Clinical trial NCT06746818: Resilience Building Among Older Adults: the Heart Math Based Interventions for Posttraumatic Stress Disorder, Spirituality and Psychosocial Well-being
Official title: Resilience Building Among Older Adults: the Heart Math Based Interventions for Posttraumatic Stress Disorder, Spirituality and Psychosocial Well-being
Study type: INTERVENTIONAL
Overall status: ENROLLING_BY_INVITATION
Phase: NA
Conditions: Posttraumatic Stress Disorder (PTSD)
Keywords: Resilience
older adults
posttraumatic stress disorder
spirituality
psychosocial well-being
Lead sponsor: Mansoura University
Sponsor class: OTHER
First posted: 2024-12-24
Enrollment: 120
Sex: ALL
Minimum age (years): 60
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: no
Allocation: RANDOMIZED
Intervention model: PARALLEL
Intervention model description: The Heart Math Institute has been researching the relationship between the heart, brain, and body and its association to personal well-being and optimal functioning. Based on extensive research, the institute has developed a program that teaches participants the science behind and techniques designed to reduce the negative effects of stress and increase resilience (HeartMath Institute, 2020). The HeartMath intervention was conducted after the researcher successfully completed 13 hours (over two months) training of professional development in "The Resilience Heart TM: Trauma- Sensitive HeartMath Course" from HeartMath Institute.
Primary purpose: PREVENTION

Brief summary: Resilience building among older adults: The Heart Math based interventions for posttraumatic stress disorder, spirituality and psychosocial well-being.

Resilience building among older adults is critically important, especially in the context of mental health challenges such as posttraumatic stress disorder (PTSD). Interventions that promote well-being through innovative methods can significantly enhance the quality of life in this demographic. One such approach is the Heart Math-based intervention, which integrates techniques for emotional regulation, stress reduction, and overall psychosocial well-being.

Understanding Heart Math Interventions The HeartMath training program, developed by the HeartMath Institute, focuses on teaching individuals self-regulation skills that promote heart-brain coherence. This state of coherence has been associated with improved cognitive function, emotional stability, and physical health. By integrating this training into the care of older adults with PTSD, nurses can play a pivotal role in addressing the complex emotional and psychological needs of this population.

. The key components of Heart Math interventions include:

1. Heart Rate Variability (HRV) Training: This involves biofeedback techniques to help individuals learn how to control their heart rate and promote emotional balance.
2. Quick Coherence Technique: Participants are guided through a series of steps to shift their emotional state from stress to calmness, facilitating a sense of peace and emotional clarity.
3. Focus on Positive Emotions: Encouraging individuals to cultivate feelings like gratitude and compassion can enhance resilience and overall mental well-being.
4. Mindfulness Practices: Incorporating mindfulness helps individuals become more aware of their thoughts and feelings, allowing them to respond to stressors more effectively.

Impact on PTSD and Psychosocial Well-Being

For older adults experiencing PTSD, Heart Math interventions can offer several benefits:

* Reduced Anxiety and Stress: By learning techniques to control physiological responses to stress, older adults can experience lower levels of anxiety and an improved ability to manage PTSD symptoms.
* Enhanced Emotional Regulation: These interventions help individuals to better regulate their emotions, reducing instances of emotional dysregulation often seen in PTSD.
* Greater Spiritual Connection: Engaging in practices that promote positive emotions and mindfulness can enhance a sense of spirituality and purpose, which is particularly beneficial in aging populations.
* Improved Social Support: Group-based Heart Math interventions can foster social connections, which play a key role in building resilience among older adults.
* Overall Well-Being: Focusing on emotional health fosters a holistic outlook, improving physical, mental, and spiritual well-being.

Practical Implementation

1. Workshops and Group Sessions: Facilitate group workshops that incorporate Heart Math techniques. This encourages peer support and sharing of experiences.
2. Personal Coaching: Offer one-on-one sessions to guide older adults through Heart Math practices, tailored to their specific needs and trauma experiences.
3. Follow-Up and Support: Establish ongoing support systems, such as regular check-ins or additional resources, to help maintain the benefits gained through the interventions.
4. Integrate into Existing Programs: Consider incorporating these techniques into existing mental health programs targeting older adults, enhancing current offerings with a focus on resilience.

summary Heart Math-based interventions present a promising approach to resilience building among older adults, particularly those dealing with PTSD. By addressing emotional regulation, enhancing spiritual well-being, and fostering psychosocial support, these interventions can lead to significant improvements in quality of life and mental health outcomes. As the population of older adults continues to grow, such innovative approaches will be essential in supporting their mental health and emotional resilience.

Research hypothesis: Older adults with PTSD who participate in HeartMath training program will show a statistically significant increase in resilience, spiritualty, and psychosocial wellbeing compared to those who do not participate in the program Setting: Elderly homes, Damanhour city, Elbehaira Governorate, Egypt. Subject: 120 older adults with PTSD. Tools: The posttraumatic Diagnostic scale, The Connor Davidson Resilience scale-10, Spiritual wellbeing scale, and psychosocial wellbeing questionnaire.


Eligibility criteria: Inclusion Criteria:

- Older adults aged 60 or more for both the control and study groups.

Exclusion Criteria:

* NA

Primary outcomes:
measure: Tool II: The Posttraumatic Diagnostic Scale (The PDS-5)
timeFrame: through study completion, an average of 1 year
Secondary outcomes:
measure: Tool III: The Connor-Davidson Resilience Scale-10-Item
timeFrame: through study completion, an average of 1 year
measure: Tool IV: Spiritual Well-being Scale
timeFrame: through study completion, an average of 1 year
measure: Tool V: Psychosocial Wellbeing Questionnaire
timeFrame: through study completion, an average of 1 year
Other outcomes:
Locations:
city: Mansoura
country: Egypt
facility: Mansoura U
Study officials:
References: