Trial Outcomes & Findings for Pain Outcomes Comparing Yoga Versus Structured Exercise (POYSE) Trial (NCT NCT01797263)

NCT ID: NCT01797263

Last Updated: 2020-02-24

Results Overview

This measure will be assessed at Baseline, 1, 3, 6 and 9 months. The 3 month is the primary end point and the 6 and 9 month assessments are for sustained effect. Min:0, Max: 90. Higher Score = Worse Outcome.

Recruitment status

COMPLETED

Study phase

NA

Target enrollment

256 participants

Primary outcome timeframe

3 month

Results posted on

2020-02-24

Participant Flow

Participant milestones

Participant milestones
Measure
Yoga
A 12-week yoga intervention modified for Veterans with fibromyalgia. Each weekly session will last approximately 75 minutes. The standardized sequence of yoga poses will be introduced to participants and the instructor will tailor them to the participant's needs and abilities. Deep breathing exercises will be taught and emphasized throughout every session. Participants will be encouraged to exercise according to their limits, rather than rigid adherence to posture techniques. The yoga intervention will be tailored to the individual. Participants will also be given a Playaway(c) device with guided relaxation exercise recorded on it and asked to listen to it three times a week to reinforce the in person yoga session content.
Structured Exercise
A 12-week group exercise session consisting of a graded aerobic exercise program. The program will start at low intensity with gradual increases in exercise intensity and duration. Each weekly session will last 75 minutes. The fitness instructor will teach participants to use a table-top ergometer at a sub-maximal level, determine baseline fitness, and develop an individualized exercise prescription. The fitness instructor will provide educational tips on exercise and selection of physical activities. Participants will be given a pedometer and heart rate monitor to track their exercise at home. They will also be given an exercise DVD to use at home.
Overall Study
STARTED
129
127
Overall Study
1 Month
96
87
Overall Study
3 Month
87
84
Overall Study
6 Month
90
85
Overall Study
9 Month
92
87
Overall Study
COMPLETED
92
87
Overall Study
NOT COMPLETED
37
40

Reasons for withdrawal

Reasons for withdrawal
Measure
Yoga
A 12-week yoga intervention modified for Veterans with fibromyalgia. Each weekly session will last approximately 75 minutes. The standardized sequence of yoga poses will be introduced to participants and the instructor will tailor them to the participant's needs and abilities. Deep breathing exercises will be taught and emphasized throughout every session. Participants will be encouraged to exercise according to their limits, rather than rigid adherence to posture techniques. The yoga intervention will be tailored to the individual. Participants will also be given a Playaway(c) device with guided relaxation exercise recorded on it and asked to listen to it three times a week to reinforce the in person yoga session content.
Structured Exercise
A 12-week group exercise session consisting of a graded aerobic exercise program. The program will start at low intensity with gradual increases in exercise intensity and duration. Each weekly session will last 75 minutes. The fitness instructor will teach participants to use a table-top ergometer at a sub-maximal level, determine baseline fitness, and develop an individualized exercise prescription. The fitness instructor will provide educational tips on exercise and selection of physical activities. Participants will be given a pedometer and heart rate monitor to track their exercise at home. They will also be given an exercise DVD to use at home.
Overall Study
Withdrawal by Subject
21
25
Overall Study
Death
1
0
Overall Study
Lost to Follow-up
15
15

Baseline Characteristics

Pain Outcomes Comparing Yoga Versus Structured Exercise (POYSE) Trial

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Yoga
n=129 Participants
A 12-week yoga intervention modified for Veterans with fibromyalgia. Each weekly session will last approximately 75 minutes. The standardized sequence of yoga poses will be introduced to participants and the instructor will tailor them to the participant's needs and abilities. Deep breathing exercises will be taught and emphasized throughout every session. Participants will be encouraged to exercise according to their limits, rather than rigid adherence to posture techniques. The yoga intervention will be tailored to the individual. Participants will also be given a Playaway(c) device with guided relaxation exercise recorded on it and asked to listen to it three times a week to reinforce the in person yoga session content.
Structured Exercise
n=127 Participants
A 12-week group exercise session consisting of a graded aerobic exercise program. The program will start at low intensity with gradual increases in exercise intensity and duration. Each weekly session will last 75 minutes. The fitness instructor will teach participants to use a table-top ergometer at a sub-maximal level, determine baseline fitness, and develop an individualized exercise prescription. The fitness instructor will provide educational tips on exercise and selection of physical activities. Participants will be given a pedometer and heart rate monitor to track their exercise at home. They will also be given an exercise DVD to use at home.
Total
n=256 Participants
Total of all reporting groups
Age, Continuous
57.9 years
STANDARD_DEVIATION 10.8 • n=5 Participants
56.4 years
STANDARD_DEVIATION 11.0 • n=7 Participants
57.2 years
STANDARD_DEVIATION 10.9 • n=5 Participants
Sex: Female, Male
Female
41 Participants
n=5 Participants
39 Participants
n=7 Participants
80 Participants
n=5 Participants
Sex: Female, Male
Male
88 Participants
n=5 Participants
88 Participants
n=7 Participants
176 Participants
n=5 Participants
Race (NIH/OMB)
American Indian or Alaska Native
1 Participants
n=5 Participants
2 Participants
n=7 Participants
3 Participants
n=5 Participants
Race (NIH/OMB)
Asian
1 Participants
n=5 Participants
0 Participants
n=7 Participants
1 Participants
n=5 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
Black or African American
47 Participants
n=5 Participants
47 Participants
n=7 Participants
94 Participants
n=5 Participants
Race (NIH/OMB)
White
68 Participants
n=5 Participants
69 Participants
n=7 Participants
137 Participants
n=5 Participants
Race (NIH/OMB)
More than one race
7 Participants
n=5 Participants
7 Participants
n=7 Participants
14 Participants
n=5 Participants
Race (NIH/OMB)
Unknown or Not Reported
5 Participants
n=5 Participants
2 Participants
n=7 Participants
7 Participants
n=5 Participants
Marital Status
Married/unmarried couple
76 Participants
n=5 Participants
66 Participants
n=7 Participants
142 Participants
n=5 Participants
Marital Status
Divorced/separated
34 Participants
n=5 Participants
46 Participants
n=7 Participants
80 Participants
n=5 Participants
Marital Status
Widowed/never married
19 Participants
n=5 Participants
15 Participants
n=7 Participants
34 Participants
n=5 Participants
Employment Status
Employed
43 Participants
n=5 Participants
40 Participants
n=7 Participants
83 Participants
n=5 Participants
Employment Status
Retired
43 Participants
n=5 Participants
38 Participants
n=7 Participants
81 Participants
n=5 Participants
Employment Status
Unable to work
36 Participants
n=5 Participants
33 Participants
n=7 Participants
69 Participants
n=5 Participants
Employment Status
Other
7 Participants
n=5 Participants
16 Participants
n=7 Participants
23 Participants
n=5 Participants
Income comfort level
Comfortable
60 Participants
n=5 Participants
57 Participants
n=7 Participants
117 Participants
n=5 Participants
Income comfort level
Just enough
47 Participants
n=5 Participants
46 Participants
n=7 Participants
93 Participants
n=5 Participants
Income comfort level
Not enough
19 Participants
n=5 Participants
23 Participants
n=7 Participants
42 Participants
n=5 Participants
Income comfort level
Refused to answer/missing
3 Participants
n=5 Participants
1 Participants
n=7 Participants
4 Participants
n=5 Participants
Fibromyalgia Impact Questionnaire-Revised Total
51.0 units on a scale
STANDARD_DEVIATION 17.4 • n=5 Participants
50.1 units on a scale
STANDARD_DEVIATION 17.5 • n=7 Participants
50.4 units on a scale
STANDARD_DEVIATION 17.4 • n=5 Participants
Fibromyalgia Impact Questionnaire-Revised Difficulty subscale
12.7 units on a scale
STANDARD_DEVIATION 6.8 • n=5 Participants
12.7 units on a scale
STANDARD_DEVIATION 6.5 • n=7 Participants
12.7 units on a scale
STANDARD_DEVIATION 6.6 • n=5 Participants
Fibromyalgia Impact Questionnaire-Revised Impact subscale
10.2 units on a scale
STANDARD_DEVIATION 6.1 • n=5 Participants
9.8 units on a scale
STANDARD_DEVIATION 5.8 • n=7 Participants
10.0 units on a scale
STANDARD_DEVIATION 5.9 • n=5 Participants
Fibromyalgia Impact Questionnaire Revised Symptoms subscale
28.1 units on a scale
STANDARD_DEVIATION 7.4 • n=5 Participants
27.7 units on a scale
STANDARD_DEVIATION 8.1 • n=7 Participants
27.9 units on a scale
STANDARD_DEVIATION 7.8 • n=5 Participants
Brief Pain Inventory Pain Severity
6.6 units on a scale
STANDARD_DEVIATION 1.6 • n=5 Participants
6.8 units on a scale
STANDARD_DEVIATION 1.6 • n=7 Participants
6.7 units on a scale
STANDARD_DEVIATION 1.6 • n=5 Participants
Patient Health Questionnaire-9 (PHQ-9) Depression Scale
11.5 units on a scale
STANDARD_DEVIATION 6.2 • n=5 Participants
11.4 units on a scale
STANDARD_DEVIATION 6.3 • n=7 Participants
11.5 units on a scale
STANDARD_DEVIATION 6.2 • n=5 Participants
GAD-7 Anxiety Scale
8.0 units on a scale
STANDARD_DEVIATION 5.9 • n=5 Participants
7.7 units on a scale
STANDARD_DEVIATION 5.3 • n=7 Participants
7.9 units on a scale
STANDARD_DEVIATION 5.6 • n=5 Participants
PTSD Checklist of symptoms
51.5 units on a scale
STANDARD_DEVIATION 15.4 • n=5 Participants
52.6 units on a scale
STANDARD_DEVIATION 14.4 • n=7 Participants
52.1 units on a scale
STANDARD_DEVIATION 14.9 • n=5 Participants
SF-12 Physical Score (health-related quality of life)
23.3 units on a scale
STANDARD_DEVIATION 13.7 • n=5 Participants
24.0 units on a scale
STANDARD_DEVIATION 18.6 • n=7 Participants
23.7 units on a scale
STANDARD_DEVIATION 16.2 • n=5 Participants
SF-12 Mental Score (health-related quality of life)
44.9 units on a scale
STANDARD_DEVIATION 9.5 • n=5 Participants
43.7 units on a scale
STANDARD_DEVIATION 9.4 • n=7 Participants
44.2 units on a scale
STANDARD_DEVIATION 9.5 • n=5 Participants
Multi-dimensional fatigue inventory
60.2 units on a scale
STANDARD_DEVIATION 22.0 • n=5 Participants
59.0 units on a scale
STANDARD_DEVIATION 21.9 • n=7 Participants
59.6 units on a scale
STANDARD_DEVIATION 21.9 • n=5 Participants
MOS Sleep Scale - problems index
47.0 units on a scale
STANDARD_DEVIATION 11.3 • n=5 Participants
46.5 units on a scale
STANDARD_DEVIATION 8.9 • n=7 Participants
46.8 units on a scale
STANDARD_DEVIATION 10.2 • n=5 Participants
Pain catastrophizing scale
23.3 units on a scale
STANDARD_DEVIATION 13.7 • n=5 Participants
24.0 units on a scale
STANDARD_DEVIATION 13.1 • n=7 Participants
23.7 units on a scale
STANDARD_DEVIATION 13.4 • n=5 Participants
Arthritis self-efficacy scale
33.4 units on a scale
STANDARD_DEVIATION 12.5 • n=5 Participants
33.3 units on a scale
STANDARD_DEVIATION 13.2 • n=7 Participants
33.3 units on a scale
STANDARD_DEVIATION 12.8 • n=5 Participants

PRIMARY outcome

Timeframe: 3 month

This measure will be assessed at Baseline, 1, 3, 6 and 9 months. The 3 month is the primary end point and the 6 and 9 month assessments are for sustained effect. Min:0, Max: 90. Higher Score = Worse Outcome.

Outcome measures

Outcome measures
Measure
Yoga
n=87 Participants
A 12-week yoga intervention modified for Veterans with fibromyalgia. Each weekly session will last approximately 75 minutes. The standardized sequence of yoga poses will be introduced to participants and the instructor will tailor them to the participant's needs and abilities. Deep breathing exercises will be taught and emphasized throughout every session. Participants will be encouraged to exercise according to their limits, rather than rigid adherence to posture techniques. The yoga intervention will be tailored to the individual. Participants will also be given a Playaway(c) device with guided relaxation exercise recorded on it and asked to listen to it three times a week to reinforce the in person yoga session content.
Structured Exercise
n=84 Participants
A 12-week group exercise session consisting of a graded aerobic exercise program. The program will start at low intensity with gradual increases in exercise intensity and duration. Each weekly session will last 75 minutes. The fitness instructor will teach participants to use a table-top ergometer at a sub-maximal level, determine baseline fitness, and develop an individualized exercise prescription. The fitness instructor will provide educational tips on exercise and selection of physical activities. Participants will be given a pedometer and heart rate monitor to track their exercise at home. They will also be given an exercise DVD to use at home.
Fibromyalgia Impact Questionnaire Revised (FIQR) Total Score
41.5 units on a scale
Standard Deviation 19.3
42.2 units on a scale
Standard Deviation 20.6

SECONDARY outcome

Timeframe: 3 Month

This represents a subscale of the FIQr and measures patient perceived difficulty related to fibromyalgia. Min:0, Max: 20. Higher Score = Worse Outcome.

Outcome measures

Outcome measures
Measure
Yoga
n=87 Participants
A 12-week yoga intervention modified for Veterans with fibromyalgia. Each weekly session will last approximately 75 minutes. The standardized sequence of yoga poses will be introduced to participants and the instructor will tailor them to the participant's needs and abilities. Deep breathing exercises will be taught and emphasized throughout every session. Participants will be encouraged to exercise according to their limits, rather than rigid adherence to posture techniques. The yoga intervention will be tailored to the individual. Participants will also be given a Playaway(c) device with guided relaxation exercise recorded on it and asked to listen to it three times a week to reinforce the in person yoga session content.
Structured Exercise
n=84 Participants
A 12-week group exercise session consisting of a graded aerobic exercise program. The program will start at low intensity with gradual increases in exercise intensity and duration. Each weekly session will last 75 minutes. The fitness instructor will teach participants to use a table-top ergometer at a sub-maximal level, determine baseline fitness, and develop an individualized exercise prescription. The fitness instructor will provide educational tips on exercise and selection of physical activities. Participants will be given a pedometer and heart rate monitor to track their exercise at home. They will also be given an exercise DVD to use at home.
Fibromyalgia Impact Questionnaire-Revised Difficulty Subscale
10.8 units on a scale
Standard Deviation 7.2
10.5 units on a scale
Standard Deviation 6.9

SECONDARY outcome

Timeframe: 3 Month

This is a subscale of the FIQr and measures the overall impact of fibromyalgia symptoms. Min:0, Max: 100. Higher Score = Worse Outcome.

Outcome measures

Outcome measures
Measure
Yoga
n=87 Participants
A 12-week yoga intervention modified for Veterans with fibromyalgia. Each weekly session will last approximately 75 minutes. The standardized sequence of yoga poses will be introduced to participants and the instructor will tailor them to the participant's needs and abilities. Deep breathing exercises will be taught and emphasized throughout every session. Participants will be encouraged to exercise according to their limits, rather than rigid adherence to posture techniques. The yoga intervention will be tailored to the individual. Participants will also be given a Playaway(c) device with guided relaxation exercise recorded on it and asked to listen to it three times a week to reinforce the in person yoga session content.
Structured Exercise
n=84 Participants
A 12-week group exercise session consisting of a graded aerobic exercise program. The program will start at low intensity with gradual increases in exercise intensity and duration. Each weekly session will last 75 minutes. The fitness instructor will teach participants to use a table-top ergometer at a sub-maximal level, determine baseline fitness, and develop an individualized exercise prescription. The fitness instructor will provide educational tips on exercise and selection of physical activities. Participants will be given a pedometer and heart rate monitor to track their exercise at home. They will also be given an exercise DVD to use at home.
Fibromyalgia Impact Questionnaire-Revised Impact Subscale
7.3 units on a scale
Standard Deviation 5.7
7.9 units on a scale
Standard Deviation 6.2

SECONDARY outcome

Timeframe: 3 Month

This subscale of the FIQr provides an overall fibromyalgia symptom score. Min:0, Max: 100. Higher Score = Worse Outcome

Outcome measures

Outcome measures
Measure
Yoga
n=87 Participants
A 12-week yoga intervention modified for Veterans with fibromyalgia. Each weekly session will last approximately 75 minutes. The standardized sequence of yoga poses will be introduced to participants and the instructor will tailor them to the participant's needs and abilities. Deep breathing exercises will be taught and emphasized throughout every session. Participants will be encouraged to exercise according to their limits, rather than rigid adherence to posture techniques. The yoga intervention will be tailored to the individual. Participants will also be given a Playaway(c) device with guided relaxation exercise recorded on it and asked to listen to it three times a week to reinforce the in person yoga session content.
Structured Exercise
n=84 Participants
A 12-week group exercise session consisting of a graded aerobic exercise program. The program will start at low intensity with gradual increases in exercise intensity and duration. Each weekly session will last 75 minutes. The fitness instructor will teach participants to use a table-top ergometer at a sub-maximal level, determine baseline fitness, and develop an individualized exercise prescription. The fitness instructor will provide educational tips on exercise and selection of physical activities. Participants will be given a pedometer and heart rate monitor to track their exercise at home. They will also be given an exercise DVD to use at home.
Fibromyalgia Impact Questionnaire Revised Symptoms Subscale
23.5 units on a scale
Standard Deviation 8.9
23.8 units on a scale
Standard Deviation 9.7

SECONDARY outcome

Timeframe: 3 month

is an 11-item, multidimensional pain measurement tool with demonstrated reliability in patients with arthritis as well as other pain conditions. The BPI rates the intensity of pain as well as the interference of pain with mood, physical activity, work, social activity, relations with others, sleep, and enjoyment of life.Min:0, Max: 40. Higher Score = Worse Outcome.

Outcome measures

Outcome measures
Measure
Yoga
n=87 Participants
A 12-week yoga intervention modified for Veterans with fibromyalgia. Each weekly session will last approximately 75 minutes. The standardized sequence of yoga poses will be introduced to participants and the instructor will tailor them to the participant's needs and abilities. Deep breathing exercises will be taught and emphasized throughout every session. Participants will be encouraged to exercise according to their limits, rather than rigid adherence to posture techniques. The yoga intervention will be tailored to the individual. Participants will also be given a Playaway(c) device with guided relaxation exercise recorded on it and asked to listen to it three times a week to reinforce the in person yoga session content.
Structured Exercise
n=84 Participants
A 12-week group exercise session consisting of a graded aerobic exercise program. The program will start at low intensity with gradual increases in exercise intensity and duration. Each weekly session will last 75 minutes. The fitness instructor will teach participants to use a table-top ergometer at a sub-maximal level, determine baseline fitness, and develop an individualized exercise prescription. The fitness instructor will provide educational tips on exercise and selection of physical activities. Participants will be given a pedometer and heart rate monitor to track their exercise at home. They will also be given an exercise DVD to use at home.
Brief Pain Inventory (BPI) Severity Subscale
5.6 units on a scale
Standard Deviation 1.9
5.9 units on a scale
Standard Deviation 2.3

SECONDARY outcome

Timeframe: 3 Month

Population: A small number of participants opted to not complete this Outcome measure, causing a discrepancy between this module and the flow module.

will be used to assess depression severity. Several studies have validated the PHQ-9 as a diagnostic measure with excellent psychometric properties. Internal consistency has consistently been shown to be high (Cronbach's alpha \> 0.80) and test-retest assessment showed the PHQ-9 to be a responsive and reliable measure of depression treatment outcomes. Min:0, Max: 27. Higher Score = Worse Outcome.

Outcome measures

Outcome measures
Measure
Yoga
n=85 Participants
A 12-week yoga intervention modified for Veterans with fibromyalgia. Each weekly session will last approximately 75 minutes. The standardized sequence of yoga poses will be introduced to participants and the instructor will tailor them to the participant's needs and abilities. Deep breathing exercises will be taught and emphasized throughout every session. Participants will be encouraged to exercise according to their limits, rather than rigid adherence to posture techniques. The yoga intervention will be tailored to the individual. Participants will also be given a Playaway(c) device with guided relaxation exercise recorded on it and asked to listen to it three times a week to reinforce the in person yoga session content.
Structured Exercise
n=84 Participants
A 12-week group exercise session consisting of a graded aerobic exercise program. The program will start at low intensity with gradual increases in exercise intensity and duration. Each weekly session will last 75 minutes. The fitness instructor will teach participants to use a table-top ergometer at a sub-maximal level, determine baseline fitness, and develop an individualized exercise prescription. The fitness instructor will provide educational tips on exercise and selection of physical activities. Participants will be given a pedometer and heart rate monitor to track their exercise at home. They will also be given an exercise DVD to use at home.
PHQ-9 for Depression
8.6 units on a scale
Standard Deviation 6.1
9.8 units on a scale
Standard Deviation 6.4

SECONDARY outcome

Timeframe: 3 Month

Population: A small number of participants opted to not complete this Outcome measure, causing a discrepancy between this module and the flow module.

This 7-item scale represent a measure of anxiety symptom severity and provides a score from 0 to 21 with higher scores representing more severe anxiety

Outcome measures

Outcome measures
Measure
Yoga
n=86 Participants
A 12-week yoga intervention modified for Veterans with fibromyalgia. Each weekly session will last approximately 75 minutes. The standardized sequence of yoga poses will be introduced to participants and the instructor will tailor them to the participant's needs and abilities. Deep breathing exercises will be taught and emphasized throughout every session. Participants will be encouraged to exercise according to their limits, rather than rigid adherence to posture techniques. The yoga intervention will be tailored to the individual. Participants will also be given a Playaway(c) device with guided relaxation exercise recorded on it and asked to listen to it three times a week to reinforce the in person yoga session content.
Structured Exercise
n=84 Participants
A 12-week group exercise session consisting of a graded aerobic exercise program. The program will start at low intensity with gradual increases in exercise intensity and duration. Each weekly session will last 75 minutes. The fitness instructor will teach participants to use a table-top ergometer at a sub-maximal level, determine baseline fitness, and develop an individualized exercise prescription. The fitness instructor will provide educational tips on exercise and selection of physical activities. Participants will be given a pedometer and heart rate monitor to track their exercise at home. They will also be given an exercise DVD to use at home.
GAD-7 Anxiety Scale
6.5 units on a scale
Standard Deviation 5.7
6.6 units on a scale
Standard Deviation 5.4

SECONDARY outcome

Timeframe: 3 Month

Population: This measure was completed in those participants who screened "positive" for PTSD

This 17-item scale assess PTSD symptom severity and provides a severity score; with higher scores representing more severe PTSD. Min: 0, Max: 85 with higher scores representing more severity.

Outcome measures

Outcome measures
Measure
Yoga
n=42 Participants
A 12-week yoga intervention modified for Veterans with fibromyalgia. Each weekly session will last approximately 75 minutes. The standardized sequence of yoga poses will be introduced to participants and the instructor will tailor them to the participant's needs and abilities. Deep breathing exercises will be taught and emphasized throughout every session. Participants will be encouraged to exercise according to their limits, rather than rigid adherence to posture techniques. The yoga intervention will be tailored to the individual. Participants will also be given a Playaway(c) device with guided relaxation exercise recorded on it and asked to listen to it three times a week to reinforce the in person yoga session content.
Structured Exercise
n=46 Participants
A 12-week group exercise session consisting of a graded aerobic exercise program. The program will start at low intensity with gradual increases in exercise intensity and duration. Each weekly session will last 75 minutes. The fitness instructor will teach participants to use a table-top ergometer at a sub-maximal level, determine baseline fitness, and develop an individualized exercise prescription. The fitness instructor will provide educational tips on exercise and selection of physical activities. Participants will be given a pedometer and heart rate monitor to track their exercise at home. They will also be given an exercise DVD to use at home.
PTSD Checklist of Symptoms
48.3 units on a scale
Standard Deviation 14.7
49.0 units on a scale
Standard Deviation 17.4

SECONDARY outcome

Timeframe: 3 Month

Population: A small number of participants opted to not complete this Outcome measure, causing a discrepancy between this module and the flow module.

The SF-12 is a well-validate measure of health-related quality of life; providing a physical and mental health component summary score. Min:0, Max: 100. Higher Score = Worse Outcome.

Outcome measures

Outcome measures
Measure
Yoga
n=86 Participants
A 12-week yoga intervention modified for Veterans with fibromyalgia. Each weekly session will last approximately 75 minutes. The standardized sequence of yoga poses will be introduced to participants and the instructor will tailor them to the participant's needs and abilities. Deep breathing exercises will be taught and emphasized throughout every session. Participants will be encouraged to exercise according to their limits, rather than rigid adherence to posture techniques. The yoga intervention will be tailored to the individual. Participants will also be given a Playaway(c) device with guided relaxation exercise recorded on it and asked to listen to it three times a week to reinforce the in person yoga session content.
Structured Exercise
n=84 Participants
A 12-week group exercise session consisting of a graded aerobic exercise program. The program will start at low intensity with gradual increases in exercise intensity and duration. Each weekly session will last 75 minutes. The fitness instructor will teach participants to use a table-top ergometer at a sub-maximal level, determine baseline fitness, and develop an individualized exercise prescription. The fitness instructor will provide educational tips on exercise and selection of physical activities. Participants will be given a pedometer and heart rate monitor to track their exercise at home. They will also be given an exercise DVD to use at home.
SF-12 Physical Score (Health-related Quality of Life)
17.8 units on a scale
Standard Deviation 12.7
18.6 units on a scale
Standard Deviation 13.9

SECONDARY outcome

Timeframe: 3 Month

Population: A small number of participants opted to not complete this Outcome measure, causing a discrepancy between this module and the flow module.

The SF-12 is a well-validate measure of health-related quality of life; providing a physical and mental health component summary score. Min:0, Max: 100. Higher Score = Worse Outcome.

Outcome measures

Outcome measures
Measure
Yoga
n=86 Participants
A 12-week yoga intervention modified for Veterans with fibromyalgia. Each weekly session will last approximately 75 minutes. The standardized sequence of yoga poses will be introduced to participants and the instructor will tailor them to the participant's needs and abilities. Deep breathing exercises will be taught and emphasized throughout every session. Participants will be encouraged to exercise according to their limits, rather than rigid adherence to posture techniques. The yoga intervention will be tailored to the individual. Participants will also be given a Playaway(c) device with guided relaxation exercise recorded on it and asked to listen to it three times a week to reinforce the in person yoga session content.
Structured Exercise
n=84 Participants
A 12-week group exercise session consisting of a graded aerobic exercise program. The program will start at low intensity with gradual increases in exercise intensity and duration. Each weekly session will last 75 minutes. The fitness instructor will teach participants to use a table-top ergometer at a sub-maximal level, determine baseline fitness, and develop an individualized exercise prescription. The fitness instructor will provide educational tips on exercise and selection of physical activities. Participants will be given a pedometer and heart rate monitor to track their exercise at home. They will also be given an exercise DVD to use at home.
SF-12 Mental Score (Health-related Quality of Life)
46.4 units on a scale
Standard Deviation 8.8
46.4 units on a scale
Standard Deviation 10.0

SECONDARY outcome

Timeframe: 3 Month

Population: A small number of participants opted to not complete this Outcome measure, causing a discrepancy between this module and the flow module.

This scale assesses overall fatigue and has been well-validated and used in other fibromyalgia trials. Min:0, Max: 100. Higher Score = Worse Outcome.

Outcome measures

Outcome measures
Measure
Yoga
n=85 Participants
A 12-week yoga intervention modified for Veterans with fibromyalgia. Each weekly session will last approximately 75 minutes. The standardized sequence of yoga poses will be introduced to participants and the instructor will tailor them to the participant's needs and abilities. Deep breathing exercises will be taught and emphasized throughout every session. Participants will be encouraged to exercise according to their limits, rather than rigid adherence to posture techniques. The yoga intervention will be tailored to the individual. Participants will also be given a Playaway(c) device with guided relaxation exercise recorded on it and asked to listen to it three times a week to reinforce the in person yoga session content.
Structured Exercise
n=84 Participants
A 12-week group exercise session consisting of a graded aerobic exercise program. The program will start at low intensity with gradual increases in exercise intensity and duration. Each weekly session will last 75 minutes. The fitness instructor will teach participants to use a table-top ergometer at a sub-maximal level, determine baseline fitness, and develop an individualized exercise prescription. The fitness instructor will provide educational tips on exercise and selection of physical activities. Participants will be given a pedometer and heart rate monitor to track their exercise at home. They will also be given an exercise DVD to use at home.
Multi-dimensional Fatigue Inventory
49.2 units on a scale
Standard Deviation 24.6
51.4 units on a scale
Standard Deviation 26.3

SECONDARY outcome

Timeframe: 3 Month

Population: A small number of participants opted to not complete this Outcome measure, causing a discrepancy between this module and the flow module.

This scale assesses different aspects of sleep quality and provides an overall index with higher scores representing more severe sleep problems. Min:0, Max: 100. Higher Score = Worse Outcome.

Outcome measures

Outcome measures
Measure
Yoga
n=86 Participants
A 12-week yoga intervention modified for Veterans with fibromyalgia. Each weekly session will last approximately 75 minutes. The standardized sequence of yoga poses will be introduced to participants and the instructor will tailor them to the participant's needs and abilities. Deep breathing exercises will be taught and emphasized throughout every session. Participants will be encouraged to exercise according to their limits, rather than rigid adherence to posture techniques. The yoga intervention will be tailored to the individual. Participants will also be given a Playaway(c) device with guided relaxation exercise recorded on it and asked to listen to it three times a week to reinforce the in person yoga session content.
Structured Exercise
n=84 Participants
A 12-week group exercise session consisting of a graded aerobic exercise program. The program will start at low intensity with gradual increases in exercise intensity and duration. Each weekly session will last 75 minutes. The fitness instructor will teach participants to use a table-top ergometer at a sub-maximal level, determine baseline fitness, and develop an individualized exercise prescription. The fitness instructor will provide educational tips on exercise and selection of physical activities. Participants will be given a pedometer and heart rate monitor to track their exercise at home. They will also be given an exercise DVD to use at home.
MOS Sleep Scale - Problems Index
48.5 units on a scale
Standard Deviation 10.4
44.8 units on a scale
Standard Deviation 9.6

SECONDARY outcome

Timeframe: 3 Month

Population: A small number of participants opted to not complete this Outcome measure, causing a discrepancy between this module and the flow module.

This 13-item scale assesses pain catastrophizing which has been found to be a predictor of poor treatment response. Min: 0. Max: 52. Higher Score = Worse Outcome.

Outcome measures

Outcome measures
Measure
Yoga
n=86 Participants
A 12-week yoga intervention modified for Veterans with fibromyalgia. Each weekly session will last approximately 75 minutes. The standardized sequence of yoga poses will be introduced to participants and the instructor will tailor them to the participant's needs and abilities. Deep breathing exercises will be taught and emphasized throughout every session. Participants will be encouraged to exercise according to their limits, rather than rigid adherence to posture techniques. The yoga intervention will be tailored to the individual. Participants will also be given a Playaway(c) device with guided relaxation exercise recorded on it and asked to listen to it three times a week to reinforce the in person yoga session content.
Structured Exercise
n=84 Participants
A 12-week group exercise session consisting of a graded aerobic exercise program. The program will start at low intensity with gradual increases in exercise intensity and duration. Each weekly session will last 75 minutes. The fitness instructor will teach participants to use a table-top ergometer at a sub-maximal level, determine baseline fitness, and develop an individualized exercise prescription. The fitness instructor will provide educational tips on exercise and selection of physical activities. Participants will be given a pedometer and heart rate monitor to track their exercise at home. They will also be given an exercise DVD to use at home.
Pain Catastrophizing Scale
17.8 units on a scale
Standard Deviation 12.7
18.6 units on a scale
Standard Deviation 13.9

SECONDARY outcome

Timeframe: 3 Month

Population: A small number of participants opted to not complete this Outcome measure, causing a discrepancy between this module and the flow module.

This scale has been well-validated to assess self-efficacy or confidence in a person's ability to complete a task. Min: 0, Max: 60. Higher score represents improvement.

Outcome measures

Outcome measures
Measure
Yoga
n=86 Participants
A 12-week yoga intervention modified for Veterans with fibromyalgia. Each weekly session will last approximately 75 minutes. The standardized sequence of yoga poses will be introduced to participants and the instructor will tailor them to the participant's needs and abilities. Deep breathing exercises will be taught and emphasized throughout every session. Participants will be encouraged to exercise according to their limits, rather than rigid adherence to posture techniques. The yoga intervention will be tailored to the individual. Participants will also be given a Playaway(c) device with guided relaxation exercise recorded on it and asked to listen to it three times a week to reinforce the in person yoga session content.
Structured Exercise
n=84 Participants
A 12-week group exercise session consisting of a graded aerobic exercise program. The program will start at low intensity with gradual increases in exercise intensity and duration. Each weekly session will last 75 minutes. The fitness instructor will teach participants to use a table-top ergometer at a sub-maximal level, determine baseline fitness, and develop an individualized exercise prescription. The fitness instructor will provide educational tips on exercise and selection of physical activities. Participants will be given a pedometer and heart rate monitor to track their exercise at home. They will also be given an exercise DVD to use at home.
Arthritis Self-efficacy Scale
37.2 units on a scale
Standard Deviation 12.2
37.0 units on a scale
Standard Deviation 14.4

Adverse Events

Yoga

Serious events: 2 serious events
Other events: 26 other events
Deaths: 1 deaths

Structured Exercise

Serious events: 4 serious events
Other events: 29 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
Yoga
n=129 participants at risk
A 12-week yoga intervention modified for Veterans with fibromyalgia. Each weekly session will last approximately 75 minutes. The standardized sequence of yoga poses will be introduced to participants and the instructor will tailor them to the participant's needs and abilities. Deep breathing exercises will be taught and emphasized throughout every session. Participants will be encouraged to exercise according to their limits, rather than rigid adherence to posture techniques. The yoga intervention will be tailored to the individual. Participants will also be given a Playaway(c) device with guided relaxation exercise recorded on it and asked to listen to it three times a week to reinforce the in person yoga session content.
Structured Exercise
n=127 participants at risk
A 12-week group exercise session consisting of a graded aerobic exercise program. The program will start at low intensity with gradual increases in exercise intensity and duration. Each weekly session will last 75 minutes. The fitness instructor will teach participants to use a table-top ergometer at a sub-maximal level, determine baseline fitness, and develop an individualized exercise prescription. The fitness instructor will provide educational tips on exercise and selection of physical activities. Participants will be given a pedometer and heart rate monitor to track their exercise at home. They will also be given an exercise DVD to use at home.
Nervous system disorders
Stroke
0.00%
0/129 • 9 months
0.79%
1/127 • Number of events 1 • 9 months
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Cancer
0.00%
0/129 • 9 months
0.79%
1/127 • Number of events 1 • 9 months
Injury, poisoning and procedural complications
Motor vehicle accident
0.00%
0/129 • 9 months
0.79%
1/127 • Number of events 1 • 9 months
Psychiatric disorders
Suicidal ideation
1.6%
2/129 • Number of events 2 • 9 months
0.79%
1/127 • Number of events 1 • 9 months

Other adverse events

Other adverse events
Measure
Yoga
n=129 participants at risk
A 12-week yoga intervention modified for Veterans with fibromyalgia. Each weekly session will last approximately 75 minutes. The standardized sequence of yoga poses will be introduced to participants and the instructor will tailor them to the participant's needs and abilities. Deep breathing exercises will be taught and emphasized throughout every session. Participants will be encouraged to exercise according to their limits, rather than rigid adherence to posture techniques. The yoga intervention will be tailored to the individual. Participants will also be given a Playaway(c) device with guided relaxation exercise recorded on it and asked to listen to it three times a week to reinforce the in person yoga session content.
Structured Exercise
n=127 participants at risk
A 12-week group exercise session consisting of a graded aerobic exercise program. The program will start at low intensity with gradual increases in exercise intensity and duration. Each weekly session will last 75 minutes. The fitness instructor will teach participants to use a table-top ergometer at a sub-maximal level, determine baseline fitness, and develop an individualized exercise prescription. The fitness instructor will provide educational tips on exercise and selection of physical activities. Participants will be given a pedometer and heart rate monitor to track their exercise at home. They will also be given an exercise DVD to use at home.
Psychiatric disorders
Thoughts of self-harm
20.2%
26/129 • Number of events 35 • 9 months
22.8%
29/127 • Number of events 46 • 9 months

Additional Information

Dr. Matthew J. Bair

VA Center for Health Information and Communication

Phone: 317-988-2058

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place