Sedentary Behavior
Conditions
Keywords
Yoga, African-American, Feasibility Study
Brief summary
This study aims to test the feasibility, acceptability, safety of a 3-month hatha and restorative yoga intervention to decrease sedentary behavior, stress and blood pressure in sedentary African-American women.
Detailed description
This study aims to assess feasibility of a hatha and restorative yoga intervention compared to a control group. Investigators will examine feasibility of participant recruitment, retention and adherence; fidelity of intervention delivery; and intervention materials. Investigators also aim to evaluate the acceptability and safety of a hatha and restorative yoga intervention compared to a control group. Investigators will examine the acceptability of intervention location and strategies, class format, enjoyment of sessions, and safety of the intervention. Finally, investigators aim to test feasibility and appropriateness of the targeted outcomes for subsequent trials. Expected outcomes will be properly measured, but no comparisons between intervention and control groups will be made.
Interventions
This group will have in-person, 60 minute yoga sessions three times per week for 12 weeks. These sessions will also include a sharing circle to provide group feedback as to how the practice felt and integration into ones' daily life. There will be biweekly themes established for these sessions (i.e. common yoga poses, importance of breath) and biweekly in-person workshops will be offered. These will be specialty classes for participants to experience additional exposure to meditation and breathing. They will be a longer format so participants can delve deeper into yogic philosophy and practice. There will also be a private Facebook group for participants to connect with each other and for the research staff to maintain contact and share information with the participants (eg. weekly reminder for yoga sessions and workshops).
Sponsors
Study design
Eligibility
Inclusion criteria
* Self-identified as an African-American woman at least 18 years old * Engaging in less than 30 minutes/week of moderate-to-vigorous physical activity * If employed, working in a sedentary occupation that requires primarily seated work; • If unemployed, typical day involves sedentary, primarily seated activities * Able to exercise for 20 minutes continuously * No pre-existing condition that limits physical activity * Access to a computer (or mobile device) and internet service
Exclusion criteria
* Diagnosed with heart disease, diabetes, cancer, kidney, liver disease, major depression or bipolar disease * Take more than two daily medications for lipids or blood pressure * Current smoker
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Number of Adverse Events (Safety) | During the 12-week yoga intervention | Zero adverse events (causes major disruption to participants' life, e.g., sprain, broken bone, cardiovascular event, death), zero moderate adverse events (causes minor inconvenience to participant, e.g., fainting spell, sore muscles for more than 3 days) and less than 10% of participants report mild adverse events (no major impact, e.g., headache, sore muscles for 2-3 days) |
| Completion of Assessment Measures (Feasibility) | Baseline | At least 90% intervention and control participants will complete baseline assessments. |
| Rating of Intervention Components (Acceptability) | Post-intervention (within 2 months) | At least 90% intervention participants rate the various intervention components (e.g., location, in-person classes, instructors, home-based resources) as acceptable with a rating of 4, 5, or 6 on a scale from 1 (strongly dislike) to 6 (strongly like). |
| Participant Rating of Yoga Intervention (Acceptability) | Post-intervention (within 2 months) | At least 90% intervention participants rate intervention acceptable (i.e., rating of 4, 5, or 6 on a scale from 1 (strongly dislike) to 6 (strongly like)) and enjoyable (i.e., rating of 3, 4, or 5 on a scale from 1 (not enjoyed) to 5 (enjoyed very much)). |
| Number of Participants Recruited (Feasibility) | Baseline | Goals were for 200 women recruited and screened for eligibility, and 60 enrolled and consented. |
| Rate of Participant Retention and Adherence (Feasibility) | During the 12-week yoga intervention | At least 80% of intervention participants attend at least 80% of intervention sessions |
| Fidelity of Intervention Delivery (Feasibility) | During the 12-week yoga intervention | At least 90% (8 of 9 class segments) of each of the 6 videotaped sessions is delivered as planned based on training. |
| Rate of Delivery of Intervention Materials and Resources (Feasibility) | During the 12-week yoga intervention | 100% of intervention materials and resources are delivered as planned to intervention participants. |
| Rating of Assessment Measures (Feasibility) | Baseline | At least 80% intervention and control participants rate the assessments as not too burdensome (rated 1 or 2) on a scale from 1 (not burdensome) to 5 (very burdensome). |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Systolic and Diastolic Blood Pressure | Three blood pressures will be collected and averaged at each of the 3 data collection time points (baseline, post-intervention (within 2 months), and 3 month follow-up) | Measured using the automated OMRON Hem 907XL blood pressure recorder. Three blood pressures will be collected and averaged at each data collection time point following a two minute period of rest. |
| Perceived Stress | Surveys will be distributed at each data collection timepoint (baseline, post-intervention (within 2 months), and 3 month follow-up) | Measured using the 14-item Perceived Stress Scale. Each item is scored from 1-5, with higher scores indicating higher perceived stress. Estimates represent the mean total score of the 14 items, ranging from 1-5. Scale was included in an online survey that participants completed at the data collection site via an iPad. Survey items asked participants how often they had experienced acute stress within last month. |
| Sedentary Behavior | Seven consecutive days at three time points: baseline before intervention, post-intervention (within 2 months), and 3-month follow-up. | Objective sedentary time (i.e., time spent sitting and lying down) assessed with activPAL4 micro accelerometer. Analyze data to report average total hours of sedentary behavior per day. |
Countries
United States
Participant flow
Recruitment details
Participants were recruited from the greater Twin Cities, MN area via social media, emails to organizations, flyers, websites, and a news segment on a local TV station. The online interest/pre-screening survey received 319 unique responses between March 2022 and May 2022. The first participant consented and enrolled on May 2, 2022.
Pre-assignment details
Of the 131 individuals who were assessed for eligibility after pre-screening, 69 met the inclusion criteria and consented. Prior to randomization, 1 participant voluntarily withdrew from the study due to discomfort providing salivary samples. Of the 68 participants randomized to intervention groups, 1 participant involuntarily withdrew prior to the start of the intervention due to injuries sustained in an accident unrelated to the study.
Participants by arm
| Arm | Count |
|---|---|
| Yoga Intervention Group Yoga Intervention: This group will have in-person, 60 minute yoga sessions three times per week for 12 weeks. These sessions will also include a sharing circle to provide group feedback as to how the practice felt and integration into ones' daily life. There will be biweekly themes established for these sessions (i.e. common yoga poses, importance of breath) and biweekly in-person workshops will be offered. These will be specialty classes for participants to experience additional exposure to meditation and breathing. They will be a longer format so participants can delve deeper into yogic philosophy and practice. There will also be a private Facebook group for participants to connect with each other and for the research staff to maintain contact and share information with the participants (eg. weekly reminder for yoga sessions and workshops). | 34 |
| Control Group Control participants will receive no guidance from the research staff to change their behavior. | 34 |
| Total | 68 |
Withdrawals & dropouts
| Period | Reason | FG000 | FG001 |
|---|---|---|---|
| Overall Study | Lost to Follow-up | 2 | 4 |
| Overall Study | Withdrawal by Subject | 1 | 0 |
Baseline characteristics
| Characteristic | Yoga Intervention Group | Control Group | Total |
|---|---|---|---|
| Age, Continuous | 44.6 years STANDARD_DEVIATION 9.4 | 43.4 years STANDARD_DEVIATION 11.2 | 44.0 years STANDARD_DEVIATION 10.4 |
| Education Attends or has attended graduate school | 3 Participants | 3 Participants | 6 Participants |
| Education Completed associate's degree or technical school | 3 Participants | 4 Participants | 7 Participants |
| Education Completed bachelor's degree | 8 Participants | 7 Participants | 15 Participants |
| Education Completed graduate school | 12 Participants | 12 Participants | 24 Participants |
| Education Completed high school or GED | 2 Participants | 0 Participants | 2 Participants |
| Education Some college or technical school | 6 Participants | 8 Participants | 14 Participants |
| Employment Employed | 30 Participants | 31 Participants | 61 Participants |
| Employment Not currently employed | 2 Participants | 1 Participants | 3 Participants |
| Employment Student | 2 Participants | 2 Participants | 4 Participants |
| Ethnicity (NIH/OMB) Hispanic or Latino | 0 Participants | 0 Participants | 0 Participants |
| Ethnicity (NIH/OMB) Not Hispanic or Latino | 0 Participants | 0 Participants | 0 Participants |
| Ethnicity (NIH/OMB) Unknown or Not Reported | 34 Participants | 34 Participants | 68 Participants |
| Income >$100,000 | 10 Participants | 9 Participants | 19 Participants |
| Income <$35,000 | 3 Participants | 5 Participants | 8 Participants |
| Income $35,000 - $49,999 | 5 Participants | 6 Participants | 11 Participants |
| Income $50,000 - $74,999 | 12 Participants | 9 Participants | 21 Participants |
| Income $75,000 - $99,999 | 2 Participants | 4 Participants | 6 Participants |
| Income Prefer not to answer | 2 Participants | 1 Participants | 3 Participants |
| Marital Status Married | 13 Participants | 8 Participants | 21 Participants |
| Marital Status Not married, living with partner | 3 Participants | 3 Participants | 6 Participants |
| Marital Status Separated/Divorced/Widowed | 8 Participants | 7 Participants | 15 Participants |
| Marital Status Single, never married | 10 Participants | 16 Participants | 26 Participants |
| Perceived Stress | 2.9 units on a scale STANDARD_DEVIATION 0.4 | 2.8 units on a scale STANDARD_DEVIATION 0.5 | 2.8 units on a scale STANDARD_DEVIATION 0.4 |
| Race (NIH/OMB) American Indian or Alaska Native | 0 Participants | 0 Participants | 0 Participants |
| Race (NIH/OMB) Asian | 0 Participants | 0 Participants | 0 Participants |
| Race (NIH/OMB) Black or African American | 34 Participants | 34 Participants | 68 Participants |
| Race (NIH/OMB) More than one race | 0 Participants | 0 Participants | 0 Participants |
| Race (NIH/OMB) Native Hawaiian or Other Pacific Islander | 0 Participants | 0 Participants | 0 Participants |
| Race (NIH/OMB) Unknown or Not Reported | 0 Participants | 0 Participants | 0 Participants |
| Race (NIH/OMB) White | 0 Participants | 0 Participants | 0 Participants |
| Region of Enrollment United States | 34 Participants | 34 Participants | 68 Participants |
| Sedentary Behavior | 10.7 Hours per day STANDARD_DEVIATION 1.7 | 10.2 Hours per day STANDARD_DEVIATION 2 | 10.5 Hours per day STANDARD_DEVIATION 1.8 |
| Sex: Female, Male Female | 34 Participants | 34 Participants | 68 Participants |
| Sex: Female, Male Male | 0 Participants | 0 Participants | 0 Participants |
| Systolic and Diastolic Blood Pressure DBP | 77.2 mmHg STANDARD_DEVIATION 11.5 | 77.2 mmHg STANDARD_DEVIATION 12.7 | 77.2 mmHg STANDARD_DEVIATION 12.1 |
| Systolic and Diastolic Blood Pressure SBP | 114.2 mmHg STANDARD_DEVIATION 13.6 | 116.1 mmHg STANDARD_DEVIATION 14 | 115.2 mmHg STANDARD_DEVIATION 13.8 |
Adverse events
| Event type | EG000 affected / at risk |
|---|---|
| deaths Total, all-cause mortality | 0 / 33 |
| other Total, other adverse events | 1 / 33 |
| serious Total, serious adverse events | 0 / 33 |
Outcome results
Completion of Assessment Measures (Feasibility)
At least 90% of intervention and control participants will complete 3-month follow-up assessments.
Time frame: 3-month follow-up
Population: Excludes 1 intervention group participant who withdrew from the study after randomization but prior to start of the intervention.
| Arm | Measure | Group | Value (COUNT_OF_PARTICIPANTS) |
|---|---|---|---|
| Total Recruitment Sample, Pre-Assignment | Completion of Assessment Measures (Feasibility) | Survey | 23 Participants |
| Total Recruitment Sample, Pre-Assignment | Completion of Assessment Measures (Feasibility) | Weight and Blood Pressure | 23 Participants |
| Total Recruitment Sample, Pre-Assignment | Completion of Assessment Measures (Feasibility) | ActivPAL Activity Monitor | 22 Participants |
| Total Recruitment Sample, Pre-Assignment | Completion of Assessment Measures (Feasibility) | Saliva Samples | 20 Participants |
| Control Group | Completion of Assessment Measures (Feasibility) | Saliva Samples | 27 Participants |
| Control Group | Completion of Assessment Measures (Feasibility) | Survey | 28 Participants |
| Control Group | Completion of Assessment Measures (Feasibility) | ActivPAL Activity Monitor | 28 Participants |
| Control Group | Completion of Assessment Measures (Feasibility) | Weight and Blood Pressure | 28 Participants |
Completion of Assessment Measures (Feasibility)
At least 90% of intervention and control participants will complete post-intervention assessments.
Time frame: Post-Intervention (within 2 months)
Population: Excludes 1 intervention group participant who withdrew from the study after randomization but prior to start of the intervention.
| Arm | Measure | Group | Value (COUNT_OF_PARTICIPANTS) |
|---|---|---|---|
| Total Recruitment Sample, Pre-Assignment | Completion of Assessment Measures (Feasibility) | Survey | 31 Participants |
| Total Recruitment Sample, Pre-Assignment | Completion of Assessment Measures (Feasibility) | Weight and Blood Pressure | 31 Participants |
| Total Recruitment Sample, Pre-Assignment | Completion of Assessment Measures (Feasibility) | ActivPAL Activity Monitor | 27 Participants |
| Total Recruitment Sample, Pre-Assignment | Completion of Assessment Measures (Feasibility) | Saliva Samples | 27 Participants |
| Control Group | Completion of Assessment Measures (Feasibility) | Saliva Samples | 24 Participants |
| Control Group | Completion of Assessment Measures (Feasibility) | Survey | 26 Participants |
| Control Group | Completion of Assessment Measures (Feasibility) | ActivPAL Activity Monitor | 23 Participants |
| Control Group | Completion of Assessment Measures (Feasibility) | Weight and Blood Pressure | 26 Participants |
Completion of Assessment Measures (Feasibility)
At least 90% intervention and control participants will complete baseline assessments.
Time frame: Baseline
Population: Total sample of participants who enrolled, consented, and were randomized into the intervention and control groups. Excludes participant who withdrew from the study prior to randomization (n = 1).
| Arm | Measure | Group | Value (COUNT_OF_PARTICIPANTS) |
|---|---|---|---|
| Total Recruitment Sample, Pre-Assignment | Completion of Assessment Measures (Feasibility) | Survey | 34 Participants |
| Total Recruitment Sample, Pre-Assignment | Completion of Assessment Measures (Feasibility) | Height, Weight, and Blood Pressure | 34 Participants |
| Total Recruitment Sample, Pre-Assignment | Completion of Assessment Measures (Feasibility) | Saliva Samples | 32 Participants |
| Total Recruitment Sample, Pre-Assignment | Completion of Assessment Measures (Feasibility) | ActivPAL Activity Monitor | 32 Participants |
| Control Group | Completion of Assessment Measures (Feasibility) | Saliva Samples | 32 Participants |
| Control Group | Completion of Assessment Measures (Feasibility) | Survey | 34 Participants |
| Control Group | Completion of Assessment Measures (Feasibility) | Height, Weight, and Blood Pressure | 34 Participants |
| Control Group | Completion of Assessment Measures (Feasibility) | ActivPAL Activity Monitor | 32 Participants |
Fidelity of Intervention Delivery (Feasibility)
At least 90% (8 of 9 class segments) of each of the 6 videotaped sessions is delivered as planned based on training.
Time frame: During the 12-week yoga intervention
Population: Please note that no participants were analyzed for this outcome measure. Six video recordings of yoga intervention sessions were analyzed to enumerate the number of yoga segments (e.g., planned specific yoga components) that were completed as a percentage of the total (n = 9 yoga segments per session).
| Arm | Measure | Group | Value (COUNT_OF_UNITS) |
|---|---|---|---|
| Total Recruitment Sample, Pre-Assignment | Fidelity of Intervention Delivery (Feasibility) | Session 1 | 8 yoga segments |
| Total Recruitment Sample, Pre-Assignment | Fidelity of Intervention Delivery (Feasibility) | Session 2 | 7 yoga segments |
| Total Recruitment Sample, Pre-Assignment | Fidelity of Intervention Delivery (Feasibility) | Session 3 | 9 yoga segments |
| Total Recruitment Sample, Pre-Assignment | Fidelity of Intervention Delivery (Feasibility) | Session 4 | 9 yoga segments |
| Total Recruitment Sample, Pre-Assignment | Fidelity of Intervention Delivery (Feasibility) | Session 5 | 8 yoga segments |
| Total Recruitment Sample, Pre-Assignment | Fidelity of Intervention Delivery (Feasibility) | Session 6 | 8 yoga segments |
Number of Adverse Events (Safety)
Zero adverse events (causes major disruption to participants' life, e.g., sprain, broken bone, cardiovascular event, death), zero moderate adverse events (causes minor inconvenience to participant, e.g., fainting spell, sore muscles for more than 3 days) and less than 10% of participants report mild adverse events (no major impact, e.g., headache, sore muscles for 2-3 days)
Time frame: During the 12-week yoga intervention
Population: Of the 33 participants who were randomized to the yoga intervention group, 2 participants were lost to follow-up and did not attend any of the yoga sessions. Thus, the sample size for this outcome measure is n = 31. We did not assess Adverse Events within the control group during the course of the 12-week yoga intervention, as we did not have contact with the control group during this time frame.
| Arm | Measure | Group | Value (COUNT_OF_PARTICIPANTS) |
|---|---|---|---|
| Total Recruitment Sample, Pre-Assignment | Number of Adverse Events (Safety) | Adverse event (causes major disruption to participants' life) | 0 Participants |
| Total Recruitment Sample, Pre-Assignment | Number of Adverse Events (Safety) | Moderate adverse events (causes minor inconvenience to participant) | 0 Participants |
| Total Recruitment Sample, Pre-Assignment | Number of Adverse Events (Safety) | Mild adverse events (no major impact) | 1 Participants |
Number of Participants Recruited (Feasibility)
Goals were for 200 women recruited and screened for eligibility, and 60 enrolled and consented.
Time frame: Baseline
Population: Total number of participants who were recruited and screened via an online interest/pre-screening survey. For this outcome measure analysis, we will report the number of recruited participants who then enrolled and consented in the study. This pre-assignment sample size differs from the number of participants who started the 12-week intervention period because 2 participants withdrew from the study before the 12-week intervention period began.
| Arm | Measure | Group | Value (COUNT_OF_PARTICIPANTS) |
|---|---|---|---|
| Total Recruitment Sample, Pre-Assignment | Number of Participants Recruited (Feasibility) | Number of Participants Recruited and Screened | 319 Participants |
| Total Recruitment Sample, Pre-Assignment | Number of Participants Recruited (Feasibility) | Number of Participants Enrolled and Consented | 69 Participants |
Participant Rating of Yoga Intervention (Acceptability)
At least 90% intervention participants rate intervention acceptable (i.e., rating of 4, 5, or 6 on a scale from 1 (strongly dislike) to 6 (strongly like)) and enjoyable (i.e., rating of 3, 4, or 5 on a scale from 1 (not enjoyed) to 5 (enjoyed very much)).
Time frame: Post-intervention (within 2 months)
Population: Of the 33 participants who were randomized to the yoga intervention group, 2 participants were lost to follow-up and did not complete the post-intervention survey that included items rating the acceptability of the intervention. Thus, the sample size for this outcome measure is n = 31.
| Arm | Measure | Group | Value (COUNT_OF_PARTICIPANTS) |
|---|---|---|---|
| Total Recruitment Sample, Pre-Assignment | Participant Rating of Yoga Intervention (Acceptability) | Overall acceptability of yoga program | 30 Participants |
| Total Recruitment Sample, Pre-Assignment | Participant Rating of Yoga Intervention (Acceptability) | Enjoyment of program | 31 Participants |
Rate of Delivery of Intervention Materials and Resources (Feasibility)
100% of intervention materials and resources are delivered as planned to intervention participants.
Time frame: During the 12-week yoga intervention
Population: Compute the percentage of intervention participants who receive the materials and resources throughout the intervention. The number of participants analyzed was 33 because this outcome was measured during the 12-week yoga intervention and prior to the post-intervention data collection milestone. There were originally 34 participants randomized to the yoga intervention, but 1 intervention participant officially withdrew from the study prior to the start of the intervention.
| Arm | Measure | Group | Value (COUNT_OF_PARTICIPANTS) |
|---|---|---|---|
| Total Recruitment Sample, Pre-Assignment | Rate of Delivery of Intervention Materials and Resources (Feasibility) | Yoga Equipment | 31 Participants |
| Total Recruitment Sample, Pre-Assignment | Rate of Delivery of Intervention Materials and Resources (Feasibility) | Resource Guide | 33 Participants |
| Total Recruitment Sample, Pre-Assignment | Rate of Delivery of Intervention Materials and Resources (Feasibility) | Pose Book | 33 Participants |
| Total Recruitment Sample, Pre-Assignment | Rate of Delivery of Intervention Materials and Resources (Feasibility) | Facebook Group Invitation | 25 Participants |
| Total Recruitment Sample, Pre-Assignment | Rate of Delivery of Intervention Materials and Resources (Feasibility) | Workshop Pamphlet | 28 Participants |
| Total Recruitment Sample, Pre-Assignment | Rate of Delivery of Intervention Materials and Resources (Feasibility) | Workshop Book | 27 Participants |
Rate of Participant Retention and Adherence (Feasibility)
At least 80% of intervention participants attend at least 80% of intervention sessions
Time frame: During the 12-week yoga intervention
Population: The number of participants analyzed was 33 because this outcome was measured during the 12-week yoga intervention and prior to the post-intervention data collection milestone. There were originally 34 participants randomized to the yoga intervention, but 1 intervention participant officially withdrew from the study prior to the start of the intervention. Thus, we calculated attendance rates for 33 intervention participants.
| Arm | Measure | Value (COUNT_OF_PARTICIPANTS) |
|---|---|---|
| Total Recruitment Sample, Pre-Assignment | Rate of Participant Retention and Adherence (Feasibility) | 8 Participants |
Rating of Assessment Measures (Feasibility)
At least 80% intervention and control participants rate the assessments as not too burdensome (rated 1 or 2) on a scale from 1 (not burdensome) to 5 (very burdensome).
Time frame: 3-month follow-up
Population: The total sample of participants (n = 51) who completed the survey during their 3-month follow-up data collection visit. The sample size for 2 of the survey items is n = 50 due to missing responses (i.e., the participant completed the rest of the survey but did not submit a response to that item).
| Arm | Measure | Group | Value (COUNT_OF_PARTICIPANTS) |
|---|---|---|---|
| Total Recruitment Sample, Pre-Assignment | Rating of Assessment Measures (Feasibility) | Traveling to the clinic to complete measurements | 17 Participants |
| Total Recruitment Sample, Pre-Assignment | Rating of Assessment Measures (Feasibility) | Getting weight and blood pressure measured by research staff | 20 Participants |
| Total Recruitment Sample, Pre-Assignment | Rating of Assessment Measures (Feasibility) | Completing electronic survey on an iPad | 17 Participants |
| Total Recruitment Sample, Pre-Assignment | Rating of Assessment Measures (Feasibility) | Collecting saliva samples for two days | 15 Participants |
| Total Recruitment Sample, Pre-Assignment | Rating of Assessment Measures (Feasibility) | Wearing the activity monitor for seven days | 14 Participants |
| Total Recruitment Sample, Pre-Assignment | Rating of Assessment Measures (Feasibility) | Traveling to the clinic to return saliva samples and activity monitor | 16 Participants |
| Control Group | Rating of Assessment Measures (Feasibility) | Wearing the activity monitor for seven days | 22 Participants |
| Control Group | Rating of Assessment Measures (Feasibility) | Traveling to the clinic to complete measurements | 17 Participants |
| Control Group | Rating of Assessment Measures (Feasibility) | Collecting saliva samples for two days | 13 Participants |
| Control Group | Rating of Assessment Measures (Feasibility) | Getting weight and blood pressure measured by research staff | 27 Participants |
| Control Group | Rating of Assessment Measures (Feasibility) | Traveling to the clinic to return saliva samples and activity monitor | 15 Participants |
| Control Group | Rating of Assessment Measures (Feasibility) | Completing electronic survey on an iPad | 21 Participants |
Rating of Assessment Measures (Feasibility)
At least 80% intervention and control participants rate the assessments as not too burdensome (rated 1 or 2) on a scale from 1 (not burdensome) to 5 (very burdensome).
Time frame: Baseline
Population: These survey items were sent via email to participants after baseline assessments were completed and prior to randomization. A total of 44 participants (25 intervention participants and 19 control group participants) completed the survey. Thus, the total sample size for this outcome measure is 44.
| Arm | Measure | Group | Value (COUNT_OF_PARTICIPANTS) |
|---|---|---|---|
| Total Recruitment Sample, Pre-Assignment | Rating of Assessment Measures (Feasibility) | Traveling to the clinic to complete measurements | 20 Participants |
| Total Recruitment Sample, Pre-Assignment | Rating of Assessment Measures (Feasibility) | Getting weight and blood pressure measured by research staff | 21 Participants |
| Total Recruitment Sample, Pre-Assignment | Rating of Assessment Measures (Feasibility) | Completing electronic survey on an iPad | 23 Participants |
| Total Recruitment Sample, Pre-Assignment | Rating of Assessment Measures (Feasibility) | Collecting saliva samples for two days | 11 Participants |
| Total Recruitment Sample, Pre-Assignment | Rating of Assessment Measures (Feasibility) | Wearing the activity monitor for seven days | 19 Participants |
| Total Recruitment Sample, Pre-Assignment | Rating of Assessment Measures (Feasibility) | Traveling to the clinic to return saliva samples and activity monitor | 18 Participants |
| Control Group | Rating of Assessment Measures (Feasibility) | Wearing the activity monitor for seven days | 14 Participants |
| Control Group | Rating of Assessment Measures (Feasibility) | Traveling to the clinic to complete measurements | 15 Participants |
| Control Group | Rating of Assessment Measures (Feasibility) | Collecting saliva samples for two days | 8 Participants |
| Control Group | Rating of Assessment Measures (Feasibility) | Getting weight and blood pressure measured by research staff | 17 Participants |
| Control Group | Rating of Assessment Measures (Feasibility) | Traveling to the clinic to return saliva samples and activity monitor | 15 Participants |
| Control Group | Rating of Assessment Measures (Feasibility) | Completing electronic survey on an iPad | 16 Participants |
Rating of Assessment Measures (Feasibility)
At least 80% intervention and control participants rate the assessments as not too burdensome (rated 1 or 2) on a scale from 1 (not burdensome) to 5 (very burdensome).
Time frame: Post-intervention (within 2 months)
Population: At post-intervention, 57 participants completed a survey during in-person data collection that included 3 items rating burden of 1) traveling to the clinic, 2) getting weight and blood pressure measured, and 3) completing survey. The remaining 3 items rating burden of 1) collecting saliva samples, 2) wearing activity monitor, and 3) returning equipment were sent via email to participants after they returned their equipment. Only 6 participants responded to the 3 survey items from the email.
| Arm | Measure | Group | Value (COUNT_OF_PARTICIPANTS) |
|---|---|---|---|
| Total Recruitment Sample, Pre-Assignment | Rating of Assessment Measures (Feasibility) | Traveling to the clinic to complete measurements | 27 Participants |
| Total Recruitment Sample, Pre-Assignment | Rating of Assessment Measures (Feasibility) | Getting weight and blood pressure measured by research staff | 30 Participants |
| Total Recruitment Sample, Pre-Assignment | Rating of Assessment Measures (Feasibility) | Completing electronic survey on an iPad | 25 Participants |
| Total Recruitment Sample, Pre-Assignment | Rating of Assessment Measures (Feasibility) | Collecting saliva samples for two days | 2 Participants |
| Total Recruitment Sample, Pre-Assignment | Rating of Assessment Measures (Feasibility) | Wearing the activity monitor for seven days | 3 Participants |
| Total Recruitment Sample, Pre-Assignment | Rating of Assessment Measures (Feasibility) | Traveling to the clinic to return saliva samples and activity monitor | 3 Participants |
| Control Group | Rating of Assessment Measures (Feasibility) | Wearing the activity monitor for seven days | 1 Participants |
| Control Group | Rating of Assessment Measures (Feasibility) | Traveling to the clinic to complete measurements | 19 Participants |
| Control Group | Rating of Assessment Measures (Feasibility) | Collecting saliva samples for two days | 0 Participants |
| Control Group | Rating of Assessment Measures (Feasibility) | Getting weight and blood pressure measured by research staff | 22 Participants |
| Control Group | Rating of Assessment Measures (Feasibility) | Traveling to the clinic to return saliva samples and activity monitor | 1 Participants |
| Control Group | Rating of Assessment Measures (Feasibility) | Completing electronic survey on an iPad | 20 Participants |
Rating of Intervention Components (Acceptability)
At least 90% intervention participants rate the various intervention components (e.g., location, in-person classes, instructors, home-based resources) as acceptable with a rating of 4, 5, or 6 on a scale from 1 (strongly dislike) to 6 (strongly like).
Time frame: Post-intervention (within 2 months)
Population: Of the 33 participants who were randomized to the yoga intervention group, 2 participants were lost to follow-up and did not complete the post-intervention survey that included items rating the acceptability of the intervention components. Thus, the sample size for this outcome measure is n = 31.
| Arm | Measure | Group | Value (COUNT_OF_PARTICIPANTS) |
|---|---|---|---|
| Total Recruitment Sample, Pre-Assignment | Rating of Intervention Components (Acceptability) | Intervention location | 26 Participants |
| Total Recruitment Sample, Pre-Assignment | Rating of Intervention Components (Acceptability) | Instructors | 31 Participants |
| Total Recruitment Sample, Pre-Assignment | Rating of Intervention Components (Acceptability) | Yoga poses and sequencing (i.e., level of difficulty and modifications) | 29 Participants |
| Total Recruitment Sample, Pre-Assignment | Rating of Intervention Components (Acceptability) | Yoga instruction (including music and use of Sanskrit/English terms) | 30 Participants |
| Total Recruitment Sample, Pre-Assignment | Rating of Intervention Components (Acceptability) | Yoga equipment (i.e., mats, blocks, bolster, strap, blanket) | 31 Participants |
| Total Recruitment Sample, Pre-Assignment | Rating of Intervention Components (Acceptability) | Availability of different class formats (i.e., in person, Zoom, recordings) | 29 Participants |
| Total Recruitment Sample, Pre-Assignment | Rating of Intervention Components (Acceptability) | Class frequency of 3 times per week | 30 Participants |
| Total Recruitment Sample, Pre-Assignment | Rating of Intervention Components (Acceptability) | Class time of day | 23 Participants |
| Total Recruitment Sample, Pre-Assignment | Rating of Intervention Components (Acceptability) | Duration of the class (60 minutes) | 29 Participants |
| Total Recruitment Sample, Pre-Assignment | Rating of Intervention Components (Acceptability) | Sharing circle at the end of each yoga class | 27 Participants |
| Total Recruitment Sample, Pre-Assignment | Rating of Intervention Components (Acceptability) | Time of year of intervention (during the summer) | 23 Participants |
| Total Recruitment Sample, Pre-Assignment | Rating of Intervention Components (Acceptability) | Biweekly workshops | 27 Participants |
| Total Recruitment Sample, Pre-Assignment | Rating of Intervention Components (Acceptability) | Workshop resources (book and pamphlet) | 31 Participants |
| Total Recruitment Sample, Pre-Assignment | Rating of Intervention Components (Acceptability) | Pose book | 31 Participants |
| Total Recruitment Sample, Pre-Assignment | Rating of Intervention Components (Acceptability) | Private Facebook group and posts | 25 Participants |
Perceived Stress
Measured using the 14-item Perceived Stress Scale. Each item is scored from 1-5, with higher scores indicating higher perceived stress. Estimates represent the mean total score of the 14 items, ranging from 1-5. Scale was included in an online survey that participants completed at the data collection site via an iPad. Survey items asked participants how often they had experienced acute stress within last month.
Time frame: Surveys will be distributed at each data collection timepoint (baseline, post-intervention (within 2 months), and 3 month follow-up)
Population: All participants who completed Perceived Stress Scale as part of the survey that was distributed at the in-person data collection time points.
| Arm | Measure | Group | Value (MEAN) | Dispersion |
|---|---|---|---|---|
| Total Recruitment Sample, Pre-Assignment | Perceived Stress | Baseline | 2.9 score on a scale | Standard Deviation 0.4 |
| Total Recruitment Sample, Pre-Assignment | Perceived Stress | Post-Intervention | 2.6 score on a scale | Standard Deviation 0.4 |
| Total Recruitment Sample, Pre-Assignment | Perceived Stress | Follow-Up | 2.7 score on a scale | Standard Deviation 0.5 |
| Control Group | Perceived Stress | Baseline | 2.8 score on a scale | Standard Deviation 0.5 |
| Control Group | Perceived Stress | Post-Intervention | 2.6 score on a scale | Standard Deviation 0.5 |
| Control Group | Perceived Stress | Follow-Up | 2.7 score on a scale | Standard Deviation 0.6 |
Sedentary Behavior
Objective sedentary time (i.e., time spent sitting and lying down) assessed with activPAL4 micro accelerometer. Analyze data to report average total hours of sedentary behavior per day.
Time frame: Seven consecutive days at three time points: baseline before intervention, post-intervention (within 2 months), and 3-month follow-up.
Population: At each time point, results will be reported for participants who returned activPAL4 micro accelerometers with monitor wear data. At baseline, 32 yoga intervention group participants and 32 control group participants returned activPAL4 micro accelerometers with monitor wear data.
| Arm | Measure | Group | Value (MEAN) | Dispersion |
|---|---|---|---|---|
| Total Recruitment Sample, Pre-Assignment | Sedentary Behavior | Baseline | 10.7 hours of sedentary behavior per day | Standard Deviation 1.7 |
| Total Recruitment Sample, Pre-Assignment | Sedentary Behavior | Post-Intervention | 11.4 hours of sedentary behavior per day | Standard Deviation 1.9 |
| Total Recruitment Sample, Pre-Assignment | Sedentary Behavior | 3-Month Follow-Up | 10.8 hours of sedentary behavior per day | Standard Deviation 1.8 |
| Control Group | Sedentary Behavior | Baseline | 10.2 hours of sedentary behavior per day | Standard Deviation 2 |
| Control Group | Sedentary Behavior | Post-Intervention | 10.3 hours of sedentary behavior per day | Standard Deviation 1.8 |
| Control Group | Sedentary Behavior | 3-Month Follow-Up | 10.2 hours of sedentary behavior per day | Standard Deviation 2.4 |
Systolic and Diastolic Blood Pressure
Measured using the automated OMRON Hem 907XL blood pressure recorder. Three blood pressures will be collected and averaged at each data collection time point following a two minute period of rest.
Time frame: Three blood pressures will be collected and averaged at each of the 3 data collection time points (baseline, post-intervention (within 2 months), and 3 month follow-up)
Population: Blood pressure measures are missing from participants who did not complete in-person data collection visits at the post-intervention and 3-month follow-up time points, and from one intervention group participant who was unable to provide accurate blood pressure readings at both baseline and 3-month follow-up due to equipment malfunction.
| Arm | Measure | Group | Value (MEAN) | Dispersion |
|---|---|---|---|---|
| Total Recruitment Sample, Pre-Assignment | Systolic and Diastolic Blood Pressure | Post-Intervention: Diastolic Blood Pressure | 77.2 mmHg | Standard Deviation 11.7 |
| Total Recruitment Sample, Pre-Assignment | Systolic and Diastolic Blood Pressure | Baseline: Systolic Blood Pressure | 114.2 mmHg | Standard Deviation 13.6 |
| Total Recruitment Sample, Pre-Assignment | Systolic and Diastolic Blood Pressure | 3-Month Follow-Up: Systolic Blood Pressure | 118.6 mmHg | Standard Deviation 16.1 |
| Total Recruitment Sample, Pre-Assignment | Systolic and Diastolic Blood Pressure | Post-Intervention: Systolic Blood Pressure | 118.0 mmHg | Standard Deviation 18.4 |
| Total Recruitment Sample, Pre-Assignment | Systolic and Diastolic Blood Pressure | 3-Month Follow-Up: Diastolic Blood Pressure | 78.0 mmHg | Standard Deviation 12.4 |
| Total Recruitment Sample, Pre-Assignment | Systolic and Diastolic Blood Pressure | Baseline: Diastolic Blood Pressure | 77.2 mmHg | Standard Deviation 11.5 |
| Control Group | Systolic and Diastolic Blood Pressure | 3-Month Follow-Up: Diastolic Blood Pressure | 78.0 mmHg | Standard Deviation 15.5 |
| Control Group | Systolic and Diastolic Blood Pressure | Baseline: Diastolic Blood Pressure | 77.2 mmHg | Standard Deviation 12.7 |
| Control Group | Systolic and Diastolic Blood Pressure | Post-Intervention: Systolic Blood Pressure | 115.9 mmHg | Standard Deviation 15.5 |
| Control Group | Systolic and Diastolic Blood Pressure | Post-Intervention: Diastolic Blood Pressure | 75.6 mmHg | Standard Deviation 12.3 |
| Control Group | Systolic and Diastolic Blood Pressure | 3-Month Follow-Up: Systolic Blood Pressure | 119.6 mmHg | Standard Deviation 18.4 |
| Control Group | Systolic and Diastolic Blood Pressure | Baseline: Systolic Blood Pressure | 116.1 mmHg | Standard Deviation 14 |