Personalised Yoga to Help Reduce Insomnia and Improve Quality of Life in Cancer Patients Receiving Palliative Care

INTERVENTION: Intervention1: Yoga + Standard of Care : Eligible patients meeting all the inclusion criteria will be approached for participation and will be consented after explaining the study procedures, potential risks, and benefits. Participants who provide written informed consent will be enrolled and randomized to either the control or intervention arm. Participants randomized to the intervention arm will receive standard of care along with a personalised yoga intervention. The yoga intervention will consist of 45‐minute daily sessions for 12 weeks, including gentle yoga postures, breathing exercises (pranayama), mudras/bandhas, and guided relaxation practices such as Yoga Nidra. Participants will receive one initial in‐person training session from a certified yoga instructor and will then continue the practice at home using an illustrated handbook and instructional video. The yoga practices will be individually adapted according to each participant s clinical condition, metastatic burden, and functional limitations. The session begins with a 2‐minute warm‐up using Pranadharana with Ardha Padmasana/Vajrasana, followed by 8 minutes of Sandhichalan for joint mobility. The core Asana sequence includes Sulabh Bhujangasana, Sulabha Ardha Shalabhasana, Sulabha Ardha Pawanmuktasana, Hastapadasana with Abdominal Strokes, Sulabha Utthita Eka Padasana, and Sulabha Uttan Vakrasana, each held for 2 minutes. This is followed by Mudras and Bandhas Jinvha Bandha, Sinha Mudra, Brahma Mudra, and Vajrasanastha Yoga Mudra (2 minutes) aimed at stimulating digestive function. A 3‐minute Kriya (Sulbha Kapalbhati) and Pranayama comprising Anulom Vilom and Bhramari Rechak (3 minutes each) are incorporated to regulate breathing and the autonomic nervous system. The session concludes with 10 minutes of Chaitanyasana, a meditation‐based relaxation technique to promote overall calm and well‐being. Control Intervention1: Standard of Care Only: Standard of care includes routine clinical management for insomnia as per institutional practice which also includes sleep hygiene. CONDITION: Health Condition 1: F510‐ Insomnia not due to a substance orknown physiological condition PRIMARY OUTCOME: To assess the efficacy of a personalised yoga intervention, in addition to ; standard of care in reducing insomnia severity in patients receiving palliative care, compared to SOC alone.Timepoint: Baseline at day 0 to end of intervention at day 84. SECONDARY OUTCOME: To assess patient satisfaction with the yoga intervention.Timepoint: End of Intervention at Day 84. To determine patient compliance and adherence to the prescribed yoga sessions.Timepoint: Day 84 of Intervention. To evaluate the impact ; of the yoga intervention on sleep quality.Timepoint: Baseline at day 0 to end of intervention at day 84. To evaluate the impact of yoga on patient‐reported quality of life using validated questionnaires.Timepoint: Baseline at day 0 to end of intervention at day 84. To study the effect of yoga in patient requiring sedatives/hypnotic drugTimepoint: Baseline at day 0 to end of intervention at day 84. INCLUSION CRITERIA: 1. Patients with age more than 18 years. 2. Histologically confirmed diagnosis of cancer and receiving palliative care for it. 3. Estimated life expectancy greater than or equal to 6 months as estimated by their treating oncologist 4. Experiencing cancer‐related insomnia, defined by a score greater than or equal to 8 on Insomnia Severity Index. 5. Eastern Cooperative Oncology Group rating less than or equal to 2 6. Medically fit to participate in low‐intensity physical activity, as determined by the treating physician. 7. Ability to demonstrate the Yoga Intervention appropriately which would be assessed by the Yoga Instructor. 8. Able and willing to provide written informed consent 9. Willing to comply with the yoga intervention and study assessments