Though many CBSM strategies,[21‑24] have reported a reduction of perception of pain and increased stress coping ability, decreased cortisol after intervention, however, intervention applied in this study has been considered very efficient, in terms of cost effectiveness (1 time workshop expenditure and weekly phone reminders was the expenditure incurred on the part of the research team, nothing spent from participant’s side). This has been easily doable despite requiring physical exercise in the intervention; physically handicapped patients after breast surgery who had a problem of hand movement, 88% of them could do bhastrika paranayam and three stages P properly. This helps them to improve margin of movements in the arms. This unique combination of physical movement, rhythmic breathing and meditation imparted relaxed looks after intervention. The intervention is unique in the sense that it is uniformly followed across the countries, irrespective of cast creed; module remains the same, so chances of heterogeneity in practice and impact evaluation are minimal.d
Though many CBSM strategies,[21‑24] have reported a reduction of perception of pain and increased stress coping ability, decreased cortisol after intervention, however, intervention applied in this study has been considered very efficient, in terms of cost effectiveness (1 time workshop expenditure and weekly phone reminders was the expenditure incurred on the part of the research team, nothing spent from participant’s side). This has been easily doable despite requiring physical exercise in the intervention; physically handicapped patients after breast surgery who had a problem of hand movement, 88% of them could do bhastrika paranayam and three stages P properly. This helps them to improve margin of movements in the arms. This unique combination of physical movement, rhythmic breathing and meditation imparted relaxed looks after intervention. The intervention is unique in the sense that it is uniformly followed across the countries, irrespective of cast creed; module remains the same, so chances of heterogeneity in practice and impact evaluation are minimal.d
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