Trials | |
Yoga for older adults with multimorbidity (the Gentle Years Yoga Trial): study protocol for a randomised controlled trial | |
Jenny Howsam1  Laura Bissell1  David Yates2  Tim Rapley3  Garry A. Tew4  Lesley Ward4  Fi Rose5  Jenny Roche5  David J. Torgerson5  Laura Wiley5  Catherine Hewitt5  Camila Maturana5  Caroline Fairhurst5  Belen Corbacho5  Jess Hugill-Jones5  Shirley-Anne S. Paul5  | |
[1] British Wheel of Yoga Qualifications (BWYQ);Department of Anaesthesia, York Hospitals NHS Foundation Trust;Department of Social Work, Education and Community Wellbeing, Northumbria University;Department of Sport, Exercise and Rehabilitation, Northumbria University;York Trials Unit, Department of Health Sciences, University of York; | |
关键词: Aged; Multimorbidity; Mind-body therapies; Health-related quality of life; Randomised controlled trial; | |
DOI : 10.1186/s13063-021-05217-5 | |
来源: DOAJ |
【 摘 要 】
Abstract Background Multimorbidity is common in older adults and associated with high levels of illness burden and healthcare expenditure. The evidence base for how to manage older adults with multimorbidity is weak. Yoga might be a useful intervention because it has the potential to improve health-related quality of life, physical functioning, and several medical conditions. The British Wheel of Yoga’s Gentle Years Yoga© (GYY) programme was developed specifically for older adults, including those with chronic medical conditions. Data from a pilot trial suggested feasibility of using GYY in this population, but its effectiveness and cost-effectiveness remain uncertain. Methods This is a multi-site, individually randomised, superiority trial with an embedded process evaluation and an economic analysis of cost-effectiveness. The trial will compare an experimental strategy of offering a 12-week GYY programme against a control strategy of no offer in community-dwelling adults aged 65 or over who have multimorbidity, defined as having two or more chronic conditions from a predefined list. The primary outcome is health-related quality of life measured using the EQ-5D-5L, the primary endpoint being the overall difference over 12 months. Both groups will continue to be able to access their usual care from primary, secondary, community, and social services. Participants, care providers, and yoga teachers will not be blinded to the allocated intervention. Outcome measures are primarily self-reported. The analysis will follow intention-to-treat principles. Discussion This pragmatic randomised controlled trial will demonstrate if the GYY programme is an effective, cost-effective, and viable addition to the management of older adults with multimorbidity. Trial registration ISRCTN ISRCTN13567538 . Registered on 18 March 2019
【 授权许可】
Unknown