A feasibility randomised controlled trial of Novel Activity Management in severe ASthma-Tailored Exercise (NAMASTE): yoga and mindfulness
Abstract Background Physical inactivity is common in severe asthma and associated with poor health outcomes. New approaches are needed to address physical inactivity in this group. Objective To examine whether yoga and mindfulness improves health-related quality of life (HRQoL) compared with a minim...
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doaj-5fad4baff6b64a8e9e37c056c53f85452021-03-11T12:02:10ZengBMCBMC Pulmonary Medicine1471-24662021-02-0121111810.1186/s12890-021-01436-3A feasibility randomised controlled trial of Novel Activity Management in severe ASthma-Tailored Exercise (NAMASTE): yoga and mindfulnessSarah A. Hiles0Paola D. Urroz1Peter G. Gibson2Adam Bogdanovs3Vanessa M. McDonald4Centre of Excellence in Severe Asthma and Priority Research Centre for Healthy Lungs, University of NewcastleCentre of Excellence in Severe Asthma and Priority Research Centre for Healthy Lungs, University of NewcastleCentre of Excellence in Severe Asthma and Priority Research Centre for Healthy Lungs, University of NewcastleYoga For AllCentre of Excellence in Severe Asthma and Priority Research Centre for Healthy Lungs, University of NewcastleAbstract Background Physical inactivity is common in severe asthma and associated with poor health outcomes. New approaches are needed to address physical inactivity in this group. Objective To examine whether yoga and mindfulness improves health-related quality of life (HRQoL) compared with a minimal active control group and collect feasibility data to inform future studies. Methods Over 12-weeks, adults with severe asthma were recruited. Participants were randomised 2:1 to parallel yoga or control groups. All participants received an activity tracker. The yoga group received tailored group classes twice a week for 16-weeks with a qualified yoga instructor. The control group set activity goals with a research officer and received eight progress calls. Outcomes were assessed at 16-weeks. Primary outcome was St George’s Respiratory Questionnaire (SGRQ). Secondary outcomes included asthma control, physical activity, breathlessness, and inflammation. Face-to-face qualitative interviews were conducted to determine acceptability. Results There were 15 participants randomised to yoga (mean 67 years; 60% female) and 9 to control (68 years; 56% female). Planned comparisons indicated the yoga group had greater SGRQ improvement than the control group. There was little change in secondary outcomes. Moderate-vigorous activity increased substantially in the control group. Participants found the intervention acceptable; key barriers and facilitators were social connection, the setting, addressing breathing and asthma symptoms, changing their mindset, and the intersection of different elements. Conclusion A yoga and mindfulness intervention was feasible, acceptable to patients and improved HRQoL. The findings will inform design of much needed future research into physical activity interventions for severe asthma. World Health Organization International Clinical Trials Registry Platform The study was registered under the Australian New Zealand Clinical Trials Registry (ANZCTR) on the 26th of November 2018, Trial ID ACTRN12618001914257.https://doi.org/10.1186/s12890-021-01436-3Severe asthmaYogaMindfulnessAsthma managementHealth-related quality of lifeExercise |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Sarah A. Hiles Paola D. Urroz Peter G. Gibson Adam Bogdanovs Vanessa M. McDonald |
spellingShingle |
Sarah A. Hiles Paola D. Urroz Peter G. Gibson Adam Bogdanovs Vanessa M. McDonald A feasibility randomised controlled trial of Novel Activity Management in severe ASthma-Tailored Exercise (NAMASTE): yoga and mindfulness BMC Pulmonary Medicine Severe asthma Yoga Mindfulness Asthma management Health-related quality of life Exercise |
author_facet |
Sarah A. Hiles Paola D. Urroz Peter G. Gibson Adam Bogdanovs Vanessa M. McDonald |
author_sort |
Sarah A. Hiles |
title |
A feasibility randomised controlled trial of Novel Activity Management in severe ASthma-Tailored Exercise (NAMASTE): yoga and mindfulness |
title_short |
A feasibility randomised controlled trial of Novel Activity Management in severe ASthma-Tailored Exercise (NAMASTE): yoga and mindfulness |
title_full |
A feasibility randomised controlled trial of Novel Activity Management in severe ASthma-Tailored Exercise (NAMASTE): yoga and mindfulness |
title_fullStr |
A feasibility randomised controlled trial of Novel Activity Management in severe ASthma-Tailored Exercise (NAMASTE): yoga and mindfulness |
title_full_unstemmed |
A feasibility randomised controlled trial of Novel Activity Management in severe ASthma-Tailored Exercise (NAMASTE): yoga and mindfulness |
title_sort |
feasibility randomised controlled trial of novel activity management in severe asthma-tailored exercise (namaste): yoga and mindfulness |
publisher |
BMC |
series |
BMC Pulmonary Medicine |
issn |
1471-2466 |
publishDate |
2021-02-01 |
description |
Abstract Background Physical inactivity is common in severe asthma and associated with poor health outcomes. New approaches are needed to address physical inactivity in this group. Objective To examine whether yoga and mindfulness improves health-related quality of life (HRQoL) compared with a minimal active control group and collect feasibility data to inform future studies. Methods Over 12-weeks, adults with severe asthma were recruited. Participants were randomised 2:1 to parallel yoga or control groups. All participants received an activity tracker. The yoga group received tailored group classes twice a week for 16-weeks with a qualified yoga instructor. The control group set activity goals with a research officer and received eight progress calls. Outcomes were assessed at 16-weeks. Primary outcome was St George’s Respiratory Questionnaire (SGRQ). Secondary outcomes included asthma control, physical activity, breathlessness, and inflammation. Face-to-face qualitative interviews were conducted to determine acceptability. Results There were 15 participants randomised to yoga (mean 67 years; 60% female) and 9 to control (68 years; 56% female). Planned comparisons indicated the yoga group had greater SGRQ improvement than the control group. There was little change in secondary outcomes. Moderate-vigorous activity increased substantially in the control group. Participants found the intervention acceptable; key barriers and facilitators were social connection, the setting, addressing breathing and asthma symptoms, changing their mindset, and the intersection of different elements. Conclusion A yoga and mindfulness intervention was feasible, acceptable to patients and improved HRQoL. The findings will inform design of much needed future research into physical activity interventions for severe asthma. World Health Organization International Clinical Trials Registry Platform The study was registered under the Australian New Zealand Clinical Trials Registry (ANZCTR) on the 26th of November 2018, Trial ID ACTRN12618001914257. |
topic |
Severe asthma Yoga Mindfulness Asthma management Health-related quality of life Exercise |
url |
https://doi.org/10.1186/s12890-021-01436-3 |
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