Trial Outcomes & Findings for Feasibility of a Yoga- and Mindfulness-Based Intervention for Resident Physicians (NCT NCT03687450)

NCT ID: NCT03687450

Last Updated: 2020-07-23

Results Overview

Participants were ask to rate the feasibility of attending the yoga program on a visual analogue scale from 0 (not at all feasible) to 100 (very feasible). Only the intervention group rated feasibility since the control group was a waitlist control group and did not attend the program. The standard deviation of the mean score was calculated.

Recruitment status

COMPLETED

Study phase

NA

Target enrollment

56 participants

Primary outcome timeframe

Post-program

Results posted on

2020-07-23

Participant Flow

Participant milestones

Participant milestones
Measure
Intervention (Yoga) Arm
This is the group that will receive a weekly 60-90minute yoga-based class for six weeks and direction for a 5-10 minute daily home practice. RISE yoga-based program: The RISE program developed by Kripalu Center for Yoga and Health includes yoga postures, mindfulness practices, meditation, breathing techniques, and education sessions about mindful approaches to daily living. The RISE program will be delivered as a 6-week yoga-based program on-site at Brigham and Women's Hospital in Boston, MA. The program will consist of six 60-90-minute weekly yoga-based RISE classes. Sessions will be lead by experienced instructors from Kripalu Center for Yoga \& Health. Subjects in this arm will also be asked to participate in 5-10 minutes of daily home practice with direction from the RISE curriculum.
No-treatment Control Arm
This group will receive no intervention during the study. At the conclusion of the study, this group will receive one free yoga-based class.
Overall Study
STARTED
38
18
Overall Study
Post-Program Follow-Up
28
15
Overall Study
Two-month Follow-up
26
16
Overall Study
COMPLETED
26
16
Overall Study
NOT COMPLETED
12
2

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Feasibility of a Yoga- and Mindfulness-Based Intervention for Resident Physicians

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Intervention (Yoga) Arm
n=28 Participants
This is the group that will receive a weekly 60-90minute yoga-based class for six weeks and direction for a 5-10 minute daily home practice. RISE yoga-based program: The RISE program developed by Kripalu Center for Yoga and Health includes yoga postures, mindfulness practices, meditation, breathing techniques, and education sessions about mindful approaches to daily living. The RISE program will be delivered as a 6-week yoga-based program on-site at Brigham and Women's Hospital in Boston, MA. The program will consist of six 60-90-minute weekly yoga-based RISE classes. Sessions will be lead by experienced instructors from Kripalu Center for Yoga \& Health. Subjects in this arm will also be asked to participate in 5-10 minutes of daily home practice with direction from the RISE curriculum.
No-treatment Control Arm
n=16 Participants
This group will receive no intervention during the study. At the conclusion of the study, this group will receive one free yoga-based class.
Total
n=44 Participants
Total of all reporting groups
Age, Continuous
29.3 years
n=5 Participants
29.1 years
n=7 Participants
29.2 years
n=5 Participants
Sex: Female, Male
Female
21 Participants
n=5 Participants
15 Participants
n=7 Participants
36 Participants
n=5 Participants
Sex: Female, Male
Male
7 Participants
n=5 Participants
1 Participants
n=7 Participants
8 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
2 Participants
n=5 Participants
1 Participants
n=7 Participants
3 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
26 Participants
n=5 Participants
14 Participants
n=7 Participants
40 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants
1 Participants
n=7 Participants
1 Participants
n=5 Participants
Race (NIH/OMB)
American Indian or Alaska Native
1 Participants
n=5 Participants
0 Participants
n=7 Participants
1 Participants
n=5 Participants
Race (NIH/OMB)
Asian
7 Participants
n=5 Participants
4 Participants
n=7 Participants
11 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
1 Participants
n=5 Participants
0 Participants
n=7 Participants
1 Participants
n=5 Participants
Race (NIH/OMB)
White
18 Participants
n=5 Participants
10 Participants
n=7 Participants
28 Participants
n=5 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=5 Participants
2 Participants
n=7 Participants
2 Participants
n=5 Participants
Race (NIH/OMB)
Unknown or Not Reported
1 Participants
n=5 Participants
0 Participants
n=7 Participants
1 Participants
n=5 Participants
Year in Training
1st year
9 Participants
n=5 Participants
3 Participants
n=7 Participants
12 Participants
n=5 Participants
Year in Training
2nd year
6 Participants
n=5 Participants
5 Participants
n=7 Participants
11 Participants
n=5 Participants
Year in Training
3rd year
8 Participants
n=5 Participants
3 Participants
n=7 Participants
11 Participants
n=5 Participants
Year in Training
4th year and above
5 Participants
n=5 Participants
5 Participants
n=7 Participants
10 Participants
n=5 Participants
Specialty
Internal Medicine
12 Participants
n=5 Participants
8 Participants
n=7 Participants
20 Participants
n=5 Participants
Specialty
OB/GYN
3 Participants
n=5 Participants
2 Participants
n=7 Participants
5 Participants
n=5 Participants
Specialty
Diagnostic Radiology
3 Participants
n=5 Participants
2 Participants
n=7 Participants
5 Participants
n=5 Participants
Specialty
Emergency Medicine
2 Participants
n=5 Participants
0 Participants
n=7 Participants
2 Participants
n=5 Participants
Specialty
Psychiatry
4 Participants
n=5 Participants
2 Participants
n=7 Participants
6 Participants
n=5 Participants
Specialty
Medicine-Pediatrics
1 Participants
n=5 Participants
0 Participants
n=7 Participants
1 Participants
n=5 Participants
Specialty
Anesthesiology
3 Participants
n=5 Participants
1 Participants
n=7 Participants
4 Participants
n=5 Participants
Specialty
Physical Medicine & Rehabilitation
0 Participants
n=5 Participants
1 Participants
n=7 Participants
1 Participants
n=5 Participants

PRIMARY outcome

Timeframe: Post-program

Population: Participants analyzed included those in the intervention group who completed any follow-up timepoint, including post-program and/or two-month follow-up. Since the waitlist control group did not attend the program, they were not asked to assess feasibility.

Participants were ask to rate the feasibility of attending the yoga program on a visual analogue scale from 0 (not at all feasible) to 100 (very feasible). Only the intervention group rated feasibility since the control group was a waitlist control group and did not attend the program. The standard deviation of the mean score was calculated.

Outcome measures

Outcome measures
Measure
Intervention (Yoga) Arm
n=28 Participants
This is the group that will receive a weekly 60-90minute yoga-based class for six weeks and direction for a 5-10 minute daily home practice. RISE yoga-based program: The RISE program developed by Kripalu Center for Yoga and Health includes yoga postures, mindfulness practices, meditation, breathing techniques, and education sessions about mindful approaches to daily living. The RISE program will be delivered as a 6-week yoga-based program on-site at Brigham and Women's Hospital in Boston, MA. The program will consist of six 60-90-minute weekly yoga-based RISE classes. Sessions will be lead by experienced instructors from Kripalu Center for Yoga \& Health. Subjects in this arm will also be asked to participate in 5-10 minutes of daily home practice with direction from the RISE curriculum.
No-treatment Control Arm
This group will receive no intervention during the study. At the conclusion of the study, this group will receive one free yoga-based class.
Feasibility of Attending the Yoga Program
28.9 visual analogue scale, 0 to 100
Standard Deviation 25.6
—

SECONDARY outcome

Timeframe: Post-program and 2-month follow-up

Maslach Burnout Inventory (short form, 2 items) - scores from 0-12; higher is more burnout

Outcome measures

Outcome measures
Measure
Intervention (Yoga) Arm
n=28 Participants
This is the group that will receive a weekly 60-90minute yoga-based class for six weeks and direction for a 5-10 minute daily home practice. RISE yoga-based program: The RISE program developed by Kripalu Center for Yoga and Health includes yoga postures, mindfulness practices, meditation, breathing techniques, and education sessions about mindful approaches to daily living. The RISE program will be delivered as a 6-week yoga-based program on-site at Brigham and Women's Hospital in Boston, MA. The program will consist of six 60-90-minute weekly yoga-based RISE classes. Sessions will be lead by experienced instructors from Kripalu Center for Yoga \& Health. Subjects in this arm will also be asked to participate in 5-10 minutes of daily home practice with direction from the RISE curriculum.
No-treatment Control Arm
n=16 Participants
This group will receive no intervention during the study. At the conclusion of the study, this group will receive one free yoga-based class.
Difference in Burnout
Baseline
6.23 score on a scale
Standard Error 0.52
6.33 score on a scale
Standard Error 0.92
Difference in Burnout
Post-program
5.65 score on a scale
Standard Error 0.50
6.83 score on a scale
Standard Error 0.66
Difference in Burnout
2-month follow-up
5.72 score on a scale
Standard Error 0.53
6.43 score on a scale
Standard Error 0.99

SECONDARY outcome

Timeframe: Baseline, post-program, and 2-month follow-up

Professional Fulfillment Index (PFI; 16 items) - scores from 0-4 for professional fulfillment scale; higher is more fulfillment

Outcome measures

Outcome measures
Measure
Intervention (Yoga) Arm
n=28 Participants
This is the group that will receive a weekly 60-90minute yoga-based class for six weeks and direction for a 5-10 minute daily home practice. RISE yoga-based program: The RISE program developed by Kripalu Center for Yoga and Health includes yoga postures, mindfulness practices, meditation, breathing techniques, and education sessions about mindful approaches to daily living. The RISE program will be delivered as a 6-week yoga-based program on-site at Brigham and Women's Hospital in Boston, MA. The program will consist of six 60-90-minute weekly yoga-based RISE classes. Sessions will be lead by experienced instructors from Kripalu Center for Yoga \& Health. Subjects in this arm will also be asked to participate in 5-10 minutes of daily home practice with direction from the RISE curriculum.
No-treatment Control Arm
n=16 Participants
This group will receive no intervention during the study. At the conclusion of the study, this group will receive one free yoga-based class.
Difference in Professional Fulfillment
Baseline
1.70 score on a scale
Standard Error 0.12
1.53 score on a scale
Standard Error 0.18
Difference in Professional Fulfillment
Post-program
1.35 score on a scale
Standard Error 0.14
1.48 score on a scale
Standard Error 0.20
Difference in Professional Fulfillment
2-month follow-up
1.38 score on a scale
Standard Error 0.10
1.56 score on a scale
Standard Error 0.21

SECONDARY outcome

Timeframe: Baseline, post-program, and 2-month follow-up

Resident Well-Being Index (7 items) - scores from 0-7; higher is worse wellbeing

Outcome measures

Outcome measures
Measure
Intervention (Yoga) Arm
n=28 Participants
This is the group that will receive a weekly 60-90minute yoga-based class for six weeks and direction for a 5-10 minute daily home practice. RISE yoga-based program: The RISE program developed by Kripalu Center for Yoga and Health includes yoga postures, mindfulness practices, meditation, breathing techniques, and education sessions about mindful approaches to daily living. The RISE program will be delivered as a 6-week yoga-based program on-site at Brigham and Women's Hospital in Boston, MA. The program will consist of six 60-90-minute weekly yoga-based RISE classes. Sessions will be lead by experienced instructors from Kripalu Center for Yoga \& Health. Subjects in this arm will also be asked to participate in 5-10 minutes of daily home practice with direction from the RISE curriculum.
No-treatment Control Arm
n=16 Participants
This group will receive no intervention during the study. At the conclusion of the study, this group will receive one free yoga-based class.
Difference in Resident Well-being
Baseline
4.19 score on a scale
Standard Error 0.30
4.08 score on a scale
Standard Error 0.58
Difference in Resident Well-being
Post-program
3.15 score on a scale
Standard Error 0.33
3.62 score on a scale
Standard Error 0.35
Difference in Resident Well-being
2-month follow-up
3.40 score on a scale
Standard Error 0.37
3.25 score on a scale
Standard Error 0.49

SECONDARY outcome

Timeframe: Baseline, post-program, and 2-month follow-up

Resilience Scale (RS-14; 14 items) - scores from 14-98; higher more resilience

Outcome measures

Outcome measures
Measure
Intervention (Yoga) Arm
n=28 Participants
This is the group that will receive a weekly 60-90minute yoga-based class for six weeks and direction for a 5-10 minute daily home practice. RISE yoga-based program: The RISE program developed by Kripalu Center for Yoga and Health includes yoga postures, mindfulness practices, meditation, breathing techniques, and education sessions about mindful approaches to daily living. The RISE program will be delivered as a 6-week yoga-based program on-site at Brigham and Women's Hospital in Boston, MA. The program will consist of six 60-90-minute weekly yoga-based RISE classes. Sessions will be lead by experienced instructors from Kripalu Center for Yoga \& Health. Subjects in this arm will also be asked to participate in 5-10 minutes of daily home practice with direction from the RISE curriculum.
No-treatment Control Arm
n=15 Participants
This group will receive no intervention during the study. At the conclusion of the study, this group will receive one free yoga-based class.
Difference in Resilience
Baseline
70.61 score on a scale
Standard Error 2.26
71.20 score on a scale
Standard Error 3.14
Difference in Resilience
Post-program
76.32 score on a scale
Standard Error 1.79
72.07 score on a scale
Standard Error 3.02
Difference in Resilience
2-month follow-up
72.61 score on a scale
Standard Error 1.76
72.43 score on a scale
Standard Error 3.22

SECONDARY outcome

Timeframe: Baseline, post-program, and 2-month follow-up

Five Facet Mindfulness Questionnaire (FFMQ; short form, 15 items) - scores from 15-75; higher score means more mindfulness

Outcome measures

Outcome measures
Measure
Intervention (Yoga) Arm
n=28 Participants
This is the group that will receive a weekly 60-90minute yoga-based class for six weeks and direction for a 5-10 minute daily home practice. RISE yoga-based program: The RISE program developed by Kripalu Center for Yoga and Health includes yoga postures, mindfulness practices, meditation, breathing techniques, and education sessions about mindful approaches to daily living. The RISE program will be delivered as a 6-week yoga-based program on-site at Brigham and Women's Hospital in Boston, MA. The program will consist of six 60-90-minute weekly yoga-based RISE classes. Sessions will be lead by experienced instructors from Kripalu Center for Yoga \& Health. Subjects in this arm will also be asked to participate in 5-10 minutes of daily home practice with direction from the RISE curriculum.
No-treatment Control Arm
n=16 Participants
This group will receive no intervention during the study. At the conclusion of the study, this group will receive one free yoga-based class.
Difference in Mindfulness
Baseline
48.54 score on a scale
Standard Error 1.14
48.60 score on a scale
Standard Error 1.92
Difference in Mindfulness
Post-program
54.27 score on a scale
Standard Error 1.42
49.73 score on a scale
Standard Error 1.54
Difference in Mindfulness
2-month follow-up
51.83 score on a scale
Standard Error 0.99
48.56 score on a scale
Standard Error 1.49

SECONDARY outcome

Timeframe: Baseline, post-program, and 2-month follow-up

Perceived Stress Scale (PSS; 10 items) - scores from 0-40; higher is more stress

Outcome measures

Outcome measures
Measure
Intervention (Yoga) Arm
n=28 Participants
This is the group that will receive a weekly 60-90minute yoga-based class for six weeks and direction for a 5-10 minute daily home practice. RISE yoga-based program: The RISE program developed by Kripalu Center for Yoga and Health includes yoga postures, mindfulness practices, meditation, breathing techniques, and education sessions about mindful approaches to daily living. The RISE program will be delivered as a 6-week yoga-based program on-site at Brigham and Women's Hospital in Boston, MA. The program will consist of six 60-90-minute weekly yoga-based RISE classes. Sessions will be lead by experienced instructors from Kripalu Center for Yoga \& Health. Subjects in this arm will also be asked to participate in 5-10 minutes of daily home practice with direction from the RISE curriculum.
No-treatment Control Arm
n=16 Participants
This group will receive no intervention during the study. At the conclusion of the study, this group will receive one free yoga-based class.
Difference in Stress
Baseline
19.74 score on a scale
Standard Error 1.09
20.69 score on a scale
Standard Error 1.88
Difference in Stress
Post-program
16.15 score on a scale
Standard Error 1.38
18.23 score on a scale
Standard Error 1.36
Difference in Stress
2-month follow-up
16.52 score on a scale
Standard Error 0.85
18.88 score on a scale
Standard Error 1.90

SECONDARY outcome

Timeframe: Baseline, post-program, and 2-month follow-up

Patient Reported Outcomes Measurement Information System (PROMIS) Depression (short form: depression-4) - scores from 4-20, higher is more depression

Outcome measures

Outcome measures
Measure
Intervention (Yoga) Arm
n=28 Participants
This is the group that will receive a weekly 60-90minute yoga-based class for six weeks and direction for a 5-10 minute daily home practice. RISE yoga-based program: The RISE program developed by Kripalu Center for Yoga and Health includes yoga postures, mindfulness practices, meditation, breathing techniques, and education sessions about mindful approaches to daily living. The RISE program will be delivered as a 6-week yoga-based program on-site at Brigham and Women's Hospital in Boston, MA. The program will consist of six 60-90-minute weekly yoga-based RISE classes. Sessions will be lead by experienced instructors from Kripalu Center for Yoga \& Health. Subjects in this arm will also be asked to participate in 5-10 minutes of daily home practice with direction from the RISE curriculum.
No-treatment Control Arm
n=16 Participants
This group will receive no intervention during the study. At the conclusion of the study, this group will receive one free yoga-based class.
Difference in Depression
Baseline
7.56 score on a scale
Standard Error 0.64
7.15 score on a scale
Standard Error 1.13
Difference in Depression
Post-program
6.48 score on a scale
Standard Error 0.54
7.23 score on a scale
Standard Error 0.75
Difference in Depression
2-month follow-up
7.24 score on a scale
Standard Error 0.61
7.81 score on a scale
Standard Error 0.94

SECONDARY outcome

Timeframe: Baseline, post-program, and 2-month follow-up

PROMIS Sleep Disturbance (short form, 4 items) - scores from 4-20, higher is more sleep disturbance

Outcome measures

Outcome measures
Measure
Intervention (Yoga) Arm
n=28 Participants
This is the group that will receive a weekly 60-90minute yoga-based class for six weeks and direction for a 5-10 minute daily home practice. RISE yoga-based program: The RISE program developed by Kripalu Center for Yoga and Health includes yoga postures, mindfulness practices, meditation, breathing techniques, and education sessions about mindful approaches to daily living. The RISE program will be delivered as a 6-week yoga-based program on-site at Brigham and Women's Hospital in Boston, MA. The program will consist of six 60-90-minute weekly yoga-based RISE classes. Sessions will be lead by experienced instructors from Kripalu Center for Yoga \& Health. Subjects in this arm will also be asked to participate in 5-10 minutes of daily home practice with direction from the RISE curriculum.
No-treatment Control Arm
n=16 Participants
This group will receive no intervention during the study. At the conclusion of the study, this group will receive one free yoga-based class.
Difference in Sleep Quality
Baseline
10.38 score on a scale
Standard Error 0.62
11.62 score on a scale
Standard Error 1.28
Difference in Sleep Quality
Post-program
8.73 score on a scale
Standard Error 0.59
9.92 score on a scale
Standard Error 0.91
Difference in Sleep Quality
2-month follow-up
8.96 score on a scale
Standard Error 0.61
8.50 score on a scale
Standard Error 1.02

SECONDARY outcome

Timeframe: Baseline, post-program, and 2-month follow-up

Patient Reported Outcomes Measurement Information System (PROMIS) Anxiety (short form: anxiety-4) - scores from 4-20, higher is more anxiety

Outcome measures

Outcome measures
Measure
Intervention (Yoga) Arm
n=28 Participants
This is the group that will receive a weekly 60-90minute yoga-based class for six weeks and direction for a 5-10 minute daily home practice. RISE yoga-based program: The RISE program developed by Kripalu Center for Yoga and Health includes yoga postures, mindfulness practices, meditation, breathing techniques, and education sessions about mindful approaches to daily living. The RISE program will be delivered as a 6-week yoga-based program on-site at Brigham and Women's Hospital in Boston, MA. The program will consist of six 60-90-minute weekly yoga-based RISE classes. Sessions will be lead by experienced instructors from Kripalu Center for Yoga \& Health. Subjects in this arm will also be asked to participate in 5-10 minutes of daily home practice with direction from the RISE curriculum.
No-treatment Control Arm
n=16 Participants
This group will receive no intervention during the study. At the conclusion of the study, this group will receive one free yoga-based class.
Difference in Anxiety
Baseline
9.65 score on a scale
Standard Error 0.60
10.00 score on a scale
Standard Error 1.00
Difference in Anxiety
Post-program
8.54 score on a scale
Standard Error 0.59
9.15 score on a scale
Standard Error 0.94
Difference in Anxiety
2-month follow-up
8.96 score on a scale
Standard Error 0.57
7.94 score on a scale
Standard Error 0.81

SECONDARY outcome

Timeframe: Baseline, post-program, and 2-month follow-up

Professional Fulfillment Index (PFI; 16 items) - scores from 0-4 for the burnout scale; higher is more burnout

Outcome measures

Outcome measures
Measure
Intervention (Yoga) Arm
n=28 Participants
This is the group that will receive a weekly 60-90minute yoga-based class for six weeks and direction for a 5-10 minute daily home practice. RISE yoga-based program: The RISE program developed by Kripalu Center for Yoga and Health includes yoga postures, mindfulness practices, meditation, breathing techniques, and education sessions about mindful approaches to daily living. The RISE program will be delivered as a 6-week yoga-based program on-site at Brigham and Women's Hospital in Boston, MA. The program will consist of six 60-90-minute weekly yoga-based RISE classes. Sessions will be lead by experienced instructors from Kripalu Center for Yoga \& Health. Subjects in this arm will also be asked to participate in 5-10 minutes of daily home practice with direction from the RISE curriculum.
No-treatment Control Arm
n=16 Participants
This group will receive no intervention during the study. At the conclusion of the study, this group will receive one free yoga-based class.
Differences in Professional Fulfillment - Burnout Sub-Item
Post-program
2.47 score on a scale
Standard Error 0.15
2.13 score on a scale
Standard Error 0.19
Differences in Professional Fulfillment - Burnout Sub-Item
2-month follow-up
2.31 score on a scale
Standard Error 0.11
2.02 score on a scale
Standard Error 0.22
Differences in Professional Fulfillment - Burnout Sub-Item
Baseline
2.26 score on a scale
Standard Error 0.13
1.97 score on a scale
Standard Error 0.23

Adverse Events

Intervention (Yoga) Arm

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

No-treatment Control Arm

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

Julia Loewenthal, MD

Brigham and Women's Hospital

Phone: 6177325500

Results disclosure agreements

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