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 Complementary and Alternative Medicine

Volumn 15, Issue 1, 2015, Pages

  Selman, Lucy ^a   McDermott, Kelly ^b   Donesky, DorAnne ^b   Citron, Tracie ^b   Howie Esquivel, Jill ^b  

^a KING'S COLLEGE LONDON   (United Kingdom)

^b UNIVERSITY OF CALIFORNIA   (United States)

Author keywords

Chronic obstructive pulmonary disease; Complex intervention; Dyspnoea; Heart failure; Medical Research Council framework; Meditation; Qualitative; Relaxation; Tele medicine; Yoga

Indexed keywords

ADULT; ARTICLE; BREATHING EXERCISE; CHRONIC OBSTRUCTIVE LUNG DISEASE; CLINICAL ARTICLE; CLINICAL EDUCATION; CLINICAL EFFECTIVENESS; CONTENT ANALYSIS; CONTROLLED STUDY; EVALUATION STUDY; FEMALE; HEART FAILURE; HEART MUSCLE RELAXATION; HUMAN; INTERNET; INTERVENTION STUDY; MALE; MEDITATION; OUTCOME ASSESSMENT; PERSONAL EXPERIENCE; PILOT STUDY; PROGRAM ACCEPTABILITY; PROGRAM APPROPRIATENESS; PSYCHOLOGICAL WELL BEING; QUALITATIVE ANALYSIS; QUESTIONNAIRE; RANDOMIZED CONTROLLED TRIAL; SEMI STRUCTURED INTERVIEW; SOCIAL ISOLATION; STUDY DESIGN; SYMPTOM; TELECOMMUNICATION; TELEVISION; VIDEOCONFERENCING; YOGA; AGED; ALTERNATIVE MEDICINE; BODY POSTURE; COMPLICATION; CONTROLLED CLINICAL TRIAL; LEISURE; METHODOLOGY; MIDDLE AGED; PULMONARY DISEASE, CHRONIC OBSTRUCTIVE; QUALITATIVE RESEARCH; TELEMEDICINE; VERY ELDERLY;

AGED; AGED, 80 AND OVER; BREATHING EXERCISES; FEMALE; HEART FAILURE; HUMANS; INTERNET; MALE; MEDITATION; MIDDLE AGED; MIND-BODY THERAPIES; PILOT PROJECTS; POSTURE; PULMONARY DISEASE, CHRONIC OBSTRUCTIVE; QUALITATIVE RESEARCH; RELAXATION; RESEARCH DESIGN; SURVEYS AND QUESTIONNAIRES; TELEMEDICINE; TELEVISION; YOGA;

EID: 84924287998     PISSN: None     EISSN: 14726882     Source Type: Journal    
DOI: 10.1186/s12906-015-0540-8     Document Type: Article

References (82)

1. Cowie MR, Wood DA, Coats AJ, Thompson SG, Suresh V, Poole-Wilson PA, et al. Survival of patients with a new diagnosis of heart failure: a population based study. Heart. 2000;83:505-10.
2. Mosterd A, Hoes AW. Clinical epidemiology of heart failure. Heart. 2007;93:1137-46.
3. Lopez AD, Mathers CD, Ezzati M, Jamison DT, Murray CJ. Global and regional burden of disease and risk factors, 2001: systematic analysis of population health data. Lancet. 2006;367:1747-57.
4. Holguin F, Folch E, Redd SC, Mannino DM. Comorbidity and mortality in COPD-related hospitalizations in the United States, 1979 to 2001. Chest. 2005;128:2005-11.
5. Mascarenhas J, Lourenco P, Lopes R, Azevedo A, Bettencourt P. Chronic obstructive pulmonary disease in heart failure. Prevalence, therapeutic and prognostic implications. Am Heart J. 2008;155:521-5.
6. Rutten FH, Cramer MJ, Grobbee DE, Sachs AP, Kirkels JH, Lammers JW, et al. Unrecognized heart failure in elderly patients with stable chronic obstructive pulmonary disease. Eur Heart J. 2005;26:1887-94.
7. Haworth JE, Moniz-Cook E, Clark AL, Wang M, Waddington R, Cleland JG. Prevalence and predictors of anxiety and depression in a sample of chronic heart failure patients with left ventricular systolic dysfunction. Eur J Heart Fail. 2005;7:803-8.
8. Solano JP, Gomes B, Higginson IJ. A comparison of symptom prevalence in far advanced cancer, AIDS, heart disease, chronic obstructive pulmonary disease and renal disease. J Pain Symptom Manage. 2006;31:58-69.
9. Zambroski CH, Moser DK, Bhat G, Ziegler C. Impact of symptom prevalence and symptom burden on quality of life in patients with heart failure. Eur J Cardiovasc Nurs. 2005;4:198-206.
10. Mullerova H, Lu C, Li H, Tabberer M. Prevalence and burden of breathlessness in patients with chronic obstructive pulmonary disease managed in primary care. PLoS One. 2014;9:e85540.
11. Hawkins NM, Virani S, Ceconi C: Heart failure and chronic obstructive pulmonary disease: the challenges facing physicians and health services. Eur Heart J 2013.
12. Murray SA, Kendall M, Boyd K, Worth A, Benton TF. Exploring the spiritual needs of people dying of lung cancer or heart failure: a prospective qualitative interview study of patients and their carers. Palliat Med. 2004;18:39-45.
13. Pinnock H, Kendall M, Murray SA, Worth A, Levack P, Porter M, et al. Living and dying with severe chronic obstructive pulmonary disease: multi-perspective longitudinal qualitative study. BMJ. 2011; 342:d142.
14. Selman L, Beynon T, Higginson IJ, Harding R. Psychological, social and spiritual distress at the end of life in heart failure patients. Curr Opin Support Palliat Care. 2007;1:260-6.
15. Selman L, Harding R, Beynon T, Hodson F, Coady E, Hazeldine C, et al. Improving end-of-life care for patients with chronic heart failure: "Let's hope it'll get better, when I know in my heart of hearts it won't". Heart. 2007;93:963-7.
16. Scherer M, Himmel W, Stanske B, Scherer F, Koschack J, Kochen MM, et al. Psychological distress in primary care patients with heart failure: a longitudinal study. Br J Gen Pract. 2007;57:801-7.
17. Chin MH, Goldman L. Correlates of early hospital readmission or death in patients with congestive heart failure. Am J Cardiol. 1997;79:1640-4.
18. Casey A, Chang BH, Huddleston J, Virani N, Benson H, Dusek JA. A model for integrating a mind/body approach to cardiac rehabilitation: outcomes and correlators. J Cardiopulm Rehabil Prev. 2009;29:230-8. quiz 239-240.
19. Pomidori L, Campigotto F, Amatya TM, Bernardi L, Cogo A. Efficacy and tolerability of yoga breathing in patients with chronic obstructive pulmonary disease: a pilot study. J Cardiopulm Rehabil Prev. 2009;29:133-7.
20. Hodgkin JE, Celli BR, Connors GL. Pulmonary rehabilitation: guidelines to success. 4th ed. St. Louis: Mosby Elsevier; 2009.
21. Ornish D, Scherwitz LW, Billings JH, Brown SE, Gould KL, Merritt TA, et al. Intensive lifestyle changes for reversal of coronary heart disease. JAMA. 1998;280:2001-7.
22. Koertge J, Weidner G, Elliott-Eller M, Scherwitz L, Merritt-Worden TA, Marlin R, et al. Improvement in medical risk factors and quality of life in women and men with coronary artery disease in the Multicenter Lifestyle Demonstration Project. Am J Cardiol. 2003;91:1316-22.
23. Howie-Esquivel J, Lee J, Collier G, Mehling W, Fleischmann K. Yoga in heart failure patients: a pilot study. J Card Fail. 2010;16:742-9.
24. Donesky-Cuenco D, Nguyen HQ, Paul S, Carrieri-Kohlman V. Yoga therapy decreases dyspnea-related distress and improves functional performance in people with chronic obstructive pulmonary disease: a pilot study. J Altern Complement Med. 2009;15:225-34.
25. Donesky D, Melendez M, Nguyen HQ, Carrieri-Kohlman V. A responder analysis of the effects of yoga for individuals with COPD: who benefits and how? Int J Yoga Therap. 2012;22:23-36.
26. Pullen PR, Nagamia SH, Mehta PK, Thompson WR, Benardot D, Hammoud R, et al. Effects of yoga on inflammation and exercise capacity in patients with chronic heart failure. J Card Fail. 2008;14:407-13.
27. Gomes-Neto M, Rodrigues-Jr ES, Silva-Jr WM, Carvalho VO. Effects of yoga in patients with chronic heart failure: a meta-analysis. Arq Bras Cardiol. 2014;103:433-9.
28. Liu XC, Pan L, Hu Q, Dong WP, Yan JH, Dong L. Effects of yoga training in patients with chronic obstructive pulmonary disease: a systematic review and meta-analysis. J Thorac Dis. 2014;6:795-802.
29. Telehealth. [http://www.hrsa.gov/ruralhealth/about/telehealth/]
30. Wakefield B, Drwal K, Scherubel M, Klobucar T, Johnson S, Kaboli P. Feasibility and effectiveness of remote, telephone-based delivery of cardiac rehabilitation. Telemed J E Health. 2014;20:32-8.
31. Worringham C, Rojek A, Stewart I. Development and feasibility of a smartphone. ECG and GPS based system for remotely monitoring exercise in cardiac rehabilitation. PLoS One. 2011;6:e14669.
32. Wu G, Keyes L, Callas P, Ren X, Bookchin B. Comparison of telecommunication, community, and home-based Tai Chi exercise programs on compliance and effectiveness in elders at risk for falls. Arch Med Rehabil. 2010;91:849-56.
33. Burke SM, Carron AV, Eys MA, Ntoumanis N, Estabrooks PA. Group versus individual approach? A meta-analysis of the effectiveness of interventions to promote physical activity. Sport and Exerc Psychol Rev. 2006; 2:19-35.
34. Selman L, Citron T, Howie-Esquivel J, McDermott K, Donesky D. Tele-yoga in patients with chronic obstructive pulmonary disease and heart failure - a mixed methods study of feasibility, acceptability and safety [abstract]. Boston: In Symposium on Yoga Research; 2013.
35. Citron T, Howie-Esquivel J, McDermott K, Milic M, Donesky D. Feasibility and safety of tele-yoga in patients with both chronic obstructive pulmonary disease and heart failure. Philadelphia: In American Thoracic Society; 2013.
36. Datta J, Petticrew M. Challenges to evaluating complex interventions: a content analysis of published papers. BMC Public Health. 2013;13:568.
37. Oakley A, Strange V, Bonell C, Allen E, Stephenson J. Process evaluation in randomised controlled trials of complex interventions. BMJ. 2006;332:413-6.
38. O'Cathain A, Thomas KJ, Drabble SJ, Rudolph A, Hewison J. What can qualitative research do for randomised controlled trials? A systematic mapping review. BMJ Open. 2013;3:e002889. doi:10.1136/bmjopen-2013-002889
39. Plano Clark VL, Schumacher K, West C, Edrington J, Dunn LB, Harzstark A, et al. Practices for embedding an interpretive qualitative approach within a randomized clinical trial. J Mixed Methods Res. 2013;7:219-42.
40. Craig P, Dieppe P, Macintyre S, Michie S, Nazareth I, Petticrew M, et al. Developing and evaluating complex interventions: the new Medical Research Council guidance. BMJ. 2008;337:a1655.
41. Medical Research Council. Developing and evaluating complex interventions: new guidance. London: MRC; 2008.
42. Thompson TD, Weiss M. Homeopathy-what are the active ingredients? An exploratory study using the UK Medical Research Council's framework for the evaluation of complex interventions. BMC Complement Altern Med. 2006;6:37.
43. MacPherson H, Schroer S. Acupuncture as a complex intervention for depression: a consensus method to develop a standardised treatment protocol for a randomised controlled trial. Complement Ther Med. 2007;15:92-100.
44. Dhillon HM. Researching complementary and alternative therapies: frameworks for CAM evaluation. Canc Forum. 2011;35:23.
45. Association. TCCotNYH. Nomenclature and criteria for diagnosis of diseases of the heart and great vessels. 9th ed. Boston: Little, Brown & Co; 1994.
46. Borson S, Scanlan J, Brush M, Vitaliano P, Dokmak A. The mini-cog: a cognitive 'vital signs' measure for dementia screening in multi-lingual elderly. Int J Geriatr Psychiatry. 2000;15:1021-7.
47. Green CP, Porter CB, Bresnahan DR, Spertus JA. Development and evaluation of the Kansas City Cardiomyopathy Questionnaire: a new health status measure for heart failure. J Am Coll Cardiol. 2000;35:1245-55.
48. Portenoy RK, Thaler HT, Kornblith AB, Lepore JM, Friedlander-Klar H, Kiyasu E, et al. The Memorial Symptom Assessment Scale: an instrument for the evaluation of symptom prevalence, characteristics and distress. Eur J Cancer. 1994;30A:1326-36.
49. Yorke J, Swigris J, Russell AM, Moosavi SH, Ng Man Kwong G, Longshaw M, et al. Dyspnea-12 is a valid and reliable measure of breathlessness in patients with interstitial lung disease. Chest. 2011;139:159-64.
50. Jones PW, Quirk FH, Baveystock CM. The St George's respiratory questionnaire. Respir Med. 1991;85(Suppl B):25-31. discussion 33-27.
51. Kroenke K, Strine TW, Spitzer RL, Williams JBW, Berry JT, Mokdad AH. The PHQ-8 as a measure of current depression in the general population. J Affect Disord. 2009;114:163-73.
52. Lee KA. Self-reported sleep disturbances in employed women. Sleep. 1992;15:493-8.
53. Lee KA, Ward TM. Critical components of a sleep assessment for clinical practice settings. Issues Ment Health Nurs. 2005;26:739-50.
54. Mehling WE, Price C, Daubenmier JJ, Acree M, Bartmess E, Stewart A. The Multidimensional Assessment of Interoceptive Awareness (MAIA). PLoS One. 2012;7:e48230.
55. Baer RA, Smith GT, Lykins E, Button D, Krietemeyer J, Sauer S, et al. Construct validity of the five facet mindfulness questionnaire in meditating and nonmeditating samples. Assessment. 2008;15:329-42.
56. Miller MR, Hankinson J, Brusasco V, Burgos F, Casaburi R, Coates A, et al. Standardisation of spirometry. Eur Respir J. 2005;26:319-38.
57. Du H, Davidson PM, Everett B, Salamonson Y, Zecchin R, Rolley JX, et al. Assessment of a self-administered adapted 6-minute walk test. J Cardiopulm Rehabil Prev. 2010;30:116-20.
58. Hsieh HF, Shannon SE. Three approaches to qualitative content analysis. Qual Health Res. 2005;15:1277-88.
59. Pope C, Ziebland S, Mays N. Analysing qualitative data. BMJ. 2000; 320:114.
60. Hammersley M. Challenging relativism: the problem of assessment criteria. Qual Inq. 2009;15:3-29.
61. Seale C. The quality of qualitative research. London: Sage; 1999.
62. Ltd. QIP. NVivo qualitative data analysis software, Version 10. 2012.
63. Dedoose Version 4.5, web application for managing, analyzing, and presenting qualitative and mixed method research data (2013). Los Angeles, CA: SocioCultural Research Consultants, LLC (www.dedoose.com).
64. Schulz KF, Altman DG, Moher D, Group ftC: CONSORT. Statement: updated guidelines for reporting parallel group randomised trials. BMC Med. 2010;2010:818.
65. Zeng Q, Jiang S. Update in diagnosis and therapy of coexistent chronic obstructive pulmonary disease and chronic heart failure. J Thorac Dis. 2012;4:310-5.
66. DiBenedetto M, Innes KE, Taylor AG, Rodeheaver PF, Boxer JA, Wright HJ, et al. Effect of a gentle Iyengar yoga program on gait in the elderly: an exploratory study. Arch Phys Med Rehabil. 2005;86:1830-7.
67. Tran MD, Holly RG, Lashbrook J, Amsterdam EA. Effects of hatha yoga practice on the health-related aspects of physical fitness. Prev Cardiol. 2001;4:165-70.
68. Bryan S, Pinto Zipp G, Parasher R. The effects of yoga on psychosocial variables and exercise adherence: a randomized, controlled pilot study. Altern Ther Health Med. 2012;18:50-9.
69. Bernardi L, Spadacini G, Bellwon J, Hajric R, Roskamm H, Frey AW. Effect of breathing rate on oxygen saturation and exercise performance in chronic heart failure. Lancet. 1998;351:1308-11.
70. Mustian KM, Sprod LK, Janelsins M, Peppone LJ, Palesh OG, Chandwani K, et al. Multicenter, randomized controlled trial of yoga for sleep quality among cancer survivors. J Clin Oncol. 2013;31:3233-41.
71. Michalsen A, Grossman P, Acil A, Langhorst J, Ludtke R, Esch T, et al. Rapid stress reduction and anxiolysis among distressed women as a consequence of a three-month intensive yoga program. Med Sci Monit. 2005;11:CR555-61.
72. Lavretsky H, Epel ES, Siddarth P, Nazarian N, Cyr NS, Khalsa DS, et al. A pilot study of yogic meditation for family dementia caregivers with depressive symptoms: effects on mental health, cognition, and telomerase activity. Int J Geriatr Psychiatry. 2013;28:57-65.
73. Selman LE, Williams J, Simms V. A mixed-methods evaluation of complementary therapy services in palliative care: yoga and dance therapy. Eur J Cancer Care (Engl). 2012;21:87-97.
74. Selman L, Higginson IJ. 'A softening of edges': a comparison of yoga classes at palliative care services in New Delhi and London. Int J Palliat Nurs. 2010;16:548-54.
75. Carmody J, Baer RA. Relationships between mindfulness practice and levels of mindfulness, medical and psychological symptoms and well-being in a mindfulness-based stress reduction program. J Behav Med. 2008;31:23-33.
76. Daubenmier JJ. The relationship of yoga, body awareness, and body responsiveness to self-objectification and disordered eating. Psychol Women Q. 2005;29:207-19.
77. Kinser PA, Robins JL, Control Group Design. Enhancing rigor. In: Research of mind-body therapies for depression evidence-based complementary and alternative medicine. 2013. Article ID 140467:10.
78. Whitehead WE. Control groups appropriate for behavioral interventions. Gastroenterology. 2004;126:S159-63.
79. Higginson IJ, Evans CJ, Grande G, Preston N, Morgan M, McCrone P, et al. Evaluating complex interventions in end of life care: the MORECare statement on good practice generated by a synthesis of transparent expert consultations and systematic reviews. BMC Med. 2013;11:111.
80. Farquhar M, Preston N, Evans CJ, Grande G, Short V, Benalia H, et al. Morecare: Mixed methods research in the development and evaluation of complex interventions in palliative and end-of-life care: report on the MORECare consensus exercise. J Palliat Med. 2013;16:1550-60.
81. Cramer H, Lauche R, Haller H, Dobos G, Michalsen A. A systematic review of yoga for heart disease. Prev Cardiol: Eur J; 2014.
82. Beauchamp MR, Carron AV, McCutcheon S, Harper O. Older adults' preferences for exercising alone versus in groups: considering contextual congruence. Ann Behav Med. 2007;33:200-6.