1 2200 89 THE EFFICACY OF YOGA AS A FORM OF TREATMENT FOR DEPRESSION. THE PURPOSE OF THIS ARTICLE WAS TO SYSTEMATICALLY REVIEW YOGA INTERVENTIONS AIMED AT IMPROVING DEPRESSIVE SYMPTOMS. A TOTAL OF 23 INTERVENTIONS PUBLISHED BETWEEN 2011 AND MAY 2016 WERE EVALUATED IN THIS REVIEW. THREE STUDY DESIGNS WERE USED: RANDOMIZED CONTROL TRIALS, QUASI-EXPERIMENTAL, AND PRETEST/POSTTEST, WITH MAJORITY BEING RANDOMIZED CONTROL TRIALS. MOST OF THE STUDIES WERE IN THE UNITED STATES. VARIOUS YOGA SCHOOLS WERE USED, WITH THE MOST COMMON BEING HATHA YOGA. THE NUMBER OF PARTICIPANTS PARTICIPATING IN THE STUDIES RANGED FROM 14 TO 136, IMPLYING THAT MOST STUDIES HAD A SMALL SAMPLE. THE DURATION OF THE INTERVENTION PERIOD VARIED GREATLY, WITH THE MAJORITY BEING 6 WEEKS OR LONGER. LIMITATIONS OF THE INTERVENTIONS INVOLVED THE SMALL SAMPLE SIZES USED BY THE MAJORITY OF THE STUDIES, MOST STUDIES EXAMINING THE SHORT-TERM EFFECT OF YOGA FOR DEPRESSION, AND THE NONUTILIZATION OF BEHAVIORAL THEORIES. DESPITE THE LIMITATIONS, IT CAN BE CONCLUDED THAT THE YOGA INTERVENTIONS WERE EFFECTIVE IN REDUCING DEPRESSION. 2017 2 1084 29 EFFECTS OF YOGA ON STRESS MANAGEMENT IN HEALTHY ADULTS: A SYSTEMATIC REVIEW. OBJECTIVE: THIS ARTICLE REPORTS A SYSTEMATIC REVIEW AND CRITICAL APPRAISAL OF THE EFFECT OF YOGA ON STRESS MANAGEMENT IN HEALTHY ADULTS. METHODS: A SYSTEMATIC LITERATURE SEARCH WAS PERFORMED TO IDENTIFY RANDOMIZED CONTROLLED TRIALS (RCTS) AND CLINICAL CONTROLLED TRIALS (CCTS) THAT ASSESSED THE EFFECTS OF YOGA ON STRESS MANAGEMENT IN HEALTHY ADULTS. SELECTED STUDIES WERE CLASSIFIED ACCORDING TO THE TYPES OF INTERVENTION, DURATION, OUTCOME MEASURES, AND RESULTS. THEY WERE ALSO QUALITATIVELY ASSESSED BASED ON PUBLIC HEALTH RESEARCH, EDUCATION AND DEVELOPMENT STANDARDS. RESULTS: THE SYSTEMATIC REVIEW WAS BASED ON EIGHT RCTS AND CCTS THAT INDICATED A POSITIVE EFFECT OF YOGA IN REDUCING STRESS LEVELS OR STRESS SYMPTOMS. HOWEVER, MOST OF THE STUDIES HAD METHODOLOGICAL PROBLEMS IN THAT THE INTERVENTION DURATION WAS SHORT AND LIMITED FOLLOW-UP DATA WAS AVAILABLE. CONCLUSION: THIS REVIEW REVEALED POSITIVE EFFECTS OF YOGA ON STRESS REDUCTION IN HEALTHY ADULT POPULATIONS. HOWEVER, THE RESULT SHOULD BE INTERPRETED WITH CAUTION DUE TO THE SMALL NUMBER OF STUDIES AND THE ASSOCIATED METHODOLOGICAL PROBLEMS. FURTHER STUDIES TO ASCERTAIN YOGA'S LONG-TERM EFFECTS AND THE UNDERLYING BIOLOGICAL MECHANISMS LEADING TO ITS STRESS REDUCTION EFFECT SHOULD BE CONDUCTED. 2011 3 2488 29 YOGA AS AN INTERVENTION FOR THE REDUCTION OF SYMPTOMS OF ANXIETY AND DEPRESSION IN CHILDREN AND ADOLESCENTS: A SYSTEMATIC REVIEW. PURPOSE: THE PURPOSE OF THIS REVIEW IS TO EVALUATE THE IMPLEMENTATION AND EFFECTIVENESS OF YOGA FOR THE REDUCTION OF SYMPTOMS OF ANXIETY AND DEPRESSION IN YOUTH. TO OUR KNOWLEDGE, THERE ARE NO SYSTEMATIC REVIEWS TO DATE LOOKING AT THE REDUCTION OF SYMPTOMS OF BOTH ANXIETY AND DEPRESSION. METHODS: NUMEROUS SCIENTIFIC DATABASES WERE SEARCHED UP TO NOVEMBER 2018 FOR EXPERIMENTAL STUDIES ASSESSING CHANGES IN SYMPTOMS OF ANXIETY AND/OR DEPRESSION IN YOUTHS FOLLOWING YOGA INTERVENTIONS. QUALITY AND LEVEL OF EVIDENCE WERE ASSESSED, AND INFORMATION WAS SYNTHESIZED ACROSS STUDIES. RESULTS: TWENTY-SEVEN STUDIES INVOLVING YOUTH WITH VARYING HEALTH STATUSES WERE REVIEWED. INTERVENTION CHARACTERISTICS VARIED GREATLY ACROSS STUDIES REVEALING MULTIPLE FACTORS THAT MAY IMPACT INTERVENTION EFFICACY, HOWEVER 70% OF THE STUDIES OVERALL SHOWED IMPROVEMENTS. FOR STUDIES ASSESSING ANXIETY AND DEPRESSION, 58% SHOWED REDUCTIONS IN BOTH SYMPTOMS, WHILE 25% SHOWED REDUCTIONS IN ANXIETY ONLY. ADDITIONALLY, 70% OF STUDIES ASSESSING ANXIETY ALONE SHOWED IMPROVEMENTS AND 40% OF STUDIES ONLY ASSESSING DEPRESSION SHOWED IMPROVEMENTS. CONCLUSION: THE STUDIES REVIEWED, WHILE OF WEAK TO MODERATE METHODOLOGICAL QUALITY, SHOWED THAT YOGA, DEFINED BY THE PRACTICE OF POSTURES, GENERALLY LEADS TO SOME REDUCTIONS IN ANXIETY AND DEPRESSION IN YOUTH REGARDLESS OF HEALTH STATUS AND INTERVENTION CHARACTERISTICS. 2020 4 1088 28 EFFECTS OF YOGA ON SYMPTOMS, PHYSICAL FUNCTION, AND PSYCHOSOCIAL OUTCOMES IN ADULTS WITH OSTEOARTHRITIS: A FOCUSED REVIEW. OSTEOARTHRITIS (OA) IS A HIGHLY PREVALENT AND DISABLING CHRONIC CONDITION. BECAUSE PHYSICAL ACTIVITY IS A KEY COMPONENT IN OA MANAGEMENT, EFFECTIVE EXERCISE INTERVENTIONS ARE NEEDED. YOGA IS AN INCREASINGLY POPULAR MULTIMODAL MIND-BODY EXERCISE THAT AIMS TO PROMOTE FLEXIBILITY, STRENGTH, ENDURANCE, AND BALANCE. ITS GENTLE APPROACH IS POTENTIALLY A SAFE AND EFFECTIVE EXERCISE OPTION FOR MANAGING OA. THE PURPOSE OF THIS FOCUSED REVIEW IS TO EXAMINE THE EFFECTS OF YOGA ON OA SYMPTOMS AND PHYSICAL AND PSYCHOSOCIAL OUTCOMES. A COMPREHENSIVE SEARCH WAS CONDUCTED USING SEVEN ELECTRONIC DATABASES. TWELVE REPORTS MET INCLUSION CRITERIA INVOLVING A TOTAL OF 589 PARTICIPANTS WITH OA-RELATED SYMPTOMS. A VARIETY OF TYPES, FREQUENCIES, AND DURATIONS OF YOGA INTERVENTIONS WERE REPORTED; HATHA AND IYENGAR YOGA WERE THE MOST COMMONLY USED TYPES. FREQUENCY OF INTERVENTION RANGED FROM ONCE A WEEK TO 6 DAYS A WEEK. DURATION OF THE INTERVENTIONS RANGED FROM 45 TO 90 MINS PER SESSION FOR 6 TO 12 WKS. YOGA INTERVENTION RESULTED IN REDUCTIONS IN PAIN, STIFFNESS, AND SWELLING, BUT RESULTS ON PHYSICAL FUNCTION AND PSYCHOSOCIAL WELL-BEING WERE INCONCLUSIVE BECAUSE OF A VARIETY OF OUTCOME MEASURES BEING USED. 2016 5 2915 27 [SYSTEMATIC REVIEW OF YOGA FOR DEPRESSION AND QUALITY OF SLEEP IN THE ELDERLY]. BACKGROUND: AGING AND AGE-RELATED HEALTH PROBLEMS ARE MAJOR ISSUES OF CONCERN FOR COMMUNITY HEALTH SERVICES. YOGA IS AN EXERCISE WITH BOTH PHYSIOLOGICAL AND PSYCHOLOGICAL EFFECTS ON AGING. ALTHOUGH MANY STUDIES HAVE ASSESSED THE EFFECTIVENESS OF YOGA IN THE ELDERLY, LITTLE INFORMATION IS AVAILABLE IN THE LITERATURE TO SUPPORT EMPIRICAL CONCLUSIONS. PURPOSE: THIS REVIEW SYNTHESIZES AND CHARACTERIZES FINDINGS RELATED TO THE EFFECTS OF YOGA ON DEPRESSION AND QUALITY OF SLEEP IN THE ELDERLY. METHODS: RESEARCHERS USED KEYWORDS INCLUDING YOGA, ELDERLY, AGED / OLDER ADULT, DEPRESSION, SLEEP, AND QUALITY TO SEARCH 6 ELECTRONIC DATABASES FOR RELEVANT STUDIES PUBLISHED PRIOR TO MARCH 2013. INCLUSION AND EXCLUSION CRITERIA WERE USED TO SCREEN IDENTIFIED STUDY ABSTRACTS. THE JADAD SCALE APPRAISED THE QUALITY OF IDENTIFIED STUDIES. RESULTS: SEVEN STUDIES MET THE INCLUSION CRITERIA. FIVE STUDIES FOUND SIGNIFICANT CHANGES IN PARTICIPANT DEPRESSION SYMPTOMS AFTER DOING YOGA. THREE STUDIES FOUND SIGNIFICANT EFFECTS ON THE QUALITY OF SLEEP OF PARTICIPANTS AFTER 6 MONTHS OF DOING YOGA. CONCLUSION: YOGA SIGNIFICANTLY REDUCED THE DEPRESSIVE SYMPTOMS OF ELDERLY PARTICIPANTS AND IMPROVED THEIR QUALITY OF SLEEP AFTER 6 MONTHS. FINDINGS WERE SIMILAR FOR ELDERLY LIVING IN INSTITUTIONS AND IN THE COMMUNITY. HOWEVER, THE MAJORITY OF PARTICIPANTS IN THE ASSESSED STUDIES WERE WOMEN CHARACTERIZED BY A HIGH LEVEL OF SOCIAL PARTICIPATION AND PROACTIVE PARTICIPATION IN HEALTH PROMOTION ACTIVITIES. FUTURE STUDIES SHOULD BROADEN THE SCOPE OF RESEARCH TO ADDRESS DIFFERENT AGING POPULATIONS AND USE LONG-TERM COHORT OBSERVATIONS IN ORDER TO BETTER ELICIT THE EFFECTIVENESS OF YOGA AND TO DEVELOP STRATEGIES TO INTRODUCE YOGA INTO DAILY ACTIVITIES. 2014 6 2105 20 THE EFFECT OF YOGA ON MENSTRUAL DISORDERS: A SYSTEMATIC REVIEW. OBJECTIVE: TO SUMMARIZE AND EVALUATE EVIDENCE FOR THE EFFECT OF YOGA ON MENSTRUAL DISORDERS. METHODS: PUBMED, CINAHL/MEDLINE, WEB OF SCIENCE, AMED, AND SCOPUS WERE SEARCHED FOR ENGLISH-LANGUAGE LITERATURE RELEVANT TO THE REVIEW QUESTION. ALL PRIMARY RESEARCH STUDIES WERE INCLUDED. RESULTS: FIFTEEN STUDIES DESCRIBED IN 18 PAPERS WERE INCLUDED IN THE REVIEW. A RANGE OF YOGA INTERVENTIONS WERE USED. SOME STUDIES USED A COMBINATION OF ASANA, PRANAYAMA, AND OTHER YOGIC RELAXATION OR MEDITATION TECHNIQUES. ALL INCLUDED STUDIES REPORTED SOME CHANGE IN THEIR OUTCOME MEASURES, SUGGESTING REDUCED SYMPTOMS OF MENSTRUAL DISTRESS FOLLOWING A YOGA INTERVENTION; HOWEVER, THE HETEROGENEITY AND INTENSITY OF THE INTERVENTIONS AND OUTCOME MEASURES MEANT THAT FINDINGS HAVE LIMITED GENERALIZABILITY AND APPLICABILITY IN PRACTICE SETTINGS. CONCLUSIONS: FURTHER RESEARCH ON THE RELATIONSHIP BETWEEN YOGA PRACTICE AND MENSTRUAL DISORDERS IS WARRANTED, BUT THERE MUST BE BOTH CONSISTENCY IN THE METHODS, MEASURES, AND QUALITY OF STUDIES AND A SHIFT TOWARD RESEARCH ON YOGA PRACTICES THAT ARE REPLICABLE OUTSIDE OF THE CLINICAL TRIAL SETTING. 2017 7 2292 23 THERAPEUTIC EFFECTS OF YOGA FOR CHILDREN: A SYSTEMATIC REVIEW OF THE LITERATURE. PURPOSE: WE COMPLETED A SYSTEMATIC REVIEW OF THE LITERATURE ON THE EFFECT OF YOGA ON QUALITY OF LIFE AND PHYSICAL OUTCOME MEASURES IN THE PEDIATRIC POPULATION. WE EXPLORED VARIOUS DATABASES AND INCLUDED CASE-CONTROL AND PILOT STUDIES, COHORT AND RANDOMIZED CONTROLLED TRIALS THAT EXAMINED YOGA AS AN EXERCISE INTERVENTION FOR CHILDREN. SUMMARY OF KEY POINTS: USING THE SACKETT LEVELS OF EVIDENCE, THIS ARTICLE REVIEWS THE LITERATURE ON YOGA AS A COMPLEMENTARY MIND-BODY MOVEMENT THERAPY. WE ADDRESS THE RESEARCH THROUGH THREE PRACTICE PATTERNS ACCORDING TO THE GUIDE TO PHYSICAL THERAPIST PRACTICE AND PROVIDE CONSIDERATIONS FOR THE INCLUSION OF YOGA INTO CLINICAL PRACTICE. STATEMENT OF CONCLUSIONS AND RECOMMENDATIONS FOR CLINICAL PRACTICE: THE EVIDENCE SHOWS PHYSIOLOGICAL BENEFITS OF YOGA FOR THE PEDIATRIC POPULATION THAT MAY BENEFIT CHILDREN THROUGH THE REHABILITATION PROCESS, BUT LARGER CLINICAL TRIALS, INCLUDING SPECIFIC MEASURES OF QUALITY OF LIFE ARE NECESSARY TO PROVIDE DEFINITIVE EVIDENCE. 2008 8 836 29 EFFECT OF YOGA ON PATIENTS WITH CANCER: OUR CURRENT UNDERSTANDING. OBJECTIVE: TO DETERMINE WHETHER THERAPEUTIC YOGA IMPROVES THE QUALITY OF LIFE OF PATIENTS WITH CANCER. DATA SOURCES: SEARCH OF MEDLINE DATABASE (1950-2010) USING KEY WORDS YOGA, CANCER, AND QUALITY OF LIFE. STUDY SELECTION: PRIORITY WAS GIVEN TO RANDOMIZED CONTROLLED CLINICAL STUDIES CONDUCTED TO DETERMINE THE EFFECT OF YOGA ON TYPICAL SYMPTOMS OF PATIENTS WITH CANCER IN NORTH AMERICA. SYNTHESIS: INITIALLY, 4 RANDOMIZED CONTROLLED CLINICAL STUDIES WERE ANALYZED, THEN 2 STUDIES WITHOUT CONTROL GROUPS WERE ANALYZED. THREE STUDIES CONDUCTED IN INDIA AND THE NEAR EAST PROVIDED INTERESTING INFORMATION ON METHODOLOGIES. THE INTERVENTIONS INCLUDED YOGA SESSIONS OF VARYING LENGTH AND FREQUENCY. THE PARAMETERS MEASURED ALSO VARIED AMONG STUDIES. SEVERAL SYMPTOMS IMPROVED SUBSTANTIALLY WITH YOGA (HIGHER QUALITY OF SLEEP, DECREASE IN SYMPTOMS OF ANXIETY AND DEPRESSION, IMPROVEMENT IN SPIRITUAL WELL-BEING, ETC). IT WOULD APPEAR THAT QUALITY OF LIFE, OR SOME ASPECTS THEREOF, ALSO IMPROVED. CONCLUSION: THE VARIETY OF BENEFITS DERIVED, THE ABSENCE OF SIDE EFFECTS, AND THE COST-BENEFIT RATIO OF THERAPEUTIC YOGA MAKE IT AN INTERESTING ALTERNATIVE FOR FAMILY PHYSICIANS TO SUGGEST TO THEIR PATIENTS WITH CANCER. CERTAIN METHODOLOGIC SHORTCOMINGS, INCLUDING THE LIMITED SIZE OF THE SAMPLES AND VARYING LEVELS OF ATTENDANCE ON THE PART OF THE SUBJECTS, MIGHT HAVE REDUCED THE STATISTICAL STRENGTH OF THE STUDIES PRESENTED. IT IS ALSO POSSIBLE THAT THE MEASUREMENT SCALES USED DID NOT SUIT THIS TYPE OF SITUATION AND PATIENT POPULATION, MAKING IT IMPOSSIBLE TO SEE A SIGNIFICANT EFFECT. HOWEVER, FAVOURABLE COMMENTS BY PARTICIPANTS DURING THE STUDIES AND THEIR LEVEL OF APPRECIATION AND WELL-BEING SUGGEST THAT FURTHER RESEARCH IS CALLED FOR TO FULLY UNDERSTAND THE MECHANISMS OF THESE EFFECTS. 2012 9 2383 29 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 10 2622 31 YOGA FOR SUBSTANCE USE: A SYSTEMATIC REVIEW. INTRODUCTION: SUBSTANCE USE DISORDERS (SUDS) ARE COMPLEX INTERACTIONS BETWEEN VARIOUS GENETIC, ENVIRONMENTAL, DEVELOPMENTAL, AND SOCIAL FACTORS. YOGA IS RECOMMENDED AS A NONMAINSTREAM TREATMENT FOR MANY HEALTH CONDITIONS, INCLUDING SUDS. METHODS: FIVE DATABASES WERE SEARCHED FOR RANDOMIZED CONTROLLED TRIALS (RCTS) THAT EVALUATED YOGA AS AN INTERVENTION IN ADULTS WITH ANY TYPE OF SUBSTANCE USE DISORDER. THE INTERVENTIONS BEING STUDIED INCLUDED HATHA YOGA, SUDARSHAN KRIYA YOGA, BREATHING YOGA EXERCISES, AND MEDITATION. STUDIES, WHERE YOGA WAS COMBINED WITH OTHER INTERVENTIONS WERE EXCLUDED. THE EFFECT OF YOGA AS AN INTERVENTION WAS ANALYZED USING PRIMARY OUTCOMES SUCH AS ANXIETY, PAIN, AND CRAVING. EIGHT RCTS MET THE ELIGIBILITY CRITERIA, AND QUALITY ANALYSIS WAS CONDUCTED USING THE COCHRANE CRITERIA. RESULTS: AMONG THE 8 FINAL STUDIES ELIGIBLE FOR QUALITY ANALYSIS, 2 HAD UNDEFINED SUBSTANCE USE, WHILE THE OTHERS WERE FOCUSED ON TOBACCO, ALCOHOL, OR OPIOIDS. SEVEN OUT OF 8 STUDIES SHOWED SIGNIFICANT RESULTS AND IMPROVED PRIMARY OUTCOMES SUCH AS ANXIETY, PAIN, OR SUBSTANCE USE. SEVEN OUT OF THE 8 STUDIES SHOWED SIGNIFICANT POSITIVE OUTCOMES USING YOGA IN CONJUNCTION WITH OTHER PHARMACOLOGICAL TREATMENT MODALITIES LIKE OPIOID SUBSTITUTION THERAPY. CONCLUSIONS: SIX OUT OF 8 STUDIES SHOWED LOW CONCERNS, WHILE 2 STUDIES SHOWED SOME CONCERNS ABOUT THE RISK OF BIAS JUDGMENT. ALTHOUGH THE RESULTS LOOK ENCOURAGING, RCTS WITH LARGER SAMPLE SIZE ARE NEEDED TO BETTER EVALUATE THE EFFECTIVENESS OF YOGA AS A TREATMENT MODALITY FOR SUBSTANCE USE. 2021 11 2170 28 THE EFFECTS OF YOGA ON ANXIETY AND STRESS. STRESS AND ANXIETY HAVE BEEN IMPLICATED AS CONTRIBUTORS TO MANY CHRONIC DISEASES AND TO DECREASED QUALITY OF LIFE, EVEN WITH PHARMACOLOGIC TREATMENT. EFFORTS ARE UNDERWAY TO FIND NON-PHARMACOLOGIC THERAPIES TO RELIEVE STRESS AND ANXIETY, AND YOGA IS ONE OPTION FOR WHICH RESULTS ARE PROMISING. THE FOCUS OF THIS REVIEW IS ON THE RESULTS OF HUMAN TRIALS ASSESSING THE ROLE OF YOGA IN IMPROVING THE SIGNS AND SYMPTOMS OF STRESS AND ANXIETY. OF 35 TRIALS ADDRESSING THE EFFECTS OF YOGA ON ANXIETY AND STRESS, 25 NOTED A SIGNIFICANT DECREASE IN STRESS AND/OR ANXIETY SYMPTOMS WHEN A YOGA REGIMEN WAS IMPLEMENTED; HOWEVER, MANY OF THE STUDIES WERE ALSO HINDERED BY LIMITATIONS, SUCH AS SMALL STUDY POPULATIONS, LACK OF RANDOMIZATION, AND LACK OF A CONTROL GROUP. FOURTEEN OF THE 35 STUDIES REPORTED BIOCHEMICAL AND PHYSIOLOGICAL MARKERS OF STRESS AND ANXIETY, BUT YIELDED INCONSISTENT SUPPORT OF YOGA FOR RELIEF OF STRESS AND ANXIETY. EVALUATION OF THE CURRENT PRIMARY LITERATURE IS SUGGESTIVE OF BENEFITS OF YOGA IN RELIEVING STRESS AND ANXIETY, BUT FURTHER INVESTIGATION INTO THIS RELATIONSHIP USING LARGE, WELL-DEFINED POPULATIONS, ADEQUATE CONTROLS, RANDOMIZATION AND LONG DURATION SHOULD BE EXPLORED BEFORE RECOMMENDING YOGA AS A TREATMENT OPTION. 2012 12 2210 31 THE HEALTH BENEFITS OF YOGA AND EXERCISE: A REVIEW OF COMPARISON STUDIES. OBJECTIVES: EXERCISE IS CONSIDERED AN ACCEPTABLE METHOD FOR IMPROVING AND MAINTAINING PHYSICAL AND EMOTIONAL HEALTH. A GROWING BODY OF EVIDENCE SUPPORTS THE BELIEF THAT YOGA BENEFITS PHYSICAL AND MENTAL HEALTH VIA DOWN-REGULATION OF THE HYPOTHALAMIC-PITUITARY-ADRENAL (HPA) AXIS AND THE SYMPATHETIC NERVOUS SYSTEM (SNS). THE PURPOSE OF THIS ARTICLE IS TO PROVIDE A SCHOLARLY REVIEW OF THE LITERATURE REGARDING RESEARCH STUDIES COMPARING THE EFFECTS OF YOGA AND EXERCISE ON A VARIETY OF HEALTH OUTCOMES AND HEALTH CONDITIONS. METHODS: USING PUBMED((R)) AND THE KEY WORD "YOGA," A COMPREHENSIVE SEARCH OF THE RESEARCH LITERATURE FROM CORE SCIENTIFIC AND NURSING JOURNALS YIELDED 81 STUDIES THAT MET INCLUSION CRITERIA. THESE STUDIES SUBSEQUENTLY WERE CLASSIFIED AS UNCONTROLLED (N = 30), WAIT LIST CONTROLLED (N = 16), OR COMPARISON (N = 35). THE MOST COMMON COMPARISON INTERVENTION (N = 10) INVOLVED EXERCISE. THESE STUDIES WERE INCLUDED IN THIS REVIEW. RESULTS: IN THE STUDIES REVIEWED, YOGA INTERVENTIONS APPEARED TO BE EQUAL OR SUPERIOR TO EXERCISE IN NEARLY EVERY OUTCOME MEASURED EXCEPT THOSE INVOLVING PHYSICAL FITNESS. CONCLUSIONS: THE STUDIES COMPARING THE EFFECTS OF YOGA AND EXERCISE SEEM TO INDICATE THAT, IN BOTH HEALTHY AND DISEASED POPULATIONS, YOGA MAY BE AS EFFECTIVE AS OR BETTER THAN EXERCISE AT IMPROVING A VARIETY OF HEALTH-RELATED OUTCOME MEASURES. FUTURE CLINICAL TRIALS ARE NEEDED TO EXAMINE THE DISTINCTIONS BETWEEN EXERCISE AND YOGA, PARTICULARLY HOW THE TWO MODALITIES MAY DIFFER IN THEIR EFFECTS ON THE SNS/HPA AXIS. ADDITIONAL STUDIES USING RIGOROUS METHODOLOGIES ARE NEEDED TO EXAMINE THE HEALTH BENEFITS OF THE VARIOUS TYPES OF YOGA. 2010 13 1083 27 EFFECTS OF YOGA ON STRESS AMONG HEALTHY ADULTS: A SYSTEMATIC REVIEW. BACKGROUND: YOGA WAS RECOMMENDED IN BOTH CLINICAL AND NONCLINICAL POPULATIONS AS THERAPY METHODS. THE DIVERSITY OF YOGA PRACTICE AS A THERAPY METHOD HAS RARELY BEEN DISCUSSED AND IT IS ESSENTIAL TO ADDRESS THE EFFECTS OF YOGA ON STRESS. PRIMARY STUDY OBJECTIVE: THIS ARTICLE AIMS TO INVESTIGATE THE EFFECT OF DIFFERENT TYPES OF YOGA ON STRESS IN HEALTHY POPULATION. ON THE OTHER HAND, THE AUTHORS INTENDED TO FIGURE OUT YOGA EFFECTS ON STRESS SYSTEMATICALLY. METHODS/DESIGN: A SYSTEMATIC LITERATURE REVIEW WAS CONDUCTED TO IDENTIFY ARTICLES THAT ASSESS THE EFFECT OF YOGA AND YOGA-RELATED INTERVENTIONS ON STRESS REDUCTION IN NONCLINICAL POPULATIONS. STUDIES WERE CLASSIFIED ACCORDING TO THE LENGTH OF THE INTERVENTION, YOGA TYPE, AND MEASURES OF OUTCOME. THE STUDIES WERE SELECTED THROUGHOUT LAST 5 YEARS (JANUARY 2014 TO NOVEMBER 2018) BY USING THE KEY SEARCHING TERM YOGA AND STRESS INCORPORATION WITH TENSION AND PRESSURE. THE SELECTION PROCESS FOLLOWED THE PRISMA FLOW DIAGRAM. RESULTS: TOTALLY, 12 ARTICLES ELABORATING ON THE EFFECTS OF YOGA OR YOGA-RELATED INTERVENTIONS ON STRESS MANAGEMENT AND REMISSION WERE INCLUDED IN THE REVIEW. THIS REVIEW INCLUDED VARIOUS TYPES OF YOGA PRACTICE (E.G., HATHA YOGA, BIKRAM YOGA, KUNDALINI YOGA, SUDARSHAN KRIYA YOGA, KRIPALU YOGA, YIN YOGA). A TIME SPECTRUM WAS CONDUCTED FROM 4 WKS TO 28 WKS. THIS REVIEW REVEALED THAT MOST TYPES OF YOGA HAVE POSITIVE EFFECTS ON STRESS REDUCTION IN HEATHY POPULATIONS. CONCLUSION: FURTHER STUDIES ARE RECOMMENDED TO EXAMINE THE LONG-TERM EFFECT OF YOGA AND UNDERLYING PSYCHOLOGICAL MECHANISMS CAUSING STRESS AND MENTAL RESTRAIN. IN ADDITION, IT IS SUGGESTED TO CONSIDER AGE AS A RISK FACTOR AFFECTING THE EFFECT OF YOGA ON STRESS. 2020 14 340 32 ARE THERE BENEFITS FROM TEACHING YOGA AT SCHOOLS? A SYSTEMATIC REVIEW OF RANDOMIZED CONTROL TRIALS OF YOGA-BASED INTERVENTIONS. INTRODUCTION. YOGA IS A HOLISTIC SYSTEM OF VARIED MIND-BODY PRACTICES THAT CAN BE USED TO IMPROVE MENTAL AND PHYSICAL HEALTH AND IT HAS BEEN UTILIZED IN A VARIETY OF CONTEXTS AND SITUATIONS. EDUCATORS AND SCHOOLS ARE LOOKING TO INCLUDE YOGA AS A COST-EFFECTIVE, EVIDENCE-BASED COMPONENT OF URGENTLY NEEDED WELLNESS PROGRAMS FOR THEIR STUDENTS. OBJECTIVES. THE PRIMARY GOAL OF THIS STUDY WAS TO SYSTEMATICALLY EXAMINE THE AVAILABLE LITERATURE FOR YOGA INTERVENTIONS EXCLUSIVELY IN SCHOOL SETTINGS, EXPLORING THE EVIDENCE OF YOGA-BASED INTERVENTIONS ON ACADEMIC, COGNITIVE, AND PSYCHOSOCIAL BENEFITS. METHODS. AN EXTENSIVE SEARCH WAS CONDUCTED FOR STUDIES PUBLISHED BETWEEN 1980 AND OCTOBER 31, 2014 (PUBMED, PSYCINFO, EMBASE, ISI, AND THE COCHRANE LIBRARY). EFFECT SIZE ANALYSIS, THROUGH STANDARDIZED MEAN DIFFERENCE AND HEDGES'G, ALLOWED FOR THE COMPARISON BETWEEN EXPERIMENTAL CONDITIONS. RESULTS AND CONCLUSIONS. NINE RANDOMIZED CONTROL TRIALS MET CRITERIA FOR INCLUSION IN THIS REVIEW. EFFECT SIZE WAS FOUND FOR MOOD INDICATORS, TENSION AND ANXIETY IN THE POMS SCALE, SELF-ESTEEM, AND MEMORY WHEN THE YOGA GROUPS WERE COMPARED TO CONTROL. FUTURE RESEARCH REQUIRES GREATER STANDARDIZATION AND SUITABILITY OF YOGA INTERVENTIONS FOR CHILDREN. 2015 15 233 31 A SYSTEMATIC REVIEW OF YOGA FOR STATE ANXIETY: CONSIDERATIONS FOR OCCUPATIONAL THERAPY. BACKGROUND: STATE ANXIETY CAN RESULT FROM A VARIETY OF LIFE SITUATIONS. THIS TYPE OF ANXIETY CAN DISRUPT OCCUPATIONAL ENGAGEMENT AND PERFORMANCE, THEREBY AFFECTING REHABILITATION AND RECOVERY. OCCUPATIONAL THERAPISTS NEED TO ADDRESS THE CONNECTION BETWEEN MIND-BODY-SPIRIT AND ITS RELATIONSHIP TO PERFORMANCE AND ENGAGEMENT IN MEANINGFUL OCCUPATIONS. YOGA, WHEN USED AS AN ADJUNCT TO THERAPY, HAS THE POTENTIAL TO ADDRESS STATE ANXIETY. PURPOSE: THE AIM WAS TO SYSTEMATICALLY REVIEW THE EVIDENCE CONCERNING THE EFFECTIVENESS OF YOGA AS A TREATMENT APPROACH FOR STATE ANXIETY. METHODS: SIX ELECTRONIC DATABASES, THE AUTHORS' OWN FILES, AND THE REFERENCES OF INCLUDED STUDIES FROM 1990 TO JULY 2011 WERE SEARCHED. FINDINGS: A TOTAL OF 25 UNIQUE STUDIES REPRESENTED BY 26 PUBLICATIONS MADE UP THE SAMPLE: TWO SYSTEMATIC REVIEWS; 16 RANDOMIZED CONTROLLED TRIALS, AND SEVEN PROSPECTIVE, CONTROLLED, NON-RANDOMIZED STUDIES. EVIDENCE SUGGESTS YOGA CAN BE A VIABLE THERAPEUTIC OPTION FOR REDUCING STATE ANXIETY IN CERTAIN SITUATIONS. IMPLICATIONS: IN MAKING THE DETERMINATION TO RECOMMEND YOGA AS AN INTERVENTION, OCCUPATIONAL THERAPISTS SHOULD CONSIDER THE CLIENT'S CIRCUMSTANCES AND VALUES AS WELL AS THE TYPE AND INTENSITY OF THE YOGA PROGRAM. 2013 16 522 24 COMPARISON GROUPS IN YOGA RESEARCH: A SYSTEMATIC REVIEW AND CRITICAL EVALUATION OF THE LITERATURE. OBJECTIVES: COMPARISON GROUPS ARE ESSENTIAL FOR ACCURATE TESTING AND INTERPRETATION OF YOGA INTERVENTION TRIALS. HOWEVER, SELECTING PROPER COMPARISON GROUPS IS DIFFICULT BECAUSE YOGA COMPRISES A VERY HETEROGENEOUS SET OF PRACTICES AND ITS MECHANISMS OF EFFECT HAVE NOT BEEN CONCLUSIVELY ESTABLISHED. METHODS: WE CONDUCTED A SYSTEMATIC REVIEW OF THE CONTROL AND COMPARISON GROUPS USED IN PUBLISHED RANDOMIZED CONTROLLED TRIALS (RCTS) OF YOGA. RESULTS: WE LOCATED 128 RCTS THAT MET OUR INCLUSION CRITERIA; OF THESE, 65 INCLUDED ONLY A PASSIVE CONTROL AND 63 INCLUDED AT LEAST ONE ACTIVE COMPARISON GROUP. PRIMARY COMPARISON GROUPS WERE PHYSICAL EXERCISE (43%), RELAXATION/MEDITATION (20%), AND EDUCATION (16%). STUDIES RARELY PROVIDED A STRONG RATIONALE FOR CHOICE OF COMPARISON. CONSIDERING YEAR OF PUBLICATION, THE USE OF ACTIVE CONTROLS IN YOGA RESEARCH APPEARS TO BE SLOWLY INCREASING OVER TIME. CONCLUSIONS: GIVEN THAT YOGA HAS BEEN ESTABLISHED AS A POTENTIALLY POWERFUL INTERVENTION, FUTURE RESEARCH SHOULD USE ACTIVE CONTROL GROUPS. FURTHER, CARE IS NEEDED TO SELECT COMPARISON CONDITIONS THAT HELP TO ISOLATE THE SPECIFIC MECHANISMS OF YOGA'S EFFECTS. 2014 17 2470 34 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 18 318 32 AN INTEGRATIVE REVIEW OF YOGA AND MINDFULNESS-BASED APPROACHES FOR CHILDREN AND ADOLESCENTS WITH ASTHMA. PROBLEM: ASTHMA AFFECTS ALMOST 15% OF CHILDREN IN THE UNITED STATES. DESPITE THE AVAILABILITY OF TREATMENTS AND EDUCATIONAL METHODS, CHILDREN WITH ASTHMA CONTINUE TO REPORT AN IMPAIRED QUALITY OF LIFE, INCLUDING SYMPTOMS OF ANXIETY AND INABILITY TO PARTICIPATE IN PHYSICAL ACTIVITY. AS COMPLEMENTARY HEALTH APPROACHES ARE BECOMING MORE POPULAR AND SHOW PROMISE IN THE MANAGEMENT OF MANY CHRONIC DISEASES, THE PURPOSE OF THIS INTEGRATIVE REVIEW IS TO EXAMINE THE STATE OF THE SCIENCE REGARDING POPULAR COMPLEMENTARY HEALTH APPROACHES- YOGA AND MINDFULNESS- FOR CHILDREN AND ADOLESCENTS WITH ASTHMA. ELIGIBILITY CRITERIA: A COMPREHENSIVE SEARCH OF FIVE DATABASES FOR PEER REVIEWED ARTICLES WAS PERFORMED TO IDENTIFY EXPERIMENTAL AND NON-EXPERIMENTAL STUDIES. THE SEARCH FOR EACH DATABASE WAS PERFORMED FROM THE INCEPTION OF EACH TO JANUARY 2020 AND LIMITED TO THE ENGLISH LANGUAGE. THE SEARCH INCLUDED TERMINOLOGY THAT ADDRESSED THE CONCEPTS OF "ASTHMA", "YOGA" AND "MINDFULNESS". SAMPLE: A TOTAL OF ELEVEN ARTICLES MET THE CRITERIA FOR REVIEW FROM THE YEARS 1991 TO 2019. RESULTS: NINE PUBLICATIONS FOCUSED ON THE USE OF YOGA IN CHILDREN AND ADOLESCENTS WITH ASTHMA AND TWO PUBLICATIONS FOCUSED ON MINDFULNESS IN ADOLESCENTS WITH ASTHMA. CONCLUSIONS: INTERVENTIONS INVOLVING EITHER MINDFULNESS OR YOGA MAY BE EFFECTIVE IN REDUCING STRESS AND ANXIETY AND IMPROVING QUALITY OF LIFE AND LUNG FUNCTION IN THIS POPULATION. IMPLICATIONS: MINDFULNESS INTERVENTION STUDIES IN THE PEDIATRIC AND ADOLESCENT ASTHMA POPULATION ARE WARRANTED AS ARE ADDITIONAL STUDIES THAT INCLUDE THE USE OF YOGA WITH SKILLS IN MINDFULNESS IN ORDER TO EVALUATE THEIR PHYSIOLOGICAL AND PSYCHOLOGICAL EFFECTS. 2020 19 1469 32 INNOVATIONS IN THE TREATMENT OF PERINATAL DEPRESSION: THE ROLE OF YOGA AND PHYSICAL ACTIVITY INTERVENTIONS DURING PREGNANCY AND POSTPARTUM. PURPOSE OF REVIEW: WE REVIEW EVIDENCE FOR PHYSICAL ACTIVITY AND YOGA AS INTERVENTIONS FOR DEPRESSED PREGNANT AND POSTPARTUM WOMEN. RECENT FINDINGS: RESULTS FROM EXISTING TRIALS HAVE GENERALLY INDICATED THAT PHYSICAL ACTIVITY AND YOGA INTERVENTIONS ARE ACCEPTABLE TO WOMEN DURING THE PERINATAL PERIOD, AND THAT THESE INTERVENTIONS CAN BE EFFECTIVE IN REDUCING DEPRESSION. HOWEVER, SOME STUDIES HAVE NOT FOUND SIGNIFICANT DIFFERENCES BETWEEN INTERVENTION AND CONTROL CONDITIONS. IN ADDITION, SYMPTOM IMPROVEMENTS WERE NOT ALWAYS MAINTAINED. THE AVAILABLE RESEARCH ON PHYSICAL ACTIVITY AND YOGA AS INTERVENTIONS FOR PERINATAL DEPRESSION IS ENCOURAGING WITH REGARD TO FEASIBILITY, ACCEPTABILITY, PATIENT SAFETY, AND PRELIMINARY EFFICACY. THESE INTERVENTIONS HAVE THE ABILITY TO REACH A LARGE NUMBER OF WOMEN WHO MAY NOT ENGAGE IN TRADITIONAL TREATMENT. ADDITIONAL HIGH QUALITY, RIGOROUS, RANDOMIZED CONTROLLED TRIALS ARE NEEDED. FUTURE RESEARCH IS ALSO NEEDED TO EXAMINE THE OPTIMAL DOSE OF THESE INTERVENTIONS AND HOW TO BEST INCREASE SUSTAINED ENGAGEMENT. 2019 20 2899 36 [EFFECTS OF PRENATAL YOGA: A SYSTEMATIC REVIEW OF RANDOMIZED CONTROLLED TRIALS]. OBJECTIVES: WHILE SEVERAL STUDIES ON THE PREVENTIVE AND THERAPEUTIC EFFECTS OF PRENATAL YOGA (MATERNITY YOGA) HAVE BEEN REPORTED IN RECENT YEARS, THERE HAS BEEN NO SYSTEMATIC REVIEW ON THE EFFECTS OF PRENATAL YOGA BASED ON RANDOMIZED CONTROLLED TRIALS (RCT). THE PURPOSE OF THIS STUDY, THEREFORE, WAS TO SYSTEMATICALLY REVIEW THE LITERATURE TO CLARIFY THE EFFECTS OF PRENATAL YOGA IN RCT FOCUSING ON THE CONTENTS OF THE INTERVENTION, THE INTERVENTION MEANS, AND THE FREQUENCY OF PRACTICE. METHODS: THE LITERATURE SEARCH WAS PERFORMED USING THE ELECTRONIC DATABASE, PUBMED. THE INCLUSION CRITERIA WERE RCT, PREGNANT WOMEN, AND YOGA INTERVENTION. RESULTS: IN TOTAL, 54 CITATIONS WERE FOUND; OF THESE, EIGHT STUDIES (10 REPORTS) WERE INCLUDED IN THE FINAL ANALYSIS. IN FOUR STUDIES ON HEALTHY PREGNANT WOMEN, SIGNIFICANT IMPROVEMENT IN PAIN AND PLEASURE AT DELIVERY, DURATION OF DELIVERY, PERCEIVED STRESS LEVELS DURING PREGNANCY, ANXIETY LEVELS, DEPRESSION, PREGNANCY-RELATED EXPERIENCES, QUALITY OF LIFE, AND INTERPERSONAL RELATIONSHIPS WERE COMPARED TO THOSE IN THE CONTROL GROUP. IN TWO STUDIES ON DEPRESSED PREGNANT WOMEN, ONE REPORTED THAT DEPRESSION, ANXIETY LEVELS, ANGER LEVELS, LEG PAIN, AND BACK PAIN SIGNIFICANTLY IMPROVED WITH YOGA, WHILE THE OTHER FOUND NO DIFFERENCES FROM THE CONTROL GROUP. IN ONE STUDY OF HIGH-RISK PREGNANT WOMEN WITH MORBIDITY FACTORS SUCH AS OBESITY OR ADVANCED AGE, YOGA RESULTED IN SIGNIFICANTLY FEWER CASES OF PREGNANCY-INDUCED HYPERTENSION, GESTATIONAL DIABETES, AND INTRAUTERINE GROWTH RESTRICTION, AS WELL AS A DECREASE IN PERCEIVED STRESS LEVELS. IN ONE STUDY ON PREGNANT WOMEN WITH PELVIC PAIN, THE MEDIAN PAIN SCORE WAS LOWER IN THE YOGA GROUP. REGARDING THE CONTENTS OF THE INTERVENTION, WHILE THE TWO STUDIES FOR DEPRESSED PREGNANT WOMEN ONLY INCLUDED PHYSICAL POSTURES, THE REMAINING SIX STUDIES ALSO INCLUDED BREATHING TECHNIQUE AND MEDITATION. INTERVENTIONS WERE PERFORMED USING LECTURES BY INSTRUCTORS ALONE OR TOGETHER WITH SELF-TEACHING. THE FREQUENCY OF THE INTERVENTION VARIED WITHIN EACH STUDY. CONCLUSION: THE FINDINGS SUGGEST THAT PRENATAL YOGA MAY HELP REDUCE PELVIC PAIN. IT MAY ALSO IMPROVE MENTAL CONDITION (STRESS, DEPRESSION, ANXIETY, ETC.), PHYSICAL CONDITION (PAIN AND PLEASURE AT THE DELIVERY, ETC.), AND PERINATAL OUTCOMES (OBSTETRICAL COMPLICATIONS, DELIVERY TIME, ETC.). HOWEVER, FURTHER STUDIES ARE NEEDED. THE CONTENTS OF THE INTERVENTION, THE INTERVENTION MEANS, AND THE FREQUENCY VARIED WITH EACH STUDY. THUS, IT IS NECESSARY TO FURTHER EXAMINE THE CONTENT OF EFFECTIVE INTERVENTIONS, INTERVENTION MEANS, AND FREQUENCY THAT SUIT PARTICIPANT'S CHARACTERISTICS AND EACH OUTCOME. FURTHER RESEARCH IN THIS FIELD, PARTICULARLY RANDOMIZED CONTROLLED TRIALS, IS MERITED. 2015