Evidence map›Paper›PMID 40603636›Full record

Trial reportPediatric cardiology2026

EMBRACE Study: Outcomes of a Randomized, Mindfulness-Based Intervention for Adults with Congenital Heart Disease.

Vicki A Freedenberg, Rachel Steury, Robert Podolsky, Anitha S John

Abstract readRandomized Controlled Trial
PubMed Publisher
In one paragraph

Trial report in Pediatric cardiology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing 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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

4 authors.

Vicki A FreedenbergDivision of Cardiology, Children's National Hospital, Washington, DC, USA. vfreeden@childrensnational.org.ORCID http://orcid.org/0000-0002-2167-2805
Rachel SteuryDivision of Cardiology, Children's National Hospital, Washington, DC, USA.
Robert PodolskyDivision of Biostatistics, Children's National Hospital, Washington, DC, USA.
Anitha S JohnDivision of Cardiology, Children's National Hospital, Washington, DC, USA.

Funding

Adult Congenital Heart Association ACHA20223011
6 · The paper itself

Abstract

Adults with congenital heart disease (ACHD) have high rates of anxiety and depression. Strategies to manage the stress of having a chronic disease, improve coping skills and resilience can reduce these rates. To examine the effectiveness of an ACHD-specific, real-time virtual mindfulness-based behavioral intervention (MBBI) on mental health and resilience. A randomized wait-list control study was conducted, testing a virtual MBBI for 90 min once weekly × 6 weeks compared to standard of care (SOC) control. Primary outcomes of anxiety and depression were assessed through the Hospital and Anxiety and Depression Scale (HADS-A/HADS-D), while secondary outcomes of resilience and mindfulness were assessed through the Brief Resilience Scale (BRS) and Cognitive and Affective Mindfulness Scale-Revised (CAMS-R), respectively. Outcomes were assessed pre-post-intervention and 3-month post-intervention. Forty-one participants were recruited. Thirty-one participants (average age = 39.7 + 12.6 years, 64.5% female) completed the study, attending an average of 5 sessions. While the randomization groups did not show differences in changes in any outcomes, participants did show meaningful improvements after the EMBRACE intervention in anxiety [60.9% with decreased HADS-A (95% CI 43.8-76.8%)]; depression [48.4% with decreased HADS-D (95% CI 31.6-65.5%)]; resilience [43.6% with increased BRS score (95% CI 26.9-61.0%)]; and mindfulness [69.4% with increased CAMS-R-score (95% CI 52.3-84.0%)] scores. Satisfaction surveys revealed that 97% found the program effective. Major qualitative themes included community connections, focus on self-care and self-management. The EMBRACE study demonstrates the effectiveness of a virtual intervention to improve mental health, resilience, and coping skills. Further study is needed to evaluate the long-term benefits and sustainability for ACHD patients.

Indexed as

AnxietyDepressionHeart Defects, CongenitalMindfulnessStress, PsychologicalAdaptation, PsychologicalAdultFemaleHumansMaleMiddle AgedResilience, PsychologicalTreatment OutcomeAnxietyCongenital heart diseaseCopingDepressionHADSMental healthMindfulness-based behavioral interventionResilienceVirtual intervention

Identifiers

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.