Evidence map›Paper›PMID 34013090›Full record

ArticleContemporary clinical trials communications2021

Strength and awareness in action: Feasibility of a yoga-based intervention for post-acute mild TBI headaches among veterans.

Lisa M Betthauser, Jeri E Forster, Ann Bortz, Molly Penzenik, Theresa D Hernández, Nazanin Bahraini, Lisa A Brenner

Open access · goldAbstract read
In one paragraph

Article in Contemporary clinical trials communications, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 1 pooled it
1.2field-weighted citation impact, top 23% of its field
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, 1 synthesis or guideline pooled it, 14 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
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  5. Article
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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

7 authors at 1 institution in 1 country.

Lisa M BetthauserRocky Mountain Mental Illness Research Education and Clinical Center, Rocky Mountain Regional VA, 1700 N Wheeling St, Aurora, CO, 80045, USA.
Jeri E ForsterRocky Mountain Mental Illness Research Education and Clinical Center, Rocky Mountain Regional VA, 1700 N Wheeling St, Aurora, CO, 80045, USA.
Ann BortzRocky Mountain Mental Illness Research Education and Clinical Center, Rocky Mountain Regional VA, 1700 N Wheeling St, Aurora, CO, 80045, USA.
Molly PenzenikRocky Mountain Mental Illness Research Education and Clinical Center, Rocky Mountain Regional VA, 1700 N Wheeling St, Aurora, CO, 80045, USA.
Theresa D HernándezRocky Mountain Mental Illness Research Education and Clinical Center, Rocky Mountain Regional VA, 1700 N Wheeling St, Aurora, CO, 80045, USA.
Nazanin BahrainiRocky Mountain Mental Illness Research Education and Clinical Center, Rocky Mountain Regional VA, 1700 N Wheeling St, Aurora, CO, 80045, USA.
Lisa A BrennerRocky Mountain Mental Illness Research Education and Clinical Center, Rocky Mountain Regional VA, 1700 N Wheeling St, Aurora, CO, 80045, USA.
University of Colorado Anschutz Medical Campus · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundMild traumatic brain injury (mTBI) is a signature injury sustained by Veterans during recent conflicts. For some, mTBI/concussion is associated with disabling symptoms, including post-concussive headaches (PCH). However, there are limited evidence-based treatments for persistent PCH.

objectiveInvestigators assessed the feasibility of design elements of a yoga-based interventional trial for PCH among Veterans, as well as the acceptability of the intervention.

methodsThis randomized controlled acceptability and feasibility trial was implemented using a waitlist-control design. Design elements of interest included: an exercise run-in class; recruitment and retention strategies; and, ecological momentary assessment (EMA) modalities to track headaches and yoga practice. Veteran satisfaction regarding the intervention was also evaluated. A descriptive analysis was conducted on candidate outcomes including PCH, post-concussive symptoms, pain, and daily functioning.

resultsTwenty-seven participants (out of 70 consented and eligible after Study Visit 1) completed each evaluation timepoint and regularly attended yoga sessions, with 89% of these Veterans reporting moderate to high levels of satisfaction with the intervention at study completion. Qualitatively, participants endorsed improvements in headaches, chronic pain, and mood. Feasibility results were mixed. Initial feasibility criterion regarding yoga attendance was not met; however, modifications, such as expansion to an additional clinic site and reduction of in-person yoga sessions with increased encouragement to use study-created online yoga videos improved feasibility of the study design. Participants most frequently used mobile and web-based EMA modalities to track yoga practice.

conclusionsAlthough challenges with feasibility of the study design elements were noted, results suggested acceptability of the yoga-based intervention for Veterans with persistent PCH. Additional exploration regarding the frequency and modality of yoga delivery (e.g., in-person, telehealth) is warranted. IMPACT: Veterans found the yoga-based intervention acceptable, however exploration of novel modalities of intervention delivery will likely be necessary to enhance the feasibility of intervention implementation during future trials.

Indexed as

mTBIPost-concussive headachesVeteransYoga

Identifiers

PMID34013090
PMCPMC8113729
OpenAlexW3148170963

What OpenQuestion holds

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LicenceCC BY-NC-ND
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 OpenQuestion graph.