A Randomized Controlled Trial Of The Feasibility And Initial Effectiveness Of Yogic Interventions In Tertiary Cancer Care For Tobacco Cessation: Pilot Study

**Aim-**To compare the acute impact of breathing exercises based on yogic intervention along with Tobacco cessation counselling on cravings in abstaining from tobacco ( smoking and smokeless) with Standard Tobacco cessation counselling only.

PRIMARY OBJECTIVE:

To compare the efficacy of the standard TCC and the combination of TCC+Yogic Intervention on cravings in abstaining from tobacco ( smoking and smokeless).

SECONDARY OBJECTIVES:

To evaluate the impact of breathing exercises based on yogic intervention on cravings in abstaining from tobacco( smoking and smokeless).

To assess the level of nicotine addiction in smokers using the Fagerstrom Addiction Scale, which is a widely accepted and validated tool for measuring addiction to smokers and smokeless tobacco.

To evaluate the Mood and Physical Symptoms Scale is a self-report measure that assesses an

individual’s mood and physical symptoms over a specified period, typically the past 24 hours.

To evaluate changes in stress levels, mood, and mindfulness as potential mediators through 3Hz frequency of the intervention’s impact on tobacco cessation.

Patients referred to Preventive from TCC

Convenience sampling method as per  inclusion and exclusion criteria

Both Group-Potential Participants  attend  orientation and complete Pre test questions Fagerstrom and MPSS(Mood and physical symptoms scale)

Both  Group- TCC intervention routine session

Experimental  group- Participants Involving Technique 10 Deep Breaths When Craving Tobacco  Only

Experimental group-  20 min of 3HZ frequency music using app (morning & before sleep).

Experimental group- Weekly one phone call to participants for 6 weeks (Six phone calls)

Experimental group- During each phone call MPSS scale assessment will be done and Post test after six weeks.

Expected Output

Feasibility: The study will assess the practicality and acceptability of implementing yogic interventions in a tertiary cancer care setting, including factors such as patient and healthcare provider engagement, program adherence, and any challenges encountered during the trial.