Yoga Cancer Rehabilitation Study: A Randomized Trial of Adaptive Yoga for Older Cancer Survivors



Status:Completed
Conditions:Cancer
Therapuetic Areas:Oncology
Healthy:No
Age Range:18 - 90
Updated:4/21/2016
Start Date:May 2011
End Date:December 2015

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Yoga Cancer Rehabilitation Study

With advances in the detection and treatment of cancer, there are now 14 million cancer
survivors in the U.S., 500,000 of whom are treated in the Veterans Health Administration.
The mental and physical health consequences of cancer and its treatment may affect a
Veteran's functioning and re-integration back into family, work, and daily life. Recent
studies suggest that yoga may be an effective intervention for improving both the physical
and mental health of individuals after cancer, although this has not been studied in
Veterans. This study has three components: (1) Determine factors that increase participation
in Yoga by Veterans using individual interviews and focus group; (2) Create a Yoga protocol
for Veterans adapted from an existing empirically supported treatment, akin to a phase 1
clinical trial for safety and tolerability; (3) Evaluate the efficacy of Yoga for improving
fatigue, insomnia, anxiety, and depression after treatment for colorectal cancer, akin to a
phase 2 trial with randomization.

With a 1 and 2 lifetime risk of diagnosis, cancer is a highly prevalent disease. Cancer and
its treatment are associated with long term mental and physical side effects that impair
physical, vocational, and social role functioning. In order to provide excellent care for
Veterans, rehabilitative strategies to improve mental and physical health after cancer
treatment need empirical study. The objective of the proposed pilot project is to create a
Veterans' Yoga Rehabilitation Program for cancer survivors who receive care in the Veterans
Health Administration, that is based on an existing evidence based protocol which is
systemically adapted, marketed, and tested in a Veteran population, with 3 aims:

Aim 1: Enhancing Acceptability To determine factors that will increase participation in Yoga
in Veterans after treatment for cancer, who are primarily male and older than age 60.

Aim 2: Adapting to Veterans To create a Yoga protocol by adapting an empirically supported
Yoga protocol to the needs of Veterans.

Aim 3: Evaluating Efficacy To evaluate the efficacy of the Yoga protocol for improving
health related quality of life in four domains, and, to determine if efficacy varies as a
function of patient age or pre-existing Post Traumatic Stress Disorder. The long term goal
is to develop an evidence based mind-body Yoga intervention to support healing and restore
function in Veterans Health Administration patients for use after treatment for cancer.

Inclusion Criteria:

- Cancer treated in the past 3 years

Exclusion Criteria:

- Dementia

- Psychotic Disorder

- In hospice care
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