Behavior, Stress
Conditions
Keywords
healthy minds program, mobile health
Brief summary
This study is a randomized controlled trial to test the impact of an app-based meditation program on perceived stress and behavioral correlates of stress with known neurobiological correlates. Healthy adult participants between the ages of 25-65 will be enrolled in the study for about 4-5 months.
Detailed description
Participants will be randomized into one of two groups: the intervention group or the waitlist control group. The intervention group will use a mobile health app for four weeks. Participants will complete pre-intervention, weekly, post-intervention, and 3-month follow-up surveys and tasks. Primary Objective: Test for hypothesized group differences in perceived stress during participation in a 4-week meditation program and at 3-month follow-up. Secondary Objective: Within the meditation group, determine whether reductions in perceived stress are associated with changes in hippocampal-dependent behavior.
Interventions
Participants will receive access to the 4-week Healthy Minds Program (HMP) Foundations module. The HMP app is a meditation-based smartphone app designed to promote and protect psychological well-being through sustainable skills training. The program is grounded in constituents of psychological well-being identified in empirical literature. HMP provides core content, with instruction administered through a curriculum of guided practices. HMP is based on research on eudaimonic well-being (e.g., environmental mastery, purpose) and brain-based skills that underlie these qualities (e.g., regulation of attention, mental flexibility). The full HMP has guided audio practices that address 4 constituents of well-being: awareness, connection, insight, and purpose. At post-treatment, participants will be given access to additional HMP content to support their continued practice.
Sponsors
Study design
Eligibility
Inclusion criteria
* Individual can read, write, speak, and understand English * Able to provide informed consent * Willing and able to complete all study procedures, including the Healthy Minds Program * Has access to a smartphone that can download apps from Google Play or the Apple App Store * US citizen or a permanent US resident (green card holder)
Exclusion criteria
* Extensive experience in meditation practice (e.g., regular daily meditation practice for the past 6 months or regular weekly meditation practice for the past 12 months), experience in substantively similar meditation training programs (e.g., attended a meditation retreat or a yoga/body practice retreat with a significant mediation component), or substantial previous use of the Healthy Minds Program app * Individuals will be excluded if they previously participated in substantively similar research at our Center at the discretion of the investigator due to similar tasks being used in certain studies * History of psychosis * History of mania * Current psychopathology that interferes with study participation
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Change in Perceived Stress Scale (PSS) Score | Baseline, following week 1, week 2, week 3, week 4 of intervention period, and 3 month follow-up | PSS is a 10-item survey scored on a 5 point likert scale from 0 = never to 4 = very often, for a total possible range of scores from 0-40 where higher scores indicate higher perceived stress. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Change in Behavioral Pattern Separation Task | Baseline, following week 4 of intervention period, and 3 month follow-up | Participants will complete a behavioral pattern separation task . During this task, participants will encode pictures of common objects while performing a basic categorization task. Participants will then label pictures as Old (targets, identical objects to those in the encoding phase), New (foils, or completely novel objects), or Similar (lure items, distinct exemplars of objects seen during encoding). The measure of interest on this task is the Lure Discrimination Index, which is calculated as the proportion of lures correctly identified as similar minus the proportion of foils that are incorrectly identified as similar. The theoretical range for the pattern separation index is \[-1,1\], with higher scores indicating better performance. |
| Change in PROMIS Depression Score | Baseline, following week 1, week 2, week 3, week 4 of intervention period, and 3 month follow-up | The PROMIS Depression Score is a measure of feelings of depression in the past 7 days. This is a computer-adaptive survey scored on a 5 point likert scale from 1 (never) to 5 (always) with higher scores indicating increased depression. For analysis, total scores will be converted to t scores with a mean of 50 and SD of 10. Higher t scores indicate higher levels of depression. A t score \>= 59.9 is indicative of moderate depression, a t score \>= 65.8 is indicative of moderately severe depression, and a t score \>= 71.5 is indicative of severe depression (based on corresponding cutoffs on the Patient Health Questionnaire-9). |
| Change in PROMIS Anxiety Score | Baseline, following week 1, week 2, week 3, week 4 of intervention period, and 3 month follow-up | The PROMIS Anxiety Score is a measure of feelings of anxiety in the past 7 days. This is a computer-adaptive survey scored on a 5 point likert scale from 1 (never) to 5 (always) with higher scores indicating increased anxiety. For analysis, total scores will be converted to t scores with a mean of 50 and SD of 10. Higher t scores indicate higher levels of anxiety. A t score \>= 62.3 is indicative of moderate anxiety and a t score \>= 67.7 is indicative of severe anxiety (based on corresponding cutoffs on the General Anxiety Disorder-7). |
Other
| Measure | Time frame | Description |
|---|---|---|
| Change in Healthy Minds Index (HMI) Score | Baseline and following week 4 of intervention period | HMI is a 17-item survey scored on a 5 point likert scale from 0 (never, none, not at all) to 4 (always, every time, to the highest degree) that assesses awareness, connection, insight, and purpose. Higher scores indicate higher sense of awareness, connection, insight, and purpose. Mean score for each subscale will be reported. |
| Change in Posttraumatic Stress Disorder Checklist (PCL-5) Score | Baseline, following week 4 of intervention period, and 3 month follow-up | The PCL-5 is a 20-item survey scored on a 5 point likert scale from 0 (not at all) to 4 (extremely) for a total possible range of score from 0-80 where higher scores indicate more symptoms of PTSD within the last 30 days. |
| Change in Roaming Entropy | Exploratory analyses will examine linear and nonlinear trajectories of change from baseline through 3-month follow-up | Roaming entropy will be calculated according to the formula in Heller et al. (2020). Using continuous GPS location tracking, the measure takes into account distance traveled and distinct locations visited, with a single resulting value reflecting the diversity of movement through one's lived environment (Measured continuously throughout study participation) |
| Change in PROMIS Sleep Disturbance Score | Baseline, following week 1, week 2, week 3, week 4 of intervention period, and 3 month follow-up | The PROMIS Sleep Disturbance Score is a measure of sleep in the past 7 days. This is a computer-adaptive survey scored on a 5 point likert scale with higher scores indicating increased sleep disturbance. For analysis, total scores will be converted to t scores with a mean of 50 and SD of 10. Higher t scores indicate higher levels of sleep disturbances. A t score \>= 45.1 is indicative of significant sleep disturbances (based on a corresponding cutoff of \>= 5 on the Pittsburgh Sleep Quality Index). |
| Change in Five-facet Mindfulness Questionnaire: Awareness Subscale (FFMQ-A8) Score | Baseline, following week 4 of intervention period, and 3 month follow-up | The FFMQ-A8 is an 8-item survey scored on a 5 point likert scale from 'never, or very rarely true' to 'very often or always true', for a total possible range of scores from 8-40 where higher scores indicate greater mindfulness awareness. |
| Change in NIH Toolbox Loneliness Score | Baseline, following week 4 of intervention period, and 3 month follow-up | NIH toolbox Loneliness is a 5-item survey scored on a 5 point likert scale. The average score is taken across items for a total possible range of scores from 1-5, where higher scores indicate increased loneliness. |
Countries
United States
Participant flow
Participants by arm
| Arm | Count |
|---|---|
| Healthy Minds Program (HMP) Fully remote, 4-week meditation intervention | 100 |
| Waitlist Control Control participants will not complete the Healthy Minds Program during the study, but can use it after they have completed the study | 50 |
| Total | 150 |
Withdrawals & dropouts
| Period | Reason | FG000 | FG001 |
|---|---|---|---|
| Overall Study | Lost to Follow-up | 2 | 2 |
| Overall Study | Physician Decision | 1 | 0 |
| Overall Study | Withdrawal by Subject | 2 | 0 |
Baseline characteristics
| Characteristic | Healthy Minds Program (HMP) | Waitlist Control | Total |
|---|---|---|---|
| Age, Continuous | 39.9 years STANDARD_DEVIATION 10 | 40.6 years STANDARD_DEVIATION 11 | 40.2 years STANDARD_DEVIATION 10.3 |
| Ethnicity (NIH/OMB) Hispanic or Latino | 13 Participants | 8 Participants | 21 Participants |
| Ethnicity (NIH/OMB) Not Hispanic or Latino | 86 Participants | 42 Participants | 128 Participants |
| Ethnicity (NIH/OMB) Unknown or Not Reported | 1 Participants | 0 Participants | 1 Participants |
| Race (NIH/OMB) American Indian or Alaska Native | 0 Participants | 0 Participants | 0 Participants |
| Race (NIH/OMB) Asian | 8 Participants | 5 Participants | 13 Participants |
| Race (NIH/OMB) Black or African American | 12 Participants | 10 Participants | 22 Participants |
| Race (NIH/OMB) More than one race | 8 Participants | 6 Participants | 14 Participants |
| Race (NIH/OMB) Native Hawaiian or Other Pacific Islander | 0 Participants | 0 Participants | 0 Participants |
| Race (NIH/OMB) Unknown or Not Reported | 2 Participants | 2 Participants | 4 Participants |
| Race (NIH/OMB) White | 70 Participants | 27 Participants | 97 Participants |
| Region of Enrollment United States | 100 participants | 50 participants | 150 participants |
| Sex: Female, Male Female | 50 Participants | 25 Participants | 75 Participants |
| Sex: Female, Male Male | 50 Participants | 25 Participants | 75 Participants |
Adverse events
| Event type | EG000 affected / at risk | EG001 affected / at risk |
|---|---|---|
| deaths Total, all-cause mortality | 0 / 99 | 0 / 50 |
| other Total, other adverse events | 0 / 99 | 0 / 50 |
| serious Total, serious adverse events | 0 / 99 | 0 / 50 |
Outcome results
Change in Perceived Stress Scale (PSS) Score
PSS is a 10-item survey scored on a 5 point likert scale from 0 = never to 4 = very often, for a total possible range of scores from 0-40 where higher scores indicate higher perceived stress.
Time frame: Baseline, following week 1, week 2, week 3, week 4 of intervention period, and 3 month follow-up
Population: The number analyzed changes over time because not all participants provided complete data for this measure at each timepoint.
| Arm | Measure | Group | Value (MEAN) | Dispersion |
|---|---|---|---|---|
| Healthy Minds Program (HMP) | Change in Perceived Stress Scale (PSS) Score | baseline | 15.0 score on a scale | Standard Deviation 6.49 |
| Healthy Minds Program (HMP) | Change in Perceived Stress Scale (PSS) Score | week 1 | 13.5 score on a scale | Standard Deviation 6.71 |
| Healthy Minds Program (HMP) | Change in Perceived Stress Scale (PSS) Score | week 2 | 13.1 score on a scale | Standard Deviation 7.03 |
| Healthy Minds Program (HMP) | Change in Perceived Stress Scale (PSS) Score | week 3 | 12.5 score on a scale | Standard Deviation 6.43 |
| Healthy Minds Program (HMP) | Change in Perceived Stress Scale (PSS) Score | week 4 | 13.6 score on a scale | Standard Deviation 6.6 |
| Healthy Minds Program (HMP) | Change in Perceived Stress Scale (PSS) Score | 3 month follow up | 13.8 score on a scale | Standard Deviation 6.96 |
| Waitlist Control | Change in Perceived Stress Scale (PSS) Score | week 4 | 16.7 score on a scale | Standard Deviation 6.91 |
| Waitlist Control | Change in Perceived Stress Scale (PSS) Score | baseline | 17.1 score on a scale | Standard Deviation 7.42 |
| Waitlist Control | Change in Perceived Stress Scale (PSS) Score | week 3 | 15.6 score on a scale | Standard Deviation 6.52 |
| Waitlist Control | Change in Perceived Stress Scale (PSS) Score | week 1 | 17.1 score on a scale | Standard Deviation 7.48 |
| Waitlist Control | Change in Perceived Stress Scale (PSS) Score | 3 month follow up | 17.8 score on a scale | Standard Deviation 6.76 |
| Waitlist Control | Change in Perceived Stress Scale (PSS) Score | week 2 | 15.1 score on a scale | Standard Deviation 7.94 |
Change in Behavioral Pattern Separation Task
Participants will complete a behavioral pattern separation task . During this task, participants will encode pictures of common objects while performing a basic categorization task. Participants will then label pictures as Old (targets, identical objects to those in the encoding phase), New (foils, or completely novel objects), or Similar (lure items, distinct exemplars of objects seen during encoding). The measure of interest on this task is the Lure Discrimination Index, which is calculated as the proportion of lures correctly identified as similar minus the proportion of foils that are incorrectly identified as similar. The theoretical range for the pattern separation index is \[-1,1\], with higher scores indicating better performance.
Time frame: Baseline, following week 4 of intervention period, and 3 month follow-up
Population: The number analyzed changes over time because not all participants provided complete data for this measure at each timepoint.
| Arm | Measure | Group | Value (MEAN) | Dispersion |
|---|---|---|---|---|
| Healthy Minds Program (HMP) | Change in Behavioral Pattern Separation Task | baseline | .507 Lure Discrimination Index | Standard Deviation 0.201 |
| Healthy Minds Program (HMP) | Change in Behavioral Pattern Separation Task | week 4 | .502 Lure Discrimination Index | Standard Deviation 0.212 |
| Healthy Minds Program (HMP) | Change in Behavioral Pattern Separation Task | 3 month follow up | .542 Lure Discrimination Index | Standard Deviation 0.169 |
| Waitlist Control | Change in Behavioral Pattern Separation Task | baseline | .456 Lure Discrimination Index | Standard Deviation 0.197 |
| Waitlist Control | Change in Behavioral Pattern Separation Task | week 4 | .489 Lure Discrimination Index | Standard Deviation 0.179 |
| Waitlist Control | Change in Behavioral Pattern Separation Task | 3 month follow up | .483 Lure Discrimination Index | Standard Deviation 0.205 |
Change in PROMIS Anxiety Score
The PROMIS Anxiety Score is a measure of feelings of anxiety in the past 7 days. This is a computer-adaptive survey scored on a 5 point likert scale from 1 (never) to 5 (always) with higher scores indicating increased anxiety. For analysis, total scores will be converted to t scores with a mean of 50 and SD of 10. Higher t scores indicate higher levels of anxiety. A t score \>= 62.3 is indicative of moderate anxiety and a t score \>= 67.7 is indicative of severe anxiety (based on corresponding cutoffs on the General Anxiety Disorder-7).
Time frame: Baseline, following week 1, week 2, week 3, week 4 of intervention period, and 3 month follow-up
Population: The number analyzed changes over time because not all participants provided complete data for this measure at each timepoint.
| Arm | Measure | Group | Value (MEAN) | Dispersion |
|---|---|---|---|---|
| Healthy Minds Program (HMP) | Change in PROMIS Anxiety Score | baseline | 55.8 score on a scale | Standard Deviation 7.36 |
| Healthy Minds Program (HMP) | Change in PROMIS Anxiety Score | week 1 | 55.3 score on a scale | Standard Deviation 7.56 |
| Healthy Minds Program (HMP) | Change in PROMIS Anxiety Score | week 2 | 54.9 score on a scale | Standard Deviation 8.05 |
| Healthy Minds Program (HMP) | Change in PROMIS Anxiety Score | week 3 | 54.0 score on a scale | Standard Deviation 7.95 |
| Healthy Minds Program (HMP) | Change in PROMIS Anxiety Score | week 4 | 53.1 score on a scale | Standard Deviation 8.3 |
| Healthy Minds Program (HMP) | Change in PROMIS Anxiety Score | 3 month follow up | 54.3 score on a scale | Standard Deviation 8.06 |
| Waitlist Control | Change in PROMIS Anxiety Score | week 4 | 56.2 score on a scale | Standard Deviation 8.72 |
| Waitlist Control | Change in PROMIS Anxiety Score | baseline | 58.0 score on a scale | Standard Deviation 8.46 |
| Waitlist Control | Change in PROMIS Anxiety Score | week 3 | 57.4 score on a scale | Standard Deviation 7.9 |
| Waitlist Control | Change in PROMIS Anxiety Score | week 1 | 57.4 score on a scale | Standard Deviation 8.31 |
| Waitlist Control | Change in PROMIS Anxiety Score | 3 month follow up | 57.5 score on a scale | Standard Deviation 6.94 |
| Waitlist Control | Change in PROMIS Anxiety Score | week 2 | 55.8 score on a scale | Standard Deviation 7.7 |
Change in PROMIS Depression Score
The PROMIS Depression Score is a measure of feelings of depression in the past 7 days. This is a computer-adaptive survey scored on a 5 point likert scale from 1 (never) to 5 (always) with higher scores indicating increased depression. For analysis, total scores will be converted to t scores with a mean of 50 and SD of 10. Higher t scores indicate higher levels of depression. A t score \>= 59.9 is indicative of moderate depression, a t score \>= 65.8 is indicative of moderately severe depression, and a t score \>= 71.5 is indicative of severe depression (based on corresponding cutoffs on the Patient Health Questionnaire-9).
Time frame: Baseline, following week 1, week 2, week 3, week 4 of intervention period, and 3 month follow-up
Population: The number analyzed changes over time because not all participants provided complete data for this measure at each timepoint.
| Arm | Measure | Group | Value (MEAN) | Dispersion |
|---|---|---|---|---|
| Healthy Minds Program (HMP) | Change in PROMIS Depression Score | baseline | 52.4 score on a scale | Standard Deviation 7.16 |
| Healthy Minds Program (HMP) | Change in PROMIS Depression Score | week 1 | 51.6 score on a scale | Standard Deviation 8.17 |
| Healthy Minds Program (HMP) | Change in PROMIS Depression Score | week 2 | 51.3 score on a scale | Standard Deviation 8.08 |
| Healthy Minds Program (HMP) | Change in PROMIS Depression Score | week 3 | 51.1 score on a scale | Standard Deviation 8.27 |
| Healthy Minds Program (HMP) | Change in PROMIS Depression Score | week 4 | 50.2 score on a scale | Standard Deviation 7.97 |
| Healthy Minds Program (HMP) | Change in PROMIS Depression Score | 3 month follow up | 51.9 score on a scale | Standard Deviation 8.44 |
| Waitlist Control | Change in PROMIS Depression Score | week 4 | 52.8 score on a scale | Standard Deviation 8.25 |
| Waitlist Control | Change in PROMIS Depression Score | baseline | 54.7 score on a scale | Standard Deviation 7.28 |
| Waitlist Control | Change in PROMIS Depression Score | week 3 | 55.0 score on a scale | Standard Deviation 8.35 |
| Waitlist Control | Change in PROMIS Depression Score | week 1 | 54.8 score on a scale | Standard Deviation 7.42 |
| Waitlist Control | Change in PROMIS Depression Score | 3 month follow up | 54.4 score on a scale | Standard Deviation 7.91 |
| Waitlist Control | Change in PROMIS Depression Score | week 2 | 42.3 score on a scale | Standard Deviation 9.28 |
Change in Five-facet Mindfulness Questionnaire: Awareness Subscale (FFMQ-A8) Score
The FFMQ-A8 is an 8-item survey scored on a 5 point likert scale from 'never, or very rarely true' to 'very often or always true', for a total possible range of scores from 8-40 where higher scores indicate greater mindfulness awareness.
Time frame: Baseline, following week 4 of intervention period, and 3 month follow-up
Population: The number analyzed changes over time because not all participants provided complete data for this measure at each timepoint.
| Arm | Measure | Group | Value (MEAN) | Dispersion |
|---|---|---|---|---|
| Healthy Minds Program (HMP) | Change in Five-facet Mindfulness Questionnaire: Awareness Subscale (FFMQ-A8) Score | Baseline | 27.9 score on a scale | Standard Deviation 6.88 |
| Healthy Minds Program (HMP) | Change in Five-facet Mindfulness Questionnaire: Awareness Subscale (FFMQ-A8) Score | week 4 | 28.3 score on a scale | Standard Deviation 6.02 |
| Healthy Minds Program (HMP) | Change in Five-facet Mindfulness Questionnaire: Awareness Subscale (FFMQ-A8) Score | 3-month follow-up | 29.1 score on a scale | Standard Deviation 6.41 |
| Waitlist Control | Change in Five-facet Mindfulness Questionnaire: Awareness Subscale (FFMQ-A8) Score | Baseline | 27.8 score on a scale | Standard Deviation 7.36 |
| Waitlist Control | Change in Five-facet Mindfulness Questionnaire: Awareness Subscale (FFMQ-A8) Score | week 4 | 28.3 score on a scale | Standard Deviation 7.41 |
| Waitlist Control | Change in Five-facet Mindfulness Questionnaire: Awareness Subscale (FFMQ-A8) Score | 3-month follow-up | 28.0 score on a scale | Standard Deviation 7.41 |
Change in Healthy Minds Index (HMI) Score
HMI is a 17-item survey scored on a 5 point likert scale from 0 (never, none, not at all) to 4 (always, every time, to the highest degree) that assesses awareness, connection, insight, and purpose. Higher scores indicate higher sense of awareness, connection, insight, and purpose. Mean score for each subscale will be reported.
Time frame: Baseline and following week 4 of intervention period
Change in NIH Toolbox Loneliness Score
NIH toolbox Loneliness is a 5-item survey scored on a 5 point likert scale. The average score is taken across items for a total possible range of scores from 1-5, where higher scores indicate increased loneliness.
Time frame: Baseline, following week 4 of intervention period, and 3 month follow-up
Population: The number analyzed changes over time because not all participants provided complete data for this measure at each timepoint.
| Arm | Measure | Group | Value (MEAN) | Dispersion |
|---|---|---|---|---|
| Healthy Minds Program (HMP) | Change in NIH Toolbox Loneliness Score | 3-month follow-up | 2.25 score on a scale | Standard Deviation 1.07 |
| Healthy Minds Program (HMP) | Change in NIH Toolbox Loneliness Score | Baseline | 2.44 score on a scale | Standard Deviation 1.02 |
| Healthy Minds Program (HMP) | Change in NIH Toolbox Loneliness Score | week 4 | 2.17 score on a scale | Standard Deviation 1 |
| Waitlist Control | Change in NIH Toolbox Loneliness Score | Baseline | 2.28 score on a scale | Standard Deviation 0.84 |
| Waitlist Control | Change in NIH Toolbox Loneliness Score | week 4 | 2.19 score on a scale | Standard Deviation 0.9 |
| Waitlist Control | Change in NIH Toolbox Loneliness Score | 3-month follow-up | 2.25 score on a scale | Standard Deviation 0.95 |
Change in Posttraumatic Stress Disorder Checklist (PCL-5) Score
The PCL-5 is a 20-item survey scored on a 5 point likert scale from 0 (not at all) to 4 (extremely) for a total possible range of score from 0-80 where higher scores indicate more symptoms of PTSD within the last 30 days.
Time frame: Baseline, following week 4 of intervention period, and 3 month follow-up
Population: The number analyzed changes over time because not all participants provided complete data for this measure at each timepoint.
| Arm | Measure | Group | Value (MEAN) | Dispersion |
|---|---|---|---|---|
| Healthy Minds Program (HMP) | Change in Posttraumatic Stress Disorder Checklist (PCL-5) Score | Baseline | 15.6 score on a scale | Standard Deviation 12.2 |
| Healthy Minds Program (HMP) | Change in Posttraumatic Stress Disorder Checklist (PCL-5) Score | week 4 | 13.2 score on a scale | Standard Deviation 12.1 |
| Healthy Minds Program (HMP) | Change in Posttraumatic Stress Disorder Checklist (PCL-5) Score | 3-month follow-up | 13.9 score on a scale | Standard Deviation 12.6 |
| Waitlist Control | Change in Posttraumatic Stress Disorder Checklist (PCL-5) Score | Baseline | 17.2 score on a scale | Standard Deviation 13 |
| Waitlist Control | Change in Posttraumatic Stress Disorder Checklist (PCL-5) Score | week 4 | 17.8 score on a scale | Standard Deviation 16.1 |
| Waitlist Control | Change in Posttraumatic Stress Disorder Checklist (PCL-5) Score | 3-month follow-up | 20.1 score on a scale | Standard Deviation 13.4 |
Change in PROMIS Sleep Disturbance Score
The PROMIS Sleep Disturbance Score is a measure of sleep in the past 7 days. This is a computer-adaptive survey scored on a 5 point likert scale with higher scores indicating increased sleep disturbance. For analysis, total scores will be converted to t scores with a mean of 50 and SD of 10. Higher t scores indicate higher levels of sleep disturbances. A t score \>= 45.1 is indicative of significant sleep disturbances (based on a corresponding cutoff of \>= 5 on the Pittsburgh Sleep Quality Index).
Time frame: Baseline, following week 1, week 2, week 3, week 4 of intervention period, and 3 month follow-up
Population: The number analyzed changes over time because not all participants provided complete data for this measure at each timepoint.
| Arm | Measure | Group | Value (MEAN) | Dispersion |
|---|---|---|---|---|
| Healthy Minds Program (HMP) | Change in PROMIS Sleep Disturbance Score | Baseline | 52.0 score on a scale | Standard Deviation 8.12 |
| Healthy Minds Program (HMP) | Change in PROMIS Sleep Disturbance Score | week 1 | 51.3 score on a scale | Standard Deviation 9.05 |
| Healthy Minds Program (HMP) | Change in PROMIS Sleep Disturbance Score | week 2 | 50.6 score on a scale | Standard Deviation 8.27 |
| Healthy Minds Program (HMP) | Change in PROMIS Sleep Disturbance Score | week 3 | 49.8 score on a scale | Standard Deviation 9.33 |
| Healthy Minds Program (HMP) | Change in PROMIS Sleep Disturbance Score | week 4 | 50.1 score on a scale | Standard Deviation 9.1 |
| Healthy Minds Program (HMP) | Change in PROMIS Sleep Disturbance Score | 3-month follow-up | 50.5 score on a scale | Standard Deviation 8.6 |
| Waitlist Control | Change in PROMIS Sleep Disturbance Score | week 4 | 53.3 score on a scale | Standard Deviation 9.95 |
| Waitlist Control | Change in PROMIS Sleep Disturbance Score | Baseline | 54.4 score on a scale | Standard Deviation 9.28 |
| Waitlist Control | Change in PROMIS Sleep Disturbance Score | week 3 | 53.6 score on a scale | Standard Deviation 8.92 |
| Waitlist Control | Change in PROMIS Sleep Disturbance Score | week 1 | 54.0 score on a scale | Standard Deviation 9.24 |
| Waitlist Control | Change in PROMIS Sleep Disturbance Score | 3-month follow-up | 55.1 score on a scale | Standard Deviation 9.84 |
| Waitlist Control | Change in PROMIS Sleep Disturbance Score | week 2 | 52.9 score on a scale | Standard Deviation 9.66 |
Change in Roaming Entropy
Roaming entropy will be calculated according to the formula in Heller et al. (2020). Using continuous GPS location tracking, the measure takes into account distance traveled and distinct locations visited, with a single resulting value reflecting the diversity of movement through one's lived environment (Measured continuously throughout study participation)
Time frame: Exploratory analyses will examine linear and nonlinear trajectories of change from baseline through 3-month follow-up