This subproject is one of many research subprojects utilizing the resources provided by a Center grant funded by NIH/NCRR. The subproject and investigator (PI) may have received primary funding from another NIH source, and thus could be represented in other CRISP entries. The institution listed is for the Center, which is not necessarily the institution for the investigator. The purpose of this study is to look at the effect of a spiritual healing modality known as Medicine for the Earth (MFTE) on depression, anxiety, stress, quality of life and well being as well as on cardiovascular health, of patients who are recovering from unstable angina or a heart attack. The impact of MFTE will be investigated in a sample of men and women of any racial/ethnic group who have had unstable angina or a heart attack within the last 6 to18 months. 75-90 participants will be randomized to one of the three study groups: MFTE, Lifestyle Change Program (LCP) and usual medical care. Each group will be composed of 25 to 30 individuals. The MFTE group will learn ancient spiritual practices using meditation, guided imagery, journal writing, drawing and outdoor activities to help them to reconnect with the spirit of nature to improve their health. The LCP group will learn the importance of nutrition, physical exercise, stress management, and group support to their health. They will be also learn and practice meditation, yoga and physical exercise appropriate for their health condition. The control group will be composed of individuals who will continue to receive only their usual medical treatment. All three groups will fill out survey questionnaires and have blood drawn at baseline, and at three and six months after the intervention is completed. Statistical analysis methods (using standard measurement tools) and qualitative analysis methods will be employed to evaluate the efficacy of MFTE healing modality.
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