Dyadic Versus Individual Delivery of a Yoga Program for Family Caregivers of Glioma Patients Undergoing Radiotherapy: Results of a 3-Arm Randomized Controlled Trial

Authors

Kathrin Milbury
Meagan Whisenant
Shiao-Pei Weathers
Smitha Malliaha
Stella Snyder
Natalie Jackson
Jing Li
Yisheng Li
Roseanglea F Silva
Ya-Chen Tina Shih
Lorenzo Cohen

Publication Date

3-1-2023

Journal

Cancer Medicine

Abstract

BACKGROUND: Despite their significant distress, supportive care interventions for caregivers of glioma patients are generally lacking. And, whether caregivers are more likely to benefit from interventions targeting patient-caregiver dyads or caregivers individually is unknown. This pilot randomized controlled trial compared the feasibility and preliminary efficacy of a dyadic yoga (DY) versus an individual caregiver yoga (CY) intervention as a supportive care strategy for family caregivers.

METHODS: Patient-caregiver dyads were randomized to a DY, CY or usual care (UC) arm. DY and CY interventions were delivered over 15 sessions. Caregivers completed assessments of their depressive symptoms, quality of life (QOL), and caregiving reactions at baseline, 6 weeks, and 12 weeks, and a subset completed qualitative interviews at 12 weeks.

RESULTS: With a consent rate of 63%, 67 dyads were randomized. Attendance in the DY was higher than in the CY group (session means, DY = 12.23, CY = 9.00; p = 0.06). Caregivers (79% female; 78% non-Hispanic White; mean age, 53 years) reported significantly more subjective benefit in the CY arm than in the DY arm (d = 2.1; p < .01), which was consistent with the qualitative assessment. There were medium effect sizes for improved mental QOL (d = 0.46) and financial burden (d = 0.53) in favor of the CY over the UC group. Caregivers in the CY group reported more caregiving esteem (d = 0.56) and less health decline (d = 0.60) than those in the DY group.

CONCLUSION: Individual rather than dyadic delivery may be a superior supportive care approach for this vulnerable caregiver population. A larger, adequately powered efficacy trial is warranted.

Keywords

Humans, Female, Middle Aged, Male, Yoga, Caregivers, Quality of Life, Glioma, caregivers, dyadic intervention, yoga intervention, primary brain tumors

Comments

Supplementary Material

Data Availability Statement

PMID: 36468605

DOI

10.1002/cam4.5514

PMID

36468605

PMCID

PMC10067051

PubMedCentral® Posted Date

December 2022

PubMedCentral® Full Text Version

Post-print

Published Open-Access

yes