Trial Outcomes & Findings for Yoga in Treating Sleep Disturbance in Cancer Survivors (NCT NCT00397930)
NCT ID: NCT00397930
Last Updated: 2017-02-20
Results Overview
Pittsburgh Sleep Quality Index: Measures sleep disturbance and usual sleep habits during the prior month only using seven clinically derived domains of sleep difficulties: sleep quality, sleep latency, sleep duration, habitual sleep efficiency, sleep disturbances, use of sleeping medications, and daytime dysfunction. Global PSQI is a summary of the seven domains. Each Domain is scored from 0 to 3, therefore PSQI has a range of 0 (better) to 21 (worse). Interpretation of the PSQI is that a score less than 5 is associated with good sleep quality and a score of 5 or greater is associated with poor sleep quality. PSQI was calculated at both pre- and post-intervention for both arms. Pre-intervention PSQI was recorded during the week immediately before commencing the 4-week intervention. Post-intervention PSQI was recorded during the week immediately following the intervention. Mean post-pre change was calculated for both arms.
COMPLETED
PHASE2
410 participants
2-24 months after surgery, chemotherapy, and/or radiation therapy
2017-02-20
Participant Flow
Participant milestones
| Measure |
Yoga Intervention (YOCAS)
The yoga intervention used the standardized Yoga for Cancer Survivors (YOCAS) program, designed by researchers at the University of Rochester Medical Center. All sessions were taught in community-based sites (eg. yoga studios, community centers, community oncology practices) with an average group size of 12 (range, 10-15) in the late afternoon or evening after 4pm.
fatigue assessment and management
management of therapy complications
quality-of-life assessment
sleep disorder therapy
yoga therapy
|
Standard Care Control Condition
The control condition used a standard care format. Cancer survivors assigned to this condition continued with the standard follow-up care provided by their treating oncologists as appropriate for individual diagnoses. Participants in the control condition were offered the 4-week YOCAS program gratis after completing all study requirements.
fatigue assessment and management
management of therapy complications
quality-of-life assessment
|
|---|---|---|
|
Overall Study
STARTED
|
206
|
204
|
|
Overall Study
COMPLETED
|
168
|
153
|
|
Overall Study
NOT COMPLETED
|
38
|
51
|
Reasons for withdrawal
| Measure |
Yoga Intervention (YOCAS)
The yoga intervention used the standardized Yoga for Cancer Survivors (YOCAS) program, designed by researchers at the University of Rochester Medical Center. All sessions were taught in community-based sites (eg. yoga studios, community centers, community oncology practices) with an average group size of 12 (range, 10-15) in the late afternoon or evening after 4pm.
fatigue assessment and management
management of therapy complications
quality-of-life assessment
sleep disorder therapy
yoga therapy
|
Standard Care Control Condition
The control condition used a standard care format. Cancer survivors assigned to this condition continued with the standard follow-up care provided by their treating oncologists as appropriate for individual diagnoses. Participants in the control condition were offered the 4-week YOCAS program gratis after completing all study requirements.
fatigue assessment and management
management of therapy complications
quality-of-life assessment
|
|---|---|---|
|
Overall Study
Personal reasons
|
14
|
8
|
|
Overall Study
Other medical
|
9
|
4
|
|
Overall Study
Unknown reasons
|
9
|
14
|
|
Overall Study
Noncompliant
|
3
|
2
|
|
Overall Study
Too time-consuming
|
2
|
9
|
|
Overall Study
Started own yoga program
|
1
|
1
|
|
Overall Study
Did not want to be in control group
|
0
|
1
|
|
Overall Study
Withdrawal by Subject
|
0
|
8
|
|
Overall Study
Missing data
|
0
|
4
|
Baseline Characteristics
Yoga in Treating Sleep Disturbance in Cancer Survivors
Baseline characteristics by cohort
| Measure |
Yoga Intervention (YOCAS)
n=206 Participants
The yoga intervention used the standardized Yoga for Cancer Survivors (YOCAS) program, designed by researchers at the University of Rochester Medical Center. All sessions were taught in community-based sites (eg. yoga studios, community centers, community oncology practices) with an average group size of 12 (range, 10-15) in the late afternoon or evening after 4pm.
fatigue assessment and management
management of therapy complications
quality-of-life assessment
sleep disorder therapy
yoga therapy
|
Standard Care Control Condition
n=204 Participants
The control condition used a standard care format. Cancer survivors assigned to this condition continued with the standard follow-up care provided by their treating oncologists as appropriate for individual diagnoses. Participants in the control condition were offered the 4-week YOCAS program gratis after completing all study requirements.
fatigue assessment and management
management of therapy complications
quality-of-life assessment
|
Total
n=410 Participants
Total of all reporting groups
|
|---|---|---|---|
|
Age, Customized
Age
|
54.3 years
STANDARD_DEVIATION 11.05 • n=5 Participants
|
54 years
STANDARD_DEVIATION 9.57 • n=7 Participants
|
54.1 years
STANDARD_DEVIATION 10.33 • n=5 Participants
|
|
Gender
Female
|
197 Participants
n=5 Participants
|
196 Participants
n=7 Participants
|
393 Participants
n=5 Participants
|
|
Gender
Male
|
9 Participants
n=5 Participants
|
8 Participants
n=7 Participants
|
17 Participants
n=5 Participants
|
|
Race/Ethnicity, Customized
White
|
197 participants
n=5 Participants
|
186 participants
n=7 Participants
|
383 participants
n=5 Participants
|
|
Race/Ethnicity, Customized
African American
|
8 participants
n=5 Participants
|
16 participants
n=7 Participants
|
24 participants
n=5 Participants
|
|
Race/Ethnicity, Customized
Other
|
1 participants
n=5 Participants
|
2 participants
n=7 Participants
|
3 participants
n=5 Participants
|
|
Region of Enrollment
United States
|
206 participants
n=5 Participants
|
204 participants
n=7 Participants
|
410 participants
n=5 Participants
|
|
Currently employed
Yes
|
168 participants
n=5 Participants
|
155 participants
n=7 Participants
|
323 participants
n=5 Participants
|
|
Currently employed
No
|
38 participants
n=5 Participants
|
49 participants
n=7 Participants
|
87 participants
n=5 Participants
|
|
Marital status
Married or long-term committed relationship
|
145 participants
n=5 Participants
|
143 participants
n=7 Participants
|
288 participants
n=5 Participants
|
|
Marital status
Divorced or separated
|
28 participants
n=5 Participants
|
32 participants
n=7 Participants
|
60 participants
n=5 Participants
|
|
Marital status
Single
|
18 participants
n=5 Participants
|
17 participants
n=7 Participants
|
35 participants
n=5 Participants
|
|
Marital status
Widowed
|
6 participants
n=5 Participants
|
12 participants
n=7 Participants
|
18 participants
n=5 Participants
|
|
Marital status
Unknown
|
9 participants
n=5 Participants
|
0 participants
n=7 Participants
|
9 participants
n=5 Participants
|
|
Education
Completed 4 years of college or more
|
96 participants
n=5 Participants
|
93 participants
n=7 Participants
|
189 participants
n=5 Participants
|
|
Education
Completed < 4 years of college
|
72 participants
n=5 Participants
|
69 participants
n=7 Participants
|
141 participants
n=5 Participants
|
|
Education
High school graduate
|
33 participants
n=5 Participants
|
36 participants
n=7 Participants
|
69 participants
n=5 Participants
|
|
Education
Less than a high school graduate
|
2 participants
n=5 Participants
|
1 participants
n=7 Participants
|
3 participants
n=5 Participants
|
|
Education
Unknown
|
3 participants
n=5 Participants
|
5 participants
n=7 Participants
|
8 participants
n=5 Participants
|
|
Cancer type
Breast
|
152 participants
n=5 Participants
|
157 participants
n=7 Participants
|
309 participants
n=5 Participants
|
|
Cancer type
Hematologic
|
16 participants
n=5 Participants
|
14 participants
n=7 Participants
|
30 participants
n=5 Participants
|
|
Cancer type
Gynecologic
|
11 participants
n=5 Participants
|
8 participants
n=7 Participants
|
19 participants
n=5 Participants
|
|
Cancer type
Alimentary
|
7 participants
n=5 Participants
|
17 participants
n=7 Participants
|
24 participants
n=5 Participants
|
|
Cancer type
Other
|
20 participants
n=5 Participants
|
8 participants
n=7 Participants
|
28 participants
n=5 Participants
|
|
Cancer stage
0
|
11 participants
n=5 Participants
|
10 participants
n=7 Participants
|
21 participants
n=5 Participants
|
|
Cancer stage
I
|
66 participants
n=5 Participants
|
79 participants
n=7 Participants
|
145 participants
n=5 Participants
|
|
Cancer stage
II
|
71 participants
n=5 Participants
|
66 participants
n=7 Participants
|
137 participants
n=5 Participants
|
|
Cancer stage
III
|
32 participants
n=5 Participants
|
32 participants
n=7 Participants
|
64 participants
n=5 Participants
|
|
Cancer stage
IV
|
7 participants
n=5 Participants
|
4 participants
n=7 Participants
|
11 participants
n=5 Participants
|
|
Cancer stage
Unknown
|
19 participants
n=5 Participants
|
13 participants
n=7 Participants
|
32 participants
n=5 Participants
|
|
Previous treatment - Surgery
Yes
|
183 participants
n=5 Participants
|
181 participants
n=7 Participants
|
364 participants
n=5 Participants
|
|
Previous treatment - Surgery
No
|
23 participants
n=5 Participants
|
23 participants
n=7 Participants
|
46 participants
n=5 Participants
|
|
Previous Treatment - Chemotherapy
Yes
|
145 participants
n=5 Participants
|
139 participants
n=7 Participants
|
284 participants
n=5 Participants
|
|
Previous Treatment - Chemotherapy
No
|
61 participants
n=5 Participants
|
65 participants
n=7 Participants
|
126 participants
n=5 Participants
|
|
Previous Treatment - Radiation therapy
Yes
|
137 participants
n=5 Participants
|
129 participants
n=7 Participants
|
266 participants
n=5 Participants
|
|
Previous Treatment - Radiation therapy
No
|
69 participants
n=5 Participants
|
75 participants
n=7 Participants
|
144 participants
n=5 Participants
|
|
Previous Treatment - Hormone treatment
Yes
|
13 participants
n=5 Participants
|
15 participants
n=7 Participants
|
28 participants
n=5 Participants
|
|
Previous Treatment - Hormone treatment
No
|
193 participants
n=5 Participants
|
189 participants
n=7 Participants
|
382 participants
n=5 Participants
|
|
Current hormone therapy
Yes
|
99 participants
n=5 Participants
|
107 participants
n=7 Participants
|
206 participants
n=5 Participants
|
|
Current hormone therapy
Unknown
|
107 participants
n=5 Participants
|
97 participants
n=7 Participants
|
204 participants
n=5 Participants
|
|
Time since first treatment for cancer
|
14.9 months
STANDARD_DEVIATION 7.18 • n=5 Participants
|
17.7 months
STANDARD_DEVIATION 23.00 • n=7 Participants
|
16.3 months
STANDARD_DEVIATION 17.00 • n=5 Participants
|
|
Karnofsky performance status
|
86.9 Karnofsky performance scale
STANDARD_DEVIATION 33.15 • n=5 Participants
|
87.8 Karnofsky performance scale
STANDARD_DEVIATION 32.00 • n=7 Participants
|
87.4 Karnofsky performance scale
STANDARD_DEVIATION 32.6 • n=5 Participants
|
|
Exercise stage of change
Not exercising and do not intend to in next 6 mo
|
8 participants
n=5 Participants
|
10 participants
n=7 Participants
|
18 participants
n=5 Participants
|
|
Exercise stage of change
Not exercising but intend to in next 6 mo
|
43 participants
n=5 Participants
|
38 participants
n=7 Participants
|
81 participants
n=5 Participants
|
|
Exercise stage of change
Not exercising but intend to begin in next 30 days
|
45 participants
n=5 Participants
|
50 participants
n=7 Participants
|
95 participants
n=5 Participants
|
|
Exercise stage of change
Exercising and have been for less than 6 months
|
44 participants
n=5 Participants
|
43 participants
n=7 Participants
|
87 participants
n=5 Participants
|
|
Exercise stage of change
Exercising and have been for more than 6 months
|
62 participants
n=5 Participants
|
58 participants
n=7 Participants
|
120 participants
n=5 Participants
|
|
Exercise stage of change
Unknown
|
4 participants
n=5 Participants
|
5 participants
n=7 Participants
|
9 participants
n=5 Participants
|
PRIMARY outcome
Timeframe: 2-24 months after surgery, chemotherapy, and/or radiation therapyPittsburgh Sleep Quality Index: Measures sleep disturbance and usual sleep habits during the prior month only using seven clinically derived domains of sleep difficulties: sleep quality, sleep latency, sleep duration, habitual sleep efficiency, sleep disturbances, use of sleeping medications, and daytime dysfunction. Global PSQI is a summary of the seven domains. Each Domain is scored from 0 to 3, therefore PSQI has a range of 0 (better) to 21 (worse). Interpretation of the PSQI is that a score less than 5 is associated with good sleep quality and a score of 5 or greater is associated with poor sleep quality. PSQI was calculated at both pre- and post-intervention for both arms. Pre-intervention PSQI was recorded during the week immediately before commencing the 4-week intervention. Post-intervention PSQI was recorded during the week immediately following the intervention. Mean post-pre change was calculated for both arms.
Outcome measures
| Measure |
Yoga Intervention (YOCAS)
n=168 Participants
The yoga intervention used the standardized Yoga for Cancer Survivors (YOCAS) program, designed by researchers at the University of Rochester Medical Center. All sessions were taught in community-based sites (eg. yoga studios, community centers, community oncology practices) with an average group size of 12 (range, 10-15) in the late afternoon or evening after 4pm.
fatigue assessment and management
management of therapy complications
quality-of-life assessment
sleep disorder therapy
yoga therapy
|
Standard Care Control Condition
n=153 Participants
The control condition used a standard care format. Cancer survivors assigned to this condition continued with the standard follow-up care provided by their treating oncologists as appropriate for individual diagnoses. Participants in the control condition were offered the 4-week YOCAS program gratis after completing all study requirements.
fatigue assessment and management
management of therapy complications
quality-of-life assessment
|
|---|---|---|
|
Mean Post-Pre Change for the Pittsburgh Sleep Quality Inventory (PSQI)
|
-1.96 units on a scale
Standard Error 0.25
|
-1.07 units on a scale
Standard Error 0.23
|
Adverse Events
Yoga Intervention (YOCAS)
Standard Care Control Condition
Serious adverse events
| Measure |
Yoga Intervention (YOCAS)
n=206 participants at risk
The yoga intervention used the standardized Yoga for Cancer Survivors (YOCAS) program, designed by researchers at the University of Rochester Medical Center. All sessions were taught in community-based sites (eg. yoga studios, community centers, community oncology practices) with an average group size of 12 (range, 10-15) in the late afternoon or evening after 4pm.
fatigue assessment and management
management of therapy complications
quality-of-life assessment
sleep disorder therapy
yoga therapy
|
Standard Care Control Condition
n=204 participants at risk
The control condition used a standard care format. Cancer survivors assigned to this condition continued with the standard follow-up care provided by their treating oncologists as appropriate for individual diagnoses. Participants in the control condition were offered the 4-week YOCAS program gratis after completing all study requirements.
fatigue assessment and management
management of therapy complications
quality-of-life assessment
|
|---|---|---|
|
General disorders
Death
|
0.49%
1/206
|
0.00%
0/204
|
|
Metabolism and nutrition disorders
Death
|
0.00%
0/206
|
0.49%
1/204
|
Other adverse events
Adverse event data not reported
Additional Information
Charles E. Heckler, PhD, MS. Research Assistant Professor
University of Rochester Medical Center
Results disclosure agreements
- Principal investigator is a sponsor employee
- Publication restrictions are in place