Yoga Intervention for Cancer Survivors
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 48
- 试验地点
- 1
- 主要终点
- Number of Cancer Survivors interested and willing to participate in a 10 week yoga class at Vanderbilt Ingram Cancer Center (VICC) and at Nashville General Hospital
研究概览
简要总结
Impaired health related quality of life (HRQOL) including fatigue, problems with sleep and psychosocial well being (physical, emotional, and spiritual) have been noted in adult cancer survivors. Physical domain is one of the most common measured indicators of HRQOL. Despite the tremendous implications of having an impaired QOL, few studies have staged interventions aimed at improving HRQOL in a heterogeneous group of cancer survivors. There is little literature examining whether a yoga intervention is feasible in a heterogeneous group of cancer survivors.
The proposed research will utilize Vanderbilt Ingram Cancer Center (VICC), Nashville General Hospital (NGH) and REACH for Survivorship program for a pilot study. The investigators will see if a study using a broad range of diagnoses is feasible for a Yoga Intervention.
详细描述
The Yoga Program
The yoga intervention will be developed by a certified yoga instructor. The yoga instructors teaching the classes will undergo training before teaching classes; all classes will embody the same positions and techniques. Based on Tantric Hatha yoga techniques, the intervention will incorporate physical stretches and poses, breathing exercises and meditation. All exercises will be done in a seated or reclined position. Yoga positions will focus on breathing exercises and basic stretching and will be at the easy or basic level. Yoga positions to be utilized in the intervention are located in the Appendix. Classes will include instruction on practicing the techniques taught in the classes at home.
The yoga instructors utilized in this study are certified in yoga instruction. The classes will be held over a period of 60 minutes in a quiet, dimly lit conference room at Gilda's Club and at Nashville General Hospital. The classes will combine physical postures (asanas), breathing (pranayama) and deep relaxation (savsana). It will be made clear that participants should not practice any pose that causes or exacerbates any discomfort. Yoga poses will be modified based on participants needs. Individual poses will be held from 20 seconds to 5 minutes depending on the poses. Classes will begin slowly and progress; adding poses to the same sequence, breath techniques and restorative poses for each class over the 10 weeks. Modifications and pose variations will be used to make the class appropriate for each individual. Chairs, yoga props, and a wall will be used to assist in poses. The class will consist of the following outline:
5 Minutes: Centering, Relaxation, Body Scan
- Seated (Sukasana, Simple Cross Legged Pose)
- Reclined (Savasana, Relaxation Pose)
研究设计
- 研究类型
- Observational
- 观察模型
- Cohort
- 时间视角
- Prospective
入排标准
- 年龄范围
- 18 Years 至 90 Years（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Survivor population
- •Adults (18 years of age or above)
- •Patients treated for any cancers between the ages of 18 and 65 years of age
- •Received and concluded cancer treatment anytime from January 1, 2000 up to 1 month before start date of study
- •Received cancer treatment and care at either Vanderbilt-Ingram Cancer Center (VICC) or Nashville General Hospital (NGH) or are currently receiving cancer survivorship care at the Vanderbilt REACH for Survivorship Clinic
- •Obtain *medical clearance to perform light exercise from primary care physician, oncologist or health care provider at REACH for Survivorship clinic (medical clearance needs to be obtained at least 2 weeks prior to starting yoga class).
- •Have completed, if ever received, any chemotherapy treatment from January 1, 2000 up to 1 month before start date of study
- •Patients with lymphedema due to cancer surgery/treatment are eligible
- •Alive without evidence of recurrent disease
- •Without evidence of a subsequent malignancy following initial cancer diagnosis
- •Provide informed consent
- •Should be able to sit on chair/floor and recline without assistance
- •Can read and understand English
- •Can have past experience with yoga or meditation
排除标准
- •Enrolled or attending a yoga class at time of recruitment
- •Currently receiving active treatment for cancer
- •Currently not in remission
- •Have any additional health concerns such as brain metastases or ventricular-peritoneal shunts at time of participation
结局指标
主要结局
Number of Cancer Survivors interested and willing to participate in a 10 week yoga class at Vanderbilt Ingram Cancer Center (VICC) and at Nashville General Hospital
时间窗: 12 months
The investigators will be opening up an hourly yoga class for 10 weeks to all cancer survivors at VICC and at Nashville General Hospital
次要结局
- Levels of Fatigue using the SF-36 and Psychological Distress using BSI-18(12 months)
研究者
Debra Friedman
Division Director, Pediatric Hematology/Oncology
Vanderbilt University Medical Center