Evidence map›Paper›PMID 39259017›Full record

Trial reportHealth technology assessment (Winchester, England)2024

Chair-based yoga programme for older adults with multimorbidity: RCT with embedded economic and process evaluations.

Garry Alan Tew, Laura Wiley, Lesley Ward, Jessica Grace Hugill-Jones, Camila Sofia Maturana, Caroline Marie Fairhurst, Kerry Jane Bell, Laura Bissell, Alison Booth, Jenny Howsam and 7 more

Abstract readMulticenter StudyRandomized Controlled TrialPragmatic Clinical Trial
In one paragraph

Trial report in Health technology assessment (Winchester, England), 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 2 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

6 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Trial
  4. Trial
  5. Trial
  6. Trial
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

17 authors.

Garry Alan TewInstitute for Health and Care Improvement, York St John University, York, UK.ORCID 0000-0002-8610-0613
Laura WileyYork Trials Unit, Department of Health Sciences, University of York, York, UK.ORCID 0000-0001-9619-4484
Lesley WardYork Trials Unit, Department of Health Sciences, University of York, York, UK.ORCID 0000-0001-7285-2032
Jessica Grace Hugill-JonesYork Trials Unit, Department of Health Sciences, University of York, York, UK.ORCID 0000-0002-9915-3941
Camila Sofia MaturanaYork Trials Unit, Department of Health Sciences, University of York, York, UK.ORCID 0000-0002-4946-8515
Caroline Marie FairhurstYork Trials Unit, Department of Health Sciences, University of York, York, UK.ORCID 0000-0003-0547-462X
Kerry Jane BellYork Trials Unit, Department of Health Sciences, University of York, York, UK.ORCID 0000-0001-5124-138X
Laura BissellBritish Wheel of Yoga Qualifications (BWYQ), Sleaford, Lincs, UK.ORCID 0000-0002-4784-2745
Alison BoothYork Trials Unit, Department of Health Sciences, University of York, York, UK.ORCID 0000-0001-7138-6295
Jenny HowsamBritish Wheel of Yoga Qualifications (BWYQ), Sleaford, Lincs, UK.ORCID 0000-0002-5055-7072
Valerie MountMember of the Public, York, UK.ORCID 0000-0001-7089-6007
Tim RapleyDepartment of Social Work, Education and Community Well-being, Northumbria University, Newcastle-upon-Tyne, UK.ORCID 0000-0003-4836-4279
Sarah Jane RonaldsonYork Trials Unit, Department of Health Sciences, University of York, York, UK.ORCID 0000-0001-8321-786X
Fiona RoseYork Trials Unit, Department of Health Sciences, University of York, York, UK.ORCID 0000-0003-0587-683X
David John TorgersonYork Trials Unit, Department of Health Sciences, University of York, York, UK.ORCID 0000-0002-1667-4275
David YatesDepartment of Anaesthesia, York Hospitals NHS Foundation Trust, York, UK.ORCID 0000-0003-4696-262X
Catherine Elizabeth HewittYork Trials Unit, Department of Health Sciences, University of York, York, UK.ORCID 0000-0002-0415-3536

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Older adults with multimorbidity experience impaired health-related quality of life and treatment burden. Yoga has the potential to improve several aspects of health and well-being. The British Wheel of Yoga's Gentle Years Yoga© programme was developed specifically for older adults, including those with chronic conditions. A pilot trial demonstrated feasibility of using Gentle Years Yoga in this population, but there was limited evidence of its effectiveness and cost-effectiveness. Objective: To determine the effectiveness and cost-effectiveness of the Gentle Years Yoga programme in addition to usual care versus usual care alone in older adults with multimorbidity. Design: Pragmatic, multisite, individually randomised controlled trial with embedded economic and process evaluations. Setting: Participants were recruited from 15 general practices in England and Wales from July 2019 with final follow-up in October 2022. Participants: Community-dwelling adults aged 65 years and over with multimorbidity, defined as two or more chronic health conditions from a predefined list. Interventions: All participants continued with any usual care provided by primary, secondary, community and social services. The intervention group was offered a 12-week programme of Gentle Years Yoga. Main outcome measures: The primary outcome and end point were health-related quality of life measured using the EuroQol-5 Dimensions, five-level version utility index score over 12 months. Secondary outcomes were health-related quality of life, depression, anxiety, loneliness, incidence of falls, adverse events and healthcare resource use. Results: The mean age of the 454 randomised participants was 73.5 years; 60.6% were female, and participants had a median of three chronic conditions. The primary analysis included 422 participants (intervention, Limitations: Self-reported outcome data raise the potential for bias in an unblinded trial. The COVID-19 pandemic affected recruitment, follow-up and the mode of intervention delivery. Conclusions: Although the Gentle Years Yoga programme was not associated with any statistically significant benefits in terms of health-related quality of life, mental health, loneliness or falls, the intervention was safe, acceptable to most participants and highly valued by some. The economic evaluation suggests that the intervention could be cost-effective. Future work: Longer-term cost-effectiveness modelling and identifying subgroups of people who are most likely to benefit from this type of intervention. Trial registration: This trial is registered as ISRCTN13567538. Funding: This award was funded by the National Institute for Health and Care Research (NIHR) Health Technology Assessment programme (NIHR award ref: 17/94/36) and is published in full in

Indexed as

Cost-Benefit AnalysisMultimorbidityQuality of LifeYogaAgedAged, 80 and overChronic DiseaseEnglandFemaleHumansMaleQuality-Adjusted Life YearsTechnology Assessment, BiomedicalWalesAGEDHEALTH-RELATED QUALITY OF LIFEMULTIMORBIDITYRANDOMISED CONTROLLED TRIALYOGA

Identifiers

PMID39259017
PMCPMC11417643

What Socratic holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.