Chronic Pain
Conditions
Brief summary
This research is being done to determine if remote yoga-based exercise can help reduce chronic pain. It will include three virtual research visits. This cohort study will include three remote research visits and an online questionnaire administration. In addition, participants will attend 8 weekly virtual yoga sessions with a daily 30-minute "homework assignment" of 30 minutes of video-guided yoga practice.
Interventions
BEHAVIORALYoga Based Daily Excercise
Subjects will be trained to perform 30 minutes of moderate level yoga daily, with instruction on breathing, self-awareness, and ways to modify poses to avoid pain. Subjects will be instructed in use of the email links to access the 30-minute instructive video. Subjects will attend weekly Zoom classes to learn additional postures and techniques, which will be reflected in their 30 minutes video (i.e. a new video for each week). At these weekly remote yoga classes, they will be asked about difficulties encountered and given advice about their personal home practice.
Sponsors
Brigham and Women's Hospital
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
DOUBLE (Investigator, Outcomes Assessor)
Eligibility
Sex/Gender
ALL
Age
18 Years to 75 Years
Healthy volunteers
No
Inclusion criteria
* chronic pain for \> 6 months' duration * on stable doses of medication prior to entering the study and agree not to change medications or dosages (or CAM treatments) during the trial * have an average pain score of 4/10 or greater over the previous week * at least mild degree of sleep disturbance, defined as Pittsburgh Sleep Quality Index (PSQI) score \>5 * are able to speak and understand English * have access to a computer or tablet at home and have an email address * are not currently engaged in a rigorous daily exercise routine (\>5X/week) * are willing and physically able to participate in virtual yoga-based exercise
Exclusion criteria
* currently under active cancer treatment (chemo, infusion, ongoing radiation) * acute osteomyelitis or acute bone disease * current diagnosis of chronic systemic inflammatory diseases including rheumatoid arthritis and lupus * present or past diagnosis of schizophrenia, delusional disorder, psychotic disorder, or dissociative disorder that would be judged to interfere with study participation * pregnancy * any clinically unstable systemic illness judged to interfere with exercise treatment * a pain condition requiring urgent surgery * an active addiction disorder, such as cocaine or IV heroin use, that would interfere with study participation * contraindications to yoga (e.g., severe back or neck injury or surgery) * regular meditation practice or other meditative practice (e.g tai-chi, meditative form of yoga or contemplative prayer) for \>20 min/week in the past 2 years * participating in any other therapeutic trial * other medical condition that would interfere with ability to exercise
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Feasibility | 8 weeks | retention, attendance, yoga practice minutes |
| Brief Pain Inventory | 8 weeks | Change in Pain Intensity and Interference assessed by the Brief Pain Inventory a |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Pain Catastrophizing | 8 weeks | Change in pain catastrophizing as measured by the Pain Catastrophizing Scale Scored 0-52, with higher scores indicating worse outcome. |
| Perceived Stress | 8 weeks | Change in perceived stress as measured by the Perceived Stress Scale Scored 0-40, with higher scores indicating worse outcome. |
| Mindfulness | 8 weeks | Change in mindfulness as measured by the Five Facets of Mindfulness Questionnaire short form Scored 24-120, with higher scores indicating better outcome. |
| Sleep | 8 weeks | PROMIS scale |
| Anxiety | 8 weeks | Change in Anxiety |
Countries
United States
Outcome results
None listed