Virtual Yoga for Social Isolation and Loneliness in Rural Veterans

Study Overview
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Brief Summary
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The overarching goal of this project is to decrease social isolation and loneliness through increased awareness and uptake of virtual yoga group classes among rural Veterans.

Official Title
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Virtual Yoga for Social Isolation and Loneliness in Rural Veterans

Conditions
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Loneliness, Social Isolation

Intervention / Treatment
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* Behavioral: Virtual Yoga at First 8 weeks
* Behavioral: Virtual Yoga at Second 8 weeks


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Enrolled in VA Healthcare Residential address associated with VA Portland Health Care System that is rural or highly rural; except among Collaborative Aging Research using Technology (CART) participants Valid contact info (mailing address, email, and phone number) High speed Internet access Positive screen for loneliness (NIH Toolbox Loneliness Scale Score greater or equal to 13) Exclusion Criteria: Any VA or non-VA yoga visit in the preceding 12 months Visually or hearing impaired, or any mobility limitation that would impact computer/mobile device use, without availability of appropriate assistive devices Cognitive impairment, upcoming medical procedures, or significant unstable medical and psychiatric conditions that may limit study participation

Ages Eligible for Study
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Minimum Age: 18 Years
Maximum Age: 88 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Health Services Research
Allocation: Randomized
Intervention Model: Sequential Assignment
Interventional Model Description: Wait list Control
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Immediate Treatment Group<br>8 weeks of Yoga Classes during first 8 weeks of study | Behavioral: Virtual Yoga at First 8 weeks<br>* 1 hour per week of virtual yoga delivered by an active movement therapist at the VA during the first 8 weeks of the study<br>|
| Active Comparator: Waitlist Control<br>8 weeks of Yoga Classes during second 8 weeks of study | Behavioral: Virtual Yoga at Second 8 weeks<br>* 1 hour per week of virtual yoga delivered by an active movement therapist at the VA during the second 8 weeks of the study<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| UCLA Loneliness Scale, Version 3 | Loneliness, higher scores indicate greater loneliness | 10 Weeks | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| NIH Toolbox Loneliness Scale | Loneliness, higher scores indicate greater loneliness | 10 Weeks | 
| Modified Duke Social Support Index, Social Interaction Subscale | Social Interaction Subscale | 10 Weeks | 
| Modified Duke Social Support Index, Social Interaction by Relationship Subscale | Social Interaction by Relationship Subscale | 10 Weeks | 
| Promis Social Roles and Activities | Measure on ability to participate in social roles and activities | 10 Weeks | 
| Promis Satisfaction with Social Roles and Activities | Measure on satisfaction with social roles and activities | 10 Weeks | 
| PHQ-9 | Depression measure | 10 Weeks | 
| PC-PTSD-5 | Post Traumatic Stress Disorder Measure | 10 Weeks | 
| NIH CoRonavIruS Health Impact Survey (CRISIS) | Selected items from this measure | 10 Weeks | 
| CSQ-8 | Adaption of CSQ-8, a Satisfaction measure | 10 Weeks | 
| Treatment Delivery | Treatment Delivery (Veteran Assessed) | 10 Weeks | 
| Treatment Fidelity Checklist | Treatment Fidelity Checklist (Assessed by Provider | 10 Weeks | 
| Attitudes Toward Yoga | Survey items on familiarity with yoga, reasons for participation in yoga, and expectations regarding yoga. | 10 Weeks | 
| Sociodemographic Characteristics | Items on age, race/ethnicity, sex, gender, military background, household cohabitation status, zip code, employment status, education, household income, spirituality | 10 Weeks | 
| PEG (Pain, Enjoyment, General Activity) Scale | Assessing Pain Intensity and Interference | 10 Weeks | 
| SF-12 | Assesses pain | 10 Weeks | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Veterans