1 1291 121 GROUP ACUPUNCTURE THERAPY WITH YOGA THERAPY FOR CHRONIC NECK, LOW BACK, AND OSTEOARTHRITIS PAIN IN SAFETY NET SETTING FOR AN UNDERSERVED POPULATION: DESIGN AND RATIONALE FOR A FEASIBILITY PILOT. CHRONIC PAIN IS PREVALENT IN THE UNITED STATES, WITH IMPACT ON PHYSICAL AND PSYCHOLOGICAL FUNCTIONING AS WELL AS LOST WORK PRODUCTIVITY. MINORITY AND LOWER SOCIOECONOMIC POPULATIONS HAVE INCREASED PREVALENCE OF CHRONIC PAIN WITH LESS ACCESS TO PAIN CARE, POORER OUTCOMES, AND HIGHER RISK OF FATAL OPIOID OVERDOSE. ACUPUNCTURE THERAPY IS EFFECTIVE IN TREATING CHRONIC PAIN CONDITIONS INCLUDING CHRONIC LOW BACK PAIN, NECK PAIN, SHOULDER PAIN, AND KNEE PAIN FROM OSTEOARTHRITIS. ACUPUNCTURE THERAPY, INCLUDING GROUP ACUPUNCTURE, IS FEASIBLE AND EFFECTIVE, AND SPECIFICALLY SO FOR UNDERSERVED AND DIVERSE POPULATIONS AT RISK FOR HEALTH OUTCOME DISPARITIES. ACUPUNCTURE THERAPY ALSO ENCOURAGES PATIENT ENGAGEMENT AND ACTIVATION. AS CHRONIC PAIN IMPROVES, THERE IS A NATURAL PROGRESSION TO WANT AND NEED TO INCREASE ACTIVITY AND MOVEMENT RECOVERY. DIVERSE MOVEMENT APPROACHES ARE IMPORTANT FOR IMPROVING RANGE OF MOTION, MAINTAINING GAINS, STRENGTHENING, AND PROMOTING PATIENT ENGAGEMENT AND ACTIVATION. YOGA THERAPY IS AN ACTIVE THERAPY WITH PROVEN BENEFIT IN MUSCULOSKELETAL PAIN DISORDERS AND PAIN ASSOCIATED DISABILITY. THE AIM OF THIS QUASI-EXPERIMENTAL PILOT FEASIBILITY TRIAL IS TO TEST THE BUNDLING OF THESE 2 EFFECTIVE CARE OPTIONS FOR CHRONIC PAIN, TO INFORM BOTH THE DESIGN FOR A LARGER RANDOMIZED PRAGMATIC EFFECTIVENESS TRIAL AS WELL AS IMPLEMENTATION STRATEGIES ACROSS UNDERSERVED SETTINGS. 2020 2 1413 27 IMPLEMENTING YOGA INTO THE MANAGEMENT OF PATIENTS WITH REFRACTORY LOW BACK PAIN IN AN OUTPATIENT CLINIC SETTING. PURPOSE: TO EVALUATE THE EFFECTIVENESS OF IMPLEMENTING YOGA INTO THE TREATMENT OF PATIENTS WITH CHRONIC LOW BACK PAIN. DESIGN: QUANTITATIVE ANALYSIS WITH OPPORTUNITY FOR QUALITATIVE FEEDBACK. METHOD: EFFECTIVENESS OF THIS COMPLEMENTARY TREATMENT WAS ASSESSED USING A PRETEST/POSTTEST DESIGN OF PATIENTS WHO VOLUNTEERED TO PARTICIPATE IN YOGA CLASSES AS PART OF THEIR BACK PAIN MANAGEMENT. MEASUREMENTS INCLUDED LOW BACK PAIN RATING, PERCEPTION OF BACK PAIN INTERFERENCE WITH DAILY ACTIVITIES, AND SELF-EFFICACY IN DEALING WITH CHRONIC LOW BACK PAIN. FINDINGS: ALTHOUGH NO STATISTICALLY SIGNIFICANT FINDINGS WERE FOUND DUE TO THE SMALL SAMPLE SIZE, MOST PARTICIPANTS DEMONSTRATED IMPROVED INDIVIDUAL SCORES ON ALL MEASUREMENT SURVEYS INCLUDING QUALITATIVE COMMENTS. CONCLUSION: BASED ON THE FINDINGS OF THIS PILOT STUDY, FURTHER STUDIES ON IMPLEMENTING YOGA INTO THE TREATMENT OF CHRONIC LOW BACK PAIN ARE ENCOURAGED. 2019 3 2470 36 YOGA AS A TREATMENT FOR CHRONIC LOW BACK PAIN: A SYSTEMATIC REVIEW OF THE LITERATURE. OBJECTIVES: CHRONIC LOW BACK PAIN (CLBP) AFFECTS MILLIONS OF PEOPLE WORLDWIDE, AND APPEARS TO BE INCREASING IN PREVALENCE. IT IS ASSOCIATED NOT ONLY WITH PAIN, BUT ALSO WITH INCREASED DISABILITY, PSYCHOLOGICAL SYMPTOMS, AND REDUCED QUALITY OF LIFE. THERE ARE VARIOUS TREATMENT OPTIONS FOR CLBP, BUT NO SINGLE THERAPY STANDS OUT AS BEING THE MOST EFFECTIVE. IN THE PAST 10 YEARS, YOGA INTERVENTIONS HAVE BEEN STUDIED AS A CLBP TREATMENT APPROACH. THE OBJECTIVE OF THIS PAPER IS TO REVIEW THE CURRENT LITERATURE SUPPORTING THE EFFICACY OF YOGA FOR CLBP. METHODS: A LITERATURE SEARCH THROUGH THE BEGINNING OF 2015 WAS CONDUCTED IN PUB MED FOR RANDOMIZED CONTROL TRIALS ADDRESSING TREATMENT OF CLBP WITH YOGA. RESULTS: IN THIS REVIEW WE EVALUATE THE USE OF YOGA AS A TREATMENT FOR CLBP. SPECIFICALLY WE EVALUATE HOW YOGA IMPACTS PHYSICAL FUNCTIONING AND DISABILITY, PAIN, AND ASSOCIATED PSYCHOLOGICAL SYMPTOMS. WE ALSO EVALUATE POSSIBLE MEDIATORS OF THE EFFECT OF YOGA AND THE SAFETY OF YOGA. DISCUSSION: WITH FEW EXCEPTIONS, PREVIOUS STUDIES AND THE RECENT RANDOMIZED CONTROL TRIALS (RCTS) INDICATE THAT YOGA CAN REDUCE PAIN AND DISABILITY, CAN BE PRACTICED SAFELY, AND IS WELL RECEIVED BY PARTICIPANTS. SOME STUDIES ALSO INDICATE THAT YOGA MAY IMPROVE PSYCHOLOGICAL SYMPTOMS, BUT THESE EFFECTS ARE CURRENTLY NOT AS WELL ESTABLISHED. 2016 4 536 35 COMPARISON OF YOGA VERSUS STRETCHING FOR CHRONIC LOW BACK PAIN: PROTOCOL FOR THE YOGA EXERCISE SELF-CARE (YES) TRIAL. BACKGROUND: BACK PAIN, ONE OF THE MOST PREVALENT CONDITIONS AFFLICTING AMERICAN ADULTS, IS THE LEADING REASON FOR USING COMPLEMENTARY AND ALTERNATIVE MEDICINE (CAM) THERAPIES. YOGA IS AN INCREASINGLY POPULAR "MIND-BODY" CAM THERAPY OFTEN USED FOR RELIEVING BACK PAIN AND SEVERAL SMALL STUDIES HAVE FOUND YOGA EFFECTIVE FOR THIS CONDITION. THIS STUDY WILL ASSESS WHETHER YOGA IS EFFECTIVE FOR TREATING CHRONIC LOW BACK PAIN COMPARED WITH SELF CARE AND EXERCISE AND WILL EXPLORE THE MECHANISMS RESPONSIBLE FOR ANY OBSERVED BENEFITS. METHODS/DESIGN: A TOTAL OF 210 PARTICIPANTS WITH LOW BACK PAIN LASTING AT LEAST 3 MONTHS WILL BE RECRUITED FROM PRIMARY CARE CLINICS OF A LARGE HEALTHCARE SYSTEM BASED IN SEATTLE. THEY WILL BE RANDOMIZED IN A 2:2:1 RATIO TO RECEIVE 12 WEEKLY YOGA CLASSES, 12 WEEKLY CONVENTIONAL THERAPEUTIC EXERCISE CLASSES OF COMPARABLE PHYSICAL EXERTION, OR A SELF-CARE BOOK. INTERVIEWERS MASKED TO PARTICIPANTS' TREATMENT GROUP WILL ASSESS OUTCOMES AT BASELINE AND 6, 12 AND 26 WEEKS AFTER RANDOMIZATION. PRIMARY OUTCOMES WILL BE BACK-RELATED DYSFUNCTION AND SYMPTOM BOTHERSOMENESS. IN ADDITION, DATA WILL BE COLLECTED ON PHYSICAL MEASUREMENTS (E.G., FLEXION) AT BASELINE AND 12 WEEKS AND SALIVA SAMPLES WILL BE OBTAINED AT BASELINE, 6 AND 12 WEEKS. INFORMATION WILL BE COLLECTED ON SPECIFIC PHYSICAL, PSYCHOLOGICAL, AND PHYSIOLOGICAL FACTORS TO ALLOW EXPLORATION OF POSSIBLE MECHANISMS OF ACTION THROUGH WHICH YOGA COULD RELIEVE BACK PAIN AND DYSFUNCTION. THE EFFECTIVENESS OF YOGA WILL BE ASSESSED USING ANALYSIS OF COVARIANCE (USING GENERAL ESTIMATING EQUATIONS - GEE) WITHIN AN INTENTION-TO-TREAT CONTEXT. IF YOGA IS FOUND EFFECTIVE, FURTHER ANALYSES WILL EXPLORE WHETHER YOGA'S BENEFITS ARE ATTRIBUTABLE TO PHYSICAL, PSYCHOLOGICAL AND/OR PHYSIOLOGICAL FACTORS. CONCLUSIONS: THIS STUDY WILL PROVIDE THE CLEAREST EVIDENCE TO DATE ABOUT THE VALUE OF YOGA AS A THERAPEUTIC OPTION FOR TREATING CHRONIC BACK PAIN, AND IF THE RESULTS ARE POSITIVE, WILL HELP FOCUS FUTURE, MORE IN-DEPTH, RESEARCH ON THE MOST PROMISING POTENTIAL MECHANISMS OF ACTION IDENTIFIED BY THIS STUDY. 2010 5 2430 32 YOGA AND PHYSICAL REHABILITATION MEDICINE: A RESEARCH PARTNERSHIP IN INTEGRATIVE CARE. MIND-BODY INTERVENTIONS, SUCH AS YOGA, THAT TEACH STRESS MANAGEMENT WITH PHYSICAL ACTIVITY MAY BE WELL SUITED FOR INVESTIGATION IN BOTH OSTEOARTHRITIS AND RHEUMATOID ARTHRITIS. IN ORDER TO BE CONSIDERED AS VIABLE CARE OPTIONS INTEGRATIVE STUDIES NEED TO OFFER A COMPREHENSIVE DESIGN AND INCLUDE CLINICIANS FAMILIAR WITH THE DISEASE PROCESS OF THE STUDY POPULATIONS. A REVIEW OF THE LITERATURE REVEALS A DEARTH OF INFORMATION RELATED TO THE COLLABORATION BETWEEN YOGA AND PHYSICAL REHABILITATION MEDICINE. THIS ARTICLE DISCUSSES THE COLLABORATION WITH PHYSICAL REHABILITATION MEDICINE TO COLLECT RELEVANT PRE- AND POST-INTERVENTION MEASURES FOR AN ON-GOING PILOT ACCEPTABILITY/FEASIBILITY YOGA STUDY FOR MINORITY PATIENTS WITH OSTEOARTHRITIS OR RHEUMATOID ARTHRITIS. AN INTERDISCIPLINARY CLINICAL RESEARCH TEAM SELECTED PSYCHOSOCIAL AND PHYSICAL MEASURES FOR A COMMUNITY SAMPLE OF BILINGUAL MINORITY PATIENTS, NOT TYPICALLY IDENTIFIED AS PRACTICING YOGA. SIXTEEN FEMALE ADULTS AGED 40-63 YEARS (MEAN =51) COMPLETED BASELINE PHYSICAL ASSESSMENTS USING SINGLE LEG STANCE, FUNCTIONAL REACH TEST, TIME UP AND GO TEST, TIMED UP FROM THE FLOOR TEST AND THE DISABILITIES OF THE ARM, SHOULDER AND HAND MEASURES. BASELINE VALUES SHOW AN AVERAGE LEVEL OF FUNCTIONAL ABILITY PRIOR TO BEGINNING THE INTERVENTION. PRELIMINARY RESULTS INDICATE SOME IMPROVEMENT; HOWEVER, SELECTED MEASURES MAY NOT HAVE THE SENSITIVITY AND SPECIFICITY NEEDED TO IDENTIFY SIGNIFICANT CHANGE. IN THIS STUDY, COMBINING INTERDISCIPLINARY PERSPECTIVES ENHANCED THE QUALITY OF THE RESEARCH STUDY DESIGN. THE EXPERIENCE OF THIS INTERDISCIPLINARY CLINICAL RESEARCH TEAM OPENS THE DISCUSSION FOR FUTURE COLLABORATIONS. 2013 6 2284 27 THE USE OF YOGA AS A GROUP INTERVENTION FOR PEDIATRIC CHRONIC PAIN REHABILITATION: EXPLORING QUALITATIVE AND QUANTITATIVE OUTCOMES. PURPOSE: WITH THE INCREASE IN OPIOID USE OVER THE LAST DECADE, MIND-BODY APPROACHES TO PEDIATRIC PAIN MANAGEMENT HAVE BEEN TRENDING. TO DATE, THERE IS LIMITED RESEARCH REGARDING THE USE OF YOGA WITH PEDIATRIC CHRONIC PAIN. THIS STUDY AIMS TO GAUGE THE EFFECTIVENESS OF GROUP YOGA AS PART OF CHRONIC PAIN REHABILITATION AND ONE'S ABILITY TO CONTINUE PRACTICING INDEPENDENTLY BY EXPLORING QUALITATIVE AND QUANTITATIVE INFORMATION. METHODS: A SINGLE THERAPIST USED YOGA AS A GROUP PHYSICAL THERAPY INTERVENTION ONCE A WEEK FOR 60 MINUTES. YOGA EDUCATION, IYENGAR YOGA COMPONENTS, RELAXATION, AND STRETCHING WERE INCORPORATED INTO THE THERAPEUTIC YOGA SESSION. QUALITATIVE AND QUANTITATIVE INFORMATION WAS COLLECTED. RESULTS: QUALITATIVE OUTCOMES PROVIDED VALUABLE DATA ABOUT DISTRACTIONS AND BENEFITS. QUANTITATIVE OUTCOMES SHOWED THAT THERE WERE SIGNIFICANT IMPROVEMENTS IN AREAS SUCH AS MENTAL TENSION, EMOTIONAL TENSION, MUSCLE TENSION, AND PAIN (ALL P < 0.001 SIGNIFICANT). CONCLUSION: PEDIATRIC CHRONIC PAIN PATIENTS CAN IDENTIFY MANY BENEFITS AFTER A SINGLE GROUP YOGA SESSION. IT COMBINES THE PHYSICAL AND COGNITIVE ASPECTS OF INTERDISCIPLINARY PAIN REHABILITATION FOR CONTINUED USE AFTER DISCHARGE. THE USE OF YOGA IS AN ECONOMICAL MEANS OF PHYSICAL ACTIVITY AFTER DISCHARGE TO PROMOTE LONG-TERM BENEFITS. 2020 7 2433 29 YOGA AND PILATES IN THE MANAGEMENT OF LOW BACK PAIN. MANY INTERVENTIONS FOR THE MANAGEMENT OF LOW BACK PAIN EXIST, HOWEVER MOST HAVE MODEST EFFICACY AT BEST, AND THERE ARE FEW WITH CLEARLY DEMONSTRATED BENEFITS ONCE PAIN BECOMES CHRONIC. THERAPEUTIC EXERCISE, ON THE OTHER HAND, DOES APPEAR TO HAVE SIGNIFICANT BENEFITS FOR MANAGING PATIENTS WITH CHRONIC LOW BACK PAIN (CLBP) IN TERMS OF DECREASING PAIN AND IMPROVING FUNCTION. IN ADDITION, BECAUSE CHRONIC PAIN IS COMPLEX AND DOES NOT FIT A SIMPLE MODEL, THERE HAVE ALSO BEEN NUMEROUS TRIALS INVESTIGATING AND DEMONSTRATING THE EFFICACY OF MULTIDISCIPLINARY PAIN PROGRAMS FOR CLBP. IT FOLLOWS THAT INTERVENTIONS THAT TREAT MORE THAN ONE ASPECT OF LBP WOULD HAVE SIGNIFICANT BENEFITS FOR THIS PATIENT POPULATION. YOGA AND PILATES WHICH HAVE, BOTH BEEN GAINING IN POPULARITY OVER THE LAST DECADE ARE TWO MIND-BODY EXERCISE INTERVENTIONS THAT ADDRESS BOTH THE PHYSICAL AND MENTAL ASPECTS OF PAIN WITH CORE STRENGTHENING, FLEXIBILITY, AND RELAXATION. THERE HAS BEEN A SLOW EVOLUTION OF THESE NONTRADITIONAL EXERCISE REGIMENS INTO TREATMENT PARADIGMS FOR LBP, ALTHOUGH FEW STUDIES EXAMINING THEIR EFFECTS HAVE BEEN PUBLISHED. THE FOLLOWING ARTICLE WILL FOCUS ON THE SCIENTIFIC AND THEORETICAL BASIS OF USING YOGA AND PILATES IN THE MANAGEMENT OF CLBP. 2008 8 2813 33 YOGA TO TREAT NONSPECIFIC LOW BACK PAIN. LOW BACK PAIN IS COMMON AND POSES A CHALLENGE FOR CLINICIANS TO FIND EFFECTIVE TREATMENT TO PREVENT IT FROM BECOMING CHRONIC. CHRONIC LOW BACK PAIN CAN HAVE A SIGNIFICANT IMPACT ON AN EMPLOYEE'S ABILITY TO REMAIN AN ACTIVE AND PRODUCTIVE MEMBER OF THE WORK FORCE DUE TO INCREASED ABSENTEEISM, DUTY RESTRICTIONS, OR PHYSICAL LIMITATIONS FROM PAIN. LOW BACK PAIN IS THE MOST COMMON CAUSE OF WORK-RELATED DISABILITY AMONG EMPLOYEES YOUNGER THAN 46 YEARS. ADVANCING TECHNOLOGY AND LESS INVASIVE SURGICAL PROCEDURES HAVE NOT IMPROVED OUTCOMES FOR EMPLOYEES WHO SUFFER FROM LOW BACK PAIN. MOST CONTINUE TO EXPERIENCE SOME PAIN AND DYSFUNCTION AFTER CONVENTIONAL TREATMENTS SUCH AS INJECTIONS AND SURGERY. AN ALTERNATIVE TREATMENT THAT COULD REDUCE NONSPECIFIC CHRONIC LOW BACK PAIN WOULD BENEFIT BOTH EMPLOYEES AND EMPLOYERS. EXERCISING AND REMAINING ACTIVE ARE PART OF MOST GUIDELINES' ROUTINE CARE RECOMMENDATIONS BUT ARE NOT WELL DEFINED. 2011 9 122 38 A PILOT STUDY OF YOGA AS SELF-CARE FOR ARTHRITIS IN MINORITY COMMUNITIES. BACKGROUND: WHILE ARTHRITIS IS THE MOST COMMON CAUSE OF DISABILITY, NON-HISPANIC BLACKS AND HISPANICS EXPERIENCE WORSE ARTHRITIS IMPACT DESPITE HAVING THE SAME OR LOWER PREVALENCE OF ARTHRITIS COMPARED TO NON-HISPANIC WHITES. PEOPLE WITH ARTHRITIS WHO EXERCISE REGULARLY HAVE LESS PAIN, MORE ENERGY, AND IMPROVED SLEEP, YET ARTHRITIS IS ONE OF THE MOST COMMON REASONS FOR LIMITING PHYSICAL ACTIVITY. MIND-BODY INTERVENTIONS, SUCH AS YOGA, THAT TEACH STRESS MANAGEMENT ALONG WITH PHYSICAL ACTIVITY MAY BE WELL SUITED FOR INVESTIGATION IN BOTH OSTEOARTHRITIS AND RHEUMATOID ARTHRITIS. YOGA USERS ARE PREDOMINANTLY WHITE, FEMALE, AND COLLEGE EDUCATED. THERE ARE FEW STUDIES THAT EXAMINE YOGA IN MINORITY POPULATIONS; NONE ADDRESS ARTHRITIS. THIS PAPER PRESENTS A STUDY PROTOCOL EXAMINING THE FEASIBILITY AND ACCEPTABILITY OF PROVIDING YOGA TO AN URBAN, MINORITY POPULATION WITH ARTHRITIS. METHODS/DESIGN: IN THIS ONGOING PILOT STUDY, A CONVENIENCE SAMPLE OF 20 MINORITY ADULTS DIAGNOSED WITH EITHER OSTEOARTHRITIS OR RHEUMATOID ARTHRITIS UNDERGO AN 8-WEEK PROGRAM OF YOGA CLASSES. IT IS BELIEVED THAT BY ATTENDING YOGA CLASSES DESIGNED FOR PATIENTS WITH ARTHRITIS, WITH RACIALLY CONCORDANT INSTRUCTORS; ACCEPTABILITY OF YOGA AS AN ADJUNCT TO STANDARD ARTHRITIS TREATMENT AND SELF-CARE WILL BE ENHANCED. SELF-CARE IS DEFINED AS ADOPTING BEHAVIORS THAT IMPROVE PHYSICAL AND MENTAL WELL-BEING. THIS CONCEPT IS QUANTIFIED THROUGH COLLECTING PATIENT-REPORTED OUTCOME MEASURES RELATED TO SPIRITUAL GROWTH, HEALTH RESPONSIBILITY, INTERPERSONAL RELATIONS, AND STRESS MANAGEMENT. ADDITIONAL MEASURES COLLECTED DURING THIS STUDY INCLUDE: PHYSICAL FUNCTION, ANXIETY/DEPRESSION, FATIGUE, SLEEP DISTURBANCE, SOCIAL ROLES, AND PAIN; AS WELL AS BASELINE DEMOGRAPHIC AND CLINICAL DATA. FIELD NOTES, QUANTITATIVE AND QUALITATIVE DATA REGARDING FEASIBILITY AND ACCEPTABILITY ARE ALSO COLLECTED. ACCEPTABILITY IS DETERMINED BY RESPONSE/RETENTION RATES, POSITIVE QUALITATIVE DATA, AND CONTINUING YOGA PRACTICE AFTER THREE MONTHS. DISCUSSION: THERE ARE A NUMBER OF CHALLENGES IN RECRUITING AND RETAINING PARTICIPANTS FROM A COMMUNITY CLINIC SERVING MINORITY POPULATIONS. ADOPTING BEHAVIORS THAT IMPROVE WELL-BEING AND QUALITY OF LIFE INCLUDE THOSE THAT INTEGRATE MENTAL HEALTH (MIND) AND PHYSICAL HEALTH (BODY). FEW STUDIES HAVE EXAMINED OFFERING INTEGRATIVE MODALITIES TO THIS POPULATION. THIS PILOT WAS UNDERTAKEN TO QUANTIFY MEASURES OF FEASIBILITY AND ACCEPTABILITY THAT WILL BE USEFUL WHEN EVALUATING FUTURE PLANS FOR EXPANDING THE STUDY OF YOGA IN URBAN, MINORITY POPULATIONS WITH ARTHRITIS. TRIAL REGISTRATION: CLINICALTRIALS.GOV: NCT01617421. 2013 10 124 24 A PILOT STUDY OF YOGA FOR CHRONIC HEADACHES IN YOUTH: PROMISE AMIDST CHALLENGES. THE PRIMARY AIM OF THE CURRENT STUDY WAS TO PROVIDE PRELIMINARY DATA ON THE FEASIBILITY, ACCEPTABILITY, AND SAFETY OF ALIGNMENT-BASED YOGA FOR YOUTHS WITH CHRONIC HEADACHES. A SECONDARY AIM WAS TO PROVIDE PRELIMINARY ESTIMATES OF YOGA'S ABILITY TO IMPROVE HEADACHE PAIN, DAILY FUNCTIONING, QUALITY OF LIFE, AND ANXIETY LEVEL IN THIS POPULATION. THE YOGA INTERVENTION CONSISTED OF 8 WEEKLY, 75-MINUTE CLASSES. PARTICIPANT FLOW DATA REVEALED CHALLENGES TO FEASIBILITY PRIMARILY DUE TO RECRUITMENT AND RETENTION. SCORES ON MOST OUTCOME MEASURES CHANGED IN THE PREDICTED DIRECTION WITH MEDIUM EFFECT SIZES FOUND FOR THE FUNCTIONAL OUTCOMES. PAIN MEASURES DID NOT CHANGE SIGNIFICANTLY. THIS PILOT SUGGESTS THAT YOGA FOR PEDIATRIC HEADACHES MAY BE ACCEPTABLE, AS INDICATED BY POSITIVE PARENT AND PARTICIPANT RATINGS OF THE YOGA EXPERIENCE. THESE PRELIMINARY FINDINGS SUGGEST THAT YOGA TRIALS FOR PEDIATRIC HEADACHES INCLUDE BOTH CHALLENGES AND PROMISE. RECOMMENDATIONS FOR OVERCOMING CHALLENGES INCLUDE DESIGNS THAT OPTIMIZE FAMILY CONVENIENCE. 2014 11 721 37 EFFECT OF IYENGAR YOGA THERAPY FOR CHRONIC LOW BACK PAIN. LOW BACK PAIN IS A SIGNIFICANT PUBLIC HEALTH PROBLEM AND ONE OF THE MOST COMMONLY REPORTED REASONS FOR THE USE OF COMPLEMENTARY ALTERNATIVE MEDICINE. A RANDOMIZED CONTROL TRIAL WAS CONDUCTED IN SUBJECTS WITH NON-SPECIFIC CHRONIC LOW BACK PAIN COMPARING IYENGAR YOGA THERAPY TO AN EDUCATIONAL CONTROL GROUP. BOTH PROGRAMS WERE 16 WEEKS LONG. SUBJECTS WERE PRIMARILY SELF-REFERRED AND SCREENED BY PRIMARY CARE PHYSICIANS FOR STUDY OF INCLUSION/EXCLUSION CRITERIA. THE PRIMARY OUTCOME FOR THE STUDY WAS FUNCTIONAL DISABILITY. SECONDARY OUTCOMES INCLUDING PRESENT PAIN INTENSITY, PAIN MEDICATION USAGE, PAIN-RELATED ATTITUDES AND BEHAVIORS, AND SPINAL RANGE OF MOTION WERE MEASURED BEFORE AND AFTER THE INTERVENTIONS. SUBJECTS HAD LOW BACK PAIN FOR 11.2+/-1.54 YEARS AND 48% USED PAIN MEDICATION. OVERALL, SUBJECTS PRESENTED WITH LESS PAIN AND LOWER FUNCTIONAL DISABILITY THAN SUBJECTS IN OTHER PUBLISHED INTERVENTION STUDIES FOR CHRONIC LOW BACK PAIN. OF THE 60 SUBJECTS ENROLLED, 42 (70%) COMPLETED THE STUDY. MULTIVARIATE ANALYSES OF OUTCOMES IN THE CATEGORIES OF MEDICAL, FUNCTIONAL, PSYCHOLOGICAL AND BEHAVIORAL FACTORS INDICATED THAT SIGNIFICANT DIFFERENCES BETWEEN GROUPS EXISTED IN FUNCTIONAL AND MEDICAL OUTCOMES BUT NOT FOR THE PSYCHOLOGICAL OR BEHAVIORAL OUTCOMES. UNIVARIATE ANALYSES OF MEDICAL AND FUNCTIONAL OUTCOMES REVEALED SIGNIFICANT REDUCTIONS IN PAIN INTENSITY (64%), FUNCTIONAL DISABILITY (77%) AND PAIN MEDICATION USAGE (88%) IN THE YOGA GROUP AT THE POST AND 3-MONTH FOLLOW-UP ASSESSMENTS. THESE PRELIMINARY DATA INDICATE THAT THE MAJORITY OF SELF-REFERRED PERSONS WITH MILD CHRONIC LOW BACK PAIN WILL COMPLY TO AND REPORT IMPROVEMENT ON MEDICAL AND FUNCTIONAL PAIN-RELATED OUTCOMES FROM IYENGAR YOGA THERAPY. 2005 12 1529 33 IYENGAR YOGA FOR YOUNG ADULTS WITH RHEUMATOID ARTHRITIS: RESULTS FROM A MIXED-METHODS PILOT STUDY. CONTEXT: RHEUMATOID ARTHRITIS (RA) IS A CHRONIC DISEASE THAT OFTEN IMPACTS PATIENT'S QUALITY OF LIFE. FOR YOUNG PEOPLE WITH RA, THERE IS A NEED FOR REHABILITATIVE APPROACHES THAT HAVE BEEN SHOWN TO BE SAFE AND TO LEAD TO IMPROVED FUNCTIONING. OBJECTIVES: THIS PILOT STUDY INVESTIGATED THE FEASIBILITY OF A SINGLE-ARM, GROUP-ADMINISTERED, SIX-WEEK, BIWEEKLY IYENGAR YOGA (IY) PROGRAM FOR EIGHT YOUNG ADULTS WITH RA. METHODS: IY IS KNOWN FOR ITS USE OF PROPS, THERAPEUTIC SEQUENCES DESIGNED FOR PATIENT POPULATIONS, EMPHASIS ON ALIGNMENT, AND A RIGOROUS TEACHER TRAINING. TREATMENT OUTCOMES WERE EVALUATED USING A MIXED-METHODS APPROACH THAT COMBINED QUANTITATIVE RESULTS FROM STANDARDIZED QUESTIONNAIRES AND QUALITATIVE INTERVIEWS WITH PARTICIPANTS. RESULTS: INITIAL ATTRITION WAS 37% (N=3) AFTER THE FIRST WEEK BECAUSE OF SCHEDULING CONFLICTS AND A PRIOR NON-RA RELATED INJURY. HOWEVER, THE REMAINING PARTICIPANTS (N=5) COMPLETED BETWEEN 75% AND 100% OF TREATMENT SESSIONS (MEAN=95%). NO ADVERSE EVENTS WERE REPORTED. THE QUANTITATIVE RESULTS INDICATED SIGNIFICANT IMPROVEMENTS IN PAIN, PAIN DISABILITY, DEPRESSION, MENTAL HEALTH, VITALITY, AND SELF-EFFICACY. INTERVIEWS DEMONSTRATED IMPROVEMENT IN RA SYMPTOMS AND FUNCTIONING BUT UNCERTAINTY ABOUT WHETHER THE INTERVENTION AFFECTED PAIN. CONCLUSION: THESE PRELIMINARY FINDINGS INDICATE THAT IY IS A FEASIBLE COMPLEMENTARY APPROACH FOR YOUNG PEOPLE WITH RA, ALTHOUGH LARGER CLINICAL TRIALS ARE NEEDED TO DEMONSTRATE SAFETY AND EFFICACY. 2010 13 17 36 "THE PAIN LEFT, I WAS OFF AND RUNNING": A QUALITATIVE ANALYSIS OF GROUP ACUPUNCTURE AND YOGA THERAPY FOR CHRONIC PAIN IN A LOW-INCOME AND ETHNICALLY DIVERSE POPULATION. INTRODUCTION: CHRONIC PAIN AND THE CURRENT OPIOID EPIDEMIC ARE PRESSING PUBLIC HEALTH CONCERNS, ESPECIALLY IN LOW-INCOME AND ETHNICALLY DIVERSE COMMUNITIES. NONPHARMACOLOGIC THERAPIES THAT ARE SAFE, EFFECTIVE, AND ACCEPTABLE FOR THE TREATMENT OF CHRONIC PAIN CONDITIONS MAY PROVIDE A SOLUTION FOR ADDRESSING THIS ISSUE. THIS QUALITATIVE ANALYSIS EXPLORES THE EXPERIENCE OF STUDY PARTICIPANTS WHO RECEIVED COMBINED ACUPUNCTURE AND YOGA THERAPY (YT) TO TREAT CHRONIC PAIN DELIVERED IN A PRIMARY CARE SETTING. METHODS: THE GROUP ACUPUNCTURE WITH YOGA THERAPY FOR CHRONIC NECK, LOW BACK, AND OSTEOARTHRITIC PAIN TRIAL (GAPYOGA) ASSESSED THE FEASIBILITY AND EFFECTIVENESS OF GROUP ACUPUNCTURE (GA) COMBINED WITH YT IN A LOW-INCOME, RACIAL, AND ETHNICALLY DIVERSE POPULATION. INDIVIDUAL IN-DEPTH INTERVIEWS WERE CONDUCTED WITH A SUBSET OF PATIENTS IN THE TRIAL. NINETEEN PARTICIPANTS WERE INTERVIEWED FOR QUALITATIVE ANALYSIS OF THEIR EXPERIENCE. USING THE IMMERSION AND CRYSTALLIZATION METHOD, TRANSCRIBED INTERVIEWS WERE ANALYZED FOR THEMES MEANINGFULLY REPRESENTING PARTICIPANT EXPERIENCE. RESULTS: THE COMBINED GA AND YT RESULTED IN SIGNIFICANT PAIN RELIEF AND TRANSFORMATIVE HEALING EXPERIENCES. THREE THEMES EMERGED FROM PARTICIPANT NARRATIVES: (1) TRANSFORMATIVE ENGAGEMENT WITH SELF IN THE HEALING PROCESS THROUGH PAIN RELIEF, PSYCHOLOGICAL WELL-BEING, AND SELF-EFFICACY; (2) THERAPEUTIC RELATIONSHIP WITH ACUPUNCTURE AND YOGA PROVIDERS; AND (3) FOSTERING RELATIONSHIPS WITH FELLOW PARTICIPANTS IN THE GROUP. DISCUSSION: IN THIS STUDY OF A LOW-INCOME AND ETHNICALLY DIVERSE POPULATION, THE COMBINATION OF ACUPUNCTURE AND YT WAS FOUND TO ALLEVIATE PAIN, IMPROVE FUNCTION, PROMOTE PSYCHOLOGICAL WELL-BEING, AND ENGAGE PARTICIPANTS IN SELF-CARE PRACTICES IN A TRANSFORMATIVE HEALING PROCESS-RESULTING IN PHYSICAL AND PSYCHOLOGICAL BENEFITS. 2022 14 1239 28 FEASIBILITY OF A MANUALIZED MINDFUL YOGA INTERVENTION FOR PATIENTS WITH CHRONIC MOOD DISORDERS. CHRONIC MOOD DISORDERS POSE AN IMPORTANT MENTAL HEALTH PROBLEM. INDIVIDUALS WITH THESE DISORDERS EXPERIENCE A SIGNIFICANT IMPAIRMENT, OFTEN FAIL TO SEEK HELP, AND THEIR ILLNESSES FREQUENTLY DO NOT RESPOND TO TREATMENT. IT IS THEREFORE IMPORTANT TO DEVELOP INNOVATIVE AND ATTRACTIVE TREATMENTS FOR THESE DISORDERS. MINDFUL YOGA REPRESENTS A PROMISING TREATMENT APPROACH. THIS PILOT STUDY TESTED THE FEASIBILITY OF A 9-WEEK MANUALIZED MINDFUL YOGA INTERVENTION FOR PATIENTS WITH CHRONIC MOOD DISORDERS. ELEVEN PATIENTS RECEIVING STANDARD TREATMENT WERE RECRUITED TO COMPLETE A 9-WEEK MINDFUL YOGA INTERVENTION. QUALITATIVE METHODS WERE USED TO ASSESS PATIENTS' EXPERIENCES OF THE INTERVENTION AND QUANTITATIVE METHODS WERE USED TO ASSESS PSYCHOLOGICAL DISTRESS AND MECHANISMS THAT PLAY A ROLE IN CHRONIC MOOD DISORDERS. EIGHT PATIENTS COMPLETED THE INTERVENTION AND RATED THE OVERALL QUALITY OF THE INTERVENTION WITH A MEAN SCORE OF 8.8 (RANGE OF 8 TO 9, USING A SCALE OF 1 TO 10). ALL PARTICIPANTS REPORTED A REDUCTION IN PSYCHOLOGICAL DISTRESS AND NO ADVERSE EVENTS. AMONG THE MECHANISMS THAT PLAY A ROLE IN CHRONIC MOOD DISORDERS, THE MOST POTENTIALLY PROMISING EFFECTS FROM THE INTERVENTION WERE FOUND FOR WORRY, FEAR OF DEPRESSION AND ANXIETY, RUMINATION, AND AREAS RELATED TO BODY AWARENESS, SUCH AS TRUSTING BODILY EXPERIENCES AND NOT DISTRACTING FROM SENSATIONS OF DISCOMFORT. A 9-WEEK MINDFUL YOGA INTERVENTION APPEARS TO BE A FEASIBLE AND ATTRACTIVE TREATMENT WHEN ADDED TO TREATMENT AS USUAL FOR A GROUP OF PATIENTS WITH CHRONIC MOOD DISORDERS. A RANDOMIZED CONTROLLED TRIAL TO STUDY THE EFFECTS OF MINDFUL YOGA IS RECOMMENDED. 2021 15 2824 37 YOGA VERSUS EDUCATION FOR VETERANS WITH CHRONIC LOW BACK PAIN: STUDY PROTOCOL FOR A RANDOMIZED CONTROLLED TRIAL. BACKGROUND: CHRONIC LOW BACK PAIN IS THE MOST FREQUENT PAIN CONDITION IN VETERANS AND CAUSES SUBSTANTIAL SUFFERING, DECREASED FUNCTIONAL CAPACITY, AND LOWER QUALITY OF LIFE. SYMPTOMS OF POST-TRAUMATIC STRESS, DEPRESSION, AND MILD TRAUMATIC BRAIN INJURY ARE HIGHLY PREVALENT IN VETERANS WITH BACK PAIN. YOGA FOR LOW BACK PAIN HAS BEEN DEMONSTRATED TO BE EFFECTIVE FOR CIVILIANS IN RANDOMIZED CONTROLLED TRIALS. HOWEVER, IT IS UNKNOWN IF RESULTS FROM PREVIOUSLY PUBLISHED TRIALS GENERALIZE TO MILITARY POPULATIONS. METHODS/DESIGN: THIS STUDY IS A PARALLEL RANDOMIZED CONTROLLED TRIAL COMPARING YOGA TO EDUCATION FOR 120 VETERANS WITH CHRONIC LOW BACK PAIN. PARTICIPANTS ARE VETERANS >/=18 YEARS OLD WITH LOW BACK PAIN PRESENT ON AT LEAST HALF THE DAYS IN THE PAST SIX MONTHS AND A SELF-REPORTED AVERAGE PAIN INTENSITY IN THE PREVIOUS WEEK OF >/=4 ON A 0-10 SCALE. THE 24-WEEK STUDY HAS AN INITIAL 12-WEEK INTERVENTION PERIOD, WHERE PARTICIPANTS ARE RANDOMIZED EQUALLY INTO (1) A STANDARDIZED WEEKLY GROUP YOGA CLASS WITH HOME PRACTICE OR (2) EDUCATION DELIVERED WITH A SELF-CARE BOOK. PRIMARY OUTCOME MEASURES ARE CHANGE AT 12 WEEKS IN LOW BACK PAIN INTENSITY MEASURED BY THE DEFENSE AND VETERANS PAIN RATING SCALE (0-10) AND BACK-RELATED FUNCTION USING THE 23-POINT ROLAND MORRIS DISABILITY QUESTIONNAIRE. IN THE SUBSEQUENT 12-WEEK FOLLOW-UP PERIOD, YOGA PARTICIPANTS ARE ENCOURAGED TO CONTINUE HOME YOGA PRACTICE AND EDUCATION PARTICIPANTS CONTINUE FOLLOWING RECOMMENDATIONS FROM THE BOOK. QUALITATIVE INTERVIEWS WITH VETERANS IN THE YOGA GROUP AND THEIR PARTNERS EXPLORE THE IMPACT OF CHRONIC LOW BACK PAIN AND YOGA ON FAMILY RELATIONSHIPS. WE ALSO ASSESS COST-EFFECTIVENESS FROM THREE PERSPECTIVES: THE VETERAN, THE VETERANS HEALTH ADMINISTRATION, AND SOCIETY USING ELECTRONIC MEDICAL RECORDS, SELF-REPORTED COST DATA, AND STUDY RECORDS. DISCUSSION: THIS STUDY WILL HELP DETERMINE IF YOGA CAN BECOME AN EFFECTIVE TREATMENT FOR VETERANS WITH CHRONIC LOW BACK PAIN AND PSYCHOLOGICAL COMORBIDITIES. TRIAL REGISTRATION: CLINICALTRIALS.GOV: NCT02224183. 2016 16 2788 35 YOGA THERAPY DYADS: A NOVEL APPROACH TO CHRONIC PAIN MANAGEMENT IN UNDERSERVED POPULATIONS. YOGA THERAPY IS AN EMERGING INTEGRATIVE HEALTH APPROACH THAT APPLIES THE PRACTICES AND TEACHINGS OF YOGA FOR INDIVIDUALS WITH CLINICAL CONCERNS. IT IS GENERALLY OFFERED AS INDIVIDUAL SESSIONS BETWEEN A YOGA THERAPIST AND CLIENT OR IN A SMALL GROUP SETTING WITH SEVERAL CLIENTS WHO SHARE A CLINICAL CONCERN. HERE WE DESCRIBE A THIRD MODEL FOR CONSIDERATION- THE YOGA THERAPY DYAD. A DYAD INCLUDES TWO CLIENTS WORKING SIMULTANEOUSLY WITH A SINGLE YOGA THERAPIST AND DIFFERS FROM BOTH INDIVIDUAL AND SMALL GROUP SESSIONS IN THE POTENTIAL BENEFITS AND CHALLENGES. THE YOGA THERAPY DYAD MODEL THAT IS DETAILED HERE WAS IMPLEMENTED AS PART OF A FEASIBILITY TRIAL ALONG WITH GROUP ACUPUNCTURE THERAPY FOR CHRONIC PAIN IN AN UNDERSERVED POPULATION. UNDERSERVED POPULATIONS ARE AT RISK FOR PAIN AND REDUCED ACCESS TO CARE. THIS PILOT MAY INFORM FUTURE RESEARCH, POLICY, EDUCATION, AND CLINICAL PRACTICE. 2022 17 1895 20 RESILIENT TO PAIN: A MODEL OF HOW YOGA MAY DECREASE INTERFERENCE AMONG PEOPLE EXPERIENCING CHRONIC PAIN. CHRONIC MUSCULOSKELETAL PAIN IS THE LEADING CAUSE OF DISABILITY GLOBALLY, YET FOR THE MAJORITY OF PEOPLE WHO EXPERIENCE CHRONIC PAIN, IT DOES NOT SERIOUSLY DISABLE THEM OR INTERFERE WITH THEIR LIFE. PEOPLE WHO EXPERIENCE SEVERE PAIN YET LOW DISABILITY DISPLAY A RESILIENT COURSE OF PAIN. YOGA HAS BEEN SHOWN TO DECREASE DISABILITY AMONG PEOPLE WITH PAIN, BUT IT IS NOT KNOWN HOW. BECAUSE EVEN THE MOST BASIC YOGA PRACTICES POSSESS MANY OF THE COMPONENTS THOUGHT TO BE IMPORTANT IN FOSTERING RESILIENCE, YOGA IS A PROMISING MEANS OF IMPROVING RESILIENCE AND CLINICAL OUTCOMES FOR PEOPLE WITH CHRONIC PAIN. A VALIDATED CONCEPTUAL MODEL OF HOW THE EXPERIENCE OF CHRONIC PAIN IS AFFECTED BY YOGA IS NEEDED TO GUIDE A FUTURE RESEARCH AGENDA AND IDENTIFY POTENTIAL TARGETS FOR CHRONIC PAIN INTERVENTION. ULTIMATELY, AN EXPLANATORY MODEL COULD GUIDE THE OPTIMIZATION OF YOGA AND OTHER NON-PHARMACOLOGICAL THERAPIES FOR THE TREATMENT OF CHRONIC PAIN. I PRESENT A TESTABLE MODEL. 2019 18 1953 40 SECONDARY OUTCOMES FROM A RANDOMIZED CONTROLLED TRIAL OF YOGA FOR VETERANS WITH CHRONIC LOW-BACK PAIN. CHRONIC LOW-BACK PAIN (CLBP) IS A PREVALENT CONDITION, AND RATES ARE HIGHER AMONG MILITARY VETERANS. CLBP IS A PERSISTENT CONDITION, AND TREATMENT OPTIONS HAVE EITHER MODEST EFFECTS OR A SIGNIFICANT RISK OF SIDE-EFFECTS, WHICH HAS LED TO RECENT EFFORTS TO EXPLORE MIND-BODY INTERVENTION OPTIONS AND REDUCE OPIOID MEDICATION USE. PRIOR STUDIES OF YOGA FOR CLBP IN COMMUNITY SAMPLES, AND THE MAIN RESULTS OF A RECENT TRIAL WITH MILITARY VETERANS, INDICATE THAT YOGA CAN REDUCE BACK-RELATED DISABILITY AND PAIN INTENSITY. SECONDARY OUTCOMES FROM THE TRIAL OF YOGA WITH MILITARY VETERANS ARE PRESENTED HERE. IN THE STUDY, 150 MILITARY VETERANS (VETERANS ADMINISTRATION PATIENTS) WITH CLBP WERE RANDOMIZED TO EITHER YOGA OR A DELAYED-TREATMENT GROUP RECEIVING USUAL CARE BETWEEN 2013 AND 2015. ASSESSMENTS OCCURRED AT BASELINE, 6 WEEKS, 12 WEEKS, AND 6 MONTHS. INTENT-TO-TREAT ANALYSES WERE CONDUCTED. YOGA CLASSES LASTING 60 MINUTES EACH WERE OFFERED TWICE WEEKLY FOR 12 WEEKS. YOGA SESSIONS CONSISTED OF PHYSICAL POSTURES, MOVEMENT, FOCUSED ATTENTION, AND BREATHING TECHNIQUES. HOME PRACTICE GUIDED BY A MANUAL WAS STRONGLY RECOMMENDED. THE PRIMARY OUTCOME MEASURE WAS ROLAND-MORRIS DISABILITY QUESTIONNAIRE SCORES AFTER 12 WEEKS. SECONDARY OUTCOMES INCLUDED PAIN INTENSITY, PAIN INTERFERENCE, DEPRESSION, FATIGUE, QUALITY OF LIFE, SELF-EFFICACY, AND MEDICATION USAGE. YOGA PARTICIPANTS IMPROVED MORE THAN DELAYED-TREATMENT PARTICIPANTS ON PAIN INTERFERENCE, FATIGUE, QUALITY OF LIFE, AND SELF-EFFICACY AT 12 WEEKS AND/OR 6 MONTHS. YOGA PARTICIPANTS HAD GREATER IMPROVEMENTS ACROSS A NUMBER OF IMPORTANT SECONDARY HEALTH OUTCOMES COMPARED TO CONTROLS. BENEFITS EMERGED DESPITE SOME VETERANS FACING CHALLENGES WITH ATTENDING YOGA SESSIONS IN PERSON. THE FINDINGS SUPPORT WIDER IMPLEMENTATION OF YOGA PROGRAMS FOR VETERANS, WITH ATTENTION TO INCREASING ACCESSIBILITY OF YOGA PROGRAMS IN THIS POPULATION. 2020 19 87 31 A MIXED METHODS EVALUATION OF AN INDIVIDUALISED YOGA THERAPY INTERVENTION FOR RHEUMATOID ARTHRITIS: PILOT STUDY. OBJECTIVES: TO EXPLORE PATIENTS' EXPERIENCES OF AN INDIVIDUALISED YOGA THERAPY INTERVENTION FOR RHEUMATOID ARTHRITIS (RA), SPECIFICALLY IN TERMS OF ITS ACCEPTABILITY AND IMPACT ON PATIENT-REPORTED OUTCOMES. DESIGN: TEN PATIENTS TOOK PART IN A 16 WEEK YOGA THERAPY INTERVENTION IN A HOSPITAL SETTING, CONSISTING OF 10 ONE-TO-ONE CONSULTATIONS WITH A YOGA THERAPIST FOLLOWED BY TWO GROUP REVIEW SESSIONS. CHANGES IN HEALTH (EQ-5D, HADS) WERE ASSESSED PRE- AND POST-INTERVENTION AND AT 12-MONTH FOLLOW-UP. IN-DEPTH INTERVIEWS WERE CONDUCTED POST-INTERVENTION AND ANALYSED USING THEMATIC ANALYSIS. RESULTS: ATTENDANCE OF THE 1-TO-1 SESSIONS WAS HIGH (98 %) AND ALL PARTICIPANTS REPORTED STRONG COMMITMENT TO THEIR PERSONALISED HOME PRACTICE. THERE WERE SIGNIFICANT IMPROVEMENTS IN MEASURES OF DEPRESSION, ANXIETY, PAIN, QUALITY OF LIFE AND GENERAL HEALTH AT POST-INTERVENTION AND 12-MONTHS (P < 0.05). IN INTERVIEWS, ALL BUT ONE PARTICIPANT REPORTED POSITIVE CHANGES TO THEIR SYMPTOMS AND SEVERAL REPORTED REDUCTIONS IN THEIR MEDICATION AND BROADER BENEFITS SUCH AS IMPROVED SLEEP, MOOD AND ENERGY, ENABLING RE-ENGAGEMENT WITH LIFE. THE PERSONALLY TAILORED NATURE OF THE PRACTICE AND PERCEIVED BENEFITS WERE KEY MOTIVATIONAL FACTORS. PARTICULAR VALUE WAS PLACED ON THE THERAPEUTIC FUNCTION OF THE CONSULTATION AND PROVISION OF TOOLS TO MANAGE STRESS AND BUILD RESILIENCE. CONCLUSION: THIS YOGA THERAPY INTERVENTION WAS POSITIVELY RECEIVED BY PATIENTS WITH RA, WITH HIGH LEVELS OF ADHERENCE TO BOTH THE TREATMENTS AND TAILORED HOME PRACTICE. THE FINDINGS SUGGEST THAT YOGA THERAPY HAS POTENTIAL AS AN ADJUNCT THERAPY TO IMPROVE RA SYMPTOMS, INCREASE SELF-CARE BEHAVIOURS AND MANAGE STRESS AND NEGATIVE AFFECT SUCH AS ANXIETY. A LARGER MULTI-CENTRE STUDY IS THEREFORE WARRANTED. 2020 20 2383 23 YOGA & CANCER INTERVENTIONS: A REVIEW OF THE CLINICAL SIGNIFICANCE OF PATIENT REPORTED OUTCOMES FOR CANCER SURVIVORS. LIMITED RESEARCH SUGGESTS YOGA MAY BE A VIABLE GENTLE PHYSICAL ACTIVITY OPTION WITH A VARIETY OF HEALTH-RELATED QUALITY OF LIFE, PSYCHOSOCIAL AND SYMPTOM MANAGEMENT BENEFITS. THE PURPOSE OF THIS REVIEW WAS TO DETERMINE THE CLINICAL SIGNIFICANCE OF PATIENT-REPORTED OUTCOMES FROM YOGA INTERVENTIONS CONDUCTED WITH CANCER SURVIVORS. A TOTAL OF 25 PUBLISHED YOGA INTERVENTION STUDIES FOR CANCER SURVIVORS FROM 2004-2011 HAD PATIENT-REPORTED OUTCOMES, INCLUDING QUALITY OF LIFE, PSYCHOSOCIAL OR SYMPTOM MEASURES. THIRTEEN OF THESE STUDIES MET THE NECESSARY CRITERIA TO ASSESS CLINICAL SIGNIFICANCE. CLINICAL SIGNIFICANCE FOR EACH OF THE OUTCOMES OF INTEREST WAS EXAMINED BASED ON 1 STANDARD ERROR OF THE MEASUREMENT, 0.5 STANDARD DEVIATION, AND RELATIVE COMPARATIVE EFFECT SIZES AND THEIR RESPECTIVE CONFIDENCE INTERVALS. THIS REVIEW DESCRIBES IN DETAIL THESE PATIENT-REPORTED OUTCOMES, HOW THEY WERE OBTAINED, THEIR RELATIVE CLINICAL SIGNIFICANCE AND IMPLICATIONS FOR BOTH CLINICAL AND RESEARCH SETTINGS. OVERALL, CLINICALLY SIGNIFICANT CHANGES IN PATIENT-REPORTED OUTCOMES SUGGEST THAT YOGA INTERVENTIONS HOLD PROMISE FOR IMPROVING CANCER SURVIVORS' WELL-BEING. THIS RESEARCH OVERVIEW PROVIDES NEW DIRECTIONS FOR EXAMINING HOW CLINICAL SIGNIFICANCE CAN PROVIDE A UNIQUE CONTEXT FOR DESCRIBING CHANGES IN PATIENT-REPORTED OUTCOMES FROM YOGA INTERVENTIONS. RESEARCHERS ARE ENCOURAGED TO EMPLOY INDICES OF CLINICAL SIGNIFICANCE IN THE INTERPRETATION AND DISCUSSION OF RESULTS FROM YOGA STUDIES. 2012