Development and validation of a yoga module for adults with non-alcoholic fatty liver disease: a feasibility study

Rakhi Mishra; Rohit Gupta; Bela Goyal; Ajeet Singh Bhadoria; C. Vasantha Kalyani; Suresh K. Sharma; Vaidraj H. S.

doi:10.18203/2394-6040.ijcmph20252238

Authors

Rakhi Mishra College of Nursing, All India Institute of Medical Sciences, Rishikesh, Uttarakhand, India
Rohit Gupta Department of Gastroenterology, All India Institute of Medical Sciences, Rishikesh, Uttarakhand, India
Bela Goyal Department of Biochemistry, All India Institute of Medical Sciences, Rishikesh, Uttarakhand, India
Ajeet Singh Bhadoria Department of Community & Family Medicine, All India Institute of Medical Sciences, Rishikesh, Uttarakhand, India
C. Vasantha Kalyani College of Nursing, All India Institute of Medical Sciences, Deoghar, Jharkhand, India
Suresh K. Sharma College of Nursing, All India Institute of Medical Sciences, Jodhpur, Rajasthan, India
Vaidraj H. S. Govt of India (AYUSH), New Delhi, India

DOI:

https://doi.org/10.18203/2394-6040.ijcmph20252238

Keywords:

Non-alcoholic fatty liver disease, Yoga, Module, Suryanamaskar, Validation

Abstract

Background: Non-alcoholic fatty liver disease (NAFLD) is a prevailing disorder, increasing at an alarming rate. The existing literature lacks documentation regarding the validation of a specific yoga intervention tailored to meet the needs of individuals with NAFLD. The present study aims to develop and validate a yoga module for adults with NAFLD.

Methods: The module included Joint loosening exercises (Neck, Shoulder, Knee, Trunk), Surya Namaskar, yoga postures (Asana-Ardha Matsyendrasana, Paschimottanasana, Naukasana), yogic breathing techniques (Pranayama- Surya Anuloma, Nadisodhana), and breathing relaxation practices were given for validation to 31 experts followed by a pilot trial on 12 adults with NAFLD.

Results: Validation of the yoga module was done using item-level content validity index (I-CVI), scale-level content validity index using the average method (S-CVI), scale-level content validity index using the universal agreement method (S-CVI/UA), and the reliability score was 0.82, indicating the yoga module is reliable. The study found that 80% of adults with NAFLD accepted the selected yoga practices. Additionally, all adults with NAFLD (n=9) rated the intervention ≥3, indicating overall satisfaction and positive perception. There was significant improvement in controlled attenuation parameter (CAP) after 3 months of intervention.

Conclusions: The newly developed yoga module for NAFLD was shown to be both feasible and beneficial for adult patients during the 3-month pilot trial.

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