Clinical trial NCT02078739: Tele-yoga Program in COPD and Heart Failure
Official title: Tele-Yoga for Chronic Obstructive Pulmonary Disease and Heart Failure Patients: A Pilot Study
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: NA
Conditions: Yoga
COPD
Congestive Heart Failure
Keywords: Yoga
COPD
Congestive Heart Failure
Lead sponsor: University of California, San Francisco
Sponsor class: OTHER
First posted: 2014-03-05
Enrollment: 14
Sex: ALL
Minimum age (years): 40
Maximum age (years): 85
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: no
Allocation: NON_RANDOMIZED
Intervention model: PARALLEL
Primary purpose: SUPPORTIVE_CARE

Brief summary: 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.


Eligibility criteria: 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.

Primary outcomes:
measure: Feasibility of home yoga program as measured by the participants' perception of the quality of the broadband connection.
timeFrame: 8 weeks
Secondary outcomes:
measure: Physical Function
timeFrame: 8 weeks
Other outcomes:
Locations:
city: San Francisco
country: United States
facility: University of California San Francisco
state: California
Study officials:
affiliation: University of California, San Francisco
name: Jill N Howie-Esquivel, PhD
role: PRINCIPAL_INVESTIGATOR
References:
citation: Selman L, McDermott K, Donesky D, Citron T, Howie-Esquivel J. Appropriateness and acceptability of a Tele-Yoga intervention for people with heart failure and chronic obstructive pulmonary disease: qualitative findings from a controlled pilot study. BMC Complement Altern Med. 2015 Feb 7;15:21. doi: 10.1186/s12906-015-0540-8.