Trial Outcomes & Findings for Yoga and Mantram for Chronic Pain and PTSD (NCT NCT03816007)

NCT ID: NCT03816007

Last Updated: 2023-10-31

Results Overview

The RMDQ has 23 questions asking about limitations experienced with daily activities. The scale is reliable and well validated. It has been used in other yoga studies. Scores can range from 0-24. Higher scores indicate more impairment, and when considering the change from baseline to follow-up assessments, negative scores indicate improvement. The scale has been shown to be reliable and is well validated. It has been used in another yoga RCT, allowing for comparisons.

Recruitment status

COMPLETED

Study phase

NA

Target enrollment

32 participants

Primary outcome timeframe

Change between baseline and 12-weeks

Results posted on

2023-10-31

Participant Flow

Participant milestones

Participant milestones
Measure
Yoga and Mantram Repetition
An existing yoga intervention designed for persons with chronic pain will be augmented with training in mantram repetition. The intervention meets 1x weekly for 75 minutes for 12 weeks, and includes a home practice component. Yoga and Mantram Repetition: An existing yoga intervention designed for persons with chronic pain will be augmented with training in mantram repetition. The intervention meets 1x weekly for 75 minutes for 12 weeks, and includes a home practice component.
Relaxation/Health Education
A relaxation intervention used previously as a comparator intervention will be delivered by a health educator. Veteran Calm: A relaxation intervention used previously as a comparator intervention will be delivered by a health educator 1x weekly for 75 minutes for 12 weeks, and includes a home practice component.
End of 12-week Intervention
STARTED
16
16
End of 12-week Intervention
COMPLETED
13
10
End of 12-week Intervention
NOT COMPLETED
3
6
Final Assessment at 18 Weeks.
STARTED
16
14
Final Assessment at 18 Weeks.
COMPLETED
12
10
Final Assessment at 18 Weeks.
NOT COMPLETED
4
4

Reasons for withdrawal

Reasons for withdrawal
Measure
Yoga and Mantram Repetition
An existing yoga intervention designed for persons with chronic pain will be augmented with training in mantram repetition. The intervention meets 1x weekly for 75 minutes for 12 weeks, and includes a home practice component. Yoga and Mantram Repetition: An existing yoga intervention designed for persons with chronic pain will be augmented with training in mantram repetition. The intervention meets 1x weekly for 75 minutes for 12 weeks, and includes a home practice component.
Relaxation/Health Education
A relaxation intervention used previously as a comparator intervention will be delivered by a health educator. Veteran Calm: A relaxation intervention used previously as a comparator intervention will be delivered by a health educator 1x weekly for 75 minutes for 12 weeks, and includes a home practice component.
End of 12-week Intervention
Withdrawal by Subject
0
2
End of 12-week Intervention
Lost to Follow-up
3
4
Final Assessment at 18 Weeks.
Lost to Follow-up
4
4

Baseline Characteristics

Yoga and Mantram for Chronic Pain and PTSD

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Yoga and Mantram Repetition
n=16 Participants
An existing yoga intervention designed for persons with chronic pain will be augmented with training in mantram repetition. The intervention meets 1x weekly for 75 minutes for 12 weeks, and includes a home practice component. Yoga and Mantram Repetition: An existing yoga intervention designed for persons with chronic pain will be augmented with training in mantram repetition. The intervention meets 1x weekly for 75 minutes for 12 weeks, and includes a home practice component.
Relaxation/Health Education
n=16 Participants
A relaxation intervention used previously as a comparator intervention will be delivered by a health educator. Veteran Calm: A relaxation intervention used previously as a comparator intervention will be delivered by a health educator 1x weekly for 75 minutes for 12 weeks, and includes a home practice component.
Total
n=32 Participants
Total of all reporting groups
Age, Continuous
54.6 years
STANDARD_DEVIATION 14.6 • n=5 Participants
39.6 years
STANDARD_DEVIATION 10.4 • n=7 Participants
47.1 years
STANDARD_DEVIATION 14.6 • n=5 Participants
Sex: Female, Male
Female
0 Participants
n=5 Participants
4 Participants
n=7 Participants
4 Participants
n=5 Participants
Sex: Female, Male
Male
16 Participants
n=5 Participants
12 Participants
n=7 Participants
28 Participants
n=5 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=5 Participants
1 Participants
n=7 Participants
1 Participants
n=5 Participants
Race (NIH/OMB)
Asian
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
1 Participants
n=5 Participants
1 Participants
n=7 Participants
2 Participants
n=5 Participants
Race (NIH/OMB)
Black or African American
2 Participants
n=5 Participants
2 Participants
n=7 Participants
4 Participants
n=5 Participants
Race (NIH/OMB)
White
9 Participants
n=5 Participants
6 Participants
n=7 Participants
15 Participants
n=5 Participants
Race (NIH/OMB)
More than one race
2 Participants
n=5 Participants
4 Participants
n=7 Participants
6 Participants
n=5 Participants
Race (NIH/OMB)
Unknown or Not Reported
2 Participants
n=5 Participants
2 Participants
n=7 Participants
4 Participants
n=5 Participants
Region of Enrollment
United States
16 Participants
n=5 Participants
16 Participants
n=7 Participants
32 Participants
n=5 Participants

PRIMARY outcome

Timeframe: Change between baseline and 12-weeks

The RMDQ has 23 questions asking about limitations experienced with daily activities. The scale is reliable and well validated. It has been used in other yoga studies. Scores can range from 0-24. Higher scores indicate more impairment, and when considering the change from baseline to follow-up assessments, negative scores indicate improvement. The scale has been shown to be reliable and is well validated. It has been used in another yoga RCT, allowing for comparisons.

Outcome measures

Outcome measures
Measure
Yoga and Mantram Repetition
n=13 Participants
An existing yoga intervention designed for persons with chronic pain will be augmented with training in mantram repetition. The intervention meets 1x weekly for 75 minutes for 12 weeks, and includes a home practice component. Yoga and Mantram Repetition: An existing yoga intervention designed for persons with chronic pain will be augmented with training in mantram repetition. The intervention meets 1x weekly for 75 minutes for 12 weeks, and includes a home practice component.
Relaxation/Health Education
n=10 Participants
A relaxation intervention used previously as a comparator intervention will be delivered by a health educator. Veteran Calm: A relaxation intervention used previously as a comparator intervention will be delivered by a health educator 1x weekly for 75 minutes for 12 weeks, and includes a home practice component.
Roland-Morris Disability Questionnaire (RMDQ)
13.6 score on a scale
Standard Deviation 4.4
14.3 score on a scale
Standard Deviation 6.6

SECONDARY outcome

Timeframe: change from baseline to 12 weeks

Brief Pain Inventory Pain Severity - The total score is the mean of the 4 pain severity items. Scores range from 0-10 with higher scores indicating greater pain severity.

Outcome measures

Outcome measures
Measure
Yoga and Mantram Repetition
n=13 Participants
An existing yoga intervention designed for persons with chronic pain will be augmented with training in mantram repetition. The intervention meets 1x weekly for 75 minutes for 12 weeks, and includes a home practice component. Yoga and Mantram Repetition: An existing yoga intervention designed for persons with chronic pain will be augmented with training in mantram repetition. The intervention meets 1x weekly for 75 minutes for 12 weeks, and includes a home practice component.
Relaxation/Health Education
n=10 Participants
A relaxation intervention used previously as a comparator intervention will be delivered by a health educator. Veteran Calm: A relaxation intervention used previously as a comparator intervention will be delivered by a health educator 1x weekly for 75 minutes for 12 weeks, and includes a home practice component.
BPI Pain Severity
-0.15 score on a scale
Standard Deviation 1.71
-1.15 score on a scale
Standard Deviation 1.78

SECONDARY outcome

Timeframe: Change between baseline and 12-weeks

The PCL-5 is a 20-item self-report measure assessing 20 DSM-5 symptoms of PTSD. Each question is rated on a scale from 0-4 and the total score ranges from 0-80 with higher scores indicating a greater severity of PTSD symptoms.

Outcome measures

Outcome measures
Measure
Yoga and Mantram Repetition
n=13 Participants
An existing yoga intervention designed for persons with chronic pain will be augmented with training in mantram repetition. The intervention meets 1x weekly for 75 minutes for 12 weeks, and includes a home practice component. Yoga and Mantram Repetition: An existing yoga intervention designed for persons with chronic pain will be augmented with training in mantram repetition. The intervention meets 1x weekly for 75 minutes for 12 weeks, and includes a home practice component.
Relaxation/Health Education
n=10 Participants
A relaxation intervention used previously as a comparator intervention will be delivered by a health educator. Veteran Calm: A relaxation intervention used previously as a comparator intervention will be delivered by a health educator 1x weekly for 75 minutes for 12 weeks, and includes a home practice component.
Post-Traumatic Stress Disorder Checklist- Version 5 (PCL-5)
-4.23 score on a scale
Standard Deviation 13.8
-9.80 score on a scale
Standard Deviation 12.6

SECONDARY outcome

Timeframe: change from baseline to 12 weeks

Brief Pain Inventory Pain Interference - The total score is the mean of the 7 pain interference items. Scores range from 0-10 with higher scores indicating greater pain interference.

Outcome measures

Outcome measures
Measure
Yoga and Mantram Repetition
n=13 Participants
An existing yoga intervention designed for persons with chronic pain will be augmented with training in mantram repetition. The intervention meets 1x weekly for 75 minutes for 12 weeks, and includes a home practice component. Yoga and Mantram Repetition: An existing yoga intervention designed for persons with chronic pain will be augmented with training in mantram repetition. The intervention meets 1x weekly for 75 minutes for 12 weeks, and includes a home practice component.
Relaxation/Health Education
n=10 Participants
A relaxation intervention used previously as a comparator intervention will be delivered by a health educator. Veteran Calm: A relaxation intervention used previously as a comparator intervention will be delivered by a health educator 1x weekly for 75 minutes for 12 weeks, and includes a home practice component.
BPI Pain Interference
-0.73 score on a scale
Standard Deviation 2.28
-0.46 score on a scale
Standard Deviation 2.24

SECONDARY outcome

Timeframe: Change between baseline and 12-weeks

Insomnia Severity Index is a 7-item instrument that assesses the impact of insomnia. Each question is rated on a scale from 0-4 and the total score ranges from 0-28 with higher scores indicating a greater severity of insomnia.

Outcome measures

Outcome measures
Measure
Yoga and Mantram Repetition
n=13 Participants
An existing yoga intervention designed for persons with chronic pain will be augmented with training in mantram repetition. The intervention meets 1x weekly for 75 minutes for 12 weeks, and includes a home practice component. Yoga and Mantram Repetition: An existing yoga intervention designed for persons with chronic pain will be augmented with training in mantram repetition. The intervention meets 1x weekly for 75 minutes for 12 weeks, and includes a home practice component.
Relaxation/Health Education
n=10 Participants
A relaxation intervention used previously as a comparator intervention will be delivered by a health educator. Veteran Calm: A relaxation intervention used previously as a comparator intervention will be delivered by a health educator 1x weekly for 75 minutes for 12 weeks, and includes a home practice component.
Insomnia Severity Index (ISI)
-2.69 score on a scale
Standard Deviation 7.18
-0.30 score on a scale
Standard Deviation 3.92

SECONDARY outcome

Timeframe: Change between baseline and 12-weeks

Health-related Quality of Life will be measured with the EQ5D-3L. Scores range from 0 to 1.0 with higher scores indicating better quality of life.

Outcome measures

Outcome measures
Measure
Yoga and Mantram Repetition
n=13 Participants
An existing yoga intervention designed for persons with chronic pain will be augmented with training in mantram repetition. The intervention meets 1x weekly for 75 minutes for 12 weeks, and includes a home practice component. Yoga and Mantram Repetition: An existing yoga intervention designed for persons with chronic pain will be augmented with training in mantram repetition. The intervention meets 1x weekly for 75 minutes for 12 weeks, and includes a home practice component.
Relaxation/Health Education
n=10 Participants
A relaxation intervention used previously as a comparator intervention will be delivered by a health educator. Veteran Calm: A relaxation intervention used previously as a comparator intervention will be delivered by a health educator 1x weekly for 75 minutes for 12 weeks, and includes a home practice component.
Quality of Life - EQ5D
0.02 units on a scale
Standard Deviation 0.22
0.10 units on a scale
Standard Deviation 0.28

SECONDARY outcome

Timeframe: Change between baseline and 12-weeks

AUDIT-C is a 3-item screen for problem drinking and will refer to alcohol use over the past 3-month period. The measure has questions on typical consumption and binge drinking frequency. Each question is rated on a scale from 0-4 and the total score ranges from 0-12 with higher scores indicating a greater likelihood of alcohol use problems.

Outcome measures

Outcome measures
Measure
Yoga and Mantram Repetition
n=13 Participants
An existing yoga intervention designed for persons with chronic pain will be augmented with training in mantram repetition. The intervention meets 1x weekly for 75 minutes for 12 weeks, and includes a home practice component. Yoga and Mantram Repetition: An existing yoga intervention designed for persons with chronic pain will be augmented with training in mantram repetition. The intervention meets 1x weekly for 75 minutes for 12 weeks, and includes a home practice component.
Relaxation/Health Education
n=10 Participants
A relaxation intervention used previously as a comparator intervention will be delivered by a health educator. Veteran Calm: A relaxation intervention used previously as a comparator intervention will be delivered by a health educator 1x weekly for 75 minutes for 12 weeks, and includes a home practice component.
AUDIT-C
-0.62 score on a scale
Standard Deviation 0.87
-0.10 score on a scale
Standard Deviation 0.57

SECONDARY outcome

Timeframe: change from baseline to 12 weeks

Fatigue Severity Scale - The scale consists of 9 items describing the functional impact of fatigue on daily life rated on a scale from 1 (strongly disagree) to 7 (strongly agree) with the total fatigue score ranging from 9-63. Higher scores reflect greater fatigue severity and less energy.

Outcome measures

Outcome measures
Measure
Yoga and Mantram Repetition
n=13 Participants
An existing yoga intervention designed for persons with chronic pain will be augmented with training in mantram repetition. The intervention meets 1x weekly for 75 minutes for 12 weeks, and includes a home practice component. Yoga and Mantram Repetition: An existing yoga intervention designed for persons with chronic pain will be augmented with training in mantram repetition. The intervention meets 1x weekly for 75 minutes for 12 weeks, and includes a home practice component.
Relaxation/Health Education
n=10 Participants
A relaxation intervention used previously as a comparator intervention will be delivered by a health educator. Veteran Calm: A relaxation intervention used previously as a comparator intervention will be delivered by a health educator 1x weekly for 75 minutes for 12 weeks, and includes a home practice component.
Fatigue
-7.38 score on a scale
Standard Deviation 9.38
-4.90 score on a scale
Standard Deviation 8.16

Adverse Events

Yoga and Mantram Repetition

Serious events: 0 serious events
Other events: 3 other events
Deaths: 0 deaths

Relaxation/Health Education

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

Serious adverse events

Adverse event data not reported

Other adverse events

Other adverse events
Measure
Yoga and Mantram Repetition
n=16 participants at risk
An existing yoga intervention designed for persons with chronic pain will be augmented with training in mantram repetition. The intervention meets 1x weekly for 75 minutes for 12 weeks, and includes a home practice component. Yoga and Mantram Repetition: An existing yoga intervention designed for persons with chronic pain will be augmented with training in mantram repetition. The intervention meets 1x weekly for 75 minutes for 12 weeks, and includes a home practice component.
Relaxation/Health Education
n=16 participants at risk
A relaxation intervention used previously as a comparator intervention will be delivered by a health educator. Veteran Calm: A relaxation intervention used previously as a comparator intervention will be delivered by a health educator 1x weekly for 75 minutes for 12 weeks, and includes a home practice component.
Musculoskeletal and connective tissue disorders
muscle and joint soreness
6.2%
1/16 • Number of events 1 • from baseline to 18-week follow-up assessment
0.00%
0/16 • from baseline to 18-week follow-up assessment
Musculoskeletal and connective tissue disorders
recurring back pain
6.2%
1/16 • Number of events 1 • from baseline to 18-week follow-up assessment
0.00%
0/16 • from baseline to 18-week follow-up assessment
Musculoskeletal and connective tissue disorders
ongoing numbness and tingling in arm
6.2%
1/16 • Number of events 1 • from baseline to 18-week follow-up assessment
0.00%
0/16 • from baseline to 18-week follow-up assessment

Additional Information

Dr. Erik Groessl

VA San Diego Healthcare System

Phone: 858-642-6347

Results disclosure agreements

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