Actively Recruiting

Phase Not Applicable
Age: 50Years - 85Years
All Genders
ID07415941

Home-based Mindfulness-based Meditation and Transcutaneous Auricular Vagus Nerve Stimulation for Older Adults With Low Back Pain and Depressive Symptoms

Led by Florida State University · Updated on 2026-03-25

66

Participants Needed

1

Research Sites

N/A

Total Duration

On this page

AI-Summary

What this Trial Is About

Researchers are evaluating the effects of home-based mindfulness-based meditation (MBM) and transcutaneous auricular vagus nerve stimulation (taVNS) on managing pain and depressive symptoms in community-dwelling older adults with chronic low back pain and depressive symptoms. This randomized controlled trial also investigates how these interventions affect the brain-gut axis in this population. Participants are assigned to one of two groups: one group practices MBM daily for 20 minutes, five days a week, over eight weeks. The other group receives a single daily session, five days a week, consisting of 20 minutes of taVNS immediately followed by 20 minutes of MBM, totaling about 40 minutes per session over the same eight-week period. Throughout the study, participants undergo assessments at the start, two weeks, and eight weeks to measure changes in pain intensity, pain interference, depressive symptoms, pain self-efficacy, sensory testing results, pain modulation, co-occurring symptoms, brain responses to pain, and gut microbiota diversity. The study includes questionnaires, quantitative sensory testing, and microbiota analysis to monitor these outcomes and understand the intervention effects.

CONDITIONS

Brief Title

MBM and taVNS for Low Back Pain and Depressive Symptoms

Who Can Participate

Age: 50Years - 85Years
All Genders

Eligibility Criteria

Eligible

You may qualify if you...

  • Aged 50 to 85 years old
  • Intact cognition with Mini-Mental State Exam score of 24 or higher
  • Experiencing moderate low back pain daily or almost every day for at least the past three months (score 3 or higher on numeric rating scale)
  • Elevated depressive symptoms with PHQ-9 score between 5 and 19
  • Able to speak and read English
  • No intent to change pain medication during the trial
Not Eligible

You will not qualify if you...

  • Serious underlying illness such as malignant neoplasms
  • Diagnosis of psychosis
  • Elevated suicide risk with Columbia-Suicide Severity Rating Scale score over 2
  • Functional limitations that prevent meditation practice
  • Prior participation in a meditation program
  • Conditions that prohibit taVNS including cardiovascular disorders, recent ear trauma, or metal implants above the neck
  • No access to the internet

AI-Screening

AI-Powered Screening

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Your Study Journey

Screening

Duration - 2 to 4 weeks

Participants are screened for eligibility to participate in the trial.

1 visit (in-person) for baseline assessments

Treatment

Duration - 8 weeks

Participants receive home-based mindfulness-based meditation (MBM) or transcutaneous auricular vagus nerve stimulation (taVNS) combined with MBM sessions to manage low back pain and depressive symptoms.

Daily sessions, five days per week at home

Follow-up

Duration - Up to 8 weeks post-treatment start

Participants complete assessments of pain, depressive symptoms, and sensory testing at 2 weeks and 8 weeks to evaluate treatment effects.

3 visits (baseline, 2 weeks, and 8 weeks) including assessments

Trial Site Locations

Total: 1 location

1

Florida State University

Tallahassee, Florida, United States, 32306

Actively Recruiting

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Research Team

J

Jie Chen

How is the study designed?

Study Type

INTERVENTIONAL

Masking

NONE

Allocation

RANDOMIZED

Model

PARALLEL

Primary Purpose

SUPPORTIVE_CARE

Number of Arms

2

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