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RecruitingNCT07331324COMA-FUpdated Oct 29, 2026

The Coma Family Program (COMA-F): A Resilience Program for Caregivers of Patients With Severe Acute Brain Injury

An interventional study of Coma Family Program 1 and Coma Family Program 2 in Caregiver Distress, Emotional Distress and Caregivers, sponsored by Icahn School of Medicine at Mount Sinai. Recruiting at 4 sites in United States. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2026-10-29.

Sponsored by Icahn School of Medicine at Mount Sinai · Not applicable, Interventional, and Treatment

From the registry’s dates

  • Started Sep 2026; still recruiting 1 month later.
Updated Oct 29, 2026Now RecruitingSite recruiting status changed+5 moreGo to Updates ↓
Phase
Not applicable
Study type
Interventional
Enrollment
150
Allocation
Randomized
Ages
18 Years and older
Sex
All
01

Study summary

The purpose of this research study is to determine whether COMA-F is more efficacious at reducing emotional distress in caregivers of patients with severe acute brain injuries, compared to health education control.

02

Conditions studied

  • Caregiver Distress
  • Emotional Distress
  • Caregivers
  • Resilience
  • Coma
  • Brain Injury

Keywords

  • caregivers
  • emotional distress
  • caregiver burden
  • resilience
  • coma
  • severe acute brain injury
  • mindfulness
03

In context

Coma

138 studies on the registry are indexed under Coma; 35 are open to participants now.

This study's planned enrollment of 150 is above the median of 85 across 77 interventional studies indexed under Coma.

Browse Coma studies →

Lead sponsor

Icahn School of Medicine at Mount Sinai is the lead sponsor of 776 studies on the registry; 176 are open to participants now.

Of its 125 completed or terminated interventional studies of FDA-regulated products, 83 (66%) have results posted.

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

04

Who can participate

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

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

  • 18 years or older - study population
  • English fluency and literacy - measures and intervention are in English
  • Screens positive for emotional distress on either depression or anxiety subscales (>7) of the Hospital Anxiety and Depression scale - study population (caregivers must be at-risk for chronic distress via heightened acute distress)
  • Confirmed by the clinical team as the primary caregiver of a patient who has been admitted to an intensive care unit (ICU) with a severe acute brain injury with the following characteristics:

    • 18 years or older - study population
    • Admitted with ischemic stroke, intracerebral hemorrhage, subarachnoid hemorrhage, traumatic brain injury, or hypoxic-ischemic encephalopathy - study population
    • Glasgow Coma Scale score below 9 (in judgement of the clinical team) while not intubated or an inability to follow meaningful commands while intubated at any point during the hospitalization for > 24 consecutive hours due to the brain injury itself and not a confounding factor (e.g., sedation or seizures) - study population
    • Still alive in ICU at the time the clinical team approaches the caregiver about possible recruitment - excludes caregivers of those that passed away as would require a different intervention (e.g., grieving intervention)
    • Has been committed to or has already received long-term life-sustaining treatments including tracheostomy and/or percutaneous endoscopic or surgical gastrostomy tube placement (trach or PEG) - study population; at time of enrollment patients can be in various early stages of cognitive/functional recovery from initial coma, but all were severe enough to require trach and/or PEG
    • Has a prognosis for survival of greater than 3 months and does not have a concurrent diagnosis of a terminal illness or injury as judged by the clinical team - as in "d"; such caregivers would require different intervention
    • Is still in ICU or has been transferred to a lower level of care (e.g., stepdown) for \<7 days at the time of consent - study population; we aim to begin the intervention when caregivers are acutely distressed in the context of the patient's ICU stay or shortly after the ICU stay (i.e., within 7 days of leaving)

Exclusion criteria

Exclusion Criteria:

  • Serious mental illness, substance misuse, or active suicidal intent or plan - requires higher level of care
05

Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Single (Participant)
Enrollment
150 participants (estimated)

Study arms

  • Experimental
    Coma Family Program 1

    This arm provides skills training to manage distress, uncertainty, and long-term caregiving challenges.

    Behavioral: Coma Family Program 1

  • Placebo comparator
    Coma Family Program 2

    This arm involves providing education about managing caregiving distress, uncertainty, and long-term challenges.

    Behavioral: Coma Family Program 2

Interventions

  • BehavioralComa Family Program 1

    This intervention provides skills training to manage distress, uncertainty, and long-term caregiving challenges.

  • BehavioralComa Family Program 2

    This involves education (but no skills training) about managing caregiving distress, uncertainty, and long-term challenges.

06

What researchers measure

Primary outcomes

  1. Hospital anxiety and depression scale

    Measures anxiety and depression. Anxiety and depression sub scales each range from 0 (minimum) to 21 (maximum) with higher scores meaning worse outcome.

    Time frame: baseline, 6-weeks, and 3-month follow-up

Secondary outcomes

  1. Posttraumatic stress disorder checklist-5

    measures posttraumatic stress symptoms. Scores range from 0 (minimum) to 80 (maximum) with higher scores indicating worse outcome.

    Time frame: baseline, 6-weeks, and 3-month follow-up

  2. World Health Organization Quality of Life-Short Form

    Measures quality of life across four domains, physical, psychological, social, and environmental. Scores on each sub scale range from 0 (minimum) to 100 (maximum) with higher scores indicating better outcome.

    Time frame: baseline, 6-weeks, and 3-month follow-up

07

Study locations

3 of 4 sites recruiting
08

References and documents

Individual participant data

Plan to share: Yes — Data includes caregiver demographic characteristics, health characteristics (quality of life), and outcome assessments (e.g., emotional distress, coping, mindfulness, etc). These measures will be self-reported. We will also collect limited quantitative data extracted from patients' medical charts (diagnosis, age, race, ethnicity). All data will be de-identified and preserved for at least seven years after closing the study with IRB. Quantitative datasets will be made available via the Vivli database.

Supporting information: Study protocol, Informed consent form

Time frame: All de-identified data will be preserved for at least seven years after closing the study with IRB.

Access criteria: The de-identified quantitative dataset will be made freely available for requests that are ethically sound.

No publications or documents are linked to this record.

09

Updates

1 registry update since Sep 25, 2026
Status
Not yet recruiting→Recruiting
changed Oct 29, 2026
Sites
1 site added. 3 sites changed recruiting status (2 now recruiting, 1 now withdrawn)
Show 3 sites
  • University of Maryland School of Medicine · Baltimore, United Statesno status→Recruiting
  • Massachusetts General Hospital · Boston, United Statesno status→Withdrawn
  • University of North Carolina School of Medicine · Chapel Hill, United Statesno status→Recruiting
Show site
  • Mount Sinai Health System · New York, United States
Oct 29, 2026
Start date
May 2026→Sep 28, 2026 (actual)
Oct 29, 2026
Study completion
Dec 2030→Aug 2030
Oct 29, 2026
Secondary outcomes
5 removed
What changed in the outcomes
  • Removedother outcomeCognitive and Affective Mindfulness ScaleTime frame: baseline, 6-weeks, and 3-month follow-up
  • Removedother outcomeApplied Mindfulness Process ScaleTime frame: baseline, 6-weeks, and 3-month follow-up
  • Removedother outcomeMeasure of Current Status-ATime frame: baseline, 6-weeks, and 3-month follow-up
  • Removedother outcomeIntolerance of Uncertainty Scale Short FormTime frame: baseline, 6-weeks, and 3-month follow-up
  • Removedother outcomeZarit Burden Interview Short FormTime frame: baseline, 6-weeks, and 3-month follow-up
Oct 29, 2026
Contact
Study contact changed: •••7913→•••7281; a•••@mgh.harvard.edu→a•••@mountsinai.org; added g•••@mountsinai.org · •••2814. See the current contact
Oct 29, 2026
Site contacts
Changed at 1 site. See the sites
Show the site
  • Massachusetts General Hospital · Boston, United StatesContact removed a•••@mgh.harvard.edu · •••7913
Oct 29, 2026
Sponsor
Massachusetts General Hospital→Icahn School of Medicine at Mount Sinai
Oct 29, 2026
Show all 1 update
  1. Oct 29, 2026
    Not yet recruiting→Recruiting
    1 site added. 3 sites changed recruiting status (2 now recruiting, 1 now withdrawn)
    Show 3 sites
    • University of Maryland School of Medicine · Baltimore, United Statesno status→Recruiting
    • Massachusetts General Hospital · Boston, United Statesno status→Withdrawn
    • University of North Carolina School of Medicine · Chapel Hill, United Statesno status→Recruiting
    Show site
    • Mount Sinai Health System · New York, United States
    Start date May 2026→Sep 28, 2026 (now actual)
    Study completion Dec 2030→Aug 2030
    Secondary outcomes 5 removed
    What changed in the outcomes
    • Removedother outcomeCognitive and Affective Mindfulness ScaleTime frame: baseline, 6-weeks, and 3-month follow-up
    • Removedother outcomeApplied Mindfulness Process ScaleTime frame: baseline, 6-weeks, and 3-month follow-up
    • Removedother outcomeMeasure of Current Status-ATime frame: baseline, 6-weeks, and 3-month follow-up
    • Removedother outcomeIntolerance of Uncertainty Scale Short FormTime frame: baseline, 6-weeks, and 3-month follow-up
    • Removedother outcomeZarit Burden Interview Short FormTime frame: baseline, 6-weeks, and 3-month follow-up
    Sponsor Massachusetts General Hospital→Icahn School of Medicine at Mount Sinai
    Contact Study contact changed: •••7913→•••7281; a•••@mgh.harvard.edu→a•••@mountsinai.org; added g•••@mountsinai.org · •••2814. See the current contact
    Site contacts Changed at 1 site. See the sites
    Show the site
    • Massachusetts General Hospital · Boston, United StatesContact removed a•••@mgh.harvard.edu · •••7913
    + 3 other changes: identifiers, verification date and criteria formatting

From the registry record's own update history. This site started tracking changes on Sep 25, 2026; for anything earlier, see the record history on ClinicalTrials.gov ↗

10

Registry details

Key details

Study ID
NCT07331324
Responsible party
Alexander Presciutti (Assistant Professor, Icahn School of Medicine at Mount Sinai) — Principal investigator
First posted
Jan 9, 2026
Start date
Sep 28, 2026
Primary completion
Aug 2030 (estimated)
Completion
Aug 2030 (estimated)
Last update
Oct 29, 2026

Study contacts

Alexander M Presciutti, PhD
Contact
alexander.presciutti@mountsinai.org
332-877-281
Georgia Cosola, MA
Contact
georgia.cosola@mountsinai.org
332-877-2814
Alexander Presciutti, PhD
principal investigator · Icahn School of Medicine at Mount Sinai

Oversight

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

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