Evidence map›Paper›PMID 35248094›Full record

ArticleGlobalization and health2022

Implementation of a non-randomized controlled trial of yoga-based intervention to reduce behavioural issues in early adolescent school-going children in Sri Lanka.

Josephine Thirumagal Sivashankar, Rajendra Surenthirakumaran, Shannon Doherty, Nalini Sathiakumar

Open access · goldAbstract readControlled Clinical Trial
In one paragraph

Article in Globalization and health, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
1.0field-weighted citation impact, top 26% 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

3 citing papers in PubMed, 6 citations in OpenAlex.

  1. 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

4 authors at 3 institutions in 3 countries.

Josephine Thirumagal SivashankarOffice of the Regional Director of Health Services, Jaffna, Sri Lanka. thirumagalsiva1966@gmail.com.ORCID 0000-0002-5854-8867
Rajendra SurenthirakumaranDepartment of Family and Community Medicine, University of Jaffna, Jaffna, Sri Lanka.
Shannon DohertySchool of Allied Health, Anglia Ruskin University, Cambridge, UK.
Nalini SathiakumarDepartment of Epidemiology, School of Public Health, University of Alabama at Birmingham, Birmingham, USA.
University of Jaffna · LKAnglia Ruskin University · GBUniversity of Alabama at Birmingham · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAdolescence can be difficult to navigate and the post-conflict environment in Jaffna Province, Sri Lanka compounds existing issues for adolescents. Conduct problems, hyperactivity along with emotional problems are challenges faced by adolescents, particularly in fragile, post-conflict settings. This study was a non-randomized controlled trial carried out in 4 educational zones over 6 months. The study implemented a yoga-based intervention package: two types of slow breathing for 5-6 min, Surya-namaskaram for 6-8 min, and mindfulness meditation for 5-6 min. Pre/post quantitative assessments were conducted with intervention and control groups. A focus group was conducted with the intervention group. The aim was to evaluate. Effectiveness of implementing a yoga-based intervention package in grade 8 school children (early adolescents) to address behavioural problems.

resultsPaired t-test and independent t-tests were completed for both arms using statistical product and service solutions (SPSS21). Parents' assessments of emotional issues reduced for the intervention group (n = 584) [t(584) = 11.41, p = 0.001] along with reduction of the total difficulty score [t(584) = 28.12, p = 0.001]. Teachers' assessments indicated prosocial scores improved in the intervention group [t(584) = - 28.5, p = 0.001]. Students' self-assessments in the intervention group indicate a reduction in emotional problems [t(584) = 6.4, p = 0.001], and reduction in problems with peers [t(584) = 14.4, p = 0.001]. Within the control group (n = 499), teachers' assessments indicated emotional problems increased [t(499) = - 9.5, p = 0.001] and prosocial scores reduced [t(499) = 13.5, p = 0.001]. Students' self-assessments in the control group indicated emotional problems increased [t(499) = - 27.1, p = 0.001]. A comparison of post-test scores revealed a statistically significant difference between groups. Focus group results indicate students felt the intervention had an overall positive effect on school achievements, family dynamics and individual health.

conclusionsThis yoga-based intervention package appeared to be effective in reducing both externalizing and internalizing symptoms in adolescents. Practicing Surya-namaskaram, breathing control techniques and mindfulness meditation significantly reduced both externalizing symptoms (conduct problems and hyperactivity) as well as internalizing symptom (emotional problem and peer problems). It is recommended this intervention be scaled up across Sri Lanka and other similar post-conflict regions.

Indexed as

MeditationProblem BehaviorYogaAdolescentChildHumansSchoolsSri LankaAdolescentsBehavioural problemsPost-conflictTeenagersYoga-based intervention

Identifiers

PMID35248094
PMCPMC8898460
OpenAlexW4220707368

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.