Mind Your Heart-II

Conditions

Mindfulness Training + Enhanced Usual Care — BEHAVIORAL
Participants will receive a 30-minute, individual, phone-delivered session once a week for 8 weeks. MT involves training in the following (1) Awareness of breath; (2) Body scan; (3) Directing attention to simple activities of daily life; (4) Becoming aware of own thoughts and emotions; (5) "Open awareness" - a technique by which the participant is invited to direct his/her attention to any event arising in their field of experience at a given moment. In addition, participants will practice mindfulness techniques for 20 minutes daily on their own with the guidance of a digitally recorded, standardized guided mindfulness practice.
Enhanced Usual Care — OTHER
Usual care will be enhanced in BOTH conditions with printed education materials provided to all participants using publicly available materials (the "Healthier Living with Heart Failure" guide available at the AHA Heart Failure Resource Center).66 The guide is organized in 7 chapters containing information on topics such as understanding HF, making healthy lifestyle changes, managing HF symptoms, taking medications, and living well with HF. Printed materials will be mailed weekly to all participants during the first 8 weeks of the study.

This projects studies the role of mindfulness training (MT) to improve self-care among patients with heart failure and cognitive impairment.

Experimental: Mindful Training + Enhanced Usual Care
Participants will receive a 30-minute, individual, phone-delivered session once a week for 8 weeks.
Other: Enhanced Usual Care alone
Usual care.

Change in average Fluid Cognition Composite score from the NIH Toolbox Fluid Cognition Battery. [ Time Frame: Baseline, 3 months, 9 months ]

Facility	City	State	ZIP	Site coordinators
The Miriam Hospital	Providence	Rhode Island	02906	-

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