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CTRI Number  CTRI/2021/05/033816 [Registered on: 27/05/2021] Trial Registered Prospectively
Last Modified On: 30/06/2021
Post Graduate Thesis  No 
Type of Trial  Interventional 
Type of Study   Yoga & Naturopathy 
Study Design  Non-randomized, Active Controlled Trial 
Public Title of Study   Yoga & naturopathy-based telemedicine as an adjuvant therapy in improving quality of life and alleviating anxiety and depression in mild to moderate COVID-19 positive patients  
Scientific Title of Study   Yoga & naturopathy-based telemedicine as an adjuvant therapy in improving quality of life and alleviating anxiety and depression in mild to moderate COVID-19 patients who are in home quarantine. A non-randomized control trial 
Trial Acronym  YONAC-19 
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Pradeep MK Nair 
Designation  Professor and Head, Research 
Affiliation  Sant Hirdaram Medical College of Naturopathy and Yogic Sciences for women  
Address  Sant Hirdaram Medical College of Naturopathy and Yogic Sciences for women Department of Research Room No 9 Yoga and Naturopathy Division Sant Hirdaram Nagar Bhopal 460320

Bhopal
MADHYA PRADESH
462030
India 
Phone  9823262179  
Fax    
Email  director@iaswar.com  
 
Details of Contact Person
Scientific Query
 
Name  Pradeep MK Nair 
Designation  Professor and Head, Research 
Affiliation  Sant Hirdaram Medical College of Naturopathy and Yogic Sciences for women  
Address  Sant Hirdaram Medical College of Naturopathy and Yogic Sciences for women Department of Research Room no 9 Yoga and Naturopathy Division Sant Hirdaram Nagar Bhopal 462030

Bhopal
MADHYA PRADESH
462030
India 
Phone  9823262179  
Fax    
Email  director@iaswar.com  
 
Details of Contact Person
Public Query
 
Name  Pradeep MK Nair 
Designation  Professor and Head, Research 
Affiliation  Sant Hirdaram Medical College of Naturopathy and Yogic Sciences for women  
Address  Sant Hirdaram Medical College of Naturopathy and Yogic Sciences for women Department of Research Room no 9 Yoga and Naturopathy Division Sant Hirdaram Nagar Bhopal 462030

Bhopal
MADHYA PRADESH
462030
India 
Phone  9823262179  
Fax    
Email  director@iaswar.com  
 
Source of Monetary or Material Support  
Sant Hirdaram Medical College of Naturopathy and Yogic Sciences for women Sant Hirdaram Nagar Bhopal Madhya Pradesh 
 
Primary Sponsor  
Name  Dr Pradeep MK Nair 
Address  Sant Hirdaram Medical College of Naturopathy and Yogic Sciences for women Bhopal 
Type of Sponsor  Other [Individual initiated study] 
 
Details of Secondary Sponsor  
Name  Address 
NIL  NIL 
 
Countries of Recruitment     India  
Sites of Study  
No of Sites = 1  
Name of Principal Investigator  Name of Site  Site Address  Phone/Fax/Email 
Gulab Rai Tewani  Sant Hirdaram Medical College of Naturopathy & Yogic Sciences for women, Bhopal  Sant Hirdaram Medical College of Naturopathy and Yogic Sciences for women Arogya Kendra, sant Hirdaram yoga and naturopathy Hospital, Room no 1 Sant Hirdaram Nagar Bhopal 462030
Bhopal
MADHYA PRADESH 
7000915602

drgulabtewani@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Institutional Ethics Committee SHMCNYS  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: B972||Coronavirus as the cause of diseases classified elsewhere,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Comparator Agent  Standard of care with Meditation  Patients will be doing meditation practice along with standard of care prescribed by conventional physicians as per ICMR norms. The meditation practice will be given 15 minutes daily for 14 days. 
Intervention  Yoga and naturopathy Home remedies  Yogasanas: 1. Hand in and out breathing 5 rounds – 1 minute 2. Hand stretch breathing – 10 rounds 2 mins 3. Skanda chalasana ( shoulder rotation) – 5 rounds – 3 minutes 4. Gomukhasana – 1 round 1 minute 5. Makarasana – 1 minute 1 round. (note: if there is any difficulty in breathing, change to a comfortable posture immediately) Pranayama: 1. Vibhagiya pranayama- 5 rounds – 3minutes 2. Nadishuddhi – 10 -15 rounds (internal breath retention for 5 seconds) 3. Bhramari pranayama – 10 -15 rounds ( Note: U can do it according to your capacity. DO NOT STRAIN, but repeat it after sometime) 4. Guided meditation or deep relaxation technique (YouTube link will be sent). Do it in a comfortable posture. Naturopathy Diet: 1. Easily digestible food. (vegetable soups, khichdi, jowar/ bajra/ red rice/ single polished rice with boiled vegetable with added mild spices – jeera,dhania powder, hing, ginger, garlic ( crushed 1 pod), chat masala, black pepper (1 pinch), jaljeera with luke warm water after food. 2. Saunf - less than ¼ tsp after food ( 3times a day) 3. Ajwain ka kadha - 150ml of water + 1/4 tsp of ajwain + jaggery 1/4 tsp - boil it on low flame for 10mins. Consume it 100ml 1/2 an hour before food. ( 3 times a day) 4. Steam inhalation – 2 drops of eucalyptus oil and ajwain 1 pinch – 2 – 3 times per day 5. Apply eucalyptus oil on the back and chest region before going to bed. And inhale the same fragrance for 5 minutes. 6. Acupressure In addition to this the patients will be continuing with their standard of care interventions as per ICMR protocols. The total duration of yoga therapy will be for 45 mins daily for 14 days. Other dietary advises will be given one time at the baseline as a part of daily routine. 
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  80.00 Year(s)
Gender  Both 
Details  All positive mild and moderate COVID-19 cases who are receiving standard care and are in home quarantine.
Patients willing to consent to participate in the study 
 
ExclusionCriteria 
Details  All positive mild and moderate COVID-19 cases who are in hospital care
Patients who require supplemental oxygen therapy
Pregnant and lactating mothers
Patients who are under 18 years of age 
 
Method of Generating Random Sequence   Not Applicable 
Method of Concealment   Not Applicable 
Blinding/Masking   Not Applicable 
Primary Outcome  
Outcome  TimePoints 
Reduction in Anxiety and depression assessed by DASS 21 scale, improvement in QOL assessed by WHO-Bref, Improvement in symptoms  At baseline Baseline
Anxiety and depression assessed by DASS 21 scale, Quality of Life assessed by WHO-BREF
At 14th Day from baseline
Anxiety and depression assessed by DASS 21 scale, Quality of Life assessed by WHO-BREF 
 
Secondary Outcome  
Outcome  TimePoints 
Improvement in symptoms  Baseline and daily till 14 days 
 
Target Sample Size   Total Sample Size="100"
Sample Size from India="100" 
Final Enrollment numbers achieved (Total)= "Applicable only for Completed/Terminated trials"
Final Enrollment numbers achieved (India)="Applicable only for Completed/Terminated trials" 
Phase of Trial   Phase 2 
Date of First Enrollment (India)   29/05/2021 
Date of Study Completion (India) Applicable only for Completed/Terminated trials 
Date of First Enrollment (Global)  Date Missing 
Date of Study Completion (Global) Applicable only for Completed/Terminated trials 
Estimated Duration of Trial   Years="0"
Months="3"
Days="0" 
Recruitment Status of Trial (Global)
Modification(s)  
Not Applicable 
Recruitment Status of Trial (India)  Closed to Recruitment of Participants 
Publication Details    
Individual Participant Data (IPD) Sharing Statement

Will individual participant data (IPD) be shared publicly (including data dictionaries)?  

Response - YES
  1. What data in particular will be shared?
    Response - Individual participant data that underlie the results reported in this article, after de-identification (text, tables, figures, and appendices).

  2. What additional supporting information will be shared?
    Response -  Study Protocol

  3. Who will be able to view these files?
    Response - Researchers whose proposed use of the data has been approved by an independent review committee identified for this purpose.

  4. For what types of analyses will this data be available?
    Response - To achieve aims in the approved proposal.

  5. By what mechanism will data be made available?
    Response - Proposals should be directed to [director@iaswar.com].

  6. For how long will this data be available start date provided 18-09-2021 and end date provided 18-08-2025?
    Response - Immediately following publication. No end date.

  7. Any URL or additional information regarding plan/policy for sharing IPD? 
    Additional Information - NIL
Brief Summary   COVID-19 has induced a lot of distress across the nation. Medical fraternities of different disciplines are putting their best foot forward to combat this deadly virus. Yoga & Naturopathy is an evidence based system of medicine that can complement the conventional care in bringing better results. The outcome of this research will facilitate in helping many more patients across the globe that these interventions are beneficial. the patients will recieve either yoga and naturopathy based lifestyle modification or meditation in addition to the standard of care. We will be evaluating the changes in QOL and anxiety and depression along with symptom score in mild to moderate covid 19 positive patients who are in home quarantine. 
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