Dementia Clinical Trial
Official title:
Effectiveness of a Dyadic Chair Yoga Intervention for Reducing Stress in Patients With Dementia and Their Caregivers
Dementia is widely prevalent and results in high direct and indirect health costs. Dementia
is associated with stress, anxiety, and depression in both patients and caregivers, and
caregiver burden is extremely common. Treatment protocols for patients and caregivers are
unclear and insufficient; drug treatments to manage behavioural and psychological symptoms of
dementia can yield serious negative side effects, and caregivers may not have access to
one-on-one psychotherapy due to high costs and long wait times. Yoga is an ancient Indian
mind-body practice that uses physical postures, breathing exercises, and meditation. Yoga may
be a viable therapeutic modality to address the psychological challenges associated with
dementia in patients and caregivers, as it has been shown to decrease stress and improve
anxiety and depressive symptoms in various populations. Recent research has suggested that
patients with dementia and their caregivers may also experience positive effects on their
mental health from practicing yoga. Furthermore, when yoga is taught in a gentle and mindful
manner, it is generally not associated with any negative side effects. While there is
preliminary data on dyadic exercise interventions for dementia patients and their caregivers,
to date no research has examined the effectiveness of a dyadic yoga intervention on stress,
anxiety, and depression.
The investigators propose an 8-week study of a dyadic chair yoga program for patients with
mild to moderate dementia and their caregivers (n = 30-40 participants). Our primary outcome
of interest is changes in perceived stress, while secondary outcomes include changes in
symptoms of depression and anxiety. The investigators will also look at the effects of the
chair yoga program on caregiver burden, quality of interactions, well-being, mindfulness, and
self-compassion. All outcomes will be assessed before the program starts and upon its
termination. Participants will attend a 1-hour weekly group yoga class (4-10 participants per
group) with their dyad for 8-weeks, and will also be given a video recording of a yoga class
to practice together at home as often as possible. The investigators hypothesize that after
the 8 week yoga program, patients and caregivers will report lower stress, as well as reduced
symptoms of anxiety and depression. Results will be available mid-2020.
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