Randomized Controlled Trial of Yoga Among a Multiethnic Sample of Breast Cancer Patients: Effects on Quality of Life

Moadel, Alyson B.; Shah, Chirag; Wylie‐Rosett, Judith; Harris, Melanie S.; Patel, Sapana R.; Hall, Charles B.; Sparano, Joseph A.

doi:10.1200/jco.2006.06.6027

Cited by 338 publications

(388 citation statements)

References 71 publications

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“…Several other studies in the literature had lower rates of class attendance. 19,21,23,28 This finding may be due to the fact that this pranayama intervention was designed for its ease of practice. This attribute of pranayama makes it an attractive intervention for further study in the cancer chemotherapy setting.…”

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confidence: 80%

“…11,13,16 Several studies have investigated the efficacy of a multimodality yoga intervention, which includes breathing, postures, and/or meditation, in a population of patients with cancer. [17][18][19][20][21][22][23][24][25][26][27][28][29] However, conclusive results are lacking. 30 Many studies have small and mixed samples (i.e., included both patients who were receiving cancer treatment and those post-treatment) and others have methodological limitations leading to challenges in drawing definitive conclusions.…”

Section: Introductionmentioning

confidence: 99%

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Yoga Breathing for Cancer Chemotherapy–Associated Symptoms and Quality of Life: Results of a Pilot Randomized Controlled Trial

Dhruva

Miaskowski

Abrams

et al. 2012

The Journal of Alternative and Complementary Medicine

125

111

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Background: Many debilitating symptoms arise from cancer and its treatment that are often unrelieved by established methods. Pranayama, a series of yogic breathing techniques, may improve cancer-related symptoms and quality of life, but it has not been studied for this purpose. Objectives: A pilot study was performed to evaluate feasibility and to test the effects of pranayama on cancerassociated symptoms and quality of life. Design: This was a randomized controlled clinical trial comparing pranayama to usual care. Setting: The study was conducted at a university medical center. Subjects: Patients receiving cancer chemotherapy were randomized to receive pranayama immediately or after a waiting period (control group). Interventions: The pranayama intervention consisted of four breathing techniques taught in weekly classes and practiced at home. The treatment group received pranayama during two consecutive cycles of chemotherapy. The control group received usual care during their first cycle, and received pranayama during their second cycle of chemotherapy. Outcome measures: Feasibility, cancer-associated symptoms (fatigue, sleep disturbance, anxiety, depression, stress), and quality of life were the outcomes. Results: Class attendance was nearly 100% in both groups. Sixteen (16) participants were included in the final intent-to-treat analyses. The repeated-measures analyses demonstrated that any increase in pranayama dose, with dose measured in the number of hours practiced in class or at home, resulted in improved symptom and qualityof-life scores. Several of these associations-sleep disturbance ( p = 0.04), anxiety ( p = 0.04), and mental quality of life ( p = 0.05)-reached or approached statistical significance. Conclusions: Yoga breathing was a feasible intervention among patients with cancer receiving chemotherapy. Pranayama may improve sleep disturbance, anxiety, and mental quality of life. A dose-response relationship was found between pranayama use and improvements in chemotherapy-associated symptoms and quality of life. These findings need to be confirmed in a larger study.

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mentioning

confidence: 80%

Section: Introductionmentioning

confidence: 99%

Yoga Breathing for Cancer Chemotherapy–Associated Symptoms and Quality of Life: Results of a Pilot Randomized Controlled Trial

Dhruva

Miaskowski

Abrams

et al. 2012

The Journal of Alternative and Complementary Medicine

125

111

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“…Issues of low adherence especially involving multiethnic population in New York have been reported (Moadel et al, 2007). In their RCT (164 recruited patients) evaluating efficacy of yoga in multiethnic African America, Hispanic, Non-Hispanic White and other breast cancer survivors, only 128 (78%) patients completed the 12-week weekly intervention.…”

Section: Discussionmentioning

confidence: 99%

Barriers to Participation in a Randomized Controlled Trial of Qigong Exercises Amongst Cancer Survivors: Lessons Learnt

Loh

Lee

Quek³

et al. 2012

Asian Pacific Journal of Cancer Prevention

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Background: Clinical trials on cancer subjects have one of the highest dropout rates. Barriers to recruitment range from patient-related, through institutional-related to staff-related factors. This paper highlights the low response rate and the recruitment barriers faced in our Qigong exercises trial. Materials and Method: The Qigong trial is a three-arm trial with a priori power size of 114 patients for 80% power. The University Malaya Medical Centre database showed a total of 1,933 patients from 2006-2010 and 751 patients met our inclusion criteria. These patients were approached via telephone interview. 131 out of 197 patients attended the trial and the final response rate was 48% (n=95/197). Results: Multiple barriers were identified, and were regrouped as patientrelated, clinician-related and/or institutional related. A major consistent barrier was logistic difficulty related to transportation and car parking at the Medical Centre. Conclusions: All clinical trials must pay considerable attention to the recruitment process and it should even be piloted to identify potential barriers and facilitators to reduce attrition rate in trials.

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“…The latter two themes reflect physical and social perspectives -established topics in the cancer and yoga literature [14,15,22,36]. The complexities of how these women come to experience social and physical benefits and how these benefits are contextualised within the women's experiences of cancer treatment are explored.…”

Section: Discussionmentioning

confidence: 99%

“…Yoga has been identified as beneficial to psychological and physical well-being in a variety of healthy and non-healthy populations [4][5][6][7][8][9][10][11][12][13], including cancer [14][15][16][17][18][19][20][21][22][23][24]. Reported benefits of participating in yoga for cancer patients include reduction of treatment-induced side effects and relief of symptoms of the disease itself [14][15][16]: these are often measured on validated quantitative scales.…”

mentioning

confidence: 99%

“I’m 100% for it! I’m a convert!”: Women's experiences of a yoga programme during treatment for gynaecological cancer; an interpretative phenomenological analysis

Archer

Phillips

Montague

et al. 2015

Complementary Therapies in Medicine

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Setting: Royal Derby Hospital, UK.Interventions: Patients took part in a 10 week course of Hatha yoga, where they participated in a one hour long class per week.Results: Three themes emerged from the data: applying breathing techniques, engaging in the physicality of yoga and finding a community. The first theme was particularly important to the patients as they noted the breadth and applicability of the techniques in their day-to-day lives. The latter two themes reflect physical and social perspectives, which are established topics in the cancer and yoga literature and are contextualised here within the women's experiences of cancer treatment. Conclusions:The women's perceptions of the programme were generally positive, providing a previously unseen view of the patient experience of participating in a yoga intervention. The difference between the women's prior expectations and lived experiences is discussed.

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Randomized Controlled Trial of Yoga Among a Multiethnic Sample of Breast Cancer Patients: Effects on Quality of Life

Cited by 338 publications

References 71 publications

Yoga Breathing for Cancer Chemotherapy–Associated Symptoms and Quality of Life: Results of a Pilot Randomized Controlled Trial

Yoga Breathing for Cancer Chemotherapy–Associated Symptoms and Quality of Life: Results of a Pilot Randomized Controlled Trial

Barriers to Participation in a Randomized Controlled Trial of Qigong Exercises Amongst Cancer Survivors: Lessons Learnt

“I’m 100% for it! I’m a convert!”: Women's experiences of a yoga programme during treatment for gynaecological cancer; an interpretative phenomenological analysis

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