1 446 141 CHALLENGES OF IMPLEMENTING MULTICENTER STUDIES OF YOGA FOR PEDIATRIC CANCER AND HEMATOPOIETIC STEM CELL TRANSPLANTATION RECIPIENTS. THE PRIMARY OBJECTIVE OF THIS WORK WAS TO DETERMINE THE FEASIBILITY OF A RANDOMIZED TRIAL OF INDIVIDUALIZED YOGA FOR CHILDREN RECEIVING INTENSIVE CHEMOTHERAPY AND FOR HEMATOPOIETIC STEM CELL TRANSPLANTATION (HSCT) RECIPIENTS OUTSIDE OF THE PRINCIPAL COORDINATING INSTITUTION. WE EVALUATED THE FEASIBILITY OF A RANDOMIZED TRIAL OF INDIVIDUALIZED YOGA VERSUS AN IPAD CONTROL PROGRAM AT A SITE WHERE EXTERNAL YOGA INSTRUCTORS WERE HIRED AND COMPENSATED PER SESSION. SUBJECTS WERE CHILDREN RECEIVING INTENSIVE CHEMOTHERAPY FOR HEMATOLOGICAL MALIGNANCIES AND AUTOLOGOUS OR ALLOGENEIC HSCT RECIPIENTS EXPECTED TO BE HOSPITALIZED FOR 3 WEEKS. YOGA OR IPAD CONTROL CONTACT OCCURRED DAILY FOR 21 DAYS (EXCLUDING WEEKENDS AND HOLIDAYS); FATIGUE AND QUALITY-OF-LIFE OUTCOMES WERE MEASURED AT BASELINE, DAY 10, AND DAY 21. TEN ELIGIBLE SUBJECTS WERE IDENTIFIED; SIX SUBJECTS CONSENTED AND WERE ENROLLED. THREE WERE RANDOMIZED TO THE INDIVIDUALIZED YOGA INTERVENTION AND THREE TO THE IPAD CONTROL PROGRAM. THE MEDIAN AGE OF PARTICIPANTS WAS 12 (RANGE 8-15) YEARS, AND 2 (33%) WERE BOYS. CHALLENGES PRIMARILY RELATED TO THE HIRING OF YOGA INSTRUCTORS WHO WERE NOT TRAINED IN RESEARCH METHODS. WE FOUND ISSUES WITH: (1) LOGISTICS OF HIRING, TRAINING, AND RETAINING INSTRUCTORS; (2) COMMUNICATION BETWEEN TEAMS; (3) FIDELITY TO THE PROTOCOL AND OUTCOME ASSESSMENTS; AND (4) ENSURING SAFETY. WE FOUND THAT A RANDOMIZED TRIAL OF INDIVIDUALIZED YOGA PRESENTED NEW CHALLENGES WHEN RELYING ON EXTERNALLY CONTRACTED YOGA INSTRUCTORS. FUTURE MULTICENTER STUDIES OF YOGA SHOULD SEEK TO BETTER INTEGRATE PRACTITIONERS WITHIN THE RESEARCH TEAM TO IMPROVE PROCESSES, COMMUNICATION, FIDELITY TO THE PROTOCOL, AND SAFETY. 2021 2 615 41 DEVELOPMENT OF AN INDIVIDUALIZED YOGA INTERVENTION TO ADDRESS FATIGUE IN HOSPITALIZED CHILDREN UNDERGOING INTENSIVE CHEMOTHERAPY. PURPOSE FATIGUE IS AN IMPORTANT PROBLEM IN CHILDREN RECEIVING INTENSIVE CHEMOTHERAPY AND HEMATOPOIETIC STEM CELL TRANSPLANTATION (HSCT). EXERCISE MAY BE AN EFFECTIVE INTERVENTION FOR FATIGUE. INDIVIDUALIZED YOGA REPRESENTS AN IDEAL INTERVENTION BECAUSE IT CAN BE TAILORED ACCORDING TO AN INDIVIDUAL CHILD'S NEEDS. LITTLE IS KNOWN ABOUT HOW TO STRUCTURE A STANDARDIZED YOGA PROGRAM FOR INTENSIVELYTREATED CHILDREN. THEREFORE, THIS STUDY DESCRIBES THE DEVELOPMENT OF A YOGA PROGRAM AND AN APPROACH TO MONITORING SESSIONS SUITABLE FOR HOSPITALIZED CHILDREN RECEIVING INTENSIVE CHEMOTHERAPY OR HSCT. METHODS THE YOGA PROGRAM WAS DESIGNED TO INCREASE MOBILITY IN HOSPITALIZED CHILDREN AND TO PROVIDE CHILDREN WITH RELAXATION TECHNIQUES THAT COULD BE USED INDEPENDENTLY IN A VARIETY OF ENVIRONMENTS. THE PROGRAM WAS FOUNDED ON 4 KEY TENETS: SAFETY, ADAPTABILITY, ENVIRONMENTAL FLEXIBILITY, AND APPEAL TO CHILDREN. WE ALSO DEVELOPED QUALITY AND CONSISTENCY ASSURANCE PROCEDURES. RESULTS A MENU FORMAT WITH A FIXED STRUCTURE WAS SELECTED FOR THE YOGA PROGRAM. EACH YOGA SESSION CONTAINED UP TO 6 SECTIONS: BREATHING EXERCISES, WARMUP EXERCISES, YOGA POSES, BALANCING POSES, COOL-DOWN POSES, AND FINAL RELAXATION. YOGA INSTRUCTORS SELECTED SPECIFIC YOGA POSES FOR EACH SESSION FROM A PREDETERMINED LIST ORGANIZED BY INTENSITY LEVEL (LOW, MODERATE, OR HIGH). MONITORING PROCEDURES WERE DEVELOPED USING VIDEOTAPING AND MULTIRATER ADJUDICATION. CONCLUSION WE CREATED A STANDARDIZED YOGA PROGRAM AND AN APPROACH TO MONITORING THAT ARE NOW READY FOR INCORPORATION IN CLINICAL TRIALS. FUTURE WORK SHOULD INCLUDE THE ADAPTATION OF THE PROGRAM TO DIFFERENT PEDIATRIC POPULATIONS AND CLINICAL SETTINGS. 2016 3 2579 29 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 4 1414 34 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 5 342 25 ASHTANGA YOGA FOR CHILDREN AND ADOLESCENTS FOR WEIGHT MANAGEMENT AND PSYCHOLOGICAL WELL BEING: AN UNCONTROLLED OPEN PILOT STUDY. OBJECTIVE: THE OBJECTIVE OF THIS PILOT STUDY WAS TO DETERMINE THE EFFECT OF YOGA ON WEIGHT IN YOUTH AT RISK FOR DEVELOPING TYPE 2 DIABETES. SECONDARILY, THE IMPACT OF PARTICIPATION IN YOGA ON SELF-CONCEPT AND PSYCHIATRIC SYMPTOMS WAS MEASURED. METHODS: A 12-WEEK PROSPECTIVE PILOT ASHTANGA YOGA PROGRAM ENROLLED TWENTY CHILDREN AND ADOLESCENTS. WEIGHT WAS MEASURED BEFORE AND AFTER THE PROGRAM. ALL PARTICIPANTS COMPLETED SELF-CONCEPT, ANXIETY, AND DEPRESSION INVENTORIES AT THE INITIATION AND COMPLETION OF THE PROGRAM. RESULTS: FOURTEEN PREDOMINATELY HISPANIC CHILDREN, AGES 8-15, COMPLETED THE PROGRAM. THE AVERAGE WEIGHT LOSS WAS 2KG. WEIGHT DECREASED FROM 61.2+/-20.2KG TO 59.2+/-19.2KG (P=0.01). FOUR OF FIVE CHILDREN WITH LOW SELF-ESTEEM IMPROVED, ALTHOUGH TWO HAD DECREASES IN SELF-ESTEEM. ANXIETY SYMPTOMS IMPROVED IN THE STUDY. CONCLUSION: ASHTANGA YOGA MAY BE BENEFICIAL AS A WEIGHT LOSS STRATEGY IN A PREDOMINATELY HISPANIC POPULATION. 2009 6 1753 33 PILOTING YOGA AND ASSESSING OUTCOMES IN A RESIDENTIAL BEHAVIOURAL HEALTH UNIT. THIS STUDY EXAMINED IF ADOLESCENTS ON A RESIDENTIAL BEHAVIOURAL HEALTH UNIT WOULD PARTICIPATE IN A YOGA INTERVENTION. YOGA HAS BEEN USED AS A MIND-BODY PRACTICE FOR MORE THAN 2000 YEARS; HOWEVER, STUDIES ARE LIMITED REGARDING ITS EFFECTS ON ADOLESCENTS WITH MENTAL ILLNESS ON AN INPATIENT UNIT. YOGA WAS ADDED, TWICE WEEKLY, TO THE PROGRAM SCHEDULE. TRAIT EMOTIONAL INTELLIGENCE QUESTIONNAIRE-ADOLESCENT SHORT FORM (TEIQUE-ASF) SCORES WERE MEASURED OVER 8 WEEKS. ADDITIONAL MEASURES INCLUDED DAILY NUMBERS OF QUIET TIMES, TIME OUTS, AND POINT CARD SCORES. TWENTY-TWO ADOLESCENTS COMPLETED THE STUDY. THE TEIQUE-ASF ASSESSMENT WAS ABLE TO DETECT CHANGES IN TOTAL SCORES OVER 8 WEEKS. INCREASED YOGA PARTICIPATION WAS RELATED TO HIGHER VALUES OF THE TEIQUE-ASF SUBDOMAIN OF SOCIABILITY, INCREASE IN WEEKLY POINT CARD TOTALS, A DECREASE IN BEHAVIOURAL TIME OUTS, AND A DECREASE IN COMBINED BEHAVIOURAL INTERVENTIONS AT VARIOUS TIME POINTS THROUGHOUT THE PROGRAMME. THIS STUDY WAS RELEVANT BECAUSE IT WAS CONDUCTED ON AN ADOLESCENT INPATIENT UNIT. IT PROVIDES SUPPORT THAT YOGA, AS PART OF A RESIDENTIAL PROGRAMME, IS A FEASIBLE INTERVENTION FOR ADOLESCENTS WITH MENTAL ILLNESS. CHANGES IN THE VARIOUS MEASURES CANNOT BE DIRECTLY LINKED TO YOGA BECAUSE OF LACK OF A COMPARISON GROUP. ADDITIONAL STUDIES WITH A LARGER SAMPLE, AND RANDOMIZATION, ARE NEEDED TO EVALUATE THE POTENTIAL BENEFITS OF YOGA AND TO DETERMINE IF CHANGES TO THE TEIQUE-ASF CAN BE ATTRIBUTED TO YOGA OR OTHER BEHAVIOURAL-BASED INTERVENTIONS. LITTLE IS KNOWN ABOUT HOW YOGA WILL IMPACT BEHAVIOURAL HEALTH OUTCOMES FOR ADOLESCENTS WITH MENTAL ILLNESS IN AN INPATIENT SETTING. THIS STUDY EXAMINED IF ADOLESCENTS ON A RESIDENTIAL BEHAVIOURAL HEALTH UNIT WOULD PARTICIPATE IN A YOGA INTERVENTION TO ADDRESS EMOTIONAL REGULATION. A SINGLE COHORT STUDY DESIGN WAS USED. YOGA WAS ADDED TO THE PROGRAMME SCHEDULE TWICE WEEKLY. TRAIT EMOTIONAL INTELLIGENCE QUESTIONNAIRE-ADOLESCENT SHORT FORM (TEIQUE-ASF) SCORES AND ADDITIONAL BEHAVIOURAL MEASURES WERE TRACKED OVER 8 WEEKS. ADOLESCENTS PARTICIPATED IN YOGA, WITH A HIGHER PARTICIPATION RATE FOR GIRLS COMPARED WITH BOYS. THE TEIQUE-ASF ASSESSMENT DETECTED CHANGES IN TOTAL SCORE OVER 8 WEEKS. INCREASED YOGA PARTICIPATION WAS RELATED TO HIGHER VALUES OF THE TEIQUE-ASF SUBDOMAIN OF SOCIABILITY, INCREASE IN WEEKLY POINT CARD TOTALS, AND A DECREASE IN COMBINED BEHAVIOURAL INTERVENTIONS AT VARIOUS TIME POINTS THROUGHOUT THE PROGRAMME. THIS STUDY WAS RELEVANT BECAUSE IT WAS CONDUCTED ON AN ADOLESCENT INPATIENT UNIT. FURTHER STUDIES ARE NEEDED TO DETERMINE IF CHANGES CAN BE ATTRIBUTED TO YOGA OR OTHER BEHAVIOURAL-BASED INTERVENTIONS. IF SUPPORTED BY FURTHER STUDIES, YOGA HAS THE POTENTIAL TO BE A COMPLIMENTARY THERAPY THAT CAN BE INTEGRATED INTO THE MULTIDISCIPLINARY TREATMENT APPROACH FOR MENTAL HEALTH PATIENTS. 2015 7 206 26 A SELF-DIRECTED HOME YOGA PROGRAMME FOR WOMEN WITH BREAST CANCER DURING CHEMOTHERAPY: A FEASIBILITY STUDY. RECENT STUDIES SUGGEST YOGA AS A PROMISING APPROACH FOR IMPROVING THE COGNITIVE FUNCTION OF CANCER SURVIVORS. WE STUDIED WHETHER A SELF-DIRECTED HOME YOGA PROGRAMME WAS FEASIBLE FOR PATIENTS WITH BREAST CANCER WHO WERE UNDERGOING CHEMOTHERAPY. PARTICIPANTS' PREFERENCES FOR THE TYPE OF YOGA COURSE AND THE CLINICAL EFFECTS OF THE PROGRAMME WERE ALSO ASSESSED. IN THIS STUDY, 18 WOMEN (MEAN AGE, 43.9 YEARS) WERE ENROLLED (44.7% RECRUITMENT RATE). OF THE PARTICIPANTS, 63.6% HAD STAGE II CANCER AND 71.4% RECEIVED ADJUVANT CHEMOTHERAPY. FAVOURABLE RETENTION (86%), ADHERENCE (94.4%) AND ACCEPTABILITY (96.5%) RATES WERE DETERMINED. MOST (94.4%) OF THE WOMEN PRACTICED THE HOME PROGRAMME MORE THAN TWICE A WEEK ON AVERAGE. THE PARTICIPANTS PREFERRED TO GRADUALLY INCREASE THE INTENSITY OF THE EXERCISES. WE ONLY OBSERVED IMPROVEMENTS IN THE COGNITIVE ASPECTS OF FATIGUE. NO SERIOUS ADVERSE EVENTS WERE ENCOUNTERED DURING THE PROGRAMME. THIS SELF-DIRECTED HOME YOGA PROGRAMME WAS SAFE AND FEASIBLE FOR PATIENTS WITH BREAST CANCER UNDERGOING CHEMOTHERAPY. 2016 8 1447 33 INDIVIDUALIZED, SINGLE SESSION YOGA THERAPY TO REDUCE PHYSICAL AND EMOTIONAL SYMPTOMS IN HOSPITALIZED HEMATOLOGICAL CANCER PATIENTS. OBJECTIVE: INPATIENT TREATMENT OF HEMATOLOGICAL CANCER IS AMONG THE MOST PHYSICALLY AND MENTALLY ARDUOUS CANCER TREATMENTS, AND IT IS ASSOCIATED WITH A NUMBER OF COMMON PHYSICAL, EMOTIONAL, AND SOCIAL SYMPTOMS THAT CAN NEGATIVELY AFFECT QUALITY OF LIFE (QOL) FOR YEARS FOLLOWING TREATMENT. WHILE TREATING SYMPTOMS DURING HOSPITALIZATION HOLDS PROMISE FOR IMPROVING LONG-TERM QOL, SUCCESSFUL APPROACHES LIKELY REQUIRE MULTIDISCIPLINARY INTERVENTIONS. IN THIS ARTICLE, WE DESCRIBE A 4-YEAR EFFORT IN PROGRAM ENHANCEMENT THAT INCORPORATED AN ADJUNCTIVE SINGLE YOGA THERAPY SESSION DURING TREATMENT FOR HEMATOLOGICAL MALIGNANCIES. METHODS: HOSPITALIZED PATIENTS RECEIVING TREATMENT FOR HEMATOLOGICAL CANCER (N = 486) WERE PROVIDED A 40-MINUTE INDIVIDUALIZED YOGA THERAPY SESSION. WE EVALUATED FEASIBILITY AND ACCEPTANCE BY QUANTIFYING THE PERCENTAGE OF PATIENTS WHO DISCONTINUED THE YOGA SESSION DUE TO PAIN, DISCOMFORT, OR ANOTHER REASON, AND BY COMPARING THE INTERVENTION POPULATION TO THE DEMOGRAPHIC MAKEUP OF THE UNIT MORE GENERALLY. PATIENT-REPORTED SYMPTOMS WERE OBTAINED BEFORE AND AFTER EACH SESSION, AND WE EVALUATED ACUTE SYMPTOM CHANGE FOR THE ENTIRE SAMPLE AND IN SUBSAMPLES THAT ARE LESS LIKELY TO USE MINDFULNESS-BASED INTERVENTIONS SUCH AS YOGA. RESULTS: THE MAJORITY OF SESSIONS (87%) WERE COMPLETED, AND THE MAJORITY OF UNFINISHED SESSIONS WERE INTERRUPTED BY A MEDICAL PROCEDURE OR BECAUSE THE PATIENT FELL ASLEEP. NO SESSION WAS STOPPED EARLY DUE TO PATIENTS' REPORTED PAIN. SIGNIFICANT DECREASES WERE REPORTED IN ALL SYMPTOMS, WITH THE GREATEST DECREASE IN FATIGUE AND ANXIETY. CONCLUSIONS: YOGA THERAPY WAS A FEASIBLE AND EFFECTIVE NONDRUG ADJUNCT INTERVENTION FOR HOSPITALIZED PATIENTS RECEIVING TREATMENT FOR HEMATOLOGICAL CANCER, INCLUDING BONE MARROW TRANSPLANTATION. 2019 9 127 54 A PILOT STUDY TO EVALUATE THE FEASIBILITY OF INDIVIDUALIZED YOGA FOR INPATIENT CHILDREN RECEIVING INTENSIVE CHEMOTHERAPY. BACKGROUND: FATIGUE IS AN IMPORTANT PROBLEM IN PAEDIATRIC CANCER PATIENTS AND YOGA MAY BE AN EFFECTIVE INTERVENTION. THE PRIMARY OBJECTIVE WAS TO DETERMINE THE FEASIBILITY OF INDIVIDUALIZED YOGA FOR HOSPITALIZED CHILDREN RECEIVING INTENSIVE CHEMOTHERAPY. METHODS: WE INCLUDED ENGLISH-SPEAKING CHILDREN AND ADOLESCENTS AGED 7-18 YEARS RECEIVING INTENSIVE CHEMOTHERAPY OR HAEMATOPOIETIC STEM CELL TRANSPLANTATION (HSCT). YOGA WAS CONDUCTED THREE TIMES WEEKLY FOR THREE WEEKS. THE PRIMARY OUTCOME WAS FEASIBILITY, DEFINED AS ABILITY TO DELIVER AT LEAST 60% OF PLANNED SESSIONS. SECONDARY OUTCOMES WERE PARENT-REPORTED PEDIATRIC QUALITY OF LIFE INVENTORY (PEDSQL) MULTIDIMENSIONAL FATIGUE SCALE, FATIGUE SCALE-PARENT, PEDSQL GENERIC CORE SCALES AND PEDSQL ACUTE CANCER MODULE. RESULTS: BETWEEN JANUARY AND OCTOBER 2013, 11 PATIENTS WERE ENROLLED. MEDIAN AGE WAS 14.0 (RANGE 7.7-16.4) YEARS AND 6 (55%) WERE BOYS. YOGA WAS FEASIBLE WITH 10/11 PARTICIPANTS MEETING THE THRESHOLD FOR FEASIBILITY. THE MEDIAN NUMBER OF YOGA SESSIONS WAS 9 (RANGE 3-13). NO ADVERSE EVENTS WERE ATTRIBUTED TO YOGA. MEAN+/-STANDARD DEVIATION FOR THE DAY 21 PROXY-REPORTED PEDSQL GENERAL FATIGUE SCORES WAS 55.6+/-15.5. QUALITATIVE COMMENTS SUGGESTED DESIGN CHANGES FOR FUTURE YOGA STUDIES. CONCLUSIONS: INDIVIDUALIZED YOGA IS FEASIBLE FOR INPATIENT CHILDREN RECEIVING INTENSIVE CHEMOTHERAPY. FUTURE WORK WILL INCLUDE DEVELOPMENT AND CONDUCT OF A RANDOMIZED TRIAL FOR FATIGUE AMELIORATION. TRIAL REGISTRATION: CLINICALTRIALS.GOV NCT02105389. 2015 10 2586 33 YOGA FOR HYPERTENSIVE PATIENTS: A STUDY ON BARRIERS AND FACILITATORS OF ITS IMPLEMENTATION IN PRIMARY CARE. BACKGROUND: INTERNATIONAL GUIDELINES FOR HYPERTENSION TREATMENT RECOMMEND THE USE OF YOGA, PARTICULARLY AMONG LOW-RISK PATIENTS. HOWEVER, EVIDENCE IS LACKING ON THE IMPLEMENTATION POTENTIAL OF HEALTH-WORKER-LED YOGA INTERVENTIONS IN LOW-RESOURCE, PRIMARY CARE SETTINGS. OBJECTIVE: TO ASSESS BARRIERS TO AND FACILITATORS OF THE IMPLEMENTATION OF A YOGA INTERVENTION FOR HYPERTENSIVE PATIENTS IN PRIMARY CARE IN NEPAL. METHODS: THE STUDY WAS CONDUCTED USING FOCUS GROUP DISCUSSIONS, IN-DEPTH INTERVIEWS, KEY INFORMANT INTERVIEWS, AND TELEPHONE INTERVIEWS. DATA WERE COLLECTED FROM THE 'YOGA AND HYPERTENSION' (YOH) TRIAL PARTICIPANTS, YOH INTERVENTION IMPLEMENTERS, AND OFFICIALS FROM THE MINISTRY OF HEALTH AND POPULATION IN NEPAL. RESULTS: MOST YOH TRIAL PARTICIPANTS STATED THAT: (1) IT WAS EASY TO LEARN YOGA DURING A FIVE-DAY TRAINING PERIOD AND PRACTISE IT FOR THREE MONTHS AT HOME; (2) PRACTISING YOGA IMPROVED THEIR HEALTH; AND (3) GROUP YOGA SESSIONS IN A COMMUNITY CENTRE WOULD HELP THEM PRACTISE YOGA MORE REGULARLY. MOST YOH INTERVENTION IMPLEMENTERS STATED THAT: (1) THEY WERE HIGHLY MOTIVATED TO IMPLEMENT THE INTERVENTION; (2) THE COST OF IMPLEMENTATION WAS ACCEPTABLE; (3) THEY DID NOT NEED ADDITIONAL STAFF TO EFFECTIVELY IMPLEMENT THE INTERVENTION; (4) PROVIDING REMUNERATION TO THE STAFF INVOLVED IN THE INTERVENTION WOULD INCREASE THEIR MOTIVATION; AND (5) THE YOGA PROGRAMME WAS 'SIMPLE AND EASY TO FOLLOW' AND 'EASILY PERFORMED BY PARTICIPANTS OF ANY AGE'. THE GOVERNMENT OFFICIALS STATED THAT: (1) YOGA IS CONSIDERED AS A KEY HEALTH PROMOTIONAL ACTIVITY IN NEPAL; AND (2) THE INTEGRATION OF THE YOGA INTERVENTION INTO THE EXISTING HEALTH CARE PROGRAMME WOULD NOT BE TOO CHALLENGING, BECAUSE THE EXISTING PERSONNEL AND OTHER RESOURCES CAN BE UTILISED. CONCLUSION: WHILE THERE IS A GOOD POTENTIAL THAT A YOGA INTERVENTION CAN BE IMPLEMENTED IN PRIMARY CARE, CAPACITY DEVELOPMENT FOR HEALTH WORKERS AND THE INVOLVEMENT OF COMMUNITY YOGA CENTRES IN THE DELIVERY OF THE INTERVENTIONS MAY BE REQUIRED TO FACILITATE THIS IMPLEMENTATION. 2021 11 2871 27 YOGA-BASED RELAXATION TECHNIQUE FACILITATES SUSTAINED ATTENTION IN PATIENTS WITH LOW BACK PAIN: A PILOT STUDY. CONTEXT: THE EXPERIENCE OF PAIN STRONGLY INFLUENCES SUSTAINED ATTENTION, WHICH IS IMPORTANT FOR NEUROCOGNITIVE PERFORMANCE. YOGA-BASED RELAXATION TECHNIQUES MAY BE EFFECTIVE IN IMPROVING SUSTAINED ATTENTION BY ATTENUATING PAIN IN PATIENTS WITH LOW BACK PAIN. HENCE, WE AIMED TO INVESTIGATE THE EFFECT OF A YOGA-BASED RELAXATION TECHNIQUE ON SUSTAINED ATTENTION AND SELF-REPORTED PAIN DISABILITY IN PATIENTS WITH LOW BACK PAIN. METHODS: A TOTAL OF 22 MEN AGED 30 TO 50 YEARS WITH LOW BACK PAIN WERE RECRUITED FOR THE STUDY. THEY WERE RANDOMLY ASSIGNED TO EITHER THE YOGA (N = 11) OR CONTROL (N = 11) GROUPS. THE YOGA GROUP PRACTICED A YOGA-BASED RELAXATION TECHNIQUE (YBRT) 1 HOUR A DAY FOR 4 WEEKS AND THE CONTROL GROUP MAINTAINED THEIR USUAL PHYSICAL ACTIVITY REGIMEN. ASSESSMENTS INCLUDED THE SUSTAINED ATTENTION TO RESPONSE TASK (SART) AND THE OSWESTRY LOW BACK PAIN DISABILITY QUESTIONNAIRE (OLBPDQ) MEASURED BEFORE AND AFTER THE 4-WEEK INTERVENTION. RESULTS: THE STUDY SHOWED A SIGNIFICANT REDUCTION IN ALL SELF-REPORTED OLBPDQ DOMAINS AND IMPROVEMENT IN SUSTAINED ATTENTION IN A BEFORE AND AFTER COMPARISON 4 WEEKS FOLLOWING THE YOGA INTERVENTION. PEARSON'S CORRELATION ALSO SHOWED A POSITIVE CORRELATION BETWEEN SUSTAINED ATTENTION AND PAIN REDUCTION FOLLOWING THE YOGA INTERVENTION. CONCLUSION: THE FINDINGS INDICATE THAT YOGA PRACTICE REDUCES PAIN AND SIMULTANEOUSLY IMPROVES INFORMATION PROCESSING SPEED WITH IMPULSE CONTROL DURING THE PERFORMANCE OF A SUSTAINED ATTENTION TASK. 2020 12 1830 31 PSYCHOLOGICAL FLEXIBILITY AND SET-SHIFTING AMONG VETERANS PARTICIPATING IN A YOGA PROGRAM: A PILOT STUDY. INTRODUCTION: TRAUMA-FOCUSED PSYCHOTHERAPIES DO NOT MEET THE NEEDS OF ALL VETERANS. YOGA SHOWS SOME POTENTIAL IN REDUCING STRESS AND PERHAPS EVEN PTSD IN VETERANS, ALTHOUGH LITTLE IS UNDERSTOOD ABOUT THE MECHANISMS OF ACTION. THIS STUDY IDENTIFIES PRELIMINARY CORRELATES OF CHANGE IN PTSD AND PERCEIVED STRESS FOR VETERANS PARTICIPATING IN YOGA. MATERIALS AND METHODS: NINE VETERANS (SEVEN MALES AND TWO FEMALES) WERE RECRUITED FROM AN EXISTING CLINICAL YOGA PROGRAM AND OBSERVED OVER 16 WK. SEVERITY OF PTSD SYMPTOMS (PCL-5) AND PERCEIVED STRESS (PSS-10) WERE COLLECTED AT BASELINE AND WEEKS 4, 6, 8, AND 16. PSYCHOLOGICAL FLEXIBILITY (AAQ-II) AND SET-SHIFTING (RATIO OF TRAIL MAKING TEST A TO B) WERE COLLECTED AT BASELINE AND AT WEEK 6. SUBJECTS ATTENDED YOGA SESSIONS FREELY, RANGING FROM 1 TO 23 CLASSES OVER THE 16 WEEKS. THE STANFORD UNIVERSITY INSTITUTIONAL REVIEW BOARD APPROVED THIS RESEARCH PROTOCOL. RESULTS: SELF-REPORTED PTSD SYMPTOMS SIGNIFICANTLY REDUCED WHILE PERCEIVED STRESS DID NOT. LOWER BASELINE SET-SHIFTING PREDICTED GREATER IMPROVEMENTS IN PTSD BETWEEN BASELINE AND 4 WEEKS; EARLY IMPROVEMENTS IN SET-SHIFTING PREDICTED OVERALL REDUCTION IN PTSD. GREATER PSYCHOLOGICAL FLEXIBILITY WAS ASSOCIATED WITH LOWER PTSD AND PERCEIVED STRESS; MORE YOGA PRACTICE, BEFORE AND DURING THE STUDY, WAS ASSOCIATED WITH GREATER PSYCHOLOGICAL FLEXIBILITY. OTHER PREDICTORS WERE NOT SUPPORTED. CONCLUSIONS: IN A SMALL UNCONTROLLED SAMPLE, PSYCHOLOGICAL FLEXIBILITY AND SET-SHIFTING PREDICTED CHANGES IN PTSD SYMPTOMS IN VETERANS PARTICIPATING IN A CLINICAL YOGA PROGRAM, WHICH SUPPORTS FINDINGS FROM PRIOR RESEARCH. FUTURE RESEARCH SHOULD INCLUDE AN ACTIVE COMPARISON GROUP AND RECORD FREQUENCY OF YOGA PRACTICED OUTSIDE FORMAL SESSIONS. 2018 13 2613 31 YOGA FOR RISK REDUCTION OF METABOLIC SYNDROME: PATIENT-REPORTED OUTCOMES FROM A RANDOMIZED CONTROLLED PILOT STUDY. LIFESTYLE CHANGE IS RECOMMENDED AS TREATMENT FOR ADULTS AT RISK FOR METABOLIC SYNDROME (METS), ALTHOUGH ADOPTION OF NEW BEHAVIORAL PATTERNS IS LIMITED. IN ADDITION, MOST EXISTING LIFESTYLE INTERVENTIONS DO NOT ADDRESS PSYCHOLOGICAL STRESS OR QUALITY OF LIFE, BOTH OF WHICH IMPACT THE BURDEN OF METS. YOGA, A FORM OF PHYSICAL ACTIVITY THAT INCORPORATES PSYCHOLOGICAL COMPONENTS (E.G., MAINTAINING ATTENTION, RELAXATION), IS A PROMISING INTERVENTION FOR IMPROVING THE BURDEN OF METS. THIS RANDOMIZED CONTROLLED TRIAL ASSESSED THE FEASIBILITY AND PRELIMINARY EFFICACY OF A 12-WEEK YOGA PROGRAM COUPLED WITH AN EVIDENCE-BASED HEALTH EDUCATION PROGRAM (HED) COMPARED TO HED ALONE. A SECONDARY, EXPLORATORY AIM EXAMINED PERCEIVED STRESS, QUALITY OF LIFE, AND RELATED PSYCHOLOGICAL OUTCOMES (MINDFULNESS, PERCEIVED HEALTH COMPETENCE, AND MOOD). SIXTY-SEVEN ADULTS AT RISK FOR METS ENROLLED (MEAN AGE [SD]: 58 [10] YEARS; 50% MALE; 79% NON-HISPANIC WHITE). PRELIMINARY RESULTS REVEALED SIGNIFICANTLY LARGER IMPROVEMENTS IN TWO QUALITY OF LIFE DOMAINS (ROLE-PHYSICAL AND GENERAL HEALTH PERCEPTIONS) IN THE HED PLUS YOGA GROUP VERSUS HED ALONE (PS < 0.05). THIS IS THE FIRST STUDY THAT IMPLEMENTED LIFESTYLE EDUCATION ALONG WITH YOGA TO EVALUATE THE POTENTIAL UNIQUE EFFECTS OF YOGA ON PARTICIPANTS AT RISK FOR METS. A LARGER CLINICAL TRIAL IS WARRANTED TO FURTHER INVESTIGATE THESE PROMISING PATIENT-REPORTED OUTCOMES. 2016 14 2207 31 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 15 118 28 A PILOT STUDY OF IYENGAR YOGA FOR PEDIATRIC OBESITY: EFFECTS ON GAIT AND EMOTIONAL FUNCTIONING. OBESITY NEGATIVELY IMPACTS THE KINEMATICS AND KINETICS OF THE LOWER EXTREMITIES IN CHILDREN AND ADOLESCENTS. ALTHOUGH YOGA HAS THE POTENTIAL TO PROVIDE SEVERAL DISTINCT BENEFITS FOR CHILDREN WITH OBESITY, THIS IS THE FIRST STUDY TO EXAMINE THE BENEFITS OF YOGA FOR GAIT (PRIMARY OUTCOME) IN YOUTHS WITH OBESITY. SECONDARY OUTCOMES INCLUDED HEALTH-RELATED QUALITY OF LIFE (HRQOL), PHYSICAL ACTIVITY, AND PAIN. FEASIBILITY AND ACCEPTABILITY WERE ALSO ASSESSED. NINE YOUTHS (11(-)17 YEARS) PARTICIPATED IN AN EIGHT-WEEK IYENGAR YOGA INTERVENTION (BI-WEEKLY 1-H CLASSES). GAIT, HRQOL (SELF AND PARENT-PROXY REPORTS), AND PHYSICAL ACTIVITY WERE ASSESSED AT BASELINE AND POST-YOGA. PAIN WAS SELF-REPORTED AT THE BEGINNING OF EACH CLASS. SIGNIFICANT IMPROVEMENTS WERE FOUND IN MULTIPLE GAIT PARAMETERS, INCLUDING HIP, KNEE, AND ANKLE MOTION AND MOMENTS. SELF-REPORTED AND PARENT-PROXY REPORTS OF EMOTIONAL FUNCTIONING SIGNIFICANTLY IMPROVED. TIME SPENT IN PHYSICAL ACTIVITY AND WEIGHT DID NOT CHANGE. THIS STUDY DEMONSTRATES THAT A RELATIVELY BRIEF, NON-INVASIVE IYENGAR YOGA INTERVENTION CAN RESULT IN IMPROVED MALALIGNMENT OF THE LOWER EXTREMITIES DURING AMBULATION, AS WELL AS IN CLINICALLY MEANINGFUL IMPROVEMENTS IN EMOTIONAL FUNCTIONING. THIS STUDY EXTENDS CURRENT EVIDENCE THAT SUPPORTS A ROLE FOR YOGA IN PEDIATRIC OBESITY. 2018 16 2810 30 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 2183 44 THE EFFECTS OF YOGA ON PSYCHOSOCIAL VARIABLES AND EXERCISE ADHERENCE: A RANDOMIZED, CONTROLLED PILOT STUDY. BACKGROUND: PHYSICAL INACTIVITY IS A SERIOUS ISSUE FOR THE AMERICAN PUBLIC. BECAUSE OF CONDITIONS THAT RESULT FROM INACTIVITY, INDIVIDUALS INCUR CLOSE TO $1 TRILLION USD IN HEALTH-CARE COSTS, AND APPROXIMATELY 250 000 PREMATURE DEATHS OCCUR PER YEAR. RESEARCHERS HAVE LINKED ENGAGING IN YOGA TO IMPROVED OVERALL FITNESS, INCLUDING IMPROVED MUSCULAR STRENGTH, MUSCULAR ENDURANCE, FLEXIBILITY, AND BALANCE. RESEARCHERS HAVE NOT YET INVESTIGATED THE IMPACT OF YOGA ON EXERCISE ADHERENCE. OBJECTIVE: THE RESEARCH TEAM ASSESSED THE EFFECTS OF 10 WEEKS OF YOGA CLASSES HELD TWICE A WEEK ON EXERCISE ADHERENCE IN PREVIOUSLY SEDENTARY ADULTS. DESIGN: THE RESEARCH TEAM DESIGNED A RANDOMIZED CONTROLLED PILOT TRIAL. THE TEAM COLLECTED DATA FROM THE INTERVENTION (YOGA) AND CONTROL GROUPS AT BASELINE, MIDPOINT, AND POSTTEST (POSTTEST 1) AND ALSO COLLECTED DATA PERTAINING TO EXERCISE ADHERENCE FOR THE YOGA GROUP AT 5 WEEKS POSTTEST (POSTTEST 2). SETTING: THE PILOT TOOK PLACE IN A YOGA STUDIO IN CENTRAL NEW JERSEY IN THE UNITED STATES. THE PRETESTING OCCURRED AT THE YOGA STUDIO FOR ALL PARTICIPANTS. MIDPOINT TESTING AND POSTTESTING OCCURRED AT THE STUDIO FOR THE YOGA GROUP AND BY MAIL FOR THE CONTROL GROUP. PARTICIPANTS: PARTICIPANTS WERE 27 ADULTS (MEAN AGE 51 Y) WHO HAD BEEN PHYSICALLY INACTIVE FOR A PERIOD OF AT LEAST 6 MONTHS PRIOR TO THE STUDY. INTERVENTIONS THE INTERVENTION GROUP (YOGA GROUP) RECEIVED HOUR-LONG HATHA YOGA CLASSES THAT MET TWICE A WEEK FOR 10 WEEKS. THE CONTROL GROUP DID NOT PARTICIPATE IN CLASSES DURING THE RESEARCH STUDY; HOWEVER, THEY WERE OFFERED COMPLIMENTARY POST RESEARCH CLASSES. OUTCOME MEASURES THE STUDY'S PRIMARY OUTCOME MEASURE WAS EXERCISE ADHERENCE AS MEASURED BY THE 7-DAY PHYSICAL ACTIVITY RECALL. THE SECONDARY MEASURES INCLUDED (1) EXERCISE SELF-EFFICACY AS MEASURED BY THE MULTIDIMENSIONAL SELF-EFFICACY FOR EXERCISE SCALE, (2) GENERAL WELL-BEING AS MEASURED BY THE GENERAL WELL-BEING SCHEDULE, (3) EXERCISE-GROUP COHESION AS MEASURED BY THE GROUP ENVIRONMENT QUESTIONNAIRE (GEQ), (4) ACUTE FEELING RESPONSE AS MEASURED BY THE EXERCISE-INDUCED FEELING INVENTORY (EFI), AND (5) TWO OPEN-ENDED QUESTIONS CODED FOR EMERGING THEMES AND SUBCATEGORIES. RESULTS: THE ANALYSIS REVEALED THAT THE YOGA GROUP'S MEAN HOURS OF PHYSICAL ACTIVITY AT 10 WEEKS REFLECTED A SIGNIFICANT INCREASE IN EXERCISE ADHERENCE FROM BASELINE (P < .012) AND A SIGNIFICANT DIFFERENCE FROM THE CONTROL GROUP (P < .004). AT 5 WEEKS POST-INTERVENTION, NO SIGNIFICANT CHANGE HAD OCCURRED IN THE YOGA GROUP'S EXERCISE ADHERENCE (P = .906). EXERCISE SELF-EFFICACY CHANGED SIGNIFICANTLY FROM BASELINE TO MIDPOINT (P < .029). THE GENERAL WELLBEING DATA DEMONSTRATED A SIGNIFICANT INTERACTION EFFECT (P < .001), RESULTING FROM AN INCREASE IN GENERAL WELL-BEING IN THE INTERVENTION GROUP AND A DECREASE IN GENERAL WELL-BEING IN THE CONTROL GROUP. IN ADDITION, THE YOGA GROUP'S COHESION SCORE WAS CONSISTENT WITH THE NORMS ON TWO CONSTRUCTS OF THE GEQ: ATTRACTION TO GROUP TASK AND GROUP INTEGRATION TASK. THE EFI REVEALED THAT THE YOGA PARTICIPANTS "FELT STRONGLY" THAT THEIR EXPERIENCES IN YOGA WERE PEACEFUL, HAPPY, UPBEAT, AND ENTHUSIASTIC AND THAT THEY FELT REVIVED FOLLOWING THE YOGA CLASSES. QUALITATIVE ANALYSIS OF DATA REVEALED SELF-REPORTED IMPROVEMENTS IN EXERCISE BEHAVIORS, STRESS MANAGEMENT, AND EATING HABITS. CONCLUSIONS: TEN WEEKS OF YOGA CLASSES TWICE A WEEK SIGNIFICANTLY INCREASED PREVIOUSLY INACTIVE PARTICIPANTS' ADHERENCE TO PHYSICAL ACTIVITY. ADDITIONALLY, THE FINDINGS SUGGEST THAT A MIND-BODY EXERCISE PROGRAM MAY BE AN EFFECTIVE INTERVENTION IN THE FIGHT AGAINST PHYSICAL INACTIVITY. 2012 18 249 30 A YOGA INTERVENTION FOR YOUNG CHILDREN: SELF-REGULATION AND EMOTION REGULATION. YOGA-BASED INTERVENTIONS HAVE BEEN IMPLEMENTED IN SCHOOLS AND DEMONSTRATED PROMISING RESULTS ON STUDENTS' SELF-REGULATION OUTCOMES. NEVERTHELESS, THERE IS LIMITED LITERATURE ON THE EFFECTS THAT YOGA MAY HAVE FOR CHILDREN IN THE EARLY PRIMARY GRADES, DESPITE THE EVIDENCE DEMONSTRATING THAT THIS IS AN OPPORTUNE PERIOD IN DEVELOPMENT FOR EARLY SELF-REGULATION. FEW STUDIES HAVE FOCUSED ON YOUNG CHILDREN LIVING IN THE CONTEXT OF ECONOMIC DIFFICULTY, WHICH CAN HINDER CHILDREN'S DEVELOPMENT OF SELF-REGULATORY SKILLS AND EDUCATIONAL TRAJECTORIES. THE EFFECTS OF AN EIGHT-WEEK YOGA INTERVENTION ON ECONOMICALLY DISADVANTAGED PRE-KINDERGARTEN AND KINDERGARTEN CHILDREN'S SELF-REGULATION AND EMOTION REGULATION WERE EXAMINED VIA A PAIRED WITHIN-SUBJECTS COMPARISON STUDY. NINE CLASSROOMS WERE ASSIGNED TO THE YOGA INTERVENTION (TREATMENT FIRST, TXFIRST; N = 90) OR A WAIT-LIST CONTROL GROUP (TREATMENT SECOND, TXSECOND; N = 64). ALL CHILDREN WERE ASSESSED AT PRE-INTERVENTION (TIME 1), POST-INTERVENTION ASSESSMENT FOR TXFIRST (TIME 2), AND POST-INTERVENTION ASSESSMENT FOR TXSECOND (TIME 3). CHILDREN DEMONSTRATED SIGNIFICANT PREDICTED GAINS ON A BEHAVIORAL TASK OF SELF-REGULATION AND DECLINES IN TEACHER-RATED SUBMISSIVE VENTING AND TOTAL BEHAVIOR PROBLEMS. IMPLICATIONS FOR FUTURE RESEARCH ARE DISCUSSED, WITH A FOCUS ON INCLUDING FOLLOW-UP ASSESSMENTS AND MULTIPLE DIMENSIONS OF FIDELITY OF IMPLEMENTATION. 2021 19 2673 24 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 20 1230 31 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