Evidence map›Paper›PMID 40017139›Full record

Trial reportJournal of clinical psychology2025

Using Mindfulness to Manage Moral Injury in Veterans: Feasibility and Satisfaction of a Pilot Randomized Controlled Trial.

Michelle L Kelley, Adrian J Bravo, Elizabeth E Burgin, Susan A Gaylord, Christine Vinci, Megan Strowger, Jeffrey M Gabelmann, Joseph M Currier

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in Journal of clinical psychology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–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

3 citing papers in PubMed.

  1. Article
  2. Article
  3. Moral injury prevention and intervention.European journal of psychotraumatology · 2025
    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.

Michelle L KelleyOld Dominion University, Norfolk, Virginia, USA.ORCID 0000-0003-3643-0419
Adrian J BravoWilliam & Mary, Williamsburg, Virginia, USA.ORCID 0000-0002-4630-6449
Elizabeth E BurginWilliam & Mary, Williamsburg, Virginia, USA.
Susan A GaylordUniversity of North Carolina at Chapel Hill School of Medicine, Chapel Hill, North Carolina, USA.
Christine VinciMoffitt Cancer Center, Tampa, Florida, USA.ORCID 0000-0001-8883-0989
Megan StrowgerOld Dominion University, Norfolk, Virginia, USA.
Jeffrey M GabelmannOld Dominion University, Norfolk, Virginia, USA.
Joseph M CurrierUniversity of South Alabama, Mobile, Alabama, USA.ORCID 0000-0002-8843-2996

Funding

Adaptation of Mindfulness Training to Treat Moral Injury in VeteransR34AT011038 · NCCIH · OLD DOMINION UNIVERSITY · PI KELLEY, MICHELLE L · 2020 to 2022
$727k
NCCIH NIH HHS R34 AT011038This work was supported by the National Institutes of Health (R34AT011038).
6 · The paper itself

Abstract

objectiveThe present study assessed program feasibility and satisfaction among recent-era veterans who participated in Mindfulness to Manage Moral Injury (MMMI), a live facilitated web-based 7-week mindfulness-based program targeting moral injury among veterans.

methodIn total, 56 post-9/11 veterans were recruited with 28 randomized to the MMMI condition and 28 to the Education and Support (ES) condition. Most participants identified as being White (71.4%), male (66.1%), and had a reported mean age of 41.50 years (Median = 39.50, SD = 9.26).

resultsAmong the 56 participants, 82.1% attended at least one treatment session and 44.6% completed all seven sessions. There were no significant differences in the average number of sessions attended between the MMMI (M = 4.79, SD = 2.70) and the ES (M = 4.68, SD = 2.84) conditions, t(54) = 0.145, p = 0.87. Regarding randomization, there were no statistically significant differences on almost all demographic (i.e., years in military, gender, ethnicity) characteristics and baseline scores on all outcomes across treatment conditions, thus ensuring randomization was adequately met. Of the 56 who consented, 41 (73.21%) completed most study components (i.e., completed baseline and follow-up surveys, at least 1 weekly survey, and attended at least one treatment session). Regarding treatment satisfaction, individuals in the MMMI condition reported higher treatment satisfaction (Cohen's d = 0.66).

conclusionsPreliminary findings suggest MMMI is feasible and acceptable and may be able to reach veterans who may not seek traditional Veterans Affairs Medical Center care or who prefer a web-based program. Given its promise for the treatment of moral injury among veterans, MMMI warrants additional large-scale clinical-trial testing.

Indexed as

MindfulnessMoralsPatient SatisfactionStress Disorders, Post-TraumaticVeteransAdultFeasibility StudiesFemaleHumansMaleMiddle AgedPilot Projectsmindfulnessmoral injurytreatmentveterans

Identifiers

PMID40017139
PMCPMC12050104

What OpenQuestion holds

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Registered trials

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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.