This research project is in progress. PCORI will post the research findings on this page within 90 days after the results are final.
What is the research about?
Many older adults experience worried thoughts, feelings of anxiety, and sleep problems. Treatments proven to reduce worry and anxiety include yoga and cognitive behavioral therapy, or CBT. CBT helps people identify and change habits of thinking that are unhelpful. No studies have compared these two treatments. The research team wants to compare the effects of yoga and CBT on worry, anxiety, and sleep problems for adults age 60 or older. The team also wants to know whether patients have better results when they choose their treatment compared with when they are assigned a treatment by chance.
Who can this research help?
Results from this study can help older patients and their doctors develop a plan to treat the patient’s worry, anxiety, and sleep problems.
What is the research team doing?
The team is enrolling 500 adults age 60 or older who experience moderate to severe levels of worry, anxiety, or sleep problems. The participants are from medical clinics, YMCAs, senior centers, and senior housing communities in Winston-Salem, North Carolina.
The team is dividing the participants into two groups by chance. In the first group, participants are choosing whether they want to receive weekly, individual CBT sessions at their homes or go to group yoga classes twice each week. In the second group, the team is assigning participants by chance to receive individual CBT or go to yoga classes. The yoga classes include meditation or focused attention, breathing exercises, gentle postures, and relaxation. Both CBT and yoga last for 10 weeks.
Participants are completing a survey and answering interview questions three times in 37 weeks to help the team track changes in their worry, anxiety, or sleep problems. The team also wants to see whether patients have different results if they choose their treatment than if they are assigned one by chance.
Patients and healthcare providers are working with the team to plan the study and analyze the results.
Research methods at a glance
Complementary and Alternative Medicine
Other Clinical Interventions
Other Health Services Interventions
Training and Education Interventions
- Barbara Harmon
- Vickie Webb
Other Stakeholder Partners
- Claudia Campos, MD, Wake Forest School of Medicine
- Andrea Fernandez, MD, Wake Forest School of Medicine
- Mark Knudson, MD, Wake Forest School of Medicine
- Mary F. Lyles, MD, Wake Forest School of Medicine