Yoga for Young Adults With Noncurative Cancer: A Brief Report

Woodside, Hillary; Culos‐Reed, S. Nicole; Grégoire, Marie‐Claude; Rutledge, Robert; Keats, Melanie R.

doi:10.1177/2164956118763523

Cited by 7 publications

(9 citation statements)

References 11 publications

(12 reference statements)

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“…This is in line with the general yoga literature, 91 as well as the literature specific to yoga for persons with PD 22 , 23 , 61 , 85 , 92 which have all shown yoga to be generally safe in a variety of settings. Additionally, the existing tele-yoga literature has shown both synchronous 54 , 61 and asynchronous 47 , 59 , 93 tele-yoga to be safe for adults with different physical and mental health conditions. It is important to note however, that most previously published studies demonstrating the safety of tele-yoga have not specifically included individuals with postural instability and balance impairments.…”

Section: Discussionmentioning

confidence: 99%

Tele-yoga for the management of Parkinson disease: A safety and feasibility trial

James-Palmer

Daneault

2022

DIGITAL HEALTH

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Objectives Despite current standard treatments, persons with Parkinson disease (PD) still experience motor and non-motor symptoms that impact daily function and quality of life, warranting the investigation of additional interventions. Holistic complementary interventions such as yoga have been shown to be beneficial for persons with PD. However, there are multiple barriers to in-person interventions such as transportation difficulties and disease-related mobility impairments which may be mitigated by digital health applications. Therefore, this study’s purpose was to assess the safety and feasibility of a synchronous tele-yoga intervention for persons with PD. Methods Sixteen participants were enrolled in a single group safety and feasibility trial. The entire study was conducted remotely and consisted of a baseline assessment followed by a six-week waiting period, then a second assessment, a six-week tele-yoga intervention period, a post-intervention assessment, a six-week follow-up period, and lastly a follow-up assessment. During the tele-yoga period, participants completed two one-on-one 30-minute tele-yoga sessions weekly for a total of 12 sessions. Primary outcomes included adverse events, adherence, technological challenges, and usability. Secondary outcomes included enjoyment and clinically relevant outcome measures assessing both motor and non-motor symptoms. Results No severe adverse events were attributed to the intervention. Retention was 87.5%, assessment session adherence was 100%, and intervention session adherence was 97%. Technological challenges did not impact feasibility. The intervention was usable and enjoyable. While this study was not powered or designed to assess the efficacy of the intervention, preliminary improvements were shown for some of the clinically relevant outcome measures. Conclusions Overall, this study showed that the implementation of a synchronous one-on-one tele-yoga intervention was safe, feasible, usable, and enjoyable for persons with PD. Randomized control trials investigating its efficacy should be initiated. The study was registered with ClinicalTrials.gov (NCT04240899, https://clinicaltrials.gov/ct2/show/NCT04240899).

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Section: Discussionmentioning

confidence: 99%

Tele-yoga for the management of Parkinson disease: A safety and feasibility trial

James-Palmer

Daneault

2022

DIGITAL HEALTH

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“…Among older adults with a history of cancer, findings from systematic reviews and meta-analyses suggest yoga can enhance physical (e.g., flexibility, range of motion) and psychological outcomes (e.g., symptoms of anxiety, negative affect, quality of life) [13][14][15]. Among young adults affected by cancer, results from an experimental [16] and cross-sectional study [17] suggest that yoga is desired and may offer similar benefits to those seen among older adults with a history of cancer. Nevertheless, few yoga interventions have been studied, programs in clinical or community settings developed for young adults affected by cancer are rare, and the potential range of benefits yoga may confer for this population remains relatively unexplored.…”

Section: Introductionmentioning

confidence: 99%

Exploring feasibility, perceptions of acceptability, and potential benefits of an 8-week yoga intervention delivered by videoconference for young adults affected by cancer: a single-arm hybrid effectiveness-implementation pilot study

Wurz

McLaughlin²,

Hughes³

et al. 2023

Pilot Feasibility Stud

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Background Young adults affected by cancer face physical and psychological challenges and desire online supportive care. Yoga can be delivered online and may improve physical and psychological outcomes. Yet, yoga has rarely been studied with young adults affected by cancer. To address this, an 8-week yoga intervention was developed, and a pilot study was deemed necessary to explore feasibility, acceptability, implementation, and potential benefits. Methods A mixed-methods, single-arm hybrid effectiveness-implementation pilot study evaluating the yoga intervention was conducted. Feasibility was assessed by tracking enrollment, retention, attendance, completeness of data, and adverse events. Acceptability was explored through interviews. Implementation metrics included training time, delivery resources, and fidelity. Potential effectiveness was evaluated by exploring changes in physical (i.e., balance, flexibility, range of motion, functional mobility) and psychological (i.e., quality of life, fatigue, resilience, posttraumatic growth, body image, mindfulness, perceived stress) outcomes at pre- (week 0), post- (week 8), and follow-up (week 16) time points. Data were analyzed with descriptive statistics, repeated measures analysis of variance, and content analysis. Results Thirty young adults participated in this study (recruitment rate = 33%). Retention to study procedures was 70%, and attendance ranged from 38 to 100%. There were little missing data (< 5%) and no adverse events. Though most participants were satisfied with the yoga intervention, recommendations for improvement were shared. Sixty study-specific training hours and > 240 delivery and assessment hours were accrued and fidelity was high. Functional mobility, flexibility, quality of life (energy/fatigue, social well-being), body image (appearance evaluation), mindfulness (non-reactivity), and perceived stress improved significantly over time (all p< 0.050; $$\eta_{p}{}^{2}s=0.124-0.292$$ η p 2 s = 0.124 - 0.292 ). No other significant changes were observed (all p> 0.050; $$\eta_{p}{}^{2}s=0.005-0.115$$ η p 2 s = 0.005 - 0.115 ). Conclusions The yoga intervention may confer physical and psychological benefits, though intervention and study-specific modifications are required to improve feasibility and acceptability. Requiring study participation and providing greater scheduling flexibility could enhance recruitment and retention. Increasing the frequency of classes offered each week and offering more opportunities for participant interaction could improve satisfaction. This study highlights the value of doing pilot work and provides data that has directly informed intervention and study modifications. Findings could also be used by others offering yoga or supportive care by videoconference to young adults affected by cancer. Trial registration Not available—not registered

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“…Interventions provided in an individual format allow the patient to hold some decision-making roles within their care. Psychosocial measures are improved when AYAs are provided avenues to set their own goals (Rosenberg et al, 2018;Rosenberg et al, 2019), can share and direct their needs (Torabi et al, 2018), and are provided an intervention they can conduct on their own schedule (Woodside et al, 2018). Facilitating and protecting the power of decision making is important in maintaining autonomy and may have a beneficial impact on quality of life.…”

Section: Discussionmentioning

confidence: 99%

“…Self-reported quality of life evaluations were administered at the beginning of the intervention and repeated at the completion of the yoga program along with open-ended questions to assess impact of the program. The yoga intervention was associated with statistically significant improvements in self-reported well-being, spirituality, addressing palliative care needs, and general quality of life (Woodside et al, 2018). Use of yoga as a means to improve health outside of the medical model and as an opportunity to provide self-care emerged as common beneficial themes from the qualitative component of the study (Woodside et al, 2018).…”

Section: Promoting Physical Activitymentioning

confidence: 98%

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Psychosocial Interventions for Adolescents and Young Adults With Cancer: An Integrative Review

Thornton

Ruble

Kozachik

2020

J Pediatr Oncol Nurs

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Background: Adolescents and young adults with cancer sit in a precarious position facing an increasing cancer incidence while incidence in other age groups has been declining. A cancer diagnosis at this age imposes undue distress in a demographic with limited coping resources creating psychosocial needs that differ from children and older adults. Addressing psychosocial needs early in the cancer trajectory is postulated as an approach to address distress, improve quality of life, and promote optimal outcomes from therapy. The purpose of this review is to identify current successful approaches to psychosocial care in adolescents and young adults receiving therapy for cancer. Method: An integrative review of publications identified through six relevant databases was conducted. Thematic analysis was performed to identify types of interventions followed by assessment of publication level of evidence, quality, and a critique of the effectiveness of interventions. Findings: A total of 6,292 articles were identified and 17 met inclusion criteria for this review. Thematic analysis and critique identified six themes for intervention approaches with mixed outcomes: creative expression, promoting peer interactions, individual coaching, employing technology, promoting physical activity, and clinical interactions. Discussion: Adolescent and young adult psychosocial needs while receiving treatment are complex and best addressed with the involvement of an interdisciplinary team. Effective interventions include those that have been tailored to the patient and consider the individual’s developmental stage. Interventions that promote autonomy and decision making, provide privacy, are executed in individual sessions, and facilitate social/peer interactions have been more successful in improving psychosocial outcomes.

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Yoga for Young Adults With Noncurative Cancer: A Brief Report

Cited by 7 publications

References 11 publications

Tele-yoga for the management of Parkinson disease: A safety and feasibility trial

Tele-yoga for the management of Parkinson disease: A safety and feasibility trial

Exploring feasibility, perceptions of acceptability, and potential benefits of an 8-week yoga intervention delivered by videoconference for young adults affected by cancer: a single-arm hybrid effectiveness-implementation pilot study

Psychosocial Interventions for Adolescents and Young Adults With Cancer: An Integrative Review

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