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TerminatedNCT03411057MBSRUpdated Apr 26, 2021

Mindfulness Based Stress Reduction in Rheumatic Diseases

An observational study in Rheumatoid Arthritis, Psoriatic Arthritis and Scleroderma, sponsored by Johns Hopkins University. Terminated at 1 site in United States. Open to participants aged 18 Years to 100 Years. Per ClinicalTrials.gov, last updated 2021-04-26.

Sponsored by Johns Hopkins University · Observational

Why this study was terminated
PI is leaving the institution

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Study type
Observational
Model
Cohort
Time perspective
Prospective
Enrollment
5
Ages
18 Years to 100 Years
Sex
All
01

Where this study stands

Counted across the records on this site · 2026-11-13

Among 975 studies in Arthritis, Rheumatoid with a site in United States — 82 open to participants now, 122 under way, 7 of them phase 3. Arthritis, Rheumatoid · United States.

Enrollment
192nd of 199
5 · median 200
Started
2018
with 30 others
Observational
201 of 975
29 open now
Registered
716th of 975
by date

Among the 975 studies in Arthritis, Rheumatoid with a site in United States, this one is the 192nd largest by enrollment of the 199 observational ones that give a count, is one of 31 that started in 2018, is one of 201 observational ones, and was the 716th registered.

Arthritis, Rheumatoid

3,334 studies on the registry are indexed under Arthritis, Rheumatoid; 444 are open to participants now.

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Open to participants now

82 of the 975 studies in Arthritis, Rheumatoid with a site in United States are open now. Recruiting first, the newest first:

77 more — sign in →

All 82 open studies →

A study can be open while its sites in United States have not opened yet or have stopped. Only those recruiting at a site in United States →

Who these studies take

Of the 293 Arthritis, Rheumatoid studies recruiting now, 150 (51%) set no upper age limit and 109 (37%) stop at 75 or younger; 15 take children under 18; 36 take healthy volunteers.

This study: 18 Years to 100 Years · all sexes · no healthy volunteers.

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02

Study summary

This study will assess the mental health and clinical benefits of Mindfulness Based Stress Reduction (MBSR) in patients with rheumatic disease who have anxiety or depression. MBSR, an interactive form of meditation that includes gentle yoga, will be taught by a certified instructor over an eight-week period. Mental health surveys will be conducted within one month of the study start and end as well as mid-course. Clinical assessments will be conducted within one-month of the study start and end.

Read the detailed description

Participation in the study entails completing a baseline and 1-month post MBSR follow up research appointment. A baseline research appointment must occur within 30 days (+/- 15 days) of the MBSR start. The 1 month follow up appointment must be completed within 30 days (+/- 15 days) after the MBSR course end. At each research appointment, disease activity, patient reported outcome measures (PROMs), and blood will be collected for future analysis. Patients will also be asked to complete the PROMs through an online survey platform using email, at MBSR course start, week 4 of the MBSR course, and at MBSR course end. Participants in the MBSR arm will also be recommended to perform self-directed meditation for 20-40 minutes per day, on off-days, throughout the 8-week session, as is typical for the MBSR course. Compliance with home meditation will be recorded on a take-home "practice" sheet that will be collected each week during the MBSR course.

If patients do not wish to participate in the MBSR course but are willing to participate in the study as a control, patients may also be consented. Controls will be asked to attend a baseline and 3-month research appointment where disease activity, PROMs, and blood donation would be obtained. Participants will also be asked to fill out PROMs (online) at 4 weeks. If a patient does not wish to participate in either arm of the MBSR study, patient will continue with routine psychological care for patient's anxiety and depression.

Blood samples will be collected at the baseline research appointment and the follow up research appointment, if the patient is willing. These samples will be drawn and banked for future analysis of inflammatory markers and cytokine expression.

Participants will be sent a health care usage survey after 3 months (coinciding with research visit 2; 1 month post-MBSR research visit or 3-month follow up research visit if control). Health care usage will continue to be screened for up to 1 year post research visit 1 via the electronic medical record.

03

Conditions studied

  • Rheumatoid Arthritis
  • Psoriatic Arthritis
  • Scleroderma

Keywords

  • Mindfulness
  • Mindfulness Based Stress Reduction
  • Rheumatoid Arthritis
  • Anxiety
  • Depression
  • Psoriatic Arthritis
  • scleroderma
04

Who can participate

Ages eligible
18 Years to 100 Years
Sexes eligible
All
Accepts healthy volunteers
No
Sampling method
Non-probability sample

Study population

Established patients of the Johns Hopkins Arthritis and Scleroderma Centers

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • Established patients in the Johns Hopkins Bayview Rheumatology clinic
  • Rheumatoid Arthritis per the American College of Rheumatology (ACR) and European League Against Rheumatism (EULAR) 2010 classification criteria
  • Psoriatic Arthritis per the Classification Criteria for Psoriatic Arthritis (CASPAR) or physician-diagnosis
  • Scleroderma per the ACR/EULAR 2013 classification criteria or physician-diagnosis
  • New onset of Comorbid anxiety and/or depression
  • Participants must speak English
  • Participants must be able to attend a weekly (8 weeks total) Mindfulness Based Stress Reduction course as well as routine follow up appointments in the rheumatology clinic
  • Participants must have insurance

Exclusion criteria

Exclusion Criteria:

  • Patients who routinely perform mindfulness based practices and any other form of meditation, including moving meditations such as yoga
  • Patients who are not physically able to sit through weekly sessions that are 2.5 hours in length or a final meditative retreat of 4-hours duration
  • Patients with alcohol or substance use disorders within the past 6 months
  • Current, or previous history of psychotic disorders or bipolar disorder
  • Patients who are actively suicidal
  • Patients on greater than 10 mg of prednisone daily on a chronic basis.
05

Study design

Observational model
Cohort
Time perspective
Prospective
Enrollment
5 participants (actual)
Patient registry
No
Biospecimen retention
Samples without dna

Groups and cohorts

  • Mindfulness Based Stress Reduction (MBSR)

    Inflammatory Arthritis (Rheumatoid Arthritis, Psoriatic Arthritis) and scleroderma participants in this group will attend an 8 week MBSR course. The MBSR course meets once per week for 2.5 hours with a 4-hour retreat on week 8.

    Behavioral: Mindfulness Based Stress Reduction (MBSR)

  • Control

    Rheumatoid Arthritis, Psoriatic Arthritis, and scleroderma participants in this group will watch an educational stress reduction video (10 minutes).

    Other: Control

Interventions

  • BehavioralMindfulness Based Stress Reduction (MBSR)

    An interactive form of meditation that includes gentle yoga.

  • OtherControl

    Standard of care including an educational video.

06

What researchers measure

Primary outcomes

  1. Change in anxiety

    Patient Reported Outcomes Measurement Information System (PROMIS) Anxiety Scale (8a). The PROMIS Anxiety Scale is measured as a t score with a t-score range from 41 (less anxious) to 80 (highly anxious). For most PROMIS instruments, a score of 50 is the average for the United States general population with a standard deviation of 10.

    Time frame: Baseline, midcourse (approximately 4 weeks), post course (approximately 8-12 weeks)

  2. Change in Self-Efficacy (Symptoms)

    Patient Reported Outcomes Measurement Information System (PROMIS) Self-Efficacy Scale 8a. The PROMIS Self-Efficacy (Symptoms) Scale is measured as a t score with a t-score range from 41 (less efficacious) to 80 (highly efficacious). For most PROMIS instruments, a score of 50 is the average for the United States general population with a standard deviation of 10.

    Time frame: Baseline, midcourse (approximately 4 weeks), post course (approximately 8-12 weeks)

  3. Change in Self-Efficacy (Emotions)

    Patient Reported Outcomes Measurement Information System (PROMIS) Self-Efficacy Scale 8a. The PROMIS Self-Efficacy (Symptoms) Scale is measured as a t score with a t-score range from 41 (less efficacious) to 80 (highly efficacious). For most PROMIS instruments, a score of 50 is the average for the United States general population with a standard deviation of 10.

    Time frame: Baseline, midcourse (approximately 4 weeks), post course (approximately 8-12 weeks)

Secondary outcomes

  1. Change in Clinical Disease Activity Index (CDAI)

    The CDAI is calculated by the formula, CDAI = swollen joint count (28 sites) + tender joint count (28 sites) + patient global assessment (0-10; 10= severe) + evaluator global assessment (0-10; 10=severe). The total range is 0 to 76. Higher scores indicate more severe disease activity. Remission is considered less than 2.8, mild disease 2.8 to 10, moderate disease 10 to 22, and severe disease greater than 22.

    Time frame: Baseline and post course (approximately 8-12 weeks)

  2. Change in C-Reactive Protein (CRP)

    A value of 0-0.5 mg/dL indicates a normal range. Values greater 0.5 mg/dL indicate elevated degrees of inflammation.

    Time frame: Baseline and post course (approximately 8-12 weeks)

  3. Change in Medsger Disease Severity Score (Composite Measure of Scleroderma Disease Activity)

    The Medsger Severity Score is a composite measure for scleroderma disease activity comprised of the following sub-domains: general, peripheral vascular, skin, join/tendon, muscle, GI tract, lung, heart, kidney. Each sub-domain ranges from 0-4 (4=worse). The total Medsger Disease Severity Score is a sum of the subdomains and ranges from 0-36 (36= worse).

    Time frame: Baseline and post course (approximately 8-12 weeks)

07

Study locations

1 site
  • Johns Hopkins Asthma and Allergy Center
    Baltimore, Maryland 21224, United States
08

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

09

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reached

Ran from Jan 2018 to primary completion in Apr 2021, 39 months.

How these figures are worked out, and which studies are left out of them.

Registered
Jan 19, 2018
First posted
Jan 25, 2018
StartActual
Jan 18, 2018
Primary completionActual
Apr 22, 2021
CompletionActual
Apr 22, 2021
Last update
Apr 26, 2021
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Apr 26, 2021, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT03411057
Responsible party
Sponsor
First posted
Jan 25, 2018
Start date
Jan 18, 2018
Primary completion
Apr 22, 2021
Completion
Apr 22, 2021
Last update
Apr 26, 2021

Study contacts

Dana DiRenzo, MD
principal investigator · Johns Hopkins University

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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This study is terminated, as verified in Apr 2021. You cannot join it, but the record below documents what was studied.

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