Transforming Adolescent Perception and Mental Health Through Meditation and Cognitive Reappraisal A Mixed Method Study (THRIVE)

Beth Israel Lahey Health

Status

Not yet enrolling

Conditions

Meditation

Emotional Regulation

Cognitive Reappraisal

Treatments

Behavioral: Inner Engineering Program

Study type

Interventional

Funder types

Other

Identifiers

NCT07173608

2025P000560

Details and patient eligibility

About

This study will evaluate how a comprehensive meditation-based program, Inner Engineering, supports teens ages 15-18 in becoming more joyful, focused, resilient, and better equipped to manage stress and thrive. Through this study, researchers will examine whether practices like meditation, yoga, and cognitive reframing can help adolescents view and respond to challenges with greater clarity and balance. The study will assess mental and physical impacts through self-report, physiological, and neuroimaging methods.

Full description

Adolescence is a critical developmental period marked by heightened vulnerability to mental health challenges and increased neuroplasticity, making it an ideal window for preventive interventions. This mixed-method randomized controlled trial (RCT) evaluates the efficacy of a secular, multimodal contemplative program-Inner Engineering-in enhancing psychological wellbeing, cognitive flexibility, and physiological balance among adolescents aged 15-18. Participants (N=96) will be randomized to either the intervention or a meditation-naïve control group.

The intervention training integrates cognitive reappraisal, breath-based meditation, and yoga-based postures, followed by daily practice. Assessments will occur at baseline, 6 weeks, and 12 weeks, and will include self-report questionnaires, behavioral tasks, EEG, fMRI, wearable physiological monitoring (including heartrate, sleep, respiration), and blood-based biomarkers of inflammation and neuroplasticity. Qualitative interviews will provide additional insight into the lived experiences of intervention participants.

The intervention aims to enabling more adaptive, inclusive, and empowered ways of perceiving external situations and internal states.

This is the first comprehensive RCT to investigate the multidimensional impact of an integrated contemplative program on the developing adolescent mental health, physiological and neural outcomes and perception . Findings may support scalable, evidence-based contemplative education tools to promote clarity, resilience, and expanded perception in youth.

Enrollment

96 estimated patients

Sex

All

Ages

15 to 18 years old

Volunteers

Accepts Healthy Volunteers

Inclusion criteria

Individuals between15-18 years of age
Ability to understand study instructions and provide informed consent/assent. (parental consent for minors)
Access to internet and a device to complete online study activities
Currently residing in the United States
Willing and able to travel to the hospital location in Boston for study procedures.

Exclusion criteria

Non-English speaking (Justification: the intervention and assessment instruments are not validated in a sufficient range of languages, and the research team lacks polylingual capabilities or the financial resources to hire interpreters for the duration of all proposed assessments.)
Practicing meditation regularly in the past 6 months (4 or more times per week for 4 weeks or more in the past 6 months)
History of psychiatric illness such as severe anxiety, severe depression, posttraumatic stress disorder (PTSD), Schizophrenia or bipolar disorder
Current use of cognition enhancing drugs
Current management for chronic pain
History (within past 5 years) of seizure, brain surgery or any condition causing cognitive decline.
Active history (within the last 5 years) of alcohol or drug abuse.
Current pregnancy or planning to become pregnant in the next 6 months
Currently enrolled in another interventional study that could impact the primary outcome, as determined by the PI
Significant visual impairment
Subject has previously learned the intervention.
Subject has contraindications for MRI (Detailed in the eligibility screening questions)