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Gastroesophageal Reflux DiseaseNCT07667894

Mindfulness Intervention for Emotional Distress (MIED) in Patients With GERD

A study testing TAU and MIED in people with Gastroesophageal Reflux Disease and Emotional Distress, run by Xinghua Liu at 15 sites in China.

Recruiting

Looking for participants now. Contact the study team or a site below to ask about taking part.

Sites and contacts
Official record
Search all trials

Trial summary

The goal of this multicenter randomized waitlist-controlled clinical trial is to evaluate whether an online Mindfulness-Based Intervention for Emotional Distress (MIED) can reduce emotional distress and reflux-related symptoms in adults with gastroesophageal reflux disease (GERD). Read more about this study

Who is it for?
Ages 18 to 65 years
What is being tested?
TAU and MIED
Could I receive a placebo?
No, everyone receives an active treatment
How many people
500 participants
Where
15 sitesChina
Study dates
29 Jun 2026to 15 May 2028
Phase
Interventional
Are there results?
Not yet: the study is under way

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

  • Participants must meet all of the following criteria:
  • Aged 18 to 65 years.
  • GERD-Q score of 8 or higher.
  • Willingness to maintain a relatively stable usual treatment regimen during the study unless medically indicated changes are required.
  • Ability to use a smartphone, computer, or tablet to participate in the online program and complete online questionnaires.
  • Willingness to comply with course training and follow-up assessments.
  • Ability to understand the study and provide written or electronic informed consent.

Who cannot join

  • Participants meeting any of the following criteria will be excluded:
  • Alarm symptoms or high suspicion of serious organic disease, including but not limited to progressive dysphagia, hematemesis, melena, unexplained weight loss, anemia, recurrent vomiting, or persistent chest pain without exclusion of cardiovascular risk.
  • Current or previous severe esophageal organic disease or gastrointestinal malignancy.
  • History of anti-reflux surgery, partial gastrectomy, or other upper gastrointestinal surgery that may substantially affect reflux symptom assessment.
  • GERD-Q score greater than 15, or symptoms judged by the study physician to be extremely severe and requiring priority medical evaluation or intensified treatment.
  • Current uncontrolled severe mental disorder, such as schizophrenia, manic episode of bipolar disorder, acute severe depressive episode, or severe substance use disorder.
  • Current suicide risk, operationalized as a score greater than 1 on item 9 of the PHQ-9.
  • Previous systematic participation in MIED, mindfulness-based stress reduction, mindfulness-based cognitive therapy, or another structured mindfulness program.

Trial locations and contacts

15 sites in 1 country. Contact the study team or a site near you to ask about taking part.

Yinan Zhang, PHD Candidate contact

8615823339524

yinanzhang25@stu.pku.edu.cn

15 sites in 1 country

China15 sites, 15 recruiting
  • Baiyin Central Hospital

    Baiyin, Gansu, 730913

    Junhong Yang, MBBS, 86+13893031337, 13893031337@139.com

    Recruiting
  • Being Haidian Hospital

    Beijing, Beijing Municipality, 100080

    Yuqing Huang, MMed, 86+13371735630, huangyuqing555@qq.com

    Recruiting
  • PLA Rocket Force Characteristic Medical Center

    Beijing, Beijing Municipality, 100088

    Jimin Wu, MMed, 86+13691300588, 18810647108@163.com

    Recruiting
  • Peking University

    Beijing, Beijing Municipality, 100871

    Recruiting
  • Changzhi People'S Hospital

    Changzhi, Shanxi, 046000

    Caiwen Yan, MBBS, 86+13994613311, yancw401@sina.com

    Not yet recruiting
  • Affiliated Houspital of Chifeng University

    Chifeng, Inner Mongolia, 024000

    Yilei Zhang, MMed, 86+18648117300, zhangyl1213@sina.com

    Recruiting
  • the first affiliated hospital of GuiZhou medical university

    Guiyang, Guizhou, 550004

    Jie Yang, PhD, 86+18984812272, 458571933@qq.com

    Not yet recruiting
  • Xilingol League Mongolian Medicine Hospital

    Hohhot, Inner Mongolia, 026000

    Yinghai Yang, MBBS, 86+13947955766, yyh0479@163.com

    Recruiting
  • Shandong Second Provincial General Hospital

    Jinan, Shandong, 250022

    Zhi Wei, PhD, 86+18753110926, chenjixindyx@126.com

    Recruiting
  • the Second People's Hospital of Liaocheng

    Liaocheng, Shandong, 252600

    Shuliang Li, PhD, 86+15163550161, lishuliang110@163.com

    Recruiting
  • The First Affiliated Hospital of Nanjing Medical University

    Nanjing, Jiangsu, 210029

    Liuqin Jiang, PhD, 86+13951017379, jiangliuqin@163.com

    Recruiting
  • Shanghai sixth people's hospital

    Shanghai, Shanghai Municipality, 200233

    Yang Xia, PhD, 86+18930172923, xiayang9999@sina.cn

    Recruiting
  • Peking University Shenzhen Hospital

    Shenzhen, Guangdong, 518036

    Junping Wang, PhD, 86+13510076860, wjp2006sz@aliyun.com

    Recruiting
  • Center Hospital Qinghe County

    Xingtai, Hebei, 054899

    Ruijia Niu, 86+13932929522, niuruijia@yeah.net

    Recruiting
  • Xinle City Hospital

    Xinle, Hebei, 050700

    Lin Wang, MBBS, 86+18931197177, 1261980387@qq.com

    Recruiting

Other trials in China

About this study

Official title: Effects of an Online Mindfulness-Based Emotion Intervention on Symptoms and Emotional Distress in Patients With Gastroesophageal Reflux Disease: A Multicenter Randomized Waitlist-Controlled Trial

The goal of this multicenter randomized waitlist-controlled clinical trial is to evaluate whether an online Mindfulness-Based Intervention for Emotional Distress (MIED) can reduce emotional distress and reflux-related symptoms in adults with gastroesophageal reflux disease (GERD). GERD is a common chronic gastrointestinal condition that is frequently accompanied by anxiety, depressive symptoms, stress, and impaired quality of life.

The main questions this study aims to answer are:

Read more

Can online MIED reduce emotional distress in patients with GERD?

Can online MIED reduce reflux-related symptoms and improve reflux-related quality of life?

Are changes in psychological processes, such as distress tolerance, cognitive flexibility, experiential avoidance, emotional behaviors, and life engagement, associated with improvements in emotional distress and reflux symptoms?

Researchers will compare participants receiving online MIED with participants in a waitlist control group receiving usual medical care and health management to determine whether online MIED leads to greater improvement over time.

Participants will:

complete screening and baseline assessments;

be randomly assigned to either the online MIED intervention group or the waitlist control group;

if assigned to the intervention group, complete an 8-week online MIED program with one session per week;

continue necessary usual medical care during the study, while keeping medication use stable when possible;

complete online questionnaires at baseline, during the intervention, after the intervention, and at 3, 6, 12, and 24 months after the intervention;

report information on reflux symptoms, emotional distress, quality of life, sleep, stress, resilience, life satisfaction, healthcare use, intervention adherence, and adverse events.

Being tested
TAU, MIED
Keywords
Emotional Distress, Gastroesophageal Reflux Disease, Mindfulness Intervention for Emotional Distress
Medical subject headings
Gastroesophageal Reflux

What participants receive

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

  • TAUOther

    Participants will continue usual GERD treatment and health management during the 49-day observation period. They will not receive MIED, mindfulness training, or other structured psychological interventions during this period. Usual care may include medication, lifestyle advice, and necessary follow-up as determined by clinicians. The waitlist control group will complete assessments at the same time points as the MIED group. After the 2-year follow-up, participants in the waitlist control group who wish to receive the program will be offered the same MIED course.

  • MIEDOther

    The intervention is delivered via the internet and is grounded in the psychopathological diamond model of emotional distress proposed by Liu and colleagues. The program is supported by a MIED knowledge base, the Mindfulness Study public account, supervision and question-answer records, and official materials from Liu Xinghua and the MIED team. These resources are integrated into a WeChat self-help mini-program and the MIED Mindfulness Assistant, an artificial intelligence-supported system developed using large language models such as Tencent Hunyuan and DeepSeek R1. Together, these tools support participants' learning and practice over a continuous 49-day training period.

Study groups in NCT07667894
Study groupRoleWhat they receive
MIEDExperimentalThe intervention is delivered via the internet and is grounded in the psychopathological diamond model of emotional distress proposed by Liu and colleagues. The program is supported by a MIED knowledge base, the Mindfulness Study public account, supervision and question-answer records, and official materials from Liu Xinghua and the MIED team. These resources are integrated into a WeChat self-help mini-program and the MIED Mindfulness Assistant, an artificial intelligence-supported system developed using large language models such as Tencent Hunyuan and DeepSeek R1. Together, these tools support participants' learning and practice over a continuous 49-day training period.
Receives: Other: TAU; Other: MIED
WLActive comparatorParticipants in the waitlist control group will continue usual GERD treatment and health management during the 49-day observation period. They will not receive MIED, mindfulness training, or other structured psychological interventions during this period. Usual care may include medication, lifestyle advice, and necessary follow-up as determined by clinicians. The waitlist control group will complete assessments at the same time points as the MIED group. After the 2-year follow-up, participants in the waitlist control group who wish to receive the program will be offered the same MIED course.
Receives: Other: TAU

What is being measured

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

  1. GERD-HRQL

    The GERD-HRQL is a self-report questionnaire used to assess the impact of gastroesophageal reflux symptoms on health-related quality of life. It evaluates symptom burden and the degree to which reflux symptoms affect daily functioning. Higher scores indicate poorer reflux-related quality of life.

    Measured: Baseline (T0); Week 3 (T1) and Week 5 (T2) during the intervention; immediately post-intervention at Week 8 (T3); and 3 months (T4), 6 months (T5), 12 months (T6), and 24 months (T7) post-intervention.

Secondary outcomes (8)
  1. Overall Anxiety Severity and Impairment Scale (OASIS)

    The OASIS is a 5-item self-report measure designed to assess the frequency and severity of anxiety symptoms, as well as the extent of anxiety-related functional impairment and avoidance, over the past week. Each item is rated on a 5-point scale from 0 to 4, with total scores ranging from 0 to 20. Higher scores indicate greater overall anxiety severity and impairment. The OASIS has demonstrated good reliability and validity in both clinical and nonclinical samples (Norman et al., 2006).

    Measured: Baseline (T0); Week 3 (T1) and Week 5 (T2) during the intervention; immediately post-intervention at Week 8 (T3); and 3 months (T4), 6 months (T5), 12 months (T6), and 24 months (T7) post-intervention.

  2. Overall Depression Severity and Impairment Scale (ODSIS)

    The ODSIS is a 5-item self-report measure designed to assess the frequency and severity of depressive symptoms, as well as depression-related functional impairment and avoidance, over the past week. Each item is rated on a 5-point scale from 0 to 4, with total scores ranging from 0 to 20. Higher scores indicate greater overall depression severity and impairment. The ODSIS has demonstrated good reliability and validity in both clinical and nonclinical samples (Bentley et al., 2014).

    Measured: Baseline (T0); Week 3 (T1) and Week 5 (T2) during the intervention; immediately post-intervention at Week 8 (T3); and 3 months (T4), 6 months (T5), 12 months (T6), and 24 months (T7) post-intervention.

  3. Gastroesophageal Reflux Disease Questionnaire (GERD-Q)

    The GERD-Q is a 6-item self-report questionnaire used to assess the frequency and severity of gastroesophageal reflux symptoms and to monitor treatment response. Total scores range from 0 to 18, with higher scores indicating more severe reflux-related symptoms.

    Measured: Baseline (T0); Week 3 (T1) and Week 5 (T2) during the intervention; immediately post-intervention at Week 8 (T3); and 3 months (T4), 6 months (T5), 12 months (T6), and 24 months (T7) post-intervention.

  4. Reflux Symptom Index (RSI)

    The RSI is a 9-item self-report questionnaire used to assess symptoms related to laryngopharyngeal reflux, including chronic cough, hoarseness, throat clearing, and globus sensation. Total scores range from 0 to 45, with higher scores indicating more severe reflux-related throat symptoms.

    Measured: Baseline (T0); Week 3 (T1) and Week 5 (T2) during the intervention; immediately post-intervention at Week 8 (T3); and 3 months (T4), 6 months (T5), 12 months (T6), and 24 months (T7) post-intervention.

  5. Generalized Anxiety Disorder-7 (GAD-7)

    The GAD-7 is a 7-item self-report questionnaire used to assess the severity of anxiety symptoms over the past 2 weeks. Each item is rated on a 4-point scale from 0 ("not at all") to 3 ("nearly every day"), with total scores ranging from 0 to 21. Higher scores indicate greater anxiety severity. The GAD-7 has demonstrated good reliability and validity in both clinical and general populations (Spitzer et al., 2006).

    Measured: Baseline (T0); Week 3 (T1) and Week 5 (T2) during the intervention; immediately post-intervention at Week 8 (T3); and 3 months (T4), 6 months (T5), 12 months (T6), and 24 months (T7) post-intervention.

  6. Patient Health Questionnaire-9 (PHQ-9)

    The PHQ-9 is a 9-item self-report questionnaire used to assess the severity of depressive symptoms over the past 2 weeks. Each item is rated on a 4-point scale from 0 ("not at all") to 3 ("nearly every day"), with total scores ranging from 0 to 27. Higher scores indicate greater depression severity. The PHQ-9 has demonstrated good reliability and validity in both clinical and general populations (Kroenke et al., 2001).

    Measured: Baseline (T0); Week 3 (T1) and Week 5 (T2) during the intervention; immediately post-intervention at Week 8 (T3); and 3 months (T4), 6 months (T5), 12 months (T6), and 24 months (T7) post-intervention.

  7. Treatment Inventory of Costs in Patients with Psychiatric Disorders (TIC-P)

    TIC-P is a widely used health economic instrument in mental health research for assessing psychiatric healthcare use and societal costs, including service utilization, medication use, and productivity losses (Bouwmans et al., 2013). In this study, TIC-P will be used to record healthcare resource consumption during the trial, including outpatient visits, medication costs, and other healthcare-related expenditures. To capture healthcare utilization more comprehensively, a self-developed healthcare utilization questionnaire will also be administered.

    Measured: Baseline (T0); immediately post-intervention at Week 8 (T3); and 3 months (T4), 6 months (T5), 12 months (T6), and 24 months (T7) post-intervention.

  8. EuroQol 5-Dimension 5-Level (EQ-5D-5L)

    This is one of the most widely used instruments in health economic evaluation for measuring health-related quality of life and includes five dimensions: mobility, self-care, usual activities, pain/discomfort, and anxiety/depression, each with five response levels (Devlin \& Brooks, 2017; Herdman et al., 2011). The health utility values derived from EQ-5D-5L will be used to calculate Quality-Adjusted Life Years (QALYs) for cost-utility analysis (Drummond et al., 2015; Group, 1990).

    Measured: Baseline (T0); Week 3 (T1) and Week 5 (T2) during the intervention; immediately post-intervention at Week 8 (T3); and 3 months (T4), 6 months (T5), 12 months (T6), and 24 months (T7) post-intervention.

Timeline

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

  1. First posted25 Jun 2026
  2. Study start29 Jun 2026
  3. Primary completion15 May 2028 (estimated)
  4. Study completion15 May 2028 (estimated)

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
Masking
Double blind
Who is masked
Investigator, Outcomes assessor
Enrolment
500 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT07667894
Sponsor's protocol ID
E20260611
Status last verified
Oct 2026
First submitted
16 Jun 2026
Last updated
7 Oct 2026
Results posted
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
Yes: Deidentified individual participant data (IPD) underlying the results reported in the main publication will be available upon reasonable request after publication of the primary trial results. The shared data will include deidentified participant-level data used in the primary and secondary analyses, including baseline characteristics, group allocation, outcome measures, follow-up assessments, adherence indicators, and safety outcomes. Directly or indirectly identifiable information will not be shared. Access will be provided to qualified researchers with a methodologically sound proposal, subject to approval by the principal investigator and relevant ethics requirements, and after completion of a data use agreement.

Questions about this trial

What is this clinical trial studying?

A study testing TAU and MIED in people with Gastroesophageal Reflux Disease and Emotional Distress, run by Xinghua Liu at 15 sites in China.

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 7 inclusion and 8 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: looking for participants now, as of the sponsor's last update on 7 Oct 2026. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 15 sites in China. 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?

This study is still under way. Results are not available in the source record yet.

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

Contact Yinan Zhang, PHD Candidate (8615823339524, yinanzhang25@stu.pku.edu.cn), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

GERD-HRQL (time frame: Baseline (T0); Week 3 (T1) and Week 5 (T2) during the intervention; immediately post-intervention at Week 8 (T3); and 3 months (T4), 6 months (T5), 12 months (T6), and 24 months (T7) post-intervention.). 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 7 Oct 2026.

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