Methods | Quasi‐experimental partially randomised controlled trial. | |
Participants |
Inclusion criteria: aged > 65 years; living in the community/non‐institutionalised; self‐reported joint pain attributed to OA and in 1 or more of hip, knee, foot or ankle; chronic pain ≥ 15 days a month for > 3 months, pain level ≥ 4 on a 10‐point scale (1 = no pain, 10 = excruciating pain); inability to participate in standing exercise; ability to speak English. Sample size: 34; IG: 23; CG: 11. Mean age: 79 years (SD 6.42). Country: US. Progress Plus: 26 women (76.5%); 21 non‐Hispanic white (61.8%); 19 widowed (55.8%); 27 (79.4%) reported chronic pain for > 3 years; 11 (73.5%) reported highest pain level ≥ 5; 27 (79.4%) taking medication for pain. |
|
Interventions |
Providers: Yoga Alliance certified instructors with cardiopulmonary resuscitation certification and ≥ 1 year of yoga teaching experience. Setting: group sessions at a senior centre. Content: chair yoga. Length/intensity: both groups had 45 minutes twice a week for 8 weeks. Control: general health education information and specific facts related to effects of OA. |
|
Outcomes |
Outcomes: at 4 and 8 weeks:
|
|
Notes | ||
Risk of bias | ||
Bias | Authors' judgement | Support for judgement |
Random sequence generation (selection bias) | High risk | Sealed envelopes; unclear if these were selected 1 by 1 removed from box: this could have made subsequent participants have an increased chance of picking an envelope for a particular condition. |
Allocation concealment (selection bias) | High risk | 9 participants with more severe Alzheimer's disease were assigned to the intervention condition as the control condition was not suitable for them. |
Blinding of participants and personnel (performance bias) All outcomes | High risk | No blinding apparent, and CG participants appeared to have been aware of what the IG entailed (contamination reported by authors). |
Blinding of outcome assessment (detection bias) All outcomes | Unclear risk | Not described. |
Incomplete outcome data (attrition bias) All outcomes | High risk | Attrition: uneven and some uncertainty in reporting. 1 IG (due to unrelated hospitalisation) and 5 CG withdrew (1 due to scheduling and preference for IG, others unspecified. Some inconsistency in reporting: the final reported sample size is "29 participants after 5 participants withdrew" but other reporting suggested 6 withdrawals. |
Selective reporting (reporting bias) | Low risk | All measured variables had results reported. |
Other bias | Low risk | No other bias identified. |