Brief Report

Annals of Behavioral Medicine

, Volume 46, Issue 2, pp 243-250

Phone-Delivered Mindfulness Training for Patients with Implantable Cardioverter Defibrillators: Results of a Pilot Randomized Controlled Trial

  • Elena Salmoirago-BlotcherAffiliated withDivision of Cardiovascular Medicine, University of Massachusetts Medical School Email author 
  • , Sybil L. CrawfordAffiliated withDivision of Preventive and Behavioral Medicine, University of Massachusetts Medical School
  • , James CarmodyAffiliated withDivision of Preventive and Behavioral Medicine, University of Massachusetts Medical School
  • , Lawrence RosenthalAffiliated withDivision of Cardiovascular Medicine, University of Massachusetts Medical School
  • , Gloria YehAffiliated withDivision of General Medicine and Primary Care, Beth Israel Deaconess Medical Center, Harvard Medical School
  • , Mary StanleyAffiliated withDivision of Cardiovascular Medicine, University of Massachusetts Medical School
  • , Karen RoseAffiliated withDivision of Cardiovascular Medicine, University of Massachusetts Medical School
  • , Clifford BrowningAffiliated withDivision of Cardiovascular Medicine, University of Massachusetts Medical School
  • , Ira S. OckeneAffiliated withDivision of Cardiovascular Medicine, University of Massachusetts Medical School

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Abstract

Background

The reduction in adrenergic activity and anxiety associated with meditation may be beneficial for patients with implantable cardioverter defibrillators.

Purpose

This study aims to determine the feasibility of a phone-delivered mindfulness intervention in patients with defibrillators and to obtain preliminary indications of efficacy on mindfulness and anxiety.

Methods

Clinically stable outpatients were randomized to a mindfulness intervention (eight weekly individual phone sessions) or to a scripted follow-up phone call. We used the Hospital Anxiety and Depression Scale and the Five Facets of Mindfulness to measure anxiety and mindfulness, and multivariate linear regression to estimate the intervention effect on pre-post-intervention changes in these variables.

Results

We enrolled 45 patients (23 mindfulness and 22 control; age, 43–83; 30 % women). Retention was 93 %; attendance was 94 %. Mindfulness (beta = 3.31; p = 0.04) and anxiety (beta = −1.15; p = 0.059) improved in the mindfulness group.

Conclusions

Mindfulness training can be effectively phone-delivered and may improve mindfulness and anxiety in cardiac defibrillator outpatients.

Keywords

Mindfulness Anxiety Implantable cardioverter defibrillators Phone-delivery