A pilot study assessing acceptability and feasibility of hatha yoga for chronic pain in people receiving opioid agonist therapy for opioid use disorder.


Journal

Journal of substance abuse treatment
ISSN: 1873-6483
Titre abrégé: J Subst Abuse Treat
Pays: United States
ID NLM: 8500909

Informations de publication

Date de publication:
10 2019
Historique:
received: 10 04 2019
revised: 23 07 2019
accepted: 23 07 2019
entrez: 25 8 2019
pubmed: 25 8 2019
medline: 18 8 2020
Statut: ppublish

Résumé

The purpose of this project was to assess the feasibility and acceptability of a hatha yoga program designed to target chronic pain in people receiving opioid agonist therapy for opioid use disorder. We conducted a pilot randomized trial in which people with chronic pain who were receiving either methadone maintenance therapy (n = 20) or buprenorphine (n = 20) were randomly assigned to weekly hatha yoga or health education (HE) classes for 3 months. We demonstrated feasibility in many domains, including recruitment of participants (58% female, mean age 43), retention for follow-up assessments, and ability of teachers to provide interventions with high fidelity to the manuals. Fifty percent of participants in yoga (95% CI: 0.28-0.72) and 65% of participants in HE (95% CI: 0.44-0.87) attended at least 6 of 12 possible classes (p = 0.62). Sixty-one percent in the yoga group reported practicing yoga at home, with a mean number of times practicing per week of 2.67 (SD = 2.37). Participant mood improved pre-class to post-class, with greater decreases in anxiety and pain for those in the yoga group (p < 0.05). In conclusion, yoga can be delivered on-site at opioid agonist treatment programs with home practice taken up by the majority of participants. Future research may explore ways of increasing the yoga "dosage" received. This may involve testing strategies for increasing either class attendance or the amount of home practice or both.

Identifiants

pubmed: 31443887
pii: S0740-5472(19)30219-3
doi: 10.1016/j.jsat.2019.07.015
pmc: PMC6709876
mid: NIHMS1536254
pii:
doi:

Substances chimiques

Analgesics, Opioid 0
Buprenorphine 40D3SCR4GZ
Methadone UC6VBE7V1Z

Banques de données

ClinicalTrials.gov
['NCT03022890']

Types de publication

Journal Article Randomized Controlled Trial Research Support, N.I.H., Extramural

Langues

eng

Sous-ensembles de citation

IM

Pagination

19-27

Subventions

Organisme : NCCIH NIH HHS
ID : R34 AT009432
Pays : United States

Informations de copyright

Copyright © 2019 Elsevier Inc. All rights reserved.

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Auteurs

Lisa A Uebelacker (LA)

Butler Hospital, United States of America; Brown University, United States of America. Electronic address: luebelacker@butler.org.

Donnell Van Noppen (D)

Butler Hospital, United States of America.

Geoffrey Tremont (G)

Brown University, United States of America; Rhode Island Hospital, United States of America.

Genie Bailey (G)

Brown University, United States of America; Stanley Street Treatment and Resources, United States of America.

Ana Abrantes (A)

Butler Hospital, United States of America; Brown University, United States of America.

Michael Stein (M)

Butler Hospital, United States of America; Brown University, United States of America; Boston University, United States of America.

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Classifications MeSH