations Training15.07± 4.33
Wait-list Control12.83± 4.84
Week 16
GroupValue95% CI
Healthy Minds Program Foundations Training14.07± 4.64
Wait-list Control12.59± 4.74
Change From Baseline on the Neutral Face Rating Task: Prosocial Construal Secondary · baseline, 4 weeks (post intervention), 16 weeks (3 months post-intervention)

The Neutral Face Rating task is a novel measure of prosocial construal (average likability ratings) and race bias (average liking of white faces minus the average liking of black faces). Total score for prosocial construal is from 1 to 7, with higher scores representing greater prosocial construal.

baseline
GroupValue95% CI
Healthy Minds Program Foundations Training4.46± 0.60
Wait-list Control4.44± 0.68
4 weeks
GroupValue95% CI
Healthy Minds Program Foundations Training4.42± 0.65
Wait-list Control4.27± 0.59
16 weeks
GroupValue95% CI
Healthy Minds Program Foundations Training4.44± 0.63
Wait-list Control4.37± 0.60

Adverse events — posted to ClinicalTrials.gov

Time frame: up to 16 weeks. Reporting threshold: 0%. Adverse-event reports describe events observed during the trial — not all are caused by the drug.

Healthy Minds Program Foundations Training
Serious: 0/344 (0%)
Deaths: 0/344
Wait-list Control
Serious: 0/318 (0%)
Deaths: 0/318
Other adverse events (24 terms — click to expand)

ReactionSystemHealthy Minds Program Foun…Wait-list Control
None to Slight Depression at 4 weeksNervous system disorders
None to Slight Depression at 16 weeksNervous system disorders
None to Slight Depression at BaselineNervous system disorders
Moderate Anxiety at BaselineNervous system disorders
None to Slight Anxiety at 4 weeksNervous system disorders
None to Slight Anxiety at 16 weeksNervous system disorders
Moderate Anxiety at 4 weeksNervous system disorders
Mild Anxiety at BaselineNervous system disorders
Moderate Anxiety at 16 weeksNervous system disorders
Mild Anxiety at 16 weeksNervous system disorders
Moderate Depression at BaselineNervous system disorders
Mild Depression at BaselineNervous system disorders
Mild Anxiety at 4 weeksNervous system disorders
None to Slight Anxiety at BaselineNervous system disorders
Moderate Depression at 4 weeksNervous system disorders
Moderate Depression at 16 weeksNervous system disorders
Mild Depression at 16 weeksNervous system disorders
Mild Depression at 4 weeksNervous system disorders
Severe Anxiety at BaselineNervous system disorders
Severe Anxiety at 4 weeksNervous system disorders
Severe Anxiety at 16 weeksNervous system disorders
Severe Depression at 4 weeksNervous system disorders
Severe Depression at BaselineNervous system disorders
Severe Depression at 16 weeksNervous system disorders

Data from ClinicalTrials.gov NCT04426318 adverse events section.

Sponsor's own description

This study is a randomized controlled trial (RCT) of the four-week Healthy Minds Program (HMP) app Foundations training in employees of a mid-size urban school district in the United States during the summer of 2020, in the midst of the novel coronavirus pandemic. A 3-month follow-up in the fall of 2020 will also be conducted. Participants will be recruited via email and mailed postcards, and will first complete an online screen. Eligible participants will then enter a waiting zone for between 2-days and 2-weeks before they are sent the online pre-test. Upon completion of the pre-test, participants will be assigned to condition via a simple random number generator. If assigned to the intervention (i.e., the Healthy Minds Program App), participants will receive instructions and support in downloading and activating the app. Every 7-days over the 4-week intervention period participants in both conditions will complete the same set of measures. A full battery of measures will be administered a second time post-test, following the 4-week intervention period. Three-months after post-test, a follow-up assessment will be conducted. The investigators predict that participants assigned to the intervention will demonstrate significantly reduced psychological distress after the intervention, and these decreases will persist at the 3-month follow-up. Further, it is hypothesized that baseline participant characteristics and early experience of the intervention will predict treatment adherence, study drop-out and outcomes, and that treatment engagement will moderate outcomes.

Publications & conference data

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

  1. Alliance With an Unguided Smartphone App: Validation of the Digital Working Alliance Inventory.
    Goldberg SB, Baldwin SA, Riordan KM, Torous J, et al · · 2022 · cited 43× · PMID 34000843 · DOI 10.1177/10731911211015310
  2. A Randomized Controlled Trial of a Smartphone-Based Well-Being Training in Public School System Employees During the COVID-19 Pandemic.
    Hirshberg MJ, Frye C, Dahl CJ, Riordan KM, et al · · 2022 · cited 39× · PMID 36387982 · DOI 10.1037/edu0000739
  3. Personalized Prediction of Response to Smartphone-Delivered Meditation Training: Randomized Controlled Trial.
    Webb CA, Hirshberg MJ, Davidson RJ, Goldberg SB. · · 2022 · cited 16× · PMID 36346668 · DOI 10.2196/41566
  4. Is dosage of a meditation app associated with changes in psychological distress? It depends on how you ask.
    Goldberg SB, Kendall AD, Hirshberg MJ, Dahl CJ, et al · · 2025 · cited 9× · PMID 40162042 · DOI 10.1177/21677026241266567
  5. Revealing subgroup-specific mechanisms of change via moderated mediation: A meditation intervention example.
    Webb CA, Hirshberg MJ, Gonzalez O, Davidson RJ, et al · · 2024 · cited 6× · PMID 37768631 · DOI 10.1037/ccp0000842
  6. Psychological Mediators of Reduced Distress: Preregistered Analyses from a Randomized Controlled Trial of a Smartphone-Based Well-Being Training.
    Hirshberg MJ, Dahl CJ, Bolt D, Davidson RJ, et al · · 2025 · cited 4× · PMID 40041238 · DOI 10.1177/21677026241233262
  7. Does it matter how meditation feels? An experience sampling study.
    Goldberg SB, Bolt DM, Dahl CJ, Davidson RJ, et al · · 2024 · cited 2× · PMID 39347788 · DOI 10.1037/ccp0000857
  8. Evidence for Bidirectional, Cross-Lagged Associations Between Alliance and Psychological Distress in an Unguided Mobile-Health Intervention.
    Goldberg SB, Jiwani Z, Bolt DM, Riordan KM, et al · · 2024 · cited 2× · PMID 38863442 · DOI 10.1177/21677026231184890

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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/NCT04426318.

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