Rheumatoid Arthritis Clinical Trial
Official title:
Pilot Study of Yoga as Self-Care for Arthritis in Minority Communities
Background:
- People with arthritis should be active. Regular exercise leads to less pain, more
energy, improved sleep, and better day-to-day function. Yet arthritis is one of the most
common reasons people give for limiting activities.
- Yoga for arthritis has been studied before. However, few studies have included
minorities. Making changes to yoga classes based on language and culture may help people
use yoga to care for their arthritis symptoms. Researchers want to see if minority
populations with arthritis will come to and benefit from yoga classes.
Objectives:
- To see if yoga classes designed for people with arthritis will be acceptable to minorities
with arthritis.
Eligibility:
- Adults at least 18 years of age who are enrolled in the Natural History of Rheumatic
Disease in Minority Communities study.
- Participants will have osteoarthritis or rheumatoid arthritis.
- Participants will be able to speak and read English or Spanish.
Design:
- The total study period covers 10 weeks.
- The first study visit will include an initial questionnaire about health and arthritis.
Participants will also have a physical exam.
- Participants will have yoga classes twice a week for 8 weeks. The classes will be 1 hour
long each.
- After completing the yoga classes, participants will complete another questionnaire
about their health. They will have a final physical exam.
- Follow-up contact will be made 3 months after the end of the study.
Background:
Arthritis is the most common cause of disability, and is associated with activity limitation,
work disability and significant health care costs. Approximately 50 million US adults have
doctor-diagnosed arthritis. Non-Hispanic blacks and Hispanics have worse arthritis impact
despite having the same or lower prevalence of arthritis compared to non-Hispanic whites.
People with arthritis who exercise regularly have less pain, more energy, improved sleep and
better day-to-day function. Yet, arthritis is one of the most common reasons for limiting
physical activity. Improving health quality for people with chronic disease requires patients
to take responsibility for their own care. Self-efficacy enhancing interventions may enable
individuals to undertake self-care activities that improve physical and mental well-being.
Attention is now being focused on complementary and integrated non-pharmacologic self-care
approaches. Yoga is among the top 10 complementary and alternative medicine (CAM) modalities.
Stretching, strength, posture, balance, and the ability to adjust pace and intensity are
important safety components for patients with arthritis, all of which yoga encompasses.
Mind-body interventions, such as yoga, that teach stress management with physical activity
may be well suited for investigation in both osteoarthritis (OA) and rheumatoid arthritis
(RA). Yoga users are predominately white, female, and college educated. In a descriptive
study of patients enrolled in the Natural History of Rheumatic Disease in Minority
Communities protocol only 4.6% were doing yoga. These disparities may be related to cost,
access, and cultural beliefs. There are few studies that examine yoga in minority
populations; none of these address arthritis.
Study Objective:
The primary objective of this study is to determine the feasibility and acceptability of
providing yoga to an urban, minority population with arthritis.
Secondary Objective:
To determine the appropriateness of specific physical and psychosocial measures for this
population, and intervention with a focus on physical function and patient reported measures.
Tertiary Objective:
To determine the feasibility of using computerized self-interview (with assistance) to
capture baseline and final status.
Eligibility:
Adult patients (18 years or older) enrolled in the Natural History of Rheumatoid Disease in
Minority Communities protocol with a diagnosis of osteoarthritis, rheumatoid arthritis or
systemic lupus erythematosus (SLE).
Design:
A pilot study to evaluate the feasibility and acceptability of conducting a study based on a
yoga intervention for arthritis in minority communities. Assessments will be made from a
convenience sample of 20 RA/OA participants and 5 SLE participants undergoing an 8-week
program of yoga classes consisting of 60-minute sessions, twice a week. The yoga classes are
designed especially for people with arthritis.
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