Hostname: page-component-586b7cd67f-t7fkt Total loading time: 0 Render date: 2024-11-26T12:55:32.282Z Has data issue: false hasContentIssue false

Design and Feasibility of a Hatha Yoga Intervention for Smoking Cessation

Published online by Cambridge University Press:  12 September 2014

Tammy L. Burns*
Affiliation:
School of Medicine, Creighton University, Omaha, Nebraska
Amy E. Mayer
Affiliation:
School of Pharmacy and Health Professions, Creighton University, Omaha, Nebraska
Shavonne M. Washington-Krauth
Affiliation:
School of Medicine, Creighton University, Omaha, Nebraska
Ryan W. Walters
Affiliation:
School of Medicine, Creighton University, Omaha, Nebraska
Amy J. Arouni
Affiliation:
School of Medicine, Creighton University, Omaha, Nebraska
*
Address for correspondence: Tammy L. Burns, Associate Professor of Pharmacy Practice and Medicine, School of Medicine, Creighton University, 3006 Webster Street, Omaha, NE 68131. Email: [email protected]

Abstract

Introduction: Effective interventions for smoking cessation are critically needed. Yoga has only begun to be evaluated for smoking cessation.

Aims: The primary aim was to assess participant satisfaction and perceived benefit of Hatha yoga. Secondary aims were to test evaluation tools, recruitment and retention techniques, and to generate preliminary effect size for a randomized trial.

Methods: This was a non-randomized, single-group, pilot study. Thirty-one participants entered the study and received group behavioural therapy followed by 30 minutes of Hatha yoga instruction. Participant satisfaction was assessed at the conclusion of eight sessions. Point prevalence smoking abstinence was assessed at the end of the intervention period.

Results: Participants were 36% male with an average age of 47 years (range 22–72) and a mean of 12.7 ± 5.6 cigarettes per day. Mean duration of smoking was 26.1 ± 15 years. Participant satisfaction was very high (88% very satisfied). Smoking abstinence at the end of the intervention was 29%.

Conclusions: Hatha yoga is acceptable and feasible to aid in smoking cessation. A regimen that includes breathing, postures, and meditation has been developed for testing in a randomized trial.

Type
Original Articles
Copyright
Copyright © The Author(s) 2014 

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Bock, B. C., Fava, J. L., Gaskins, R., Morrow, K. M., Williams, D. M., Jennings, E. et al. (2012). Yoga as a complementary treatment for smoking cessation in women. Journal of Women's Health (2002), 21 (2), 240248.Google Scholar
Centers for Disease Control (2008). Smoking-attributable mortality, years of potential life lost, and productivity losses – United States 2000–2004. Morbidity and Mortality Weekly Report: MMWR, 57 (45), 12261228.Google Scholar
Cook-Cottone, C. (2013). Dosage as a critical variable in yoga therapy research. International Journal of Yoga Therapy, 23 (2), 1112.Google Scholar
DiBenedetto, M., Innes, K. E., Taylor, A. G., Rodeheaver, P. F., Boxer, J. A., Wright, H. J. et al. (2005). Effect of a gentle iyengar yoga program on gait in the elderly: An exploratory study. Archives of Physical Medicine and Rehabilitation, 86 (9), 18301837.CrossRefGoogle ScholarPubMed
Heatherton, T., Kozlowski, L., Frecker, R., & Fagerstrom, K. (1991). The fagerstrom test for nicotine dependence: A revision of the Fagerstrom tolerance questionnaire. British Journal of Addiction, 86, 11191127.CrossRefGoogle ScholarPubMed
Hughes, J., & Hatsukami, D. (1986). Signs and symptoms of tobacco withdrawal. Archives of General Psychiatry, 43, 289294.Google Scholar
Innes, K. E., Bourguignon, C., & Taylor, A. G. (2005). Risk indices associated with the insulin resistance syndrome, cardiovascular disease, and possible protection with yoga: A systematic review. The Journal of the American Board of Family Practice/American Board of Family Practice, 18 (6), 491519.CrossRefGoogle ScholarPubMed
Lakkireddy, D., Atkins, D., Pillarisetti, J., Ryschon, K., Bommana, S., Drisko, J. et al. (2013). Effect of yoga on arrhythmia burden, anxiety, depression, and quality of life in paroxysmal atrial fibrillation: The YOGA My Heart Study. Journal of the American College of Cardiology, 61 (11), 11771182.Google Scholar
Leif Associates, I. (2012). The business case for coverage of tobacco cessation: 2012 update. http://www.prevent.org/data/images/report%20bcc%20of%20tobacco%20cessation%202012%20update.pdf.Google Scholar
Mourya, M., Mahajan, A.S., Singh, N.P., & Jain, A.K. (2009). Effect of slow- and fast-breathing exercises on autonomic functions in patients with essential hypertension. Journal of Alternative and Complementary Medicine (New York, N.Y.), 15 (7), 711717.Google Scholar
Murugesan, R., Govindarajulu, N., & Bera, T. K. (2000). Effect of selected yogic practices on the management of hypertension. Indian Journal of Physiology and Pharmacology, 44 (2), 207210.Google ScholarPubMed
Narendran, S., Nagarathna, R., Narendran, V., Gunasheela, S., & Nagendra, H. R. (2005). Efficacy of yoga on pregnancy outcome. Journal of Alternative and Complementary Medicine (New York, N.Y.), 11 (2), 237244.Google Scholar
National Center for Complementary and Alternative Medicine (2013). Yoga. http://nccam.nih.gov/health/yoga. Accessed on December 4, 2013.Google Scholar
Prochaska, J., DiClemente, C., & Norcross, J. (1992). In search of how people change: Applications to addictive behaviors. The American Psychologist, 47 (9), 11021114.Google Scholar
Raub, J.A. (2002). Psychophysiologic effects of hatha yoga on musculoskeletal and cardiopulmonary function: A literature review. Journal of Alternative and Complementary Medicine (New York, N.Y.), 8 (6), 797812.Google Scholar
Stead Lindsay, F., & Lancaster, T. (2012). Behavioural interventions as adjuncts to pharmacotherapy for smoking cessation. New York: John Wiley & Sons Ltd.Google ScholarPubMed
Tindle, H., Barbeau, E., Davis, R., Eisenberg, D., Park, E., Phillips, R. et al. (2006). Guided imagery for smoking cessation in adults: A randomized pilot trial. Complementary Health Practice Review, 11 (3), 166175.Google Scholar
US Public Health Service (2008). A clinical practice guideline for treating tobacco use and dependence: 2008 update. A U.S. Public Health Service Report. American Journal of Preventive Medicine, 35 (2), 158176.Google Scholar
US Surgeon General (2002). Women and smoking: A report of the surgeon general. Executive summary. Morbidity and Mortality Weekly Report. Centers for Disease Control and Prevention, 51 (12), 113.Google Scholar
Velicer, W., DiClemente, C., Rossi, J., & Prochaska, J. (1990). Relapse situations and self-efficacy: An integrative model. Addictive Behaviors, 15, 271283.Google Scholar
Watson, D., Clark, L., & Tellegen, A. (1988). Development and validation of brief measures of positive and negative affect: The PANAS scales. Journal of Personality and Social Psychology, 54, 10631070.CrossRefGoogle ScholarPubMed
Westbrook, C., Creswell, J. D., Tabibnia, G., Julson, E., Kober, H., & Tindle, H. A. (2013). Mindful attention reduces neural and self-reported cue-induced craving in smokers. Social Cognitive and Affective Neuroscience, 8 (1), 7384.Google Scholar
Wynd, C. A. (1992a). Personal power imagery and relaxation techniques used in smoking cessation programs.American Journal of Health Promotion: AJHP, 6 (3), 184189.CrossRefGoogle ScholarPubMed
Wynd, C. A. (2005). Guided health imagery for smoking cessation and long-term abstinence. Journal of Nursing Scholarship: An Official Publication of Sigma Theta Tau International Honor Society of Nursing/Sigma Theta Tau, 37 (3), 245250.Google Scholar
Wynd, C. (1992b). Relaxation imagery used for stress reduction in the prevention of smoking relapse. Journal of Advanced Nursing, 17 (3), 294302.Google Scholar
Zeidan, F., Johnson, S. K., Gordon, N. S., & Goolkasian, P. (2010). Effects of brief and sham mindfulness meditation on mood and cardiovascular variables. Journal of Alternative and Complementary Medicine (New York, N.Y.), 16 (8), 867873.Google Scholar