Yoga for Fibromyalgia

Study Overview
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Brief Summary
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Fibromyalgia is a common, costly and debilitating illness which affects mostly women. Fibromyalgia patients report widespread musculoskeletal pain, fatigue, stiffness, and distress. Several consensus statements indicate that optimal care combines medication, exercise, and psychology. Yoga is a popular mind/body discipline which holds promise for reducing fibromyalgia symptoms. The aim of this pilot study is to evaluate the effects of an innovative program, Yoga of Awareness, in which yoga poses are complemented by meditation and breathing exercises, presentations on healthy coping, and group discussions. Fifty-six women with fibromyalgia will be recruited and randomly divided into two groups. One group will receive the yoga program right away, and the other group will wait 3 months before receiving the program. Information about fibromyalgia symptoms and functioning will be collected from both groups before and immediately after the first group receives the yoga program. When results from the 2 groups are compared, the investigators expect patients who received the yoga program will have greater gains in fibromyalgia symptoms, physical function and pain coping capacities then those waiting to receive the program. If this study shows the yoga program is effective, the investigators will use this data in 2010 to apply to the National Institutes of Health for a more complete study of its benefits.

Official Title
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Yoga of Awareness Program for Fibromyalgia: A Randomized Clinical Trial

Conditions
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Fibromyalgia

Intervention / Treatment
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* Behavioral: Yoga of Awareness Program


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: women ≥21 years of age diagnosed with fibromyalgia by ACR criteria for at least 1 year on a stable regimen of pharmacologic and/or non-pharmacologic treatment for FM ≥3 months Exclusion Criteria: reside >70 miles from the research site unavailable to attend the intervention at one of the scheduled times currently engaged in intensive yoga practice (practice >3 days/wk) score >29 on the Beck depression scale modified for fibromyalgia currently undergoing disability application or involved in litigation elective surgery scheduled during the study period physically disabled in a manner that precludes meaningful participation in the intervention (eg, quadriplegic paralysis) do not speak English

Ages Eligible for Study
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Minimum Age: 21 Years

Sexes Eligible for Study
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Female

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
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Single


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: yoga condition<br>assigned to start the yoga program right away | Behavioral: Yoga of Awareness Program<br>* The 8 week yoga program will meet in groups of about 8-10 persons. Each 2-hour session will include gentle stretching, strengthening, and balance poses; meditation exercises; breathing techniques; study of pertinent topics (eg, mind/body stress reactivity), and group discussions (eg, experiences while practicing yoga). Participants will be asked to practice yoga methods at home, guided by a DVD (or audio recordings). The program will be taught by a certified yoga teacher (RYT) who has extensive experience in teaching yoga to medical patients.<br>|
| No Intervention: wait-list control condition<br>This condition will control for any effects of symptom measurement reactivity in patients receiving routine fibromyalgia medical care. After the 3-month assessment, the yoga intervention program will be provided to these patients. | |

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Fibromyalgia Impact Questionnaire Revised (FIQR) |  | baseline, 3 months, 6 months | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Vanderbilt Multidimensional Pain Coping Inventory (VMPCI) |  | baseline, 3 months, 6 months | 
| Chronic Pain Acceptance Questionnaire (CPAQ) |  | baseline, 3 months, 6 months | 
| Coping Strategies Questionnaire Catastrophizing Subscale (CSQCAT) |  | baseline, 3 months, 6 months |