Background:

The acceptability of videoconferencing delivery of yoga interventions in the advanced cancer setting is relatively unexplored. The current report summarizes the challenges and solutions of the transition from an in-person (ie, face-to-face) to a videoconference intervention delivery approach in response to the Coronavirus Disease pandemic.

Method:

Participants included patient-family caregiver dyads who were enrolled in ongoing yoga trials and 2 certified yoga therapists who delivered the yoga sessions. We summarized their experiences using recordings of the yoga sessions and interventionists’ progress notes.

Results:

Out of 7 dyads participating in the parent trial, 1 declined the videoconferenced sessions. Participants were between the ages of 55 and 76 and mostly non-Hispanic White (83%). Patients were mainly male (83%), all had stage III or IV cancer and were undergoing radiotherapy. Caregivers were all female. Despite challenges in the areas of technology, location, and setting, instruction and personal connection, the overall acceptability was high among patients, caregivers, and instructors. Through this transition process, solutions to these challenges were found, which are described here.

Conclusion:

Although in-person interventions are favored by both the study participants and the interventionists, videoconference sessions were deemed acceptable. All participants had the benefit of a previous in-person experience, which was helpful and perhaps necessary for older and advanced cancer patients requiring practice modifications. In a remote setting, the assistance of caregivers seems particularly beneficial to ensure practice safety.

ClinicalTrials.gov:

NCT03948100; NCT02481349

中文翻译：

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COVID-19 大流行期间针对癌症患者及其护理人员的视频会议瑜伽干预：临床医生视角的报告

背景：

在晚期癌症环境中，视频会议提供瑜伽干预的可接受性相对未被探索。本报告总结了为应对冠状病毒病大流行而从面对面（即面对面）过渡到视频会议干预交付方式的挑战和解决方案。

方法：

参与者包括参加正在进行的瑜伽试验的患者-家庭护理人员二人组和 2 名提供瑜伽课程的认证瑜伽治疗师。我们使用瑜伽课程的录音和干预者的进度记录总结了他们的经验。

结果：

在参与父母试验的 7 个二人组中，有 1 个拒绝了视频会议。参与者年龄在 55 到 76 岁之间，大部分是非西班牙裔白人 (83%)。患者主要为男性 (83%)，均患有 III 期或 IV 期癌症并正在接受放射治疗。照顾者都是女性。尽管在技术、地点和环境、指导和人际关系方面存在挑战，但患者、护理人员和指导员的总体接受度很高。通过这个过渡过程，找到了应对这些挑战的解决方案，此处将对其进行描述。

结论：

尽管面对面的干预受到研究参与者和干预者的青睐，但视频会议会议被认为是可以接受的。所有参与者都受益于之前的亲身体验，这对需要修改实践的老年和晚期癌症患者很有帮助，也许是必要的。在偏远的环境中，护理人员的协助似乎特别有利于确保实践安全。

临床试验.gov：

NCT03948100；NCT02481349