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Building a Program of Research on Yoga for Osteoarthritis

Building a Program of Research on Yoga for Osteoarthritis. Diana M. Taibi, PhD, RN Biobehavioral Nursing & Health Systems University of Washington WUN, 2010. Yoga for Osteoarthritis: Background on OA. Yoga for Osteoarthritis: Background on Yoga. Yoga for OA Program. Development

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Building a Program of Research on Yoga for Osteoarthritis

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  1. Building a Program of Research on Yoga for Osteoarthritis Diana M. Taibi, PhD, RNBiobehavioral Nursing & Health Systems University of Washington WUN, 2010

  2. Yoga for Osteoarthritis: Background on OA

  3. Yoga for Osteoarthritis: Background on Yoga

  4. Yoga for OA Program Development • Collaborative relationships • Design “Yoga for OA” program • Develop materials for instructor training & program dissemination • Research • Feasibility & acceptability • Efficacy • Effectiveness

  5. Preliminary Study: Yoga for OA-Related Insomnia in Women • Design: one-group, pre/post • N=14, age = 65.2 ± 6.9 y. • Intervention: • 8 weekly classes (75 min) • nightly home practice (20 min)

  6. Preliminary Study: Yoga for OA-Related Insomnia in Women Good Adherence • Attended 7.2 ± 1.0 of the 8 classes • Practiced: 5.83 ± 1.66 nights/week 22.59 ± 6.20 min/session Efficacy • Significant improvement in sleep outcomes

  7. K01: A Yoga Program for OA Symptoms and Disability in Older Adults Training Aims • Gain specialized knowledge of gerontology • OHSU coursework • Hartford Summer Institute at NYU • Become active in Gerontological Society of America • Expand clinical trials training • Work with Dr. Michael Vitiello’s study team • Institute of Translational Health Sciences

  8. K01: A Yoga Program for OA Symptoms and Disability in Older Adults Research Aims • To develop a “Yoga for OA” intervention for disability and symptom (pain, sleep disturbance, and depression) reduction that is specifically tailored to the physical needs and limitations of older persons with OA. • To test thefeasibility and acceptabilityof the program. • To conductpreliminary efficacy testingof the program via a small-scale RCT comparing the Yoga for OA.

  9. A Conceptual Model of the OA Symptom and Disability Cycle (modified from Vitiello, et al., (2009). J Clinical Sleep Med, 5(4), 355-362.)

  10. Intervention: Viniyoga • Consultant: Robin Rothenberg • Emphasis on healthy structural alignment • Repetition, rather than holding poses • Shown to reduce low back pain • 12 weeks, 75 minute classes weekly, 20 minutes home practice daily

  11. Yoga for Osteoarthritis: Study Design Follow-up Assessment Post-study period 1 week Pre- Assessment Post- Assessment 12 weeks 3 months 1 week 1 week Intervention Yoga (n=41*) Randomization Attention Control (n=25) Design: Randomized Crossover Trial Participants: N=50 , men & women ≥65 y/o with OA. *First 16 will complete Phase 1 only for feasibility. Outcomes: Pain, disability, sleep, & depressed mood questionnaires; objective disability (timed walk, ROM measure by physical therapist) & sleep (actigraphy)

  12. Long-term Goals

  13. Yoga for OA: Implications • Will provide data for obtaining grant funding for a large efficacy trial • Health implications • Reduced disability & symptoms • Improved quality of life • Standardized, evidence-based yoga program • Safe & effective to recommend to patients • Starting place for adults unfamiliar with yoga

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