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SchizophreniaESHANTINCT05157620

Exercise-based Program for Rehabilitation of Veterans With Severe Mental Illness

A study testing Yoga-based Exercise (YE) and Wellness Lifestyle Program (WLP) in people with Schizophrenia and Schizoaffective, run by VA Office of Research and Development at 1 site in United States.

Recruiting

Looking for participants now. Contact the study team or a site below to ask about taking part.

Sites and contacts
Official record
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Trial summary

This is a hybrid1, effectiveness-implementation study of yoga-based exercises (YE) as an adjunctive tool for rehabilitation among persons with Severe Mental Illness (SMI). The two-arm randomized controlled trial will compare the efficacy of YE compared to the Wellness Lifestyle Program (WLP). Read more about this study

Who is it for?
Ages 18 to 70 years
Conditions the study is for
Schizophrenia, Schizoaffective, Bipolar Disorder 1
What is being tested?
Yoga-based Exercise (YE) and Wellness Lifestyle Program (WLP)
Could I receive a placebo?
No, everyone receives an active treatment
How many people
112 participants
Where
1 siteUnited States
Study dates
24 Oct 2022to 31 Dec 2026
Phase
Interventional
Are there results?
Not yet: the study is under way

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 to 70 years
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Written informed consent;
  • age 18-70 years;
  • DSM-5 diagnosis of
  • schizophrenia,
  • schizoaffective disorder,
  • bipolar 1 disorder,
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  • DSM-5 diagnosis of schizophrenia, schizoaffective disorder, or bipolar 1 disorder including those with a co-morbid
  • alcohol use disorder or substance use disorder;
  • clinically stable;
  • clinical global impression-severity (CGI-S) scores mild to moderately ill

Who cannot join

  • Unable to provide written informed consent;
  • intellectual disability (i.e., severe enough to impact understanding of yoga-based exercises) based on chart or IQ<80 on the Wechslet Abbreviated Scale of Intelligence-II (WASI-II);
  • disability or illness precluding yoga-based exercises or wellness lifestyle program, e.g.,
  • current or recent angina (<6 months),
  • history of myocardial infarction in the past year (unless permission is obtained from the primary care physician),
  • uncontrolled hypertension or hypotension;
Show all 12Show fewer
  • neurological illness complicating diagnosis / cognitive evaluation, e.g.,
  • dementia,
  • stroke or head injury;
  • physical problems that preclude training for yoga-based exercises / wellness lifestyle program, e.g.,
  • severely impaired vision;
  • ongoing treatment that includes more than one hour per week of relaxation and mind-body based stress reduction strategies related to yoga

Trial locations and contacts

1 site in 1 country. Contact the study team or a site near you to ask about taking part.

Vishwajit L Nimgaonkar, MD PhD contact

(412) 688-6000 ext. 3579

Vishwajit.Nimgaonkar@va.gov

United States1 site, 1 recruiting
  • VA Pittsburgh Healthcare System University Drive Division, Pittsburgh, PA

    Pittsburgh, Pennsylvania, 15240

    Vishwajit L Nimgaonkar, MD PhD, (412) 688-6000 ext. 3579, Vishwajit.Nimgaonkar@va.gov

    Vishwajit Laxmikant Nimgaonkar, MD PhD

    Recruiting

Other trials in United States

About this study

This is a hybrid1, effectiveness-implementation study of yoga-based exercises (YE) as an adjunctive tool for rehabilitation among persons with Severe Mental Illness (SMI). The two-arm randomized controlled trial will compare the efficacy of YE compared to the Wellness Lifestyle Program (WLP). Primary outcomes of the study will be self-report and performance-based measures of community functioning, defined in the investigators study as social, leisure, employment, and life skills functioning in the community. Secondary outcomes will include cognition and physical fitness measures.

Read the detailed description

This study will examine Yoga-based Exercise (YE) as a rehabilitation tool for Veterans with Severe Mental Illness (SMI), defined as schizophrenia (SZ), schizoaffective disorder (SZA), and Bipolar 1 disorder (BP1), with or without co-morbid history of alcohol use disorders (AUD) or substance use disorders (SUD). The study will evaluate factors associated with engagement in and uptake of YE among Veterans with SMI. This is a randomized controlled trial of YE that will examine factors that could facilitate or impede implementation of YE among Veterans with SMI.

Aim 1. Adapt YE protocols for Veterans with SMI. The investigators will design and evaluate adaptions of previously used Indian and US-based YE protocols in a non-religious context (mindfulness, stretching, toning and breathing exercises). The investigators will consult Indian and US colleagues, Veterans with SMI, and their VA therapists to adapt the protocol for SMI population. The investigators will also adapt control condition, the Wellness Lifestyle Program (WLP), from the recently completed RELIEVE study.

Aim 2. Study the efficacy of long-term YE among Veterans with SMI with a 2-armed RCT. The investigators will conduct a 2-armed RCT in which consenting Veterans with SMI will be randomly assigned to one of 2 arms: YE and treatment as usual or WLP and treatment as usual. Unlike prior short-term YE RCTs, the two arms will continue for 12 months, including an initial 12-week training period consisting of two supervised sessions per week, followed by a 12-week training period consisting of one supervised session per week and monthly sessions for the remaining 6 months. The investigators will compare the efficacy of YE versus WLP. The primary outcomes are self-report and performance-based measures of community functioning. Secondary outcomes are cognition and physical fitness measures.

Aim 3. Study factors associated with YE acceptance, adoption and implementation. The investigators goal for Aim 3 is to understand demographic/clinical features of Veterans with SMI who are more likely to accept and adopt YE to enable long-term rehabilitation, by analysis of the RCT data (Aim3A). The investigators will also conduct qualitative interviews with Veterans who have SMI and participated in the YE intervention arm, referring clinicians, and the Yoga Instructor to identify barriers and facilitators for implementation (Aim 3b).

Being tested
Yoga-based Exercise (YE), Wellness Lifestyle Program (WLP)
Keywords
schizophrenia, psychotic disorders, schizoaffective, bipolar disorder 1, exercise, yoga, community function, quality of life
Medical subject headings
Schizophrenia, Psychotic Disorders, Motor Activity

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Yoga-based Exercise (YE)Other

    The Yoga-based Exercise (YE) intervention is a series of yoga-based poses that consists of sitting, standing, kneeling, and lying postures as well as breathing exercises. The duration of the intervention will be 12 months. Participants will engage in yoga-based exercise sessions lasting 60 minutes twice a week for the first 12 weeks (3 months) of the project. The following 12 weeks, participants will engage in yoga-based exercises once a week. The remainder of the study (6 months), participants will engage in yoga-based exercises once a month.

  • Wellness Lifestyle Program (WLP)Other

    The Wellness Lifestyle Program (WLP) is a comprehensive lifestyle program that consists of 30 minutes of educational information covering various topics, such as nutrition, healthy living, stress reduction, and more will be followed by 30 minutes of low-intensity exercise such as walking. The duration of the intervention will be 12 months. Participants will engage in the 60 minute WLP session twice a week for the first 12 weeks (3 months) of the project. The following 12 weeks, participants will engage in WLP sessions once a week. The remainder of the study (6 months), participants will engage in WLP sessions once a month.

Study groups in NCT05157620
Study groupRoleWhat they receive
Yoga-based Exercise (YE)ExperimentalThe Yoga-based Exercise (YE) intervention is a series of yoga-based poses that consists of sitting, standing, kneeling, and lying postures as well as breathing exercises. The duration of the intervention will be 12 months. Participants will engage in yoga-based exercise sessions lasting 60 minutes twice a week for the first 12 weeks (3 months) of the project. The following 12 weeks, participants will engage in yoga-based exercises once a week. The remainder of the study (6 months), participants will engage in yoga-based exercises once a month.
Receives: Other: Yoga-based Exercise (YE)
Wellness Lifestyle Program (WLP)Active comparatorThe Wellness Lifestyle Program (WLP) is a comprehensive lifestyle program that consists of 30 minutes of educational information covering various topics, such as nutrition, healthy living, stress reduction, and more will be followed by 30 minutes of low-intensity exercise such as walking. The duration of the intervention will be 12 months. Participants will engage in the 60 minute WLP session twice a week for the first 12 weeks (3 months) of the project. The following 12 weeks, participants will engage in WLP sessions once a week. The remainder of the study (6 months), participants will engage in WLP sessions once a month.
Receives: Other: Wellness Lifestyle Program (WLP)

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Social Functioning Scale (SFS)

    The Social Functioning Scale (SFS) is a self-report measure of social functioning, and is widely used in adults with psychosis.

    Measured: 12 months

  2. Patient-Reported Outcomes Measurements Information Systems (PROMIS)

    Patient-Reported Outcomes Measurements Information System's (PROMIS) Satisfaction with Participation in Social Roles and Activities will be used to assess participant's perceived satisfaction with their social roles and activities as part of the community and social functioning outcome. The PROMIS scale is an 8-item short form. The scale for each item is: Not at all, a little bit, somewhat, quite a bit, very much.

    Measured: 12 months

  3. Quality of Life Scale (QOL)

    The Quality of Life Scale (QOL) will be used to measure interpersonal, social and occupational functioning. The QOL scale is a 16-item scale ranging from 1-7. 1= Terrible, 2 = Unhappy, 3 = Mostly dissatisfied, 4= Mixed, 5 = Mostly satisfied, 6 = Pleased, 7= Delighted

    Measured: 12 months

Secondary outcomes (8)
  1. Clinical Global Impression-Severity (CGI-S)

    Clinical Global Impression - Severity (CGI-S) will be used to assess participant's severity of illness. The scale is a 7-point scale. 0=Not Assessed, 1= Normal, not at all ill, 2 = borderline mentally ill, 3 = mildly ill, 4= moderately ill, 5=markedly ill, 6= severely ill, 7= among most extremely ill.

    Measured: 12 months

  2. Brief Assessment of Cognition (BAC)

    NOTE: The VA and the copyright holder of this assessment have not come to an agreement allowing the study to purchase rights to use this measure. The investigators are still negotiating as of this date (10/18/2023), and so are not removing it from the registration. The investigators are adding another measure to take it's place if the investigators remain unable to procure it, called The Repeatable Battery for the Assessment of Neuropsychological Status (RBANS).

    The Brief Assessment of Cognition in schizophrenia scale will be used to evaluate domains of cognition that are most impaired and strongly correlated with outcome in patients with schizophrenia. The BAC is completed via a computerized program that generates a composite score.

    Measured: 12 month

  3. 2-minute walk

    endurance/aerobic capacity will be assess by the 2-minute walk test, which measures the distance walked during a 2-minute interval.

    Measured: 12 months

  4. Patterns of utilization

    Virtual and paper logs will be used to assess patterns of YE/WLP utilization, difficulty, and satisfaction.

    Measured: 12 months

  5. Brief Psychiatric Rating Scale (BPRS)

    The Brief Psychiatric Rating Scale (BPRS) will be used to assess participant's severity of illness and assess level of depression, anxiety, and psychotic features. Items 1-10 are self report by the patient / participant. Items 11-18 are reported by the observer based on behaviors and speech. The scale ranges from 0 - 7. 0=Not assessed, 1= Not present, 2 = very mild, 3 = mild, 4= moderate, 5= moderately severe, 6= severe, 7= extremely severe

    Measured: 12 months

  6. The Repeatable Battery for the Assessment of Neuropsychological Status (RBANS)

    The Repeatable Battery for the Assessment of Neuropsychological Status is a neuropsychological assessment consisting of twelve subtests which give five scores, one for each of the five domains tested (immediate memory, visuospatial/constructional, language, attention, delayed memory).

    Measured: 12 months

  7. Multidimensional Assessment of Interoceptive Awareness, 2nd Edition (MAIA2)

    The Multidimensional Assessment of Interoceptive Awareness, 2nd Edition (MAIA2) is a 37-item questionnaire assessing an individual's interoceptive awareness, which is the ability to perceive and understand signals and sensations from inside one's body. This questionnaire has good validity and reliability and is widely used in research.

    Measured: 12 months

  8. RAND 36-Item Short Form Survey (SF-36)

    RAND 36-Item Short Form Survey (SF-36) a self-reported set of generic, coherent, and easily administered quality-of-life measures.

    Measured: 12 months

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted15 Dec 2021
  2. Study start24 Oct 2022
  3. Primary completion31 Dec 2026 (estimated)
  4. Study completion31 Dec 2026 (estimated)

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase N/A
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Model description
This is a randomized controlled trial. Participants will be randomized to either a Yoga-based exercise intervention or a Wellness Lifestyle Program intervention. Both interventions will be conducted simultaneously.
Masking
Double blind
Who is masked
Investigator, Outcomes assessor
Enrolment
112 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT05157620
Sponsor's protocol ID
D3622-R
Acronym
ESHANTI
Status last verified
Jun 2026
First submitted
1 Dec 2021
Last updated
1 Jul 2026
Results posted
No
Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No

Questions about this trial

What is this clinical trial studying?

A study testing Yoga-based Exercise (YE) and Wellness Lifestyle Program (WLP) in people with Schizophrenia and Schizoaffective, run by VA Office of Research and Development at 1 site in United States.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 10 inclusion and 12 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: looking for participants now, as of the sponsor's last update on 1 Jul 2026. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in United States. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

This study is still under way. Results are not available in the source record yet.

How can a doctor refer a patient or contact the research team?

Contact Vishwajit L Nimgaonkar, MD PhD ((412) 688-6000 ext. 3579, Vishwajit.Nimgaonkar@va.gov), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Social Functioning Scale (SFS) (time frame: 12 months). The study lists 3 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 1 Jul 2026.

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ESHANTI Clinical Trial NCT05157620 | AzTrials