A study protocol of a three-group randomized feasibility trial of an online yoga intervention for mothers after stillbirth (The Mindful Health Study)

Jennifer Huberty, Jeni Matthews, Jenn Leiferman, Joanne Cacciatore, Katherine J. Gold

Research output: Contribution to journalArticle

2 Citations (Scopus)

Abstract

Background: In the USA, stillbirth (in utero fetal death ≥20 weeks gestation) is a major public health issue. Women who experience stillbirth, compared to women with live birth, have a nearly sevenfold increased risk of a positive screen for post-traumatic stress disorder (PTSD) and a fourfold increased risk of depressive symptoms. Because the majority of women who have experienced the death of their baby become pregnant within 12-18 months and the lack of intervention studies conducted within this population, novel approaches targeting physical and mental health, specific to the needs of this population, are critical. Evidence suggests that yoga is efficacious, safe, acceptable, and cost-effective for improving mental health in a variety of populations, including pregnant and postpartum women. To date, there are no known studies examining online-streaming yoga as a strategy to help mothers cope with PTSD symptoms after stillbirth. Methods: The present study is a two-phase randomized controlled trial. Phase 1 will involve (1) an iterative design process to develop the online yoga prescription for phase 2 and (2) qualitative interviews to identify cultural barriers to recruitment in non-Caucasian women (i.e., predominately Hispanic and/or African American) who have experienced stillbirth (N = 5). Phase 2 is a three-group randomized feasibility trial with assessments at baseline, and at 12 and 20 weeks post-intervention. Ninety women who have experienced a stillbirth within 6 weeks to 24 months will be randomized into one of the following three arms for 12 weeks: (1) intervention low dose (LD) = 60 min/week online-streaming yoga (n = 30), (2) intervention moderate dose (MD) = 150 min/week online-streaming yoga (n = 30), or (3) stretch and tone control (STC) group = 60 min/week of stretching/toning exercises (n = 30). Discussion: This study will explore the feasibility and acceptability of a 12-week, home-based, online-streamed yoga intervention, with varying doses among mothers after a stillbirth. If feasible, the findings from this study will inform a full-scale trial to determine the effectiveness of home-based online-streamed yoga to improve PTSD. Long-term, health care providers could use online yoga as a non-pharmaceutical, inexpensive resource for stillbirth aftercare.

Original languageEnglish (US)
Article number12
JournalPilot and Feasibility Studies
Volume4
Issue number1
DOIs
StatePublished - Apr 25 2018

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Yoga
Stillbirth
Mothers
Health
Post-Traumatic Stress Disorders
Mental Health
Population
Aftercare
Fetal Death
Live Birth
Long-Term Care
Hispanic Americans
African Americans
Health Personnel
Postpartum Period
Prescriptions
Pregnant Women
Randomized Controlled Trials
Public Health
Interviews

Keywords

  • Complementary
  • Mental health
  • Mindfulness
  • Perinatal loss
  • Women

ASJC Scopus subject areas

  • Medicine (miscellaneous)

Cite this

A study protocol of a three-group randomized feasibility trial of an online yoga intervention for mothers after stillbirth (The Mindful Health Study). / Huberty, Jennifer; Matthews, Jeni; Leiferman, Jenn; Cacciatore, Joanne; Gold, Katherine J.

In: Pilot and Feasibility Studies, Vol. 4, No. 1, 12, 25.04.2018.

Research output: Contribution to journalArticle

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