Can mindfulness help with attention and emotion difficulties after a brain injury? People who have a brain injury often have problems with their attention and emotions. This study will see if a short mindfulness task can help with these problems. So far, there are not many studies looking at this and those that do show mixed results. When being mindful someone is aware of their attention and focuses on the present moment without passing judgement. This study focuses on over-selectivity and selective attention to threat after a brain injury. These are two concepts involved in attention and emotion problems. Over-selectivity is when someone focuses on only one thing around them and misses other key things. Selective attention to threat is when someone's focus is drawn to something around them that is seen as threatening. This has been shown to cause and keep anxious feelings going. This research will see if a short mindfulness task can help those with a brain injury by reducing overselectivity and selective attention to threat on two tasks. Participants will be recruited from NHS and non-NHS brain injury services. The study will take around two hours to complete for each participant. In summary, this study looks to see if a specific mindfulness exercise can be helpful for specific attention and emotion problems. It could be a first step in making treatment better and giving more treatment options for those with a brain injury.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Enrollment
46
A 10 minute mindfulness of breath exercise
A 10 minute unfocused attention intervention - participants are asked to let their mind wander on anything that comes to mind.
Cambridge University Hospitals Nhs Foundation Trust
Cambridge, United Kingdom
NOT_YET_RECRUITINGCambridgeshire Community Services Nhs Trust
Cambridge, United Kingdom
RECRUITINGHeadway Cambridgeshire
Cambridge, United Kingdom
NOT_YET_RECRUITINGBrain Injury Rehabilitation Trust
Ely, United Kingdom
NOT_YET_RECRUITINGHeadway Essex
Essex, United Kingdom
RECRUITINGHeadway Norfolk & Waveney
Norfolk, United Kingdom
RECRUITINGNorfolk Community Health and Care Nhs Trust
Norfolk, United Kingdom
RECRUITINGNorthamptonshire Healthcare Nhs Foundation Trust
Northampton, United Kingdom
RECRUITINGPartnerships in Care
Northampton, United Kingdom
NOT_YET_RECRUITINGSt Andrews Healthcare
Northampton, United Kingdom
NOT_YET_RECRUITING...and 2 more locations
Emotional Stroop
This will be a computer task that measures selective attention to threat. In the emotional Stroop, different coloured words are presented to participants and the emotional meaning of the words are manipulated. Participants are instructed to name the colour of the words as quickly as possible, whilst ignoring the meaning of the words. Selective attention to threat will be inferred when word colour-naming takes longer when the meaning of the word is threatening relative to neutral. So, the greater the difference between reaction times to neutral and threatening words, the greater the selective attention to threat.
Time frame: Administered pre- and post- 10-minute intervention, so over a period of one hour
Over-selectivity task.
This will be a computer task that measures over-selectivity. Practice phase - two cards, each with two images appear on the screen. One card is the correct one to select and the other is incorrect. This happens for two sets of two cards (pair 1 and pair 2). Test phase - participants are presented with two single stimuli simultaneously, one from the reinforced compound and one from the verbally punished compound (Figure 4). They are instructed to select one of the pictures on the screen. Over-selectivity will occur if participants fail to learn about one of the stimuli in the previously reinforced compound and therefore fail to select that stimuli they had not learned about in the practice phase. So, the higher the score on the over-selectivity task, the greater the difference between the most and least chosen stimuli, which means that the participant is demonstrating greater over-selectivity.
Time frame: Administered pre- and post- 10-minute intervention, so over a period of one hour
Hospital Anxiety and Depression Scale (HADS)
A self-report measure consisting of 14 items. The measure gives an overall score, as well as separate scores for severity of anxiety and depression subscales.
Time frame: Pre-intervention (baseline measure)
The Five Facet Mindfulness Questionnaire (FFMQ)
This will be used to characterise levels of mindfulness. This is a self-report measure, consisting of 39 items.
Time frame: Pre-intervention (baseline measure)
Test of Everyday Attention (TEA)
Subtests will be used to measure baseline measures of attention. Elevator counting is a measure of sustained attention and elevator counting with distraction is a measure of selective attention.
Time frame: Pre-intervention (baseline measure)
Weschler Test of Adult Reading (WTAR)
This will be used to measure a baseline measure of pre-morbid functioning. Participants read a list of 50 words with irregular pronunciations to assess previous learning of the words.
Time frame: Pre-intervention (baseline measure)
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