About this trial
Older adults with serious illness and their caregivers have high rates of anxiety and limited access to effective, non-pharmacological treatments. A recent National Academy of Medicine report recommended increased emphasis on disseminating and implementing evidence-based psychotherapies in order to have maximal public health impact. Through this work, I will identify a sustainable and potentially scalable dyadic intervention and delivery model to manage symptoms of anxiety in older adults with serious illness and their caregivers in primary care.
Eligibility criteria
Qualifiers
adults 60+
Diagnosis of or caregiver for individual with serious illnesses (e.g., ESRD, Cancer, CHF, COPD, Liver Disease)
Hads-A > 8 for patient or caregiver
Blessed<6
Disqualifiers
experience with mindfulness therapy in last 2 years
not fluent in English
vision or hearing that impairs use of mobile device
cognitive impairment more than 6 on Blessed.
Trial design
Treatments tested in this trial
- Mindfulness Coach
- Active Comparator