Breath, Stress and Health: a Biocultural Study of Hatha Yoga Practice (Yoga)
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Detailed Description
Study Type
Study Type
Enrollment (Actual)
Enrollment
Phase
Phase
- Not Applicable
Contacts and Locations
Study Locations
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Maharashtra
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Lonavla, Maharashtra, India, 410403
- Kaivalyadhama Yoga Institute
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Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Description
Inclusion Criteria:
- Novice to breath-based yoga practice
- Multicultural international participant base
- Fluent in English comprehension and reading
- In general good health
- Have a smartphone or similar device in order to receive surveys on a dedicated app
Exclusion Criteria:
- none
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Prevention
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: None (Open Label)
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
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Experimental: Active Study Group
Participants randomized to the Active Study Group are asked to follow a daily routine of the three protocols of psycho-physical yoga component techniques: Slow Engaged Dynamic Asana (SEDA), Breath Regulated Engaged Meditation (BREM), Sound Heart Engaged Meditation (SHEM).
This intervention involves more hours in daily practice to equate to a "high dose" of breath and meditative techniques.
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Participants engage in an intensive full yoga practice of hatha breath-based practices and inner meditative techniques along with body-based asana.
Intensive level uses breath, management of abdomen, inner focus in all practices.
The "high dose" of yoga is an interpretation of the Translational Model of Yoga (TMY) and Yoga Process formula, both developed in this study's cultural research: a systematized psycho-physical yoga method of Hatha Zone (HZ) focus (below-navel, exhale, inner focus), incorporating key components of practice-focus-surrender (PFS) approach and repeat-engage-trust (RET) elements.
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Active Comparator: Active Control
Participants randomized to the Active Control study arm are asked to follow a daily routine of low-to mid-intensity body posture practice that is body-based and has minimal breath or meditative elements.
This intervention involves fewer hours in daily practice to equate to a "medium dose" of body focused techniques
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The "medium dose" of yoga is a regular practice of primarily body-posture training with minimal reference to the breath, but with a longer period of time duration in training prior to intervention commencement.
Participants have 5 months of pre-training before initiating the intervention.
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No Intervention: Passive Control
Participants randomized to the Passive Control study arm do not receive a study intervention.
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What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
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Change in Heart Rate Variability (HRV) Between Study Arms
Time Frame: Baseline, up to 6 months
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Heart rate variability (HRV) is measured by electrocardiogram.
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Baseline, up to 6 months
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Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
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Change in Heart Rate Variability (HRV) Between High and Low Participation Level
Time Frame: Baseline, up to 6 months
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Heart rate variability (HRV) is measured by electrocardiogram.
Participants will be categorized as higher teacher-rated "engaged participation" or lower teacher-rated "engaged participation" and these groups will be compared.
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Baseline, up to 6 months
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Change in Skin Conductance Level (SCL) Between Study Arms
Time Frame: Baseline, up to 6 months
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Skin conductance level (SCL) is measured by electrodermal activity (EDA).
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Baseline, up to 6 months
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Change in Skin conductance level (SCL) Between High and Low Participation Level
Time Frame: Baseline, up to 6 months
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Skin conductance level (SCL) is measured by electrodermal activity (EDA).
Participants will be categorized as higher teacher-rated "engaged participation" or lower teacher-rated "engaged participation" and these groups will be compared.
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Baseline, up to 6 months
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Change in Skin Conductance Response Between Study Arms
Time Frame: Baseline, up to 6 months
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Skin conductance response is measured by electrodermal activity (EDA).
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Baseline, up to 6 months
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Change in Skin Conductance Response Between High and Low Participation Level
Time Frame: Baseline, up to 6 months
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Skin conductance response is measured by electrodermal activity (EDA).
Participants will be categorized as higher teacher-rated "engaged participation" or lower teacher-rated "engaged participation" and these groups will be compared.
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Baseline, up to 6 months
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Change in Reactive Oxygen Species (ROS) Levels Between Study Arms
Time Frame: Baseline, up to 6 months
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Oxidative stress will be measured by ROS levels.
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Baseline, up to 6 months
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Change in Reactive Oxygen Species (ROS) Between High and Low Participation Level
Time Frame: Baseline, up to 6 months
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Oxidative stress will be measured by ROS levels.
Participants will be categorized as higher teacher-rated "engaged participation" or lower teacher-rated "engaged participation" and these groups will be compared.
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Baseline, up to 6 months
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Change in Total Antioxidant Status (TAS) Between Study Arms
Time Frame: Baseline, up to 6 months
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Change in TAS will be measured by blood sample analysis.
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Baseline, up to 6 months
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Change in Total Antioxidant Status (TAS) Between High and Low Participation Level
Time Frame: Baseline, up to 6 months
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Change in TAS will be measured by blood sample analysis.
Participants will be categorized as higher teacher-rated "engaged participation" or lower teacher-rated "engaged participation" and these groups will be compared.
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Baseline, up to 6 months
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Change in Levels of Antioxidant Enzyme Glutathione (GSH) Between Study Arms
Time Frame: Baseline, up to 6 months
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Glutathione (GSH) is an antioxidant capable of preventing damage to important cellular components caused by reactive oxygen species such as free radicals, peroxides, lipid peroxides, and heavy metals.
Change in levels of GSH will be measured by blood sample analysis.
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Baseline, up to 6 months
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Change in levels of antioxidant enzyme Glutathione (GSH) Between High and Low Participation Level
Time Frame: Baseline, up to 6 months
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Glutathione (GSH) is an antioxidant capable of preventing damage to important cellular components caused by reactive oxygen species such as free radicals, peroxides, lipid peroxides, and heavy metals.
Change in levels of GSH will be measured by blood sample analysis.
Participants will be categorized as higher teacher-rated "engaged participation" or lower teacher-rated "engaged participation" and these groups will be compared.
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Baseline, up to 6 months
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Change in Levels of Circulating IL-6 Between Study Arms
Time Frame: Baseline, up to 6 months
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Interleukin 6 (IL-6) is an interleukin that acts as both a pro-inflammatory cytokine and an anti-inflammatory myokine.
Levels of circulating IL-6 will be assessed by blood sample analysis.
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Baseline, up to 6 months
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Change in levels of circulating IL-6 Between High and Low Participation Level
Time Frame: Baseline, up to 6 months
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Interleukin 6 (IL-6) is an interleukin that acts as both a pro-inflammatory cytokine and an anti-inflammatory myokine.
Levels of circulating IL-6 will be assessed by blood sample analysis.
Participants will be categorized as higher teacher-rated "engaged participation" or lower teacher-rated "engaged participation" and these groups will be compared.
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Baseline, up to 6 months
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Change in Levels of Circulating Tumor-Necrosis Factor-alpha (TNF-α) Between Study Arms
Time Frame: Baseline, up to 6 months
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Tumor necrosis factor is a cell signaling protein (cytokine) involved in systemic inflammation.
Change in levels of circulating TNF-α will be assessed by blood sample analysis.
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Baseline, up to 6 months
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Change in levels of circulating TNF-α Between High and Low Participation Level
Time Frame: Baseline, up to 6 months
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Tumor necrosis factor is a cell signaling protein (cytokine) involved in systemic inflammation.
Change in levels of Circulating TNF-α will be assessed by blood sample analysis.
Participants will be categorized as higher teacher-rated "engaged participation" or lower teacher-rated "engaged participation" and these groups will be compared.
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Baseline, up to 6 months
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Change in Upper Abdominal Muscle Tension Between Study Arms
Time Frame: Baseline, up to 6 months
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Upper abdominal muscular tension levels is assessed as Muscle Tone and Muscle Stiffness, and is measured by the MyotonPlus digital palpation device at a precise site on the upper region of the Rectus Abdominis (RA) muscle.
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Baseline, up to 6 months
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Change in Upper Abdominal Muscle Tension Between High and Low Participation Level
Time Frame: Baseline, up to 6 months
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Upper abdominal muscular tension levels is assessed as Muscle Tone and Muscle Stiffness, and is measured by the MyotonPlus digital palpation device at a precise site on the upper region of the Rectus Abdominis (RA) muscle.
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Baseline, up to 6 months
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Change in Self-assessment Questions Covering "how do you feel" score
Time Frame: Baseline, up to 6 months
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Self-assessment questions covering "how do you feel", with ongoing 3 daily-based questions once a week.
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Baseline, up to 6 months
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Change in Perceived Stress Reactivity Scale (PSRS) Score
Time Frame: Baseline, up to 6 months
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The Perceived Stress Reactivity Scale (PSRS), a 23-item questionnaire with 5 subscales (Prolonged Reactivity, Reactivity to Failure, Reactivity to Social Conflicts, Reactivity to Work Overload, and Reactivity to Social Evaluation) and 1 overall scale.
The PSRS overall score ranges from 0 to 30 and higher scores are associated with increased symptoms of depression and sleep disturbances.
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Baseline, up to 6 months
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Change in Perceived Stress Scale (PSS) Score
Time Frame: Baseline, up to 6 months
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The Perceived Stress Scale (PSS) is a 10-item instrument assessing feelings and thoughts related to stress during the past month.
Each item is rated on a 5-point scale ranging from never (0) to very often (4).
Total scores range from 0 to 40 with higher scores indicating higher perceived stress.
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Baseline, up to 6 months
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Change in Difficulties in Emotion Regulation Scale (DERS) Score
Time Frame: Baseline, up to 6 months
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The Difficulties in Emotion Regulation Scale (DERS) is a 36-item instrument assessing emotion dysregulation and includes six subscales (non-acceptance of emotions, difficulty with goal-directed behavior in the presence of negative emotions, difficulty controlling impulses in the presence of negative emotions, lack of awareness of emotions, limited use of effective emotion regulation strategies, and lack of understanding of emotions).
Responses are scaled from 1 (almost never) to 5 (almost always).
Total raw scores range from 36 to 180; certain items are reverse scored so that higher scores indicate increased difficulty with emotion regulation.
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Baseline, up to 6 months
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Change in Depression Anxiety and Stress Scale (DASS) Score
Time Frame: Baseline, up to 6 months
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The DASS is a 42-item self-administered questionnaire designed to measure the magnitude of three negative emotional states: depression, anxiety, and stress.
The DASS-Depression focuses on reports of low mood, motivation, and self-esteem, DASS-anxiety on physiological arousal, perceived panic, and fear, and DASS-stress on tension and irritability.
Individual patient scores on the DASS subscales can be interpreted by converting them to z-scores and comparing to the normative values contained within the DASS manual.
A z-score < 0.5 is considered to be within the normal range, a z-score of 0.5 to 1.0 is mild, 1.0 to 2.0 is moderate, 2.0 to 3.0 is considered severe, and z-scores > 3 are considered to be extremely severe depression/anxiety/stress.
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Baseline, up to 6 months
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Change in Penn State Worry Questionnaire (PSWQ) Score
Time Frame: Baseline, up to 6 months
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The Penn State Worry Questionnaire (PSWQ) is a self-administered, 16-item, Likert-type scale designed to measure the trait of worry.
Responses to items are rated from 1 to 5 where less worry = 1 and a lot of worry = 5.
Total scores range from 16 to 80 and higher scores indicate greater severity of the trait of worry.
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Baseline, up to 6 months
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Change in Positive and Negative Affect Scale (PANAS) Score
Time Frame: Baseline, up to 6 months
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The Positive and Negative Affect Scale (PANAS) consists of 10 positively and 10 negatively valanced word items.
Items are rated by the participant for the extent they are feeling this "right now" on a scale of 1- slightly or not at all through 5- extremely.
Total scores can range from 10 to 50, with higher scores representing higher levels of positive effect and lower scores having negative effect.
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Baseline, up to 6 months
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Change in Beck Depression Inventory (BDI-II) Score
Time Frame: Baseline, up to 6 months
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The BDI-II is a self-report 21-item scale used to assess the current severity of depression.
Each item is rated on a four-point scale (0 to 3) with possible total scores ranging from 0 to 63. Scores provide a measure of the severity of self-reported depression: 0 -9 minimal, 10 -16 mild, 17-29 moderate, and 30 - 63 severe.
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Baseline, up to 6 months
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Change in Beck Anxiety Inventory (BAI-II) Score
Time Frame: Baseline, up to 6 months
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The BAI-II is a 21-item self-report measure of anxiety symptoms, rated on a 4-point Likert scale.
Items are rated from 0 = not at all to 3 = severely.
Total scores range from 0 to 63 and higher scores indicate greater anxiety.
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Baseline, up to 6 months
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Change in Profile of Mood States (POMS) Score
Time Frame: Baseline, up to 6 months
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The Profile of Mood States (POMS) scale is a 30-item psychological rating scale used to assess transient, distinct mood states.
Participants rate the extent to which they feel unhappy, blue, lonely, gloomy, and worthless on a scale from 0 (not at all) to 4 (extremely).
Scores range from 0 to 120 with higher scores reflecting a more negative mood state.
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Baseline, up to 6 months
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Change in Coping Self-efficacy Scale (CSES) Score
Time Frame: Baseline, up to 6 months
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The CSES is a 26-item scale that measures one's perceived ability to cope with life's difficulties.
Responses are given on a scale from 0 to 10 where 0 = cannot do at all and 10 = certain can do.
Total scores range from 0 to 260 where higher scores indicate greater self-efficacy with coping skills.
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Baseline, up to 6 months
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Changes in Multidimensional Assessment of Interoceptive Awareness (MAIA) 8-Subscale Scores
Time Frame: Baseline, up to 6 months
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The Multidimensional Assessment of Interoceptive Awareness (MAIA) assesses various aspects of interoception with 8 subscales of: Noticing, Not-Distracting, Not-Worrying, Attention Regulation, Emotional Awareness, Self-Regulation, Body Listening, and Trusting.
The subscales include 3 to 7 items and scored by taking the average of the item responses.
Responses are given on a 6-point scale where "never" = 0 and "always" = 5.
Total scores for each subscale range from 0 to 5 and higher scores indicate greater levels of interoceptive awareness.
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Baseline, up to 6 months
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Change in Mindful Attention Awareness Scale (MAAS) Score
Time Frame: Baseline, up to 6 months
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The Mindful Attention Awareness Scale (MAAS) is a 15-item instrument assessing mindfulness (attention to what is occurring in the present).
Responses are given on a 6-point scale where "almost always" = 1 and "almost never" = 6.
The total score is the average of responses to the 15 items and ranges from 1 to 6 where higher scores indicate greater mindfulness to the present moment.
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Baseline, up to 6 months
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Change in Compassion Scale (CS) Score
Time Frame: Baseline, up to 6 months
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The Compassion Scale (CS) is a 16-item instrument assessing compassion for others.
Responses are given on a 5-point scale where "almost never" = 1 and "almost always" = 5.
The total score is the average of responses to the 16 items and ranges from 1 to 5 where higher scores indicate greater compassion towards others.
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Baseline, up to 6 months
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Change in Self-Compassion Scale - Short Form (SCS-SF) Score
Time Frame: Baseline, up to 6 months
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The Self-Compassion Scale - Short Form (SCS-SF) is a 12-item instrument assessing self-compassion.
Responses are given on a 5-point scale where "almost never" = 1 and "almost always" = 5.
The total score is the average of responses to the 12 items and ranges from 1 to 5 where higher scores indicate greater self-compassion.
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Baseline, up to 6 months
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Change in Five Facet Mindfulness Questionnaire (FFMQ) Score
Time Frame: Baseline, up to 6 months
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The Five Facet Mindfulness Questionnaire (FFMQ) is a 39-item instrument with five subscales of: Observing, Describing, Acting with Awareness, Nonjudging, and Nonreactivity.
Responses are given on a 5-point scale where "never or very rarely true" = 1 and "very often or always true" = 5.
Scores can be obtained for each subscale and for a total score by averaging item responses.
Total scores range from 1 to 5 where higher scores indicate greater mindfulness.
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Baseline, up to 6 months
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Change in Heartland Forgiveness Scale Score
Time Frame: Baseline, up to 6 months
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The Heartland Forgiveness Scale is an 18-item instrument assessing dispositional forgiveness, with 3 subscales of: Forgiveness of Self, Forgiveness of Others, and Forgiveness of Situations.
Responses are given on a 7-point scale where "almost always false of me" = 1 and "almost always true of me" = 7.
Total scores for each subscale range from 6 to 42, and the overall total score ranges from 18 to 126.
Higher scores indicate greater dispositional forgiveness.
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Baseline, up to 6 months
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Change in Cognitive and Affective Mindfulness Scale - Revised (CAMS-R) Score
Time Frame: Baseline, up to 6 months
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The Cognitive and Affective Mindfulness Scale- Revised (CAMS-R) instrument assessing mindfulness with 12 items.
Responses are given on a 4-point scale where "rarely/not at all" = 1 and "almost always" = 5.
The total score ranges from 12 to 48 and higher scores indicate greater mindfulness.
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Baseline, up to 6 months
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Change in Gratitude Questionnaire - Six Item Form (GQ-6) Score
Time Frame: Baseline, up to 6 months
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The Gratitude Questionnaire - Six Item Form (GQ-6) instrument measures the experience of gratitude in daily life with 6 items.
Responses are given on a 7-point scale where "strongly disagree" = 1 and "strongly agree" = 7.
The total score is the average of responses to the 6 items and ranges from 1 to 7 where higher scores indicate greater gratitude.
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Baseline, up to 6 months
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Change in Spiritual Meaning Scale (SMS) Score
Time Frame: Baseline, up to 6 months
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The Spiritual Meaning Scale (SMS) measures an individuals belief that life has a purpose, will, or way.
The 14 items are rated on a 5-point Likert scale where "I totally disagree" = 1 and "I totally agree" = 5.
Total scores range from 14 to 70 where higher scores indicate greater feelings of spiritual meaning.
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Baseline, up to 6 months
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Change in Telomere Length (TL)
Time Frame: Baseline, up to 6 months
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Telomeres are caps at the ends of chromosomes that, based on primary research, are shown to shorten each time a cell divides.
Telomere length (TL) is used as is a marker of cellular aging as shorter telomeres indicate limited cellular life, an indicator of senescence, used overall to comment on longevity of those being measured.
Population studies use telomere length (TL) in studies of population health and lifespan.
Telomere length (TL) will be measured by blood sample analysis.
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Baseline, up to 6 months
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Other Outcome Measures
Other Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
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Change in Brain-derived Neurotrophic Factor (BDNF) Level in Blood Serum Between Study Arms
Time Frame: Baseline, up to 6 months
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Brain-derived neurotrophic factor is a member of the neurotrophin family of growth factors, will be measured by blood sample analysis.
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Baseline, up to 6 months
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Change in Growth Hormone Level in Blood Serum Between Study Arms
Time Frame: Baseline, up to 6 months
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Change in Growth Hormone level will be measured by blood sample analysis.
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Baseline, up to 6 months
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Change in Oxytocin Level in Blood Serum Between Study Arms
Time Frame: Baseline, up to 6 months
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Change in Oxytocin level will be measured by blood sample analysis.
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Baseline, up to 6 months
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Change in Ghrelin Level in Blood Serum Between Study Arms
Time Frame: Baseline, up to 6 months
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Change in Ghrelin level will be measured by blood sample analysis.
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Baseline, up to 6 months
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Change in Leptin Level in Blood Serum Between Study Arms
Time Frame: Baseline, up to 6 months
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Change in Leptin level will be measured by blood sample analysis.
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Baseline, up to 6 months
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Collaborators and Investigators
Sponsor
Sponsor
Investigators
Investigators
- Principal Investigator: Paul Dallaghan, PhD, Emory University
Study record dates
Study Major Dates
Study Start (Actual)
Study Start
Primary Completion (Actual)
Primary Completion
Study Completion (Actual)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (Actual)
First Posted
Study Record Updates
Last Update Posted (Actual)
Last Update Posted
Last Update Submitted That Met QC Criteria
Last Update Submitted That Met QC Criteria
Last Verified
Last Verified
More Information
Terms related to this study
Keywords
Additional Relevant MeSH Terms
Other Study ID Numbers
Other Study ID Numbers
- IRB00107267
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
IPD Plan Description
IPD Sharing Time Frame
IPD Sharing Access Criteria
IPD Sharing Supporting Information Type
- STUDY_PROTOCOL
- SAP
- ICF
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
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