Online Yoga and the Impact on Psychosis

NCT ID: NCT05046912

Last Updated: 2022-06-16

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

UNKNOWN

Clinical Phase

NA

Total Enrollment

36 participants

Study Classification

INTERVENTIONAL

Study Start Date

2021-11-11

Study Completion Date

2022-11-05

Brief Summary

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Yoga and mindfulness are considered complementary and alternative healthcare options that involve breathing techniques, relaxation, and bodily postures (yoga only). Research has shown a positive effect of these on depression, quality of life, and other symptoms of psychosis. As an 8-week pilot study, the goal is to offer yoga and/or mindfulness online and to explore the effect on recovery and quality of life for people with psychosis.

Detailed Description

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Psychosis impacts about 3% of Canadians at any given time. People with psychosis can experience a combination of positive (e.g., delusions; hallucinations), negative (e.g., amotivation; reduced social activity), or cognitive symptoms (e.g., poorer memory; executive functioning). Positive symptoms are managed via antipsychotic medication and therapeutic support; cognitive symptoms can be targeted via cognitive remediation therapy. For negative symptoms, especially those idiopathic, there are still no effective care options. Yoga is a complementary and alternative medicine (CAM) encompassing health modalities of Eastern cultures, it involves breathing techniques, relaxation, and bodily postures. Research has shown that yoga can improve levels of depression and quality of life, and even attenuate negative symptoms. Given the extensive health care expenditures and unmet care needs for negative symptoms, there is a growing need to consider CAMs, such as yoga, and accessibility of CAMs via online methods. As a pioneering study, this proposed pilot study aims to explore the effect of an 8-week (i.e., 8 sessions) online yoga program on recovery/outcome, with a focus on negative symptoms, for people with psychosis. The investigators aim to recruit 24 people with psychosis and randomly assign them to either the yoga (n=12) or a mindfulness group (n=12); mindfulness, in essence, is yoga without the physical aspect (i.e., poses). The investigators hypothesize that yoga will improve quality of life and attenuate symptom severity, with a larger effect on negative symptoms, above the effect of mindfulness. A nonclinical sample (n=12) will also be recruited to examine feasibility and for feedback purposes.

Conditions

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Psychosis

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Clinical and non-clinical participants will be assigned to either a yoga or mindfulness condition.
Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Clinical

Clinical participants with a primary diagnosis of psychosis or related disorder.

Group Type EXPERIMENTAL

Yoga

Intervention Type BEHAVIORAL

8 weeks of online weekly yoga or chair yoga class

Mindfulness

Intervention Type BEHAVIORAL

8 weeks of online weekly mindfulness class

Non-clinical

Non-clinical participants with no mental health diagnoses.

Group Type ACTIVE_COMPARATOR

Yoga

Intervention Type BEHAVIORAL

8 weeks of online weekly yoga or chair yoga class

Mindfulness

Intervention Type BEHAVIORAL

8 weeks of online weekly mindfulness class

Interventions

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Yoga

8 weeks of online weekly yoga or chair yoga class

Intervention Type BEHAVIORAL

Mindfulness

8 weeks of online weekly mindfulness class

Intervention Type BEHAVIORAL

Eligibility Criteria

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Inclusion Criteria

For clinical participants:

* primary diagnosis of a schizophrenia-spectrum disorder (schizophrenia, schizophreniform, schizoaffective) or related psychotic disorder (delusional, brief psychotic, paraphrenia, bipolar with psychotic features, major-depressive with psychotic features)
* access to protected internet (i.e., home internet plugged or password protected wireless)
* adequate space to do yoga (e.g., at least 2 feet around each side of the yoga mat)
* able to speak and read English
* competent and able to offer voluntary informed consent to participate

For non-clinical participants (healthy controls):

* not diagnosed with or received care for any mental illness
* access to protected internet (i.e., home internet plugged or password protected wireless)
* adequate space to do yoga (e.g., at least 2 feet around each side of the yoga mat)
* able to speak and read English
* competent and able to offer voluntary informed consent to participate

Exclusion Criteria

For clinical participants:

* not clinically stable; that is, major change in primary medication (e.g., switching or stopping antipsychotic) or hospitalisation within the past 4 weeks prior to first contact
* currently with a physical ailment that restricts light movement exercises for yoga or chair yoga

For non-clinical participants (healthy controls):

* have a first-degree relative with psychosis (schizophrenia, schizo-affective, schizophreniform, paraphrenia, brief psychotic, delusional, or bipolar or major depressive disorder with psychotic features)
* had a substance or alcohol abuse/dependence in the past 6 months
* currently with a physical ailment that restricts light movement exercises for yoga or chair yoga
Minimum Eligible Age

18 Years

Maximum Eligible Age

85 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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The Royal Ottawa Mental Health Centre

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Michael Bodnar, PhD

Role: PRINCIPAL_INVESTIGATOR

The Royal Ottawa Mental Health Centre

Locations

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The Royal Ottawa Mental Heatlh Centre

Ottawa, Ontario, Canada

Site Status RECRUITING

Countries

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Canada

Central Contacts

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Michael Bodnar, PhD

Role: CONTACT

(613) 722-6521 ext. 6711

Facility Contacts

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Michael Bodnar, PhD

Role: primary

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Other Identifiers

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2021021

Identifier Type: -

Identifier Source: org_study_id

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