NCT04641221

Brief Summary

Phase 2 - Multiphase Optimization Strategy (MOST) Optimization Phase:

  1. 1.To conduct a factorial experiment that will allow us to evaluate the impact of each of the 4 intervention components on yoga dosage received. We will enroll a total n=192. All participants will receive the core yoga intervention, with random assignment to the four intervention components outlined above.
  2. 2.Use results from Phase 2 to choose an efficient combination of intervention components that, together with standard yoga classes, maximizes yoga dosage.
  3. 3.Examine mechanisms by which components are hypothesized to work.

Trial Health

87
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
192

participants targeted

Target at P75+ for not_applicable

Timeline
Completed

Started Feb 2022

Longer than P75 for not_applicable

Geographic Reach
1 country

2 active sites

Status
completed

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

First Submitted

Initial submission to the registry

November 16, 2020

Completed
7 days until next milestone

First Posted

Study publicly available on registry

November 23, 2020

Completed
1.2 years until next milestone

Study Start

First participant enrolled

February 20, 2022

Completed
2.7 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

November 15, 2024

Completed
10 months until next milestone

Study Completion

Last participant's last visit for all outcomes

August 31, 2025

Completed
3 months until next milestone

Results Posted

Study results publicly available

November 20, 2025

Completed
Last Updated

November 20, 2025

Status Verified

October 1, 2025

Enrollment Period

2.7 years

First QC Date

November 16, 2020

Results QC Date

October 8, 2025

Last Update Submit

November 6, 2025

Conditions

Outcome Measures

Primary Outcomes (1)

  • Yoga Dosage

    Total minutes per week practicing yoga, including in class and outside of class, assessed weekly via interview

    3 months

Study Arms (16)

No Video/No One-on-One/No Text/No Incentive

ACTIVE COMPARATOR

This group does not receive Personal Practice Videos, or One-on-One individual sessions with a Yoga Instructor, or prompting Text messages, or financial Incentives to attend yoga classes

Behavioral: Weekly Yoga Classes

No Video/No One-on-One/No Text/Yes Incentive

ACTIVE COMPARATOR

This group does not receive Personal Practice Videos, or One-on-One individual sessions with a Yoga Instructor, or prompting Text messages, but DOES receive financial Incentives to attend yoga classes

Behavioral: Weekly Yoga Classes

No Video/No One-on-One/Yes Text/No Incentive

ACTIVE COMPARATOR

This group does not receive Personal Practice Videos, or One-on-One individual sessions with a Yoga Instructor, or financial Incentives to attend yoga classes, but DOES receive prompting Text messages

Behavioral: Weekly Yoga Classes

No Video/No One-on-One/Yes Text/Yes Incentive

ACTIVE COMPARATOR

This group does not receive Personal Practice Videos, or One-on-One individual sessions with a Yoga Instructor, but DOES receive prompting Text messages and financial Incentives to attend yoga classes

Behavioral: Weekly Yoga Classes

No Video/Yes One-on-One/No Text/No Incentive

ACTIVE COMPARATOR

This group does not receive Personal Practice Videos or prompting Text messages or financial Incentives to attend yoga classes, but DOES receive One-on-One individual sessions with a Yoga Instructor

Behavioral: Weekly Yoga Classes

No Video/Yes One-on-One/No Text/Yes Incentive

ACTIVE COMPARATOR

This group does not receive Personal Practice Videos or prompting Text messages, but DOES receive One-on-One individual sessions with a Yoga Instructor, and financial Incentives to attend yoga classes

Behavioral: Weekly Yoga Classes

No Video/Yes One-on-One/Yes Text/No Incentive

ACTIVE COMPARATOR

This group does not receive Personal Practice Videos or financial Incentives to attend yoga classes, but DOES receive One-on-One individual sessions with a Yoga Instructor and prompting Text messages

Behavioral: Weekly Yoga Classes

No Video/Yes One-on-One/Yes Text/Yes Incentive

ACTIVE COMPARATOR

This group does not receive Personal Practice Videos, but DOES receive One-on-One individual sessions with a Yoga Instructor, prompting Text messages, and financial Incentives to attend yoga classes

Behavioral: Weekly Yoga Classes

Yes Video/No One-on-One/No Text/No Incentive

ACTIVE COMPARATOR

This group does not receive One-on-One individual sessions with a Yoga Instructor, or prompting Text messages, or financial Incentives to attend yoga classes, but DOES receive Personal Practice Videos

Behavioral: Weekly Yoga Classes

Yes Video/No One-on-One/No Text/Yes Incentive

ACTIVE COMPARATOR

This group does not receive One-on-One individual sessions with a Yoga Instructor or prompting Text messages, but DOES receive Personal Practice Videos and financial Incentives to attend yoga classes

Behavioral: Weekly Yoga Classes

Yes Video/No One-on-One/Yes Text/No Incentive

ACTIVE COMPARATOR

This group does not receive One-on-One individual sessions with a Yoga Instructor or financial Incentives to attend yoga classes, but DOES receive Personal Practice Videos and prompting Text messages

Behavioral: Weekly Yoga Classes

Yes Video/No One-on-One/Yes Text/Yes Incentive

ACTIVE COMPARATOR

This group does not receive One-on-One individual sessions with a Yoga Instructor, but DOES receive Personal Practice Videos, prompting Text messages, and financial Incentives to attend yoga classes

Behavioral: Weekly Yoga Classes

Yes Video/Yes One-on-One/No Text/No Incentive

ACTIVE COMPARATOR

This group does not receive prompting Text messages or financial Incentives to attend yoga classes, but DOES receive Personal Practice Videos and One-on-One individual sessions with a Yoga Instructor

Behavioral: Weekly Yoga Classes

Yes Video/Yes One-on-One/No Text/Yes Incentive

ACTIVE COMPARATOR

This group does not receive prompting Text messages, but DOES receive Personal Practice Videos, One-on-One individual sessions with a Yoga Instructor, and financial Incentives to attend yoga classes

Behavioral: Weekly Yoga Classes

Yes Video/Yes One-on-One/Yes Text/No Incentive

ACTIVE COMPARATOR

This group does not receive financial Incentives to attend yoga classes, but DOES receive Personal Practice Videos, One-on-One individual sessions with a Yoga Instructor and prompting Text messages

Behavioral: Weekly Yoga Classes

Yes Video/Yes One-on-One/Yes Text/Yes Incentive

ACTIVE COMPARATOR

This group receives Personal Practice Videos, One-on-One individual sessions with a Yoga Instructor, prompting Text messages, and financial Incentives to attend yoga classes

Behavioral: Weekly Yoga Classes

Interventions

All participants are invited to attend weekly yoga classes.

No Video/No One-on-One/No Text/No IncentiveNo Video/No One-on-One/No Text/Yes IncentiveNo Video/No One-on-One/Yes Text/No IncentiveNo Video/No One-on-One/Yes Text/Yes IncentiveNo Video/Yes One-on-One/No Text/No IncentiveNo Video/Yes One-on-One/No Text/Yes IncentiveNo Video/Yes One-on-One/Yes Text/No IncentiveNo Video/Yes One-on-One/Yes Text/Yes IncentiveYes Video/No One-on-One/No Text/No IncentiveYes Video/No One-on-One/No Text/Yes IncentiveYes Video/No One-on-One/Yes Text/No IncentiveYes Video/No One-on-One/Yes Text/Yes IncentiveYes Video/Yes One-on-One/No Text/No IncentiveYes Video/Yes One-on-One/No Text/Yes IncentiveYes Video/Yes One-on-One/Yes Text/No IncentiveYes Video/Yes One-on-One/Yes Text/Yes Incentive

Eligibility Criteria

Age18 Years+
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • Enrolled in MMT or BUP treatment for \> 3 months
  • Plan to continue treatment for next 6 months
  • Chronic pain, defined as pain for at least half the days over the previous three months, a mean score of 4 or higher on the Brief Pain Interference Scale (BPI; with reference to chronic pain), and pain severity of 4 or higher on a Visual Analog Scale (0-10) indicating "worst pain in the last week." Pain severity score will also refer to the areas of their body in which they have chronic pain.
  • Aged \> 18
  • Proficiency in English sufficient to engage in informed consent in English, understand classes taught in English, and read short sentences
  • Available at least one of the times study classes are offered.

You may not qualify if:

  • Currently taking yoga classes or practicing yoga at home once per week or more often.
  • Medical conditions that would make participation in yoga unsafe or not possible, including active malignancy treatment, fracture, recent joint surgery, use of assistive ambulatory devices other than a cane. . (In cases where this is unclear, site PI will make final determination based on available evidence.)
  • Severe or progressive neurologic deficits. (In cases where this is unclear, site PI will make final determination based on available evidence.)
  • Other severe disabling chronic medical and/or psychiatric comorbidities deemed by the site PI on a case-by-case basis to prevent safe or adequate participation in the study (e.g., cognitive impairment that prevents a participant from understanding assessments; history of disruptive behavior in medical settings; severe disabling heart failure or lung disease)
  • Surgery requiring overnight hospitalization planned in the next 3 months
  • Pregnancy
  • No access to a reasonably safe, reliable place to engage in personal yoga practice and a private space to participate in online yoga classes

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (2)

Boston Medical Center

Boston, Massachusetts, 02118, United States

Location

CODAC Behavioral Healthcare

Providence, Rhode Island, 02909, United States

Location

Related Publications (1)

  • Uebelacker LA, Braun TD, Taylor LE, Saper R, Baldwi M, Abrantes A, Tremont G, Toribio A, Kirshy S, Koch R, Lorin L, Van Noppen D, Anderson B, Roseen EJ, Stein MD. Evaluation of intervention components to maximize yoga practice among people with chronic pain taking opioid agonist therapy: A factorial experiment using the multiphase optimization strategy framework. Contemp Clin Trials. 2024 Feb;137:107411. doi: 10.1016/j.cct.2023.107411. Epub 2023 Dec 14.

MeSH Terms

Conditions

Chronic Pain

Condition Hierarchy (Ancestors)

PainNeurologic ManifestationsSigns and SymptomsPathological Conditions, Signs and Symptoms

Results Point of Contact

Title
Lisa Uebelacker, PhD
Organization
Butler Hospital

Publication Agreements

PI is Sponsor Employee
No
Restrictive Agreement
No

Study Design

Study Type
interventional
Phase
not applicable
Allocation
RANDOMIZED
Masking
DOUBLE
Who Masked
INVESTIGATOR, OUTCOMES ASSESSOR
Purpose
OTHER
Intervention Model
FACTORIAL
Sponsor Type
OTHER
Responsible Party
SPONSOR

Study Record Dates

First Submitted

November 16, 2020

First Posted

November 23, 2020

Study Start

February 20, 2022

Primary Completion

November 15, 2024

Study Completion

August 31, 2025

Last Updated

November 20, 2025

Results First Posted

November 20, 2025

Record last verified: 2025-10

Data Sharing

IPD Sharing
Will not share

Locations