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DepressionBeWellNCT05183867

Behavior, Biology and Well-Being Study

A study testing Healthy Minds Program in people with Depression and Psychological Distress, run by University of Wisconsin, Madison at 1 site in United States.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

The central aim of this study is to test the efficacy of the Healthy Minds Program (HMP) app, an intervention designed to promote well-being. The investigators plan to conduct a randomized controlled trial (RCT) involving 1100 participants comparing 4-weeks of the HMP app with an active control (Psychoeducation [HMP… Read more about this study

Who is it for?
Ages 18 to 65 years
Conditions the study is for
Depression, Psychological Distress
What is being tested?
Healthy Minds Program
Type of treatment
Medical device
Could I receive a placebo?
No, everyone receives an active treatment
How many people
1,157 participants
Where
1 siteUnited States
Study dates
1 Jun 2022to 15 Jul 2024
Phase
Interventional
Are there results?
Yes, posted in the registrySummary in the doctors' view

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 to 65 years
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Elevated PHQ-8 or PHQ-9 ≥ 5 at screening
  • Proficient in English
  • Able to provide informed consent
  • Have access to a smartphone that can download apps from Google Play or the Apple App Store
  • For payment purposes, must be a US citizen or a permanent US resident

Who cannot join

  • Regular daily meditation practice for past 6 months or regular weekly meditation practice for past 12 months
  • Attended a meditation retreat or a yoga/body practice retreat with a significant meditation component
  • Previous use of Healthy Minds Program app
  • Current suicidal intent and/or high self-injury risk (determined from the interview)
  • Self-reported history of psychosis
  • Self-reported history of mania
Show all 10Show fewer
  • Current psychopathology that interferes with study participation as assessed by interview
  • Living or traveling outside the US during the whole study participation period (trips outside US after the interview phase is not an exclusion)
  • Alcohol Use Disorders Identification Test (AUDIT) score ≥ 13 for women and AUDIT score ≥ 15 for men
  • Drug Use Disorders Identification Test (DUDIT) score ≥ 8 for women and men

Trial locations and contacts

1 site in 1 country.

United States1 site
  • University of Wisconsin

    Madison, Wisconsin, 53703

Other trials in United States

About this study

Official title: Comparing the Healthy Minds Program With an Active Control and Waitlist Control in Depression

The central aim of this study is to test the efficacy of the Healthy Minds Program (HMP) app, an intervention designed to promote well-being. The investigators plan to conduct a randomized controlled trial (RCT) involving 1100 participants comparing 4-weeks of the HMP app with an active control (Psychoeducation [HMP without meditation practice]), and a waitlist control in a sample of United States adults with elevated depression symptoms.

Read the detailed description

Depression is highly prevalent and associated with extreme personal and societal costs. Meditation training reduces depression symptoms and psychological distress, but access to in-person programs is limited due to associated cost and lack of available services. Research on neurocognitive and biological mechanisms of meditation training in alleviating depression is at a preliminary stage, and an obstacle limiting research progress is over-reliance on retrospective self-report measures, which are vulnerable to a host of biases. This project will use gold-standard behavioral measures and explore novel measures of relevant neurocognitive and behavioral processes, namely pattern separation, self-referential thought, and video-based assessment of emotional well-being. Furthermore, the project will investigate effects on the gut microbiome (with fecal samples) and inflammation (with dried blood spots), which reflect biological systems hypothesized to be mechanistically related to benefits of meditation and well-being training.

Being tested
Healthy Minds Program
Medical subject headings
Depression

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Healthy Minds ProgramDevice

    Also called HMP

    HMP is a 4-week mobile health (mHealth) meditation training program.

Study groups in NCT05183867
Study groupRoleWhat they receive
Healthy Minds Program (HMP) appExperimentalParticipants will receive access to the 4-week 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.
Receives: Device: Healthy Minds Program
Psychoeducation appActive comparatorParticipants will receive access to the 4-week HMP Foundations module with guided meditation practices removed. The active control will include only the didactic content included in HMP without the guided meditation practices.
Receives: Device: Healthy Minds Program
Usual CareNo interventionParticipants will receive access to HMP at the end of the study and will be encouraged to continue with their usual care.

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Depression Symptoms Measured by Patient Health Questionnaire - 8 (PHQ-8) Score

    The PHQ-8 is an 8-item questionnaire where participants report how often in the past 2 weeks they were bothered by specific problems. It is scored on a 4-point Likert scale where 0 = not at all to 3 = nearly every day. The total possible range of scores is 0-24 where higher scores indicate more depressive symptoms.

    Measured: Baseline, week 1, week 2, week 3, week 4 (of intervention period), and 3 month follow-up

Secondary outcomes (22)
  1. Anxiety Symptoms Measured by Generalized Anxiety Disorder - 7 (GAD-7) Score

    The GAD-7 is a 7-item questionnaire where participants report how often in the past 2 weeks they were bothered by specific problems. It is scored on a 4-point Likert scale where 0 = not at all to 3 = nearly every day. The total possible range of scores is 0-21 where higher scores indicate more anxious symptoms.

    Measured: Baseline, week 1, week 2, week 3, week 4 (of intervention period), and 3 month follow-up

  2. Sleep Disturbance Measured by Patient-Reported Outcomes Measurement Information System (PROMIS) Sleep Disturbance Score

    The PROMIS Sleep Disturbance scale is a computer-adaptive measure where participants report how often in the past 7 days they had various sleep-related experiences (e.g., "my sleep was restful"). It is scored on a 5-point Likert scale where 1 = not at all to 5 = very much. It provides total scores as T-scores (mean = 50, standard deviation (SD) = 10) where higher scores indicate more sleep disturbance.

    Measured: Baseline, week 1, week 2, week 3, week 4 (of intervention period), and 3 month follow-up

  3. Flourishing Measured by the Flourishing Index Score

    The Flourishing Index is a 10-item questionnaire where participants report their general level of flourishing (e.g., well-being, health, etc.). It is scored on a 0 to 10-point scale, with anchors varying across items. The total score ranges from 0 to 100 with higher scores indicating higher flourishing.

    Measured: Baseline, week 1, week 2, week 3, week 4 (of intervention period), and 3 month follow-up

  4. Awareness Measured by Five Facet Mindfulness Questionnaire Acting With Awareness Subscale Score

    The Five Facet Mindfulness Questionnaire Acting with Awareness Subscale is a 8-item subscale where participants report on their general ability to focus. It is scored on a 5-point Likert scale where 1 = never or very rarely true to 5 = very often or always true. The total possible range of scores is 8-40 where higher scores indicate a greater ability to focus.

    Measured: Baseline, week 1, week 2, week 3, week 4 (of intervention period), and 3 month follow-up

  5. Connection Measured by NIH Toolbox Loneliness Score

    The NIH Toolbox Loneliness is a 5-item questionnaire where participants report how often in the past week they have felt loneliness. It is scored on a 5-point Likert scale where 1 = never to 5 = always. The total possible range of scores is 5-25 where higher scores indicate a greater sense of loneliness.

    Measured: Baseline, week 1, week 2, week 3, week 4 (of intervention period), and 3 month follow-up

  6. Decentering Measured by Decentering Subscale of Experiencing Questionnaire Scale Score

    The Decentering subscale of the Experience Questionnaire is an 11-item questionnaire where participants report on their ability to decenter from their experience. It is scored on a 5-point Likert scale where 1 = never to 5 = all the time. The total possible range of scores is 11-55 where higher scores indicate a greater ability to decenter from experience.

    Measured: Baseline, week 1, week 2, week 3, week 4 (of intervention period), and 3 month follow-up

  7. Meaning in Life Measured by NIH Toolbox Meaning and Purpose Score

    The PROMIS / NIH Toolbox Meaning and Purpose is a computer-adaptive measure where participants report how much meaning and purpose they experience in life (e.g., "I understand my life's meaning"). It is scored on a 5-point Likert scale where 1 = strongly disagree to 5 = strongly agree. It provides total scores as T-scores (mean = 50, SD = 10) where higher scores indicate more meaning and purpose in life.

    Measured: Baseline, week 1, week 2, week 3, week 4 (of intervention period), and 3 month follow-up

  8. Pain Intensity Measured by PROMIS Pain Intensity Score

    The single-item PROMIS Pain Intensity scale is a 1-item scale where participants report on their pain intensity in the past 7 days. It is scored on an 11-point Likert-scale where 0 = no pain and 10 = worst pain imaginable. Scores range from 0 to 10, with higher scores indicating higher pain intensity

    Measured: Baseline, week 4 (of intervention period), and 3 month follow-up

  9. Pain Interference Measured by PROMIS Pain Inference Scale Score

    The PROMIS Pain Interference scale is a computer-adaptive measure where participants report how often in the past 7 days they had pain-related interference in their life (e.g., "how much did pain interfere with your enjoyment of life"). It is scored on a 5-point Likert scale where 1 = not at all to 5 = very much. It provides total scores as T-scores (mean = 50, SD = 10) where higher scores indicate more pain interference.

    Measured: Baseline, week 4 (of intervention period), and 3 month follow-up

  10. Nonjudgment Measured by Five Facet Mindfulness Questionnaire Nonjudgment Subscale Score

    The Five Facet Mindfulness Questionnaire Nonjudgment Subscale is a 8-item subscale where participants report on their nonjudgment of experience in daily life. It is scored on a 5-point Likert scale where 1 = never or very rarely true to 5 = very often or always true. The total possible range of scores is 8-40 where higher scores indicate a greater nonjudgment of experience.

    Measured: Baseline, week 1, week 2, week 3, week 4 (of intervention period), and 3 month follow-up

  11. Climate Change Anxiety Scale

    The Climate Change Anxiety Scale is a 13-item scale where participants report their anxiety regarding climate change (e.g., "I have nightmares about climate change"). It is scored on a 5-point Likert scale where 1 = "never" to 5 = "almost always." Total scores range from 13 to 65 where higher scores indicate greater climate change anxiety.

    Measured: Baseline, week 4, and 3 month follow up

  12. Wellbeing Growth Mindset

    The Wellbeing Growth Mindset scale is a 3-item scale where participants report whether they believe wellbeing is malleable (e.g., "Your well-being is something about you that you can't change very much."). It is scored on a 6-point Likert scale where 1 = "strongly disagree" to 6 = "strongly agree." Total scores range from 3 to 18 where higher scores indicate greater wellbeing growth mindset.

    Measured: Baseline, week 4, and 3 month follow up

  13. Healthy Minds Index (HM Index) - Awareness

    The HM Index is a 17-item questionnaire assessing qualities trained in the HMP app (awareness, connection, insight, purpose). It is scored on a 0- to 4-point Likert scale where 0 = a low amount (e.g., never, not at all, none of the time) and 4 = a higher amount (e.g., always, to the highest degree, all of the time) of a particular quality. Total scores for the Awareness subscale is 0 to 16 where higher scores indicate more awareness.

    Measured: Baseline, week 4, and 3 month follow up

  14. Healthy Minds Index (HM Index) - Connection

    The HM Index is a 17-item questionnaire assessing qualities trained in the HMP app (awareness, connection, insight, purpose). It is scored on a 0- to 4-point Likert scale where 0 = a low amount (e.g., never, not at all, none of the time) and 4 = a higher amount (e.g., always, to the highest degree, all of the time) of a particular quality. Total scores for the Connection subscale range from 0 to 24, where higher scores indicate more connection.

    Measured: Baseline, week 4, and 3 month follow up

  15. Healthy Minds Index (HM Index) - Insight

    The HM Index is a 17-item questionnaire assessing qualities trained in the HMP app (awareness, connection, insight, purpose). It is scored on a 0- to 4-point Likert scale where 0 = a low amount (e.g., never, not at all, none of the time) and 4 = a higher amount (e.g., always, to the highest degree, all of the time) of a particular quality. Total scores for the Insight subscale range from 0 to 12, where higher scores indicate more insight.

    Measured: Baseline, week 4, and 3 month follow up

  16. Healthy Minds Index (HM Index) - Purpose

    The HM Index is a 17-item questionnaire assessing qualities trained in the HMP app (awareness, connection, insight, purpose). It is scored on a 0- to 4-point Likert scale where 0 = a low amount (e.g., never, not at all, none of the time) and 4 = a higher amount (e.g., always, to the highest degree, all of the time) of a particular quality. Total scores for the Purpose subscale range from 0 to 16, where higher scores indicate more purpose.

    Measured: Baseline, week 4, and 3 month follow up

  17. Life Orientation Test - Revised

    The Life Orientation Test - Revised is a 6-item scale where participants report their level of optimism (e.g., "In uncertain times, I usually expect the best"). It is scored on a 5-point Likert scale where 0 = "strongly disagree" to 4 = "strongly agree." Total scores range from 0 to 24 where higher scores indicate greater optimism.

    Measured: Baseline, week 4, and 3 month follow up

  18. Perceived Stress Scale

    The Perceived Stress Scale is a 10-item scale where participants report their level of perceived stress (e.g., "In the last month, how often have you felt nervous and 'stressed'?"). It is scored on a 5-point Likert scale where 0 = "never" to 4 = "very often." Total scores range from 0 to 40 where higher scores indicate greater perceived stress.

    Measured: Baseline, week 4, and 3 month follow up

  19. Perseverative Thinking Questionnaire

    The Perseverative Thinking Questionnaire is a 15-item scale where participants report their level of repetitive negative thinking (e.g., "My thoughts repeat themselves"). It is scored on a 5-point Likert scale where 0 = "never" to 4 = "almost always." Total scores range from 0 to 60 where higher scores indicate greater perseverative thinking.

    Measured: Baseline, week 4, and 3 month follow up

  20. Satisfaction With Life Scale

    The Satisfaction with Life Scale is a 5-item scale where participants report their level of satisfaction with life (e.g., "In most ways my life is close to ideal"). It is scored on a 7-point Likert scale where 1 = "strongly disagree" to 7 = "strongly agree." Total scores range from 5 to 35 where higher scores indicate greater satisfaction with life.

    Measured: Baseline, week 4, and 3 month follow up

  21. Subjective Happiness Scale

    The Subjective Happiness Scale is a 4-item scale where participants report their level of subjective happiness (e.g., "In general, I consider myself [not a very happy person, a very happy person]"). It is scored on a 7-point Likert scale where 1 = less happy to 7 = more happy. Total scores range from 4 to 28 where higher scores indicate greater subjective happiness.

    Measured: Baseline, week 4, and 3 month follow up

  22. Problematic and Risky Internet Use Screening Scale (PRIUSS-3)

    The PRIUSS-3 is a 3-item scale where participants report their level of problematic internet use. It is scored on a 4-point Likert scale where 0 = never to 4 = very often. Total scores range from 0 to 12, where higher scores indicate more problematic internet use.

    Measured: Baseline, week 4, and 3 month follow up

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted11 Jan 2022
  2. Study start1 Jun 2022
  3. Primary completion15 Jul 2024
  4. Study completion15 Jul 2024

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase N/A
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Model description
The groups will be randomized to one of three groups in a 2:2:1 ratio.
Masking
Double blind
Who is masked
Participant, Outcomes assessor
Enrolment
1,157 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT05183867
Sponsor's protocol ID
2021-0991
Other IDs
Protocol Version 6/29/2023, A487400, 1U24AT011289-01
Acronym
BeWell
Status last verified
Aug 2026
First submitted
21 Dec 2021
Last updated
21 Sep 2026
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No

Questions about this trial

What is this clinical trial studying?

A study testing Healthy Minds Program in people with Depression and Psychological Distress, run by University of Wisconsin, Madison at 1 site in United States.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 5 inclusion and 10 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 21 Sep 2026. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in United States. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

Yes. Results are posted in the registry (first posted 1 Aug 2025). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Depression Symptoms Measured by Patient Health Questionnaire - 8 (PHQ-8) Score (time frame: Baseline, week 1, week 2, week 3, week 4 (of intervention period), and 3 month follow-up). It is what the study was designed to measure, not a finding.

Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 21 Sep 2026.

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Behavior, Biology and Well-Being Study (NCT05183867) | AzTrials