Health Condition 1: K590- Constipation
Conditions
Interventions
Intervention1: Standard of Care + Personalised Yoga: Participants will receive standard constipation care along with the personalised yoga intervention for 12 weeks. The personalised yoga protocol for
Sponsors
Advanced Centre for Treatment Research and Education in Cancer
Eligibility
Inclusion criteria
Inclusion criteria: Inclusion Criteria: 1. Adults more than equal to 18 years 2. Histologically confirmed diagnosis of cancer and receiving palliative care for it 3. Patients diagnosed with constipation, as defined in the Study Population section, with symptoms present for at least 2 weeks prior to screening. 4. Estimated life expectancy more than equal to 6 months as estimated by their treating oncologist 5. Performance Status or ECOG less than equal to 2 6. Medically fit to participate in low-intensity physical activity, as determined by the treating physician. 7. Ability to demonstrate the Yoga Intervention appropriately which would be assessed by the Yoga Instructor. 8. Able and willing to provide written informed consent 9. Willing to comply with the yoga intervention and study assessments
Exclusion criteria
Exclusion criteria: Exclusion Criteria 1. Evidence of mechanical bowel obstruction or complete bowel obstruction. 2. Active symptomatic or bleeding hemorrhoids within the past 4 weeks, or current hemorrhoids likely to worsen with yoga postures or abdominal strain. 3. History or current diagnosis of herniated disc or spinal cord disease. 4. Cognitive impairment or active psychiatric illness that would interfere with providing informed consent or adhering to the study protocol. 5. Recent abdominal surgery (within the past 3 months). 6. Known severe cardiorespiratory or musculoskeletal limitations contraindicating yoga (e.g., NYHA III IV heart failure, unstable angina, advanced COPD [GOLD stage III IV], severe arthritis causing functional limitation, or recent fractures) 7. Participation in yoga classes or similar mind body therapy within the last 3 months. 8. Uncontrolled infection or unstable clinical status as determined by the treating physician.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Change in PAC SYM total score from baseline to the end of the 12 week intervention period, measured using the Patient Assessment of Constipation Symptoms PAC SYM questionnaire.Timepoint: Baseline Day 0 and End of Intervention Day 84 | — |
Secondary
| Measure | Time frame |
|---|---|
| Change in PAC SYM domain scores abdominal rectal & stool from baseline measured using the PAC SYM questionnaireTimepoint: Baseline Day 0 & End of Intervention Day 84;Change in anxiety depression fatigue & sleep disturbance scores from baseline measured using the ESAS r questionnaireTimepoint: Baseline Day 0 & End of Intervention Day 84;Change in constipation related quality of life from baseline measured using the PAC QOL questionnaireTimepoint: Baseline Day 0 End of Intervention Day 84 & Follow up at 6 months;Overall patient satisfaction measured using a self designed 5 point Likert scaleTimepoint: End of Intervention Day 84 | — |
Countries
India
Contacts
Public ContactDr Prasun P.
Advanced Centre for Treatment Research and Education in Cancer
Outcome results
None listed