Evidence map›Paper›PMID 32264945›Full record

ArticleTrials2020

Sahaj Samadhi Meditation versus a Health Enhancement Program for depression in chronic pain: protocol for a randomized controlled trial and implementation evaluation.

Abhimanyu Sud, Michelle L A Nelson, Darren K Cheng, Alana Armas, Kirk Foat, Michelle Greiver, Fardous Hosseiny, Joel Katz, Rahim Moineddin, Benoit H Mulsant and 4 more

Registry-linked trialOpen access · goldAbstract readClinical Trial Protocol
PubMed Full text at PMC Publisher
In one paragraph

Article in Trials, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04039568 (Meditation Versus Education for Improving Depression in Chronic Pain, a Randomized Controlled Trial), which is not on this map. Cited by 3 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 1 pooled it
0.2field-weighted citation impact, top 36% 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.

NCT04039568 nacompletednot on this map

Meditation Versus Education for Improving Depression in Chronic Pain, a Randomized Controlled Trial

TypeinterventionalSponsorMount Sinai Hospital, CanadaRan2019 to 2023Enrolled108ConditionsChronic Pain, DepressionArmsHealth Enhancement Program (HEP), Sahaj Samadhi Meditation (SSM)
3 · Its place in the literature

Who cites it

3 citing papers in PubMed, 1 synthesis or guideline pooled it, 4 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Article
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

14 authors at 5 institutions in 1 country.

Abhimanyu SudDepartment of Family and Community Medicine, Faculty of Medicine, University of Toronto, Toronto, ON, Canada. abhimanyu.sud@utoronto.ca.
Michelle L A NelsonInstitute of Health Policy, Management and Evaluation, Dalla Lana School of Public Health, University of Toronto, Toronto, ON, Canada.
Darren K ChengBridgepoint Collaboratory for Research and Innovation, Lunenfeld-Tanenbaum Research Institute, Sinai Health, Toronto, ON, Canada.
Alana ArmasBridgepoint Collaboratory for Research and Innovation, Lunenfeld-Tanenbaum Research Institute, Sinai Health, Toronto, ON, Canada.
Kirk Foat, London, ON, Canada.
Michelle GreiverDepartment of Family and Community Medicine, Faculty of Medicine, University of Toronto, Toronto, ON, Canada.
Fardous HosseinyCanadian Mental Health Association, Toronto, ON, Canada.
Joel KatzDepartment of Psychology, Faculty of Health, York University, Toronto, ON, Canada.
Rahim MoineddinDepartment of Family and Community Medicine, Faculty of Medicine, University of Toronto, Toronto, ON, Canada.
Benoit H MulsantDepartment of Psychiatry, Faculty of Medicine, University of Toronto, Toronto, ON, Canada.
Ronnie I NewmanResearch and Health Promotion Department, Art of Living Foundation (North America), Saint-Mathieu-du-Parc, QC, Canada.
Leon RivlinRivlin Medical Group, Mississauga, ON, Canada.
Akshya VasudevDepartment of Psychiatry, Western University, London, ON, Canada.
Ross UpshurBridgepoint Collaboratory for Research and Innovation, Lunenfeld-Tanenbaum Research Institute, Sinai Health, Toronto, ON, Canada.
University of Toronto · CALunenfeld-Tanenbaum Research Institute · CACanadian Mental Health Association · CAWestern University · CAYork University · CA

Funding

Canadian Institute of Health Research (CIHR) EO1 - 162072
6 · The paper itself

Abstract

backgroundDespite the high prevalence of comorbid chronic pain and depression, this comorbidity remains understudied. Meditation has demonstrated efficacy for both chronic pain and depression independently, yet there have been few studies examining its effectiveness when both conditions are present concurrently. Furthermore, while meditation is generally accepted as a safe and effective health intervention, little is known about how to implement meditation programs within or alongside the health care system.

methodsWe will conduct a hybrid type 1 effectiveness-implementation evaluation. To measure effectiveness, we will conduct a randomized controlled trial comparing Sahaj Samadhi Meditation and the Health Enhancement Program in 160 people living with chronic pain, clinically significant depressive symptoms, and on long-term opioid therapy. Changes in depressive symptoms will be our primary outcome; pain severity, pain-related function, opioid use, and quality of life will be the secondary outcomes. The primary end point will be at 12 weeks with a secondary end point at 24 weeks to measure the sustainability of acute effects. Patients will be recruited from a community-based chronic pain clinic in a large urban center in Mississauga, Canada. The meditation program will be delivered in the clinical environment where patients normally receive their chronic pain care by certified meditation teachers who are not regulated health care providers. We will use a mixed-methods design using the multi-level framework to understand the implementation of this particular co-location model. DISCUSSION: Results of this hybrid evaluation will add important knowledge about the effectiveness of meditation for managing depressive symptoms in people with chronic pain. The implementation evaluation will inform both effectiveness outcomes and future program development, scalability, and sustainability.

trial registrationClinicalTrials.gov: NCT04039568. Registered on 31 July 2019.

Indexed as

MeditationChronic PainDepressionHumansOntarioQuality of LifeRandomized Controlled Trials as TopicSeverity of Illness IndexTime FactorsTreatment OutcomeChronic painDepressionEducationHybrid studyImplementationMeditationOpioidsRandomized controlled trial (RCT)Sahaj Samadhi

Identifiers

PMID32264945
PMCPMC7140371
OpenAlexW3014273006

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.