Effects of Yoga-Based Interventions on Cancer-Associated Cognitive Decline: a Systematic Review

Baydoun, Mohamad; Oberoi, Devesh; Flynn, Michelle; Moran, Chelsea; McLennan, Andrew; Piedalue, Katherine-Ann; Carlson, Linda E.

doi:10.1007/s11912-020-00960-5

Cited by 15 publications

(12 citation statements)

References 37 publications

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“…The yoga intervention was informed by Yoga Thrive, an evidence-based therapeutic yoga program for individuals affected by cancer and their support persons, and the expertise of the study team. Findings from recent systematic reviews [13][14][15], studies describing young adults' virtual delivery preferences [20,21], evidencebased behavior change techniques [32,33], and perspectives from 12 young adults affected by cancer who participated in online pilot yoga classes at the start of the pandemic were also incorporated into the design of the intervention. The result was a yoga intervention for young adults affected by cancer and their support persons 2 delivered over an 8-week period, with one, 60-min class offered per week.…”

Section: Yoga Interventionmentioning

confidence: 99%

“…Yoga, as practiced in Western societies, typically includes physical postures, mindfulness/meditation, and breathwork. Among older adults with a history of cancer, findings from systematic reviews and meta-analyses suggest yoga can enhance physical (e.g., flexibility, range of motion) and psychological outcomes (e.g., symptoms of anxiety, negative affect, quality of life) [13][14][15]. Among young adults affected by cancer, results from an experimental [16] and cross-sectional study [17] suggest that yoga is desired and may offer similar benefits to those seen among older adults with a history of cancer.…”

Section: Introductionmentioning

confidence: 99%

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Exploring feasibility, perceptions of acceptability, and potential benefits of an 8-week yoga intervention delivered by videoconference for young adults affected by cancer: a single-arm hybrid effectiveness-implementation pilot study

Wurz

McLaughlin²,

Hughes³

et al. 2023

Pilot Feasibility Stud

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Background Young adults affected by cancer face physical and psychological challenges and desire online supportive care. Yoga can be delivered online and may improve physical and psychological outcomes. Yet, yoga has rarely been studied with young adults affected by cancer. To address this, an 8-week yoga intervention was developed, and a pilot study was deemed necessary to explore feasibility, acceptability, implementation, and potential benefits. Methods A mixed-methods, single-arm hybrid effectiveness-implementation pilot study evaluating the yoga intervention was conducted. Feasibility was assessed by tracking enrollment, retention, attendance, completeness of data, and adverse events. Acceptability was explored through interviews. Implementation metrics included training time, delivery resources, and fidelity. Potential effectiveness was evaluated by exploring changes in physical (i.e., balance, flexibility, range of motion, functional mobility) and psychological (i.e., quality of life, fatigue, resilience, posttraumatic growth, body image, mindfulness, perceived stress) outcomes at pre- (week 0), post- (week 8), and follow-up (week 16) time points. Data were analyzed with descriptive statistics, repeated measures analysis of variance, and content analysis. Results Thirty young adults participated in this study (recruitment rate = 33%). Retention to study procedures was 70%, and attendance ranged from 38 to 100%. There were little missing data (< 5%) and no adverse events. Though most participants were satisfied with the yoga intervention, recommendations for improvement were shared. Sixty study-specific training hours and > 240 delivery and assessment hours were accrued and fidelity was high. Functional mobility, flexibility, quality of life (energy/fatigue, social well-being), body image (appearance evaluation), mindfulness (non-reactivity), and perceived stress improved significantly over time (all p< 0.050; $$\eta_{p}{}^{2}s=0.124-0.292$$ η p 2 s = 0.124 - 0.292 ). No other significant changes were observed (all p> 0.050; $$\eta_{p}{}^{2}s=0.005-0.115$$ η p 2 s = 0.005 - 0.115 ). Conclusions The yoga intervention may confer physical and psychological benefits, though intervention and study-specific modifications are required to improve feasibility and acceptability. Requiring study participation and providing greater scheduling flexibility could enhance recruitment and retention. Increasing the frequency of classes offered each week and offering more opportunities for participant interaction could improve satisfaction. This study highlights the value of doing pilot work and provides data that has directly informed intervention and study modifications. Findings could also be used by others offering yoga or supportive care by videoconference to young adults affected by cancer. Trial registration Not available—not registered

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Section: Yoga Interventionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Exploring feasibility, perceptions of acceptability, and potential benefits of an 8-week yoga intervention delivered by videoconference for young adults affected by cancer: a single-arm hybrid effectiveness-implementation pilot study

Wurz

McLaughlin²,

Hughes³

et al. 2023

Pilot Feasibility Stud

View full text Add to dashboard Cite

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“…After removing duplicates, each reviewer screened titles and abstracts using the aforementioned inclusion/exclusion criteria (level 1). Remaining abstracts were then screened as full-text articles (level 2) and data extraction was undertaken using a previously designed form [21]. Data extraction summarized details including study objectives, patient demographics and disease-related characteristics, lymphedema status determination, design and data collection methodology, and psychosocial and/or QOL-related findings.…”

Section: Data Extractionmentioning

confidence: 99%

The Quality of Life and Psychosocial Implications of Cancer-Related Lower-Extremity Lymphedema: A Systematic Review of the Literature

Bowman

Piedalue

Baydoun

et al. 2020

JCM

Self Cite

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Lower-extremity lymphedema (LEL) is a progressive, lifelong complication of cancer that places a substantial burden upon cancer survivors’ quality of life (QOL) and psychosocial well-being. Despite its prevalence, cancer-related LEL is inconsistently diagnosed, treated, and poorly recognized by health care professionals. The purpose of this systematic review was to summarize and appraise the quantitative literature evaluating the impact of cancer-related LEL on patients’ psychosocial well-being and QOL. Three databases (PubMed, PROQuest, and Scopus) were searched for observational research articles published before May 1st, 2020. Twenty-one articles were eligible (cross-sectional (n = 16), prospective cohort designs (n = 3), and retrospective cohort designs (n = 2)). The majority of studies reported a negative relationship between cancer-related LEL and global QOL and/or one or more psychosocial domains including (1) physical and functional; (2) psycho-emotional; (3) social, relational and financial. A greater number of LEL symptoms and higher LEL severity were associated with poorer QOL. Although the evidence to date suggests a negative relationship between cancer-related LEL and patients’ QOL and psychosocial well-being, there is a substantial need for longitudinal analyses to examine the directionality and temporality of this effect in order to inform cancer survivorship care modelling and improve patient outcomes after cancer.

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“…Often though, these adults report low levels of physical activity [ 12 ] (e.g., any voluntary bodily movement, encompassing all activities at any intensity) and note that treatment side effects can reduce their ability to participate in physical activity [ 13 ]. Many have therefore sought to establish that yoga, a mind–body practice, can be a form of physical activity that can be done by persons with physical limitations and confers physical and psychosocial benefits during and after cancer treatment [ 14 – 17 ]. A meta-synthesis of 24 articles indicates yoga helps women manage the adverse side effects of cancer and its treatments, rediscover strength and physical abilities, embrace a positive outlook and relationship with themselves, develop strategies for coping with stressors, foster social connections and support, and become more attentive and mindful [ 18 ].…”

Section: Introductionmentioning

confidence: 99%

A single-subject research design evaluating a co-created yoga program for adults with gynecologic cancer: feasibility study protocol

Price,

Brunet

2024

Pilot Feasibility Stud

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Background Worldwide, > 1.3 million adults are diagnosed with a gynecologic cancer each year, affecting their wellbeing and quality of life. This manuscript describes the protocol for a study that sought to assess the feasibility, acceptability, and fidelity of a community-based co-created yoga program and proposed evaluative methods, and estimate program effects on self-reported outcomes. Methods Using a multiple baseline single-subject research design with a follow-up phase (ABA), quantitative and qualitative data were collected from program participants and the instructor. Participants were randomly assigned to varying baseline lengths and completed weekly surveys for 3–5 weeks pre-program. Then, participants engaged in a bi-modal 12-week hatha yoga program consisting of 2 60-min group classes a week, with optional supplemental features (January–April, 2023). Participants completed surveys after classes 1, 12, and 24. All yoga classes were audio- and video-recorded. Post-program, participants completed surveys 1, 4, and 8 weeks after the last class and took part in a semi-structured interview 1 week after to discuss program acceptability, suitability, relevance, and potential benefits. Feasibility outcomes (i.e., recruitment, retention, and program adherence rates, engagement with optional program features) were tracked by the instructor assistant and study team during the study. The yoga instructor was interviewed about their experience delivering the program 2 weeks after the last class. Planned analysis Feasibility outcomes will be analyzed using descriptive statistics. Interview transcripts will be coded using reflexive thematic analysis. Class recordings will be coded using duration and frequency coding. Survey responses for self-reported outcomes will be analyzed visually and using multilevel modeling. Expected outcomes Data will help determine refinements, if any, required to the program and instructor guidebook, implementation approach, and proposed evaluation methods before scale-up projects and definitive trials are started. Trial registration ClinicalTrials.gov NCT05610982. November 3, 2022.

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Effects of Yoga-Based Interventions on Cancer-Associated Cognitive Decline: a Systematic Review

Cited by 15 publications

References 37 publications

Exploring feasibility, perceptions of acceptability, and potential benefits of an 8-week yoga intervention delivered by videoconference for young adults affected by cancer: a single-arm hybrid effectiveness-implementation pilot study

Exploring feasibility, perceptions of acceptability, and potential benefits of an 8-week yoga intervention delivered by videoconference for young adults affected by cancer: a single-arm hybrid effectiveness-implementation pilot study

The Quality of Life and Psychosocial Implications of Cancer-Related Lower-Extremity Lymphedema: A Systematic Review of the Literature

A single-subject research design evaluating a co-created yoga program for adults with gynecologic cancer: feasibility study protocol

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