Cancer
Conditions
Keywords
oncological treatment, yoga, e-health, rehabilitation
Brief summary
To enhance the implementation of yoga in cancer care, studies that explore patients with cancer preferences for the execution of yoga, effects, and the experience of participating in group yoga sessions online compared to in-person sessions is required. The aim of the YouCanPrefer-study is to explore preferences, expectations, implementation, experiences, and effects of participating in in-person group yoga sessions at a yoga studio compared to participating in online-yoga at home for patients with cancer undergoing oncological treatment. Additionally, the aim is to study health-related outcomes of yoga. Patients diagnosed with cancer undergoing oncological treatment at two hospitals in Sweden will be included in the study. A preference-based allocation will be used, participants chose self if they want to participate in in-person yoga at a studio or in yoga online. Regardless of allocation, the yoga sessions will take place in a group setting once a week for a duration of 12 weeks. All participants will also have access to a yoga application on their tablets or cell phones, with a recommendation to engage in self-guided yoga for at least 10 minutes per day.
Interventions
OTHERMedical yoga
Medical yoga is a therapeutic form of Kundalini yoga led by a certified yoga instructor that uses different standardized yoga programs with a combination of physical postures, breathingexercises, and relaxation/meditation.
Sponsors
Linkoeping University
University Hospital, Linkoeping
Ryhov County Hospital
Study design
Allocation
NON_RANDOMIZED
Intervention model
PARALLEL
Primary purpose
SUPPORTIVE_CARE
Masking
NONE
Intervention model description
Preference-based allociation to group yoga in a physical or in a digital setting
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* Diagnosed with cancer and scheduled for or initiated oncological treatment at an oncology clinic. * Received written information about the study. * Willing to participate in the study and able to follow the protocol. * Understanding and expressing themselves in Swedish. * Age ≥ 18 years. * Provided informed consent.
Exclusion criteria
* Patients with severe cognitive impairments such as dementia and serious psychiatric illness. * Patients with significant physical disabilities that may hinder yoga. * Patients with difficulties completing questionnaires. * Expected survival of less than 3 months.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Patients preferences to yoga during oncological treatment | Baseline, 3 months and 6 months | Interviews on choice of yoga setting: physical or digital |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Health-related quality of life | Baseline, 3 months and 6 months | Health-related quality of life will be assessed by The European Organisation for Research and Treatment of Cancer, Quality of life Questionnaire C30 (EORTC QLQ-C30) which consists of a 30-item questionnaire, covering a global health status/quality of life (QoL) scale, five functioning scales, three symptom scales and six items concerning symptoms. All scales and single-item measures were transformed to scores in the range 0-100. A higher score on the global status scale and the functional scales denotes a high level of health and functioning, while a higher score on the symptomatic scale denotes a high level of symptom burden |
| Health | Baseline, 3 months and 6 months | Health will be assessed with EuroQoL which consist of two parts: EuroQoL 5 dimensions 5 levels (EQ 5D 5L) and EuroQoL Visual Analogue Scale (EQ-VAS). EQ-5D 5L comprises five dimensions: mobility, self-care, usual activities, pain/discomfort and anxiety/depression. Each dimension has 5 levels: no problems, slight problems, moderate problems, severe problems and extreme problems. The digits for the five dimensions can be combined into a 5-digit number that describes the patient's health state. The EQ-VAS records the patient's self-rated health on a vertical visual analogue scale where the endpoints are labelled 'The best health you can image' =100 and 'The worst health you can image' =0. |
| Anxiety and depression | Baseline, 3 months and 6 months | The Hospital Anxiety and Depression Scale (HADS) will be used to measure anxiety and depression. The scale consists of 14 items, with seven items related to anxiety and seven related to depression. Each item is scored on a likert scale ranging from 0 to 3, with responses indicating the severity of the symptom from 0=no symptoms to 3= severe symptoms. |
| Fatigue | Baseline, 3 months and 6 months | Fatigue will be assessed with the Multidimensional Fatigue Inventory (MFI). The questionnaire consists of 20 items, measuring five subscales of MFI: General, Physical and Mental Fatigue, Reduced Motivation and Reduced Activity. Each item is scored on a likert scale ranging from 1 to 5. Higher scores indicate higher levels of fatigue. |
| Sleep | Baseline, 3 months and 6 months | Sleep will be measured with Minimal Insomnia Symptom Scale (MISS). The questionnaire consists of 3 items. Each item is scored on a likert scale ranging from 0 to 4, with responses indicating the severity of the symptom from 0=no symptoms to 5= severe symptoms. |
| Stress | Baseline, 3 months and 6 months | Stress will be measured by the questionnaire The Perceived Stress Scale (PSS) which measures general stress and coping capabilities. The instrument has 14 items with 4 alternatives to each item. A higher score indicates higher stress. Each item minimum 0 and maximum 4. |
| Physical Activity | Baseline, 3 months and 6 months | Accelerometer |
| Adherence to the yoga sessions and the application | At 3 months (After completion of the intervention) | Attendance at yoga-class and time spent (minutes) using the application |
Countries
Sweden
Contacts
PRINCIPAL_INVESTIGATORAnna Strömberg, PHD
Department of Medical and Health sciences, Linköping university, Sweden
Outcome results
None listed