Yoga as Self-Care for Arthritis in Minority Communities

NCT01617421 | Completed Results

• 2 other identifiers: 12014512-CC-0145
• Study Type: interventional
• Target: 18
• Locations: 1 country
• Sites: 1

Brief Summary

Background:

• People with arthritis should be active. Regular exercise leads to less pain, more energy, improved sleep, and better day-to-day function. Yet arthritis is one of the most common reasons people give for limiting activities.
• Yoga for arthritis has been studied before. However, few studies have included minorities. Making changes to yoga classes based on language and culture may help people use yoga to care for their arthritis symptoms. Researchers want to see if minority populations with arthritis will come to and benefit from yoga classes. Objectives: \- To see if yoga classes designed for people with arthritis will be acceptable to minorities with arthritis. Eligibility:
• Adults at least 18 years of age who are enrolled in the Natural History of Rheumatic Disease in Minority Communities study.
• Participants will have osteoarthritis or rheumatoid arthritis.
• Participants will be able to speak and read English or Spanish. Design:
• The total study period covers 10 weeks.
• The first study visit will include an initial questionnaire about health and arthritis. Participants will also have a physical exam.
• Participants will have yoga classes twice a week for 8 weeks. The classes will be 1 hour long each.
• After completing the yoga classes, participants will complete another questionnaire about their health. They will have a final physical exam.
• Follow-up contact will be made 3 months after the end of the study.

Conditions

Rheumatoid Arthritis; Arthritis

Keywords

Yoga; Arthritis

Outcome Measures

Primary Outcomes (4)

• Self-Efficacy Exercise

  The Chronic Disease Self-Efficacy-Exercise Regularly Scale is a 3-item scale used to measure confidence in exercising regularly based on a Likert scale from 1 (not at all confident) to 10 (totally confident). The mean value was calculated based on participant responses to all three items.

  Baseline

• Self-Efficacy Exercise

  The Chronic Disease Self-Efficacy-Exercise Regularly Scale is a 3-item scale used to measure confidence in exercising regularly based on a Likert scale from 1 (not at all confident) to 10 (totally confident). The mean value was calculated based on participant responses to all three items.

  8 weeks

• Health-Promoting Lifestyle Profile II Score

  Health Promoting Lifestyle Profile (HPLP II) was used to measure the extent to which adults engage in a health-promoting lifestyle - Likert-type scales ranged from (1-never to 4-routinely). Subscales included: spiritual growth, interpersonal relations, nutrition, physical activity, health responsibility, and stress management. The mean value was calculated based on participant responses to all six subscales.

  Baseline

• Health-Promoting Lifestyle Profile II Score

  Health Promoting Lifestyle Profile (HPLP II) was used to measure the extent to which adults engage in a health-promoting lifestyle - Likert-type scales ranged from (1-never to 4-routinely). Subscales included: spiritual growth, interpersonal relations, nutrition, physical activity, health responsibility, and stress management. The mean value was calculated based on participant responses to all six subscales.

  8 weeks

Study Arms (1)

Yoga

EXPERIMENTAL

This study used Hatha yoga (influenced by Integral, Iyengar, and Kripalu yoga) which includes postures (asanas), breathing techniques (pranayama) and meditation \[9\]. Biweekly, 60-minute, bilingual yoga classes were offered for 8 weeks at a yoga studio in Washington, DC. Classes were kept small (3-10 participants) to allow for pose modifications as needed for each participant. Participants were given instructions, bilingual manuals, and yoga equipment to encourage home practice. Participants were asked to keep journals to document the frequency and duration of home practice and their experience while on the study. After the last class, a yoga DVD and a list of local yoga studios were given to encourage continued practice.

Behavioral: Yoga

Interventions

Yoga BEHAVIORAL

This study used Hatha yoga (influenced by Integral, Iyengar, and Kripalu yoga) which includes postures (asanas), breathing techniques (pranayama) and meditation \[9\]. Biweekly, 60-minute, bilingual yoga classes were offered for 8 weeks at a yoga studio in Washington, DC. Classes were kept small (3-10 participants) to allow for pose modifications as needed for each participant. Participants were given instructions, bilingual manuals, and yoga equipment to encourage home practice. Participants were asked to keep journals to document the frequency and duration of home practice and their experience while on the study. After the last class, a yoga DVD and a list of local yoga studios were given to encourage continued practice.

Yoga

Eligibility Criteria

• Age: 18 Years+
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• \- Adult patients enrolled in the NIAMS Natural History of
• Rheumatic Disease in Minority Communities
• Diagnosis of osteoarthritis (OA) or rheumatoid arthritis (RA)
• Willingness and ability to provide informed consent
• Age greater than or equal to 18 years

You may not qualify if:

• Recent (less than 6 months) or planned joint surgery
• Use of assistive ambulatory devices
• Other significant medical or psychiatric conditions, including other inflammatory conditions
• Hyper-mobility or unstable disease that could compromise participation in the study.

Sponsors & Collaborators

• National Institutes of Health Clinical Center (CC): lead

Study Sites (1)

National Institutes of Health Clinical Center, 9000 Rockville Pike

Bethesda, Maryland, 20892, United States

Location

Related Publications (5)

• Middleton KR, Ward MM, Haaz S, Velummylum S, Fike A, Acevedo AT, Tataw-Ayuketah G, Dietz L, Mittleman BB, Wallen GR. A pilot study of yoga as self-care for arthritis in minority communities. Health Qual Life Outcomes. 2013 Apr 2;11:55. doi: 10.1186/1477-7525-11-55.

  PMID: 23548052 BACKGROUND

• Middleton KR, Andrade R, Moonaz SH, Muhammad C, Wallen GR. Yoga Research and Spirituality: A Case Study Discussion. Int J Yoga Therap. 2015;25(1):33-5. doi: 10.17761/1531-2054-25.1.33.

  PMID: 26667286 BACKGROUND

• Middleton KR, Haaz Moonaz S, Hasni SA, Magana Lopez M, Tataw-Ayuketah G, Farmer N, Wallen GR. Yoga for systemic lupus erythematosus (SLE): Clinician experiences and qualitative perspectives from students and yoga instructors living with SLE. Complement Ther Med. 2018 Dec;41:111-117. doi: 10.1016/j.ctim.2018.09.001. Epub 2018 Sep 8.

  PMID: 30477826 BACKGROUND

• Middleton KR, Magana Lopez M, Haaz Moonaz S, Tataw-Ayuketah G, Ward MM, Wallen GR. A qualitative approach exploring the acceptability of yoga for minorities living with arthritis: 'Where are the people who look like me?'. Complement Ther Med. 2017 Apr;31:82-89. doi: 10.1016/j.ctim.2017.02.006. Epub 2017 Mar 1.

  PMID: 28434476 BACKGROUND

• Middleton KR, Ward MM, Haaz Moonaz S, Magana Lopez M, Tataw-Ayuketah G, Yang L, Acevedo AT, Brandon Z, Wallen GR. Feasibility and assessment of outcome measures for yoga as self-care for minorities with arthritis: a pilot study. Pilot Feasibility Stud. 2018 Feb 20;4:53. doi: 10.1186/s40814-018-0248-x. eCollection 2018.

  PMID: 29484197 RESULT

Related Links

• NIH Clinical Center Detailed Web Page

MeSH Terms

Conditions

Arthritis, Rheumatoid; Arthritis

Interventions

Yoga

Condition Hierarchy (Ancestors)

Joint Diseases; Musculoskeletal Diseases; Rheumatic Diseases; Connective Tissue Diseases; Skin and Connective Tissue Diseases; Autoimmune Diseases; Immune System Diseases

Intervention Hierarchy (Ancestors)

Mind-Body Therapies; Complementary Therapies; Therapeutics; Spiritual Therapies; Exercise Movement Techniques; Physical Therapy Modalities

Limitations and Caveats

As some patients experienced arthritis pain prior to participating in yoga study, it's not easy to differentiate between pre-existing arthritis pain symptoms and effects of yoga practice.

Results Point of Contact

• Title: Middleton, Kimberly
• Organization: Clinical Center

middletonk@mail.nih.gov

+1 301 496 9083

Study Officials

• Kimberly R Middleton, R.N.

  National Institutes of Health Clinical Center (CC)

  PRINCIPAL INVESTIGATOR

Publication Agreements

• PI is Sponsor Employee: Yes

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: NA
• Masking: NONE
• Purpose: OTHER
• Intervention Model: SINGLE GROUP
• Sponsor Type: NIH
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: June 8, 2012
• First Posted: June 12, 2012
• Study Start: May 31, 2012
• Primary Completion: January 3, 2017
• Study Completion: January 3, 2017
• Last Updated: July 16, 2019
• Results First Posted: July 1, 2019

Record last verified: 2018-04-17

Locations

US (1)