Development, validation, and feasibility of a generic yoga-based intervention for Generalized Anxiety Disorder

More, Pooja; Kumar, Vinod; Rani, Monika; Philip, Mariamma; Manjunatha, Narayana; Varambally, Shivarama; Gangadhar, Bangalore N.

doi:10.1016/j.ctim.2021.102776

Cited by 9 publications

(10 citation statements)

References 38 publications

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“…The adoption of mHealth technology offers a promising platform for efficient and accessible intervention delivery [ 12 ]. Several studies have demonstrated the efficacy of mHealth interventions for improving the overall HRQOL of patients with chronic illnesses, such as chronic pain, cancer, generalized anxiety disorder and cardiovascular diseases [ 13 , 14 ]. However, mHealth-based interventions for improving motor symptoms, particularly balance, mobility, and FOG symptoms, as well as mental health and HRQOL, in patients with PD have been limited.…”

Section: Introductionmentioning

confidence: 99%

Stay mindfully active during the coronavirus pandemic: a feasibility study of mHealth-delivered mindfulness yoga program for people with Parkinson’s disease

Kwok

Lee

Choi

et al. 2022

BMC Complement Med Ther

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Importance Patients with long-term neurological conditions, such as Parkinson’s disease (PD), are particularly vulnerable to the public health measures taken to combat the COVID-19 pandemic. The inaccessibility of center-based rehabilitation further aggravated their motor dysfunctions as well as mental distress, leading to exacerbation of motor and non-motor symptoms, high healthcare utilization and worsened health-related quality of life (HRQOL). Objective This study aimed to evaluate the feasibility, safety, and preliminary effects of the mHealth-delivered home-based mindfulness yoga program on functional balance, motor symptoms, mental health and HRQOL in patients with PD. Design, setting and participants This prospective, single-arm, non-randomized feasibility study adopted a sequential explanatory mixed-method design. Adults (aged ≥ 18) with a clinical diagnosis of idiopathic Parkinson’s disease (Hoehn and Yahr stage I to III) who were able to stand unaided and walk with or without an assistive device were enrolled via convenience sampling. Intervention Home-based mindfulness yoga training were delivered via video-conferencing software (Zoom) in eight bi-weekly 90-min sessions. Main outcomes and measures This current study measured functional balance, motor symptoms, perceived balance confidence, perceived freezing of gait symptoms, anxiety and depression, mindfulness and HRQOL using a tele-assessment approach at baseline and 1-week post-intervention. All participants were invited to attend qualitative individual interviews to explore their experience of using online mindfulness yoga program as a lifestyle intervention for PD rehabilitation. Results Among the ten patients, 80% completed the program with an adherence rate of 98.4%. All participants were able to learn and practice mindfulness yoga following the eight bi-weekly online mindfulness yoga training sessions, without any significant adverse events. Tele-assessment of outcomes were feasible and uneventful. Qualitative feedback revealed participants had a high preference of using the tele-rehabilitation approach to stay mindful and being active, both physically and socially, while confronting the changes brought by COVID-19 pandemic. Conclusions and relevance The mHealth-delivered home-based mindfulness yoga intervention was feasible, safe, and well-accepted among people with PD to relieve the burden brought by COVID-19 pandemic. Future studies should adopt a design with enhanced rigor, a comparison group, and enlarged sample size to evaluate the efficacy of the program in patients with long-term neurological conditions and/or physical impairments. We recommend a longer intervention duration of at least 8 weeks to enhance the psychophysiological effects.

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Section: Introductionmentioning

confidence: 99%

Stay mindfully active during the coronavirus pandemic: a feasibility study of mHealth-delivered mindfulness yoga program for people with Parkinson’s disease

Kwok

Lee

Choi

et al. 2022

BMC Complement Med Ther

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“…Twelve articles mentioned that depending on the patient's conditions, practices can be modified. [ 14 15 16 17 18 19 20 21 22 23 24 25 ] The duration of the yoga module ranged between 12 min[ 26 ] and 90 min[ 27 28 ] averaging to about 50 min per session. The number of sessions ranged between 1 and 5 sessions per week wherein the complete intervention generally lasted between 5 days[ 29 ] and 3 months.…”

Section: Resultsmentioning

confidence: 99%

“…Nineteen studies tested the feasibility of the module. [ 15 16 19 20 21 22 26 29 31 32 33 34 35 36 37 38 39 40 41 ] The sample size ranged from 5 to 90 participants with varied study designs such as RCT and single-armed pilot studies. Feedback of the participants about the module was taken by 19 studies.…”

Section: Resultsmentioning

confidence: 99%

“…Only three articles were rated as “low,”[ 14 42 43 ] 25 articles rated as medium quality,[ 17 18 19 23 24 25 27 29 30 31 32 33 35 36 38 40 41 42 44 45 46 47 48 49 50 55 ] and 8 articles rated as high quality. [ 15 16 21 27 19 34 35 36 ]…”

Section: Resultsmentioning

confidence: 99%

“…Hence, most of the studies did not qualify for a rating of “high quality.” Different development and validation modalities were investigated and the most commonly used development method was literature review, while for validation, experts' scoring on the Likert scale was frequently used. For diseases such as diabetes mellitus,[ 19 39 ] Parkinson's disease,[ 21 45 ] cardiovascular diseases,[ 23 28 ] cancer,[ 30 43 ] and obesity,[ 29 46 ] there were more than one module development studies. The present study recommends that in such cases, the researcher needs to mention what is lacking in the existing module and the rationale why a new module should be validated.…”

Section: Discussionmentioning

confidence: 99%

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Yoga Module Development and Validation

Jagannathan

Katla

Ramsahaye

et al. 2022

International Journal of Yoga

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In the past decades, more than fifty different yoga styles have been implemented in the therapeutic context to manage various diseases. Yet, not all of these yoga styles have been validated or standardized as a program. The aim of this article is to review the different methodologies used for yoga module development and to assess their quality. Three databases (PubMed, Web of Science, and Scopus) were searched using the following keywords and Boolean operators: (validation OR development OR design) AND (yoga OR mind-body) AND (module OR protocol OR program). Three thousand six hundred and seventy-one articles were enlisted, and based on the inclusion and exclusion criteria, 37 articles were narrowed down for review. Since no checklist exists to assess the quality of yoga modules, the authors designed a 23-item checklist to categorize each having low, medium, or high quality. As per the yoga module quality checklist, only 21.6% of the studies had high quality, while 75.3% of the articles had medium quality and 8.11% had low quality. A commonly used development method was literature review, while for validation, experts' scoring of the Likert scale was the preferred means. The feasibility of the module was carried out only by half of the studies. Few diseases such as cardiovascular disease, diabetes mellitus, obesity, Parkinson's disease, and obesity had more than one yoga module developed. The findings of this systematic review have shed some light on the growing need for standardized methods of yoga module development. The 23-item checklist can guide researchers in the homogeneous development strategies when designing yoga interventions in the future.

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Asynchronous Technologies in Mental Health Care and Education

Lagera

Chan

Yellowlees

2023

Curr Treat Options Psych

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Purpose of review Patients, providers, and trainees should understand the current types of asynchronous technologies that can be used to enhance the delivery and accessibility of mental health care. Asynchronous telepsychiatry (ATP) removes the need for real time communication between the clinician and patient, which improves efficiency and enables quality specialty care. ATP can be applied as distinct consultative and supervisory models in clinician-to-clinician , clinician-to-patient , and patient-to-mobile health settings. Recent findings This review is based on research literature and the authors’ clinical and medical training, using experiences with asynchronous telepsychiatry from before, during, and after the COVID-19 pandemic. Our studies demonstrate that ATP provides positive outcomes in the clinician-to-patient model with demonstrated feasibility, outcomes and patient satisfaction. One author’s medical education experience in the Philippines during COVID-19 highlights the potential to utilize asynchronous technology in areas with limitations to online learning. We emphasize the need to teach media skills literacy around mental health to students, coaches, therapists, and clinicians when advocating for mental well-being. Several studies have demonstrated the feasibility of incorporating asynchronous e-tools such as self-guided multimedia and artificial intelligence for data collection at the clinician-to-clinician and patient-to-mobile health level. In addition, we offer fresh perspectives on recent trends in asynchronous telehealth in wellness, applying concepts such as “tele-exercise” and “tele-yoga.” Summary Asynchronous technologies continue to be integrated into mental health care services and research. Future research must ensure that the design and the usability of this technology puts the patient and provider first.

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Development, validation, and feasibility of a generic yoga-based intervention for Generalized Anxiety Disorder

Cited by 9 publications

References 38 publications

Stay mindfully active during the coronavirus pandemic: a feasibility study of mHealth-delivered mindfulness yoga program for people with Parkinson’s disease

Stay mindfully active during the coronavirus pandemic: a feasibility study of mHealth-delivered mindfulness yoga program for people with Parkinson’s disease

Yoga Module Development and Validation

Asynchronous Technologies in Mental Health Care and Education

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