Evidence map›Paper›PMID 31282418›Full record

Trial reportJournal of Alzheimer's disease : JAD2019

Can Adults with Mild Cognitive Impairment Build Cognitive Reserve and Learn Mindfulness Meditation? Qualitative Theme Analyses from a Small Pilot Study.

Rebecca Erwin Wells, Catherine Kerr, Michelle L Dossett, Suzanne C Danhauer, Stephanie J Sohl, Bonnie C Sachs, Jacquelyn Walsh Feeley, Jennifer Wolkin, Robert Wall, Ted Kaptchuk and 3 more

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in Journal of Alzheimer's disease : JAD, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed, 2 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

17 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Review
  4. Review
  5. Review
  6. Article
  7. APOE ε4 carrier status moderates the effect of lifestyle factors on cognitive reserve.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2024
    Article
  8. Review
  9. The mediator role of stigma in the association of mindfulness and social engagement among breast cancer survivors in China.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2022
    Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. Cognitive Impairment Evaluation and Management.The Medical clinics of North America · 2020
    Review
  17. Mindfulness in migraine: A narrative review.Expert review of neurotherapeutics · 2020
    Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

13 authors.

Rebecca Erwin WellsDepartment of Neurology, Wake Forest School of Medicine, Winston-Salem, NC, USA.
Catherine KerrDepartment of Family Medicine and Mindfulness-Wellness Program, Brown University School of Medicine, Providence, RI, USA.
Michelle L DossettDepartment of Medicine and Benson-Henry Institute for Mind Body Medicine, Division of General Internal Medicine, Massachusetts General Hospital; and Harvard Medical School, Boston, MA, USA.
Suzanne C DanhauerDepartment of Social Sciences and Health Policy, Division of Public Health Sciences, Wake Forest School of Medicine, Winston Salem, NC, USA.
Stephanie J SohlDepartment of Social Sciences and Health Policy, Division of Public Health Sciences, Wake Forest School of Medicine, Winston Salem, NC, USA.
Bonnie C SachsDepartment of Neurology, Wake Forest School of Medicine, Winston-Salem, NC, USA.
Jacquelyn Walsh FeeleyGraduate School of Nursing, University of Massachusetts Medical School, Worcester, MA, USA.
Jennifer WolkinBrainCurves, New York, NY, USA.
Robert WallMclean Hospital Borden Cottage, Camden, ME, USA.
Ted KaptchukDepartment of Neurology, Beth Israel Deaconess Medical Center and Harvard Medical School, Boston, MA, USA.
Daniel Z PressDepartment of Neurology, Beth Israel Deaconess Medical Center and Harvard Medical School, Boston, MA, USA.
Russell S PhillipsDepartment of Medicine, Division of General Medicine and Primary Care, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA, USA.
Gloria Y YehDepartment of Medicine, Division of General Medicine and Primary Care, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA, USA.

Funding

Research Training in Complementary and Integrative MedicineT32AT000051 · NCCIH · HARVARD UNIVERSITY (MEDICAL SCHOOL) · PI GLORIA Y YEH · 1999 to 2026
$10.2M
Research and Mentorship in Alternative MedicineK24AT000589 · NCCIH · BETH ISRAEL DEACONESS MEDICAL CENTER · PI PHILLIPS, RUSSELL SCOTT · 2001 to 2010
$1.5M
Mentoring and Research in Placebo Studies, Asian Medicine, and CAMK24AT004095 · NCCIH · HARVARD MEDICAL SCHOOL · PI KAPTCHUK, TED · 2007 to 2016
$1.4M
Mentoring and Patient-Oriented Research in Mind-Body ExerciseK24AT009465 · NCCIH · BETH ISRAEL DEACONESS MEDICAL CENTER · PI GLORIA Y YEH · 2017 to 2026
$1.3M
Mindfulness and Mechanisms of Pain Processing in Adults with MigrainesK23AT008406 · NCCIH · WAKE FOREST UNIVERSITY HEALTH SCIENCES · PI WELLS, REBECCA ERWIN · 2015 to 2019
$811k
Improving Health Outcomes Through Enhanced Patient-Provider RelationshipsK23AT009218 · NCCIH · UNIVERSITY OF CALIFORNIA AT DAVIS · PI DOSSETT, MICHELLE L · 2016 to 2020
$801k
Effects of mindfulness meditation on somatosensory cortical maps in chronic painK01AT003459 · NCCIH · HARVARD MEDICAL SCHOOL · PI KERR, CATHERINE E · 2006 to 2010
$652k
A Behavioral Integrative Intervention for Reducing Cancer-related FatigueK01AT008219 · NCCIH · WAKE FOREST UNIVERSITY HEALTH SCIENCES · PI SOHL, STEPHANIE JEAN · 2015 to 2018
$493k
NCCIH NIH HHS K01 AT003459NCCIH NIH HHS K01 AT008219NCCIH NIH HHS K23 AT008406NCCIH NIH HHS K23 AT009218NCCIH NIH HHS K24 AT000589NCCIH NIH HHS K24 AT004095NCCIH NIH HHS K24 AT009465NCCIH NIH HHS T32 AT000051
6 · The paper itself

Abstract

BACKGROUND/

objectiveHigh levels of chronic stress negatively impact the hippocampus and are associated with increased incidence of mild cognitive impairment (MCI) and Alzheimer's disease. While mindfulness meditation may mitigate the effects of chronic stress, it is uncertain if adults with MCI have the capacity to learn mindfulness meditation.

methods14 adults with MCI were randomized 2:1 to Mindfulness Based Stress Reduction (MBSR) or a wait-list control group. We conducted qualitative interviews with those who completed MBSR. Transcribed interviews were: a) coded using an emergent themes inductive approach informed by grounded theory; b) rated 0-10, with higher scores reflecting greater perceived benefit from, and understanding of, mindfulness meditation. Ratings were correlated with daily home practice times and baseline level of cognitive function.

resultsSeven themes emerged from the interviews: positive perceptions of class; development of mindfulness skills, including meta-cognition; importance of the group experience; enhanced well-being; shift in MCI perspective; decreased stress reactivity and increased relaxation; improvement in interpersonal skills. Ratings of perceived benefit and understanding ranged from 2-10 (mean = 7) and of 0-9.5 (mean = 6), respectively. Many participants experienced substantial benefit/understanding, some had moderate, and a few had minimal benefit/understanding. Understanding the key concepts of mindfulness was highly positively correlated with ≥20 minutes/day of home practice (r = 0.90) but not with baseline cognitive function (r = 0.13).

conclusionsMost adults with MCI were able to learn mindfulness meditation and had improved MCI acceptance, self-efficacy, and social engagement. Cognitive reserve may be enhanced through a mindfulness meditation program even in patients with MCI.

Indexed as

Alzheimer DiseaseCognitive DysfunctionMeditationAgedCognitive ReserveFemaleHumansMaleMindfulnessPilot ProjectsRelaxation TherapySocial SkillsStress, PsychologicalTreatment OutcomeAlzheimer’s diseasemeditationmild cognitive impairmentmindfulnessrandomized clinical trialyoga

Identifiers

PMID31282418
PMCPMC6753379

What OpenQuestion holds

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Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.