Optimization and Multi-Site Feasibility of Yoga for Chronic Pain in People in YOGAMAT-II - Phase II

NCT ID: NCT04641221

Last Updated: 2025-11-20

Study Results

Results available

Outcome measurements, participant flow, baseline characteristics, and adverse events have been published for this study.

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

192 participants

Study Classification

INTERVENTIONAL

Study Start Date

2022-02-20

Study Completion Date

2025-08-31

Brief Summary

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Phase 2 - Multiphase Optimization Strategy (MOST) Optimization Phase:

1. To conduct a factorial experiment that will allow us to evaluate the impact of each of the 4 intervention components on yoga dosage received. We will enroll a total n=192. All participants will receive the core yoga intervention, with random assignment to the four intervention components outlined above.
2. Use results from Phase 2 to choose an efficient combination of intervention components that, together with standard yoga classes, maximizes yoga dosage.
3. Examine mechanisms by which components are hypothesized to work.

Detailed Description

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In Phase 2, we will conduct a fully powered optimization trial. We will enroll 192 participants, planning to role approximately equal numbers of participants in both sites. In both phases, all participants will receive the core yoga intervention (12 weeks of weekly manualized yoga classes), with random assignment to the 4 key intervention components. Participants will be patients enrolled in methadone (MMT) or buprenorphine/naloxone (BUP) treatment with chronic pain. Enrollment period for this phase will last approximately 2 years.

Conditions

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Opioid Use Chronic Pain

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

FACTORIAL

Primary Study Purpose

OTHER

Blinding Strategy

DOUBLE

Investigators Outcome Assessors

Study Groups

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No Video/No One-on-One/No Text/No Incentive

This group does not receive Personal Practice Videos, or One-on-One individual sessions with a Yoga Instructor, or prompting Text messages, or financial Incentives to attend yoga classes

Group Type ACTIVE_COMPARATOR

Weekly Yoga Classes

Intervention Type BEHAVIORAL

All participants are invited to attend weekly yoga classes.

No Video/No One-on-One/No Text/Yes Incentive

This group does not receive Personal Practice Videos, or One-on-One individual sessions with a Yoga Instructor, or prompting Text messages, but DOES receive financial Incentives to attend yoga classes

Group Type ACTIVE_COMPARATOR

Weekly Yoga Classes

Intervention Type BEHAVIORAL

All participants are invited to attend weekly yoga classes.

No Video/No One-on-One/Yes Text/No Incentive

This group does not receive Personal Practice Videos, or One-on-One individual sessions with a Yoga Instructor, or financial Incentives to attend yoga classes, but DOES receive prompting Text messages

Group Type ACTIVE_COMPARATOR

Weekly Yoga Classes

Intervention Type BEHAVIORAL

All participants are invited to attend weekly yoga classes.

No Video/No One-on-One/Yes Text/Yes Incentive

This group does not receive Personal Practice Videos, or One-on-One individual sessions with a Yoga Instructor, but DOES receive prompting Text messages and financial Incentives to attend yoga classes

Group Type ACTIVE_COMPARATOR

Weekly Yoga Classes

Intervention Type BEHAVIORAL

All participants are invited to attend weekly yoga classes.

No Video/Yes One-on-One/No Text/No Incentive

This group does not receive Personal Practice Videos or prompting Text messages or financial Incentives to attend yoga classes, but DOES receive One-on-One individual sessions with a Yoga Instructor

Group Type ACTIVE_COMPARATOR

Weekly Yoga Classes

Intervention Type BEHAVIORAL

All participants are invited to attend weekly yoga classes.

No Video/Yes One-on-One/No Text/Yes Incentive

This group does not receive Personal Practice Videos or prompting Text messages, but DOES receive One-on-One individual sessions with a Yoga Instructor, and financial Incentives to attend yoga classes

Group Type ACTIVE_COMPARATOR

Weekly Yoga Classes

Intervention Type BEHAVIORAL

All participants are invited to attend weekly yoga classes.

No Video/Yes One-on-One/Yes Text/No Incentive

This group does not receive Personal Practice Videos or financial Incentives to attend yoga classes, but DOES receive One-on-One individual sessions with a Yoga Instructor and prompting Text messages

Group Type ACTIVE_COMPARATOR

Weekly Yoga Classes

Intervention Type BEHAVIORAL

All participants are invited to attend weekly yoga classes.

No Video/Yes One-on-One/Yes Text/Yes Incentive

This group does not receive Personal Practice Videos, but DOES receive One-on-One individual sessions with a Yoga Instructor, prompting Text messages, and financial Incentives to attend yoga classes

Group Type ACTIVE_COMPARATOR

Weekly Yoga Classes

Intervention Type BEHAVIORAL

All participants are invited to attend weekly yoga classes.

Yes Video/No One-on-One/No Text/No Incentive

This group does not receive One-on-One individual sessions with a Yoga Instructor, or prompting Text messages, or financial Incentives to attend yoga classes, but DOES receive Personal Practice Videos

Group Type ACTIVE_COMPARATOR

Weekly Yoga Classes

Intervention Type BEHAVIORAL

All participants are invited to attend weekly yoga classes.

Yes Video/No One-on-One/No Text/Yes Incentive

This group does not receive One-on-One individual sessions with a Yoga Instructor or prompting Text messages, but DOES receive Personal Practice Videos and financial Incentives to attend yoga classes

Group Type ACTIVE_COMPARATOR

Weekly Yoga Classes

Intervention Type BEHAVIORAL

All participants are invited to attend weekly yoga classes.

Yes Video/No One-on-One/Yes Text/No Incentive

This group does not receive One-on-One individual sessions with a Yoga Instructor or financial Incentives to attend yoga classes, but DOES receive Personal Practice Videos and prompting Text messages

Group Type ACTIVE_COMPARATOR

Weekly Yoga Classes

Intervention Type BEHAVIORAL

All participants are invited to attend weekly yoga classes.

Yes Video/No One-on-One/Yes Text/Yes Incentive

This group does not receive One-on-One individual sessions with a Yoga Instructor, but DOES receive Personal Practice Videos, prompting Text messages, and financial Incentives to attend yoga classes

Group Type ACTIVE_COMPARATOR

Weekly Yoga Classes

Intervention Type BEHAVIORAL

All participants are invited to attend weekly yoga classes.

Yes Video/Yes One-on-One/No Text/No Incentive

This group does not receive prompting Text messages or financial Incentives to attend yoga classes, but DOES receive Personal Practice Videos and One-on-One individual sessions with a Yoga Instructor

Group Type ACTIVE_COMPARATOR

Weekly Yoga Classes

Intervention Type BEHAVIORAL

All participants are invited to attend weekly yoga classes.

Yes Video/Yes One-on-One/No Text/Yes Incentive

This group does not receive prompting Text messages, but DOES receive Personal Practice Videos, One-on-One individual sessions with a Yoga Instructor, and financial Incentives to attend yoga classes

Group Type ACTIVE_COMPARATOR

Weekly Yoga Classes

Intervention Type BEHAVIORAL

All participants are invited to attend weekly yoga classes.

Yes Video/Yes One-on-One/Yes Text/No Incentive

This group does not receive financial Incentives to attend yoga classes, but DOES receive Personal Practice Videos, One-on-One individual sessions with a Yoga Instructor and prompting Text messages

Group Type ACTIVE_COMPARATOR

Weekly Yoga Classes

Intervention Type BEHAVIORAL

All participants are invited to attend weekly yoga classes.

Yes Video/Yes One-on-One/Yes Text/Yes Incentive

This group receives Personal Practice Videos, One-on-One individual sessions with a Yoga Instructor, prompting Text messages, and financial Incentives to attend yoga classes

Group Type ACTIVE_COMPARATOR

Weekly Yoga Classes

Intervention Type BEHAVIORAL

All participants are invited to attend weekly yoga classes.

Interventions

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Weekly Yoga Classes

All participants are invited to attend weekly yoga classes.

Intervention Type BEHAVIORAL

Eligibility Criteria

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Inclusion Criteria

* Enrolled in MMT or BUP treatment for \> 3 months
* Plan to continue treatment for next 6 months
* Chronic pain, defined as pain for at least half the days over the previous three months, a mean score of 4 or higher on the Brief Pain Interference Scale (BPI; with reference to chronic pain), and pain severity of 4 or higher on a Visual Analog Scale (0-10) indicating "worst pain in the last week." Pain severity score will also refer to the areas of their body in which they have chronic pain.
* Aged \> 18
* Proficiency in English sufficient to engage in informed consent in English, understand classes taught in English, and read short sentences
* Available at least one of the times study classes are offered.

Exclusion Criteria

* Currently taking yoga classes or practicing yoga at home once per week or more often.
* Medical conditions that would make participation in yoga unsafe or not possible, including active malignancy treatment, fracture, recent joint surgery, use of assistive ambulatory devices other than a cane. . (In cases where this is unclear, site PI will make final determination based on available evidence.)
* Severe or progressive neurologic deficits. (In cases where this is unclear, site PI will make final determination based on available evidence.)
* Other severe disabling chronic medical and/or psychiatric comorbidities deemed by the site PI on a case-by-case basis to prevent safe or adequate participation in the study (e.g., cognitive impairment that prevents a participant from understanding assessments; history of disruptive behavior in medical settings; severe disabling heart failure or lung disease)
* Surgery requiring overnight hospitalization planned in the next 3 months
* Pregnancy
* No access to a reasonably safe, reliable place to engage in personal yoga practice and a private space to participate in online yoga classes
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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National Center for Complementary and Integrative Health (NCCIH)

NIH

Sponsor Role collaborator

Butler Hospital

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Locations

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Boston Medical Center

Boston, Massachusetts, United States

Site Status

CODAC Behavioral Healthcare

Providence, Rhode Island, United States

Site Status

Countries

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United States

References

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Uebelacker LA, Braun TD, Taylor LE, Saper R, Baldwi M, Abrantes A, Tremont G, Toribio A, Kirshy S, Koch R, Lorin L, Van Noppen D, Anderson B, Roseen EJ, Stein MD. Evaluation of intervention components to maximize yoga practice among people with chronic pain taking opioid agonist therapy: A factorial experiment using the multiphase optimization strategy framework. Contemp Clin Trials. 2024 Feb;137:107411. doi: 10.1016/j.cct.2023.107411. Epub 2023 Dec 14.

Reference Type DERIVED
PMID: 38103784 (View on PubMed)

Provided Documents

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Document Type: Study Protocol and Statistical Analysis Plan

View Document

Other Identifiers

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R01AT010863

Identifier Type: NIH

Identifier Source: secondary_id

View Link

202002-002-2

Identifier Type: -

Identifier Source: org_study_id

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