Evidence map›Paper›PMID 32042349›Full record

ArticleMindfulness2019

Insurance-Reimbursable Mindfulness for Safety-Net Primary Care Patients: A Pilot Randomized Controlled Trial.

Richa Gawande, Elizabeth Pine, Todd Griswold, Timothy Creedon, Zayda Vallejo, Elana Rosenbaum, Angela Lozada, Zev Schuman-Olivier

Registry-linked trialOpen access · greenAbstract read
In one paragraph

Article in Mindfulness, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04268355 (MINDFUL-PC for Portuguese Speakers Pilot #2 Study 2020), which is not on this map. Cited by 18 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed, 1 pooled it
2.6field-weighted citation impact, top 11% of its field
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.

NCT04268355 naterminatednot on this mapstarted 2020, after this paper: background citation

MINDFUL-PC for Portuguese Speakers Pilot #2 Study 2020 (Integrating Mindfulness Into the Patient-Centered Medical Home)

TypeinterventionalSponsorCambridge Health AllianceRan2020 to 2020Enrolled15ConditionsDepression, Anxiety Disorders, Stress Related Disorder, Adjustment DisordersArmsMindfulness Training for Primary Care
3 · Its place in the literature

Who cites it

18 citing papers in PubMed, 1 synthesis or guideline pooled it, 22 citations in OpenAlex.

  1. Pooled it
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  5. Impact of warm mindfulness on emotion regulation: A randomized controlled effectiveness trial.Health psychology : official journal of the Division of Health Psychology, American Psychological Association · 2023
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  18. Mindfulness and Behavior Change.Harvard review of psychiatry
    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

8 authors at 2 institutions in 1 country.

Richa GawandeHarvard Medical School, Department of Psychiatry.
Elizabeth PineCambridge Health Alliance.
Todd GriswoldHarvard Medical School, Department of Psychiatry.
Timothy CreedonThe Heller School for Social Policy and Management, Brandeis University.
Zayda VallejoCambridge Health Alliance.
Elana RosenbaumCambridge Health Alliance.
Angela LozadaCambridge Health Alliance.
Zev Schuman-OlivierHarvard Medical School, Department of Psychiatry.
Cambridge Health Alliance · USIBM (United States) · US

Funding

Mindfulness Influences on Self-Regulation: Mental and Physical Health ImplicationsUH2AT009145 · NCCIH · BROWN UNIVERSITY · PI BRITTON, WILLOUGHBY, KING, JEAN A · 2015 to 2017
$2.7M
NCCIH NIH HHS UH2 AT009145
6 · The paper itself

Abstract

objectivesMindfulness is effective for reducing anxiety and depression and increasing chronic disease self-management. An accessible, insurance-reimbursable model for implementation in patient-centered medical homes within US healthcare systems has promise for patients with multi-morbid conditions. Clarifying both the dose needed to impact anxiety, depression and self-management, and the design requirements for accessible primary care implementation, is essential.

methodsWe tested feasibility, acceptability, and effectiveness of Mindfulness Training for Primary Care (MTPC), an 8-week, referral-based, insurance-reimbursable mindfulness program integrated within primary care, compared with a Low-Dose Comparator (LDC), consisting of a 60-minute mindfulness introduction plus referral to community and digital resources. Outcome measures were assessed at baseline and 8 weeks. MTPC is trauma-informed, incorporates mindfulness-oriented behavior change skills, and is designed to target anxiety, depression, stress, and chronic illness selfmanagement. Participants schedule a PCP visit to co-create a self-management action plan during week 6.

resultsPrimary care providers (PCP) referred 344 patients over 14 months. Eighty-one participants with DSM-V anxiety disorders, depressive disorders, trauma- and stress-related disorders participated in this pilot randomized-controlled comparative effectiveness trial [MTPC (n=54); LDC (n=27)]. These data suggest that MTPC was more effective than LDC for reducing anxiety (

conclusionsMTPC was successfully integrated into a health system, was billed to insurance, and was acceptable to a diverse primary care population. Replication with a larger study and further accessibility adaptations are needed to confirm and expand these pilot results.

Indexed as

anxietyhealth behaviormindfulnessprimary careself-managementself-regulation

Identifiers

PMID32042349
PMCPMC7009938
OpenAlexW2922012830

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

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.