1 202 163 A RETROSPECTIVE STUDY ON THE ACCEPTABILITY, FEASIBILITY, AND EFFECTIVENESS OF LOVEYOURBRAIN YOGA FOR PEOPLE WITH TRAUMATIC BRAIN INJURY AND CAREGIVERS. PURPOSE: TO CONDUCT A MIXED METHODS, PRE-POST, RETROSPECTIVE STUDY ON THE FEASIBILITY, ACCEPTABILITY, AND EFFECTIVENESS OF THE LOVEYOURBRAIN YOGA PROGRAM. MATERIALS AND METHODS: PEOPLE WERE ELIGIBLE IF THEY WERE A TRAUMATIC BRAIN INJURY SURVIVOR OR CAREGIVER, AGE 15-70, AMBULATORY, AND CAPABLE OF GENTLE EXERCISE AND GROUP DISCUSSION. WE ANALYZED ATTENDANCE, SATISFACTION, AND MEAN DIFFERENCES IN SCORES ON QUALITY OF LIFE AFTER BRAIN INJURY OVERALL SCALE (QOLIBRI-OS) AND FOUR TBI-QOL/NEURO-QOL SCALES. CONTENT ANALYSIS EXPLORED PERCEPTIONS OF BENEFITS AND AREAS OF IMPROVEMENT. RESULTS: 1563 PEOPLE (82.0%) PARTICIPATED >/=1 CLASS IN 156 PROGRAMS ACROSS 18 STATES AND 3 CANADIAN PROVINCES. MEAN SATISFACTION WAS 9.3 OUT OF 10 (SD 1.0). MIXED EFFECTS LINEAR REGRESSION FOUND SIGNIFICANT IMPROVEMENTS IN QOLIBRI-OS (B 9.70, 95% CI: 8.51, 10.90), RESILIENCE (B 1.30, 95% CI: 0.60, 2.06), POSITIVE AFFECT AND WELL-BEING (B 1.49, 95% CI: 1.14, 1.84), AND COGNITION (B 1.48, 95% CI: 0.78, 2.18) AMONG TRAUMATIC BRAIN INJURY SURVIVORS (N = 705). NO IMPROVEMENT WAS FOUND IN EMOTIONAL AND BEHAVIORAL DYSREGULATION, HOWEVER, CONTENT ANALYSIS REVEALED BETTER ABILITY TO REGULATE ANXIETY, ANGER, STRESS, AND IMPULSIVITY. CAREGIVERS PERCEIVED IMPROVEMENTS IN PHYSICAL AND PSYCHOLOGICAL HEALTH. CONCLUSIONS: LOVEYOURBRAIN YOGA IS FEASIBLE AND ACCEPTABLE AND MAY BE AN EFFECTIVE MODE OF COMMUNITY-BASED REHABILITATION.IMPLICATIONS FOR REHABILITATIONPEOPLE WITH TRAUMATIC BRAIN INJURY AND THEIR CAREGIVERS OFTEN EXPERIENCE POOR QUALITY OF LIFE AND DIFFICULTY ACCESSING COMMUNITY-BASED REHABILITATION SERVICES.YOGA IS A HOLISTIC, MIND-BODY THERAPY WITH MANY BENEFITS TO QUALITY OF LIFE, YET IS LARGELY INACCESSIBLE TO PEOPLE AFFECTED BY TRAUMATIC BRAIN INJURY IN COMMUNITY SETTINGS.PARTICIPANTS IN LOVEYOURBRAIN YOGA, A SIX-SESSION, COMMUNITY-BASED YOGA WITH PSYCHOEDUCATION PROGRAM IN 18 STATES AND 3 CANADIAN PROVINCES, EXPERIENCED SIGNIFICANT IMPROVEMENTS IN QUALITY OF LIFE, RESILIENCE, COGNITION, AND POSITIVE AFFECT.LOVEYOURBRAIN YOGA IS FEASIBLE AND ACCEPTABLE WHEN IMPLEMENTED ON A LARGE SCALE AND MAY BE AN EFFECTIVE MODE OF, OR ADJUNCT TO, COMMUNITY-BASED REHABILITATION. 2021 2 1414 41 IMPLEMENTING YOGA THERAPY ADAPTED FOR OLDER VETERANS WHO ARE CANCER SURVIVORS. OBJECTIVES: THIS GOAL OF THIS PAPER IS TO DESCRIBE THE REACH, APPLICATION, AND EFFECTIVENESS OF AN 8-WEEK YOGA THERAPY PROTOCOL WITH OLDER CANCER SURVIVORS WITHIN A VETERANS HEALTH ADMINISTRATION SETTING. METHODS: TO DOCUMENT THE REACH OF THIS INTERVENTION, RECRUITMENT EFFORTS, ATTENDANCE, AND PRACTICE RATES WERE TRACKED. TO EXPLORE THE APPLICATION OF THE PROTOCOL TO THIS POPULATION, PHYSICAL THERAPY PRE-ASSESSMENT AND OBSERVATIONS BY THE YOGA THERAPIST WERE RECORDED TO ASCERTAIN NECESSARY POSE MODIFICATIONS. EFFECTIVENESS WAS MEASURED THROUGH PRE- AND POST-COURSE STRUCTURED INTERVIEWS, TRACKING SELF-REPORTED SYMPTOMS OF COMBAT-RELATED POSTTRAUMATIC STRESS DISORDER, DEPRESSION, ANXIETY, FATIGUE, INSOMNIA, AND PAIN. RESULTS: REGARDING REACH, 15% OF ELIGIBLE VETERANS (N = 14) ENROLLED, PARTICIPATED IN 3-16 CLASSES (M+/-SD = 11.64+/-3.39), AND PRACTICED AT HOME FOR 0-56 DAYS (M+/-SD = 26.36+/-17.87). PARTICIPANTS WERE PRIMARILY CAUCASIAN (N = 13), MALE (N = 13), RANGED IN AGE FROM 55 TO 78 YEARS (M+/-SD = 65.64+/-5.15), AND HAD MULTIPLE MEDICAL PROBLEMS. DURING APPLICATION, SUBSTANTIAL INDIVIDUALIZED MODIFICATIONS TO THE YOGA THERAPY PROTOCOL WERE NECESSARY. EFFECTIVENESS OF THE INTERVENTION WAS MIXED. DURING POST-COURSE INTERVIEWS, PARTICIPANTS REPORTED A VARIETY OF QUALITATIVE BENEFITS. NOTABLY, THE MAJORITY OF PARTICIPANTS REPORTED THAT BREATHING AND RELAXATION TECHNIQUES WERE THE MOST USEFUL TO LEARN. GROUP COMPARISONS OF MEAN PRE- AND POST-COURSE SCORES ON STANDARDIZED MEASURES SHOWED NO SIGNIFICANT DIFFERENCES. CONCLUSIONS: A MINORITY OF OLDER VETERANS EXPRESS AN INTEREST IN YOGA, BUT THOSE WHO DO HAVE HIGH RATES OF CLASS ATTENDANCE AND HOME PRACTICE. CAREFUL PHYSICAL PRE-ASSESSMENT AND ATTENTIVE THERAPISTS ARE REQUIRED TO UNDERTAKE THE ADAPTATIONS REQUIRED BY PARTICIPANTS WITH MULTIPLE COMORBIDITIES. THE EFFECTIVENESS OF YOGA IN THIS SETTING REQUIRES ADDITIONAL STUDY. 2014 3 1230 34 FEASIBILITY AND OUTCOME OF AN ONLINE STREAMED YOGA INTERVENTION ON STRESS AND WELLBEING OF PEOPLE WORKING FROM HOME DURING COVID-19. BACKGROUND: THE OUTBREAK OF COVID-19 AND ITS ASSOCIATED MEASURES HAS RESULTED IN A SIZEABLE WORKING POPULATION TRANSITIONING TO WORKING FROM HOME (WFH), BRINGING ADDITIONAL CHALLENGES, AND INCREASING WORK-RELATED STRESS. RESEARCH HAS INDICATED THAT YOGA HAS PROMISING POTENTIAL IN REDUCING STRESS IN THE WORKPLACE. HOWEVER, THERE ARE VERY FEW STUDIES EXPLORING THE IMPACT OF ONLINE STREAMED YOGA ON STRESS MANAGEMENT FOR PEOPLE-WFH. OBJECTIVE: TO INVESTIGATE THE FEASIBILITY AND OUTCOME OF AN ONLINE STREAMED YOGA INTERVENTION ON STRESS AND WELLBEING OF PEOPLE-WFH DURING COVID-19. METHODS: A SIX-WEEK PILOT RANDOMIZED CONTROLLED TRIAL (RCT) YOGA INTERVENTION WAS DESIGNED WITH YOGA (N = 26) AND A WAIT-LIST CONTROL GROUP (N = 26). A MIXED TWO-WAY ANOVA WAS USED TO ASSESS CHANGES IN STANDARDISED OUTCOME MEASURES AT BASELINE AND POST-INTERVENTION. LIKERT AND OPEN-ENDED QUESTIONS ASSESSED ENJOYMENT, ACCEPTABILITY AND PERCEIVED BENEFITS OF THE PROGRAM, WHICH WERE ANALYSED THEMATICALLY. RESULTS: COMPARED WITH THE CONTROL, THE YOGA GROUP REPORTED SIGNIFICANT IMPROVEMENTS IN PERCEIVED STRESS, MENTAL WELLBEING, DEPRESSION AND COPING SELF-EFFICACY, BUT NOT STRESS AND ANXIETY. PARTICIPANTS EXPERIENCED PHYSICAL AND MENTAL HEALTH BENEFITS AND REPORTED HIGH ACCEPTABILITY AND ENJOYMENT OF THE INTERVENTION. CONCLUSIONS: AN ONLINE YOGA INTERVENTION CAN HELP PEOPLE WFH MANAGE STRESS AND ENHANCE WELLBEING AND COPING ABILITIES. 2021 4 1892 36 RELAX WHILE YOU REHABILITATE: A PILOT STUDY INTEGRATING A NOVEL, YOGA-BASED MINDFULNESS GROUP INTERVENTION INTO A RESIDENTIAL MILITARY BRAIN INJURY REHABILITATION PROGRAM. OBJECTIVE: THIS PRELIMINARY, PILOT STUDY ASSESSED THE EFFECTIVENESS OF A GROUP-BASED, MINDFULNESS INTERVENTION IN A RESIDENTIAL, REHABILITATION SETTING WITH SPECIFIC FOCUS ON ASSESSING PARTICIPANTS' SELF-REPORT OF PERCEIVED BENEFIT OF THE INTERVENTION ON OVERALL HEALTH, PAIN, SLEEP, MOOD/ANXIETY, ATTENTION, AND SELF-AWARENESS, AS WELL AS IMPLEMENTING MODIFICATIONS NEEDED FOR SUCCESSFUL INTERVENTION APPLICATION AMONG A DIVERSE, CLINICAL MILITARY POPULATION. METHOD/DESIGN: PARTICIPANTS WERE 19 VETERANS AND ACTIVE DUTY SERVICE MEMBERS WITH A HISTORY OF TRAUMATIC BRAIN INJURY (TBI; 63% SEVERE) WHO COMPLETED A MINDFULNESS-BASED GROUP INTERVENTION DURING INPATIENT ADMISSION AT A VETERANS AFFAIRS POLYTRAUMA TRANSITIONAL REHABILITATION PROGRAM (PTRP). MINDFULNESS AND YOGA SKILLS WERE TAUGHT IN A REQUIRED, WEEKLY GROUP INCORPORATED INTO PARTICIPANTS' REHABILITATION SCHEDULE. OPINIONS AND ATTITUDES ABOUT MINDFULNESS, AS WELL AS PERTINENT SELF-REPORT OUTCOME MEASURES, WERE OBTAINED PRE- AND POSTGROUP PARTICIPATION. RESULTS: RESULTS SUGGESTED THAT PARTICIPATION IN THE GROUP WAS POSITIVELY ASSOCIATED WITH INDIVIDUALS' SELF-REPORTED BELIEF ABOUT THE BENEFIT OF MINDFULNESS IN THE AREAS OF OVERALL HEALTH, PHYSICAL HEALTH, MOOD, FOCUS, AND SELF-AWARENESS. THE MORE GROUPS ATTENDED, THE MORE POSITIVE THE PARTICIPANTS' BELIEFS ABOUT POTENTIAL IMPACT ON OVERALL HEALTH AND MOOD BECAME, EVEN WHILE CONTROLLING FOR LENGTH OF REHABILITATION STAY. ADDITIONALLY, SEVERAL SPECIFIC GROUP MODIFICATIONS RELEVANT TO THIS POPULATION (E.G., PHYSICAL/ENVIRONMENTAL MODIFICATIONS, REPETITION, IGNORING/REORIENTING) WERE IMPLEMENTED TO SUPPORT SUCCESSFUL PARTICIPATION. CONCLUSIONS/IMPLICATIONS: THESE PRELIMINARY AND EXPLORATORY FINDINGS SUGGEST THAT IT MAY BE WORTHWHILE FOR PSYCHOLOGISTS, CLINICIANS, AND OTHER HEALTH CARE PROVIDERS WORKING WITH A MIXED TBI POPULATION, AND MORE SPECIFICALLY A MILITARY POPULATION WITH TBI, TO CONSIDER INTRODUCING MINDFULNESS SKILLS AS PART OF MULTIDISCIPLINARY REHABILITATION. (PSYCINFO DATABASE RECORD 2018 5 114 32 A PILOT STUDY OF A YOGA AND MEDITATION INTERVENTION FOR DEMENTIA CAREGIVER STRESS. TWELVE OLDER FEMALE DEMENTIA PATIENT FAMILY CAREGIVERS (EIGHT LATINAS AND FOUR CAUCASIANS) PARTICIPATED IN A SIX-SESSION MANUALIZED YOGA-MEDITATION PROGRAM (CALLED INNER RESOURCES) DESIGNED TO HELP CAREGIVERS COPE WITH STRESS. PRE/POST COMPARISONS REVEALED STATISTICALLY SIGNIFICANT REDUCTIONS IN DEPRESSION AND ANXIETY AND IMPROVEMENTS IN PERCEIVED SELF-EFFICACY. AVERAGE MINUTES OF WEEKLY YOGA-MEDITATION PRACTICE WERE SIGNIFICANTLY ASSOCIATED WITH IMPROVEMENTS IN DEPRESSION. THE MAJORITY OF CAREGIVERS FOUND THE INTERVENTION USEFUL AND REPORTED SUBJECTIVE IMPROVEMENTS IN PHYSICAL AND EMOTIONAL FUNCTIONING. THESE FINDINGS SUGGEST THAT INNER RESOURCES MAY BE A FEASIBLE AND EFFECTIVE INTERVENTION FOR FAMILY CAREGIVERS AND MAY IMPROVE AFFECT, COPING, PHYSICAL WELL-BEING, AND STRESS MANAGEMENT. 2004 6 1751 23 PILOT STUDY: USE OF MINDFULNESS, SELF-COMPASSION, AND YOGA PRACTICES WITH LOW-INCOME AND/OR UNINSURED PATIENTS WITH DEPRESSION AND/OR ANXIETY. PURPOSE: THIS PILOT STUDY WAS CONDUCTED TO DETERMINE THE EFFECTIVENESS OF MINDFULNESS PRACTICES, INCLUDING SELF-COMPASSION AND YOGA, ON DEPRESSION AND/OR ANXIETY IN UNINSURED AND/OR LOW-INCOME PATIENTS. DESIGN: THE DESIGN WAS REPEATED MEASURES WITH ONE GROUP. METHOD: PATIENTS RECEIVED 8 WEEKS OF MINDFULNESS TRAINING INCLUDING SELF-COMPASSION AND YOGA. DEPRESSION AND ANXIETY SYMPTOMS, SELF-COMPASSION, AND PSYCHOLOGICAL WELL-BEING WERE MEASURED FOUR TIMES. FINDINGS: INTERVENTIONS WERE EFFECTIVE IN HELPING UNINSURED AND LOW-INCOME PATIENTS REDUCE DEPRESSION AND/OR ANXIETY SYMPTOMS. CONCLUSION: THIS STUDY MAY HAVE IMPLICATIONS FOR A COST-EFFECTIVE TREATMENT FOR THESE DISORDERS. THE FINDINGS FROM THIS STUDY CAN PROVIDE USEFUL INFORMATION TO HEALTH CARE PROVIDERS. 2015 7 2673 38 YOGA IN PRIMARY HEALTH CARE: A QUASI-EXPERIMENTAL STUDY TO ACCESS THE EFFECTS ON QUALITY OF LIFE AND PSYCHOLOGICAL DISTRESS. BACKGROUND: AND PURPOSE: YOGA IS GROWING IN POPULARITY, BUT ITS BENEFITS AND INTEGRATION INTO PRIMARY CARE REMAIN UNCERTAIN. HERE, WE DETERMINE YOGA EFFECTS ON QUALITY OF LIFE AND PSYCHOLOGICAL DISTRESS, AND EVALUATE THE FEASIBILITY OF INTRODUCING YOGA AT PRIMARY CARE LEVEL. MATERIALS AND METHODS: THIS IS A PROSPECTIVE, LONGITUDINAL, QUASI-EXPERIMENTAL STUDY, WITH AN INTERVENTION (N=49) AND A CONTROL GROUP (N=37). YOGA GROUP UNDERWENT 24-WEEKS PROGRAM OF ONE-HOUR SESSIONS. OUR PRIMARY ENDPOINT WAS QUALITY OF LIFE AND PSYCHOLOGICAL DISTRESS, AS WELL AS SATISFACTION LEVEL AND ADHERENCE RATE. RESULTS: PARTICIPANTS REPORTED A SIGNIFICANT IMPROVEMENT IN ALL DOMAINS OF QUALITY OF LIFE AND A REDUCTION OF PSYCHOLOGICAL DISTRESS. LINEAR REGRESSION ANALYSIS SHOWED THAT YOGA SIGNIFICANTLY IMPROVES PSYCHOLOGICAL QUALITY OF LIFE (P=0.046). CONCLUSION: YOGA IN PRIMARY CARE IS FEASIBLE, SAFE AND HAS A SATISFACTORY ADHERENCE, AS WELL AS A POSITIVE EFFECT ON PSYCHOLOGICAL QUALITY OF LIFE OF PARTICIPANTS. 2019 8 395 41 BEST PRACTICES FOR ADAPTING AND DELIVERING COMMUNITY-BASED YOGA FOR PEOPLE WITH TRAUMATIC BRAIN INJURY IN THE UNITED STATES AND CANADA. EMERGING BENEFITS OF YOGA FOR TRAUMATIC BRAIN INJURY (TBI) SUGGEST THAT BROADER ACCESSIBILITY TO COMMUNITY-BASED YOGA PROGRAMMING IS IMPORTANT. THIS CROSS-SECTIONAL, MIXED METHODS STUDY SOUGHT TO IDENTIFY BEST PRACTICES FOR ADAPTING AND DELIVERING COMMUNITY-BASED YOGA TO PEOPLE WITH TBI. AN ONLINE SURVEY WAS SENT TO 175 YOGA TEACHERS TRAINED TO TEACH LOVEYOURBRAIN YOGA, A COMMUNITY-BASED, 6-WEEK, MANUALIZED PROGRAM FOR PEOPLE WITH TBI AND THEIR CARE-GIVERS. THE SURVEY INSTRUMENT INCLUDED OPEN- AND CLOSED-TEXT QUESTIONS ASSESSING TEACHERS' PERSPECTIVES ON THE MOST AND LEAST HELPFUL ADAPTIONS FOR ASANA, MEDITATION, PRANAYAMA, AND GROUP DISCUSSION, AND ON THE LOVEYOURBRAIN YOGA TRAINING AND SUPPORT. RESPONSES WE RE ANALYZED USING D E S C R I P T I VE STATISTICS AND QUALITATIVE CONTENT ANALYSIS. EIGHTY-SIX TEACHERS (50%) RESPONDED. BEST PRACTICES FOR ADAPTING YOGA FOR TBI REVEALED SIX THEMES: (1) SIMPLE, SLOW, AND REPEATED; (2) CREATING A SAFE SPACE; (3) POSITION OF THE HEAD AND NECK; (4) DEMONSTRATION; (5) IMPORTANCE OF PROPS; AND (6) SPECIAL CONSIDERATIONS FOR YOGA STUDIOS. THREE THEMES EMERGED FOR YOGA PROGRAM DELIVERY: (1) STRUCTURED YET FLEXIBLE; (2) ACCEPTABILITY OF COMPENSATION; AND (3) TIME MANAGEMENT. EIGHTY-NINE PERCENT OF TEACHERS REPORTED THAT THE PROGRAM MANUAL WAS VERY/EXTREMELY HELPFUL, YET NEARLY HALF (49%) ADAPTED THE MANUAL CONTENT OFTEN/ALWAYS. TO DELIVER COMMUNITY-BASED YOGA SERVICES FOR TBI, WE RECOMMEND AN ENVIRONMENT WITH PROPS, LOW LIGHT AND NOISE, AND SUFFICIENT SPACE, ALONG WITH THE FACILITATION OF CONSISTENT INSTRUCTION WITH A MANUAL THAT ALLOWS FOR FLEXIBILITY. WE RECOMMEND THAT YOGA TEACHERS HAVE SKILLS IN PHYSICAL MODIFICATIONS FOR THE HEAD AND NECK; SLOW, SIMPLE, AND REPEATED CUEING TO FACILITATE COGNITIVE PROCESSING; MANAGING CHALLENGING BEHAVIORS THROUGH REDIRECTION TECHNIQUES; AND PROMOTING SAFETY THROUGH INCLUSIVITY, COMPASSION, AND PERSONAL AGENCY. 2020 9 2869 50 YOGA-BASED PSYCHOTHERAPY GROUPS FOR BOYS EXPOSED TO TRAUMA IN URBAN SETTINGS. BACKGROUND: CHILDREN WHO EXPERIENCE ABUSE AND NEGLECT AND ARE EXPOSED TO ADVERSE LIFE EVENTS ARE AT RISK OF DEVELOPING EMOTIONAL AND BEHAVIORAL PROBLEMS. THEY MAY DISPLAY VARIABLE INTERNALIZING AND EXTERNALIZING SYMPTOMS, SUCH AS POSTTRAUMATIC STRESS, DEPRESSION, ANXIETY, LOW SELF-ESTEEM, AND AGGRESSION. YOGA MAY BE ABLE TO REGULATE BODY-BRAIN PATHWAYS THAT CAUSE STRESS FOLLOWING TRAUMATIC EXPERIENCES, THEREBY REDUCING ADVERSE MENTAL AND PHYSICAL SEQUELAE. OBJECTIVE: THE OBJECTIVE OF THIS PRELIMINARY STUDY IS TO EXAMINE CHANGES IN FUNCTIONING FOLLOWING MEETINGS OF A YOGA-BASED PSYCHOTHERAPY GROUP (YBPG) FOR BOYS WITH A HISTORY OF INTERPERSONAL TRAUMA EXPOSURE. METHODS/DESIGN: THE STUDY WAS A PROSPECTIVE, INTERVENTION COHORT STUDY. SETTING: THE STUDY OCCURRED AT AN URBAN-BASED MENTAL HEALTH CENTER FOCUSING ON TREATMENT OF CHILDREN EXPOSED TO INTERPERSONAL TRAUMA IN THEIR COMMUNITIES AND FAMILIES. PARTICIPANTS: PARTICIPANTS WERE 10 BOYS, AGED 8-12 Y, WHO PRIMARILY WERE AFRICAN-AMERICANS (70%) AND WHO HAD A HISTORY OF TRAUMA. INTERVENTION: THE YBPG WAS A 12-WK, YOGA-BASED, GROUP THERAPY, INTEGRATED WITH MENTAL HEALTH TREATMENT THAT WAS TRAUMA INFORMED AND EVIDENCE-BASED. OUTCOME MEASURES: MEASURES OF ATTENDANCE AND INTERPERSONAL FUNCTIONING-THE BEHAVIORAL AND EMOTIONAL RATING SCALE 2 (BERS-2) AND PATIENT SATISFACTION SURVEYS-WERE COLLECTED. THE PRE- AND POST-YBPG, PAIRED T TEST; WILCOXON'S SIGNED RANK TEST; AND EFFECT SIZES WERE CALCULATED TO ASSESS CHANGE IN INTERPERSONAL FUNCTIONING FOLLOWING THE YBPG, AS REPORTED BY THE PARENTS AND CHILDREN. RESULTS: THE BERS-2 SCORES YIELDED CLINICALLY AND STATISTICALLY SIGNIFICANT MEAN IMPROVEMENTS ON THE PARENTS' RATINGS OF PARTICIPANTS' (1) INTERPERSONAL STRENGTH, INTRAPERSONAL STRENGTH, AND FAMILY INVOLVEMENT SCORES, WITH MEAN IMPROVEMENTS ON THOSE SUBSCALES BEING 1.4 (P=.007), 1.9 (P=.012), AND 1.4 (P=.045) POINTS, RESPECTIVELY; AND (2) STRENGTH INDEX SCORES, WITH A MEAN IMPROVEMENT OF 8.7 (P=.004). THE EFFECT SIZE WAS IN THE LARGE RANGE. IN ADDITION TO SIGNIFICANT IMPROVEMENTS POSTTREATMENT, THE PARENTS' MEAN RATING SCORE OF THEIR CHILDREN'S FUNCTIONING WAS CLOSER BUT STILL LOWER THAN THE CHILDREN'S SELF-REPORTS ON ALL SUBSCALES. THE ATTENDANCE RATE FOR THE YBPG WAS AMONG THE HIGHEST FOR GROUP THERAPIES AT THE CENTER. CONCLUSIONS: THE STUDY PROVIDED PRELIMINARY EVIDENCE FOR THE FEASIBILITY OF YBPG AS AN EFFECTIVE INTERVENTION FOR BOYS EXPOSED TO TRAUMA IN URBAN SETTINGS. 2016 10 28 47 'JOINING A GROUP WAS INSPIRING': A QUALITATIVE STUDY OF SERVICE USERS' EXPERIENCES OF YOGA ON SOCIAL PRESCRIPTION. BACKGROUND: YOGA IS BECOMING AN INCREASINGLY POPULAR HOLISTIC APPROACH IN THE WEST TO MANAGE LONG-TERM HEALTH CONDITIONS. THIS STUDY PRESENTS THE EVALUATION OF A PILOT YOGA INTERVENTION, YOGA4HEALTH, THAT WAS DEVELOPED FOR THE NHS TO BE SOCIALLY PRESCRIBED TO PATIENTS AT RISK OF DEVELOPING SPECIFIC HEALTH CONDITIONS (RISK FACTORS FOR CARDIOVASCULAR DISEASE, PRE-DIABETES, ANXIETY/DEPRESSION OR EXPERIENCING SOCIAL ISOLATION). THE AIM OF THIS QUALITATIVE STUDY WAS TO EXPLORE SERVICE USERS' EXPERIENCES OF YOGA4HEALTH AND THE ACCEPTABILITY OF THE PROGRAMME. METHODS: QUALITATIVE DATA WERE COLLECTED FROM THREE SOURCES: 1. OPEN-ENDED QUESTIONS ON QUESTIONNAIRES COMPLETED BY SERVICES USERS AT THREE DIFFERENT TIME-POINTS (BASELINE, POST INTERVENTION AND 3 MONTHS); 2. INTERVIEWS AND FOCUS GROUPS WITH A SUBSET OF PARTICIPANTS (N = 22); 3. INTERVIEWS WITH YOGA TEACHERS DELIVERING YOGA4HEALTH (N = 7). EACH DATA SOURCE WAS ANALYSED THEMATICALLY, THEN FINDINGS WERE COMBINED. RESULTS: OF PARTICIPANTS COMPLETING BASELINE QUESTIONNAIRES (N = 240), 82.5% WERE FEMALE, 50% WHITE, WITH A MEAN AGE OF 53 (RANGE 23-82) YEARS. BASELINE QUESTIONNAIRES REVEALED KEY MOTIVATIONS TO ATTEND YOGA4HEALTH WERE TO IMPROVE PSYCHOLOGICAL AND PHYSICAL HEALTH, AND BELIEVING YOGA4HEALTH WOULD BE ACCESSIBLE FOR PEOPLE WITH THEIR HEALTH CONDITION. POST-INTERVENTION, PARTICIPANTS REPORTED A RANGE OF BENEFITS ACROSS PSYCHOLOGICAL, PHYSICAL AND SOCIAL DOMAINS FROM YOGA4HEALTH. INCREASED CONFIDENCE IN SELF-MANAGEMENT OF HEALTH WAS ALSO REPORTED, AND A NUMBER OF PARTICIPANTS DESCRIBED MAKING POSITIVE LIFESTYLE CHANGES AFTER ATTENDING THE PROGRAMME. UNANTICIPATED BENEFITS OF YOGA EMERGED FOR PARTICIPANTS, SUCH AS ENJOYMENT AND SOCIAL CONNECTEDNESS, WHICH FACILITATED ONGOING ATTENDANCE AND PRACTICE. ALSO KEY TO FACILITATING PRACTICE (DURING AND AFTER THE INTERVENTION) WERE SUITABILITY OF THE CLASSES FOR THOSE WITH HEALTH CONDITIONS, PRACTISING WITH A GROUP AND QUALITIES OF THE YOGA TEACHER. HOME PRACTICE WAS SUPPORTED BY COURSE MATERIALS (MANUAL, VIDEOS), AS WELL AS THE TEACHING OF TECHNIQUES FOR EVERYDAY APPLICATION THAT OFFERED IMMEDIATE BENEFITS, SUCH AS BREATHING PRACTICES. FOLLOW-UP QUESTIONNAIRES REVEALED A KEY CHALLENGE WAS CONTINUATION OF PRACTICE ONCE THE INTERVENTION HAD FINISHED, WITH THE STRUCTURE OF A CLASS IMPORTANT IN SUPPORTING PRACTICE. CONCLUSIONS: YOGA4HEALTH WAS A HIGHLY ACCEPTABLE INTERVENTION TO SERVICES USERS, WHICH BROUGHT A RANGE OF BIOPSYCHOSOCIAL IMPROVEMENTS, SUGGESTING YOGA IS AN APPROPRIATE INTERVENTION TO OFFER ON SOCIAL PRESCRIPTION. 2022 11 2579 28 YOGA FOR HEALTH-RELATED QUALITY OF LIFE IN ADULT CANCER: A RANDOMIZED CONTROLLED FEASIBILITY STUDY. AN INCREASE IN PATIENT-LED UPTAKE OF COMPLEMENTARY THERAPIES IN ADULT CANCER HAS LED TO A NEED FOR MORE RIGOROUS STUDY OF SUCH INTERVENTIONS AND THEIR OUTCOMES. THIS STUDY THEREFORE AIMED TO EVALUATE THE FEASIBILITY AND ACCEPTABILITY OF A YOGA INTERVENTION IN MEN AND WOMEN RECEIVING CONVENTIONAL TREATMENT FOR A CANCER DIAGNOSIS. PROSPECTIVE, MIXED METHODS FEASIBILITY TRIAL ALLOCATED PARTICIPANTS TO RECEIVE ONE OF THREE YOGA INTERVENTIONS OVER A FOUR-WEEK STUDY PERIOD. DATA COLLECTION WAS COMPLETED THROUGH ONLINE SURVEY OF QOL-CA/CS AND CUSTOMIZED SURVEYS. FIFTEEN PARTICIPANTS WERE INCLUDED (11 FEMALE) UNDERGOING TREATMENT FOR BREAST, PROSTATE, COLORECTAL, BRAIN, AND BLOOD AND LUNG CANCER. TWO PARTICIPANTS DROPPED OUT AND COMPLETE QUALITATIVE AND QUANTITATIVE DATA SETS WERE COLLECTED FROM 12 PARTICIPANTS AND FOUR YOGA INSTRUCTORS. OTHER OUTCOME MEASURES INCLUDED IMPLEMENTATION COSTS PATIENT-REPORTED PREFERENCES FOR YOGA INTERVENTION AND CHANGES IN QOL-CA/CS. THREE TYPES OF YOGA INTERVENTION WERE SAFELY ADMINISTERED IN ADULT CANCER. MIXED METHODS, COST-EFFICIENCY, QOL-CA/CS, AND EVIDENCE-BASED DESIGN OF YOGA INTERVENTION HAVE BEEN USED TO ESTABLISH FEASIBILITY AND PATIENT-PREFERENCES FOR YOGA DELIVERY IN ADULT CANER. RESULTS SUGGEST THAT, WITH SOME METHODOLOGICAL IMPROVEMENTS, A LARGE-SCALE RANDOMIZED CONTROLLED TRIAL IS WARRANTED TO TEST THE EFFICACY OF YOGA FOR MALE AND FEMALE CANCER PATIENTS. THIS TRIAL IS REGISTERED WITH CLINICALTRIALS.GOV NCT02309112. 2015 12 1248 40 FEASIBILITY OF YOGA TO IMPROVE SYMPTOMS IN INDIVIDUALS WITH SEVERE, CHRONIC TRAUMATIC BRAIN INJURY: A MIXED-METHODS CASE SERIES. CONTEXT: PEOPLE WITH SEVERE TRAUMATIC BRAIN INJURY (TBI) EXPERIENCE LIFELONG SEQUELAE THAT AFFECT PHYSICAL, COGNITIVE, AND MENTAL HEALTH. IN OTHER POPULATIONS, YOGA HAS SHOWN POTENTIAL TO ALLEVIATE INSOMNIA, PAIN, AND DEPRESSION AND TO IMPROVE COGNITION. OBJECTIVE: THE STUDY INTENDED TO INVESTIGATE THE FEASIBILITY OF A SIX-WEEK, GROUP-YOGA INTERVENTION FOR ADULTS WITH SEVERE CHRONIC TBI, FOCUSING ON SLEEP, PAIN, MOOD, AND EXECUTIVE FUNCTION. DESIGN: THE RESEARCH TEAM PERFORMED A FEASIBILITY STUDY USING A MIXED-METHODS, CASE-SERIES DESIGN. SETTING: THE STUDY RECRUITED PARTICIPANTS BY DISTRIBUTING FLYERS TO LOCAL COMMUNITIES AND TBI SUPPORT GROUPS. PARTICIPANTS: PARTICIPANTS WERE TWO PEOPLE WITH SEVERE, CHRONIC, TBI. INTERVENTION: THE INTERVENTION WAS A SIX-WEEK COURSE OF GROUP YOGA, WITH 70-MINUTE CLASSES TWICE A WEEK. OUTCOME MEASURES: THE STUDY ASSESSED OUTCOMES AT BASELINE AND POSTINTERVENTION USING VALIDATED MEASURES TO ASSESS EXECUTIVE FUNCTION, MOOD, SLEEP, AND PAIN: THE BEHAVIOR RATING INVENTORY OF EXECUTIVE FUNCTION-ADULT VERSION (BRIEF-A), BECK DEPRESSION INVENTORY (BDI), PITTSBURGH SLEEP QUALITY INDEX (PSQI), AND NEUROPATHIC PAIN SCALE (NPS). A SEMISTRUCTURED INTERVIEW WAS CONDUCTED DURING THE WEEK POSTINTERVENTION TO OBTAIN QUALITATIVE DATA. RESULTS: THE STUDY HAD A 100% RETENTION RATE, A 91.67% ATTENDANCE RATE, AND HIGH SATISFACTION. ONE PARTICIPANT DEMONSTRATED IMPROVEMENT IN ALL OUTCOMES, WHILE THE OTHER SHOWED MIXED RESULTS. DEPRESSION SHOWED THE MOST CONSISTENT IMPROVEMENT, 47.2% ON AVERAGE. FOR INSOMNIA, ONE PARTICIPANT SHOWED IMPROVED SLEEP AT 14.29%. THE QUALITATIVE DATA DEMONSTRATED POSITIVE CHANGES IN COGNITION, MOOD, SLEEP, AND PAIN. CONCLUSIONS: A SIX-WEEK GROUP YOGA INTERVENTION IS FEASIBLE AND APPEARS TO BE BENEFICIAL IN ALLEVIATING SYMPTOMS, ESPECIALLY DEPRESSION AND INSOMNIA, IN PEOPLE WITH SEVERE CHRONIC TBI. A LONGER INTERVENTION PERIOD WAS SUGGESTED BY THE PARTICIPANTS. 2022 13 1448 35 INDIVIDUALLY TAILORED YOGA FOR CHRONIC NECK OR BACK PAIN IN A LOW-INCOME POPULATION: A PILOT STUDY. BACKGROUND: LOW-INCOME PEOPLE ARE DISPROPORTIONATELY AFFECTED BY CHRONIC BACK AND NECK PAIN. YOGA MAY BE AN EFFECTIVE THERAPY. AIMS: THIS FEASIBILITY PILOT STUDY EVALUATED AN INDIVIDUALIZED YOGA PLAN FOR THE TREATMENT OF CHRONIC SPINAL PAIN. METHODS: RESULTS: INDIVIDUALS SHOWED A MEAN CHANGE OF -2.4 FROM PRE/POST 10-CM PAIN SCALE RECORDINGS (P = 0.028, 95% CONFIDENCE INTERVAL [CI]: -0.390--4.477) AND A MEAN INCREASE OF 0.26 ON THE EQ-5D-3L (P = 0.029, 95% CI: 0.04-0.47). THE INTERVENTION WAS WELL-RECEIVED. CONCLUSIONS: AN INDIVIDUALLY TAILORED YOGA PROGRAM WAS ACCEPTABLE TO THESE PARTICIPANTS. PAIN AND QUALITY OF LIFE SCORES APPEARED TO IMPROVE. 2020 14 2207 33 THE FEASIBILITY AND BENEFITS OF A 12-WEEK YOGA INTERVENTION FOR PEDIATRIC CANCER OUT-PATIENTS. BACKGROUND: INCREASING RATES OF SURVIVAL PRESENT A NEW SET OF PSYCHOSOCIAL AND PHYSICAL CHALLENGES FOR CHILDREN UNDERGOING TREATMENT FOR CANCER. PHYSICAL ACTIVITY (PA) HAS BEEN SHOWN TO BE A SAFE AND EFFECTIVE STRATEGY TO MITIGATE THE SIGNIFICANT BURDEN OF CANCER AND ITS TREATMENTS, WITH YOGA INCREASINGLY GAINING RECOGNITION AS A GENTLE ALTERNATIVE. THE PURPOSE OF THIS STUDY WAS TO DETERMINE THE FEASIBILITY AND BENEFITS OF A 12-WEEK COMMUNITY-BASED YOGA INTERVENTION ON HEALTH-RELATED QUALITY OF LIFE (HRQL), SELECT PHYSICAL FITNESS OUTCOMES AND PA LEVELS (PAL). PROCEDURE: EIGHT PEDIATRIC CANCER OUT-PATIENTS (4 MALE; 4 FEMALE; MAGE = 11.88, SD = 4.26) PARTICIPATED IN THE 12-WEEK INTERVENTION CONSISTING OF SUPERVISED YOGA SESSIONS 2 TIMES/WEEK. PARTICIPANTS (PATIENTS AND PARENT PROXIES) COMPLETED MEASURES ASSESSING HRQL, PHYSICAL FITNESS AND PAL AT BASELINE AND POST-INTERVENTION. RESULTS: RATES OF RECRUITMENT, RETENTION, ATTENDANCE AND ADVERSE EVENTS INDICATED THE PROGRAM WAS FEASIBLE. WILCOXON SIGNED RANK TESTS INDICATED SIGNIFICANT IMPROVEMENTS FOR PATIENT (P = 0.02) AND PARENT REPORTED HRQL (P = 0.03), FUNCTIONAL MOBILITY (P = 0.01), HAMSTRING FLEXIBILITY (LEFT, P = 0.01 AND RIGHT P = 0.02), AND TOTAL PAL (P = 0.02) PRE TO POST INTERVENTION. CONCLUSION: THIS 12-WEEK COMMUNITY-BASED YOGA INTERVENTION WAS FEASIBLE AND PROVIDES PRELIMINARY EVIDENCE FOR THE BENEFITS OF YOGA ON HRQL, PHYSICAL FITNESS AND PAL IN PEDIATRIC CANCER OUT-PATIENTS. IN A POPULATION WHERE SEDENTARY BEHAVIOR AND THE ASSOCIATED CO-MORBIDITIES ARE A GROWING CONCERN, THESE RESULTS PROMOTE THE CONTINUED EXPLORATION OF YOGA PROGRAMMING. 2014 15 2653 43 YOGA IMPROVES OCCUPATIONAL PERFORMANCE, DEPRESSION, AND DAILY ACTIVITIES FOR PEOPLE WITH CHRONIC PAIN. BACKGROUND: CHRONIC PAIN IS A COMPLEX ACCUMULATION OF PHYSICAL, PSYCHOLOGICAL, AND SOCIAL CONDITIONS, THUS INTERVENTIONS THAT ADDRESS PAIN AND PROMOTE OCCUPATIONAL PERFORMANCE ARE NEEDED. A HOLISTIC INTERVENTION, WITH MIND AND BODY COMPONENTS, IS LIKELY NECESSARY TO BEST TREAT THE COMPLEXITIES OF CHRONIC PAIN. THUS, WE DEVELOPED AND TESTED A YOGA INTERVENTION FOR PEOPLE WITH CHRONIC PAIN. OBJECTIVES: IN A RANDOMIZED CONTROL TRIAL (RCT), PARTICIPANTS WITH CHRONIC PAIN WERE RANDOMIZED TO A YOGA INTERVENTION OR USUAL CARE GROUP. BETWEEN AND WITHIN GROUP DIFFERENCES FOR PRE-AND POST-OUTCOME MEASURE SCORES WERE ASSESSED FOR: OCCUPATIONAL PERFORMANCE, COMPLETION OF ACTIVITIES, AND DEPRESSION. METHODS: PILOT RCT WITH PARTICIPANT ALLOCATION TO 8 WEEKS OF YOGA OR USUAL CARE. BOTH GROUPS RECEIVED ONGOING MONTHLY SELF-MANAGEMENT PROGRAMMING. DATA WERE COLLECTED BEFORE AND AFTER THE 8-WEEK INTERVENTION. PARTICIPANTS WERE RANDOMIZED TO YOGA OR USUAL CARE AFTER BASELINE ASSESSMENTS. DEMOGRAPHICS WERE COLLECTED AND MEASURES INCLUDED: CANADIAN OCCUPATIONAL PERFORMANCE MEASURE (COPM) TO ASSESS OCCUPATIONAL PERFORMANCE; THE 15-ITEM FRENCHAY ACTIVITIES INDEX (FAI)(ACTIVITIES); AND THE 9-ITEM PATIENT HEALTH QUESTIONNAIRE (PHQ-9) FOR DEPRESSION. INDEPENDENT T-TESTS WERE USED TO ASSESS DIFFERENCES BETWEEN GROUPS. PAIRED T-TESTS WERE USED TO ASSESS DIFFERENCES BETWEEN PRE- AND POST 8-WEEK INTERVENTION FOR BOTH THE YOGA AND THE USUAL CARE GROUPS. PERCENT CHANGE SCORES AND EFFECT SIZES WERE CALCULATED. RESULTS: 83 PEOPLE WERE RECRUITED FOR THE STUDY AND COMPLETED BASELINE ASSESSMENTS; 44 INDIVIDUALS WERE RANDOMIZED TO YOGA AND 39 TO THE CONTROL GROUP. THE AVERAGE AGE OF ALL PARTICIPANTS WAS 51.4+/-10.5 YEARS, 68% WERE FEMALE; AND 60% HAD AT LEAST SOME COLLEGE EDUCATION. THERE WERE NO SIGNIFICANT DIFFERENCES IN DEMOGRAPHICS OR OUTCOME MEASURES BETWEEN GROUPS AT BASELINE OR 8 WEEKS; HOWEVER, THE STUDY WAS NOT POWERED TO SEE SUCH DIFFERENCES. INDIVIDUALS RANDOMIZED TO THE CONTROL GROUP DID NOT SIGNIFICANTLY IMPROVE IN ANY OUTCOME MEASURE OVER THE 8 WEEKS. THERE WERE SIGNIFICANT IMPROVEMENTS IN COPM PERFORMANCE AND COPM SATISFACTION SCORES FOR INDIVIDUALS RANDOMIZED TO THE YOGA GROUP; BOTH SCORES SIGNIFICANTLY IMPROVED. COPM PERFORMANCE IMPROVED BY 27% WITH A MODERATE TO LARGE EFFECT SIZE (3.66+/-1.85 VS 4.66+/-1.93, P < 0.001, D = 0.76). COPM SATISFACTION SIGNIFICANTLY IMPROVED BY 78% (2.14+/-2.31 VS. 3.80+/-2.50, P < 0.001) AND HAD A LARGE EFFECTS SIZE (D = 1.02). FAI SCORES IMPROVED, INDICATING INCREASED ACTIVITY OR ENGAGEMENT IN DAILY OCCUPATION DURING THE 8-WEEK INTERVENTION. SCORES INCREASED BY 5% (38.13+/-8.48 VS. 39.90+/-8.57, P = 0.024) WITH A SMALL EFFECT SIZE (D = 0.37). DEPRESSION SIGNIFICANTLY DECREASED FROM 13.21+/-5.60 TO 11.41+/-5.82, P = 0.041, WITH A SMALL EFFECT SIZE. CONCLUSION: DATA FROM THIS PILOT RCT INDICATE YOGA MAY BE AN EFFECTIVE THERAPEUTIC INTERVENTION WITH PEOPLE IN CHRONIC PAIN TO IMPROVE OCCUPATIONAL PERFORMANCE, INCREASE ENGAGEMENT IN ACTIVITIES, AND DECREASE DEPRESSION. OCCUPATIONAL THERAPY PRACTITIONERS MAY CONSIDER ADDING YOGA AS A TREATMENT INTERVENTION TO ADDRESS THE NEEDS OF PEOPLE WITH PAIN. 2019 16 2810 33 YOGA TO ENHANCE SELF EFFICACY: AN INTERVENTION FOR AT-RISK YOUTH. OBJECTIVE: YOGA HAS DEMONSTRATED EFFECTIVENESS IN IMPROVING SELF-MANAGEMENT IN A VARIETY OF DISEASE STATES HOWEVER LITTLE IS KNOWN ABOUT THE IMPACT OF YOGA AS A HEALTH PROMOTION INTERVENTION FOR ADOLESCENT FEMALES IN AN URBAN SCHOOL BASED ENVIRONMENT. THIS PILOT STUDY WAS CONDUCTED TO DETERMINE IF YOGA COULD IMPROVE THE SELF-EFFICACY AND BODY CORE TONE IN AT-RISK ADOLESCENT FEMALE PARTICIPANTS. METHOD: A QUASI-EXPERIMENTAL DESIGN WAS EMPLOYED, WITH DATA COLLECTION AT BASELINE, END OF PROGRAM, AND 1MONTH POST-PROGRAM. FIFTEEN PARTICIPANTS AGES 11-14 WERE RECRUITED. YOGA WAS PRACTICED TWICE WEEKLY FOR EIGHT WEEKS. SELF-EFFICACY WAS MEASURED USING A STANDARDIZED TOOL, THE SELF-EFFICACY QUESTIONNAIRE FOR CHILDREN (SEQ-C). IMPROVEMENTS IN FLEXIBILITY AND CORE BODY TONE WERE ALSO EXAMINED. THE RESEARCHERS COLLECTED DATA ON ADVERSE CHILDHOOD EVENTS USING THE ADVERSE CHILDHOOD EVENT (ACES) SCALE. RESULTS: FIFTEEN PARTICIPANTS WERE SUCCESSFULLY RECRUITED AND 14 (87%) WERE RETAINED THROUGH THE DURATION OF THE PROJECT. BASED ON THE SMALL SAMPLE SIZE, NON-PARAMETRIC TESTS WERE USED (FREIDMAN'S TEST). ALTHOUGH THERE WERE NO SIGNIFICANT IMPROVEMENTS IN TOTAL SEQ-C, THERE WERE SIGNIFICANT IMPROVEMENTS IN SEQ-C SOCIAL SUBSCALE (P=0.028). SIGNIFICANT IMPROVEMENTS WERE ALSO IDENTIFIED IN WAIST CIRCUMFERENCE (P=0.001) AND IN FLEXIBILITY (P=0.034). CONCLUSIONS: PARTICIPANT ATTENDANCE/DOSE DID NOT CORRELATE TO ANY OF THE OUTCOMES, HOWEVER WITH THE PHYSICAL AND EMOTIONAL IMPROVEMENTS NOTED, IT IS ASSUMED THAT ANY LEVEL OF ATTENDANCE WAS BENEFICIAL. IMPROVEMENTS IN THE SOCIAL SUBSCALE OF THE SEQ-C COULD BE THE RESULT OF BELONGING TO A GROUP AND STRENGTHENING HEALTHY RELATIONSHIPS. 2018 17 97 33 A NONRANDOMIZED COMPARISON STUDY OF SELF-HYPNOSIS, YOGA, AND COGNITIVE-BEHAVIORAL THERAPY TO REDUCE EMOTIONAL DISTRESS IN BREAST CANCER PATIENTS. THE AUTHORS ASKED BREAST CANCER (BC) PATIENTS TO PARTICIPATE IN 1 OF 3 MIND-BODY INTERVENTIONS (COGNITIVE-BEHAVIORAL THERAPY (CBT), YOGA, OR SELF-HYPNOSIS) TO EXPLORE THEIR FEASIBILITY, EASE OF COMPLIANCE, AND IMPACT ON THE PARTICIPANTS' DISTRESS, QUALITY OF LIFE (QOL), SLEEP, AND MENTAL ADJUSTMENT. NINETY-NINE PATIENTS COMPLETED AN INTERVENTION (CBT: N = 10; YOGA: N = 21; AND SELF-HYPNOSIS: N = 68). RESULTS SHOWED HIGH FEASIBILITY AND HIGH COMPLIANCE. AFTER THE INTERVENTIONS, THERE WAS NO SIGNIFICANT EFFECT IN THE CBT GROUP BUT SIGNIFICANT POSITIVE EFFECTS ON DISTRESS IN THE YOGA AND SELF-HYPNOSIS GROUPS, AND, ALSO, ON QOL, SLEEP, AND MENTAL ADJUSTMENT IN THE SELF-HYPNOSIS GROUP. IN CONCLUSION, MIND-BODY INTERVENTIONS CAN DECREASE DISTRESS IN BC PATIENTS, BUT RCTS ARE NEEDED TO CONFIRM THESE FINDINGS. 2017 18 2146 45 THE EFFECTS OF MINDFULNESS MEDITATION AND GENTLE YOGA ON SPIRITUAL WELL-BEING IN CANCER SURVIVORS: A PILOT STUDY. BACKGROUND: CANCER SURVIVORS FACE COUNTLESS PHYSIOLOGICAL AND PSYCHOLOGICAL CHALLENGES THAT AFFECT THEIR ABILITIES AND NEGATIVELY IMPACT THEIR QUALITY OF LIFE AND GENERAL WELL-BEING. A BIOPSYCHOSOCIAL-SPIRITUAL APPROACH TO HEALTH MANAGEMENT MAY BE BENEFICIAL. PRIMARY STUDY OBJECTIVE: TO ASSESS THE EFFECT OF GENTLE YOGA AND MINDFULNESS MEDITATION ON SPIRITUAL WELL-BEING IN CANCER SURVIVORS. METHODS/DESIGN: THIS IS A MIXED METHODS, QUASI-EXPERIMENTAL PILOT STUDY PROVIDING 10 WEEKS OF GENTLE YOGA AND MINDFULNESS MEDITATION TWICE PER WEEK TO CANCER SURVIVORS. SETTING: THE INTERVENTION WAS PROVIDED AT A SOUTH FLORIDA UNIVERSITY IN THE SUMMER MONTHS. PARTICIPANTS: TEN CANCER SURVIVORS SELF-SELECTED TO PARTICIPATE IN THE 10-WEEK STUDY; 2 PARTICIPANTS DID NOT COMPLETE THE POST-TEST DATA COLLECTION. INTERVENTION: EACH CLASS OPENED AND CLOSED WITH 5 TO 6 MINUTES OF NONMOVING MINDFULNESS MEDITATION. THE MINDFULNESS MEDITATION TECHNIQUES INCLUDED BODY SCAN, BREATH AWARENESS, VISUALIZATION, AFFIRMATION, AND COMPASSION MEDITATIONS. THE GENTLE YOGA PRACTICE WAS A SERIES OF BEGINNER YOGA POSTURES AND STRETCHES. THE MINDFULNESS MEDITATION TECHNIQUES OF BREATH AND BODY AWARENESS DURING YOGA CREATED WHAT IS REFERRED TO AS A "MOVING MEDITATION" WITH YOGA POSTURES ENCOMPASSING THE MOVEMENT PORTION. PRIMARY OUTCOME MEASURES: THE FUNCTIONAL ASSESSMENT OF CHRONIC ILLNESS THERAPY - SPIRITUAL WELL-BEING 12 ITEM SCALE (FACIT-SP-12) AND 2 OPEN-ENDED QUESTIONS. RESULTS: THE FACIT-SP-12 PRE- AND POST-TEST DATA WERE ANALYZED USING A PAIRED SAMPLES T TEST. THERE WAS A SIGNIFICANT IMPROVEMENT IN OVERALL SPIRITUAL WELL-BEING FROM PRETEST (MU = 34.25, SD = 7.28) TO POST-TEST (MU = 39.50, SD = 7.91); T (7) = -4.02, P = 0.003. QUALITATIVE DATA: THE PARTICIPANTS REPORTED IMPROVEMENTS IN VARIOUS ASPECTS OF SPIRITUALITY, FITNESS, EMOTIONAL WELL-BEING, STRESS MANAGEMENT, SLEEP, AND A SENSE OF SOCIAL CONNECTEDNESS. CONCLUSION: THE BIOPSYCHOSOCIAL-SPIRITUAL APPROACH TO HEALTH CARE MAY PLAY A VITAL ROLE IN ADDRESSING THE WELL-BEING OF THE WHOLE PERSON. GENTLE YOGA AND MINDFULNESS MEDITATION CAN RESULT IN IMPROVEMENT IN MEASURES OF SPIRITUAL WELL-BEING AMONG CANCER SURVIVORS AND MAY BE FURTHER UTILIZED AS AN ACCESSIBLE INTERVENTION FOR THOSE WHO ARE SUFFERING THROUGHOUT ALL SEGMENTS OF SOCIETY. 2021 19 1998 42 STRENGTH AND AWARENESS IN ACTION: FEASIBILITY OF A YOGA-BASED INTERVENTION FOR POST-ACUTE MILD TBI HEADACHES AMONG VETERANS. BACKGROUND: MILD TRAUMATIC BRAIN INJURY (MTBI) IS A SIGNATURE INJURY SUSTAINED BY VETERANS DURING RECENT CONFLICTS. FOR SOME, MTBI/CONCUSSION IS ASSOCIATED WITH DISABLING SYMPTOMS, INCLUDING POST-CONCUSSIVE HEADACHES (PCH). HOWEVER, THERE ARE LIMITED EVIDENCE-BASED TREATMENTS FOR PERSISTENT PCH. OBJECTIVE: INVESTIGATORS ASSESSED THE FEASIBILITY OF DESIGN ELEMENTS OF A YOGA-BASED INTERVENTIONAL TRIAL FOR PCH AMONG VETERANS, AS WELL AS THE ACCEPTABILITY OF THE INTERVENTION. METHODS: THIS RANDOMIZED CONTROLLED ACCEPTABILITY AND FEASIBILITY TRIAL WAS IMPLEMENTED USING A WAITLIST-CONTROL DESIGN. DESIGN ELEMENTS OF INTEREST INCLUDED: AN EXERCISE RUN-IN CLASS; RECRUITMENT AND RETENTION STRATEGIES; AND, ECOLOGICAL MOMENTARY ASSESSMENT (EMA) MODALITIES TO TRACK HEADACHES AND YOGA PRACTICE. VETERAN SATISFACTION REGARDING THE INTERVENTION WAS ALSO EVALUATED. A DESCRIPTIVE ANALYSIS WAS CONDUCTED ON CANDIDATE OUTCOMES INCLUDING PCH, POST-CONCUSSIVE SYMPTOMS, PAIN, AND DAILY FUNCTIONING. RESULTS: TWENTY-SEVEN PARTICIPANTS (OUT OF 70 CONSENTED AND ELIGIBLE AFTER STUDY VISIT 1) COMPLETED EACH EVALUATION TIMEPOINT AND REGULARLY ATTENDED YOGA SESSIONS, WITH 89% OF THESE VETERANS REPORTING MODERATE TO HIGH LEVELS OF SATISFACTION WITH THE INTERVENTION AT STUDY COMPLETION. QUALITATIVELY, PARTICIPANTS ENDORSED IMPROVEMENTS IN HEADACHES, CHRONIC PAIN, AND MOOD. FEASIBILITY RESULTS WERE MIXED. INITIAL FEASIBILITY CRITERION REGARDING YOGA ATTENDANCE WAS NOT MET; HOWEVER, MODIFICATIONS, SUCH AS EXPANSION TO AN ADDITIONAL CLINIC SITE AND REDUCTION OF IN-PERSON YOGA SESSIONS WITH INCREASED ENCOURAGEMENT TO USE STUDY-CREATED ONLINE YOGA VIDEOS IMPROVED FEASIBILITY OF THE STUDY DESIGN. PARTICIPANTS MOST FREQUENTLY USED MOBILE AND WEB-BASED EMA MODALITIES TO TRACK YOGA PRACTICE. CONCLUSIONS: ALTHOUGH CHALLENGES WITH FEASIBILITY OF THE STUDY DESIGN ELEMENTS WERE NOTED, RESULTS SUGGESTED ACCEPTABILITY OF THE YOGA-BASED INTERVENTION FOR VETERANS WITH PERSISTENT PCH. ADDITIONAL EXPLORATION REGARDING THE FREQUENCY AND MODALITY OF YOGA DELIVERY (E.G., IN-PERSON, TELEHEALTH) IS WARRANTED. IMPACT: VETERANS FOUND THE YOGA-BASED INTERVENTION ACCEPTABLE, HOWEVER EXPLORATION OF NOVEL MODALITIES OF INTERVENTION DELIVERY WILL LIKELY BE NECESSARY TO ENHANCE THE FEASIBILITY OF INTERVENTION IMPLEMENTATION DURING FUTURE TRIALS. 2021 20 123 38 A PILOT STUDY OF YOGA FOR BREAST CANCER SURVIVORS: PHYSICAL AND PSYCHOLOGICAL BENEFITS. BACKGROUND: PHYSICAL ACTIVITY PROVIDES A NUMBER OF PHYSICAL AND PSYCHOLOGICAL BENEFITS TO CANCER SURVIVORS, INCLUDING LESSENING THE IMPACT OF DETRIMENTAL CANCER-RELATED SYMPTOMS AND TREATMENT SIDE-EFFECTS (E.G. FATIGUE, NAUSEA), AND IMPROVING OVERALL WELL-BEING AND QUALITY OF LIFE. THE PURPOSE OF THE PRESENT PILOT STUDY WAS TO EXAMINE THE PHYSICAL AND PSYCHOLOGICAL BENEFITS AFFORDED BY A 7-WEEK YOGA PROGRAM FOR CANCER SURVIVORS. METHOD: ELIGIBLE PARTICIPANTS (PER-SCREENED WITH PAR-Q/PAR-MED-X) WERE RANDOMLY ASSIGNED TO EITHER THE INTERVENTION (N=20) OR CONTROL GROUP (N=18). ALL PARTICIPANTS COMPLETED PRE- AND POST-TESTING ASSESSMENTS IMMEDIATELY BEFORE AND AFTER THE YOGA PROGRAM, RESPECTIVELY. RESULTS: THE YOGA PROGRAM PARTICIPANTS (M AGE=51.18 (10.33); 92% FEMALE) INCLUDED PRIMARILY BREAST CANCER SURVIVORS, ON AVERAGE 55.95 (54.39) MONTHS POST-DIAGNOSIS. SIGNIFICANT DIFFERENCES BETWEEN THE INTERVENTION AND THE CONTROL GROUP AT POST-INTERVENTION WERE SEEN ONLY IN PSYCHOSOCIAL (I.E. GLOBAL QUALITY OF LIFE, EMOTIONAL FUNCTION, AND DIARRHEA) VARIABLES (ALL P'S <0.05). THERE WERE ALSO TRENDS FOR GROUP DIFFERENCES, IN THE HYPOTHESIZED DIRECTIONS, FOR THE PSYCHOSOCIAL VARIABLES OF EMOTIONAL IRRITABILITY, GASTROINTESTINAL SYMPTOMS, COGNITIVE DISORGANIZATION, MOOD DISTURBANCE, TENSION, DEPRESSION, AND CONFUSION (ALL P'S <0.10). FINALLY, THERE WERE ALSO SIGNIFICANT IMPROVEMENTS IN BOTH THE PROGRAM PARTICIPANTS AND THE CONTROLS FROM PRE- TO POST-INTERVENTION ON A NUMBER OF PHYSICAL FITNESS VARIABLES. CONCLUSIONS: THESE INITIAL FINDINGS SUGGEST THAT YOGA HAS SIGNIFICANT POTENTIAL AND SHOULD BE FURTHER EXPLORED AS A BENEFICIAL PHYSICAL ACTIVITY OPTION FOR CANCER SURVIVORS. FUTURE RESEARCH MIGHT ATTEMPT TO INCLUDE A BROADER RANGE OF PARTICIPANTS (E.G. OTHER TYPES OF CANCER DIAGNOSES, MALE SUBJECTS), A LARGER SAMPLE SIZE, AND A LONGER PROGRAM DURATION IN AN RCT. 2006