Evidence map›Paper›PMID 40098115›Full record

Trial reportBMC complementary medicine and therapies2025

Acceptability and feasibility of online delivery of chair-based yoga for older adults with multimorbidity - lessons from a process evaluation of the gentle years yoga trial.

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

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in BMC complementary medicine and therapies, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing 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

4 citing papers in PubMed.

  1. Trial
  2. Article
  3. Review
  4. Article
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

9 authors.

Lesley WardDepartment of Social Work, Education and Community Wellbeing, Northumbria University, Newcastle upon Tyne, UK. lesley.ward@northumbria.ac.uk.
Laura BissellBritish Wheel of Yoga Qualifications, Sleaford, UK.
Jenny HowsamBritish Wheel of Yoga Qualifications, Sleaford, 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 SofíaYork Trials Unit, Department of Health Sciences, University of York, York, UK.
Maturana PalaciosYork Trials Unit, Department of Health Sciences, University of York, York, UK.
Tim RapleyDepartment of Social Work, Education and Community Wellbeing, Northumbria University, Newcastle upon Tyne, UK.

Funding

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

Abstract

backgroundYoga is a safe, effective, and popular practice among older adults, and amenable to online delivery. The Gentle Years Yoga randomised controlled trial compared the impact of a chair-based yoga programme to usual care on the health-related quality of life of older adults with multimorbidity. This embedded, longitudinal process evaluation qualitatively explored experiences and acceptability of online delivery of the trial intervention.

methodsA subset of trial participants randomised to receive the 12-week online yoga programme, together with the trial yoga teachers, were purposively recruited to semi-structured interviews. Individual interviews were conducted via Zoom or telephone, audio-recorded, independently transcribed, and thematically analysed. Online observations were conducted of one class delivered by each teacher.

resultsEighteen yoga participants (66-91 years; 2-8 chronic health conditions) and nine teachers were interviewed once (N = 12) or twice (N = 15) from October 2020 to April 2022. Five themes predominated, common to both groups. (1) Accessibility. Reduced communication and engagement inherent to online delivery were mostly outweighed by its removal of access barriers and provision of anonymity and distraction-free environment. (2) Technology issues. While digital literacy was variable and a barrier for some, simplified access procedures and basic audiovisual instruction optimised class engagement. (3) Delivery adaptations. Key facilitation techniques included simple, repetitive instructions, increased demonstration, personalised communication, and visibility-enhancing clothing. (4) Safety. Concerns were minimal, and mostly related to restricted visual and positional information inherent to face-to-face classes. (5) Implications and implementations. Online delivery was considered viable and potentially appealing for anyone experiencing issues accessing face-to-face classes outside the home. Potential solutions to online attendance barriers included equipment loan schemes and digital learning courses using existing community-based infrastructures.

conclusionsOnline chair-based yoga classes were feasible and acceptable to participants and teachers, and preferrable to face-to-face delivery by some. IT issues were minimal, and mainly resolvable through simple access processes and educational information. Accessibility advantages suggest online yoga may be suitable for a broad demographic, independent of age or health status. Establishing connections with existing health and community-based organisations presents a potential pathway for developing an equipment loan scheme to improve accessibility for those with financial access barriers.

trial registrationISRCTN ISRCTN13567538. Registered 18 March 2019.

Indexed as

MultimorbidityPatient Acceptance of Health CareYogaAgedAged, 80 and overFeasibility StudiesFemaleHumansMaleQualitative ResearchQuality of Life

Identifiers

PMID40098115
PMCPMC11912673

What OpenQuestion holds

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LicenceCC BY
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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.