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NCT Number: NCT07556744

SOMA Validation RCT: Testing Structural Equivalence and Mechanistic Orthogonality of an Open-Source Mindfulness Stimulus Library

Background: Mindfulness research faces two structural problems. First, weak active control conditions make it impossible to isolate specific mechanisms from expectancy and non-specific effects. Second, most protocols systematically exclude low-socioeconomic status (SES) populations through design assumptions that presuppose high literacy, quiet private spaces, and familiarity with contemplative practice.

Objective: This study validates the Standardized Open-source Mindfulness Architecture (SOMA), the first modular, open-source stimulus library purpose-built to address both challenges simultaneously. SOMA comprises 88 distinct audio assets organized around 16 sensory practice modules, each paired with a structurally equivalent active control script engineered to induce analytically orthogonal cognitive processing.

Design: Pre-registered randomized controlled trial using a 2×2 mixed design (Condition [Mindfulness vs. Active Control] × Measure [State Mindfulness Scale vs. Analytical Engagement Scale]), with quota sampling to ensure equal representation of participants with and without a university-level degree (n = 180 per SES stratum).

Setting: Online, via Prolific Academic recruitment platform and Qualtrics survey software.

Participants: N = 360 English-proficient adults aged 18 years and older (or the applicable minimum age of majority in the participant's country of residence) without a current mental health diagnosis or treatment, and without a current meditation practice.

Intervention: Each participant listens to a single 12-minute audio-guided exercise. Participants are randomly assigned to either the Mindfulness condition or the Active Control condition, and within that condition to one of 16 practice scripts. Mindfulness scripts guide bottom-up experiential awareness; Active Control scripts guide top-down analytical processing of the same everyday activities.

Primary Outcomes: (1) Credibility and expectancy equivalence between conditions (H1: Two One-Sided Tests on Credibility and Expectancy Questionnaire composite, equivalence bounds d = ±0.40); (2) mechanistic double dissociation - higher state mindfulness in the Mindfulness condition and higher analytical engagement in the Active Control condition (H2: 2×2 mixed ANOVA, interaction term as primary criterion).

Exploratory Outcome: SES-related differential experiential accessibility (H3: independent-samples t-test plus equivalence test on Semantic Differential composite by SES group).

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Key information

Age range

18 year and older

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

Primary location

About this study

The SOMA Validation RCT is a proof-of-concept deployment of the Standardized Open-source Mindfulness Architecture (SOMA) library, testing whether the library's two core design goals - mechanistic orthogonality between Mindfulness and Active Control conditions, and equitable accessibility across socioeconomic strata - have been achieved before the library is used in large-scale multi-site efficacy trials.

The study uses a randomized, single-blind, parallel-group 2×2 mixed design. Each participant is randomly assigned to either the Mindfulness condition or the Active Control condition and listens to a single 12-minute audio track. Within each condition, participants are further randomized to one of 16 practice scripts, with approximately equal allocation across scripts. Mindfulness and Active Control scripts are structurally matched on duration, word count, and narrator voice, and cover the same 16 everyday activities and sensory domains - the difference lies exclusively in the cognitive mechanism targeted. Blinding is achieved via a neutral cover story framing both conditions as "Mental Efficiency Training." Researchers analyzing data are not blinded.

Three pre-registered hypotheses are tested. H1 (confirmatory) tests whether the Active Control condition is perceived as equally credible as the Mindfulness condition, using Two One-Sided Tests (equivalence bounds d = ±0.40, one-sided α = .05) on the Credibility and Expectancy Questionnaire (CEQ) composite, with script assignment as covariate. H2 (confirmatory) tests whether the two conditions produce a mechanistic double dissociation - Mindfulness greater than Active Control on the State Mindfulness Scale (SMS) and Active Control greater than Mindfulness on the Analytical Engagement Scale (AES) - using a 2×2 mixed ANOVA (Condition × Measure). The interaction term is the primary confirmatory criterion (α = .05); planned one-tailed contrasts provide confirmatory directional evidence. The SMS measures bottom-up experiential awareness; the AES, developed specifically for this study, measures top-down analytical engagement. H3 (exploratory) tests whether Low-SES and High-SES participants show equivalent experiential responses on a Semantic Differential composite, using an independent-samples t-test plus equivalence test (bounds d = ±0.40).

Primary analyses follow an intention-to-treat approach: all participants who completed the study are included regardless of performance on the Script Comprehension Check. A pre-specified sensitivity analysis repeats all primary analyses excluding participants who fail both Script Comprehension Check items. In the unlikely event that the target N of 360 is not reached within four weeks of launch, data collection will close and analyses will proceed on the achieved sample, with any shortfall reported transparently as a deviation.

Quota sampling is used at the recruitment stage to ensure n = 180 per SES stratum (Low-SES: no university-level degree; High-SES: university-level degree or higher), recruited via two linked studies on the Prolific Academic platform with mutual exclusion between studies. SES is not used as a stratification variable at the randomization stage.

Full pre-registration, analysis code with simulated data, and all stimuli are available at osf.io/m76cg.

Who can participate

Healthy volunteers accepted: Yes

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

Aged 18 years or older (or the legal age of majority in the participant's country of residence, whichever is higher)

Fluent in English (English as first language or self-reported fluent language)

Able to listen to a 12-minute audio recording with headphones, earphones, or device speaker

Access to a device capable of completing an online survey

Exclusion criteria

Current diagnosis of a mental health condition

Currently receiving or waiting for treatment for mental health symptoms (e.g., psychological therapy or psychiatric medication)

Regular yoga or meditation practice in the last six months

Treatment and study plan

SOMA Audio-Guided Mental Training Exercise

Behavioral

A single 12-minute audio-guided exercise from the Standardized Open-source Mindfulness Architecture (SOMA) library. The SOMA library comprises 88 distinct assets organized around 16 sensory practice modules (formal and informal) paired with structurally equivalent active control scripts. All materials are equity-engineered to a Grade 5-6 reading level, deployable without a meditation teacher, and free under CC BY-NC-SA 4.0 (osf.io/m76cg).

Primary outcomes

  1. Credibility/Expectancy Questionnaire (CEQ) composite score

    Time frame: Immediately after audio exposure (single time point)

    CEQ composite 3-item composite (Logic, Success, Recommendation) from the Credibility and Expectancy Questionnaire (Devilly & Borkovec, 2000), each item rated on a 1-9 scale (1 = not at all, 9 = extremely). Composite score range: 1-9; higher scores indicate greater perceived credibility and expectancy. Primary outcome for H1 (structural equivalence).

  2. Mechanistic Double Dissociation: State Mindfulness Scale and Analytical Engagement Scale Interaction Score

    Time frame: Immediately after audio exposure (single time point)

    State Mindfulness Scale (SMS; Tanay & Bernstein, 2013): 7 items rated 1-5 (1 = not at all, 5 = very well); range 1-5, higher scores indicate greater state mindfulness. Analytical Engagement Scale (AES; purpose-built for this study): 5 items rated 1-5 (1 = not at all, 5 = very much); range 1-5, higher scores indicate greater analytical engagement.

Secondary outcomes

  1. Semantic Differential scale

    Time frame: Immediately after audio exposure (single time point)

    Three bipolar 7-point items assessing subjective experiential quality of the exercise: Sensing/Feeling vs. Analysing/Estimating; Judging/Correcting vs. Accepting/Allowing; Past or Future vs. Here and Now. Composite score range: 1-7; higher scores indicate a more mindfulness-consistent experiential quality.

Other outcomes

  1. CEQ Item 3 (Wellbeing) - exploratory

    Time frame: Immediately after audio exposure

    Single item assessing emotional outcome expectancy, analysed separately from the primary H1 composite.

  2. Perceived Nature / Blinding Check

    Time frame: Immediately after audio exposure

    Mechanism identification item (categorical, 5 options) and confidence rating slider (0-100%). Outcome-neutral quality check for blinding adequacy.

  3. Audio Clarity, Cognitive Demand, Instruction Clarity

    Time frame: Immediately after audio exposure

    Outcome 6a - Audio Clarity Single item: "How clear was the audio quality of the recording?" rated on a 5-point scale (1 = very unclear, 5 = very clear). Reported descriptively.

    Outcome 6b - Cognitive Demand Single item: "How mentally demanding did you find this exercise?" rated on a 5-point scale (1 = not at all demanding, 5 = extremely demanding). Reported descriptively.

    Outcome 6c - Instruction Clarity Single item: "How easy was it to follow the instructions in the exercise?" rated on a 5-point scale (1 = very difficult, 5 = very easy). Reported descriptively.

Study contacts

Contact information is provided by the study sponsor or research team.

Alessandro Sparacio, Ph.D. In Psychology

CONTACT

[email protected]

8072 8247

Sponsors and collaborators

Lead sponsor

Institute for Human Development and Potential (IHDP), Singapore

Other

Collaborators

  • Charles University, Czech Republic
  • The University of Queensland

Registry information

Official study title

The Standardized Open-source Mindfulness Architecture (SOMA): A Modular, Equity-Engineered Stimulus Library for Mechanistic Mindfulness Research

Acronym: SOMA-VAL

Important dates

Study start
2026
Primary completion
2026
Study completion
2026
First posted
Apr 29, 2026
Registry last updated
May 4, 2026

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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