Evidence map›Paper›PMID 40045209›Full record

Trial reportBMC geriatrics2025

Perceptions and experiences of chair-based yoga by older adults with multimorbidity - a qualitative process evaluation of the Gentle Years Yoga randomised controlled trial.

Lesley Ward, Garry A Tew, Laura Wiley, Fiona Rose, Camila S Maturana Palacios, Laura Bissell, Jenny Howsam, Tim Rapley

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in BMC geriatrics, 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. Trial
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.

Lesley WardDepartment of Social Work, Education and Community Wellbeing, Northumbria University, Newcastle uponTyne, UK. lesley.ward@northumbria.ac.uk.
Garry A TewInstitute for Health and Care Improvement, York St John University, York, UK.
Laura WileyYork Trials Unit, Department of Health Sciences, University of York, York, UK.
Fiona RoseYork Trials Unit, Department of Health Sciences, University of York, York, UK.
Camila S Maturana PalaciosYork Trials Unit, Department of Health Sciences, University of York, York, UK.
Laura BissellBritish Wheel of Yoga Qualifications, London, UK.
Jenny HowsamBritish Wheel of Yoga Qualifications, London, UK.
Tim RapleyDepartment of Social Work, Education and Community Wellbeing, Northumbria University, Newcastle uponTyne, UK.

Funding

NIHR Health Technology Assessment Programme 17/94/36
6 · The paper itself

Abstract

backgroundYoga is increasingly practised by older adults, with growing evidence for its safety and effectiveness across a range of health conditions common to the age group. This process evaluation, embedded within a randomised controlled trial of chair-based yoga for older adults with multimorbidity, qualitatively explored participants' perceptions and experiences of the chair-based yoga programme.

methodsOne-to-one interviews and class observations were conducted with a subset of trial participants randomised to receive the 12-week chair-based yoga programme. Interview participants were selectively recruited to represent the demographic breadth of the main trial cohort; one yoga class was observed at each delivery site. Interviews were audio recorded, independently transcribed, and analysed according to longitudinal and thematic analysis.

resultsTwenty-five yoga participants were interviewed once (N = 10) or twice (N = 15), providing a 40-interview data set. Participants were aged 66-91 years (mean age 74 years), 56% female (N = 14), predominantly White British (N = 22, 88%), with 2-8 long term health conditions (mean 4.5 conditions). Four interlinked and overarching themes predominated: perceptions of healthy ageing, delineating yoga and exercise, yoga as an adaptable multifaceted health tool, and patterns of ongoing yoga practice. Participants equated acute symptom presentation, not multimorbidity, with illness, and mostly viewed their health as good. They distinguished yoga from exercise based on its integration of the breath with physical movements, which provided a mental focus unfound in other physical activities. Impact of the yoga programme ranged from minimal to transformative, dependent on meaningful biopsychosocial improvements. Accordingly, continuation of yoga beyond the trial ranged from none to full integration as a multifaceted health management tool.

conclusionsParticipant experiences of the yoga programme interlinked views on health, ageing, exercise, and sustainable health management. Yoga presented as a safe, acceptable, and adaptable option for non-pharmacological health management in older adults. Impact on biopsychosocial health was variable, and directly linked to participants' longer term yoga engagement. Education of health professionals and activity providers regarding ageist stereotypes of health and ageing, together with the evidence base for the safety and effectiveness of yoga, could support and broaden yoga's reach and engagement among both older adult and multimorbid cohorts.

trial registrationISRCTN ISRCTN13567538. Registered 18 March 2019.

Indexed as

MultimorbidityPerceptionYogaAgedAged, 80 and overFemaleHumansMaleQualitative ResearchBiopsychosocialHealthy ageingMental healthMultimorbidityOlder adultsProcess evaluationSustainabilityYoga

Identifiers

PMID40045209
PMCPMC11881412

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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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.