1 2456 151 YOGA AS A COMPLEMENTARY TREATMENT FOR SMOKING CESSATION IN WOMEN. BACKGROUND: TOBACCO SMOKING REMAINS THE LEADING PREVENTABLE CAUSE OF DEATH AMONG AMERICAN WOMEN. AEROBIC EXERCISE HAS SHOWN PROMISE AS AN AID TO SMOKING CESSATION BECAUSE IT IMPROVES AFFECT AND REDUCES NICOTINE WITHDRAWAL SYMPTOMS. STUDIES OUTSIDE THE REALM OF SMOKING CESSATION HAVE SHOWN THAT YOGA PRACTICE ALSO REDUCES PERCEIVED STRESS AND NEGATIVE AFFECT. METHODS: THIS PILOT STUDY EXAMINES THE FEASIBILITY AND INITIAL EFFICACY OF YOGA AS A COMPLEMENTARY THERAPY FOR SMOKING CESSATION. FIFTY-FIVE WOMEN WERE GIVEN 8-WEEK GROUP-BASED COGNITIVE BEHAVIORAL THERAPY FOR SMOKING CESSATION AND WERE RANDOMIZED TO A TWICE-WEEKLY PROGRAM OF VINYASA YOGA OR A GENERAL HEALTH AND WELLNESS PROGRAM (CONTACT CONTROL). THE PRIMARY OUTCOME MEASURE WAS 7-DAY POINT PREVALENCE ABSTINENCE AT THE END OF TREATMENT VALIDATED BY SALIVA COTININE TESTING. LONGITUDINAL ANALYSES WERE ALSO CONDUCTED TO EXAMINE THE EFFECT OF INTERVENTION ON SMOKING CESSATION AT 3- AND 6-MONTH FOLLOW-UP. WE EXAMINED THE EFFECTS OF THE INTERVENTION ON POTENTIAL MEDIATING VARIABLES (E.G., CONFIDENCE IN QUITTING SMOKING, SELF-EFFICACY), AS WELL AS MEASURES OF DEPRESSIVE SYMPTOMS, ANXIETY, AND PERCEIVED HEALTH (SF-36). RESULTS: AT END OF TREATMENT, WOMEN IN THE YOGA GROUP HAD A GREATER 7-DAY POINT-PREVALENCE ABSTINENCE RATE THAN CONTROLS (ODDS RATIO [OR], 4.56; 95% CI, 1.1-18.6). ABSTINENCE REMAINED HIGHER AMONG YOGA PARTICIPANTS THROUGH THE SIX MONTH ASSESSMENT (OR, 1.54; 95% CI, 0.34-6.92), ALTHOUGH DIFFERENCES WERE NO LONGER STATISTICALLY SIGNIFICANT. WOMEN PARTICIPATING IN THE YOGA PROGRAM ALSO SHOWED REDUCED ANXIETY AND IMPROVEMENTS IN PERCEIVED HEALTH AND WELL-BEING WHEN COMPARED WITH CONTROLS. CONCLUSIONS: YOGA MAY BE AN EFFICACIOUS COMPLEMENTARY THERAPY FOR SMOKING CESSATION AMONG WOMEN. 2012 2 2457 85 YOGA AS A COMPLEMENTARY TREATMENT FOR SMOKING CESSATION: RATIONALE, STUDY DESIGN AND PARTICIPANT CHARACTERISTICS OF THE QUITTING-IN-BALANCE STUDY. BACKGROUND: TOBACCO SMOKING REMAINS THE LEADING PREVENTABLE CAUSE OF DEATH AMONG AMERICAN WOMEN. EXERCISE HAS SHOWN PROMISE AS AN AID TO SMOKING CESSATION BECAUSE IT REDUCES WEIGHT GAIN AND WEIGHT CONCERNS, IMPROVES AFFECT, AND REDUCES NICOTINE WITHDRAWAL SYMPTOMS AND CIGARETTE CRAVING. STUDIES HAVE SHOWN THAT THE PRACTICE OF YOGA IMPROVES WEIGHT CONTROL, AND REDUCES PERCEIVED STRESS AND NEGATIVE AFFECT. YOGA PRACTICE ALSO INCLUDES REGULATION OF BREATHING AND FOCUSED ATTENTION, BOTH OF WHICH MAY ENHANCE STRESS REDUCTION AND IMPROVE MOOD AND WELL-BEING AND MAY IMPROVE CESSATION OUTCOMES. METHODS/DESIGN: THIS PILOT EFFICACY STUDY IS DESIGNED TO EXAMINE THE RATES OF CESSATION AMONG WOMEN RANDOMIZED TO EITHER A NOVEL, 8-WEEK YOGA PLUS COGNITIVE BEHAVIORAL THERAPY (CBT) SMOKING CESSATION INTERVENTION VERSUS A WELLNESS PROGRAM PLUS THE SAME CBT SMOKING CESSATION INTERVENTION. OUTCOME MEASURES INCLUDE 7-DAY POINT PREVALENCE ABSTINENCE AT END OF TREATMENT, 3 AND 6 MONTHS FOLLOW UP AND POTENTIAL MEDIATING VARIABLES (E.G., CONFIDENCE IN QUITTING SMOKING, SELF-EFFICACY). OTHER ASSESSMENTS INCLUDE MEASURES OF MINDFULNESS, SPIRITUALITY, DEPRESSIVE SYMPTOMS, ANXIETY AND PERCEIVED HEALTH (SF-36). DISCUSSION: INNOVATIVE TREATMENTS ARE NEEDED THAT ADDRESS BARRIERS TO SUCCESSFUL SMOKING CESSATION AMONG MEN AND WOMEN. THE DESIGN CHOSEN FOR THIS STUDY WILL ALLOW US TO EXPLORE POTENTIAL MEDIATORS OF INTERVENTION EFFICACY SO THAT WE MAY BETTER UNDERSTAND THE MECHANISM(S) BY WHICH YOGA MAY ACT AS AN EFFECTIVE COMPLEMENTARY TREATMENT FOR SMOKING CESSATION. IF SHOWN TO BE EFFECTIVE, YOGA CAN OFFER AN ALTERNATIVE TO TRADITIONAL EXERCISE FOR REDUCING NEGATIVE SYMPTOMS THAT OFTEN ACCOMPANY SMOKING CESSATION AND PREDICT RELAPSE TO SMOKING AMONG RECENT QUITTERS. TRIAL REGISTRATION: CLINICALTRIALS NCT00492310. 2010 3 2455 72 YOGA AS A COMPLEMENTARY THERAPY FOR SMOKING CESSATION: RESULTS FROM BREATHEASY, A RANDOMIZED CLINICAL TRIAL. INTRODUCTION: THERE IS EVIDENCE THAT YOGA MAY BE HELPFUL AS AN AID FOR SMOKING CESSATION. YOGA HAS BEEN SHOWN TO REDUCE STRESS AND NEGATIVE MOOD AND MAY AID WEIGHT CONTROL, ALL OF WHICH HAVE PROVEN TO BE BARRIERS TO QUITTING SMOKING. THIS STUDY IS THE FIRST RIGOROUS, RANDOMIZED CLINICAL TRIAL OF YOGA AS A COMPLEMENTARY THERAPY FOR SMOKERS ATTEMPTING TO QUIT. METHODS: ADULT SMOKERS (N = 227; 55.5% WOMEN) WERE RANDOMIZED TO AN 8-WEEK PROGRAM OF COGNITIVE-BEHAVIORAL SMOKING CESSATION AND EITHER TWICE-WEEKLY IYENGAR YOGA OR GENERAL WELLNESS CLASSES (CONTROL). ASSESSMENTS INCLUDED COTININE-VERIFIED 7-DAY POINT PREVALENCE ABSTINENCE AT WEEK 8, 3-MONTH, AND 6-MONTH FOLLOW-UPS. RESULTS: AT BASELINE, PARTICIPANTS' MEAN AGE WAS 46.2 (SD = 12.0) YEARS AND SMOKING RATE WAS 17.3 (SD = 7.6) CIGARETTES/DAY. LONGITUDINALLY ADJUSTED MODELS OF ABSTINENCE OUTCOMES DEMONSTRATED SIGNIFICANT GROUP EFFECTS FAVORING YOGA. YOGA PARTICIPANTS HAD 37% GREATER ODDS OF ACHIEVING ABSTINENCE THAN WELLNESS PARTICIPANTS AT THE END OF TREATMENT (EOT). LOWER BASELINE SMOKING RATES (