Test the feasibility and clinical outcomes of a home-based videoconferencing yoga intervention in participants diagnosed with both Chronic Obstructive Pulmonary Disease (COPD) and heart failure (HF).
Background:
Yoga has potential benefit for symptom relief in participants with COPD and with HF; however, functional impairment and transportation issues can hinder access to typical yoga classes.
Methods:
A controlled, nonrandomized trial was conducted of an 8-week TeleYoga intervention versus an educational control (information leaflets mailed to participants with one weekly phone call). One-hour TeleYoga classes were implemented twice weekly via multipoint videoconferencing, which connected participants to live classes via an Internet connection to their televisions.
Results:
Fourteen participants with COPD and HF took part in the pilot study (7 in the intervention group and 8 in the control). Intervention participants were adherent to classes, able to safely participate, and found the classes enjoyable after the 8-week program. Dyspnea after exercise improved in the intervention group.
Conclusions:
Despite their frailty, patients diagnosed with both COPD and HF were able to perform yoga safely in the home setting. TeleYoga was acceptable and adherence was good; however, technical issues were an important hindrance to participation.
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References
1.
MaySM, LiJT. Burden of chronic obstructive pulmonary disease: Healthcare costs and beyond. Allergy Asthma Proc, 2015; 36:4–10.
2.
MozaffarianD, BenjaminEJ, GoAS, et al.Heart disease and stroke statistics—2015 update: A report from the American Heart Association. Circulation, 2015; 131:e29–e322.
3.
QaseemA, WiltTJ, WeinbergerSE, et al.Diagnosis and management of stable chronic obstructive pulmonary disease: A clinical practice guideline update from the American College of Physicians, American College of Chest Physicians, American Thoracic Society, and European Respiratory Society. Ann Intern Med, 2011; 155:179–191.
4.
MascarenhasJ, LourencoP, LopesR, et al.Chronic obstructive pulmonary disease in heart failure. Prevalence, therapeutic and prognostic implications. Am Heart J, 2008; 155:521–525.
5.
RuttenFH, CramerMJ, GrobbeeDE, et al.Unrecognized heart failure in elderly patients with stable chronic obstructive pulmonary disease. Eur Heart J, 2005; 26:1887–1894.
6.
SolanoJP, GomesB, HigginsonIJ. A comparison of symptom prevalence in far advanced cancer, AIDS, heart disease, chronic obstructive pulmonary disease and renal disease. J Pain Symptom Manage, 2006; 31:58–69.
7.
BernocchiP, ScalviniS, GalliT, et al.A multidisciplinary telehealth program in patients with combined chronic obstructive pulmonary disease and chronic heart failure: Study protocol for a randomized controlled trial. Trials, 2016; 17:462.
8.
DoneskyD, MelendezM, NguyenHQ, Carrieri-KohlmanV. A responder analysis of the effects of yoga for individuals with COPD: Who benefits and how?. Int J Yoga Therap, 2012:23–36.
9.
Donesky-CuencoD, NguyenHQ, PaulS, Carrieri-KohlmanV. Yoga therapy decreases dyspnea-related distress and improves functional performance in people with chronic obstructive pulmonary disease: A pilot study. J Altern Complement Med, 2009; 15:225–234.
10.
Howie-EsquivelJ, LeeJ, CollierG, MehlingW, FleischmannK. Yoga in heart failure patients: A pilot study. J Card Fail, 2010; 16:742–749.
11.
CramerH, LaucheR, HallerH, et al.A systematic review of yoga for heart disease. Eur J Prev Cardiol, 2015; 22:284–295.
12.
LiuXC, PanL, HuQ, et al.Effects of yoga training in patients with chronic obstructive pulmonary disease: A systematic review and meta-analysis. J Thorac Dis, 2014; 6:795–802.
13.
OaklanderM. Why yoga should be your new year's resolution. Time Magazine, 2014.
14.
WakefieldB, DrwalK, ScherubelM, et al.Feasibility and effectiveness of remote, telephone-based delivery of cardiac rehabilitation. Telemed J E-Health, 2014; 20:32–38.
15.
WuG, KeyesL, CallasP, et al.Comparison of telecommunication, community, and home-based Tai Chi exercise programs on compliance and effectiveness in elders at risk for falls. Arch Med Rehabil, 2010; 91:849–856.
16.
BanburyA, ChamberlainD, NancarrowS, et al.Can videoconferencing affect older people's engagement and perception of their social support in long-term conditions management: A social network analysis from the Telehealth Literacy Project. Health Soc Care Community, 2017; 25:938–950.
17.
KimSS, SitthisongkramS, BernsteinK, et al.A andomized controlled trial of a videoconferencing smoking cessation intervention or Korean American women: Preliminary findings. Int J Womens Health, 2016.
18.
BorsonS, ScanlanJ, BrushM, et al.The mini-cog: A cognitive 'vital signs' measure for dementia screening in multi-lingual elderly. Int J Geriatr Psychiatry, 2000; 15:1021–1027.
19.
SchulzKF, AltmanDG, MoherD. CONSORT 2010 Statement: Updated guidelines for reporting parallel group randomised trials. BMC Medicine. 2010; 8:18.
20.
SelmanL, McDermottK, DoneskyD, et al.Appropriateness and acceptability of a Tele-Yoga intervention for people with heart failure and chronic obstructive pulmonary disease: Qualitative findings from a controlled pilot study. BMC Complement Altern Med, 2015; 15:21.
21.
BurdonJG, JuniperEF, KillianKJ, et al.The perception of breathlessness in asthma. Am Rev Respir Dis, 1982; 126:825–828.
22.
DuH, DavidsonPM, EverettB, et al.Correlation between a self-administered walk test and a standardised Six Minute Walk Test in adults. Nurs Health Sci, 2011; 13:114–117.
23.
SchunemannHJ, GriffithL, JaeschkeR, et al.Evaluation of the minimal important difference for the feeling thermometer and the St. George's Respiratory Questionnaire in patients with chronic airflow obstruction. J Clin Epidemiol, 2003; 56:1170–1176.
24.
GreenCP, PorterCB, BresnahanDR, SpertusJA. Development and evaluation of the Kansas City Cardiomyopathy Questionnaire: A new health status measure for heart failure. J Am Coll Cardiol, 2000; 35:1245–1255.
25.
KroenkeK, SpitzerRL, WilliamsJB. The PHQ-9: Validity of a brief depression severity measure. J Gen Intern Med, 2001; 16:606–613.
26.
YorkeJ, MoosaviSH, ShuldhamC, JonesPW. Quantification of dyspnoea using descriptors: Development and initial testing of the Dyspnoea-12. Thorax, 2010; 65:21–26.
27.
GayCL, LeeKA, LeeSY. Sleep patterns and fatigue in new mothers and fathers. Biol Res Nurs, 2004; 5:311–318.
28.
LeeKA. Self-reported sleep disturbances in employed women. Sleep, 1992; 15:493–498.
29.
CramerH, WardL, SaperR, et al.The Safety of Yoga: A Systematic Review and Meta-Analysis of Randomized Controlled Trials. Am J Epidemiol, 2015.
30.
WuG, KeyesLM. Group tele-exercise for improving balance in elders. Telemed J E-Health, 2006; 12:561–570.
31.
ValkMJ, BroekhuizenBD, MosterdA, et al.COPD in patients with stable heart failure in the primary care setting. Int J Chron Obstruct Pulmon Dis, 2015; 10:1219–1224.
32.
HollandAE, SpruitMA, TroostersT, et al.An official European Respiratory Society/American Thoracic Society technical standard: Field walking tests in chronic respiratory disease. Eur Respir J, 2014; 44:1428–1446.
