1 2336 140 UNDERSTANDING NORTH AMERICAN YOGA THERAPISTS' ATTITUDES, SKILLS AND USE OF EVIDENCE-BASED PRACTICE: A CROSS-NATIONAL SURVEY. INTRODUCTION: LITTLE IS KNOWN ABOUT THE ADOPTION OF EVIDENCE-BASED PRACTICE (EBP) BY YOGA THERAPISTS (YTS). OBJECTIVE: TO DETERMINE THE ATTITUDES, SKILLS, TRAINING, USE, BARRIERS AND FACILITATORS TO THE USE OF EBP AMONGST NORTH AMERICAN YTS DESIGN: CROSS-SECTIONAL, DESCRIPTIVE SURVEY METHODS: SELF-IDENTIFIED YTS PRACTICING IN NORTH AMERICA WERE INVITED TO PARTICIPATE IN AN ONLINE SURVEY. YT ATTITUDES, SKILLS, TRAINING, UTILISATION, BARRIERS TO USE, AND FACILITATORS OF EBP USE WERE MEASURED USING THE 84-ITEM EVIDENCE-BASED PRACTICE ATTITUDE AND UTILIZATION SURVEY (EBASE). RESULTS: 367 MEMBERS RESPONDED ( APPROXIMATELY 20% OF ELIGIBLE PARTICIPANTS). ATTITUDES TOWARDS EBP WERE GENERALLY POSITIVE WITH 88% AGREEING THAT PROFESSIONAL LITERATURE AND RESEARCH FINDINGS WERE USEFUL FOR THE PRACTICE OF YOGA THERAPY. MOST (80%) WERE INTERESTED IN IMPROVING THEIR SKILLS AND THE MAJORITY AGREED THAT EBP IMPROVES THE QUALITY OF CARE (68%), ASSISTS IN MAKING DECISIONS (74%) AND TAKES INTO ACCOUNT THE YTS CLINICAL EXPERIENCE WHEN MAKING CLINICAL DECISIONS (59%). MODERATE TO MODERATELY-HIGH LEVELS OF PERCEIVED SKILL IN EBP WERE REPORTED MOSTLY UTILIZING ONLINE SEARCH ENGINES (51%). LACK OF CLINICAL EVIDENCE WAS THE ONLY NOTABLE BARRIER TO UPTAKE REPORTED BY YTS (48%). FACILITATORS TO EBP INCLUDED ACCESS TO ONLINE EBP EDUCATION MATERIALS (70.6%), ABILITY TO DOWNLOAD FULL-TEXT JOURNAL ARTICLES AND ACCESS TO FREE ONLINE DATABASES IN THE WORKPLACE (67.3%). CONCLUSION: NORTH AMERICAN YTS REPORT POSITIVE ATTITUDES, MODERATE TO MODERATELY-HIGH LEVELS OF PERCEIVED SKILL AND MODERATE UPTAKE OF EBP. THIS ALIGNS THEM WITH OTHER COMPLEMENTARY AND INTEGRATIVE HEALTH PRACTITIONERS. INITIATIVES TO SUPPORT THE ADOPTION OF EBP ARE PROPOSED AS A MEANS OF IMPROVING BEST PRACTICE IN YOGA THERAPY. 2017 2 2253 46 THE NORTH AMERICAN YOGA THERAPY WORKFORCE SURVEY. OBJECTIVE: TO DESCRIBE THE PERSONAL, PROFESSIONAL, PRACTICE, SERVICE AND CONSUMER CHARACTERISTICS OF THE NORTH AMERICAN YOGA THERAPY WORKFORCE. DESIGN: CROSS-SECTIONAL, DESCRIPTIVE SURVEY DEVELOPED AND INFORMED BY THE CONTEMPORARY WORKFORCE LITERATURE. A LINK TO THE E-SURVEY WAS DISTRIBUTED TO MEMBERS OF THE INTERNATIONAL ASSOCIATION OF YOGA THERAPISTS. RESULTS: 367 MEMBERS RESPONDED ( APPROXIMATELY 20% OF ELIGIBLE PARTICIPANTS). MOST WERE AGED 40-69 YEARS (88%) AND FEMALE (91%). ALMOST HALF (42%) IDENTIFIED AS A "SEASONED YOGA THERAPIST" AND FEW (9%) GRADUATED FROM AN ACCREDITED 800-H YOGA THERAPY PROGRAM. AN AVERAGE OF 8H/WEEK WAS SPENT IN CLINICAL PRACTICE WITH MANY (41%) EARNING AN ANNUAL INCOME OF NOT MARRIED/IN RELATIONSHIP), HIGHER HEALTH RELATED HARDINESS, AND HIGHER EDUCATION, WHEREAS OBESITY, AND DIABETES DECREASED LIKELIHOOD OF USE. WHILE THE MAJORITY FOUND YOGA AND MEDITATION HELPFUL FOR THEIR CONDITION, THE USE WAS RARELY MONITORED BY OR DISCUSSED WITH HEALTH CARE PRACTITIONERS. CONCLUSION: THIS STUDY FINDS THAT YOGA AND MEDITATION ARE USED BY MIDDLE-TO-HIGHER AGED AUSTRALIAN WOMEN WITH CHRONIC ILLNESSES. THE LACK OF COMMUNICATION WITH HEALTH CARE PROVIDERS IS CONCERNING AND MIGHT HINDER COORDINATED AND EFFECTIVE HEALTH CARE AROUND CHRONIC ILLNESS. FURTHER RESEARCH IS NECESSARY TO HELP UNDERSTAND POSSIBLE CONCURRENT HEALTH CARE USE AND THEREBY HELP INFORM SAFE, EFFECTIVE AND COORDINATE HEALTH SEEKING AMONGST THOSE WITH CHRONIC ILLNESS. 2019 15 2661 37 YOGA IN AUSTRALIA: RESULTS OF A NATIONAL SURVEY. INTRODUCTION: THE THERAPEUTIC BENEFITS OF YOGA AND MEDITATION ARE WELL DOCUMENTED, YET LITTLE IS KNOWN ABOUT THE PRACTICE OF YOGA IN AUSTRALIA OR ELSEWHERE, WHETHER AS A PHYSICAL ACTIVITY, A FORM OF THERAPY, A SPIRITUAL PATH OR A LIFESTYLE. MATERIALS AND METHODS: TO INVESTIGATE THE PRACTICE OF YOGA IN AUSTRALIA, A NATIONAL SURVEY OF YOGA PRACTITIONERS WAS CONDUCTED UTILIZING A COMPREHENSIVE WEB-BASED QUESTIONNAIRE. RESPONDENTS WERE SELF-SELECTING TO PARTICIPATE. A TOTAL OF 3,892 RESPONDENTS COMPLETED THE SURVEY. SIXTY OVERSEAS RESPONDENTS AND 1265 YOGA TEACHERS (TO BE REPORTED SEPARATELY) WERE EXCLUDED, LEAVING 2,567 YOGA PRACTITIONER RESPONDENTS. RESULTS: THE TYPICAL YOGA SURVEY RESPONDENT WAS A 41-YEAR-OLD, TERTIARY EDUCATED, EMPLOYED, HEALTH-CONSCIOUS FEMALE (85% WOMEN). ASANA (POSTURES) AND VINYASA (SEQUENCES OF POSTURES) REPRESENTED 61% OF THE TIME SPENT PRACTICING, WITH THE OTHER 39% DEVOTED TO THE GENTLER PRACTICES OF RELAXATION, PRANAYAMA (BREATHING TECHNIQUES), MEDITATION AND INSTRUCTION. RESPONDENTS COMMONLY STARTED PRACTICING YOGA FOR HEALTH AND FITNESS BUT OFTEN CONTINUED PRACTICING FOR STRESS MANAGEMENT. ONE IN FIVE RESPONDENTS PRACTICED YOGA FOR A SPECIFIC HEALTH OR MEDICAL REASON WHICH WAS SEEN TO BE IMPROVED BY YOGA PRACTICE. OF THESE, MORE PEOPLE USED YOGA FOR STRESS MANAGEMENT AND ANXIETY THAN BACK, NECK OR SHOULDER PROBLEMS, SUGGESTING THAT MENTAL HEALTH MAY BE THE PRIMARY HEALTH-RELATED MOTIVATION FOR PRACTICING YOGA. HEALTHY LIFESTYLE CHOICES WERE SEEN TO BE MORE PREVALENT IN RESPONDENTS WITH MORE YEARS OF PRACTICE. YOGA-RELATED INJURIES OCCURRING UNDER SUPERVISION IN THE PREVIOUS 12 MONTHS WERE LOW AT 2.4% OF RESPONDENTS. CONCLUSIONS: YOGA PRACTICE WAS SEEN TO ASSIST IN THE MANAGEMENT OF SPECIFIC HEALTH ISSUES AND MEDICAL CONDITIONS. REGULAR YOGA PRACTICE MAY ALSO EXERT A HEALTHY LIFESTYLE EFFECT INCLUDING VEGETARIANISM, NON-SMOKING, REDUCED ALCOHOL CONSUMPTION, INCREASED EXERCISE AND REDUCED STRESS WITH RESULTING COST BENEFITS TO THE COMMUNITY. 2012 16 2721 23 YOGA MEETS POSITIVE PSYCHOLOGY: EXAMINING THE INTEGRATION OF HEDONIC (GRATITUDE) AND EUDAIMONIC (MEANING) WELLBEING IN RELATION TO THE EXTENT OF YOGA PRACTICE. THE PRESENT STUDY AIMS TO EXPLORE THE EXISTENCE OF A RELATIONSHIP BETWEEN THE EXTENT OF YOGA PRACTICE AND TWO DIMENSIONS OF PSYCHOLOGICAL WELLBEING: MEANING IN LIFE AND GRATITUDE. BOTH OF THE VARIABLES ARE POSITIVE PSYCHOLOGY CONSTRUCTS; THERE IS THEORETICAL AFFINITY AND EMPIRICAL EVIDENCE THAT THEY ARE RELATED TO OVERALL PSYCHOLOGICAL WELLBEING. ONE HUNDRED AND TWENTY FOUR PARTICIPANTS AGED 18 YEARS AND ABOVE, WITH YOGA EXPERIENCE RANGING FROM NONE TO OVER SIX YEARS, RESPONDED TO A NUMBER OF SCALES. THE EXTENT OF YOGA PRACTICE WAS MEASURED BY THE NUMBER OF YEARS DURING WHICH INDIVIDUALS PRACTICED YOGA AT LEAST TWO TIMES A WEEK. PARTICIPANTS RESPONDED TO THE FOLLOWING SCALES: MLQ (MEANING IN LIFE QUESTIONNAIRE) AND GQ-6 (GRATITUDE QUESTIONNAIRE). THIS STUDY HYPOTHESISED THAT THE NUMBER OF YEARS PRACTICING YOGA WOULD BE POSITIVELY CORRELATED TO THE SCORE OBTAINED ON THE AFOREMENTIONED SCALES. POSITIVE CORRELATIONS WERE IDENTIFIED BETWEEN THE EXTENT OF YOGA PRACTICE AND MEANING IN LIFE AND GRATITUDE. IMPORTANT IMPLICATIONS REGARDING THE CONTRIBUTION OF YOGA TO BOTH HEDONIC AND EUDAIMONIC HAPPINESS ARE DISCUSSED. 2014 17 126 26 A PILOT STUDY TO ADAPT A TRAUMA-INFORMED, MINDFULNESS-BASED YOGA INTERVENTION FOR JUSTICE-INVOLVED YOUTH. THE PURPOSE OF THE PRESENT STUDY WAS TO ADAPT AND PILOT A TRAUMA-INFORMED, MINDFULNESS-BASED YOGA (TIMBY) INTERVENTION FOCUSED ON ENHANCING SELF-REGULATION AMONG YOUTH IN THE GEORGIA DEPARTMENT OF JUVENILE JUSTICE SYSTEM. IN THIS ARTICLE WE (1) DESCRIBE THE PROCESS BY WHICH WE SYSTEMATICALLY ADAPTED AN EVIDENCE-BASED PROTOCOL SPECIFICALLY FOR THIS POPULATION, (2) DESCRIBE THE NATURE OF AND RATIONALE FOR THOSE ADAPTATIONS, (3) PRESENT SOME PRELIMINARY QUALITATIVE FINDINGS BASED ON INTERVIEWS WITH YOUTH PARTICIPANTS, AND (4) BRIEFLY SUMMARIZE HOW THE ADAPTED PROTOCOL WILL BE EVALUATED IN THE SUBSEQUENT FEASIBILITY TRIAL. THE ITERATIVE DRAFTING AND REVISION PROCESS INVOLVED MODIFICATIONS TO A WELL-ESTABLISHED, PROTOCOLIZED TRAUMA-INFORMED YOGA PROGRAM AND WAS IDENTIFIED BY THE PROJECT ADVISORY BOARD AND T H ROUGH FORMAL INTERVIEWS WITH INTERVENTION STAFF. QUALITATIVE INTERVIEWS WERE CONDUCTED WITH YOUTH PARTICIPANTS CONCERNING INTERVENTION IMPACT, CREDIBILITY, AND SATISFACTION. SEVERAL NEEDED MODIFICATIONS WERE IDENTIFIED SO THAT THE INTERVENTION WOULD BE CONTEXTUALLY APPROPRIATE FOR JUSTICE-INVOLVED YOUTH. THIRTY YOUTH WERE ENROLLED IN THE PILOT STUDY: 77% WE RE NON - HISPANIC BLACK/AFRICAN-AMERICAN, 18% WERE NON-HISPANIC WHITE, AND 5% WERE HISPANIC WHITE. THE AVERAGE AGE WAS 16.45 YEARS (RANGE 14-20). THE YOUTH CONSISTENTLY REPORTED SATISFACTION WITH THE SESSIONS AND POSITIVE BELIEFS ABOUT HOW THE SESSIONS WERE HELPING THEM WITH A RANGE OF PHYSICAL AND PSYCHOLOGICAL/ EMOTIONAL CHALLENGES. ADAPTATIONS TO THE PROTOCOL IN THE PRESENT STUDY HIGHLIGHT HOW MINDFULNESS-BASED INTERVENTIONS FOR JUSTICE-INVOLVED YOUTH NEED TO CONSIDER WHAT IS BOTH DEVELOPMENTALLY SUITABLE FOR YOUTH AND APPROPRIATE IN A JUSTICE SETTING. A FEASIBILITY STUDY USING THIS REVISED TIMBY PROTOCOL IS UNDERWAY AT FOUR GEORGIA DEPARTMENT OF JUVENILE JUSTICE FACILITIES TO FORMALLY IDENTIFY THE BARRIERS AND FACILITATORS TO IMPLEMENTATION FOR THE PRESENT STUDY AND A FUTURE, LARGER-SCALE TRIAL. 2021 18 554 33 CORRELATION OF PERSONAL EXPERIENCE AND ACQUIRED KNOWLEDGE WITH INTENT TO RECOMMEND ADJUNCTIVE OSTEOPATHIC MANIPULATIVE TREATMENT OR YOGA FOR PATIENTS WITH CHRONIC LOW BACK PAIN. CONTEXT: OSTEOPATHIC MANIPULATIVE TREATMENT (OMT) AND YOGA ARE BOTH RECOMMENDED BY SYSTEMATIC REVIEWS IN THE EVIDENCE-BASED RESEARCH LITERATURE FOR LOW BACK PAIN MANAGEMENT. IT IS UNKNOWN, TO THE AUTHORS' KNOWLEDGE, WHAT THE EFFECT OF PERSONAL EXPERIENCE WITH OMT OR YOGA, READING RESEARCH ARTICLES ON OMT OR YOGA, OR BOTH WILL HAVE ON MEDICAL STUDENTS' RECOMMENDATIONS FOR THESE TREATMENT OPTIONS TO FUTURE PATIENTS WITH CHRONIC LOW BACK PAIN. OBJECTIVE: TO EVALUATE THE LIKELIHOOD OF OSTEOPATHIC MEDICAL STUDENTS RECOMMENDING OMT OR YOGA TO TREAT PATIENTS WITH CHRONIC LOW BACK PAIN BASED ON THEIR PERSONAL EXPERIENCE OR READING RESEARCH ARTICLES THAT RECOMMEND OMT OR YOGA FOR PATIENTS WITH CHRONIC LOW BACK PAIN. METHODS: IN THIS PROSPECTIVE COHORT STUDY, RESEARCHERS ADMINISTERED AN ANONYMOUS 18-QUESTION ONLINE SURVEY FOR OSTEOPATHIC MEDICAL STUDENTS. THE SURVEY INCLUDED A PATIENT VIGNETTE, 2 EVIDENCE-BASED ARTICLES, AND MULTIPLE CHOICE, YES/NO, AND LIKERT-TYPE QUESTIONS. PARTICIPANTS WERE RECRUITED VIA EMAIL FROM ALL 4 YEARS OF MEDICAL SCHOOL. BETWEEN-GROUP DIFFERENCES IN PROPORTIONS WERE ASSESSED WITH DESCRIPTIVE STATISTICS AND CHI2 TESTS; DIFFERENCES WITHIN GROUPS WERE ASSESSED WITH THE MCNEMAR TEST; AND FISCHER EXACT TESTS WERE USED WHEN EXPECTED CELL COUNTS WERE LESS THAN 5. RESULTS: A TOTAL OF 180 PARTICIPANTS (100 MALE, 80 FEMALE) COMPLETED THE STUDY. PERSONAL EXPERIENCE INCREASED THE LIKELIHOOD OF OSTEOPATHIC MEDICAL STUDENTS RECOMMENDING OMT (P<.018) OR YOGA (P<.001) TO A FUTURE PATIENT OR TO A PATIENT IN A CASE VIGNETTE (P<.05) WITH CHRONIC LOW BACK PAIN. STUDENTS WHO READ RESEARCH ARTICLES WERE MORE LIKELY TO RECOMMEND OMT TO THE CASE PATIENT AND FUTURE PATIENTS BEFORE AND AFTER READING THE INTERVENTION ARTICLE REGARDLESS OF THEIR EXPERIENCE (P<.001). CONCLUSION: PERSONAL EXPERIENCE AND READING EVIDENCE-BASED RESEARCH MAY INCREASE THE LIKELIHOOD THAT OSTEOPATHIC MEDICAL STUDENTS WILL RECOMMEND OMT TO FUTURE PATIENTS WITH CHRONIC LOW BACK PAIN. 2018 19 598 35 DEVELOPMENT AND PSYCHOMETRIC PROPERTIES OF THE YOGA SELF-EFFICACY SCALE (YSES). BACKGROUND: YOGA IS A BEHAVIORAL PRACTICE THAT USES PHYSICAL MOVEMENT, BREATHING, AND MEDITATION TO IMPROVE HEALTH AND PROMOTE PERSONAL TRANSFORMATION. ANCIENT YOGA PHILOSOPHY PROPOSED THAT AN INDIVIDUAL'S CONFIDENCE ABOUT YOGA, A CONCEPT SIMILAR TO SELF-EFFICACY, WILL AFFECT THE LIKELIHOOD OF IMPROVED HEALTH FROM YOGA PRACTICE. THE PURPOSE OF THIS STUDY WAS TO DEVELOP AND EXAMINE THE PSYCHOMETRIC PROPERTIES OF A SELF-EFFICACY MEASURE FOR YOGA PRACTICE (THE YOGA SELF-EFFICACY SCALE; YSES). METHODS: YOGA PRACTITIONERS WERE RECRUITED TO EVALUATE THE PSYCHOMETRIC PROPERTIES OF YSES VIA A SECURE ONLINE SURVEY. WE COLLECTED DATA ON ADDITIONAL MEASURES TO FURTHER EXAMINE CONSTRUCT VALIDITY. AFTER TWO WEEKS, PARTICIPANTS WERE INVITED TO COMPLETE YSES ITEMS AGAIN TO ASSESS TEST-RETEST RELIABILITY. RESULTS: A MAJORITY OF PARTICIPANTS (N = 309) WERE WHITE (85%), FEMALE (82%), AND YOGA INSTRUCTORS (56%). THE 12-ITEM YSES IS UNIDIMENSIONAL WITH A CRONBACH'S ALPHA OF 0.93. TEST-RETEST RELIABILITY IS R = 0.79 (N = 170). YSES SCORES ARE POSITIVELY CORRELATED WITH HEALTH COMPETENCE, HEALTH-RELATED QUALITY OF LIFE, AND YEARS PRACTICING YOGA, SUPPORTING CONSTRUCT VALIDITY. ALSO, YOGA TEACHERS SCORED SIGNIFICANTLY HIGHER ON THE YSES THAN NON-TEACHERS (P < 0.001). NON-SIGNIFICANT RELATIONSHIPS WITH EDUCATION, INCOME AND SEX SUPPORTED DISCRIMINANT VALIDITY. YSES MAINTAINED INTERNAL CONSISTENCY AND CONSTRUCT VALIDITY FOR ALL YOGA STYLES SURVEYED. CONCLUSION: YSES IS A RELIABLE AND VALID MEASURE OF SELF-EFFICACY FOR YOGA PRACTICE THAT MAY PROVIDE INSIGHT INTO BARRIERS TO ADOPTING AND MAINTAINING YOGA AS A HEALTH BEHAVIOR. 2016 20 1992 22 STAFF PERSPECTIVES REGARDING THE IMPLEMENTATION OF A YOGA INTERVENTION WITH CHRONIC PAIN SELF-MANAGEMENT IN A CLINICAL SETTING. CHRONIC PAIN AFFECTS MILLIONS OF AMERICANS AND CAN BE ADDRESSED THROUGH MULTIPLE MODALITIES, INTERVENTIONS, AND STRATEGIES. YOGA AND SELF-MANAGEMENT HAVE BEEN PROVEN EFFECTIVE IN TREATING CHRONIC PAIN, BUT LITTLE RESEARCH HAS BEEN CONDUCTED ON THE FEASIBILITY AND IMPLEMENTATION BARRIERS RELATED TO THESE ALTERNATIVE INTERVENTION FORMS. IN OUR QUALITATIVE STUDY, WE EXAMINED STAFF PERCEPTIONS REGARDING THE FEASIBILITY OF IMPLEMENTING YOGA ALONG WITH ESTABLISHED SELF-MANAGEMENT AT A PAIN MANAGEMENT CLINIC IN COLORADO. WE UTILIZED THE IMPLEMENTATION DRIVERS OF COMPETENCY, ORGANIZATIONAL, AND LEADERSHIP, AND OUR ADDED HYPOTHETICAL DRIVER TO EXPLORE BARRIERS AND FACILITATORS RELATED TO PROJECT IMPLEMENTATION. OUR FINDINGS SUGGEST THAT POSITIVE STAFF AND PATIENT ATTITUDES WERE CRUCIAL FOR SUCCESSFUL IMPLEMENTATION. WE ALSO IDENTIFIED PHYSICAL SPACE, TRANSPORTATION, AND SUPPORTIVE LEADERSHIP AS NECESSARY COMPONENTS OF PROJECT IMPLEMENTATION. FURTHER RESEARCH IS NEEDED TO EXAMINE BARRIERS SUCH AS FUNDING TO ENSURE INTERVENTION SUSTAINABILITY AND THE NEED FOR ADEQUATE STAFFING. 2017