About this trial
The MINDBP study will enroll 90 pregnant women at risk for HDP across two sites (MCW and Brown) and randomize them to: (1) mindfulness training (MT) plus wearable biosensors, (2) MT alone, or (3) routine prenatal care. MT participants will receive 8 weekly phone-based MT sessions plus two booster sessions at 1 and 2 months post-intervention. The primary outcome is study feasibility.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Pregnant patients at gestational age <= 16 weeks
Live, non-anomalous gestation
Normotensive at enrollment
Meet criteria consistent with 'moderate' to 'high' risk for preeclampsia based on ACOG/USPSTF guidelines for low-dose aspirin administration to prevent hypertensive disorders of pregnancy
Disqualifiers
Multiple gestation
Chronic (pregestational hypertension)
Inability of unwillingness to provide informed consent
Active suicidality or psychosis
Trial design
Parallel
Treatments tested in this trial
Mindfulness training
BehavioralMindfulness training with trained instructors
Garmin Vivoactive 4 watch
BehavioralBiofeedback with a wearable biosensor that continuously monitors heart rate variability and generates stress scores.
Treatment groups
Trial outcomes
Primary outcomes
Feasibility of multisite RCT
Assess study feasibility as measured by retention rate
Secondary outcomes
Acceptability of MINDBP intervention
Assess intervention acceptability using Theoretical Framework of Acceptability Questionns (TFAQ). The TFAQ include 8 Likert-scale items which are averaged to provide an overall score from 1-5, with 5 indicating higher acceptability.
Home blood pressure
Average systolic and diastolic blood pressure measured using home blood pressure monitoring
Heart rate variability
Average daily stress score based on heart rate variability from biosensor watch
Perceived stress
Self-reported perceived stress using the Perceived Stress Scale, which is scored from 0-40, with higher scores indicating higher perceived stress.
Sponsors and contacts
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