Feasibility and Preliminary Efficacy of Tailored Yoga in Survivors of Head and Neck Cancer: A Pilot Study
Purpose: Treatment for head and neck cancer (HNC) results in long-term toxicities and increased physical and psychosocial survivor burden. There are a limited number of treatments for these late effects. Yoga postures, breath work, relaxation, and meditation, may improve these late effects. The purp...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
SAGE Publishing
2018-09-01
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| Series: | Integrative Cancer Therapies |
| Online Access: | https://doi.org/10.1177/1534735417753540 |
| _version_ | 1819292159057068032 |
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| author | Melissa Adair RN, CCRC Barbara Murphy MD Sujatha Yarlagadda Jie Deng PhD, RN, OCN Mary S. Dietrich PhD Sheila H. Ridner PhD, RN, FAAN |
| author_facet | Melissa Adair RN, CCRC Barbara Murphy MD Sujatha Yarlagadda Jie Deng PhD, RN, OCN Mary S. Dietrich PhD Sheila H. Ridner PhD, RN, FAAN |
| author_sort | Melissa Adair RN, CCRC |
| collection | DOAJ |
| description | Purpose: Treatment for head and neck cancer (HNC) results in long-term toxicities and increased physical and psychosocial survivor burden. There are a limited number of treatments for these late effects. Yoga postures, breath work, relaxation, and meditation, may improve these late effects. The purpose of this study was to examine the feasibility of a tailored yoga program in HNC survivors and obtain preliminary efficacy data. Methods: This was a randomized wait-list control study of yoga-naive HNC survivors who were >3 months post–cancer treatment. Baseline data were collected. Participants were randomized to either an 8-week hatha yoga intervention group or a wait-list group. Feasibility and efficacy data were collected. At 4 and 8 weeks, patients underwent a repeat assessment of health. Wait-list control group participants were offered the yoga program after data collection. Descriptive statistics evaluated feasibility. Mixed effects general linear models were used to generate estimates of the efficacy outcomes. Results: Seventy-three individuals were screened and 40 were eligible. All eligible individuals consented and enrolled. Five of the intervention group discontinued early and none in the wait-list control group. Feasibility was affirmed as participants were recruited and retained in the study, there were no adverse events, fidelity to protocol was demonstrated, and satisfaction rates were high. Efficacy measures indicated potential benefit for shoulder range of motion ( d = 0.57-0.86, P < .05), pain ( d = 0.67-0.90, P ≤ .005), and anxiety ( d = 0.59, P = .015). Conclusion: A tailored hatha yoga program is feasible and potentially efficacious for HNC survivors. Preliminary data supports further investigation of yoga in this population is needed. |
| first_indexed | 2024-12-24T03:50:06Z |
| format | Article |
| id | doaj.art-cb7c9ba9d2b8421db91c88421f33d827 |
| institution | Directory Open Access Journal |
| issn | 1552-695X |
| language | English |
| last_indexed | 2024-12-24T03:50:06Z |
| publishDate | 2018-09-01 |
| publisher | SAGE Publishing |
| record_format | Article |
| series | Integrative Cancer Therapies |
| spelling | doaj.art-cb7c9ba9d2b8421db91c88421f33d8272022-12-21T17:16:37ZengSAGE PublishingIntegrative Cancer Therapies1552-695X2018-09-011710.1177/1534735417753540Feasibility and Preliminary Efficacy of Tailored Yoga in Survivors of Head and Neck Cancer: A Pilot StudyMelissa Adair RN, CCRC0Barbara Murphy MD1Sujatha Yarlagadda2Jie Deng PhD, RN, OCN3Mary S. Dietrich PhD4Sheila H. Ridner PhD, RN, FAAN5School of Nursing, Vanderbilt University, Nashville, TN, USASchool of Medicine, Vanderbilt University, Nashville, TN, USAPatanjali Yoga Center, Nashville, TN, USASchool of Nursing, Vanderbilt University, Nashville, TN, USASchool of Medicine, Vanderbilt University, Nashville, TN, USASchool of Nursing, Vanderbilt University, Nashville, TN, USAPurpose: Treatment for head and neck cancer (HNC) results in long-term toxicities and increased physical and psychosocial survivor burden. There are a limited number of treatments for these late effects. Yoga postures, breath work, relaxation, and meditation, may improve these late effects. The purpose of this study was to examine the feasibility of a tailored yoga program in HNC survivors and obtain preliminary efficacy data. Methods: This was a randomized wait-list control study of yoga-naive HNC survivors who were >3 months post–cancer treatment. Baseline data were collected. Participants were randomized to either an 8-week hatha yoga intervention group or a wait-list group. Feasibility and efficacy data were collected. At 4 and 8 weeks, patients underwent a repeat assessment of health. Wait-list control group participants were offered the yoga program after data collection. Descriptive statistics evaluated feasibility. Mixed effects general linear models were used to generate estimates of the efficacy outcomes. Results: Seventy-three individuals were screened and 40 were eligible. All eligible individuals consented and enrolled. Five of the intervention group discontinued early and none in the wait-list control group. Feasibility was affirmed as participants were recruited and retained in the study, there were no adverse events, fidelity to protocol was demonstrated, and satisfaction rates were high. Efficacy measures indicated potential benefit for shoulder range of motion ( d = 0.57-0.86, P < .05), pain ( d = 0.67-0.90, P ≤ .005), and anxiety ( d = 0.59, P = .015). Conclusion: A tailored hatha yoga program is feasible and potentially efficacious for HNC survivors. Preliminary data supports further investigation of yoga in this population is needed.https://doi.org/10.1177/1534735417753540 |
| spellingShingle | Melissa Adair RN, CCRC Barbara Murphy MD Sujatha Yarlagadda Jie Deng PhD, RN, OCN Mary S. Dietrich PhD Sheila H. Ridner PhD, RN, FAAN Feasibility and Preliminary Efficacy of Tailored Yoga in Survivors of Head and Neck Cancer: A Pilot Study Integrative Cancer Therapies |
| title | Feasibility and Preliminary Efficacy of Tailored Yoga in Survivors of Head and Neck Cancer: A Pilot Study |
| title_full | Feasibility and Preliminary Efficacy of Tailored Yoga in Survivors of Head and Neck Cancer: A Pilot Study |
| title_fullStr | Feasibility and Preliminary Efficacy of Tailored Yoga in Survivors of Head and Neck Cancer: A Pilot Study |
| title_full_unstemmed | Feasibility and Preliminary Efficacy of Tailored Yoga in Survivors of Head and Neck Cancer: A Pilot Study |
| title_short | Feasibility and Preliminary Efficacy of Tailored Yoga in Survivors of Head and Neck Cancer: A Pilot Study |
| title_sort | feasibility and preliminary efficacy of tailored yoga in survivors of head and neck cancer a pilot study |
| url | https://doi.org/10.1177/1534735417753540 |
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