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首页> 外文期刊>Contemporary Clinical Trials Communications >A randomized preference trial of cognitive-behavioral therapy and yoga for the treatment of worry in anxious older adults
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A randomized preference trial of cognitive-behavioral therapy and yoga for the treatment of worry in anxious older adults

机译：认知行为疗法和瑜伽治疗焦虑老年人的随机偏爱试验

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BackgroundWorry is a common problem among older adults. Cognitive-behavioral therapy is the most studied nonpharmacological intervention and it has demonstrated efficacy in reducing late-life worry and anxiety. Although the evidence-base is smaller, yoga has been shown to reduce anxiety and stress. However, little is known about the relative effectiveness of these two nonpharmacological interventions. Further, the impact of patient preference on outcomes is unknown.Purpose: The purpose to this study is to compare the effectiveness of cognitive-behavioral therapy (CBT) with yoga for improving late-life worry, anxiety, and sleep. We will also examine the effects of preference and selection on outcomes, adherence, and attrition.MethodsWe are conducting a two-stage randomized preference trial comparing CBT and yoga for the reduction of worry in a sample of anxious older adults. Five hundred participants will be randomized to either the preference trial (participants choose the intervention; N?=?250) or to the randomized trial (participants are randomized to one of the two interventions; N?=?250) with equal probability. CBT consists of 10 telephone-based sessions with an accompanying workbook. Yoga consists of 10 weeks of group yoga classes (twice a week) that is modified for use with older adults.ConclusionsThe study design is based on feedback from anxious older adults who wanted more nonpharmacological options for intervention as well as more input into the intervention they receive. It is the first head-to-head comparison of CBT and yoga for reducing late-life worry and anxiety. It will also provide information about how intervention preference affects outcomes.Trial registrationClinicalTrials.govNCT02968238.
机译：背景担心是老年人中的常见问题。认知行为疗法是研究最多的非药物干预手段，已证明可有效减少晚年忧虑和焦虑。尽管证据量较小，但瑜伽已被证明可以减轻焦虑和压力。但是，关于这两种非药物干预的相对有效性知之甚少。目的：本研究的目的是比较认知行为疗法（CBT）与瑜伽在改善晚年忧虑，焦虑和睡眠方面的效果。我们还将研究偏好和选择对结局，依从性和减员的影响。方法我们正在进行一项两阶段的随机偏好试验，比较了CBT和瑜伽对减轻焦虑老年人的焦虑感。五百名参与者将以相等的概率被随机分配到偏爱试验（参与者选择干预; N = 250）或随机试验（参与者被随机分配到两种干预之一; N = 250）中。 CBT包含10个基于电话的会议以及相应的工作簿。瑜伽包括10周的团体瑜伽课程（每周两次），可修改以供老年人使用。结论本研究设计基于焦虑的老年人的反馈，他们希望获得更多非药物疗法进行干预，并为他们提供更多干预措施接收。这是首次将CBT与瑜伽相提并论，以减少晚年的忧虑和焦虑。它还将提供有关干预偏好如何影响结果的信息。试用注册ClinicalTrials.govNCT02968238。

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