Yoga may ameliorate radiotherapy related sequelae among head and neck cancer patients
Radiotherapy (RT) for head and neck cancer (HNC) can cause debilitating side effects and functional problems. To mitigate these issues, concurrently applied targeted yoga therapy may buffer against treatment-related sequelae. Considering high rates of distress in spouses and interdependence of distress in couples, additional benefits may be gained with the involvement of a spousal caregiver in the intervention.
In this study, researchers randomized patient-caregiver dyads to either a dyadic yoga (DY), patient yoga (PY) or usual care (UC) control arm. Regarding functional outcomes and healthcare utilization, they hypothesized that both yoga arms are better than the UC arm. The comparison between the DY vs PY group was considered exploratory.
HNC patients received ≥25 fractions of RT. Caregivers completed baseline assessments. They were then randomized to receive either DY, PY or UC. Both yoga programs had 15 sessions and were delivered in person or via videoconferencing, parallel to the RT schedule. Patients completed the PG-SGA self-report part weekly during RT (5-6 weeks). Healthcare utilization metrics, including FT, ED and HA, were extracted from patients' electronic medical records as binary variables (yes/no).
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