Feasibility study of online yoga for symptom management in patients with myeloproliferative neoplasms

Huberty, Jennifer; Eckert, Ryan; Gowin, Krisstina; Mitchell, Jules; Dueck, Amylou C.; Ginos, Brenda; Larkey, Linda; Mesa, Ruben A.

doi:10.3324/haematol.2017.168583

Cited by 32 publications

(32 citation statements)

References 13 publications

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“…The convenience of doing yoga at home also addresses MPN patients’ limited access to in-person interventions at their treating facility. Many MPN patients travel outside of their home city or state to receive treatment, 17 and having access to an online yoga intervention allows MPN patients access to much-needed resources for symptom management.…”

Section: Discussionmentioning

confidence: 99%

“…The first study was a feasibility study conducted in 2015/2016 in 38 MPN patients (a detailed description of the intervention is published elsewhere). 17 The second was a RCT pilot study (ie, yoga group and wait-list control group) conducted in 2016/2017 in 48 MPN patients (a detailed description of the intervention is published elsewhere). 18…”

Section: Methodsmentioning

confidence: 99%

“…These additional meditation-based videos were included based on study participant feedback from the feasibility study. 17 Participants in both studies were provided with an overview of the yoga prescription, provided detailed instructions on how to access Udaya.com , and told to follow the prescription in the order in which the videos appeared, only going back to previous weeks’ yoga videos in case they wanted to participate in a prior class in addition to the weekly prescribed videos.…”

Section: Methodsmentioning

confidence: 99%

“…To begin to meet this need for MPN-specific research, Huberty et al 17 conducted a series of preliminary studies, demonstrating the feasibility of a 12-week online yoga study in MPN patients as well as its preliminary effectiveness for improving symptom burden (ie, reductions in fatigue, sleep disturbance, depression, anxiety, and total symptom score) and a reduction in biomarkers associated with inflammation. 18 These investigators further found that online yoga may be a more feasible option compared with in-person yoga for MPN patients.…”

Section: Introductionmentioning

confidence: 99%

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Perceptions of Myeloproliferative Neoplasm Patients Participating in an Online Yoga Intervention: A Qualitative Study

et al. 2018

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Myeloproliferative neoplasms (MPNs) are rare hematological malignancies with a significant symptom burden often left unresolved despite recent advances in pharmacological therapy. Yoga is a nonpharmacological strategy that has been shown to improve symptoms in other cancers and may be effective for improving symptoms in MPN patients. Online yoga helps address many of the commonly reported barriers of cancer patients to in-person interventions and may make yoga more accessible to MPNs. An exploration of MPN patient perceptions of participation in online yoga is needed to tailor interventions to patient needs and inform future studies. The purpose of this study was to explore the perceptions of MPN patients participating in a 12-week online yoga intervention. This article represents the combined qualitative interview data from two studies. Participants were asked to complete 60 min/wk of online, home-based yoga and were asked to participate in a 15- to 20-minute phone interview postintervention. The qualitative data was coded in NVivo 11 for content analysis. The total sample included 39 MPN patients. Online yoga was well accepted and liked among these patients. They reported physical (eg, improved sleep, reduced fatigue) and mental (eg, reduced stress) health benefits and liked the convenience of being able to do yoga at home. Online yoga provides a feasible and attractive format through which to deliver a nonpharmacological intervention among MPN patients. Randomized controlled trials are needed to confirm the effects of online yoga on MPN patient symptoms. The qualitative findings presented here help inform the development of these future trials.

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Section: Discussionmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Perceptions of Myeloproliferative Neoplasm Patients Participating in an Online Yoga Intervention: A Qualitative Study

et al. 2018

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“…Some find this helpful while other patients have advocated that vigorous training as beneficial. A recent small study of a 12 week intervention with Yoga showed improvement in symptoms including fatigue [11] so possibilities for non-pharmacological intervention in fatigue may be considered…”

Section: Fatiguementioning

confidence: 99%

A spotlight on the management of complications associated with myeloproliferative neoplasms: a clinician’s perspective

Greenfield

McMullin

2017

Expert Review of Hematology

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Myeloproliferative neoplasms (MPNs) are associated with a variety of symptoms and signs which cause major morbidity for the patients. The disorders are associated with increased incidence of thromboembolic and hemorrhagic events which can lead to complications and shortened life expectancy. Areas covered: Using systematic literature review and expert clinical and research experience the authors discuss strategies for the management of symptoms and signs including pruritus, fatigue, splenomegaly, and cytopenia. Cytoreduction including treatments to inhibit the JAK/STAT pathway are considered. Pathogenesis and prevention and treatment of thrombotic and hemorrhagic events and their management is addressed and the suggested management of the special situations such as surgery and pregnancy are discussed. Expert commentary: Management of disease has traditionally focused on symptom treatment and complication prevention but the discovery of driver mutations has led to treatments aiming to eliminate the clone, which should be the ultimate goal of therapy. A future challenge is to develop safe and effective MPN therapy and to personalize therapy.

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Physical exercise recommendations for patients with polycythemia vera based on preferences identified in a large international patient survey study of the East German Study Group for Hematology and Oncology (OSHO #97)

Felser,

Rogahn,

Hollenbach

et al. 2023

Cancer Medicine

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BackgroundExercise therapy during cancer treatment reduces symptom burden and improves quality of life (QoL). Polycythemia vera (PV) is a myeloproliferative neoplasia associated with good overall survival (up to decades) but a significant symptom burden, including thromboembolic events and dysesthesias. There are no specific exercise recommendations for patients with PV. Thus, we aimed to determine the exercise preferences of patients with PV and to derive specific recommendations based on the most commonly reported symptoms.MethodsThis multicenter survey included patients with PV ≥18 years old. Demographic, clinical, and disease burden data were collected. The severity of selected symptoms was assessed using the adapted Myeloproliferative Neoplasms Symptom Assessment Form: 0 (absent), 1–30 (mild), 31–70 (moderate), or 71–100 (severe). The patients' information needs about physical activity (PA) and exercise preferences were recorded depending on their motivation and analyzed with regard to demographic aspects.ResultsThe sample comprised 182 patients (68% female, 61 ± 12 years). The prevalence of moderate‐to‐severe symptoms was 60% for fatigue, 44% for concentration problems, and 35% for bone/muscle pain. Other commonly reported symptoms included skin reactions (49%), splenomegaly (35%), and increased bleeding tendency (28%). Overall, 67% of respondents requested more information regarding PA. Patients with PV preferred individual training (79%) located outdoors (79%) or at home (56%). Regarding the amount of training, sports‐inactive patients preferred a frequency of 1–2 times/week and session durations of 15–45 min, whereas sports‐active patients preferred 3–4 times/week and 30–60 min (p < 0.001). Higher sport‐inactiveness was observed in patients with lower educational level compared to patients with higher educational level (69% vs. 50%, p = 0.021). For beginners, combined resistance‐endurance (circuit) training two times/week, which can be performed outdoors or at home, should be recommended. In the case of splenomegaly or bleeding symptoms, exercises with a low injury risk should be chosen.ConclusionPA is important for patients with PV; therefore, counseling should be integrated into the treatment plan. Specifically, patients with low educational level should be addressed. Prospective studies are warranted to evaluate the effects of the novel exercise recommendations.

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Feasibility study of online yoga for symptom management in patients with myeloproliferative neoplasms

Cited by 32 publications

References 13 publications

Perceptions of Myeloproliferative Neoplasm Patients Participating in an Online Yoga Intervention: A Qualitative Study

Perceptions of Myeloproliferative Neoplasm Patients Participating in an Online Yoga Intervention: A Qualitative Study

A spotlight on the management of complications associated with myeloproliferative neoplasms: a clinician’s perspective

Physical exercise recommendations for patients with polycythemia vera based on preferences identified in a large international patient survey study of the East German Study Group for Hematology and Oncology (OSHO #97)

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