Trial Outcomes & Findings for A Mind Body Intervention to Reduce Symptoms Among People Aging With HIV (NCT NCT03840525)

NCT ID: NCT03840525

Last Updated: 2024-04-04

Results Overview

Satisfaction were measured by asking the following questions after each session: "I really enjoyed today's class"; "Today's class met my expectations"; "The instructor was engaged in today's class". Responses are on a 5 point Likert scale (1=strongly disagree to 5=strongly agree) with lower scores meaning less satisfaction. Both the qigong intervention and the sham qigong control group will be asked these satisfaction items. Acceptability was defined as responding either agree (4) or strongly agree (5) to each of these items. Therefore, participants who had an average score of at least 4.00 across all 12 weekly groups was considered a participant that found the intervention acceptable. The number of participants who found the intervention is counted below.

Recruitment status

COMPLETED

Study phase

EARLY_PHASE1

Target enrollment

48 participants

Primary outcome timeframe

Assessments were conducted at Week 1 to Week 12 (i.e., once a week for 12 weeks). All weekly scores were averaged across weeks. The number of participants with an average score of 4.00 or higher found the intervention acceptable and is reported below

Results posted on

2024-04-04

Participant Flow

Participant milestones

Participant milestones
Measure
Qigong Intervention
The qigong intervention consists of 1 hour/week qigong classes for 12 weeks to be delivered virtually. The first 2 weeks will include 2 hours/week classes. In addition, each participant will be instructed to practice qigong at home for 90 minutes. The Qigong Intervention: Qigong is a low-impact, slow-movement, meditative form of exercise that has helped relieve mental and physical stressors.
Sham Qigong
This group will also have 1 hour/weekly class delivered virtually that includes movements that are similar to qigong but will not include the meditation or breathwork that will be included in the actual qigong intervention arm. Sham Qigong: This intervention includes similar body movements to qigong; however, it does not have the meditative or breath work.
Treatment-as-usual
This group will receive no classes.
Overall Study
STARTED
16
16
16
Overall Study
COMPLETED
13
12
10
Overall Study
NOT COMPLETED
3
4
6

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

The baseline data for 1 participant (assigned to the sham control group) was lost by accident.

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Qigong Intervention
n=16 Participants
The qigong intervention consists of 1 hour/week qigong classes for 12 weeks to be delivered virtually. The first 2 weeks will include 2 hours/week classes. In addition, each participant will be instructed to practice qigong at home for 90 minutes. The Qigong Intervention: Qigong is a low-impact, slow-movement, meditative form of exercise that has helped relieve mental and physical stressors.
Sham Qigong
n=16 Participants
This group will also have 1 hour/weekly class delivered virtually that includes movements that are similar to qigong but will not include the meditation or breathwork that will be included in the actual qigong intervention arm. Sham Qigong: This intervention includes similar body movements to qigong; however, it does not have the meditative or breath work.
Treatment-as-usual
n=16 Participants
This group will receive no classes.
Total
n=48 Participants
Total of all reporting groups
Age, Continuous
59.0 years
STANDARD_DEVIATION 6.0 • n=16 Participants
61.0 years
STANDARD_DEVIATION 6.0 • n=16 Participants
61.0 years
STANDARD_DEVIATION 4.0 • n=16 Participants
60.0 years
STANDARD_DEVIATION 5.0 • n=48 Participants
Sex/Gender, Customized
Gender · Male
8 Participants
n=16 Participants • The baseline data for 1 participant (assigned to the sham control group) was lost by accident.
9 Participants
n=15 Participants • The baseline data for 1 participant (assigned to the sham control group) was lost by accident.
9 Participants
n=16 Participants • The baseline data for 1 participant (assigned to the sham control group) was lost by accident.
26 Participants
n=47 Participants • The baseline data for 1 participant (assigned to the sham control group) was lost by accident.
Sex/Gender, Customized
Gender · Female
6 Participants
n=16 Participants • The baseline data for 1 participant (assigned to the sham control group) was lost by accident.
6 Participants
n=15 Participants • The baseline data for 1 participant (assigned to the sham control group) was lost by accident.
7 Participants
n=16 Participants • The baseline data for 1 participant (assigned to the sham control group) was lost by accident.
19 Participants
n=47 Participants • The baseline data for 1 participant (assigned to the sham control group) was lost by accident.
Sex/Gender, Customized
Gender · Transgender/Other
2 Participants
n=16 Participants • The baseline data for 1 participant (assigned to the sham control group) was lost by accident.
0 Participants
n=15 Participants • The baseline data for 1 participant (assigned to the sham control group) was lost by accident.
0 Participants
n=16 Participants • The baseline data for 1 participant (assigned to the sham control group) was lost by accident.
2 Participants
n=47 Participants • The baseline data for 1 participant (assigned to the sham control group) was lost by accident.
Race/Ethnicity, Customized
Race · White
9 Participants
n=16 Participants • The baseline data for 1 participant (assigned to the sham control group) was lost by accident.
7 Participants
n=15 Participants • The baseline data for 1 participant (assigned to the sham control group) was lost by accident.
8 Participants
n=16 Participants • The baseline data for 1 participant (assigned to the sham control group) was lost by accident.
24 Participants
n=47 Participants • The baseline data for 1 participant (assigned to the sham control group) was lost by accident.
Race/Ethnicity, Customized
Race · Black
7 Participants
n=16 Participants • The baseline data for 1 participant (assigned to the sham control group) was lost by accident.
8 Participants
n=15 Participants • The baseline data for 1 participant (assigned to the sham control group) was lost by accident.
8 Participants
n=16 Participants • The baseline data for 1 participant (assigned to the sham control group) was lost by accident.
23 Participants
n=47 Participants • The baseline data for 1 participant (assigned to the sham control group) was lost by accident.
Region of Enrollment
United States
16 participants
n=16 Participants • The baseline data for 1 participant (assigned to the sham control group) was lost by accident.
15 participants
n=15 Participants • The baseline data for 1 participant (assigned to the sham control group) was lost by accident.
16 participants
n=16 Participants • The baseline data for 1 participant (assigned to the sham control group) was lost by accident.
47 participants
n=47 Participants • The baseline data for 1 participant (assigned to the sham control group) was lost by accident.

PRIMARY outcome

Timeframe: Assessments were conducted at Week 1 to Week 12 (i.e., once a week for 12 weeks). All weekly scores were averaged across weeks. The number of participants with an average score of 4.00 or higher found the intervention acceptable and is reported below

Population: The treatment as usual group is 0 because they did not receive any classes. Only the qigong intervention and the sham qigong groups were asked these items because they are the only ones receiving classes.

Satisfaction were measured by asking the following questions after each session: "I really enjoyed today's class"; "Today's class met my expectations"; "The instructor was engaged in today's class". Responses are on a 5 point Likert scale (1=strongly disagree to 5=strongly agree) with lower scores meaning less satisfaction. Both the qigong intervention and the sham qigong control group will be asked these satisfaction items. Acceptability was defined as responding either agree (4) or strongly agree (5) to each of these items. Therefore, participants who had an average score of at least 4.00 across all 12 weekly groups was considered a participant that found the intervention acceptable. The number of participants who found the intervention is counted below.

Outcome measures

Outcome measures
Measure
Qigong Intervention
n=13 Participants
The qigong intervention consists of 1 hour/week qigong classes for 12 weeks to be delivered virtually. The first 2 weeks will include 2 hours/week classes. In addition, each participant will be instructed to practice qigong at home for 90 minutes. The Qigong Intervention: Qigong is a low-impact, slow-movement, meditative form of exercise that has helped relieve mental and physical stressors.
Sham Qigong
n=13 Participants
This group will also have 1 hour/weekly class delivered virtually that includes movements that are similar to qigong but will not include the meditation or breathwork that will be included in the actual qigong intervention arm. Sham Qigong: This intervention includes similar body movements to qigong; however, it does not have the meditative or breath work.
Treatment-as-usual
This group will receive no classes.
Acceptability: Satisfaction With Weekly Intervention Sessions
Acceptability: Enjoyed classes
13 Participants
12 Participants
0 Participants
Acceptability: Satisfaction With Weekly Intervention Sessions
Acceptability: Class met expectations
12 Participants
13 Participants
0 Participants
Acceptability: Satisfaction With Weekly Intervention Sessions
Acceptability: Instructor engaged
13 Participants
12 Participants
0 Participants

PRIMARY outcome

Timeframe: Assessment was conducted 2 week post intervention (Week 14)

Population: The treatment as usual group is 0 because they did not receive any classes to practice. The sample size for the qigong and the sham qigong groups reflect the number of participants that completed the 2 week post intervention assessments.

Acceptability was measured by asking the following question at 2 weeks post intervention (Week 14): Did you practice at home this week? Response format is yes=1, no=0 . This outcome determines if the participants continued their home practice of Qigong 2 weeks after the end of the intervention. The number of participants who responded yes were summed and reported below. The intervention was deemed acceptable to participants if at least 80% of participants were still practicing at home at Week 14.

Outcome measures

Outcome measures
Measure
Qigong Intervention
n=11 Participants
The qigong intervention consists of 1 hour/week qigong classes for 12 weeks to be delivered virtually. The first 2 weeks will include 2 hours/week classes. In addition, each participant will be instructed to practice qigong at home for 90 minutes. The Qigong Intervention: Qigong is a low-impact, slow-movement, meditative form of exercise that has helped relieve mental and physical stressors.
Sham Qigong
n=9 Participants
This group will also have 1 hour/weekly class delivered virtually that includes movements that are similar to qigong but will not include the meditation or breathwork that will be included in the actual qigong intervention arm. Sham Qigong: This intervention includes similar body movements to qigong; however, it does not have the meditative or breath work.
Treatment-as-usual
This group will receive no classes.
Acceptability: Are Participants Doing Home Practice Sessions at 2 Week Post Intervention
8 Participants
6 Participants
0 Participants

PRIMARY outcome

Timeframe: Assessments were conducted at Week 1 up to Week 12 (i.e., once a week after each session).

Population: The treatment as usual group was not analyzed since they did not receive any classes and therefore had no attendance.

The investigators collected attendance after each weekly session (Week 1 to Week 12). An average attendance across all weekly sessions was calculated by taking the number of groups attended divided by the number of total sessions possible. The intervention was deemed acceptable if participants attended at least 70% of the weekly groups. The number of participants who attended 70% of the weekly groups were summed and reported below.

Outcome measures

Outcome measures
Measure
Qigong Intervention
n=16 Participants
The qigong intervention consists of 1 hour/week qigong classes for 12 weeks to be delivered virtually. The first 2 weeks will include 2 hours/week classes. In addition, each participant will be instructed to practice qigong at home for 90 minutes. The Qigong Intervention: Qigong is a low-impact, slow-movement, meditative form of exercise that has helped relieve mental and physical stressors.
Sham Qigong
n=16 Participants
This group will also have 1 hour/weekly class delivered virtually that includes movements that are similar to qigong but will not include the meditation or breathwork that will be included in the actual qigong intervention arm. Sham Qigong: This intervention includes similar body movements to qigong; however, it does not have the meditative or breath work.
Treatment-as-usual
This group will receive no classes.
Acceptability: Session Attendance (Reported as Percentages)
10 Participants
9 Participants
0 Participants

PRIMARY outcome

Timeframe: Assessments were conducted once at 2 week post intervention (Week 14).

Population: Analysis population is based on participants who completed the 2 week follow up assessment and who reported practicing the movements.

The investigators collected information on how often participants practiced at home at two weeks post intervention (Week 14). At Week 14, participants were asked 'If you are practicing at home, how often did you practice the movements?' Response format is: 1=very frequent (every day), 2=frequent (a few times a week), 3=infrequent (once a week), and 4=very infrequent (less than once a week). Scores were averaged with the acceptability benchmark being that participants who practiced very frequently (1) or frequently (2) found the intervention acceptable. That is, participants whose average score was 2.00 or less considered the intervention acceptable. The number of participants who found the intervention acceptable were summed and reported below.

Outcome measures

Outcome measures
Measure
Qigong Intervention
n=8 Participants
The qigong intervention consists of 1 hour/week qigong classes for 12 weeks to be delivered virtually. The first 2 weeks will include 2 hours/week classes. In addition, each participant will be instructed to practice qigong at home for 90 minutes. The Qigong Intervention: Qigong is a low-impact, slow-movement, meditative form of exercise that has helped relieve mental and physical stressors.
Sham Qigong
n=6 Participants
This group will also have 1 hour/weekly class delivered virtually that includes movements that are similar to qigong but will not include the meditation or breathwork that will be included in the actual qigong intervention arm. Sham Qigong: This intervention includes similar body movements to qigong; however, it does not have the meditative or breath work.
Treatment-as-usual
This group will receive no classes.
Frequency of Home Practice Sessions at 2 Weeks Post Intervention (Week 14)
6 Participants
4 Participants

PRIMARY outcome

Timeframe: Outcome was measured at Week 24 (i.e., 3 month post intervention)

Population: Participants in the Treatment as usual group was not analyzed because they did not receive any group sessions or instructions so there were no movements to practice at home.

The investigators collected information on how frequently the participants were practicing the intervention at home at Week 24. Participants were asked the following: "If practicing at home in the last 3 months, how often have you practiced the movements?" Responses were 1=very frequently (every day), 2= frequently (a few times a week), 3=infrequently (once a week), or 4=very infrequently (less than once a week). Acceptability was determined if at least 70% of the participants reported very frequently (1) or frequently (2) home practice at Week 24. Participants with scores of 2.00 or less on this item were summed and then divided by the number of participants who reported any home practice in the last 3 months and also completed an assessment at Week 24.

Outcome measures

Outcome measures
Measure
Qigong Intervention
n=10 Participants
The qigong intervention consists of 1 hour/week qigong classes for 12 weeks to be delivered virtually. The first 2 weeks will include 2 hours/week classes. In addition, each participant will be instructed to practice qigong at home for 90 minutes. The Qigong Intervention: Qigong is a low-impact, slow-movement, meditative form of exercise that has helped relieve mental and physical stressors.
Sham Qigong
n=6 Participants
This group will also have 1 hour/weekly class delivered virtually that includes movements that are similar to qigong but will not include the meditation or breathwork that will be included in the actual qigong intervention arm. Sham Qigong: This intervention includes similar body movements to qigong; however, it does not have the meditative or breath work.
Treatment-as-usual
This group will receive no classes.
Acceptability: Frequency of Home Practice Sessions at Week 24 (3 Months Post Intervention)
7 Participants
5 Participants
0 Participants

PRIMARY outcome

Timeframe: Outcome was measured at Week 24 (3 month post intervention).

Population: The treatment as usual control group did not receive any group sessions so there was no home practice to report.

The investigators collected information on home practice sessions at Week 24 (the 3 month follow up assessment. Participants were asked the following: "have you practiced any of the movements in the last 3 months?" Response format was No=0, Yes=1. The acceptability benchmark was set at 70%. If at least 70% of participants reported any home practice at 3 months (Week 24) post intervention, the intervention would be deemed acceptable. The number of participants were summed and then divided by the number of participants assigned to the participant's study group assignment and who completed an assessment at week 24 in order to calculate a percentage.

Outcome measures

Outcome measures
Measure
Qigong Intervention
n=13 Participants
The qigong intervention consists of 1 hour/week qigong classes for 12 weeks to be delivered virtually. The first 2 weeks will include 2 hours/week classes. In addition, each participant will be instructed to practice qigong at home for 90 minutes. The Qigong Intervention: Qigong is a low-impact, slow-movement, meditative form of exercise that has helped relieve mental and physical stressors.
Sham Qigong
n=13 Participants
This group will also have 1 hour/weekly class delivered virtually that includes movements that are similar to qigong but will not include the meditation or breathwork that will be included in the actual qigong intervention arm. Sham Qigong: This intervention includes similar body movements to qigong; however, it does not have the meditative or breath work.
Treatment-as-usual
This group will receive no classes.
Acceptability: Home Practice of the Intervention at Week 24 (3 Months Post Intervention)
10 Participants
6 Participants
0 Participants

SECONDARY outcome

Timeframe: Assessments will be conducted at baseline, 2 weeks post intervention

Mental Health will be assessed using the following standardized scale: the Depression Anxiety \& Stress Scale (Ng, et al.; DASS-21 items). The DASS responses range from 0-3. The total score ranges from 0-42, with higher scores reflecting more severe symptoms

Outcome measures

Outcome data not reported

SECONDARY outcome

Timeframe: Assessments will be conducted at baseline, 3 months post intervention

Mental Health will be assessed using the following standardized scale: the Depression Anxiety \& Stress Scale (Ng, et al.; DASS-21 items). The DASS responses range from 0-3. The total score ranges from 0-42, with higher scores reflecting more severe symptoms

Outcome measures

Outcome data not reported

SECONDARY outcome

Timeframe: Assessments will be conducted at baseline, 2 weeks post intervention

Physical Health will be assessed using the following standardized scale: The Revised Sign \& Symptom Check-List for HIV (Holzemer, et al.; 45 items). The Symptoms Checklist total scores range from 0-135, with greater scores reflecting more symptoms.

Outcome measures

Outcome data not reported

SECONDARY outcome

Timeframe: Assessments will be conducted at baseline, 3 months post intervention

Physical Health will be assessed using the following standardized scale: The Revised Sign \& Symptom Check-List for HIV (Holzemer, et al.; 45 items). The Symptoms Checklist total scores range from 0-135, with greater scores reflecting more symptoms.

Outcome measures

Outcome data not reported

SECONDARY outcome

Timeframe: Assessments will be conducted at baseline, 2 weeks post intervention

Physical Health will be assessed using the following standardized scale: The HIV-related Fatigue Scale (Belza, et al.,16 items) . The total score for the Fatigue Scale ranges from 0-50, with greater scores reflecting more fatigue.

Outcome measures

Outcome data not reported

SECONDARY outcome

Timeframe: Assessments will be conducted at baseline, 3 months post intervention

Physical Health will be assessed using the following standardized scale: The HIV-related Fatigue Scale (Belza, et al.,16 items) . The total score for the Fatigue Scale ranges from 0-50, with greater scores reflecting more fatigue.

Outcome measures

Outcome data not reported

Adverse Events

Qigong Intervention

Serious events: 1 serious events
Other events: 1 other events
Deaths: 0 deaths

Sham Qigong

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

Treatment-as-usual

Serious events: 1 serious events
Other events: 0 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
Qigong Intervention
n=16 participants at risk
The qigong intervention consists of 1 hour/week qigong classes for 12 weeks to be delivered virtually. The first 2 weeks will include 2 hours/week classes. In addition, each participant will be instructed to practice qigong at home for 90 minutes. The Qigong Intervention: Qigong is a low-impact, slow-movement, meditative form of exercise that has helped relieve mental and physical stressors.
Sham Qigong
n=16 participants at risk
This group will also have 1 hour/weekly class delivered virtually that includes movements that are similar to qigong but will not include the meditation or breathwork that will be included in the actual qigong intervention arm. Sham Qigong: This intervention includes similar body movements to qigong; however, it does not have the meditative or breath work.
Treatment-as-usual
n=16 participants at risk
This group will receive no classes.
Infections and infestations
Hospitalization
0.00%
0/16 • Adverse events were collected throughout the duration of the clinical trials: from enrollment (baseline interview) through the intervention phase (3 months), and until study completion (3 month post intervention). Therefore, adverse event data were collected for 6 months.
0.00%
0/16 • Adverse events were collected throughout the duration of the clinical trials: from enrollment (baseline interview) through the intervention phase (3 months), and until study completion (3 month post intervention). Therefore, adverse event data were collected for 6 months.
6.2%
1/16 • Number of events 1 • Adverse events were collected throughout the duration of the clinical trials: from enrollment (baseline interview) through the intervention phase (3 months), and until study completion (3 month post intervention). Therefore, adverse event data were collected for 6 months.
Surgical and medical procedures
Kidney biopsy
6.2%
1/16 • Number of events 1 • Adverse events were collected throughout the duration of the clinical trials: from enrollment (baseline interview) through the intervention phase (3 months), and until study completion (3 month post intervention). Therefore, adverse event data were collected for 6 months.
0.00%
0/16 • Adverse events were collected throughout the duration of the clinical trials: from enrollment (baseline interview) through the intervention phase (3 months), and until study completion (3 month post intervention). Therefore, adverse event data were collected for 6 months.
0.00%
0/16 • Adverse events were collected throughout the duration of the clinical trials: from enrollment (baseline interview) through the intervention phase (3 months), and until study completion (3 month post intervention). Therefore, adverse event data were collected for 6 months.

Other adverse events

Other adverse events
Measure
Qigong Intervention
n=16 participants at risk
The qigong intervention consists of 1 hour/week qigong classes for 12 weeks to be delivered virtually. The first 2 weeks will include 2 hours/week classes. In addition, each participant will be instructed to practice qigong at home for 90 minutes. The Qigong Intervention: Qigong is a low-impact, slow-movement, meditative form of exercise that has helped relieve mental and physical stressors.
Sham Qigong
n=16 participants at risk
This group will also have 1 hour/weekly class delivered virtually that includes movements that are similar to qigong but will not include the meditation or breathwork that will be included in the actual qigong intervention arm. Sham Qigong: This intervention includes similar body movements to qigong; however, it does not have the meditative or breath work.
Treatment-as-usual
n=16 participants at risk
This group will receive no classes.
Musculoskeletal and connective tissue disorders
Participant experience soreness due to intervention
6.2%
1/16 • Number of events 2 • Adverse events were collected throughout the duration of the clinical trials: from enrollment (baseline interview) through the intervention phase (3 months), and until study completion (3 month post intervention). Therefore, adverse event data were collected for 6 months.
0.00%
0/16 • Adverse events were collected throughout the duration of the clinical trials: from enrollment (baseline interview) through the intervention phase (3 months), and until study completion (3 month post intervention). Therefore, adverse event data were collected for 6 months.
0.00%
0/16 • Adverse events were collected throughout the duration of the clinical trials: from enrollment (baseline interview) through the intervention phase (3 months), and until study completion (3 month post intervention). Therefore, adverse event data were collected for 6 months.

Additional Information

Dr. Gladys Ibanez

Florida International University

Phone: 305-348-4920

Results disclosure agreements

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