1 2624 165 YOGA FOR SYSTEMIC LUPUS ERYTHEMATOSUS (SLE): CLINICIAN EXPERIENCES AND QUALITATIVE PERSPECTIVES FROM STUDENTS AND YOGA INSTRUCTORS LIVING WITH SLE. SYSTEMIC LUPUS ERYTHEMATOSUS (SLE) IS AN AUTOIMMUNE DISEASE ASSOCIATED WITH WIDESPREAD INFLAMMATION AND TISSUE DAMAGE. IT IS MORE COMMON AND SEVERE AMONG BLACKS, HISPANICS, AND ASIANS; WITH HIGHER INCIDENCE IN WOMEN. WHILE THE GOALS OF MEDICAL TREATMENT ARE TO PREVENT FLARES AND REDUCE ORGAN DAMAGE, UP TO 50% OF PATIENTS PERCEIVE THEIR HEALTH TO BE SUBOPTIMAL WITH UNADDRESSED NEEDS INCLUDING FATIGUE AND PAIN. RECENT SLE TREATMENT GUIDELINES FOCUS ON IMPROVING QUALITY OF LIFE. YOGA HAS SHOWN IMPROVEMENTS IN QUALITY-OF-LIFE AND FATIGUE IN VARIOUS DIAGNOSES. WHILE THERE IS GROWING EVIDENCE THAT YOGA THERAPY MAY HELP OSTEOARTHRITIS AND RHEUMATOID ARTHRITIS SYMPTOMS, THERE IS ONLY ONE REFERENCE IN THE LITERATURE RELATED TO SLE. METHODS/SETTING: AN ADJUNCT STUDY WAS UNDERTAKEN TO EVALUATE ADAPTING THE YOGA AS SELF CARE FOR ARTHRITIS IN MINORITY COMMUNITIES STUDY FOR A BILINGUAL POPULATION LIVING WITH SLE IN THE WASHINGTON, DC AREA. INFORMANTS INCLUDED 7 PATIENTS ENROLLED ONTO THE STUDY, AND 3 YOGA INSTRUCTORS LIVING WITH SLE. QUALITATIVE METHODS INCLUDED JOURNALS AND SEMI-STRUCTURED INTERVIEWS. RESULTS: ENROLLING PATIENTS CLARIFIED REVISIONS FOR INTAKE QUESTIONNAIRES, AND SYMPTOMS THAT MAY IMPACT CLASS PARTICIPATION. PARTICIPANTS DEMONSTRATED INCREASED BALANCE, BODY AWARENESS, AND TOLERATED A FASTER-PACED YOGA CLASS WHEN COMPARED TO THOSE IN THE PARENT STUDY. YOGA INSTRUCTORS' RECOMMENDATIONS INCLUDED MODIFYING YOGA BASED ON ENERGY LEVELS AND FREQUENT CHANGES IN PHYSICAL ABILITY. CONCLUSION: THIS PAPER SHARES PERSPECTIVES FROM VARIOUS INFORMANTS AND AFFIRMS THE FEASIBILITY OF PROGRESSING TO A LARGER STUDY. IT SUMMARIZES OUR FINDINGS AND RECOMMENDATIONS TOWARDS CREATING A RANDOMIZED CONTROLLED TRIAL, AS THERE ARE CURRENTLY NONE IN THE LITERATURE. 2018 2 1213 36 EXPLORING PERCEIVED BENEFITS, MOTIVES, BARRIERS, AND RECOMMENDATIONS FOR PRESCRIBING YOGA EXERCISES AS A NONPHARMACOLOGICAL INTERVENTION FOR PATIENTS WITH EPILEPSY: A QUALITATIVE STUDY FROM PALESTINE. OBJECTIVES: YOGA IS BELIEVED TO PLAY A ROLE IN STABILIZING THE ELECTROENCEPHALOGRAM AND THE AUTONOMIC NERVOUS SYSTEM, THUS MIGHT HELP CONTROL SEIZURES IN PEOPLE WITH EPILEPSY (PWE). THIS QUALITATIVE STUDY WAS CONDUCTED TO EXPLORE EXPERIENCES OF PALESTINIAN PWE WITH REGARD TO BENEFITS, MOTIVES, BARRIERS, AND RECOMMENDATIONS OF PRESCRIBING YOGA EXERCISES AS A NONPHARMACOLOGICAL INTERVENTION. METHODS: PURPOSIVE AND SNOWBALL SAMPLING TECHNIQUES WERE USED TO RECRUIT PWE WHO PRACTICED YOGA. SEMI-STRUCTURED IN-DEPTH INTERVIEWS (N=18) WERE CONDUCTED WITH THE STUDY PARTICIPANTS. THE INTERPRETIVE DESCRIPTION METHOD WAS USED TO QUALITATIVELY ANALYZE THE DATA COLLECTED DURING THE INTERVIEWS. RESULTS: FOLLOWING THE THEMATIC ANALYSIS ADOPTED FOR THIS STUDY, FOUR MAJOR THEMES EMERGED. THESE THEMES WERE AS FOLLOWS: PERCEIVED BENEFITS OF YOGA, MOTIVES TO PRACTICE YOGA, BARRIERS TO PRACTICE YOGA, AND RECOMMENDATIONS ON EFFECTIVE YOGA PRACTICE FOR PWE. THE PERCEIVED BENEFITS INCLUDED IMPROVEMENTS IN MANAGEMENT OF SEIZURES, PSYCHOLOGICAL, PHYSICAL, AND SOCIAL WELL-BEING. PEOPLE WITH EPILEPSY WERE MOTIVATED BY THE HEALTH BENEFITS OF YOGA. BARRIERS OF ADHERENCE TO PRACTICE INCLUDED PERSONAL AND LOGISTIC FACTORS. THE INTERVIEWEES RECOMMENDED TAILORING YOGA SESSIONS TO THE NEEDS OF PWE. CONCLUSION: THIS EXPLORATIVE QUALITATIVE STUDY REPORTED PERCEIVED BENEFITS, MOTIVES, BARRIERS, AND RECOMMENDATIONS OF YOGA AS A NONPHARMACOLOGICAL INTERVENTION FOR PWE. PEOPLE WITH EPILEPSY USED YOGA AS A BENEFICIAL NONPHARMACOLOGICAL INTERVENTION TO IMPROVE THEIR HEALTH AND REDUCE THE NEGATIVE EFFECTS OF EPILEPSY ON THEIR PHYSICAL AND PSYCHOSOCIAL WELL-BEING. FUTURE STUDIES ARE NEEDED TO INVESTIGATE THE HEALTH BENEFITS OF YOGA WHEN SESSIONS ARE TAILORED TO THE NEEDS OF PWE. 2020 3 2890 28 YOGA: POTENTIAL BENEFITS FOR PERSONS WHO STUTTER. YOGA HAS BEEN DEMONSTRATED TO MODULATE AUTONOMIC NERVOUS SYSTEM ACTIVITY, DECREASING ANXIETY AND STRESS, AND IMPROVING QUALITY OF LIFE. THIS PRELIMINARY STUDY SOUGHT TO EXAMINE THE USE OF YOGIC TECHNIQUES ON PERSONS WHO STUTTER GIVEN THE INTERACTION BETWEEN PHYSIOLOGICAL AROUSAL/ANXIETY AND STUTTERING THAT CURRENT MULTIFACTORIAL MODELS OF STUTTERING PROPOSE. FOUR PARTICIPANTS (M = 52 YR, SD = 10; 2 FEMALE, 2 MALE), RECRUITED FROM LOCAL STUTTERING SUPPORT GROUPS IN THE GREATER PHILADELPHIA COMMUNITY VOLUNTEERED TO PARTICIPATE. STUTTERING SEVERITY, ANXIETY, AND EXPERIENCES REGARDING STUTTERING AND COMMUNICATION WERE MEASURED AT BASELINE, POST INTERVENTION, AND AT 4 MONTHS FOLLOW-UP. THE PARTICIPANTS ATTENDED GROUP YOGA SESSIONS AND ENGAGED IN HOME PRACTICE. DESCRIPTIVE RESULTS REVEALED THAT PARTICIPANTS SHOWED IMPROVEMENTS ACROSS OUTCOME MEASURES, WITH THE MOST IMPROVEMENT RELATED TO ANXIETY. PARTICIPANTS ALSO REPORTED IMPROVEMENTS IN THEIR PERCEPTIONS ABOUT COMMUNICATION AS PER QUALITATIVE ANALYSIS OF RESPONSES TO THE OPEN-ENDED QUESTIONNAIRES. THE RESULTS SUGGEST THE POTENTIAL BENEFITS OF YOGA FOR PERSONS WHO STUTTER AND WARRANTS FURTHER STUDY USING AN EXPERIMENTAL DESIGN. 2016 4 554 41 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 5 126 35 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 6 2556 21 YOGA FOR CHILDREN. THERE IS AN INCREASING INTEREST IN THE USE OF YOGA FOR CHILDREN TO CALM THE MIND AND INCREASE HEALTH AND WELL BEING. DESPITE SCANT BUT INCREASING EVIDENCE SUPPORTING THE EFFICACY OF YOGA IN CHILDREN, SPECIAL YOGA PROGRAMS WITHIN SCHOOLS ARE BEING DEVELOPED FOR CHILDREN AND ADOLESCENTS. THIS INCREASING POPULARITY OF THE POTENTIAL BENEFITS OF YOGA MAY ENCOURAGE PARENTS TO CONSIDER YOGA FOR THEIR CHILDREN AND REQUEST REFERRALS OR CLARIFICATION OF THE PURPORTED EFFECTS. A DESCRIPTION OF THE PHILOSOPHICAL BASIS OF YOGA, THE BASIC COMPONENTS OF A YOGA PRACTICE, SAFETY CONCERNS, AND HOW TO LOCATE AND EVALUATE A YOGA PROGRAM FOR CHILDREN WILL BE ADDRESSED. 2009 7 2489 22 YOGA AS AN INTERVENTION IN THE TREATMENT OF EATING DISORDERS: DOES IT HELP? THIS ARTICLE EXPLORES THE USES OF YOGA AS AN EXPERIENTIAL ADJUNCT TO OTHER FORMS OF THERAPY IN THE TREATMENT OF EATING DISORDERS IN RESIDENTIAL AND OUTPATIENT SETTINGS. SUPPORTED BY OTHER TREATMENT MODALITIES, YOGA CAN BE AN EFFECTIVE METHOD FOR INCREASING SELF-AWARENESS, REFLECTION AND THE ABILITY TO SELF-SOOTHE. LIKE OTHER INTERVENTIONS, YOGA HAS POTENTIAL MISUSES. THESE MISUSES ARE UNCOVERED WITH SUGGESTIONS MADE AS TO HOW THERAPISTS CAN SUPPORT THE PRACTICE OF YOGA IN RESIDENTIAL AND OUTPATIENT SETTINGS. 2009 8 2167 30 THE EFFECTS OF YOGA IN HELPING CANCER PATIENTS AND CAREGIVERS MANAGE THE STRESS OF A NATURAL DISASTER: A BRIEF REPORT ON HURRICANE HARVEY. BACKGROUND: THIS SMALL QUALITATIVE STUDY REPORTS ON THE EXPERIENCES OF PATIENTS AND FAMILY CAREGIVERS WHO PARTICIPATED IN A DYADIC YOGA PILOT TRIAL WHILE UNDERGOING CANCER TREATMENT IN THE MIDST OF HURRICANE HARVEY. OUR PRIMARY PURPOSE WAS TO DETERMINE IF PARTICIPANTS IMPLEMENTED COMPONENTS OF THE PROGRAM TO COPE WITH THE STRESSORS ASSOCIATED WITH HURRICANE HARVEY AND IF THEY PERCEIVED BENEFITS FROM THE YOGA PRACTICES. METHODS: WE ADMINISTERED BRIEF SEMISTRUCTURED INTERVIEWS TO THE DYADS PARTICIPATING IN A DYADIC YOGA PILOT TRIAL. PARTICIPANTS (N = 5 DYADS) WERE ASKED TO DISCUSS THEIR EXPERIENCE WITH HURRICANE HARVEY, INCLUDING FACTORS THAT HELPED THEM COPE WITH THE EVENT WHILE RECEIVING TREATMENT. RESULT: PATIENTS HAD A MEAN AGE OF 55.6 YEARS, WERE MOSTLY NON-HISPANIC WHITE, MALE, AND HAD ADVANCE STAGE HEAD AND NECK CANCER. CAREGIVERS HAD A MEAN AGE OF 58 YEARS AND WERE MAINLY NON-HISPANIC WHITE AND FEMALE. ANALYSES OF THE INTERVIEWS REVEALED 2 OVERARCHING THEMES: (1) THE STORM'S NEGATIVE IMPACT AND (2) THE USE OF YOGA TO COPE WITH THE HURRICANE-RELATED STRESSORS. CONCLUSIONS: PATIENT-CAREGIVER DYADS EXPERIENCED PSYCHOLOGICAL DISTRESS DURING THE STORM AND/OR ITS AFTERMATH. DYADS USED YOGA TECHNIQUES TO COPE WITH THESE PSYCHOLOGICAL STRESSORS. YOGA SERVED AS A MEANS OF SOCIAL SUPPORT AS DYADS EITHER PARTICIPATED IN THESE ACTIVITIES TOGETHER OR WITH OTHER FAMILY MEMBERS. 2019 9 1802 37 PREVALENCE AND PREDICTORS OF YOGIC BREATHING AND MEDITATION USE - A NATIONALLY REPRESENTATIVE SURVEY OF US ADULT YOGA PRACTITIONERS. INTRODUCTION: YOGA PRACTICE IN COMMON USAGE IS OFTEN CONFINED TO THE PHYSICAL ASPECTS OF THE COMPREHENSIVE PRACTICE. THE PURPOSE OF THIS STUDY WAS TO EXAMINE THE USE OF TWO ADDITIONAL ASPECTS OF YOGA AS PART OF YOGA PRACTICE, I.E. YOGIC BREATHING AND MEDITATION (YOBAM). PREVALENCE AND PREDICTORS OF YOBAM USE AMONG YOGA PRACTITIONERS IN THE US GENERAL POPULATION WERE ANALYZED. METHOD: CROSS-SECTIONAL DATA FROM THE 2012 AND 2017 NATIONAL HEALTH INTERVIEW SURVEY (NHIS) (N = 61,267) WAS USED. 12-MONTH PREVALENCE OF YOGA USE AND YOBAM USE AMONG YOGA PRACTITIONERS WERE ANALYZED DESCRIPTIVELY FOR THE TWO COHORTS RESPECTIVELY. LOGISTIC REGRESSION ANALYSES WERE USED TO ANALYZE SOCIODEMOGRAPHIC AND HEALTH-RELATED PREDICTORS OF YOBAM USE AMONG YOGA PRACTITIONERS. RESULTS: 12-MONTH PREVALENCE OF YOGA USE AND YOBAM USE WERE 8.9 % AND 4.8 % RESPECTIVELY IN 2012. IN 2017, 13.3 % HAD PRACTICED YOGA IN THE PAST 12 MONTHS AND 7.0 % HAD USED YOBAM. YOGA PRACTITIONERS AGED BETWEEN 50 AND 64 COMPARED TO BEING 29 OR YOUNGER, FEMALES, HISPANICS AND THOSE EXPERIENCING MILD TO SEVERE FORMS OF PSYCHOLOGICAL DISTRESS WERE MORE LIKELY TO USE YOBAM AS PART OF THEIR YOGA PRACTICE. YOGA PRACTITIONERS LIVING IN THE MIDWEST OR IN A RELATIONSHIP WERE LESS LIKELY TO USE YOBAM. CONCLUSION: IN RECENT YEARS, THE NUMBER OF YOGA PRACTITIONERS IN THE US GENERAL POPULATION HAS CONSIDERABLY INCREASED AND YOBAM USE IS COMMON AMONG YOGA PRACTITIONERS. YOBAM USE SEEMS TO BE ASSOCIATED WITH AGE, GENDER, ETHNICITY, REGION, MARITAL STATUS AND PSYCHOLOGICAL DISTRESS DIMENSIONS. 2021 10 2580 31 YOGA FOR HEALTHY AGING: SCIENCE OR HYPE? YOGA, ONE OF THE WORLD'S OLDEST HEALTH SYSTEMS IS RECEIVING NEW ATTENTION FOR CLAIMS THAT IT CAN CONTRIBUTE TO HEALTHY AGING. UNTIL RECENTLY, SCIENTIFIC EVIDENCE FOR ITS EFFICACY HAS RELIED HEAVILY ON SMALL AND POORLY-DESIGNED RESEARCH, BUT THIS IS CHANGING. MULTIPLE, WELL-DESIGNED STUDIES PROVIDE DATA SHOWING THAT YOGA PRACTICE HAS POSITIVE EFFECTS ON CELLULAR AGING, MOBILITY, BALANCE, MENTAL HEALTH, AND PREVENTION OF COGNITIVE DECLINE-ALL AREAS OF CONCERN FOR OLDER ADULTS. SINCE THE COST OF IMPLEMENTING YOGA-BASED COMMUNITY AND HOME-BASED INTERVENTIONS IS LOW-POLICYMAKERS ARE ALSO EYEING YOGA PRACTICE AS A COST-EFFECTIVE WAY TO REDUCE MEDICAL COSTS AND IMPROVE OUTCOMES AMONG A GROWING AGING POPULATION. THIS COMMENTARY REVIEWS THE EVIDENCE FOR BOTH PHYSICAL AND MENTAL HEALTH BENEFITS FROM YOGA, AS WELL AS CONCERNS ABOUT INJURIES THAT HAVE BEEN ASSOCIATED WITH CERTAIN TYPES OF YOGA PRACTICE. IT REVEALS A SURPRISING RANGE OF YOGA PROGRAMS AND DIFFICULTY LEVELS THAT PROVIDE OPPORTUNITIES FOR ALMOST ANYONE TO PARTICIPATE AND GAIN HEALTH BENEFITS WITH PRACTICE. 2021 11 485 19 CLINICAL GROUP SUPERVISION IN YOGA THERAPY: MODEL EFFECTS, AND LESSONS LEARNED. CLINICAL SUPERVISION IS AN INTEGRAL COMPONENT OF THERAPIST TRAINING AND PROFESSIONAL DEVELOPMENT BECAUSE OF ITS CAPACITY FOR FOSTERING KNOWLEDGE, SELF-AWARENESS, AND CLINICAL ACUMEN. INDIVIDUAL SUPERVISION IS PART OF MANY YOGA THERAPY TRAINING PROGRAMS AND IS REFERENCED IN THE IAYT STANDARDS AS "MENTORING." GROUP SUPERVISION IS NOT TYPICALLY USED IN THE TRAINING OF YOGA THERAPISTS. WE PROPOSE THAT GROUP SUPERVISION EFFECTIVELY SUPPORTS THE GROWTH AND DEVELOPMENT OF YOGA THERAPISTS-IN-TRAINING. WE PRESENT A MODEL OF GROUP SUPERVISION FOR YOGA THERAPIST TRAINEES DEVELOPED BY THE NEW ENGLAND SCHOOL OF INTEGRATIVE YOGA THERAPEUTICS (THE NESIYT MODEL) THAT INCLUDES THE BACKGROUND, STRUCTURE, FORMAT, AND DEVELOPMENT OF OUR INAUGURAL 18-MONTH SUPERVISION GROUP. PRE-AND POST-SUPERVISION SURVEYS AND ANALYZED CASE NOTES, WHICH CAPTURED KEY DIDACTIC AND PROCESS THEMES, ARE DISCUSSED. CLINICAL ISSUES, SUCH AS BOUNDARIES, PERFORMANCE ANXIETY, SENSE OF SELF EFFICACY, THE THERAPEUTIC ALLIANCE, TRANSFERENCE AND COUNTER TRANSFERENCE, PACING OF YOGA THERAPY SESSIONS, EVALUATION OF CLIENT PROGRESS, AND ADJUNCT THERAPIST INTERACTION ARE REVIEWED. THE TIMING AND SEQUENCE OF DIDACTIC AND PROCESS THEMES AND BENEFITS FOR YOGA THERAPIST TRAINEES' PROFESSIONAL DEVELOPMENT, ARE DISCUSSED. THE NESIYT GROUP SUPERVISION MODEL IS OFFERED AS AN EFFECTIVE BLUEPRINT FOR YOGA THERAPY TRAINING PROGRAMS. 2012 12 1735 34 PHENOMENOLOGICAL INQUIRY INTO PHOENIX RISING YOGA THERAPY. THERE IS GROWING RECOGNITION WITHIN PSYCHOLOGY AND OTHER DISCIPLINES THAT BODY EXPERIENCE MAY BE AS IMPORTANT AS COGNITIVE AND EMOTIONAL EXPERIENCE. HOWEVER, PSYCHOLOGY HAS FEW PSYCHOTHERAPEUTIC INTERVENTIONS TO SUPPORT THE INTEGRATION OF MIND AND BODY WITHIN THERAPY. PHOENIX RISING YOGA THERAPY (PRYT) IS A FORM OF MIND-BODY THERAPY THAT USES YOGA POSTURE, TOUCH, AND PSYCHOTHERAPEUTIC DIALOGUE TO FACILITATE GROWTH AND HEALING. THE CURRENT STUDY EXPLORED THE PHENOMENOLOGICAL EXPERIENCE OF FOUR WOMEN WHO EACH RECEIVED FIVE PRYT SESSIONS. RESEARCH QUESTIONS POSED WERE: (1) WHAT ARE THE CLIENTS' EXPERIENCES OF THE PHENOMENA OF PRYT? AND (2) HOW DOES RECEIVING PRYT SESSIONS IMPACT THE CLIENTS' LIVES? THE FOLLOWING THEMES EMERGED FROM THE DATA AS THE ESSENCE OF PRYT SESSIONS: MINDFULNESS, SELF-AWARENESS, MIND-BODY CONNECTION, IN VIVO EXPERIENCE OF NEW BEHAVIORS, CLIENT-DIRECTED, EMPOWERMENT, AND LIFE CHANGES. THESE THEMES SHOW SIGNIFICANCE IN THE MIND-BODY CONNECTION AND THAT IT IS IMPORTANT TO CONSIDER ALTERNATIVE MODALITIES SUCH AS PRYT FOR CLIENTS. EACH PARTICIPANT NOTED GREATER INSIGHT INTO MIND-BODY CONNECTION. THEY NOTICED THE EFFECT OF COGNITION AND EMOTION ON THE BODY, OBSERVED HOW THE BODY CAN BE USED TO IMPROVE COPING THROUGH MOVEMENT AND BREATHING, AND EXPERIENCED DIFFERENT THOUGHTS AND EMOTIONS ASSOCIATED WITH DIFFERENT AREAS OF THEIR BODIES. ALTHOUGH THESE RESULTS ARE NOT NECESSARILY GENERALIZABLE, THEY OFFER INTERESTING THEORETICAL IMPLICATIONS FOR EMBODIED INTERVENTIONS. 2018 13 1708 21 PEACEBUILDING THROUGH YOGA? QUALITATIVE ASSESSMENT OF A YOGA PROGRAM IN A SOCIAL HOUSING COMPLEX IN SANTA MARTA, COLOMBIA. THE GOAL OF THE STUDY WAS TO ASSESS PERCEIVED MENTAL AND PHYSICAL HEALTH BENEFITS OF A YOGA INTERVENTION FOR PEOPLE LIVING IN CIUDAD EQUIDAD, A SOCIAL HOUSING COMPLEX IN COLOMBIA. THE STUDY PARTICIPANTS VOLUNTARILY ENROLLED TO COMPLETE TWO YOGA SESSIONS PER WEEK, EACH LASTING 1.5 HOURS, DURING A 3-MONTH PERIOD. ADDITIONALLY, THEY PARTICIPATED IN BASELINE AND POSTINTERVENTION FOCUS GROUPS. THIS QUALITATIVE ASSESSMENT WAS INTENDED TO IDENTIFY PERCEIVED CHANGES IN AGGRESSIVENESS, INTERPERSONAL RELATIONSHIPS, AND STRESS AFTER PARTICIPATING IN THE YOGA SESSIONS. DATA ANALYSIS REVEALED THAT PARTICIPANTS PERCEIVED CHANGES OVER TIME IN RELATION TO WHEN THEY BEGAN THE INTERVENTION. 2019 14 2645 34 YOGA FOR YOUNG ADULTS WITH NONCURATIVE CANCER: A BRIEF REPORT. BACKGROUND: THE PRACTICE OF YOGA HAS BEEN SHOWN TO IMPROVE DISEASE- AND TREATMENT-RELATED SIDE EFFECTS IN THE NONCURATIVE CANCER PATIENT. OBJECTIVE: THIS USER EXPERIENCE STUDY AIMED TO EXAMINE THE FEASIBILITY AND USEFULNESS OF A DVD-BASED YOGA PROGRAM FOR YOUNG ADULT CANCER PATIENTS WITH A NONCURATIVE DIAGNOSIS. METHODS: PARTICIPANTS WERE ASKED TO PARTAKE IN A 7-WEEK DVD-BASED YOGA PROGRAM AND COMPLETE MEASURES OF PROGRAM USE AND USEFULNESS. RESULTS: NINE PATIENTS EXPRESSED STUDY INTEREST AND 5 CONSENTED TO PARTICIPATE. FOUR COMPLETED THE FULL STUDY PROTOCOL. PARTICIPANTS REPORTED BEING SATISFIED WITH THE PROGRAM AND DESCRIBED THAT IT PROVIDED AN OPPORTUNITY FOR SELF-CARE. IMPROVEMENTS IN FUNCTIONAL, PHYSICAL, AND SPIRITUAL WELL-BEING AND OVERALL QUALITY OF LIFE WERE FOUND. BARRIERS INCLUDED COMPETING TIME DEMANDS AND FEELING UNWELL. NO ADVERSE EVENTS WERE REPORTED. CONCLUSION: THE PROGRAM WAS VIEWED AS AN ACCESSIBLE AND USEFUL ACTIVITY OPTION; HOWEVER, A DESIRE FOR GREATER SOCIAL SUPPORT FROM RELATABLE OTHERS WAS HIGHLIGHTED. 2018 15 579 27 DESIGNING A YOGA INTERVENTION PROGRAM TO IMPROVE WELL-BEING FOR PHYSICIAN TRAINEES: CHALLENGES AND LESSONS LEARNED. WELL-BEING ACTIVITIES MAY HELP TO COUNTERACT PHYSICIAN BURNOUT. YOGA IS KNOWN TO ENHANCE WELL-BEING, BUT THERE ARE FEW STUDIES OF YOGA AS AN INTERVENTION FOR PHYSICIANS IN TRAINING. THIS PROSPECTIVE METHODOLOGY-DEVELOPMENT STUDY AIMED TO EXPLORE HOW TO ESTABLISH A YOGA-BASED WELL-BEING INTERVENTION FOR PHYSICIAN TRAINEES IN A LARGE URBAN TRAINING HOSPITAL. WE AIMED TO IDENTIFY FACTORS THAT CONTRIBUTE TO TRAINEE PARTICIPATION AND EXPLORE AN INSTRUMENT TO MEASURE CHANGES IN SELF-REPORTED WELL-BEING AFTER YOGA. COHORTS INCLUDED A REQUIRED-ATTENDANCE GROUP, A VOLUNTARY-ATTENDANCE GROUP, AND AN UNASSIGNED WALK-IN YOGA GROUP. WEEKLY 1-HOUR YOGA SESSIONS WERE LED BY A QUALIFIED YOGA INSTRUCTOR FOR 4 WEEKS. THE SEVEN-QUESTION RESIDENT PHYSICIAN WELL-BEING INDEX (RPWBI) WAS USED TO MEASURE RESIDENT WELL-BEING BEFORE YOGA, AFTER 4 WEEKS OF YOGA, AND 6 MONTHS POST-YOGA. TRAINEES ATTENDING EACH SESSION RANGED FROM 17 FOR REQUIRED YOGA TO 0-2 FOR VOLUNTARY YOGA, 2-9 FOR LUNCHTIME WALK-IN YOGA, AND 1-7 FOR EVENING WALK-IN YOGA. IN THE REQUIRED-YOGA GROUP (N = 17), OVERALL RPWBI MEAN SCORES DID NOT CHANGE SIGNIFICANTLY ACROSS THE THREE QUERY TIMES, AND PARTICIPATION IN THE SURVEY DECLINED OVER TIME. THE MEAN BASELINE RPWBI SCORE FOR THE REQUIRED GROUP BEFORE YOGA WAS IN THE NON-DISTRESSED RANGE AND ANSWERS TO THE SEVEN INDIVIDUAL QUESTIONS VARIED. REQUIRING A YOGA ACTIVITY FOR MEDICAL TRAINEES MAY BE A GOOD STRATEGY FOR PROMOTING PARTICIPATION IN YOGA. THE RPWBI MAY HAVE LIMITED UTILITY FOR MEASURING CHANGES IN OVERALL GROUP WELL-BEING AFTER A YOGA INTERVENTION. 2021 16 1312 18 HEALTH STATUS OF NURSES AND YOGA. I. BASELINE DATA. IN THIS ONGOING ICMR PROJECT ON "EFFECT OF YOGA ON THE HEALTH OF NURSES", SOME BASELINE DATA ON THE HEALTH OF NURSES OF NEHRU HOSPITAL, P.G.I., CHANDIGARH ARE REPORTED. THIS WAS OBTAINED BEFORE THE START OF YOGA THERAPY IN SELECTED CASES AND COLLECTED WITH THE HELP OF SIX PSYCHOLOGICAL TOOLS. OUT OF A TOTAL OF 501 NURSES, 452 (90.2%) COULD BE CONTACTED AND STUDIED. MEAN AGE WAS 30.43 YEARS AND MEAN YEARS OF SERVICE 9.93 YEARS. MEAN SCORES ON THE PSYCHOLOGICAL TESTS INDICATED POOR HEALTH STATUS OF NURSES, AVERAGE NEUROTICISM, DEPRESSIVE TENDENCIES AND ROLE STRESS. SENSE OF WELL-BEING WAS HIGH IN THEM. THE DATA IS DISCUSSED IN THE LIGHT OF RESEARCHES IN THIS AREA. THIS IS THE FIRST OF A SERIES OF THREE ARTICLES TO BE PUBLISHED IN THE JOURNAL. 1989 17 2711 23 YOGA KERNELS: A PUBLIC HEALTH MODEL FOR DEVELOPING AND DISSEMINATING EVIDENCE-BASED YOGA PRACTICES. MANY PEOPLE ARE DRAWN TO YOGA FOR ITS POTENTIAL HEALTH BENEFITS. WITH ITS RISING POPULARITY, YOGA COULD BECOME A WIDELY USED PUBLIC HEALTH INTERVENTION, BUT ITS SUCCESS DEPENDS ON FINDING EVIDENCE-BASED YOGA PRACTICES THAT ARE ACCEPTABLE AND FEASIBLE FOR A LARGE SEGMENT OF THE POPULATION. COMPLEXITY AND VARIABILITY CREATE BARRIERS TO THE ADOPTION AND MAINTENANCE OF YOGA PRACTICES. IN AN EFFORT TO IMPROVE THE STUDY, ADOPTION, AND MAINTENANCE OF THERAPEUTIC PRACTICES USED IN THE CONTEXT OF PUBLIC HEALTH INTERVENTIONS, WE INTRODUCE THE CONCEPT OF "YOGA KERNELS," DEFINED AS DISCRETE, EVIDENCE-BASED YOGA PRACTICES THAT ARE AMENABLE TO SCIENTIFIC STUDY AND CAN BE EFFECTIVELY DISSEMINATED AS A PUBLIC HEALTH INTERVENTION. YOGA IS REVIEWED FROM THE STANDPOINT OF A PUBLIC HEALTH INTERVENTION USING THE REACH EFFECTIVENESS ADOPTION IMPLEMENTATION AND MAINTENANCE (RE-AIM) MODEL. THIS MODEL IS DESIGNED TO IMPROVE THE SUCCESSFUL ADOPTION AND MAINTENANCE OF GENERALIZABLE, EVIDENCE-BASED INTERVENTIONS. IN RESPONSE TO THE CHALLENGES TO THE ADOPTION AND MAINTENANCE OF YOGA PRACTICES, WE PROPOSE THAT A POTENTIALLY FRUITFUL DIRECTION FOR YOGA RESEARCH IS MOVING AWAY FROM STUDYING YOGA CLASSES TO STUDYING SPECIFIC YOGA PRACTICES THAT ARE SIMPLER AND EASIER FOR THE GENERAL PUBLIC TO USE. YOGA KERNELS COULD BE A UNIFYING CONCEPT TO IDENTIFY THERAPEUTIC USES OF YOGA AND HELP PEOPLE ADOPT AND MAINTAIN THESE PRACTICES AS PART OF A SYSTEMATIC PUBLIC HEALTH STRATEGY. 2019 18 2384 37 YOGA - A LABORIOUS WAY TO WELL-BEING: PATIENTS' EXPERIENCES OF YOGA AS A TREATMENT FOR HYPERTENSION IN PRIMARY CARE. OBJECTIVE: THE AIM OF THE STUDY WAS TO DESCRIBE PATIENTS' EXPERIENCE OF YOGA AS A TREATMENT FOR HYPERTENSION, AS WELL AS THEIR EXPERIENCE OF LIVING WITH HYPERTENSION. DESIGN: QUALITATIVE INTERVIEW STUDY METHOD AND MATERIALS: IN 2013-2014, IN SOUTHERN SWEDEN, PATIENTS WITH HYPERTENSION FROM THREE HEALTH CARE CENTRES WERE INVITED TO PARTICIPATE IN A RANDOMISED CONTROLLED TRIAL ON YOGA FOR HYPERTENSION. AFTER COMPLETION OF THE STUDY, EIGHT WOMEN AND FIVE MEN (AGED 35-79), WHO HAD PRACTICED THE YOGA INTERVENTION, WERE INTERVIEWED ABOUT THEIR EXPERIENCES. WE USED A SEMI-STRUCTURED INTERVIEW GUIDE ACCORDING TO KVALE. QUALITATIVE ANALYSIS WAS CONDUCTED BY SYSTEMATIC TEXT CONDENSATION INSPIRED BY MALTERUD. RESULTS: TWO MAIN THEMES EMERGED DURING THE ANALYSIS PROCESS: YOGA - A LABORIOUS WAY TO WELL-BEING AND HYPERTENSION - A SILENT DISEASE. THE POSITIVE EXPERIENCES OF DOING YOGA WERE DESCRIBED IN TERMS OF TRANQUILLITY AND INCREASED AGILITY. THE DRAWBACKS WERE MAINLY LINKED TO THE TIME REQUIRED TO PERFORM THE EXERCISES. LIVING WITH HIGH BLOOD PRESSURE AND HAVING TO TAKE MEDICATION CAN IMPLY A STIGMA AND CAUSE CONCERNS FOR FUTURE CARDIOVASCULAR EVENTS. MOST PATIENTS THAT WE INTERVIEWED EXPRESSED A WISH TO FIND ALTERNATIVE WAYS TO TREAT THEIR HIGH BLOOD PRESSURE. PARTICIPATING IN THE YOGA STUDY WAS SEEN AS A GOOD POSSIBILITY TO TRY SUCH AN ALTERNATIVE WAY. CONCLUSIONS: MANY PATIENTS WITH HYPERTENSION IN SWEDISH PRIMARY CARE SEEM TO BE INTERESTED IN TRYING ALTERNATIVE TREATMENTS TO CONTROL BLOOD PRESSURE. THE PATIENTS IN OUR STUDY EXPERIENCED SEVERAL BENEFITS FROM DOING YOGA, BUT THEY ALSO POINTED OUT DIFFICULTIES IN IMPLEMENTING YOGA AS A REGULAR AND PERMANENT LIFESTYLE CHANGE. 2017 19 2375 27 WHITE PAPER: YOGA THERAPY AND PAIN-HOW YOGA THERAPY SERVES IN COMPREHENSIVE INTEGRATIVE PAIN MANAGEMENT, AND HOW IT CAN DO MORE. THIS PAPER EXAMINES THE ROLE OF YOGA THERAPY IN COMPREHENSIVE INTEGRATIVE PAIN MANAGEMENT (CIPM). THE PAIN CRISIS IS DESCRIBED, AND HOW YOGA THERAPISTS CAN CONTRIBUTE TO ITS SOLUTION IS EXPLAINED. YOGA THERAPY CAN BE AN ESSENTIAL COMPONENT OF THE MULTIDISCIPLINARY UNDERTAKING THAT WILL BE REQUIRED TO IMPROVE PATIENT OUTCOMES AND ALTER THE TRAJECTORY OF THE GLOBAL PUBLIC HEALTH CRISIS CONSTITUTED BY AN EPIDEMIC OF POORLY UNDERSTOOD AND INADEQUATELY ADDRESSED PAIN. ADDITIONAL CONTEXT AND EVIDENCE ARE PRESENTED TO DOCUMENT THE EFFECTIVENESS OF YOGA THERAPY INTERVENTIONS TO SUPPORT PEOPLE LIVING WITH PAIN. THE WHITE PAPER CONCLUDES BY LISTING RECOMMENDATIONS TO PROVIDERS, CONSUMERS, PAYERS, AND LEGISLATORS, WHO TOGETHER CAN ADDRESS SYSTEMIC AND STRUCTURAL BARRIERS TO CIPM, AS WELL AS SUGGESTIONS FOR ENABLING THE YOGA THERAPY PROFESSION TO MORE FULLY PARTICIPATE IN THESE SOLUTIONS. 2020 20 1414 38 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