Tele-yoga Program in COPD and Heart Failure

Study Overview
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Brief Summary
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The combined diagnosis of chronic obstructive pulmonary disease (COPD) and heart failure (HF) is common but often missed because of similarities in clinical presentation, risk factors, and patient characteristics. The concurrent presence of both diseases worsens the limitations in exercise capacity and quality of life that patients experience with either disease alone. This pilot study will test the feasibility of a yoga program conducted in patients' homes using multi-point interactive videoconferencing (Tele- Yoga) for patients with combined COPD/HF diagnoses. The investigators hypothesize that patients who receive a yoga program at home, compared to an educational control group, will experience fewer physical symptoms and better quality of life.

Official Title
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Tele-Yoga for Chronic Obstructive Pulmonary Disease and Heart Failure Patients: A Pilot Study

Conditions
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Yoga, COPD, Congestive Heart Failure

Intervention / Treatment
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* Behavioral: Yoga Program at home using internet technology


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Patients with heart failure (HF) who also have COPD according to University of California San Francisco medical record documentation and would like to participate in a home yoga intervention and hospitalization within the past 24 months. Patients must: receive permission from their provider to participate in the study English-speaking Score of 3 on the Mini-Cog test Be between the ages of 40 and 85 years New York Heart Association Class I-III left ventricular systolic or diastolic HF Have moderate-severe COPD defined as post bronchodilator Forced Expiratory Volume (FEV1) in 1 sec < 80% predicted, FEV1/Forced Vital Capacity ratio < 70% and history of smoking TV, broadband internet connection, enough space to practice yoga in front of the TV, and willing to have research assistant install videoconferencing equipment. Exclusion Criteria: Patients with a history of medication non-compliance as described by their provider Hospitalization within the last 3 months Myocardial infarction or recurrent angina within the last 6 months Severe stenotic valvular disease History of sudden cardiac death without subsequent automatic internal defibrillator placement Cognitive impairment Neuromuscular, orthopedic, or psychiatric illness that would interfere with yoga training Oxygen saturation <85% on 6 liters of nasal oxygen.

Ages Eligible for Study
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Minimum Age: 40 Years
Maximum Age: 85 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: Supportive Care
Allocation: Non-Randomized
Intervention Model: Parallel Assignment
Masking: Single


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Yoga Program<br>Yoga Program twice per week for 8 weeks | Behavioral: Yoga Program at home using internet technology<br> <br> |
| Active Comparator: Education<br>Education once per week for 8 weeks | Behavioral: Yoga Program at home using internet technology<br> <br> |

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Feasibility of home yoga program as measured by the participants' perception of the quality of the broadband connection. | To evaluate the feasibility, acceptability, adherence rate of an 8-week, 1-hr biweekly Tele-Yoga intervention. Feasibility will be determined by the quality of the broadband connection, acceptability measured by participant satisfaction with the Yoga program and adherence measured by the number of times a participant participates in the yoga program. | 8 weeks | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Physical Function | Estimate the effect of home-based Tele-Yoga on physical function (endurance, balance, strength, and activity) and symptoms (dyspnea, sleep, and fatigue) compared to attention control | 8 weeks | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Yoga, COPD, Congestive Heart Failure