The goal of this trial is to learn if the Yoga Asana Chandra Harmoni intervention can improve psychological well-being and learning readiness in medical students. The main questions it aims to answer are:

Does Yoga Asana Chandra Harmoni improve psychological well-being (specifically, reduce stress, anxiety, and depression) in medical students? Does Yoga Asana Chandra Harmoni enhance self-directed learning readiness in medical students? Researchers will compare a group receiving the Yoga Asana Chandra Harmoni intervention to a control group to see if the intervention leads to significant improvements in psychological well-being and self-directed learning readiness.

Participants will:

Complete baseline questionnaires assessing psychological well-being, sleep quality, self-directed learning readiness, and self-efficacy.

Participate in 3 weekly Yoga Asana Chandra Harmoni sessions for 4 weeks (intervention group).

Continue with their usual activities (control group). Complete follow-up questionnaires at post-test (end of week 4) and at a 2-week follow-up to assess changes in the outcome measures.

Engage in additional online audio guided practices 5 times/week for 20-30 minutes, including breathing exercises (weeks 1-2) and body scans (weeks 3-4) (intervention group).

Background & Rationale

Medical students face significant academic pressures, leading to elevated levels of stress, anxiety, and depression. These psychological challenges can negatively impact their academic performance, sleep quality, and overall well-being. Furthermore, the demands of medical education necessitate effective self-directed learning skills. Yoga interventions have demonstrated potential for improving mental health and cognitive function in various populations. This study aims to rigorously evaluate the effectiveness of a specific yoga intervention, Yoga Asana Chandra Harmoni, in addressing these challenges within a medical student population.

Intervention Details:

The Yoga Asana Chandra Harmoni intervention is a structured yoga program based on a specific sequence of asanas, pranayama (breathing exercises), and meditation techniques. The core asana sequence includes both static and dynamic movements designed to promote physical flexibility, strength, and balance. Pranayama techniques focus on regulating the breath to calm the nervous system and reduce stress. Meditation practices aim to cultivate mindfulness and improve emotional regulation. The intervention will be delivered in two phases: an initial face-to-face instruction session, followed by independent practice supported by a video and WhatsApp support. Participants in the intervention group will also be prescribed with online audio guided practices 5 times/week for 20-30 minutes. The audio practice will include breathing exercises (weeks 1-2) and body scans (weeks 3-4).

Study Design and Procedures:

This study will utilize a randomized controlled trial (RCT) design. Eligible participants will be randomly assigned to either the Yoga Asana Chandra Harmoni intervention group or a control group receiving no intervention. Randomization will be performed using computer-generated random numbers. To ensure minimal contamination, participants will be encouraged not to discuss the intervention with those in the control group.

Adherence to the intervention will be monitored through self-reported practice logs. Participants will be asked to record the frequency and duration of their yoga practice. In the event of significant non-adherence, strategies will be employed to encourage participation, such as reminder messages.

Inclusion Criteria:

• 3rd-year medical student
• Willing to attend yoga sessions and practice at home.
• Willing to provide consent and complete assessments.

Exclusion Criteria:

• Regular yoga practice (≥ 6 months).
• Physical contraindications to yoga.
• Active treatment for severe mental health disorder.
• Concurrent participation in another intervention study.

To minimize bias, this study will implement masking procedures. Specifically, investigators involved in direct participant interaction will not be masked because of the nature of intervention (yoga classes require a known instructor), The outcome assessors responsible for administering and scoring the questionnaires (DASS-21, PSQI, SDLR, and Self-Efficacy) will be masked to the participant's group assignment.