1 2800 103 YOGA THERAPY FOR THE MIND EIGHT-WEEK COURSE: PARTICIPANTS EXPERIENCES. MINDFULNESS-BASED THERAPIES ARE BECOMING INCREASINGLY COMMON IN THE TREATMENT OF MENTAL HEALTH CONDITIONS. WHILE THE POPULARITY OF YOGA CONTINUES TO RISE IN WESTERN CULTURE, LITTLE HAS BEEN DONE TO EXPLORE THE PSYCHOLOGICAL BENEFITS OF YOGA FROM A QUALITATIVE, CLINICAL PERSPECTIVE. THIS STUDY EXPLORES PARTICIPANT EXPERIENCES OF THE "YOGA THERAPY FOR THE MIND EIGHT-WEEK COURSE" (YTFTM), AN INTERNATIONAL, MANUALIZED YOGA AND MINDFULNESS-BASED INTERVENTION FOR DEPRESSION AND ANXIETY. EIGHT FEMALE PARTICIPANTS TOOK PART IN SEMI-STRUCTURED INTERVIEWS, AND TRANSCRIPTS WERE ANALYZED USING AN INTERPRETATIVE PHENOMENOLOGICAL ANALYSIS, WITH FOUR MASTER THEMES EMERGING: "PERSONAL JOURNEY OF CHANGE," "AMBIVALENCE," "MIND/BODY CONNECTION," AND "GROUP EXPERIENCE." THE FINDINGS HIGHLIGHT POTENTIAL CHALLENGES OF YOGA AND MINDFULNESS-BASED INTERVENTIONS AND THE IMPORTANCE OF PROVIDING ADEQUATE SUPPORT IN OVERCOMING THESE. FINDINGS ALSO REVEAL THAT PARTICIPANTS EXPERIENCE PSYCHOLOGICAL BENEFITS FROM THE PRACTICE OF YOGA ASANA IN ADDITION TO MINDFULNESS, SUCH AS A MORE HOLISTIC UNDERSTANDING OF PSYCHOLOGICAL DISTRESS, ADAPTIVE COPING STRATEGIES, AND ENHANCED WELL-BEING. 2017 2 1715 36 PERCEIVED MECHANISMS OF CHANGE IN THERAPEUTIC YOGA TARGETING PSYCHOLOGICAL DISTRESS. INTRODUCTION: THIS STUDY WAS DESIGNED TO INVESTIGATE YOGA TEACHERS' AND YOGA THERAPISTS' PERCEPTIONS OF THE WAYS YOGA IS APPLIED TO TREAT SYMPTOMS OF PSYCHOLOGICAL DISTRESS, AND IDENTIFY THE DEFINING FEATURES, MAIN COMPONENTS, AND MECHANISMS OF CHANGE IN THERAPEUTIC PRACTICE. METHODS: A QUALITATIVE DESIGN WAS EMPLOYED. SIX YOGA TEACHERS WHO HAD SPECIFIC TRAINING AND EXPERIENCE IN TEACHING THERAPEUTIC YOGA OR PRACTICING 'YOGA THERAPY' TOOK PART IN ONE-TO-ONE INTERVIEWS DURING WHICH THEY GAVE ACCOUNTS OF THEIR EXPERIENCES OF HELPING PEOPLE COPE WITH PSYCHOLOGICAL DISTRESS THROUGH YOGA. PARTICIPANTS' INTERVIEWS WERE TRANSCRIBED VERBATIM AND WERE ANALYSED USING AN INTEGRATIVE INDUCTIVE-DEDUCTIVE THEMATIC ANALYSIS. RESULTS: FOUR KEY THEMES WERE IDENTIFIED IN RELATION TO THE BENEFITS OF THERAPEUTIC YOGA: AWARENESS, CHOICE, RELATIONSHIPS, AND TAILORING. CONCLUSIONS: THE FINDINGS SUPPORT PREVIOUS RESEARCH WHICH SUGGESTS THAT INDIVIDUALISED YOGA THERAPY IS A PROMISING INTERVENTION, AND MAY HELP TO FORM A THEORETICAL RATIONALE FOR THE FUTURE TREATMENT OF PSYCHOLOGICAL DISTRESS WITH YOGA. 2020 3 380 36 BECOMING CONNECTED: THE LIVED EXPERIENCE OF YOGA PARTICIPATION AFTER STROKE. PURPOSE: TO INVESTIGATE THE PERSONAL EXPERIENCES AND PERCEIVED OUTCOMES OF A YOGA PROGRAMME FOR STROKE SURVIVORS. METHOD: THIS ARTICLE REPORTS ON A PRELIMINARY STUDY USING QUALITATIVE METHODS TO INVESTIGATE THE PERSONAL EXPERIENCES AND PERCEIVED OUTCOMES OF A YOGA PROGRAMME. NINE INDIVIDUALS WHO HAD EXPERIENCED STROKE WERE INTERVIEWED FOLLOWING A 10-WEEK YOGA PROGRAMME INVOLVING MOVEMENT, BREATHING AND MEDITATION PRACTICES. AN INTERPRETATIVE PHENOMENOLOGICAL APPROACH WAS USED TO DETERMINE MEANINGS ATTACHED TO YOGA PARTICIPATION AS WELL AS PERCEPTIONS OF OUTCOMES. RESULTS: INTERPRETATIVE THEMES EVOLVING FROM THE DATA WERE ORGANISED AROUND A BIO-PSYCHOSOCIAL MODEL OF HEALTH BENEFITS FROM YOGA. EMERGENT THEMES FROM THE ANALYSIS INCLUDED: GREATER SENSATION; FEELING CALMER AND BECOMING CONNECTED. THESE THEMES RESPECTIVELY REVEALED PERCEIVED PHYSICAL IMPROVEMENTS IN TERMS OF STRENGTH, RANGE OF MOVEMENT OR WALKING ABILITY, AN IMPROVED SENSE OF CALMNESS AND THE POSSIBILITY FOR RECONNECTING AND ACCEPTING A DIFFERENT BODY. CONCLUSION: THE STUDY HAS GENERATED ORIGINAL FINDINGS THAT SUGGEST THAT FROM THE PERSPECTIVE OF PEOPLE WHO HAVE HAD A STROKE YOGA PARTICIPATION CAN PROVIDE A NUMBER OF MEANINGFUL PHYSICAL, PSYCHOLOGICAL AND SOCIAL BENEFITS AND SUPPORT THE RATIONALE FOR INCORPORATING YOGA AND MEDITATION-BASED PRACTICES INTO REHABILITATION PROGRAMMES. 2011 4 2259 32 THE PRACTICABILITY AND RELEVANCE OF DEVELOPING A YOGA INTERVENTION FOR MENTAL HEALTH CONSUMERS: A QUALITATIVE STUDY. THE AIM OF THE STUDY WAS TO UNDERSTAND THE PERSPECTIVES OF MENTAL HEALTH CONSUMERS, STAFF, AND YOGA TEACHERS ON THE CHARACTERISTICS OF A YOGA-BASED INTERVENTION TO BE DEVELOPED FOR CONSUMERS WITH A LONG-TERM MENTAL HEALTH CONDITION, IN ADDITION TO ANXIETY AND/OR DEPRESSION. TWO FOCUS GROUPS WERE HELD WITH MENTAL HEALTH CONSUMERS (N = 8), TWO FOCUS GROUPS WITH MENTAL HEALTH STAFF (N = 13) FROM A METROPOLITAN COMMUNITY MENTAL HEALTH SETTING, AND FIVE ONE-ON-ONE INTERVIEWS WITH YOGA TEACHERS. PARTICIPANTS WERE ASKED ABOUT THE FEASIBILITY AND APPROPRIATENESS OF A RANGE OF YOGA PRACTICE FEATURES TO BE TESTED AS A NEWLY DEVELOPED YOGA-BASED INTERVENTION. THEMATIC ANALYSIS WAS USED TO IDENTIFY THEMES. FINDINGS INCLUDED THE FOLLOWING CONSUMER THEMES: MENTAL HEALTH UNDERSTANDING AND EXPERIENCE OF TEACHERS AND PARTICIPANTS IS IMPORTANT, CREATING A SAFE SPACE AND YOGA PRACTICE ELEMENTS. STAFF THEMES INCLUDED MENTAL HEALTH UNDERSTANDING AND EXPERIENCE OF TEACHERS IS IMPORTANT, ENVIRONMENTAL DESIGN, AND YOGA PRACTICE ELEMENTS. YOGA TEACHER THEMES INCLUDED ENVIRONMENTAL DESIGN AND YOGA PRACTICE ELEMENTS. MENTAL HEALTH UNDERSTANDING AND EXPERIENCE OF THE YOGA TEACHER, AND TRAUMA-INFORMED CARE WERE CONSISTENTLY EMPHASIZED BY CONSUMERS AND STAFF. TEACHERS FOCUSED LESS ON SPECIFIC MENTAL HEALTH CONSIDERATIONS, WHICH MAY BE REFLECTIVE OF A BROADER KNOWLEDGE GAP. RECOMMENDATIONS REGARDING YOGA PRACTICE ELEMENTS, INCLUDING PRE-INFORMATION, REGULAR AND CONSISTENT PRACTICE, MODIFICATIONS, BREATHWORK, MINDFULNESS AND GUIDED PRACTICE, AND ENVIRONMENTAL DESIGN FEATURES, WERE CONSISTENT WITH CURRENT TRAUMA-INFORMED YOGA RESEARCH. FINDINGS WILL BE USED TO GUIDE THE DEVELOPMENT OF A YOGA-BASED INTERVENTION FOR CONSUMERS WITH A LONG-TERM MENTAL HEALTH CONDITION, IN ADDITION TO ANXIETY AND/OR DEPRESSION. 2020 5 2247 32 THE INTEGRATION OF YOGA IN PHYSICAL THERAPY CLINICAL PRACTICE. HEALTH PROFESSIONALS ARE BEGINNING TO USE YOGA AS A TREATMENT MODALITY. HOWEVER, EVIDENCE EXPLAINING PHYSICAL THERAPISTS' INTEGRATION OF YOGA IN CLINICAL PRACTICE IS LACKING. OBJECTIVE: THE PURPOSE OF THIS STUDY WAS TO EXPLORE HOW, WHY, AND WITH WHOM PHYSICAL THERAPISTS INTEGRATE YOGA INTO CLINICAL PRACTICE. DESIGN: THIS STUDY IS A SECONDARY ANALYSIS OF QUALITATIVE DATA COLLECTED DURING A LARGER MULTI-METHODS STUDY. THEMATIC ANALYSIS OF 13 INTERVIEWS WAS CONDUCTED. RESULTS: ANALYSIS INDICATED FOUR THEMES, AND SIX SUBTHEMES. FACILITATING YOGA IN CLINICAL PRACTICE AND YOGA TRAINING THEMES; INCLUDING EVALUATION OF OUTCOMES, BILLING, TERMINOLOGY, AND SAFETY SUBTHEMES DESCRIBE HOW PHYSICAL THERAPISTS ARE USING YOGA IN CLINICAL PRACTICE. THE PERCEIVED CLIENT OUTCOMES THEME, INCLUDING PHYSICAL AND PSYCHOSOCIAL OUTCOMES EXPLAIN WHY PHYSICAL THERAPISTS USE YOGA IN PRACTICE. THE YOGA WITH CLINICAL POPULATIONS THEME ADDRESSES WITH WHOM PHYSICAL THERAPISTS ARE USING YOGA. CONCLUSION: PHYSICAL THERAPISTS ARE USING YOGA WITH INDIVIDUALS WITH VARIOUS HEALTH CONDITIONS TO IMPROVE THEIR PHYSICAL AND MENTAL HEALTH. FINDINGS SUPPORT THE NEED FOR PHYSICAL THERAPISTS TO INCREASE THEIR ASSESSMENT AND DOCUMENTATION OF FUNCTIONAL OUTCOMES ASSOCIATED WITH CLIENT'S YOGA PARTICIPATION. DOCUMENTATION COULD CONTRIBUTE TO EVIDENCE-BASED LITERATURE RELATED TO HOW, WHY, AND WITH WHOM PHYSICAL THERAPISTS ARE USING YOGA. DOCUMENTED OUTCOMES COULD ALSO PROVIDE RATIONALE FOR YOGA TO RECEIVE CLASSIFICATION AS A REIMBURSABLE COMPLEMENTARY AND INTEGRATIVE HEALTH APPROACH. FUTURE RESEARCH INVOLVING A LARGER, DIVERSE SAMPLE (E.G., PHYSICAL THERAPISTS WITH VARYING LEVELS OF EDUCATION AND YOGA TRAINING) FOCUSED ON HOW, WHY, AND WITH WHOM PHYSICAL THERAPISTS INTEGRATE YOGA INTO CLINICAL PRACTICE IS RECOMMENDED. 2021 6 2520 43 YOGA COMPLEMENTS COGNITIVE BEHAVIOUR THERAPY AS AN ADJUNCT TREATMENT FOR ANXIETY AND DEPRESSION: QUALITATIVE FINDINGS FROM A MIXED-METHODS STUDY. OBJECTIVES: COGNITIVE BEHAVIOUR THERAPY (CBT) IS RECOMMENDED FOR TREATING ANXIETY AND DEPRESSION, DEMONSTRATING GOOD EFFICACY AND MODERATE RATES OF ENGAGEMENT. TO FURTHER IMPROVE OUTCOMES AND ACCESS TO EVIDENCE-BASED TREATMENTS, RESEARCHERS HAVE SOUGHT TO ENHANCE CBT PROTOCOLS WITH MINDFULNESS-BASED APPROACHES, SUCH AS YOGA. THIS STUDY AIMED TO EXAMINE WHETHER YOGA IS AN ACCEPTABLE AND COMPLEMENTARY ADJUNCT TO CBT THROUGH EXPLORING THE LIVED EXPERIENCES OF ADULTS WITH ANXIETY AND DEPRESSION WHO ENGAGED IN AN ADJUNCT THERAPEUTIC YOGA PROGRAMME ALONGSIDE GROUP CBT. DESIGN: SINGLE-GROUP QUALITATIVE DESIGN WITH POST-INTERVENTION AND FOLLOW-UP TIMEPOINTS. METHODS: THIRTY-SIX ADULTS WITH ANXIETY AND DEPRESSION SELF-SELECTED INTO A THERAPEUTIC YOGA PROGRAMME AS AN ADJUNCT TO GROUP CBT. QUALITATIVE INTERVIEWS WERE CONDUCTED WITH 27 PARTICIPANTS IMMEDIATELY AFTER THE EIGHT-WEEK PROGRAMME AND AGAIN THREE MONTHS LATER. THEMATIC ANALYSIS WAS USED TO IDENTIFY COMMON THEMES FROM THE LIVED EXPERIENCES. RESULTS: THREE PRIMARY THEMES, WITH NINE SUBTHEMES, WERE IDENTIFIED WHICH REFLECT THE EXPERIENCES OF THE COMBINED THERAPIES, THE COMPLEMENTARY ELEMENTS, AND PROCESS OF ENGAGEMENT OVER TIME. THE ADJUNCT YOGA PROGRAMME WAS HIGHLY ACCEPTABLE TO ADULTS WITH ANXIETY AND DEPRESSION, ENHANCING ENGAGEMENT AND PERCEIVED OUTCOMES. YOGA WAS IDENTIFIED AS PROVIDING A UNIQUE COMBINATION OF ELEMENTS THAT COMPLEMENTED PROCESSES OF CBT, SUCH AS BEHAVIOURAL ACTIVATION AND THOUGHT DISPUTATION. YOGA PRACTICES REPRESENTED MENTAL HEALTH SELF-MANAGEMENT TOOLS THAT ARE ACCESSIBLE AND AVAILABLE AS RELAPSE PREVENTION STRATEGIES. CONCLUSIONS: THERAPEUTIC YOGA WARRANTS CONSIDERATION AS AN ADJUNCT TREATMENT FOR ANXIETY AND DEPRESSION AS IT OFFERS UNIQUE AND COMPLEMENTARY ELEMENTS TO CBT AND CAN ENHANCE ENGAGEMENT AND PERCEIVED CLINICAL OUTCOMES. PRACTITIONER POINTS: ADULTS WITH ANXIETY AND DEPRESSION EXPERIENCED A THERAPEUTIC YOGA PROGRAMME AS A SUITABLE AND APPEALING ADJUNCT THAT ENHANCED ENGAGEMENT WITH PSYCHOLOGICAL TREATMENT. YOGA OFFERS A UNIQUE COMBINATION OF ELEMENTS, INCLUDING A VALUES SYSTEM, BODY-BASED MINDFULNESS PRACTICES, AND BREATHING TECHNIQUES, THAT COMPLEMENT CBT PROCESSES, SUCH AS BEHAVIOURAL ACTIVATION, AWARENESS OF MALADAPTIVE PATTERNS, AND THOUGHT DISPUTATION. A THERAPEUTIC YOGA PROGRAMME PROVIDES ADULTS WITH ANXIETY AND DEPRESSION WITH AN ACCESSIBLE AND SUSTAINABLE MENTAL HEALTH SELF-MANAGEMENT TOOL. THERAPEUTIC YOGA CAN BE CONSIDERED FOR INTEGRATION TO MODELS OF MENTAL HEALTH SERVICE PROVISION TO ENHANCE ENGAGEMENT AND CLINICAL OUTCOMES FOR ADULTS WITH ANXIETY AND DEPRESSION. 2021 7 1 37 "A FEELING OF CONNECTEDNESS": PERSPECTIVES ON A GENTLE YOGA INTERVENTION FOR WOMEN WITH MAJOR DEPRESSION. MAJOR DEPRESSIVE DISORDER (MDD) IS ONE OF THE MOST COMMON AND DEBILITATING HEALTH CONDITIONS IN WOMEN IN THE UNITED STATES AND WORLDWIDE. MANY WOMEN WITH MDD SEEK OUT COMPLEMENTARY THERAPIES FOR THEIR DEPRESSIVE SYMPTOMS, EITHER AS AN ADJUNCT OR ALTERNATIVE TO THE USUAL CARE. THE PURPOSE OF THIS STUDY IS TO UNDERSTAND THE EXPERIENCES OF WOMEN WHO PARTICIPATED IN A YOGA INTERVENTION FOR THEIR DEPRESSION. THE FINDINGS FROM THIS INTERPRETIVE PHENOMENOLOGICAL STUDY ARE DERIVED FROM INTERVIEWS WITH AND DAILY LOGS BY 12 WOMEN WITH MDD WHO TOOK PART IN AN 8-WEEK GENTLE YOGA INTERVENTION AS PART OF A LARGER PARENT RANDOMIZED, CONTROLLED TRIAL. RESULTS SHOW THAT THE WOMEN'S EXPERIENCE OF DEPRESSION INVOLVED STRESS, RUMINATIONS, AND ISOLATION. IN ADDITION, THEIR EXPERIENCES OF YOGA WERE THAT IT SERVED AS A SELF-CARE TECHNIQUE FOR THE STRESS AND RUMINATIVE ASPECTS OF DEPRESSION AND THAT IT SERVED AS A RELATIONAL TECHNIQUE, FACILITATING CONNECTEDNESS AND SHARED EXPERIENCES IN A SAFE ENVIRONMENT. FUTURE LONG-TERM RESEARCH IS WARRANTED TO EVALUATE THESE CONCEPTS AS POTENTIAL MECHANISMS FOR THE EFFECTS OF YOGA FOR DEPRESSION. 2013 8 1218 31 EXPLORING THE THERAPEUTIC EFFECTS OF YOGA AND ITS ABILITY TO INCREASE QUALITY OF LIFE. THE OBJECTIVE OF THIS STUDY IS TO ASSESS THE FINDINGS OF SELECTED ARTICLES REGARDING THE THERAPEUTIC EFFECTS OF YOGA AND TO PROVIDE A COMPREHENSIVE REVIEW OF THE BENEFITS OF REGULAR YOGA PRACTICE. AS PARTICIPATION RATES IN MIND-BODY FITNESS PROGRAMS SUCH AS YOGA CONTINUE TO INCREASE, IT IS IMPORTANT FOR HEALTH CARE PROFESSIONALS TO BE INFORMED ABOUT THE NATURE OF YOGA AND THE EVIDENCE OF ITS MANY THERAPEUTIC EFFECTS. THUS, THIS MANUSCRIPT PROVIDES INFORMATION REGARDING THE THERAPEUTIC EFFECTS OF YOGA AS IT HAS BEEN STUDIED IN VARIOUS POPULATIONS CONCERNING A MULTITUDE OF DIFFERENT AILMENTS AND CONDITIONS. THERAPEUTIC YOGA IS DEFINED AS THE APPLICATION OF YOGA POSTURES AND PRACTICE TO THE TREATMENT OF HEALTH CONDITIONS AND INVOLVES INSTRUCTION IN YOGIC PRACTICES AND TEACHINGS TO PREVENT REDUCE OR ALLEVIATE STRUCTURAL, PHYSIOLOGICAL, EMOTIONAL AND SPIRITUAL PAIN, SUFFERING OR LIMITATIONS. RESULTS FROM THIS STUDY SHOW THAT YOGIC PRACTICES ENHANCE MUSCULAR STRENGTH AND BODY FLEXIBILITY, PROMOTE AND IMPROVE RESPIRATORY AND CARDIOVASCULAR FUNCTION, PROMOTE RECOVERY FROM AND TREATMENT OF ADDICTION, REDUCE STRESS, ANXIETY, DEPRESSION, AND CHRONIC PAIN, IMPROVE SLEEP PATTERNS, AND ENHANCE OVERALL WELL-BEING AND QUALITY OF LIFE. 2011 9 2659 37 YOGA IN ADULT CANCER: AN EXPLORATORY, QUALITATIVE ANALYSIS OF THE PATIENT EXPERIENCE. BACKGROUND: SOME PATIENTS RECEIVING TREATMENT IN CONVENTIONAL HEALTH CARE SYSTEMS ACCESS THERAPEUTIC YOGA OUTSIDE THEIR MAINSTREAM CARE TO IMPROVE CANCER SYMPTOMS. GIVEN THE CURRENT KNOWLEDGE GAP AROUND PATIENT PREFERENCES AND DOCUMENTED EXPERIENCES OF YOGA IN ADULT CANCER, THIS STUDY AIMED TO DESCRIBE PATIENT-REPORTED BENEFITS, BARRIERS AND CHARACTERISTICS OF PROGRAMMING FOR YOGA PRACTICE DURING CONVENTIONAL TREATMENT. METHODS: IN DEPTH SEMI-STRUCTURED INTERVIEWS (N=10) WERE CONDUCTED IN MEN AND WOMEN RECRUITED FROM CANCER CARE CLINICS IN VANCOUVER, CANADA USING A PURPOSIVE SAMPLING TECHNIQUE. THE EXPLORATORY INTERVIEWS WERE AUDIO-RECORDED, TRANSCRIBED AND ANALYZED USING INTERPRETIVE DESCRIPTION METHODOLOGY AND CONSTANT COMPARATIVE ANALYSIS METHODS. RESULTS: FOUR THEMES EMERGED FROM THE DATA TO ADDRESS OUR RESEARCH OBJECTIVES: PATIENT-PERCEIVED BENEFITS OF YOGA, REASONS AND MOTIVATIONS FOR PRACTISING YOGA, HURDLES AND BARRIERS TO PRACTISING YOGA, AND ADVICE FOR EFFECTIVE YOGA PROGRAM DELIVERY IN ADULT CANCER. SEVERAL PATIENTS REPORTED YOGA REDUCED STRESS AND OTHER SYMPTOMS ASSOCIATED WITH CANCER TREATMENT. THEMATIC ANALYSIS FOUND THE SOCIAL DIMENSION OF GROUP YOGA WAS IMPORTANT, AS WELL AS YOGA'S ABILITY TO ENCOURAGE PERSONAL EMPOWERMENT AND AWARENESS OF PHYSICAL BODY AND SELF. BARRIERS TO YOGA ADHERENCE FROM THE PATIENT PERSPECTIVE INCLUDED LACK OF TIME, SCHEDULING CONFLICTS AND WORRIES ABOUT FINANCIAL BURDEN. CONCLUSION: THIS SMALL, DIVERSE SAMPLE OF PATIENTS REPORTED POSITIVE EXPERIENCES AND NO ADVERSE EFFECTS FOLLOWING YOGA PRACTICE FOR MANAGEMENT OF CANCER AND ITS SYMPTOMS. RESULTS OF THIS QUALITATIVE STUDY IDENTIFIED PATIENT-REPORTED PREFERENCES, BARRIERS AND CHARACTERISTICS OF YOGA INTERVENTION OPTIMAL DURING ADULT CANCER TREATMENT. 2015 10 1725 30 PERCEPTIONS OF YOGA THERAPY EMBEDDED IN TWO INPATIENT REHABILITATION HOSPITALS: AGENCY PERSPECTIVES. INPATIENT MEDICAL REHABILITATION HAS MAINTAINED A TYPICAL MEDICAL-MODEL FOCUS AND STRUCTURE FOR MANY YEARS. HOWEVER, AS INTEGRATIVE THERAPIES, SUCH AS YOGA THERAPY, EMERGE AS TREATMENTS WHICH CAN ENHANCE THE PHYSICAL AND MENTAL HEALTH OF ITS PARTICIPANTS, IT IS IMPORTANT TO DETERMINE IF THEY CAN BE EASILY IMPLEMENTED INTO THE TRADITIONAL REHABILITATION STRUCTURE AND MILIEU. THEREFORE, THE PURPOSE OF THIS STUDY WAS TO EXAMINE THE PERCEPTIONS OF KEY AGENCY PERSONNEL ON THE FEASIBILITY AND UTILITY OF YOGA THERAPY IMPLEMENTED IN INPATIENT REHABILITATION. THIS STUDY REPORTS THE RESULTS OF FOCUS GROUPS AND AN INDIVIDUAL INTERVIEW WITH KEY STAKEHOLDERS (ADMINISTRATORS AND REHABILITATION THERAPISTS) FROM TWO REHABILITATION HOSPITALS FOLLOWING THE IMPLEMENTATION OF YOGA THERAPY. RESULTS FOCUSED ON SEVERAL KEY THEMES: FEASIBILITY FROM THE THERAPIST AND ADMINISTRATOR PERSPECTIVES, CHALLENGES TO IMPLEMENTATION, AND UTILITY AND BENEFIT. OVERALL, THE IMPLEMENTATION AND INTEGRATION OF YOGA THERAPY WERE POSITIVE; HOWEVER, SOME PROGRAMMATIC AND POLICY AND ORGANIZATIONAL CONSIDERATIONS REMAIN. IMPLICATIONS FOR PRACTICE AND FUTURE RESEARCH ARE PROVIDED. 2015 11 1588 38 MEDICAL YOGA: ANOTHER WAY OF BEING IN THE WORLD-A PHENOMENOLOGICAL STUDY FROM THE PERSPECTIVE OF PERSONS SUFFERING FROM STRESS-RELATED SYMPTOMS. THE PREVALENCE OF STRESS-RELATED ILLNESS HAS GROWN IN RECENT YEARS. MANY OF THESE PATIENTS SEEK HELP IN PRIMARY HEALTH CARE. YOGA CAN REDUCE STRESS AND THUS COMPLEMENTS PHARMACOLOGICAL THERAPY IN MEDICAL PRACTICE. TO OUR KNOWLEDGE, NO STUDIES HAVE INVESTIGATED PATIENTS' EXPERIENCES OF YOGA TREATMENT IN A PRIMARY HEALTH CARE SETTING OR, SPECIFICALLY, THE EXPERIENCES OF YOGA WHEN SUFFERING FROM STRESS-RELATED ILLNESS. THUS, THE AIM OF THE PRESENT STUDY WAS TO EXPLORE THE MEANING OF PARTICIPATING IN MEDICAL YOGA AS A COMPLEMENTARY TREATMENT FOR STRESS-RELATED SYMPTOMS AND DIAGNOSIS IN A PRIMARY HEALTH CARE SETTING. THIS STUDY HAS A DESCRIPTIVE PHENOMENOLOGICAL DESIGN AND TOOK PLACE AT A PRIMARY HEALTH CARE CENTRE IN SWEDEN DURING 2011. FIVE WOMEN AND ONE MAN (43-51 YEARS) PARTICIPATED. THEY WERE RECRUITED FROM THE INTERVENTION GROUP (N=18) IN A RANDOMIZED CONTROL TRIAL, IN WHICH THEY HAD PARTICIPATED IN A MEDICAL YOGA GROUP IN ADDITION TO STANDARD CARE FOR 12 WEEKS. DATA WERE COLLECTED BY MEANS OF QUALITATIVE INTERVIEWS, AND A PHENOMENOLOGICAL DATA ANALYSIS WAS CONDUCTED. THE ESSENTIAL MEANING OF THE MEDICAL YOGA EXPERIENCE WAS THAT THE MEDICAL YOGA WAS NOT AN ENDPOINT OF RECOVERY BUT THE START OF A PROCESS TOWARDS AN INCREASED SENSE OF WHOLENESS. IT WAS DESCRIBED AS A WAY OF ALLEVIATING SUFFERING, AND IT PROVIDED THE PARTICIPANTS WITH A TOOL FOR DEALING WITH THEIR STRESS AND CURRENT SITUATION ON A PRACTICAL LEVEL. IT LED TO GREATER SELF-AWARENESS AND SELF-ESTEEM, WHICH IN TURN HAD AN IMPLICIT IMPACT ON THEIR LIFEWORLD. IN PHENOMENOLOGICAL TERMS, THIS CAN BE SUMMARIZED AS ANOTHER WAY OF BEING IN THE WORLD, ENCOMPASSING A PERCEPTION OF DEEPENED IDENTITY. FROM A PHILOSOPHICAL PERSPECTIVE, DUE TO USING THE BODY IN A NEW WAY (YOGA), THE PARTICIPANTS HAD LEARNT TO SEE THINGS DIFFERENTLY, WHICH ENRICHED AND RECAST THEIR PERCEPTION OF THEMSELVES AND THEIR LIVES. 2014 12 333 23 APPLICATION OF YOGA IN RESIDENTIAL TREATMENT OF TRAUMATIZED YOUTH. BACKGROUND: THE TRAUMA CENTER AT JUSTICE RESOURCE INSTITUTE HAS ADAPTED A FORM OF HATHA YOGA INTO A TRAUMA-SENSITIVE ADJUNCTIVE COMPONENT OF INTERVENTION FOR USE WITH COMPLEXLY TRAUMATIZED INDIVIDUALS EXHIBITING CHRONIC AFFECTIVE AND SOMATIC DYSREGULATION AND ASSOCIATED BEHAVIORAL, FUNCTIONING, AND HEALTH COMPLAINTS. OBJECTIVES: THIS ARTICLE EXPLORES THE USE OF YOGA WITH TRAUMATIZED YOUTH (AGED 12-21 YEARS) IN RESIDENTIAL TREATMENT. DESIGN: A REVIEW OF THE LITERATURE ON THE SOMATIC IMPACT OF TRAUMA EXPOSURE PROVIDES A RATIONALE FOR THE USE OF YOGA WITH THIS POPULATION AND HIGHLIGHTS AN EMERGING EVIDENCE BASE IN SUPPORT OF THIS PRACTICE. CASE VIGNETTES ILLUSTRATE THE INTEGRATION OF STRUCTURED, GENTLE YOGA PRACTICES INTO RESIDENTIAL PROGRAMMING FOR YOUTH WITH SEVERE EMOTIONAL AND BEHAVIORAL PROBLEMS. RESULTS: ANECDOTAL DATA AND CLINICAL OBSERVATION UNDERSCORE THE PROMISE OF YOGA AS A VIABLE APPROACH TO BUILD SELF-REGULATORY CAPACITY OF TRAUMATIZED YOUTH. CONCLUSIONS: FUTURE DIRECTIONS IN THE DEVELOPMENT AND EVALUATION OF TRAUMA-INFORMED YOGA PRACTICES FOR YOUTH ARE DISCUSSED. 2011 13 376 27 BARRIERS AND FACILITATORS TO YOGA USE IN A POPULATION OF INDIVIDUALS WITH SELF-REPORTED CHRONIC LOW BACK PAIN: A QUALITATIVE APPROACH. YOGA HAS BEEN FOUND TO BE EFFICACIOUS IN TREATING CHRONIC LOW BACK PAIN, YET BIOMEDICAL TREATMENTS ARE MOST COMMONLY USED FOR PAIN. PROMOTING YOGA AS PART OF INTEGRATIVE CARE WOULD REDUCE EXCLUSIVE RELIANCE ON HIGH-COST, HIGHER-RISK BIOMEDICAL TREATMENTS. ATTITUDES TOWARD YOGA PLAY A ROLE IN CONSIDERATION OF IT AS A TREATMENT. THE CURRENT STUDY EXAMINED ATTITUDES TOWARD YOGA IN ADULTS WITH CHRONIC LOW BACK PAIN AND COMPARED THESE RESULTS TO THOSE FOUND IN A 2009 GENERAL POPULATION STUDY. PARTICIPANTS COMPLETED A SEMI-STRUCTURED INTERVIEW WHERE THEY RESPONDED TO ITEMS ABOUT PERCEPTIONS OF POTENTIAL BARRIERS AND FACILITATORS TO TRYING YOGA. PARTICIPANT RESPONSES WERE ANALYZED QUALITATIVELY AND SEVERAL COMMON THEMES EMERGED. THEMES IDENTIFIED BY PARTICIPANTS INDICATED THERE IS MIXED INFORMATION ABOUT YOGA IN THE PUBLIC DOMAIN AND THAT CLARIFICATION OF WHAT YOGA IS, HOW IT CAN BE BENEFICIAL, AND WHAT IT REQUIRES ONE TO DO PHYSICALLY MAY HELP PROMOTE ITS USE. 2014 14 2265 24 THE PSYCHOLOGICAL BENEFITS OF YOGA PRACTICE FOR OLDER ADULTS: EVIDENCE AND GUIDELINES. YOGA IS AN EFFECTIVE COMPLEMENTARY APPROACH TO HEALTH MAINTENANCE AND PROMOTION FOR OLDER ADULTS AND HAS BEEN DEMONSTRATED TO SUPPORT MANY DIMENSIONS OF PSYCHOLOGICAL WELLBEING, FROM EVERYDAY STRESS TO ANXIETY, DEPRESSION, AND COPING WITH HEALTH CHALLENGES. YOGA HAS THE POTENTIAL TO BE EVEN MORE EFFECTIVE WHEN CONSCIOUSLY AND SYSTEMATICALLY INTEGRATED INTO AN INDIVIDUAL'S OVERALL SELF-CARE AND MEDICAL CARE PROGRAM, THROUGH DELIBERATE AND OPEN DIALOGUE AMONG PATIENTS, HEALTHCARE PROFESSIONALS, AND YOGA PROFESSIONALS. THE PURPOSE OF THIS ARTICLE IS TO (1) BRIEFLY REVIEW THE PSYCHOLOGICAL BENEFITS OF YOGA PRACTICE FOR OLDER ADULTS; (2) OUTLINE PRACTICE GUIDELINES FOR OLDER ADULT YOGA, INCLUDING KEY POSTURES; AND (3) PROVIDE SOME BASIC PRACTICAL GUIDELINES FOR BOTH HEALTHCARE PROFESSIONALS REFERRING PATIENTS TO YOGA AND YOGA TEACHERS INTERESTED IN WORKING WITH OLDER ADULTS. 2011 15 2312 27 TRAUMA SENSITIVE YOGA AS A COMPLEMENTARY TREATMENT FOR POSTTRAUMATIC STRESS DISORDER: A QUALITATIVE DESCRIPTIVE ANALYSIS. RESEARCH ON POSTTRAUMATIC STRESS DISORDER AND CHRONIC CHILDHOOD ABUSE HAS REVEALED THAT TRADITIONAL TRAUMA TREATMENTS OFTEN FAIL TO FULLY ADDRESS THE COMPLICATED SYMPTOM PRESENTATION, INCLUDING THE SOMATIC COMPLAINTS, LOSS OF AWARENESS OF ONE'S EMOTIONAL AND PHYSICAL BEING IN THE PRESENT MOMENT, AND OVERALL LACK OF INTEGRATION BETWEEN THE SELF AND THE BODY. THE MINDFULNESS-BASED INTERVENTION OF HATHA YOGA SHOWS PROMISE AS A COMPLEMENTARY TREATMENT, AND FOCUSES ON PERSONAL GROWTH IN ADDITION TO SYMPTOM REDUCTION. THIS QUALITATIVE STUDY EXPLORED THE EXPERIENCES OF THIRTY-ONE ADULT WOMEN WITH PTSD RELATED TO CHRONIC CHILDHOOD TRAUMA WHO PARTICIPATED IN A 10-WEEK TRAUMA SENSITIVE YOGA CLASS, SPECIFICALLY EXAMINING PERCEIVED CHANGES IN SYMPTOMS AND PERSONAL GROWTH. FIVE THEMES WERE IDENTIFIED THAT REFLECT PARTICIPANTS' FEELINGS OF GRATITUDE AND COMPASSION, RELATEDNESS, ACCEPTANCE, CENTEREDNESS, AND EMPOWERMENT. RESULTS AND IMPLICATIONS FOR RESEARCH AND CLINICAL WORK ARE PRESENTED. 2017 16 1338 27 HOW DOES YOGA REDUCE STRESS? EMBODIED COGNITION AND EMOTION HIGHLIGHT THE INFLUENCE OF THE MUSCULOSKELETAL SYSTEM. YOGA IS AN INCREASINGLY POPULAR ACTIVITY, PERHAPS BECAUSE OF ITS ASSOCIATION WITH STRESS REDUCTION AND RELAXATION - AN ASSOCIATION THAT IS GENERALLY SUPPORTED BY EMPIRICAL EVIDENCE. UNDERSTANDING OF THE MEDIATING VARIABLES IS, HOWEVER, LIMITED. GIVEN THAT, THE PURPOSE OF THIS PAPER IS TO PRESENT A THEORETICAL PERSPECTIVE THAT ENCOURAGES SYSTEMATIC RESEARCH REGARDING THE RELATIONSHIP BETWEEN YOGA, STRESS, AND MUSCULOSKELETAL ACTIVITY. THIS EMBODIED PERSPECTIVE PARALLELS POPULAR INTEREST IN THE MIND-BODY CONNECTION AND EMPHASIZES THE INFLUENCE OF BODY POSITION ON THINKING AS WELL AS EMOTION. THOSE INFLUENCES TAKE ON ADDED MEANING IN THE CONTEXT OF THE COGNITIVE APPRAISAL THEORY AND THE BIOPSYCHOSOCIAL MODEL OF CHALLENGE AND THREAT. INVESTIGATIONS OF EMBODIED COGNITION SUGGEST THAT YOGA MAY REDUCE STRESS BY AFFECTING THE WAY INDIVIDUALS APPRAISE STRESSORS. THE COMBINATION OF BODY POSITION AND COMMON COMPONENTS OF YOGA PRACTICE MAY ALSO CONTRIBUTE TO THAT EFFECT, PARTICULARLY WHEN CONSIDERING THOUGHTS ABOUT THE SELF AND FEELINGS OF CONFIDENCE. FINDINGS REGARDING EMBODIED EMOTION MAKE A SIMILAR CONTRIBUTION TO UNDERSTANDING THE IMPLICATIONS OF PREVIOUS RESEARCH FINDINGS AND COMMON YOGA PRACTICES. CONSIDERING YOGA AND STRESS FROM AN EMBODIED PERSPECTIVE ALSO HIGHLIGHTS THE ROLE OF THE MUSCULOSKELETAL SYSTEM IN THE STRESS PROCESS, LEADING TO THE QUESTION OF WHETHER YOGA INFLUENCES STRESS BY DIRECTLY INFLUENCING THE MUSCULOSKELETAL SYSTEM, INDIRECTLY BY INFLUENCING AWARENESS OF THAT SYSTEM, OR THROUGH A COMBINATION OF THE TWO. THOSE QUESTIONS, IN TURN, HIGHLIGHT THE IMPORTANCE OF EXPANDING INVESTIGATIONS OF PSYCHOLOGICAL PROCESSES, BODY POSITION, MUSCULOSKELETAL ACTIVITY DURING YOGA, AND THE INTERACTIONS BETWEEN THOSE VARIABLES. 2019 17 2204 40 THE EXPERIENCE OF MINDFUL YOGA FOR OLDER ADULTS WITH DEPRESSION. WHAT IS KNOWN ON THE SUBJECT?: MINDFUL YOGA COMBINES YOGA TECHNIQUES WITH THE MINDFULNESS-BASED STRESS REDUCTION APPROACH. PREVIOUS STUDIES ON MINDFUL YOGA HAVE REPORTED IMPROVEMENTS IN DEPRESSION FOR WORKING-AGE ADULTS, BUT NO STUDIES HAVE BEEN CONDUCTED WITH OLDER PEOPLE. WHAT THE PAPER ADDS TO EXISTING KNOWLEDGE?: MINDFUL YOGA MAY BE A SAFE AND ACCEPTABLE INTERVENTION TO IMPROVE THE MENTAL AND PHYSICAL HEALTH OF OLDER ADULTS WITH DEPRESSION. THE BENEFICIAL THERAPEUTIC INGREDIENTS OF MINDFUL YOGA, INCLUDED CALMNESS, BEING NON-JUDGMENTAL, LETTING GO AND SEIZING THE DAY. WHAT ARE THE IMPLICATIONS FOR PRACTICE?: SINGLE-SEX MINDFUL YOGA GROUPS MAY BE MORE ACCEPTABLE FOR SOME PEOPLE. WELL-CONDUCTED FEASIBILITY STUDIES COMPARING MINDFUL YOGA WITH AN ALTERNATIVE GROUP-BASED APPROACH ARE NECESSARY. ABSTRACT INTRODUCTION MINDFUL YOGA COMBINES YOGA TECHNIQUES WITH THE MINDFULNESS-BASED STRESS REDUCTION APPROACH. PREVIOUS STUDIES ON MINDFUL YOGA HAVE REPORTED IMPROVEMENTS IN DEPRESSION FOR WORKING-AGE ADULTS, BUT NO STUDIES HAVE BEEN CONDUCTED WITH OLDER PEOPLE. AIMS TO EXPLORE THE EXPERIENCES OF OLDER ADULTS WITH DEPRESSION PARTICIPATING IN A MINDFUL YOGA GROUP TO ESTABLISH WHETHER THE APPROACH HAS POTENTIAL AS A FUTURE INTERVENTION FOR THIS CLIENT GROUP. METHOD THIS STUDY ADOPTED A QUALITATIVE DESCRIPTIVE METHOD AND USED INDUCTIVE CONTENT ANALYSIS. EIGHTEEN IN-DEPTH INDIVIDUAL INTERVIEWS WERE CONDUCTED WITH NINE PARTICIPANTS (EACH PARTICIPANT HAD ONE INTERVIEW FOLLOWING THE PROGRAMME AND ANOTHER FOUR WEEKS LATER). RESULTS SIX MAIN THEMES EMERGED: "IMPROVED PHYSICAL STATUS," "ACTIVELY INVOLVED IN THE COMMUNITY," "POSITIVE PSYCHOLOGICAL EFFECTS," "PERCEIVED THERAPEUTIC INGREDIENTS," "FACILITATORS OF PRACTISING MINDFUL YOGA" AND "BARRIERS TO PRACTISING MINDFUL YOGA.". DISCUSSION MOST PARTICIPANTS REPORTED BENEFITTING FROM THE PROGRAMME. TWO MALE PARTICIPANTS EXPRESSED THAT EXERCISES WERE TOO CHALLENGING AND MORE SUITED TO WOMEN, SUGGESTING SINGLE-SEX GROUPS MAY BE MORE ACCEPTABLE. IMPLICATIONS FOR PRACTICE MINDFUL YOGA MAY BE AN ACCEPTABLE/USEFUL INTERVENTION FOR OLDER ADULTS WITH DEPRESSION, BUT FUTURE STUDIES ARE REQUIRED TO ESTABLISH ITS FEASIBILITY AND POTENTIAL EFFICACY. 2019 18 2600 21 YOGA FOR OSTEOARTHRITIS: NURSING AND RESEARCH CONSIDERATIONS. OSTEOARTHRITIS (OA) IS A LEADING CAUSE OF PAIN AND DISABILITY WORLDWIDE. CURRENT TREATMENT GUIDELINES RECOMMEND NONPHARMACOLOGICAL APPROACHES SUCH AS YOGA FOR FIRSTLINE TREATMENT OF OA. YOGA IS A PROMISING MIND-BODY PRACTICE THAT INCLUDES PHYSICAL POSTURES, BREATHING PRACTICES, AND MEDITATIVE MENTAL FOCUS. THIS ARTICLE PRESENTS THE CURRENT EVIDENCE, AS WELL AS A PROPOSED CONCEPTUAL MODEL FOR FUTURE RESEARCH. CURRENT RESEARCH ON YOGA FOR OA IS SCANT BUT PROMISING, SHOWING SOME EVIDENCE OF REDUCED PAIN, SLEEP DISTURBANCE, AND DISABILITY. THE CONCEPTUAL MODEL DESCRIBED HERE PROPOSES MUSCULOSKELETAL EFFECTS (STRENGTHENING, FLEXIBILITY, RELAXATION), REDUCTION OF AUTONOMIC AROUSAL, AND THERAPEUTIC COGNITIVE PATTERNS (DISTRACTION, MINDFULNESS) AS POTENTIALLY IMPORTANT MECHANISMS OF YOGA. THIS ARTICLE ALSO DESCRIBES CONSIDERATIONS FOR PATIENTS AND HEALTH CARE PROVIDERS WHEN EVALUATING THE POTENTIAL USEFULNESS AND SAFETY OF YOGA PROGRAMS: YOGA STYLE, INSTRUCTOR QUALIFICATIONS, AND AMOUNT OF TIME SPENT IN YOGA PRACTICE. 2012 19 2219 26 THE IMPACT OF AN AUTONOMY-SUPPORTIVE YOGA INTERVENTION ON SELF-DETERMINATION IN ADULTS WITH INTELLECTUAL AND DEVELOPMENTAL DISABILITIES. THE AIM OF THIS STUDY WAS TO EXAMINE THE IMPACT OF AN AUTONOMY-SUPPORTIVE YOGA INTERVENTION ON THE SELF-DETERMINATION OF ADULTS WITH INTELLECTUAL AND DEVELOPMENTAL DISABILITIES. RESEARCH SUPPORTS THE USE OF AUTONOMY-SUPPORTIVE INTERVENTIONS TO INCREASE POSITIVE HEALTH OUTCOMES WITH THIS POPULATION. THE PRESENT STUDY UTILIZED A QUALITATIVE APPROACH WITH EIGHT SUBJECTS PARTICIPATING IN SEMI-STRUCTURED QUALITATIVE INTERVIEWS. CONTENT ANALYSIS IDENTIFIED SUPPORT FOR THREE THEMES RELATED TO THE IMPACT OF YOGA: AUTONOMY, RELATEDNESS, COMPETENCE. THE RESULTS SUGGESTED THAT THE YOGA INTERVENTION MAY SUPPORT SELF-DETERMINATION FOR ADULTS WITH IDD, AS THE PARTICIPANTS' RESPONSES DEMONSTRATED INCREASED FEELINGS OF AUTONOMY, COMPETENCE, AND RELATEDNESS. THE RESULTS ALSO INDICATED THAT AN AUTONOMY-SUPPORTIVE YOGA INTERVENTION CAN BE ACHIEVED WITH ADULTS WITH INTELLECTUAL AND DEVELOPMENTAL DISABILITIES BY TARGETING THE KEY CONSTRUCTS OF AUTONOMY, RELATEDNESS, AND COMPETENCE. 2021 20 2453 30 YOGA AS A COMPLEMENTARY THERAPY FOR CHILDREN AND ADOLESCENTS: A GUIDE FOR CLINICIANS. YOGA IS BEING USED BY A GROWING NUMBER OF YOUTH AND ADULTS AS A MEANS OF IMPROVING OVERALL HEALTH AND FITNESS. THERE IS ALSO A PROGRESSIVE TREND TOWARD USE OF YOGA AS A MIND-BODY COMPLEMENTARY AND ALTERNATIVE MEDICINE INTERVENTION TO IMPROVE SPECIFIC PHYSICAL AND MENTAL HEALTH CONDITIONS. TO PROVIDE CLINICIANS WITH THERAPEUTICALLY USEFUL INFORMATION ABOUT YOGA, THE EVIDENCE EVALUATING YOGA AS AN EFFECTIVE INTERVENTION FOR CHILDREN AND ADOLESCENTS WITH HEALTH PROBLEMS IS REVIEWED AND SUMMARIZED. A BRIEF OVERVIEW OF YOGA AND YOGA THERAPY IS PRESENTED ALONG WITH YOGA RESOURCES AND PRACTICAL STRATEGIES FOR CLINICAL PRACTITIONERS TO USE WITH THEIR PATIENTS. THE MAJORITY OF AVAILABLE STUDIES WITH CHILDREN AND ADOLESCENTS SUGGEST BENEFITS TO USING YOGA AS A THERAPEUTIC INTERVENTION AND SHOW VERY FEW ADVERSE EFFECTS. THESE RESULTS MUST BE INTERPRETED AS PRELIMINARY FINDINGS BECAUSE MANY OF THE STUDIES HAVE METHODOLOGICAL LIMITATIONS THAT PREVENT STRONG CONCLUSIONS FROM BEING DRAWN. YOGA APPEARS PROMISING AS A COMPLEMENTARY THERAPY FOR CHILDREN AND ADOLESCENTS. FURTHER INFORMATION ABOUT HOW TO APPLY IT MOST EFFECTIVELY AND MORE COORDINATED RESEARCH EFFORTS ARE NEEDED. 2010