Mind Body Program Vascular

The purpose of the current study is to conduct a proof-of-concept test regarding the delivery of a Mind Body Program for vascular disease, focusing on support for depression, stress, and adherence, as part of patients' chronic disease management for peripheral artery disease (PAD).

Inclusion Criteria:Rutherford score 1-4 (mild-severe claudication, or ischemic rest pain)Resting ankle-brachial index assessment ≤0.90 or drop in post-exercise ankle pressure ≥20 mmHg or non-compressible ankle-brachial index (≥1.30) or toe brachial index less than 0.70 in the past yearPositive depression screening result (positive PHQ-9 result ≥10) or high stress screening result (10-item Perceived Stress Scale Score ≥27)Exclusion Criteria:Not speaking either English or SpanishAge ≥18 yearsCurrently incarceratedCurrent alcohol dependency or other substance use disorder (score ≥ 5 on NM-ASSIST)Cognitive impairment (T-MoCA Short <10)Acute suicidal risk (positive screen ASQ Tool)History of psychosis or bipolar disorderPreviously enrolled in the studyUnable to provide written informed consent