Trial Outcomes & Findings for Comparing Effects of a Holistic Yoga Program and a Wellness Program on PTSD Symptoms (NCT NCT02234622)

NCT ID: NCT02234622

Last Updated: 2020-03-17

Results Overview

The CAPS is a semi-structured clinician administered interview that measures PTSD diagnostic status and symptom severity consistent with the Diagnostic and Statistical Manual-Fifth Edition. Scores range 0-80 with higher scores meaning a worse outcome.

Recruitment status

COMPLETED

Study phase

NA

Target enrollment

212 participants

Primary outcome timeframe

Change from baseline to 16 weeks (end of treatment)

Results posted on

2020-03-17

Participant Flow

Participant milestones

Participant milestones
Measure
Holistic Yoga Program
The Holistic Yoga Program (HYP) (postures, breathing practices, deep muscle contraction practices, relaxation) is a 16 week, 90 minute weekly group intervention. Holistic Yoga Program: The Holistic Yoga Program (HYP) (postures, breathing practices, deep muscle contraction practices, relaxation) is a 16 week, 90 minute weekly group intervention.
Wellness Lifestyle Program
The Wellness Lifestyle Program (WLP) is a 16 week, 90 minute weekly group intervention consisting of low intensity physical activity with didactics about wellness topics. Wellness Lifestyle Program: The Wellness Lifestyle Program (WLP) is a 16 week, 90 minute weekly group intervention consisting of low intensity physical activity (walking) with didactics about wellness topics.
Overall Study
STARTED
108
104
Overall Study
COMPLETED
65
68
Overall Study
NOT COMPLETED
43
36

Reasons for withdrawal

Reasons for withdrawal
Measure
Holistic Yoga Program
The Holistic Yoga Program (HYP) (postures, breathing practices, deep muscle contraction practices, relaxation) is a 16 week, 90 minute weekly group intervention. Holistic Yoga Program: The Holistic Yoga Program (HYP) (postures, breathing practices, deep muscle contraction practices, relaxation) is a 16 week, 90 minute weekly group intervention.
Wellness Lifestyle Program
The Wellness Lifestyle Program (WLP) is a 16 week, 90 minute weekly group intervention consisting of low intensity physical activity with didactics about wellness topics. Wellness Lifestyle Program: The Wellness Lifestyle Program (WLP) is a 16 week, 90 minute weekly group intervention consisting of low intensity physical activity (walking) with didactics about wellness topics.
Overall Study
Withdrawal by Subject
16
22
Overall Study
Lost to Follow-up
27
14

Baseline Characteristics

Comparing Effects of a Holistic Yoga Program and a Wellness Program on PTSD Symptoms

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Holistic Yoga Program
n=108 Participants
The Holistic Yoga Program (HYP) (postures, breathing practices, deep muscle contraction practices, relaxation) is a 16 week, 90 minute weekly group intervention. Holistic Yoga Program: The Holistic Yoga Program (HYP) (postures, breathing practices, deep muscle contraction practices, relaxation) is a 16 week, 90 minute weekly group intervention.
Wellness Lifestyle Program
n=101 Participants
The Wellness Lifestyle Program (WLP) is a 16 week, 90 minute weekly group intervention consisting of low intensity physical activity with didactics about wellness topics. Wellness Lifestyle Program: The Wellness Lifestyle Program (WLP) is a 16 week, 90 minute weekly group intervention consisting of low intensity physical activity (walking) with didactics about wellness topics.
Total
n=209 Participants
Total of all reporting groups
Age, Continuous
49.9 years
STANDARD_DEVIATION 12.6 • n=93 Participants
51.2 years
STANDARD_DEVIATION 13.3 • n=4 Participants
50.6 years
STANDARD_DEVIATION 12.9 • n=27 Participants
Sex: Female, Male
Female
38 Participants
n=93 Participants
33 Participants
n=4 Participants
71 Participants
n=27 Participants
Sex: Female, Male
Male
70 Participants
n=93 Participants
68 Participants
n=4 Participants
138 Participants
n=27 Participants
Race (NIH/OMB)
American Indian or Alaska Native
2 Participants
n=93 Participants
1 Participants
n=4 Participants
3 Participants
n=27 Participants
Race (NIH/OMB)
Asian
0 Participants
n=93 Participants
0 Participants
n=4 Participants
0 Participants
n=27 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=93 Participants
1 Participants
n=4 Participants
1 Participants
n=27 Participants
Race (NIH/OMB)
Black or African American
32 Participants
n=93 Participants
33 Participants
n=4 Participants
65 Participants
n=27 Participants
Race (NIH/OMB)
White
69 Participants
n=93 Participants
60 Participants
n=4 Participants
129 Participants
n=27 Participants
Race (NIH/OMB)
More than one race
5 Participants
n=93 Participants
6 Participants
n=4 Participants
11 Participants
n=27 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants
n=93 Participants
0 Participants
n=4 Participants
0 Participants
n=27 Participants
Region of Enrollment
United States
108 Participants
n=93 Participants
101 Participants
n=4 Participants
209 Participants
n=27 Participants
Clinician Administered PTSD Scale 5
37.1 units on a scale
STANDARD_DEVIATION 8.7 • n=93 Participants
36.0 units on a scale
STANDARD_DEVIATION 8.7 • n=4 Participants
36.57 units on a scale
STANDARD_DEVIATION 8.71 • n=27 Participants
PTSD Checklist 5
45.2 units on a scale
STANDARD_DEVIATION 12.1 • n=93 Participants
45.1 units on a scale
STANDARD_DEVIATION 13.0 • n=4 Participants
45.14 units on a scale
STANDARD_DEVIATION 12.51 • n=27 Participants

PRIMARY outcome

Timeframe: Change from baseline to 16 weeks (end of treatment)

Population: three participants were removed from the analysis when results of a retrospective audit of baseline PTSD diagnosis indicated they did not meet diagnostic criteria

The CAPS is a semi-structured clinician administered interview that measures PTSD diagnostic status and symptom severity consistent with the Diagnostic and Statistical Manual-Fifth Edition. Scores range 0-80 with higher scores meaning a worse outcome.

Outcome measures

Outcome measures
Measure
Holistic Yoga Program
n=108 Participants
The Holistic Yoga Program (HYP) (postures, breathing practices, deep muscle contraction practices, relaxation) is a 16 week, 90 minute weekly group intervention. Holistic Yoga Program: The Holistic Yoga Program (HYP) (postures, breathing practices, deep muscle contraction practices, relaxation) is a 16 week, 90 minute weekly group intervention.
Wellness Lifestyle Program
n=101 Participants
The Wellness Lifestyle Program (WLP) is a 16 week, 90 minute weekly group intervention consisting of low intensity physical activity with didactics about wellness topics. Wellness Lifestyle Program: The Wellness Lifestyle Program (WLP) is a 16 week, 90 minute weekly group intervention consisting of low intensity physical activity with didactics about wellness topics.
Clinician Administered PTSD Scale (CAPS-5)
25.8 score on a scale
Standard Deviation 12.1
31.0 score on a scale
Standard Deviation 13.0

PRIMARY outcome

Timeframe: Change from baseline to 16 weeks (end of treatment)

Population: three participants were removed from the analysis when results of a retrospective audit of baseline PTSD diagnosis indicated they did not meet diagnostic criteria

PTSD self-reported symptom severity will be assessed with the PTSD Checklist-5 (PCL-5), a 20-item self-report measure of the 5th version of the Diagnostic and Statistics Manual (DSM-5) symptoms of PTSD used as a measure of change in PTSD symptoms as a function of treatment. Scores range 0-80 with higher scores indicating worse outcome.

Outcome measures

Outcome measures
Measure
Holistic Yoga Program
n=108 Participants
The Holistic Yoga Program (HYP) (postures, breathing practices, deep muscle contraction practices, relaxation) is a 16 week, 90 minute weekly group intervention. Holistic Yoga Program: The Holistic Yoga Program (HYP) (postures, breathing practices, deep muscle contraction practices, relaxation) is a 16 week, 90 minute weekly group intervention.
Wellness Lifestyle Program
n=101 Participants
The Wellness Lifestyle Program (WLP) is a 16 week, 90 minute weekly group intervention consisting of low intensity physical activity with didactics about wellness topics. Wellness Lifestyle Program: The Wellness Lifestyle Program (WLP) is a 16 week, 90 minute weekly group intervention consisting of low intensity physical activity with didactics about wellness topics.
PTSD Checklist
33 score on a scale
Standard Deviation 17.5
40.2 score on a scale
Standard Deviation 15.2

SECONDARY outcome

Timeframe: Change from baseline to 16 weeks (end of treatment)

Population: three participants were removed from the analysis when a retrospective audit of the Clinician Administered PTSD Scale revealed they did not meet diagnostic criteria for PTSD

Medical Outcomes Study Sleep Scale (MOS) Problem Index II is a 9-item sub-scale of the 12-item MOS self-report measure that assesses sleep quality (sleep disturbance, adequacy of sleep, and sleep quantity). The item scores of the 9-item sub-scale range from 1-6 and the sub-scale totals are converted to scores ranging 0-100, with higher scores indicating a worse outcome.

Outcome measures

Outcome measures
Measure
Holistic Yoga Program
n=108 Participants
The Holistic Yoga Program (HYP) (postures, breathing practices, deep muscle contraction practices, relaxation) is a 16 week, 90 minute weekly group intervention. Holistic Yoga Program: The Holistic Yoga Program (HYP) (postures, breathing practices, deep muscle contraction practices, relaxation) is a 16 week, 90 minute weekly group intervention.
Wellness Lifestyle Program
n=101 Participants
The Wellness Lifestyle Program (WLP) is a 16 week, 90 minute weekly group intervention consisting of low intensity physical activity with didactics about wellness topics. Wellness Lifestyle Program: The Wellness Lifestyle Program (WLP) is a 16 week, 90 minute weekly group intervention consisting of low intensity physical activity with didactics about wellness topics.
Medical Outcomes Study 12-item Sleep Scale (MOS) Problem Index II
45 score on a scale
Standard Deviation 21.2
55 score on a scale
Standard Deviation 20.7

SECONDARY outcome

Timeframe: Change from baseline to 16 weeks (end of treatment)

Population: three participants were removed from the analysis when results of a retrospective audit of baseline PTSD diagnosis indicated they did not meet diagnostic criteria

PROMIS - short form 5a is a 5-item self-report measure to assess feelings of anger over the past 7 days. Total scores, ranging 5-25 are converted to T-scores with higher scores indicating poorer outcome. A score of 50 represents the mean. A difference of 10 from the mean indicates a difference of one standard deviation. Thus, a score of 60 is one standard deviation above the mean, while a score of 30 is two standard deviations below the mean. T-scores range from 0-100

Outcome measures

Outcome measures
Measure
Holistic Yoga Program
n=108 Participants
The Holistic Yoga Program (HYP) (postures, breathing practices, deep muscle contraction practices, relaxation) is a 16 week, 90 minute weekly group intervention. Holistic Yoga Program: The Holistic Yoga Program (HYP) (postures, breathing practices, deep muscle contraction practices, relaxation) is a 16 week, 90 minute weekly group intervention.
Wellness Lifestyle Program
n=101 Participants
The Wellness Lifestyle Program (WLP) is a 16 week, 90 minute weekly group intervention consisting of low intensity physical activity with didactics about wellness topics. Wellness Lifestyle Program: The Wellness Lifestyle Program (WLP) is a 16 week, 90 minute weekly group intervention consisting of low intensity physical activity with didactics about wellness topics.
Patient Reported Outcome Measure Information System (PROMIS) - Short Form 5a
57.1 score on a scale
Standard Deviation 8.9
58.9 score on a scale
Standard Deviation 9.2

SECONDARY outcome

Timeframe: Change from baseline to 16 weeks (end of treatment)

Population: three participants were removed from the analysis when results of a retrospective audit of baseline PTSD diagnosis indicated they did not meet diagnostic criteria

Depression will be measured by the Beck Depression Inventory (BDI), a 21-item self-report measure, the total score of which ranges 0-63 with higher scores indicating a poorer outcome.

Outcome measures

Outcome measures
Measure
Holistic Yoga Program
n=108 Participants
The Holistic Yoga Program (HYP) (postures, breathing practices, deep muscle contraction practices, relaxation) is a 16 week, 90 minute weekly group intervention. Holistic Yoga Program: The Holistic Yoga Program (HYP) (postures, breathing practices, deep muscle contraction practices, relaxation) is a 16 week, 90 minute weekly group intervention.
Wellness Lifestyle Program
n=101 Participants
The Wellness Lifestyle Program (WLP) is a 16 week, 90 minute weekly group intervention consisting of low intensity physical activity with didactics about wellness topics. Wellness Lifestyle Program: The Wellness Lifestyle Program (WLP) is a 16 week, 90 minute weekly group intervention consisting of low intensity physical activity with didactics about wellness topics.
Beck Depression Inventory-II
17.4 score on a scale
Standard Deviation 12.2
18.7 score on a scale
Standard Deviation 10.7

SECONDARY outcome

Timeframe: Change from baseline to 16 weeks (end of treatment)

Population: three participants were removed from the analysis when results of a retrospective audit of baseline PTSD diagnosis indicated they did not meet diagnostic criteria

Anxiety will be measured by the Spielberger State-Trait Anxiety Inventory (STAI), State Anxiety subscale, a self-report instrument consisting of 20-items rated on a 4-point scale (1-4), with a possible range of 20-80. Higher scores indicate worse outcome.

Outcome measures

Outcome measures
Measure
Holistic Yoga Program
n=108 Participants
The Holistic Yoga Program (HYP) (postures, breathing practices, deep muscle contraction practices, relaxation) is a 16 week, 90 minute weekly group intervention. Holistic Yoga Program: The Holistic Yoga Program (HYP) (postures, breathing practices, deep muscle contraction practices, relaxation) is a 16 week, 90 minute weekly group intervention.
Wellness Lifestyle Program
n=101 Participants
The Wellness Lifestyle Program (WLP) is a 16 week, 90 minute weekly group intervention consisting of low intensity physical activity with didactics about wellness topics. Wellness Lifestyle Program: The Wellness Lifestyle Program (WLP) is a 16 week, 90 minute weekly group intervention consisting of low intensity physical activity with didactics about wellness topics.
Spielberger State-Trait Anxiety (STAI) - State Subscale
29.5 score on a scale
Standard Deviation 11
27.6 score on a scale
Standard Deviation 11.6

SECONDARY outcome

Timeframe: Change from baseline to 16 weeks (end of treatment)

Population: three participants were removed from the analysis when results of a retrospective audit of baseline PTSD diagnosis indicated they did not meet diagnostic criteria

Pain will be assessed using the Brief Pain Inventory (BPI), item #3 which is an indicator of average pain severity in the past week. Scores range from 0-10 with higher scores indicating poorer outcome.

Outcome measures

Outcome measures
Measure
Holistic Yoga Program
n=108 Participants
The Holistic Yoga Program (HYP) (postures, breathing practices, deep muscle contraction practices, relaxation) is a 16 week, 90 minute weekly group intervention. Holistic Yoga Program: The Holistic Yoga Program (HYP) (postures, breathing practices, deep muscle contraction practices, relaxation) is a 16 week, 90 minute weekly group intervention.
Wellness Lifestyle Program
n=101 Participants
The Wellness Lifestyle Program (WLP) is a 16 week, 90 minute weekly group intervention consisting of low intensity physical activity with didactics about wellness topics. Wellness Lifestyle Program: The Wellness Lifestyle Program (WLP) is a 16 week, 90 minute weekly group intervention consisting of low intensity physical activity with didactics about wellness topics.
Brief Pain Inventory (BPI) Item #3
4.9 score on a scale
Standard Deviation 2.7
4.9 score on a scale
Standard Deviation 2.9

Adverse Events

Holistic Yoga Program

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

Wellness Lifestyle Program

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

Serious adverse events

Adverse event data not reported

Other adverse events

Adverse event data not reported

Additional Information

Louanne Davis Psy.D.

Roudebush VA Medical Center

Phone: 317-710-1338

Results disclosure agreements

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