Evidence map›Paper›PMID 39938612›Full record

ArticleContemporary clinical trials2025

Multi-site feasibility and fidelity of remote yoga intervention to improve management of type-2 diabetes: Design and methods of the HA1C (Healthy Active and In Control) study.

Herpreet Thind, Dorothy Pekmezi, Shira Dunsiger, Kate M Guthrie, Laura Stroud, Wen-Chih Wu, Kristen Walaska, Beth C Bock

Abstract readClinical Trial Protocol
In one paragraph

Article in Contemporary clinical trials, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–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

1 citing paper in PubMed.

  1. Review
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

8 authors.

Herpreet ThindDepartment of Public Health, Zuckerberg College of Health Science, University of Massachusetts Lowell, 61 Wilder Street, O'Leary 540, Lowell, MA 01854, USA. Electronic address: Herpreet_Thind@uml.edu.
Dorothy PekmeziDepartment of Health Behavior, School of Public Health, University of Alabama at Birmingham, Ryals Public Health Building, 1720 2nd Ave S, Birmingham, AL 35294, USA.
Shira DunsigerDepartment of Psychiatry & Human Behavior, Brown University School of Public Health, Box G-S121-8, Providence, RI 02912, USA.
Kate M GuthrieDepartment of Psychiatry & Human Behavior, Warren Alpert Medical School of Brown University, Center for Behavioral & Preventive Medicine, The Miriam Hospital, Coro West, Suite 309, 164 Summit Avenue, Providence, RI 02906, USA.
Laura StroudDepartment of Psychiatry & Human Behavior, Warren Alpert Medical School of Brown University, Center for Behavioral & Preventive Medicine, The Miriam Hospital, Coro West, Suite 309, 164 Summit Avenue, Providence, RI 02906, USA.
Wen-Chih WuBrown University, Lifespan CVI Cardiovascular Rehabilitation Center, 208 Collyer St, 2nd floor, Providence, RI 02904, USA.
Kristen WalaskaCenter for Behavioral & Preventive Medicine, The Miriam Hospital, Coro West, Suite 309, 164 Summit Avenue, Providence, RI 02906, USA.
Beth C BockDepartment of Psychiatry & Human Behavior, Warren Alpert Medical School of Brown University, Center for Behavioral & Preventive Medicine, The Miriam Hospital, Coro West, Suite 309, 164 Summit Avenue, Providence, RI 02906, USA.

Funding

Establishing Multi-site Feasibility and Fidelityof Yoga to Improve Management of Type-2 DiabetesR01AT011184 · NCCIH · MIRIAM HOSPITAL · PI BOCK, BETH C · 2021 to 2023
$2.1M
NCCIH NIH HHS R01 AT011184
6 · The paper itself

Abstract

introductionDiabetes is a leading cause of death in the United States placing tremendous burden on individuals and the health care system. Yoga could be an attractive option for adults with diabetes with potential benefits for glycemic control and stress reduction.

methodsHealthy Active and In Control is a study examining multi-site fidelity and feasibility of remote yoga compared to standard exercise intervention for diabetes management. Adults (N = ∼30 per site) with type II diabetes (T2DM), are recruited from three sites and randomized to receive either a 12-week program of yoga or standard exercise. The yoga intervention is delivered remotely via zoom twice weekly. Participants in the standard exercise group engage in self-paced aerobic exercise with weekly staff check-in. Assessments are conducted at enrollment, end of treatment (week 12), and at 3- and 6-months post-intervention. The primary aim is to assess whether intervention components can be delivered with fidelity across the three sites. Feasibility and acceptability of the yoga and exercise interventions are compared. Data on biological (HbA1c), behavioral (e.g., physical activity, diabetes self-care behaviors), and psychological factors (e.g., mindfulness, diabetes distress) related to diabetes management are also explored along with factors associated with yoga and exercise adherence.

conclusionThis study uses rigorous methodology to establish the feasibility and acceptability of remote-delivered yoga for individuals with T2DM from diverse populations and to assess whether the remote intervention can be delivered with fidelity across sites in preparation for a future multisite efficacy trial.

Indexed as

Diabetes Mellitus, Type 2Exercise TherapyYogaAdultExerciseFeasibility StudiesFemaleGlycated HemoglobinHumansMaleMiddle AgedRandomized Controlled Trials as TopicSelf CareStress, PsychologicalGlycated Hemoglobinhemoglobin A1c protein, humanDiabetesFidelityMultisiteProtocolRandomized controlled trialRemote interventionYoga

Identifiers

PMID39938612
PMCPMC11911072

What OpenQuestion holds

Textmetadata
LicenceTDM
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.