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The goal of this clinical trial is to test mindfulness practices in children with idiopathic chest pain, which is chest pain that does not have a known cause. The main question this study aims to answer is whether children who experience idiopathic chest pain are able to follow a mindfulness program. This study also aims to determine whether mindfulness affects the way children with idiopathic chest pain cope, and if it affects their stress levels, quality of life, frequency of chest pain episodes, and chest pain intensity.
Participants will:
Researchers will collect information from Headspace to see how well participants in the mindfulness-based intervention group are able to follow the mindfulness program. This will help guide future, larger studies that look at the effects of mindfulness-based interventions in children with idiopathic chest pain. Researchers will also compare survey results between the control group and the mindfulness-based intervention group to see if the mindfulness program affects the way children with idiopathic chest pain cope, as well as their stress levels, quality of life, frequency of chest pain episodes, and chest pain intensity.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Standard of Care Control | No Intervention | Participants in this arm will receive the standard of care. For patients with idiopathic chest pain, the standard of care is typically just reassurance of the benign nature of their pain. | |
| Mindfulness-Based Intervention | Experimental | Participants in this arm will partake in a 30 day mindfulness-based intervention on the mobile app Headspace. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Mindfulness-Based Intervention | Behavioral | Participants in the mindfulness-based intervention (MBI) group will be asked to use the Headspace app to sequentially complete the "Basics", "Basics 2", and "Basics 3" courses. Each of these courses lasts 10 days, and participants have the ability to choose how long daily sessions last. Participants can choose between 3, 5, or 10-minute sessions for the "Basics" course; 10 or 15-minute sessions for the "Basics 2" course; and 10, 15, or 20-minute sessions for the "Basics 3" course. These daily sessions are audio recordings that prompt users to engage in a variety of mindfulness techniques, including focusing on their body and breathing, as well as acknowledging thoughts and emotions in a non-judgmental manner. |
| Measure | Description | Time Frame |
|---|---|---|
| Feasibility: Participant Recruitment Rate | The number of patients who consent to participate in the study compared to the number of patients approached about study participation. | Baseline (0 days) |
| Feasibility: Participant Retention Rate | The number of participants who remain enrolled in the study for the entirety of the study duration compared to the number of participants who consent to participate in the study. | 44 days |
| Feasibility: Mindfulness-Based Intervention Program Adherence | Data regarding mindfulness-based intervention program adherence will be collected from Headspace. This includes information about all sessions and length of sessions. | 44 days |
| Acceptability: Mindfulness-Based Intervention Program Evaluation | Data regarding mindfulness-based intervention program evaluation will be collected from the mindfulness program evaluation survey. This survey inquires about duration of the mindfulness program and of daily sessions. It also asks about what participants find most and least useful in the program, as well as what participants want more or less of. | 44 days |
| Feasibility: Survey Response Rate | The number of surveys completed by participants compared to the number of surveys sent out to be completed. | 44 days |
| Measure | Description | Time Frame |
|---|---|---|
| Pain Coping Strategies | Pain coping strategies will be assessed by having participants complete the Pediatric Quality of Life Inventory Pediatric Pain Coping Inventory (PedsQL PPCI). This questionnaire is comprised of 41 items, with scores transformed on a scale from 0 (never) to 2 (often). The minimum score is 0 and the maximum is 82. A higher score indicates a greater use of pain coping strategies. |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Sonia Research Associate, PhD | Contact | 604-875-2345 | 7955 | sonia.franciosi@cw.bc.ca |
| Name | Affiliation | Role |
|---|---|---|
| Shubhayan Sanatani, MD | British Columbia Children's Hospital | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| BC Children's Hospital | Recruiting | Vancouver | British Columbia | V6H 3V4 | Canada |
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| ID | Term |
|---|---|
| D002637 | Chest Pain |
| ID | Term |
|---|---|
| D010146 | Pain |
| D009461 | Neurologic Manifestations |
| D012816 | Signs and Symptoms |
| D013568 | Pathological Conditions, Signs and Symptoms |
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After a 2-week wash-in period, study participants will be randomly assigned to either the standard of care control group or the mindfulness-based intervention group.
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| 14 days and 44 days |
| Perceived Stress | Perceived stress will be assessed by having participants complete the Perceived Stress Scale (PSS-10). This questionnaire is comprised of 10 items. The minimum score is 0 and the maximum is 40. A higher score indicates a higher level of perceived stress. | 14 days and 44 days |
| Patient Quality of Life | Quality of life will be assessed by having participants complete the Pediatric Quality of Life Inventory (PedsQL) Generic Core Scale. This questionnaire is comprised of 23 items which are reverse scored and linearly transformed to a 0-100 scale as follows: 0 (never) = 100
The minimum score is 0 and the maximum is 2300. A higher score indicates a better health-related quality of life. | 14 days and 44 days |
| Chest Pain Episode Frequency | Frequency of chest pain episodes will be assessed by having participants complete the chest pain episodes survey that inquires about how many chest pain episodes they had that day. | Begin at 0 days, daily up to 44 days |
| Chest Pain Episode Intensity | Intensity of chest pain episodes will be assessed by having participants complete the chest pain episodes survey that inquires about the average intensity of chest pain episodes they had that day. Intensity will be rated using the Wong-Baker FACES Pain Rating Scale. | Begin at 0 days, daily up to 44 days |