At-Home Telehealth Yoga for Treating Chronic Pain in People With Alzheimer's Disease and Their Caregiver's

Study Overview
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Brief Summary
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This feasibility study will evaluate yoga as a treatment for chronic pain in people living with Alzheimer's disease, and their Caregivers. The experimental treatment is yoga delivered via a tablet computer to participants at home (teleyoga).

Detailed Description
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The investigators will demonstrate the feasibility of conducting a trial involving teleyoga for people with Alzheimer's disease and their Caregivers. Participants with Alzheimer's disease and chronic pain (n=15) and their Caregivers (n=15) will all participate in teleyoga classes. Yoga classes will be given weekly for 12 weeks. At the end of treatment, participants will provide feedback by completing a satisfaction questionnaire.

Official Title
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Feasibility of At-Home Telehealth Yoga for Treating Chronic Pain

Conditions
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Alzheimer Disease, Musculoskeletal Pain, Chronic Pain

Intervention / Treatment
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* Behavioral: At-Home Yoga


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: AD PATIENTS Inclusion Criteria for AD patients (As determined by): Diagnosis of probable Alzheimer's disease- Baseline Mini-Mental State Examination (MMSE) score 18-25 (Mild AD)(screening interview) ≥ 18 years old Has a primary care provider who can provide medical clearance for participation in the study Diagnosis of chronic musculoskeletal pain > 6 months Minimum pain intensity at screening visit: pain rated ≥4 on a 0-10 Numeric Rating Scale (NRS) Not begun new pain treatments or medications in the past month If on a psychotropic medication regimen: stable regimen for at least 4 weeks prior to entry to the study; willingness to remain on a stable regimen during the 12-week acute treatment phase English literacy Wireless internet connection at home (Screening interview) Has a caregiver who is willing to accompany AD patient for treatment, and who can receive yoga treatment at the same time as AD patient. Exclusion Criteria for AD patients (As determined by): Participation in another concurrent clinical trial Back surgery within the last 12 months Back pain potentially attributed to a specific underlying cause, disease, or condition (VA EMR; screening interview) Baseline pain <4 or ≥9 on a 0-10 Numeric Rating Scale (NRS) Inclusion Criteria for CAREGIVERS of AD patients (As determined by): Are caring for a patient diagnosed with AD who will practice yoga together with them Has a primary care provider who can provide medical clearance for participation in the study (Yoga Medical Clearance Form) Exclusion Criteria for Caregiver Participation in another concurrent clinical trial Attended or practiced yoga ≥ 1 x in the past 12 months Attended or practiced yoga ≥ 1 x in the past 12 months

Ages Eligible for Study
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Minimum Age: 18 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: Treatment
Intervention Model: Single Group Assignment
Interventional Model Description: Participants are assigned a treatment group for the duration of the study
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Yoga Dyads AD patients and Caregivers<br>Initially Yoga will be delivered in 1-on-1 format between the yoga therapist and the AD/caregiver dyad. Five outpatient adults, with chronic musculoskeletal pain and a diagnosis of mild AD and their Caregiver, will receive at-home teleyoga classes via video conferencing. Later, yoga will be delivered in a group format. Ten outpatient adults with chronic musculoskeletal pain and a diagnosis of mild AD and their Caregiver will receive group at-home teleyoga classes via video conferencing. | Behavioral: At-Home Yoga<br>* At-home yoga practice over 12 weeks.<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Attendance | % of classes attended in 12 weeks of treatment | 12 weeks | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Alzheimer Disease, yoga, telehealth, caregiver