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Meditation and Biofeedback to Improve Anxiety, Depression and Quality of Life in Inpatients After Stroke

Stroke

The goal of this clinical trial is to investigate the impact of a technology-based meditation program in the inpatient stroke population. It will explore how this approach can support patient-centred, holistic, compassionate care by reducing symptoms of depression and anxiety and improving quality of life. Patients will be recruited from the inpatient stroke rehabilitation unit and will have sustained a stroke in the past 2 months. The main question\[s\] it aims to answer are:

1. Is using a technology-based meditation program in the prevention and/or improvement of post stroke depression and anxiety effective for inpatient stroke survivors?
2. Does using a technology-based meditation program support patient-centered, holistic and compassionate care and result in improved measures of quality of life?

Those in the treatment arm will be asked to complete the following:

* complete an outcome survey on admission and discharge
* participate in meditation therapy at least three times per week for a minimum of 10 minutes per session.

Participate in education and demonstration of the meditation app and use of the iom2 device

* use the iom2 (technology supported meditation and biofeedback) device to monitor heart rate variability and resonance scores
* participate in an informal discussion re: experience with software and biofeedback

In this randomized controlled trial, those allocated to the control group (standard care) will undergo their usual inpatient rehabilitation but will be asked to complete the outcome measures on admission and prior to hospital discharge.

To maximize data collection, we will offer qualitative interviews with patients and focus groups with staff to understand the perceived benefits of meditation technology for stroke patients.

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Participation Requirements

  • Sex:

    ALL
  • Eligible Ages:

    18 and up

Participation Criteria

Inclusion Criteria:

* Adult (18 years and older)
* Inpatient rehabilitation patients at St. John's Rehab
* Experienced a stroke within the past two months prior to study enrollment
* Identified as being at risk for depression and/or anxiety based on their scores on study screening tools
* Able to comply with study requirements

Exclusion Criteria:

* Younger than 18 years old
* Significant comorbidity including psychiatric or neurological disorder (not including premorbid depression or anxiety)
* Inability to complete any of the outcome measures
* Starting a new antidepressant or a change in antidepressant medication within the past 6 months
* Inability to provide informed consent

* For qualitative interviews, patients can have experienced a stroke within one year.
* For focus groups, staff who work significantly with stroke patients at St. John's Rehab. Staff can be physicians, nurses, allied health.

Study Location

St. John's Rehab
St. John's Rehab
Toronto, Ontario
Canada

Contact Study Team

Primary Contact

Amanda Ratner, MHSc, MSc

[email protected]
416-226-6780
Study Sponsored By
Sunnybrook Health Sciences Centre
Participants Required
More Information
Study ID: NCT05845541