CClinicalTrials.gg
CompletedNCT04584502MMOREUpdated Jul 31, 2025Results posted

Mindful Moms in Recovery

An interventional study of Mindful Moms Yoga Mindfulness Intervention in Opioid-use Disorder, sponsored by Trustees of Dartmouth College. Completed at 1 site in United States. Open to female participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2025-07-31.

Sponsored by Trustees of Dartmouth College · Not applicable, Interventional, and Treatment

Phase
Not applicable
Study type
Interventional
Enrollment
4
Allocation
Randomized
Ages
18 Years and older
Sex
Female
01

Study summary

The purpose of this study is to evaluate the initial efficacy of a yoga-mindfulness intervention to promote ongoing recovery for pregnant and parenting women with Opioid Use Disorder (OUD) receiving perinatal services and medication treatment for OUD from maternity care practices in New Hampshire.

Read the detailed description

In this R33 project, the study team will conduct a randomized controlled trial to evaluate the efficacy and implementation of the Mindful Moms intervention (MMORE) with a group of pregnant women with identified OUD receiving medication treatment for OUD at partner maternity care practices. The study team will evaluate the impact of Mindful Moms as an adjunct to treatment as usual on retention in medication for opioid use disorder (MOUD) treatment, substance use, and relapse-related risks.

This study has three Specific Aims:

Aim 1: Evaluate MMORE in a randomized controlled study with pregnant women as an adjunct to MOUD treatment as usual care for impact on treatment retention, opioid abstinence, and relapse risks.

Aim 2: Examine mechanisms of effect of MMORE on outcomes.

Aim 3: Evaluate barriers and facilitators to sustainable implementation of MMORE as an adjunct to MOUD for pregnant and parenting women.

02

Conditions studied

  • Opioid-use Disorder

Keywords

  • Pregnancy
  • Mindfulness
  • Yoga
  • Substance Use Disorder
03

In context

Opioid-Related Disorders

1,411 studies on the registry are indexed under Opioid-Related Disorders; 290 are open to participants now.

This study's enrollment of 4 is below the median of 63 across 1,123 interventional studies indexed under Opioid-Related Disorders.

Browse Opioid-Related Disorders studies →

Lead sponsor

Trustees of Dartmouth College is the lead sponsor of 38 studies on the registry; 18 are open to participants now.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
Female
Accepts healthy volunteers
No

Inclusion criteria

  • 18 years of age or older.
  • English-speaking.
  • Singleton pregnancy.
  • Receiving comprehensive medication treatment for opioid use disorder as part of prenatal care at a partner maternity care practice.

Exclusion criteria

Exclusion Criteria:

  • Cognitive or psychiatric impairments that prohibit being able to provide informed consent.
  • Any physical conditions that prohibit activity such as gentle yoga.
05

Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Double (Investigator, Outcomes assessor)
Enrollment
4 participants (actual)

Study arms

  • Experimental
    Intervention as adjunct to Treatment as Usual

    Participants will attend via Zoom an 8-session group-based yoga-mindfulness intervention offered over the course of approximately 10 consecutive weeks. Participants will also be asked to use a mobile companion app once a week during the intervention period. All intervention participants also receive treatment as usual for OUD at the partner practice, which includes medication for OUD, individual and/or group counseling, and case management.

    Behavioral: Mindful Moms Yoga Mindfulness Intervention

  • No intervention
    Treatment as Usual

    Participants receive treatment as usual for OUD at the partner practice, which includes medication for OUD, individual and/or group counseling, and case management.

Interventions

  • BehavioralMindful Moms Yoga Mindfulness Intervention

    MMORE is an 8-session yoga-mindfulness intervention protocol, offered via Zoom over the course of 10 consecutive weeks at the partner maternity care practice or a nearby location. Each session will last approximately 60 minutes (8 - 10 participants per group). Intervention participants will also be asked to use a mobile companion app at least once each week of the intervention period.

    Also known as: MMORE

06

What researchers measure

Primary outcomes

  1. Number of Participants Who Self-reported Retention in Medication Treatment for Opioid Use Disorder

    We were not able to obtain clinical record data from partner settings due to high staff demand and considerable stress at partner settings due to the impact of COVID-19 pandemic. Data regarding retention in medication treatment was obtained via self-report in assessment surveys.

    Time frame: baseline-3-months postpartum

  2. Number of Participants Who Self Reported Opioid Use

    We were not able to collect urine toxicology data so measured by way of self-report (frequency of use past 3 months). Scored as 0=No; 1=Yes

    Time frame: baseline to 3-months postpartum

Secondary outcomes

  1. Participant Report of Other Substance Use

    The Alcohol, Smoking and Substance Involvement Screening Test includes items to assess past and current substance use: tobacco, alcohol, marijuana, cocaine, heroin/fentanyl) frequency of use (past 3 months; not at all/once or twice/once a month/once or twice a month/once a week/daily or almost daily). Scored as: 0 (not at all/once or twice); 1=more than once or twice (composite of marijuana and cocaine use). Reported as # of participants that scored 1.

    Time frame: Baseline to 3-months postpartum

  2. Depression Symptoms

    The Edinburgh Postnatal Depression Scale contains 10 questions. Total scores range from 0 to 30 with higher scores indicating greater depression symptoms.

    Time frame: Baseline to 3 months postpartum

  3. Anxiety Symptoms

    The Generalized Anxiety Disorder Scale contains 7 questions with scores ranging from 0 to 21, with higher scores indicating greater anxiety symptoms.

    Time frame: Baseline to 3-months postpartum

  4. Perceived Stress

    The Perceived Stress Scale includes 4 questions on 5-point Likert (0-4). Total scores ranging from 0 to 16 with higher scores indicating greater stress.

    Time frame: Baseline to 3-months postpartum

  5. Mindfulness

    The Mindful Attention Awareness Scale consists of 15 questions with scores ranging between 1 and 6 with higher mean scores indicating greater mindfulness.

    Time frame: Baseline to 3-months postpartum

Other outcomes

  1. Self-reported Quality of Life

    The World Health Organization Quality of Life-10 contains 10 questions to assess a quality of life profile based on four domains: physical health, psychological health, social relationships, and environment. Total score ranges from 0 to 100 where higher scores denote higher quality of life.

    Time frame: Baseline to 3-months postpartum

07

Results

Posted Jul 31, 2025

Participant flow

Significant recruitment challenges due to narrow eligibility (buprenorphine received in maternity care setting) and COVID restrictions. Recruitment ran from April 2022 to July 2023, after institutional and funder approvals were finally obtained for the revised protocol to use a virtual intervention delivery format. Recruitment occurred through partner maternity care settings primarily with flyers placed in high patient traffic areas and clinician distribution of study materials to patients.

Participant flow — Overall Study
MilestoneIntervention as Adjunct to Treatment as UsualTreatment as Usual
Started30
Completed30
Not completed00

Outcome measures

PrimaryNumber of Participants Who Self-reported Retention in Medication Treatment for Opioid Use Disorder

We were not able to obtain clinical record data from partner settings due to high staff demand and considerable stress at partner settings due to the impact of COVID-19 pandemic. Data regarding retention in medication treatment was obtained via self-report in assessment surveys.

Time frame:
baseline-3-months postpartum
Reported as:
Number · participants who reported 'yes' to MOUD
Number of Participants Who Self-reported Retention in Medication Treatment for Opioid Use Disorder
participants who reported 'yes' to MOUDIntervention as Adjunct to Treatment as UsualTreatment as Usual
Number of Participants Who Self-reported Retention in Medication Treatment for Opioid Use Disorder2—
PrimaryNumber of Participants Who Self Reported Opioid Use

We were not able to collect urine toxicology data so measured by way of self-report (frequency of use past 3 months). Scored as 0=No; 1=Yes

Time frame:
baseline to 3-months postpartum
Reported as:
Count of participants · Participants
Number of Participants Who Self Reported Opioid Use
ParticipantsIntervention as Adjunct to Treatment as UsualTreatment as Usual
Number of Participants Who Self Reported Opioid Use3—
SecondaryParticipant Report of Other Substance Use

The Alcohol, Smoking and Substance Involvement Screening Test includes items to assess past and current substance use: tobacco, alcohol, marijuana, cocaine, heroin/fentanyl) frequency of use (past 3 months; not at all/once or twice/once a month/once or twice a month/once a week/daily or almost daily). Scored as: 0 (not at all/once or twice); 1=more than once or twice (composite of marijuana and cocaine use). Reported as # of participants that scored 1.

Time frame:
Baseline to 3-months postpartum
Reported as:
Count of participants · Participants
Participant Report of Other Substance Use
ParticipantsIntervention as Adjunct to Treatment as UsualTreatment as Usual
Participant Report of Other Substance Use0—
SecondaryDepression Symptoms

The Edinburgh Postnatal Depression Scale contains 10 questions. Total scores range from 0 to 30 with higher scores indicating greater depression symptoms.

Time frame:
Baseline to 3 months postpartum
Reported as:
Mean · score on a scale
Depression Symptoms
score on a scaleIntervention as Adjunct to Treatment as UsualTreatment as Usual
Depression Symptoms9.0 ± 4.6—
SecondaryAnxiety Symptoms

The Generalized Anxiety Disorder Scale contains 7 questions with scores ranging from 0 to 21, with higher scores indicating greater anxiety symptoms.

Time frame:
Baseline to 3-months postpartum
Reported as:
Mean · score on a scale
Anxiety Symptoms
score on a scaleIntervention as Adjunct to Treatment as UsualTreatment as Usual
Anxiety Symptoms4.33 ± 4.16—
SecondaryPerceived Stress

The Perceived Stress Scale includes 4 questions on 5-point Likert (0-4). Total scores ranging from 0 to 16 with higher scores indicating greater stress.

Time frame:
Baseline to 3-months postpartum
Reported as:
Mean · score on a scale
Perceived Stress
score on a scaleIntervention as Adjunct to Treatment as UsualTreatment as Usual
Perceived Stress5.67 ± 4.16—
SecondaryMindfulness

The Mindful Attention Awareness Scale consists of 15 questions with scores ranging between 1 and 6 with higher mean scores indicating greater mindfulness.

Time frame:
Baseline to 3-months postpartum
Reported as:
Mean · score on a scale
Mindfulness
score on a scaleIntervention as Adjunct to Treatment as UsualTreatment as Usual
Mindfulness4.09 ± 1.37—
Other pre-specifiedSelf-reported Quality of Life

The World Health Organization Quality of Life-10 contains 10 questions to assess a quality of life profile based on four domains: physical health, psychological health, social relationships, and environment. Total score ranges from 0 to 100 where higher scores denote higher quality of life.

Time frame:
Baseline to 3-months postpartum
Reported as:
Mean · score on a scale
Self-reported Quality of Life
score on a scaleIntervention as Adjunct to Treatment as UsualTreatment as Usual
Self-reported Quality of Life70.8 ± 20.2—

Adverse events

Collected over Baseline (pregnancy) to 3 months postpartum)(e.g., approximately 6 months).. Non-serious events are listed at a 0% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
Intervention as Adjunct to Treatment as Usual0/3 (0%)0/3 (0%)0/3 (0%)
Treatment as Usual———

Baseline characteristics

All of the participants that completed Baseline were randomized into the Treatment condition. One participant that completed enrollment did not complete Baseline due to loss of contact (e.g., did not respond to repeated outreach by study team).

Age, Categorical
Age, Categorical(Participants)Intervention as Adjunct to Treatment as UsualTreatment as UsualTotal
<=18 years000
Between 18 and 65 years303
>=65 years000
Sex: Female, Male
Sex: Female, Male(Participants)Intervention as Adjunct to Treatment as UsualTreatment as UsualTotal
Female303
Male000
Ethnicity (NIH/OMB)
Ethnicity (NIH/OMB)(Participants)Intervention as Adjunct to Treatment as UsualTreatment as UsualTotal
Hispanic or Latino000
Not Hispanic or Latino303
Unknown or Not Reported000
Race (NIH/OMB)
Race (NIH/OMB)(Participants)Intervention as Adjunct to Treatment as UsualTreatment as UsualTotal
American Indian or Alaska Native000
Asian000
Native Hawaiian or Other Pacific Islander000
Black or African American000
White303
More than one race000
Unknown or Not Reported000
Region of Enrollment
Region of Enrollment(participants)Intervention as Adjunct to Treatment as UsualTreatment as UsualTotal
United States3—3
Number of Participants who Self-Reported Medication Treatment for Opioid Use
Number of Participants who Self-Reported Medication Treatment for Opioid Use(Participants)Intervention as Adjunct to Treatment as UsualTreatment as UsualTotal
Count of participants303
Number of Participants Who Self-Reported Opioid and Other Substance use
Number of Participants Who Self-Reported Opioid and Other Substance use(Participants)Intervention as Adjunct to Treatment as UsualTreatment as UsualTotal
Count of participants3—3
Depression Symptoms
Depression Symptoms(units on a scale)Intervention as Adjunct to Treatment as UsualTreatment as UsualTotal
Mean13.0 ± 1.0—13 ± 1.0

5 further baseline measures are reported on the registry.

08

Study locations

1 site
  • Dartmouth Hitchcock Medical Center
    Lebanon, New Hampshire 03766, United States
09

References and documents

Study documents

  • Protocol and statistical analysis plan · Apr 7, 2022

Documents are hosted by the registry — open the source record to download them.

10

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Jul 31, 2025, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
11

Registry details

Key details

Study ID
NCT04584502
Lead sponsor
Trustees of Dartmouth College
Collaborators
National Center for Complementary and Integrative Health (NCCIH)
Responsible party
Sarah E. Lord (Director, Dissemination and Implementation Science Core, Trustees of Dartmouth College) — Principal investigator
First posted
Oct 14, 2020
Start date
May 1, 2022
Primary completion
Jul 31, 2023
Completion
Sep 30, 2023
Results posted
Jul 31, 2025
Last update
Jul 31, 2025

Study contacts

Sarah E Lord, PhD
principal investigator · Geisel School of Medicine

Oversight

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

Not currently enrolling

This study is completed, as verified in Jul 2025. You cannot join it, but the record below documents what was studied.

Follow this study

Get an email when the registry record changes — status, dates, results — or when someone posts here.

Sign in to follow

Discussion

Questions and observations about this study, from anyone following it. Not medical advice, and not a channel to the study team — their contact details are on the registry record.

Sign in to join the discussion. Reading takes no account; posting does. You choose a display name, and a pseudonym is the default.

Nothing here yet. If you are running this trial, taking part in it, or weighing whether to, this is the place to say so.

Start the discussion