At a glance
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Smartphone Stress Management Training for Irritable Bowel Syndrome
In Brief
A clinical study evaluating Mindfulness and Attention Training, Mindfulness training, and 1 other intervention for Irritable Bowel Syndrome. Completed, enrolled 359 participants across 1 site.
Detailed Summary
In the largest and most well-controlled randomized control trial of mindfulness-based interventions (MBIs) training in irritable bowel syndrome (IBS) to-date (N=360), the investigators will evaluate whether a smartphone MBI program (with attention monitoring and acceptance skills training; Monitor+Accept, MA-MBI) reduces daily life stress and IBS symptoms at post-treatment and two-month follow-up, relative to a matched MBI program with acceptance skills training removed (training in attention monitoring skills only; Monitor Only, MO-MBI) or to an active stress management training control group (Coping Control, CC). Participants will not only provide clinician and patient assessed measures of IBS symptoms at the three time points, but they will also provide sensitive experience sampling assessments (using Ecological Momentary Assessment) of their stress and symptoms in daily life at each time point. Finally, as an exploratory aim, participants will provide stool samples at baseline and post-intervention to provide the first ever test of whether MBIs can alter the gut microbiome in IBS. We will also conduct a sub-study that will include completion of a cold-water challenge performance task to test individuals' distress tolerance.
Study Details
Timeline
Interventions
Guided mindfulness meditation with attention monitoring and acceptance skills training
Guided mindfulness meditation, no attention monitoring or acceptance skills training
Guided training focused on coping effectiveness strategies, no monitoring or acceptance instruction