1 2596 182 YOGA FOR MILITARY VETERANS WITH CHRONIC LOW BACK PAIN: A RANDOMIZED CLINICAL TRIAL. INTRODUCTION: CHRONIC LOW BACK PAIN (CLBP) IS PREVALENT, ESPECIALLY AMONG MILITARY VETERANS. MANY CLBP TREATMENT OPTIONS HAVE LIMITED BENEFITS AND ARE ACCOMPANIED BY SIDE EFFECTS. MAJOR EFFORTS TO REDUCE OPIOID USE AND EMBRACE NONPHARMACOLOGICAL PAIN TREATMENTS HAVE RESULTED. RESEARCH WITH COMMUNITY CLBP PATIENTS INDICATES THAT YOGA CAN IMPROVE HEALTH OUTCOMES AND HAS FEW SIDE EFFECTS. THE BENEFITS OF YOGA AMONG MILITARY VETERANS WERE EXAMINED. DESIGN: PARTICIPANTS WERE RANDOMIZED TO EITHER YOGA OR DELAYED YOGA TREATMENT IN 2013-2015. OUTCOMES WERE ASSESSED AT BASELINE, 6 WEEKS, 12 WEEKS, AND 6 MONTHS. INTENTION-TO-TREAT ANALYSES OCCURRED IN 2016. SETTING/PARTICIPANTS: ONE HUNDRED AND FIFTY MILITARY VETERANS WITH CLBP WERE RECRUITED FROM A MAJOR VETERANS AFFAIRS MEDICAL CENTER IN CALIFORNIA. INTERVENTION: YOGA CLASSES (WITH HOME PRACTICE) WERE LED BY A CERTIFIED INSTRUCTOR TWICE WEEKLY FOR 12 WEEKS, AND CONSISTED PRIMARILY OF PHYSICAL POSTURES, MOVEMENT, AND BREATHING TECHNIQUES. MAIN OUTCOME MEASURES: THE PRIMARY OUTCOME WAS ROLAND-MORRIS DISABILITY QUESTIONNAIRE SCORES AFTER 12 WEEKS. PAIN INTENSITY WAS IDENTIFIED AS AN IMPORTANT SECONDARY OUTCOME. RESULTS: PARTICIPANT CHARACTERISTICS WERE MEAN AGE 53 YEARS, 26% WERE FEMALE, 35% WERE UNEMPLOYED OR DISABLED, AND MEAN BACK PAIN DURATION WAS 15 YEARS. IMPROVEMENTS IN ROLAND-MORRIS DISABILITY QUESTIONNAIRE SCORES DID NOT DIFFER BETWEEN THE TWO GROUPS AT 12 WEEKS, BUT YOGA PARTICIPANTS HAD GREATER REDUCTIONS IN ROLAND-MORRIS DISABILITY QUESTIONNAIRE SCORES THAN DELAYED TREATMENT PARTICIPANTS AT 6 MONTHS -2.48 (95% CI= -4.08, -0.87). YOGA PARTICIPANTS IMPROVED MORE ON PAIN INTENSITY AT 12 WEEKS AND AT 6 MONTHS. OPIOID MEDICATION USE DECLINED AMONG ALL PARTICIPANTS, BUT GROUP DIFFERENCES WERE NOT FOUND. CONCLUSIONS: YOGA IMPROVED HEALTH OUTCOMES AMONG VETERANS DESPITE EVIDENCE THEY HAD FEWER RESOURCES, WORSE HEALTH, AND MORE CHALLENGES ATTENDING YOGA SESSIONS THAN COMMUNITY SAMPLES STUDIED PREVIOUSLY. THE MAGNITUDE OF PAIN INTENSITY DECLINE WAS SMALL, BUT OCCURRED IN THE CONTEXT OF REDUCED OPIOID USE. THE FINDINGS SUPPORT WIDER IMPLEMENTATION OF YOGA PROGRAMS FOR VETERANS. TRIAL REGISTRATION: THIS STUDY IS REGISTERED AT WWW.CLINICALTRIALS.GOV NCT02524158.	2017	
                                                                                                                                                                                                                                                                                                                                                                                                                                                           
2 1428  39 IMPROVEMENTS IN PSYCHOLOGICAL AND OCCUPATIONAL WELL-BEING FOLLOWING A BRIEF YOGA-BASED PROGRAM FOR EDUCATION PROFESSIONALS. OBJECTIVE: THE PURPOSE OF THIS STUDY WAS TO EXAMINE CHANGES IN PSYCHOLOGICAL AND OCCUPATIONAL WELL-BEING IN EDUCATION PROFESSIONALS WHO ATTENDED A YOGA-BASED PROGRAM. METHODS: EDUCATION PROFESSIONALS WHO ATTENDED A 3-DAY YOGA-BASED RISE (RESILIENCE, INTEGRATION, SELF-AWARENESS, ENGAGEMENT) PROGRAM WERE RECRUITED TO PARTICIPATE. RISE WAS ADMINISTERED AT THE KRIPALU CENTER FOR YOGA & HEALTH. MEASURES OF PSYCHOLOGICAL AND OCCUPATIONAL WELL-BEING, AND HEALTH-RELATED BEHAVIORS WERE COMPLETED BEFORE (BASELINE), AFTER (POST), AND 2 MONTHS AFTER RISE (FOLLOW-UP). FORTY-FOUR PARTICIPANTS COMPLETED BASELINE AND POST AND WERE INCLUDED IN THE ANALYSIS. OF THOSE, 33 PARTICIPANTS ALSO COMPLETED THE FOLLOW-UP. PAIRED SAMPLES T TESTS WERE USED TO COMPARE SCORES BETWEEN TIME POINTS. RESULTS: COMPARED TO BASELINE, AT POST, PARTICIPANTS SHOWED IMPROVEMENTS IN PERCEIVED STRESS, MINDFULNESS, EMPOWERMENT, POSITIVE AFFECT, NEGATIVE AFFECT, SELF-COMPASSION, TOTAL WORK ENGAGEMENT, VIGOR, SLEEP QUALITY (ALL P VALUES < .001), RESILIENCE, SATISFACTION WITH LIFE, AS WELL AS EXHAUSTION AND PROFESSIONAL EFFICACY WHICH ARE DIMENSIONS OF BURNOUT (ALL P VALUES < .01). AT THE FOLLOW-UP, SIGNIFICANT IMPROVEMENTS WERE MAINTAINED FOR MINDFULNESS, EMPOWERMENT, SELF-COMPASSION, SLEEP QUALITY (ALL P VALUES < .001), RESILIENCE, VIGOR, AND EXHAUSTION (ALL P VALUES < .01) AND POSITIVE AFFECT, SATISFACTION WITH LIFE, AND WORK ENGAGEMENT (ALL P VALUES < .05). CONCLUSIONS: THESE FINDINGS SUGGEST THAT THE YOGA-BASED RISE PROGRAM IMPROVES PSYCHOLOGICAL AND OCCUPATIONAL WELL-BEING IN EDUCATION PROFESSIONALS. IN ADDITION, PARTICIPANTS REPORTED THAT ATTENDING RISE WAS FEASIBLE, THEY COULD CONTINUE USING RISE PRACTICES LONG-TERM, SHARED THEM WITH WORK COLLEAGUES, AND REPORTED THAT RISE POSITIVELY IMPACTED BOTH THEIR DAILY LIVES AND WORKPLACE ENVIRONMENT. WITH THESE PROMISING RESULTS, ADDITIONAL CONTROLLED RESEARCH IS WARRANTED.	2019	
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
3 2367  36 WEEKLY ASSESSMENT OF NUMBER OF YOGA CLASSES AND AMOUNT OF YOGA HOME PRACTICE: AGREEMENT WITH DAILY DIARIES. OBJECTIVE: TO EVALUATE A WEEKLY YOGA PRACTICE ASSESSMENT INSTRUMENT DESIGNED TO ASSESS NUMBER OF CLASSES ATTENDED IN THE PREVIOUS WEEK, NUMBER OF TIMES ENGAGED IN FORMAL HOME YOGA PRACTICE, TOTAL NUMBER OF MINUTES ENGAGED IN FORMAL HOME YOGA PRACTICE IN THE PAST WEEK, AND NUMBER OF TIMES ENGAGED IN INFORMAL HOME YOGA PRACTICE. "INFORMAL" PRACTICE WAS DEFINED AS "IN THE MIDDLE OF OTHER ACTIVITIES, YOU SPENT A FEW MOMENTS ENGAGED IN ASANAS/POSTURES, FOCUS ON BREATH, BODY AWARENESS, OR VERY BRIEF MEDITATION, FOR LESS THAN 5 MIN AT A TIME." WE ASSESSED AGREEMENT BETWEEN THIS WEEKLY ASSESSMENT AND A DAILY HOME PRACTICE LOG. DESIGN AND SETTING: SEVENTY-TWO COMMUNITY YOGA PRACTITIONERS COMPLETED ONLINE DAILY YOGA LOGS FOR 28 DAYS AS WELL AS THE WEEKLY YOGA PRACTICE ASSESSMENT FOUR TIMES OVER THE 28 DAY PERIOD. RESULTS: WE EXAMINED AGREEMENT BETWEEN THE TWO METHODS ON THE FOUR INDICES OF AMOUNT OF WEEKLY YOGA PRACTICE. WE FOUND ACCEPTABLE AGREEMENT BETWEEN THE TWO METHODS FOR NUMBER OF CLASSES, NUMBER OF TIMES ENGAGED IN FORMAL HOME PRACTICE, AND TOTAL NUMBER OF MINUTES ENGAGED IN FORMAL HOME PRACTICE. AGREEMENT WAS LOWER FOR NUMBER OF TIMES ENGAGED IN INFORMAL PRACTICE. CONCLUSIONS: THESE DATA PROVIDE SUPPORT FOR USE OF A WEEKLY YOGA PRACTICE ASSESSMENT TO ASSESS NUMBER OF CLASSES ATTENDED AND AMOUNT OF FORMAL BUT NOT INFORMAL HOME PRACTICE.	2019	
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
4   38  41 A 3-DAY RESIDENTIAL YOGA-BASED PROGRAM IMPROVES EDUCATION PROFESSIONALS' PSYCHOLOGICAL AND OCCUPATIONAL HEALTH IN A SINGLE ARM TRIAL. OBJECTIVE: THIS STUDY EXAMINED CHANGES IN PSYCHOLOGICAL AND OCCUPATIONAL HEALTH IN URBAN EDUCATION PROFESSIONALS AFTER ATTENDING A BRIEF YOGA-BASED PROGRAM. METHODS: EDUCATION PROFESSIONALS FROM THE NEW YORK CITY DEPARTMENT OF EDUCATION (NYC DOE) WHO WERE ATTENDING A RESIDENTIAL 3-DAY YOGA-BASED PROGRAM AT KRIPALU CENTER FOR YOGA & HEALTH WERE RECRUITED TO PARTICIPATE IN THE STUDY. MEASURES OF PSYCHOLOGICAL AND OCCUPATIONAL HEALTH AND HEALTH-RELATED BEHAVIORS WERE COMPLETED BEFORE (BASELINE), AFTER (POST), AND TWO MONTHS AFTER THE PROGRAM (FOLLOW-UP). PAIRED SAMPLES T-TESTS WERE USED TO COMPARE SCORES BETWEEN TIME POINTS. RESULTS: AT POST, PARTICIPANTS (N=74) SHOWED IMPROVEMENTS IN STRESS, RESILIENCE, AFFECT, MINDFULNESS, EMPOWERMENT, SELF-COMPASSION, SATISFACTION WITH LIFE, WORK ENGAGEMENT, BURNOUT, EXERCISE, AND VEGETABLE INTAKE (ALL P VALUES < 0.05) COMPARED TO BASELINE. AT THE FOLLOW-UP (N=33), SHOWED IMPROVEMENTS IN RESILIENCE, AFFECT, MINDFULNESS, EMPOWERMENT, SELF-COMPASSION, WORK ENGAGEMENT, AND BURNOUT (ALL P VALUES < 0.05) COMPARED TO BASELINE. THERE WERE SIGNIFICANT CORRELATIONS BETWEEN THE DEGREE OF HOME PRACTICE OF THE SKILLS AND TECHNIQUES LEARNED IN THE PROGRAM AND IMPROVEMENTS IN MULTIPLE MEASURES OF PSYCHOLOGICAL AND OCCUPATIONAL HEALTH AT FOLLOW-UP (ALL P VALUES < 0.05). CONCLUSIONS: THESE FINDINGS SUGGEST THAT THE YOGA-BASED PROGRAM IMPROVES PSYCHOLOGICAL AND OCCUPATIONAL HEALTH AND HEALTHY BEHAVIORS IN EDUCATION PROFESSIONALS IMMEDIATELY FOLLOWING THE PROGRAM AND UP TO TWO-MONTHS FOLLOWING THE PROGRAM, HOWEVER, MORE DATA WITH LARGER SAMPLE SIZES ARE NEEDED TO CONFIRM SUSTAINED BENEFITS OVER THE LONGER TERM.	2021	
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
5  269  54 ADAPTED YOGA TO IMPROVE PHYSICAL FUNCTION AND HEALTH-RELATED QUALITY OF LIFE IN PHYSICALLY-INACTIVE OLDER ADULTS: A RANDOMISED CONTROLLED PILOT TRIAL. BACKGROUND: YOGA IS A HOLISTIC THERAPY OF EXPANDING POPULARITY, WHICH HAS THE POTENTIAL TO PRODUCE A RANGE OF PHYSICAL, MENTAL AND SOCIAL BENEFITS. THIS TRIAL EVALUATED THE FEASIBILITY AND EFFECTS OF AN ADAPTED YOGA PROGRAMME ON PHYSICAL FUNCTION AND HEALTH-RELATED QUALITY OF LIFE IN PHYSICALLY-INACTIVE OLDER ADULTS. METHODS: IN THIS RANDOMISED CONTROLLED PILOT TRIAL, 52 OLDER ADULTS (90% FEMALE; MEAN AGE 74.8 YEARS, SD 7.2) WERE RANDOMISED 1:1 TO A YOGA PROGRAMME OR WAIT-LIST CONTROL. THE YOGA GROUP (N = 25) RECEIVED A PHYSICAL ACTIVITY EDUCATION BOOKLET AND WERE INVITED TO ATTEND TEN YOGA SESSIONS DURING A 12-WEEK PERIOD. THE CONTROL GROUP (N = 27) RECEIVED THE EDUCATION BOOKLET ONLY. MEASURES OF PHYSICAL FUNCTION (E.G., SHORT PHYSICAL PERFORMANCE BATTERY; SPPB), HEALTH STATUS (EQ-5D) AND MENTAL WELL-BEING (WARWICK-EDINBURGH MENTAL WELL-BEING SCALE; WEMWBS) WERE ASSESSED AT BASELINE AND 3 MONTHS. FEASIBILITY WAS ASSESSED USING COURSE ATTENDANCE AND ADVERSE EVENT DATA, AND PARTICIPANT INTERVIEWS. RESULTS: FORTY-SEVEN PARTICIPANTS COMPLETED FOLLOW-UP ASSESSMENTS. MEDIAN CLASS ATTENDANCE WAS 8 (RANGE 3 TO 10). AT THE 3-MONTH FOLLOW-UP, THE YOGA GROUP HAD A HIGHER SPPB TOTAL SCORE COMPARED WITH THE CONTROL GROUP (MEAN DIFFERENCE 0.9, 95% CONFIDENCE INTERVAL [CI] -0.3 TO 2.0), A FASTER TIME TO RISE FROM A CHAIR FIVE TIMES (MEAN DIFFERENCE - 1.73 S, 95% CI -4.08 TO 0.62), AND BETTER PERFORMANCE ON THE CHAIR SIT-AND-REACH LOWER-LIMB FLEXIBILITY TEST (MEAN DIFFERENCE 5 CM, 95% CI 0 TO 10). THE YOGA GROUP ALSO HAD SUPERIOR HEALTH STATUS AND MENTAL WELL-BEING (VS. CONTROL) AT 3 MONTHS, WITH MEAN DIFFERENCES IN EQ-5D AND WEMWBS SCORES OF 0.12 (95% CI, 0.03 TO 0.21) AND 6 (95% CI, 1 TO 11), RESPECTIVELY. THE INTERVIEWS INDICATED THAT PARTICIPANTS VALUED ATTENDING THE YOGA PROGRAMME, AND THAT THEY EXPERIENCED A RANGE OF BENEFITS. CONCLUSIONS: THE ADAPTED YOGA PROGRAMME APPEARED TO BE FEASIBLE AND POTENTIALLY BENEFICIAL IN TERMS OF IMPROVING MENTAL AND SOCIAL WELL-BEING AND ASPECTS OF PHYSICAL FUNCTION IN PHYSICALLY-INACTIVE OLDER ADULTS. AN APPROPRIATELY-POWERED TRIAL IS REQUIRED TO CONFIRM THE FINDINGS OF THE PRESENT STUDY AND TO DETERMINE LONGER-TERM EFFECTS. TRIAL REGISTRATION: CLINICALTRIALS.GOV NCT02663726 .	2017	
                                                                                                                                                                                                                                                                                                                                                                                      
6 2615  43 YOGA FOR SCHIZOPHRENIA: PATIENTS' PERSPECTIVE. CONTEXT: YOGA-BASED INTERVENTION IS EMERGING AS AN EFFECTIVE ADD-ON THERAPY IN THE MANAGEMENT OF SCHIZOPHRENIA. HOWEVER, MANY BARRIERS MAKE IT DIFFICULT FOR PATIENTS TO AVAIL YOGA THERAPY PROGRAMS. ONE OF THEM IS MOTIVATION FOR YOGA THERAPY. WAYS TO ADDRESS THE BARRIERS ARE CRITICAL TO EMPLOY YOGA AS A TREATMENT IN THIS POPULATION. AIM: THIS STUDY AIMS AT EXPLORING PATIENTS' WILLINGNESS TO PARTICIPATE IN ADD-ON YOGA THERAPY PROGRAMS ON OUT-PATIENT BASIS. SETTINGS AND DESIGN: THE STUDY WAS CONDUCTED ON 100 SCHIZOPHRENIA PATIENTS ATTENDING PSYCHIATRY OUT-PATIENT SERVICES OF A TERTIARY CARE HOSPITAL. MATERIALS AND METHODS: A TOTAL OF 100 SCHIZOPHRENIA PATIENTS (MALE: FEMALE = 57:43; AGE: 35.8 +/- 9.2 YEARS) ATTENDING THE PSYCHIATRY OUT-PATIENT SERVICES OF A TERTIARY NEUROPSYCHIATRY HOSPITAL WERE ADMINISTERED A SURVEY QUESTIONNAIRE. STATISTICAL ANALYSIS USED: CHI-SQUARE TEST WAS USED FOR TESTING THE SIGNIFICANCE OF PROPORTIONS. P < 0.05 WAS TAKEN TO BE SIGNIFICANT. RESULTS: ABOUT 46% WERE AWARE THAT YOGA IS ALSO ONE OF THE COMPLEMENTARY THERAPIES USEFUL IN SCHIZOPHRENIA. 32% HAD TRIED YOGA IN THE PAST FOR SOME REASONS, BUT ONLY 31% OF THEM WERE CONTINUING YOGA; COMMONEST REASONS FOR NOT CONTINUING BEING LACK OF MOTIVATION (31%) AND INABILITY TO SPARE TIME (27.6%). HOWEVER, THE MAJORITY (88.5%) OF THEM WERE WILLING TO TAKE UP ADD-ON YOGA THERAPY ON OUT-PATIENT BASIS ALONG WITH THEIR REGULAR MEDICAL FOLLOW-UP. CONCLUSIONS: IN SPITE OF THE LACK OF MOTIVATION TO PRACTICE YOGA, THE MAJORITY OF PATIENTS WERE WILLING TO PARTICIPATE IN ADD-ON YOGA THERAPY PROGRAMS IF GIVEN ON OUT-PATIENT BASIS ALONG WITH THEIR REGULAR CONVENTIONAL MEDICAL FOLLOW-UP.	2015	
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
7  390  50 BENEFITS OF YOGA FOR PSYCHOSOCIAL WELL-BEING IN A US HIGH SCHOOL CURRICULUM: A PRELIMINARY RANDOMIZED CONTROLLED TRIAL. OBJECTIVE: TO TEST FEASIBILITY OF YOGA WITHIN A HIGH SCHOOL CURRICULUM AND EVALUATE PREVENTIVE EFFICACY FOR PSYCHOSOCIAL WELL-BEING. METHODS: GRADE 11 OR 12 STUDENTS (N = 51) WHO REGISTERED FOR PHYSICAL EDUCATION (PE) WERE CLUSTER-RANDOMIZED BY CLASS 2:1 YOGA:PE-AS-USUAL. A KRIPALU-BASED YOGA PROGRAM OF PHYSICAL POSTURES, BREATHING EXERCISES, RELAXATION, AND MEDITATION WAS TAUGHT 2 TO 3 TIMES A WEEK FOR 10 WEEKS. SELF-REPORT QUESTIONNAIRES WERE ADMINISTERED TO STUDENTS 1 WEEK BEFORE AND AFTER. PRIMARY OUTCOME MEASURES OF PSYCHOSOCIAL WELL-BEING WERE PROFILE OF MOOD STATES-SHORT FORM AND POSITIVE AND NEGATIVE AFFECT SCHEDULE FOR CHILDREN. ADDITIONAL MEASURES OF PSYCHOSOCIAL WELL-BEING INCLUDED PERCEIVED STRESS SCALE AND INVENTORY OF POSITIVE PSYCHOLOGICAL ATTITUDES. SECONDARY MEASURES OF SELF-REGULATORY SKILLS INCLUDED RESILIENCE SCALE, STATE TRAIT ANGER EXPRESSION INVENTORY-2, AND CHILD ACCEPTANCE MINDFULNESS MEASURE. TO ASSESS FEASIBILITY, YOGA STUDENTS COMPLETED A PROGRAM EVALUATION. ANALYSES OF COVARIANCE WERE CONDUCTED BETWEEN GROUPS WITH BASELINE AS THE COVARIATE. RESULTS: ALTHOUGH PE-AS-USUAL STUDENTS SHOWED DECREASES IN PRIMARY OUTCOMES, YOGA STUDENTS MAINTAINED OR IMPROVED. TOTAL MOOD DISTURBANCE IMPROVED IN YOGA STUDENTS AND WORSENED IN CONTROLS (P = .015), AS DID PROFILE OF MOOD STATES-SHORT FORM (POMS-SF) TENSION-ANXIETY SUBSCALE (P = .002). ALTHOUGH POSITIVE AFFECT REMAINED UNCHANGED IN BOTH, NEGATIVE AFFECT SIGNIFICANTLY WORSENED IN CONTROLS WHILE IMPROVING IN YOGA STUDENTS (P = .006). SECONDARY OUTCOMES WERE NOT SIGNIFICANT. STUDENTS RATED YOGA FAIRLY HIGH, DESPITE MODERATE ATTENDANCE. CONCLUSIONS: IMPLEMENTATION WAS FEASIBLE AND STUDENTS GENERALLY FOUND IT BENEFICIAL. ALTHOUGH NOT CAUSAL DUE TO SMALL, UNEVEN SAMPLE SIZE, THIS PRELIMINARY STUDY SUGGESTS PREVENTIVE BENEFITS IN PSYCHOSOCIAL WELL-BEING FROM KRIPALU YOGA DURING HIGH SCHOOL PE. THESE RESULTS ARE CONSISTENT WITH PREVIOUSLY PUBLISHED STUDIES OF YOGA IN SCHOOL SETTINGS.	2012	
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
8 2226  48 THE IMPACT OF YOGA IN MEDICALLY UNDERSERVED POPULATIONS: A MIXED-METHODS STUDY. OBJECTIVES: WE EVALUATED THE ACCEPTABILITY, ACCESS, AND IMPACT OF YOGA AMONG PARTICIPANTS IN YOGA CLASSES CO-LOCATED IN COMMUNITY HEALTH CENTERS. DESIGN: PARTICIPANTS WERE INVITED TO COMPLETE A MIXED-METHODS PROGRAM EVALUATION CONSISTING OF A PRE/POST SURVEY AT THEIR FIRST CLASS AND STRUCTURED INTERVIEWS AT 4 MONTHS. SETTING: THE STUDY TOOK PLACE AT TWO COMMUNITY HEALTH CENTERS ON THE SOUTH SIDE OF CHICAGO, IL, USA. INTERVENTIONS: FOUR WEEKLY 1-1.5 HOUR YOGA CLASSES WERE PROVIDED BY FOUR CERTIFIED YOGA INSTRUCTORS TRAINED TO TEACH TO ALL ABILITY LEVELS. MEASURES: OUR PRIMARY OUTCOME MEASURES WERE PAIN AND STRESS BEFORE AND AFTER THE FIRST CLASS, AND AT 4-MONTHS. WE GATHERED DATA ABOUT PARTICIPANT DEMOGRAPHICS, THEIR HEALTH PROBLEMS, HOW THEY ACCESSED THE CLASSES, AND MOTIVATIONS AND BARRIERS TO ATTENDING. WE ALSO EXTRACTED THEMES FROM PARTICIPANTS' QUALITATIVE FEEDBACK ABOUT THEIR EXPERIENCES. RESULTS: OVERALL, 70 PARTICIPANTS COMPLETED THE INITIAL SURVEYS; 44 COMPLETED THE 4-MONTH INTERVIEWS. A RACIALLY AND ETHNICALLY DIVERSE GROUP OF MIDDLE- AND LOW-INCOME ADULT PATIENTS AND COMMUNITY MEMBERS ATTENDED, WITH FLYERS AND WORD OF MOUTH THE MAJOR ROUTES TO THE CLASS. A SINGLE YOGA CLASS PROVIDED STATISTICALLY SIGNIFICANT DECREASES IN PAIN AND STRESS, BUT THESE BENEFITS WERE NOT DEMONSTRATED AT THE 4-MONTH FOLLOW-UP. THE PRIMARY MOTIVATORS FOR YOGA CLASS ATTENDANCE WERE STRESS RELIEF, EXERCISE, AND OVERALL HEALTH IMPROVEMENT. PRIMARY BARRIERS INCLUDED FAMILY ISSUES, SCHEDULE, ILLNESS, AND WORK CONFLICTS. PRIMARY BENEFITS INCLUDED PHYSICAL BENEFITS, RELAXATION, EMOTIONAL BENEFITS, AND COMMUNITY CONNECTEDNESS. CONCLUSIONS: CO-LOCATING YOGA CLASSES IN COMMUNITY HEALTH CENTERS PROVIDES A VARIETY OF BENEFITS AND IS A VIABLE PATHWAY TO ADDRESSING DISPARITIES IN YOGA ACCESS.	2019	
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
9 1795  53 PRENATAL YOGA FOR YOUNG WOMEN A MIXED METHODS STUDY OF ACCEPTABILITY AND BENEFITS. BACKGROUND: HIGH RATES OF PSYCHOLOGICAL-DISTRESS, TRAUMA AND SOCIAL COMPLEXITY ARE REPORTED AMONG YOUNG PREGNANT WOMEN. AT THE ROYAL WOMEN'S HOSPITAL, AUSTRALIA, YOUNG PREGNANT WOMEN ACKNOWLEDGE WANTING TOOLS TO IMPROVE MATERNAL WELLBEING YET REMAIN CHALLENGING TO ENGAGE IN ANTENATAL EDUCATION AND SUPPORT. WHILE YOGA IS A WIDELY ACCEPTED AND PARTICIPATED ACTIVITY IN PREGNANCY, WITH DEMONSTRATED BENEFITS FOR ADULT PREGNANT WOMEN, ADOLESCENT WOMEN ARE OFTEN EXCLUDED FROM BOTH THESE YOGA INTERVENTIONS AND RELATED PREGNANCY STUDIES. METHODS: THIS MIXED METHODS STUDY EXAMINED THE ACCEPTABILITY AND BENEFITS OF YOGA FOR YOUNG WOMEN. WE RECRUITED 30 PARTICIPANTS AGED UNDER 24 YEARS, WHO WERE OFFERED TWICE A WEEK, ONE-HOUR VOLUNTARY PRENATAL YOGA SESSIONS THROUGHOUT THEIR PREGNANCY. A MEDICAL FILE AUDIT GATHERED BASELINE DEMOGRAPHICS, PRE AND POST YOGA SESSION SURVEYS WERE ADMINISTERED AND BRIEF INDIVIDUAL INTERVIEW WERE CONDUCTED WITH STUDY PARTICIPANTS. RESULTS: WHILE 26 STUDY PARTICIPANTS WERE POSITIVE ABOUT THE AVAILABILITY OF A YOGA PROGRAM, ONLY 15 COULD ATTEND YOGA SESSIONS (MEAN = 8 SESSIONS, RANGE 1-27). NO DIFFERENCES WERE FOUND IN THE DEMOGRAPHIC OR PSYCHOSOCIAL FACTORS BETWEEN THOSE WHO DID AND DID NOT ATTEND THE YOGA SESSIONS. THE MEDICAL FILE AUDIT FOUND THAT 60% OF ALL THE STUDY PARTICIPANTS HAD A DOCUMENTED HISTORY OF PSYCHOLOGICAL DISTRESS. BARRIERS TO PARTICIPATION WERE PRAGMATIC, NOT ATTITUDINAL, BASED ON THE TIMING OF THE GROUP SESSIONS, TRANSPORT AVAILABILITY AND THEIR OWN HEALTH. ALL STUDY PARTICIPANTS IDENTIFIED PERCEIVED BENEFITS, AND THE YOGA PARTICIPANTS IDENTIFIED THESE AS IMPROVED RELAXATION AND REDUCTION OF PSYCHOLOGICAL DISTRESS; LABOUR PREPARATION; BONDING WITH THEIR BABY IN UTERO; AND SOCIAL CONNECTEDNESS WITH THE YOGA GROUP PEERS. CONCLUSIONS: THIS STUDY DEMONSTRATED YOGA WAS ACCEPTABLE TO YOUNG PREGNANT WOMEN. FOR THOSE WHO DID PARTICIPATE IN THE SESSIONS, YOGA WAS FOUND TO DECREASE SELF-REPORTED DISTRESS AND INCREASE PERCEIVED SKILLS TO ASSIST WITH THEIR LABOUR AND THE BIRTH OF THEIR BABY. THE PROVISION OF ACCESSIBLE YOGA PROGRAMS FOR PREGNANT YOUNG WOMEN IS RECOMMENDED.	2019	
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
10 1758  51 POSITIVE ANTIDEPRESSANT EFFECTS OF GENERIC YOGA IN DEPRESSIVE OUT-PATIENTS: A COMPARATIVE STUDY. CONTEXT: THERAPEUTIC EFFECTS IN DEPRESSION OF YOGA ADOPTED FROM DIFFERENT SCHOOLS HAVE BEEN DEMONSTRATED. THE EFFICACY OF A GENERIC MODULE OF YOGA ON DEPRESSED PATIENTS HAS NOT YET BEEN TESTED IN THE LITERATURE. AIMS: THE STUDY WAS AIMED TO COMPARE THE THERAPEUTIC EFFECT OF A GENERIC YOGA MODULE WITH ANTIDEPRESSANT DRUGS IN NON-SUICIDAL OUT-PATIENTS OF MAJOR DEPRESSION ATTENDING A PSYCHIATRIC HOSPITAL. SETTINGS AND DESIGN: THE STUDY WAS OUTPATIENT-BASED USING AN OPEN-LABELED DESIGN. MATERIALS AND METHODS: A TOTAL OF 137 OUT-PATIENTS OF DEPRESSIVE DISORDERS RECEIVED ONE OF THE THREE TREATMENTS AS THEY CHOSE - YOGA-ONLY, DRUGS-ONLY OR BOTH. THE YOGA WAS TAUGHT BY A TRAINED YOGA PHYSICIAN FOR OVER A MONTH IN SPACED SESSIONS TOTALING AT LEAST 12. PATIENTS WERE ASSESSED BEFORE TREATMENT, AFTER 1 AND 3 MONTHS ON DEPRESSION AND CLINICAL GLOBAL IMPRESSION SCALES. OUT OF 137, 58 PATIENTS COMPLETED THE STUDY PERIOD WITH ALL ASSESSMENTS. RESULTS: PATIENTS IN THE THREE ARMS OF TREATMENT WERE COMPARABLE ON DEMOGRAPHIC AND CLINICAL VARIABLES. PATIENTS IN ALL THREE ARMS OF TREATMENT OBTAINED A REDUCTION IN DEPRESSION SCORES AS WELL AS CLINICAL SEVERITY. HOWEVER, BOTH YOGA GROUPS (WITH OR WITHOUT DRUGS) WERE SIGNIFICANTLY BETTER THAN THE DRUGS-ONLY GROUP. HIGHER PROPORTION OF PATIENTS REMITTED IN THE YOGA GROUPS COMPARED WITH THE DRUGS-ONLY GROUP. NO UNTOWARD EVENTS WERE SPONTANEOUSLY REPORTED IN THE YOGA-TREATED PATIENTS. CONCLUSION: WITHIN THE LIMITATIONS OF THIS STUDY, IT CAN BE CONCLUDED THAT THE FINDINGS SUPPORT A CASE FOR PRESCRIBING YOGA AS TAUGHT IN THE STUDY IN DEPRESSIVE NON-SUICIDAL OUT-PATIENTS.	2013	
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
11 1372  41 IMPACT OF A YOGA AND MEDITATION INTERVENTION ON STUDENTS' STRESS AND ANXIETY LEVELS. OBJECTIVE. TO EVALUATE THE IMPACT OF A SIX-WEEK YOGA AND MEDITATION INTERVENTION ON COLLEGE STUDENTS' STRESS PERCEPTION, ANXIETY LEVELS, AND MINDFULNESS SKILLS. METHODS. COLLEGE STUDENTS PARTICIPATED IN A SIX-WEEK PILOT PROGRAM THAT CONSISTED OF A 60-MINUTE VINYASA FLOW YOGA CLASS ONCE WEEKLY, FOLLOWED BY GUIDED MEDITATION DELIVERED BY TRAINED FACULTY MEMBERS AT THE UNIVERSITY OF RHODE ISLAND COLLEGE OF PHARMACY. STUDENTS COMPLETED PRE- AND POST-INTERVENTION QUESTIONNAIRES TO EVALUATE CHANGES IN THE FOLLOWING OUTCOMES: STRESS LEVELS, ANXIETY LEVELS, AND MINDFULNESS SKILLS. THE QUESTIONNAIRE CONSISTED OF THREE SELF-REPORTING TOOLS: THE BECK ANXIETY INVENTORY (BAI), THE PERCEIVED STRESS SCALE (PSS), AND THE FIVE FACET MINDFULNESS QUESTIONNAIRE (FFMQ). STUDENTS' SCORES ON EACH WERE ASSESSED TO DETECT ANY CHANGES FROM BASELINE USING THE NUMERICAL AND CATEGORICAL SCALES (LOW, MEDIUM, AND HIGH) FOR EACH INSTRUMENT. RESULTS. SEVENTEEN PARTICIPANTS, AGED 19 TO 23 YEARS, COMPLETED THE STUDY. THIRTEEN PARTICIPANTS WERE FEMALE AND FOUR WERE MALE. NINE OF THE STUDENTS WERE ENROLLED IN THE DOCTOR OF PHARMACY PROGRAM AND EIGHT WERE ENROLLED IN OTHER ACADEMIC PROGRAMS. STUDENTS' ANXIETY AND STRESS SCORES DECREASED SIGNIFICANTLY WHILE THEIR TOTAL MINDFULNESS INCREASED SIGNIFICANTLY. CHANGES IN CATEGORICAL DATA FROM PRE- TO POST-INTERVENTION ON THE BAI AND PSS WERE SIGNIFICANT, WITH NO STUDENTS SCORING IN THE "HIGH" CATEGORY FOR STRESS OR ANXIETY ON THE POST-INTERVENTION QUESTIONNAIRE. CONCLUSION. STUDENTS EXPERIENCED A REDUCTION IN STRESS AND ANXIETY LEVELS AFTER COMPLETING A SIX-WEEK YOGA AND MEDITATION PROGRAM PRECEDING FINAL EXAMINATIONS. RESULTS SUGGEST THAT ADOPTING A MINDFULNESS PRACTICE FOR AS LITTLE AS ONCE PER WEEK MAY REDUCE STRESS AND ANXIETY IN COLLEGE STUDENTS. ADMINISTRATORS SHOULD CONSIDER INCLUDING INSTRUCTION IN NONPHARMACOLOGIC STRESS AND ANXIETY REDUCTION METHODS, WITHIN CURRICULA IN ORDER TO SUPPORT STUDENT SELF-CARE.	2019	
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
12 1463  40 INFLUENCE OF YOGA-BASED PERSONALITY DEVELOPMENT PROGRAM ON PSYCHOMOTOR PERFORMANCE AND SELF-EFFICACY IN SCHOOL CHILDREN. SELECTIVE ATTENTION AND EFFICACY ARE IMPORTANT COMPONENTS OF SCHOLASTIC PERFORMANCE IN SCHOOL CHILDREN. WHILE ATTEMPTS ARE BEING MADE TO INTRODUCE NEW METHODS TO IMPROVE ACADEMIC PERFORMANCE EITHER AS PART OF CURRICULAR OR EXTRACURRICULAR ACTIVITIES IN SCHOOLS, THE SUCCESS RATES ARE MINIMAL. HENCE, THIS STUDY ASSESSED THE EFFECT OF YOGA-BASED INTERVENTION ON PSYCHOMOTOR PERFORMANCE AND SELF-EFFICACY IN SCHOOL CHILDREN. TWO HUNDRED TEN SCHOOL CHILDREN WITH AGES RANGING FROM 11 TO 16 YEARS (MEAN AGE +/- SD; 13.7 +/- 0.8 YEARS) SATISFYING THE INCLUSION AND EXCLUSION CRITERIA WERE RECRUITED FOR THE 10-DAY YOGA PROGRAM. AN EQUAL NUMBER OF AGE-MATCHED PARTICIPANTS (N = 210; MEAN +/- SD; 13.1 +/- 0.8 YEARS) WERE SELECTED FOR THE CONTROL GROUP. PARTICIPANTS WERE ASSESSED FOR ATTENTION AND PERFORMANCE AT THE BEGINNING AND END OF 10 DAYS USING TRAIL MAKING TASK (TMT) A AND B, AND SELF-EFFICACY QUESTIONNAIRE. THE YOGA GROUP SHOWED HIGHER SELF-EFFICACY AND IMPROVED PERFORMANCE AFTER 10 DAYS OF YOGA INTERVENTION. THE PERFORMANCE IN TMT-A AND -B OF THE YOGA GROUP SHOWED A SIGNIFICANTLY HIGHER NUMBER OF ATTEMPTS WITH A REDUCTION IN TIME TAKEN TO COMPLETE THE TASK AND A NUMBER OF WRONG ATTEMPTS COMPARED WITH CONTROL GROUP. RESULTS SUGGEST THAT YOGA PRACTICE ENHANCES SELF-EFFICACY AND PROCESSING SPEED WITH FINE MOTOR COORDINATION, VISUAL-MOTOR INTEGRATION, VISUAL PERCEPTION, PLANNING ABILITY, AND COGNITIVE PERFORMANCE.	2016	
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
13 1212  31 EXPLORING KNOWLEDGE, ATTITUDE AND PRACTICE REGARDING YOGA AMONG PATIENTS ATTENDING CARDIOLOGY AND NEUROLOGY CLINICS IN A TERTIARY CARE HOSPITAL IN NORTHERN INDIA. BACKGROUND THE USE OF COMPLEMENTARY AND ALTERNATIVE MEDICINE, PARTICULARLY YOGA IS INCREASING IN NON-COMMUNICABLE DISEASES (NCDS). WE ASSESSED THE OVERALL AWARENESS REGARDING YOGA AMONG PATIENTS AND THEIR OPINION ABOUT IT AS AN ADJUNCT THERAPY FOR NCDS. METHODS WE INCLUDED 384 PATIENTS ATTENDING THE CARDIOLOGY AND NEUROLOGY CLINICS AT A TERTIARY CARE CENTRE IN NORTHERN INDIA. A QUESTIONNAIRE WAS DEVELOPED TO ASSESS THE KNOWLEDGE, ATTITUDE AND PRACTICE OF YOGA AS A THERAPY. RESULTS NINETY PER CENT OF PATIENTS WERE AWARE OF YOGA, MAINLY THROUGH PRINT AND ELECTRONIC MEDIA. OF THE SURVEYED PATIENTS, 22% PRACTISED YOGA. LACK OF TIME AND KNOWLEDGE WERE CITED AS THE MAIN REASONS FOR NON-PRACTICE AMONG THE NON-PRACTISING PATIENTS (88%), OF WHICH 82% BELIEVED THAT YOGA COULD BE PRACTISED ALONG WITH MODERN MEDICINE. IN ADDITION, 61% WERE READY TO ACCEPT TREATMENT IF OFFERED AT THE SURVEYED TERTIARY CARE CENTRE. CONCLUSIONS ADEQUATE KNOWLEDGE, AWARENESS AND ATTITUDE TOWARDS YOGA APPEARS TO BE PRESENT IN CONTRAST TO THE LOW PRACTICE AMONG THE PATIENT POPULATION SURVEYED. IF IMPLEMENTED IN AN INTEGRATED FASHION, THE PATIENTS WERE WILLING TO ACCEPT YOGA AS AN ADJUNCT THERAPY FOR THEIR CARDIAC AND NEUROLOGICAL DISORDERS-AN ENCOURAGING SIGN GIVEN THE BURDEN OF NCDS IN INDIA.	2022	
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
14 1538  41 KNOWLEDGE AND ATTITUDES TOWARD PRENATAL YOGA AMONG WOMEN WITH HIGH-RISK PREGNANCIES. THIS STUDY SOUGHT TO EVALUATE ATTITUDES AND KNOWLEDGE ABOUT PRENATAL YOGA AND TO INVESTIGATE BARRIERS AND FACILITATORS TO YOGA PARTICIPATION IN HIGH-RISK PREGNANT WOMEN RECEIVING PRENATAL CARE IN AN ACADEMIC TERTIARY CARE CENTER. WE SURVEYED A CONVENIENCE SAMPLE OF WOMEN RECEIVING PRENATAL CARE THROUGH THE MATERNAL-FETAL MEDICINE PRACTICE AT BRIGHAM AND WOMEN'S HOSPITAL. WE CLASSIFIED PARTICIPANTS AS YOGA-EXPERIENCED OR YOGA-NAIVE DEPENDING ON SELF-REPORT. WE COMPARED DIFFERENCES BETWEEN THE TWO GROUPS USING THE APPROPRIATE NONPARAMETRIC TESTS AND COMPARED BIVARIATE ODDS RATIOS FOR SURVEY RESULTS USING LOGISTIC REGRESSION. OF THE 100 RESPONDENTS, 53% HAD PRACTICED YOGA PREVIOUSLY. WOMEN WITH YOGA EXPERIENCE WERE OLDER (AGE 34.9 +/- 5.6 VS. 31.0 +/- 6.0 YEARS, P = 0.004), MORE LIKELY TO BE COLLEGE GRADUATES (94% VS. 68%, P = 0.002), AND MORE LIKELY TO BE WHITE (77% VS. 47%, P = 0.002) THAN WOMEN WITHOUT PREVIOUS YOGA EXPERIENCE. PREVIOUS YOGA EXPERIENCE WAS ASSOCIATED WITH PARTICIPANT AGREEMENT THAT YOGA WAS SAFE DURING THEIR CURRENT PREGNANCY (ODDS RATIO 5.9, 95% CONFIDENCE INTERVAL 1.9-17.7). OF THE WOMEN SURVEYED, 56% AGREED THAT THEY WOULD LIKE TO ATTEND A PRENATAL YOGA CLASS. IN A MULTIVARIATE MODEL INCLUDING AGE, RACE, AND EDUCATION, PREVIOUS YOGA EXPERIENCE WAS THE ONLY SIGNIFICANT PREDICTOR ASSOCIATED WITH WILLINGNESS TO PARTICIPATE IN PRENATAL YOGA CLASSES DURING CURRENT PREGNANCY (ODDS RATIO 3.1, 95% CONFIDENCE INTERVAL 1.1-8.6). PRIOR YOGA EXPERIENCE WAS THE STRONGEST PREDICTOR OF WILLINGNESS TO ATTEND A PRENATAL YOGA CLASS IN OUR POPULATION. OUR RESULTS SUGGEST THAT WOMEN WITH HIGH-RISK PREGNANCIES WHO MAY BENEFIT FROM PRENATAL YOGA INTERVENTIONS BUT LACK PRIOR YOGA EXPERIENCE MAY NEED ADDITIONAL EDUCATION TO FACILITATE PARTICIPATION.	2020	
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
15 1997  57 STRATEGIES FOR EVALUATING SELF-EFFICACY AND OBSERVED SUCCESS IN THE PRACTICE OF YOGA POSTURES FOR THERAPEUTIC INDICATIONS: METHODS FROM A YOGA INTERVENTION FOR URINARY INCONTINENCE AMONG MIDDLE-AGED AND OLDER WOMEN. BACKGROUND: MOST CLINICAL INVESTIGATIONS INVOLVING YOGA LACK ADEQUATE DESCRIPTION OF THE SPECIFIC YOGA ELEMENTS, INCLUDING PHYSICAL POSTURES. FEW STUDIES HAVE MEASURED SELF-EFFICACY REGARDING THE PERFORMANCE OF YOGA POSTURES OR ASSESSED OBSERVED SUCCESS IN PERFORMING POSTURES. METHODS: WE DEVELOPED AND PILOTED SEVERAL TOOLS TO EVALUATE SELF-EFFICACY AND OBSERVED SUCCESS IN PRACTICING YOGA IN THE CONTEXT OF A RANDOMIZED FEASIBILITY TRIAL OF AN IYENGAR-BASED YOGA INTERVENTION FOR URINARY INCONTINENCE IN AMBULATORY WOMEN >/=50 YEARS. AT THE END OF THE 12-WEEK YOGA INTERVENTION INVOLVING TWICE WEEKLY GROUP YOGA CLASSES AND ONCE WEEKLY HOME PRACTICE, PARTICIPANTS RATED THEIR SELF-EFFICACY IN PERFORMING EACH OF THE INCLUDED 15 YOGA POSTURES ON A 5-POINT LIKERT SCALE. DURING THE 12TH WEEK, AN EXPERT YOGA CONSULTANT OBSERVED PARTICIPANTS AND RATED THEIR COMPETENCY IN PERFORMING POSTURES ON A 5-POINT SCALE. PARTICIPANTS COMPLETED A QUESTIONNAIRE ABOUT SELF-EFFICACY IN ADHERING TO HOME YOGA PRACTICE. WE EXAMINED THE DISTRIBUTION OF AND CORRELATIONS BETWEEN SCORES ON THE ABOVE MEASURES. RESULTS: AMONG 27 PARTICIPANTS (MEAN AGE 65 YEARS), THE RANGE OF MEANS FOR SELF-EFFICACY RATINGS FOR INDIVIDUAL POSTURES WAS 3.6 TO 4.5. THE RANGE OF MEANS FOR OBSERVED COMPETENCY RATINGS FOR INDIVIDUAL POSTURES WAS 3.3 TO 5.0. MEAN SELF-EFFICACY RATING FOR CONFIDENCE IN ADHERING TO THE ASSIGNED ONCE-WEEKLY HOME YOGA PRACTICE WAS 2.8 (RANGE 1 TO 5). POSTURE SELF-EFFICACY WAS INVERSELY CORRELATED WITH PARTICIPANT AGE (P = 0.01) AND POSITIVELY CORRELATED WITH SELF-REPORTED PHYSICAL FUNCTION (P = 0.03) AND MOBILITY (P = 0.01). NO SIGNIFICANT CORRELATIONS WERE FOUND BETWEEN POSTURE SELF-EFFICACY SCALE SCORES AND EXPERT-OBSERVED YOGA COMPETENCY RATINGS OR PRACTICE ADHERENCE SELF-EFFICACY SCORES. CONCLUSIONS: THESE MEASURES HOLD PROMISE FOR ADVANCING YOGA RESEARCH AND PRACTICE BY DESCRIBING METHODS TO: 1) MEASURE SELF-EFFICACY IN PERFORMING SPECIFIC YOGA POSTURES; 2) USE AN EXPERT OBSERVER TO ASSESS PARTICIPANTS' COMPETENCE IN PERFORMING YOGA POSTURES; AND 3) MEASURE SELF-EFFICACY IN ADHERING TO HOME PRACTICE. THESE PROPOSED MEASURES CAN BE USED TO DESCRIBE SPECIFIC COMPONENTS OF YOGA INTERVENTIONS, TO ASSESS WHETHER STUDY PARTICIPANTS ARE ABLE TO LEARN TO PRACTICE PHYSICAL ASPECTS OF YOGA AND/OR MAINTAIN THIS PRACTICE OVER TIME, AS WELL AS TO INVESTIGATE RELATIONSHIPS BETWEEN SELF-EFFICACY AND COMPETENCY IN PERFORMING YOGA POSTURES TO ACHIEVE SPECIFIC HEALTH OUTCOMES. TRIAL REGISTRATION: CLINICALTRIALS.GOV, NCT02342678, JANUARY 21, 2015.	2020	

16 2811  51 YOGA TO PREVENT MOBILITY LIMITATIONS IN OLDER ADULTS: FEASIBILITY OF A RANDOMIZED CONTROLLED TRIAL. BACKGROUND: THE LOSS OF MOBILITY DURING AGING IMPACTS INDEPENDENCE AND LEADS TO FURTHER DISABILITY, MORBIDITY, AND REDUCED LIFE EXPECTANCY. OUR OBJECTIVE WAS TO EXAMINE THE FEASIBILITY AND SAFETY OF CONDUCTING A RANDOMIZED CONTROLLED TRIAL OF YOGA FOR OLDER ADULTS AT RISK FOR MOBILITY LIMITATIONS. METHODS: SEDENTARY OLDER ADULTS (N = 46; AGE 60-89) WERE RECRUITED AND RANDOMIZED TO EITHER YOGA OR A HEALTH EDUCATION COMPARISON GROUP. YOGA SESSIONS (60-MIN) OCCURRED 2X WEEKLY, AND 90-MIN HEALTH EDUCATION SESSIONS OCCURRED WEEKLY, FOR 10 WEEKS. THE PRIMARY OUTCOMES WERE RECRUITMENT RATE, INTERVENTION ATTENDANCE, AND RETENTION AT ASSESSMENTS. ADVERSE EVENT RATES AND PARTICIPANT SATISFACTION WERE ALSO MEASURED. PHYSICAL PERFORMANCE MEASURES OF GAIT, BALANCE, AND STRENGTH AND SELF-REPORT OUTCOME MEASURES WERE ADMINISTERED AT BASELINE AND 10-WEEKS. RESULTS: RECRUITMENT LASTED 6 MONTHS. RETENTION OF PARTICIPANTS AT THE 10-WEEK FOLLOW-UP WAS HIGH (89% - PERFORMANCE MEASURES; 98% - SELF-REPORT QUESTIONNAIRES). ATTENDANCE WAS GOOD WITH 82% OF YOGA AND 74% OF HEALTH EDUCATION PARTICIPANTS ATTENDING AT LEAST 50% OF THE SESSIONS. NO SERIOUS ADVERSE EVENTS WERE REPORTED. PATIENT SATISFACTION WITH THE INTERVENTIONS WAS HIGH. THE MEAN EFFECT SIZE FOR THE PHYSICAL PERFORMANCE MEASURES WAS 0.35 WITH SOME OVER 0.50. THE MEAN EFFECT SIZE FOR SELF-REPORT OUTCOME MEASURES WAS 0.36. CONCLUSIONS: RESULTS INDICATE THAT IT IS FEASIBLE TO CONDUCT A LARGER RCT OF YOGA FOR SEDENTARY OLDER ADULTS AT RISK FOR MOBILITY PROBLEMS. THE YOGA AND COMPARISON INTERVENTIONS WERE SAFE, WELL ACCEPTED, AND WELL ATTENDED. EFFECT SIZES SUGGEST YOGA MAY HAVE IMPORTANT BENEFITS FOR THIS POPULATION AND SHOULD BE STUDIED FURTHER. TRIAL REGISTRATION: CLINICALTRIALS # NCT03544879 ; RETROSPECTIVELY REGISTERED 4 JUNE, 2018.	2018	
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
17 2639  62 YOGA FOR VETERANS WITH CHRONIC LOW-BACK PAIN. OBJECTIVES: CHRONIC BACK PAIN AFFECTS A LARGE PROPORTION OF BOTH THE GENERAL POPULATION AND OF MILITARY VETERANS. ALTHOUGH NUMEROUS THERAPIES EXIST FOR TREATING CHRONIC BACK PAIN, THEY CAN BE COSTLY AND TEND TO HAVE LIMITED EFFECTIVENESS. THUS, DEMONSTRATING THE EFFICACY AND COST-EFFECTIVENESS OF ADDITIONAL TREATMENT ALTERNATIVES IS IMPORTANT. THE PURPOSE OF OUR STUDY WAS TO EXAMINE THE BENEFITS OF A YOGA INTERVENTION FOR VETERANS ADMINISTRATION (VA) PATIENTS. SUBJECTS/INTERVENTION: VA PATIENTS WITH CHRONIC BACK PAIN WERE REFERRED BY THEIR PRIMARY CARE PROVIDERS TO A YOGA PROGRAM AS PART OF CLINICAL CARE. BEFORE STARTING YOGA, A VA PHYSICIAN TRAINED IN YOGA EVALUATED EACH PATIENT TO ENSURE THAT THEY COULD PARTICIPATE SAFELY. DESIGN: THE RESEARCH STUDY CONSISTED OF COMPLETING A SHORT BATTERY OF QUESTIONNAIRES AT BASELINE AND AGAIN 10 WEEKS LATER. OUTCOME MEASURES: QUESTIONNAIRES INCLUDED MEASURES OF PAIN, DEPRESSION, ENERGY/FATIGUE, HEALTH-RELATED QUALITY OF LIFE, AND PROGRAM SATISFACTION. PAIRED T-TESTS WERE USED TO COMPARE BASELINE SCORES TO THOSE AT THE 10-WEEK FOLLOW-UP FOR THE SINGLE GROUP, PRE-POST DESIGN. CORRELATIONS WERE USED TO EXAMINE WHETHER YOGA ATTENDANCE AND HOME PRACTICE WERE ASSOCIATED WITH BETTER OUTCOMES. RESULTS: BASELINE AND FOLLOW-UP DATA WERE AVAILABLE FOR 33 PARTICIPANTS. PARTICIPANTS WERE VA PATIENTS WITH A MEAN AGE OF 55 YEARS. THEY WERE 21% FEMALE, 70% WHITE, 52% MARRIED, 68% COLLEGE GRADUATES, AND 44% WERE RETIRED. SIGNIFICANT IMPROVEMENTS WERE FOUND FOR PAIN, DEPRESSION, ENERGY/FATIGUE, AND THE SHORT FORM-12 MENTAL HEALTH SCALE. THE NUMBER OF YOGA SESSIONS ATTENDED AND THE FREQUENCY OF HOME PRACTICE WERE ASSOCIATED WITH IMPROVED OUTCOMES. PARTICIPANTS APPEARED HIGHLY SATISFIED WITH THE YOGA INSTRUCTOR AND MODERATELY SATISFIED WITH THE EASE OF PARTICIPATION AND HEALTH BENEFITS OF THE YOGA PROGRAM. CONCLUSIONS: PRELIMINARY DATA SUGGEST THAT A YOGA INTERVENTION FOR VA PATIENTS WITH CHRONIC BACK PAIN MAY IMPROVE THE HEALTH OF VETERANS. HOWEVER, THE LIMITATIONS OF A PRE-POST STUDY DESIGN MAKE CONCLUSIONS TENTATIVE. A LARGER RANDOMIZED, CONTROLLED TRIAL OF THE YOGA PROGRAM IS PLANNED.	2008	
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
18 2385  42 YOGA ADHERENCE IN OLDER WOMEN SIX MONTHS POST-OSTEOARTHRITIS INTERVENTION. BACKGROUND/OBJECTIVE: OSTEOARTHRITIS (OA) IS A HIGHLY PREVALENT CONDITION WORLDWIDE. YOGA IS POTENTIALLY A SAFE AND FEASIBLE OPTION FOR MANAGING OA; HOWEVER, THE EXTENT OF LONG-TERM YOGA ADHERENCE IS UNKNOWN. THE PURPOSE OF THIS STUDY WAS TO EXAMINE YOGA ADHERENCE 6 MONTHS AFTER PARTICIPANTS COMPLETED AN OA INTERVENTION PROGRAM. METHODS: THIS FOLLOW-UP STUDY EMPLOYED A CROSS-SECTIONAL DESCRIPTIVE DESIGN USING SURVEY, INTERVIEW, AND VIDEO RECORDINGS TO COLLECT BOTH QUANTITATIVE AND QUALITATIVE DATA. A TOTAL OF 31 PARTICIPANTS COMPLETED AND RETURNED THE SURVEY, AND 10 VIDEOTAPED THEIR YOGA PRACTICE FOR 1 WEEK AND PARTICIPATED IN A FACE-TO-FACE INTERVIEW. RESULTS: A MAJORITY OF PARTICIPANTS (N=19, 61%) REPORTED THAT THEY WERE STILL PRACTICING YOGA 6 MONTHS AFTER THE INTERVENTION PROGRAM. ON AVERAGE, PARTICIPANTS REPORTED PRACTICING 21 TO 30 MINUTES OF YOGA PER DAY (32%) 3 TO 4 DAYS PER WEEK (47%). "FEELING GOOD OR FEELING BETTER AFTER YOGA PRACTICE" (50%) AND "SET ASIDE A TIME" (31%) WERE THE MOST COMMON MOTIVATING FACTORS FOR YOGA ADHERENCE. DEALING WITH HEALTH PROBLEMS (42%), HAVING PAIN (25%), AND BEING TOO BUSY (25%) WERE THE MAJOR BARRIERS. QUALITATIVE DATA REVEALED THAT PARTICIPANTS: (1) USED MINDFUL YOGA MOVEMENT, (2) INCORPORATED OTHER FORMS OF EXERCISE AND RESOURCES DURING YOGA PRACTICE, AND (3) CREATED PERSONALIZED YOGA PROGRAMS. ADDITIONALLY, THE PARTICIPANTS REPORTED LESS OA PAIN, INCREASED PHYSICAL ENDURANCE, AND MORE RELAXATION. CONCLUSION: MANY PARTICIPANTS ADHERED TO YOGA PRACTICE 6 MONTHS POST-INTERVENTION ALTHOUGH NOT AT THE FREQUENCY AND SEQUENCE AS PRESCRIBED. FEELING BETTER AFTER PRACTICE MOTIVATED PARTICIPANTS, BUT OTHER FACTORS REMAINED KEY BARRIERS.	2015	
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
19 2685  43 YOGA IN THE REAL WORLD: PERCEPTIONS, MOTIVATORS, BARRIERS, AND PATTERNS OF USE. BACKGROUND: YOGA IS A MIND-BODY EXERCISE PRACTICED BY NEARLY 16 MILLION US ADULTS. CLINICAL YOGA RESEARCH HAS YIELDED PROMISING FINDINGS IN PHYSICAL AND MENTAL HEALTH OUTCOMES. HOWEVER, RESEARCH IN NON-PATIENT POPULATIONS IS LIMITED. THE PURPOSE OF THIS STUDY IS TO SURVEY A NON-CLINICAL POPULATION TO BETTER UNDERSTAND YOGA USE IN A REAL-WORLD SETTING. METHODS: THIS STUDY USED A PRE-POST TEST DESIGN IN A CONVENIENCE SAMPLE OF ADULTS REGISTERED FOR A 4-WEEK BEGINNER YOGA PROGRAM WITHIN A NETWORK OF FIVE YOGA STUDIOS IN AUSTIN, TEXAS. STUDENTS WERE LINKED VIA E-MAIL TO BASELINE AND ENDPOINT SURVEYS. ANALYSES WERE DESCRIPTIVE. RESULTS: SIX HUNDRED FOUR STUDENTS COMPLETED THE BASELINE SURVEY, AND 290 (48%) COMPLETED THE 4-WEEK ENDPOINT SURVEY. BASELINE DEMOGRAPHICS WERE SIMILAR TO THOSE IN NATIONAL SURVEYS, WITH RESPONDENTS BEING PRIMARILY FEMALE (86%), WHITE (88%), AND COLLEGE EDUCATED (78%). THE PRIMARY BARRIER TO PRACTICE WAS TIME (55%). RESPONDENTS PERCEIVED YOGA PRIMARILY AS AN EXERCISE ACTIVITY (92%), SPIRITUAL ACTIVITY (73%), OR A WAY TO MANAGE OR TREAT A HEALTH CONDITION (50%). MAIN REASONS FOR TAKING YOGA WERE GENERAL WELLNESS (81%), PHYSICAL EXERCISE (80%), AND STRESS MANAGEMENT (73%). NINETY-EIGHT PERCENT BELIEVED YOGA WOULD IMPROVE THEIR HEALTH, WITH 28% TAKING YOGA TO ALLEVIATE A HEALTH CONDITION. ON AVERAGE, RESPONDENTS PRACTICED 3 TO 4 HOURS/ WEEK IN AND OUT OF CLASS. CONCLUSIONS: RESPONDENT DEMOGRAPHICS WERE CONSISTENT WITH NATIONAL SURVEY DATA. DATA SHOW THAT YOGA IS PERCEIVED SEVERAL WAYS. INFORMATION ON PRACTICE PATTERNS PROVIDES NEW INFORMATION, WHICH MAY IMPROVE UNDERSTANDING OF HOW NON-CLINICAL POPULATIONS INCORPORATE YOGA INTO DAILY LIFE FOR HEALTH MANAGEMENT.	2013	
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
20  112  40 A PILOT STUDY OF A MINDFULNESS INFORMED YOGA INTERVENTION IN YOUNG PEOPLE WITH PSYCHOSIS. AIM: TO DETERMINE THE ACCEPTABILITY AND SAFETY OF A MINDFULNESS INFORMED YOGA INTERVENTION AS ADJUNCT TO USUAL CARE FOR YOUNG PEOPLE WITH EARLY PSYCHOSIS. METHODS: PEOPLE AGED 16-25 YEARS ATTENDING A COMMUNITY-BASED SPECIALIST EARLY PSYCHOSIS CLINIC WERE INVITED TO PARTICIPATE IN A 12-WEEK YOGA INTERVENTION. THE INTERVENTION CONSISTED OF 1-H WEEKLY CLASSES OF MINDFULNESS INFORMED YOGA. ACCEPTABILITY WAS MEASURED BY UPTAKE, ATTENDANCE AND PARTICIPANTS' SATISFACTION. SAFETY WAS MEASURED BY INCIDENCE OF PHYSICAL INJURY, PARTICIPANTS' LEVEL OF COMFORT, DISTRESS AND ANXIETY DURING THE SESSIONS, AND THE FOLLOWING MENTAL HEALTH OUTCOMES: POSITIVE AND NEGATIVE PSYCHOTIC, DEPRESSION, ANXIETY AND STRESS SYMPTOMS, SLEEP QUALITY AND FUNCTIONING. RESULTS: OF THOSE WHO CONSENTED TO THE STUDY, 80% (12) PARTICIPATED AND ON AVERAGE ATTENDED 4.4 YOGA CLASSES. THERE WERE NO PHYSICAL INJURIES AND PARTICIPANTS REPORTED MINIMAL DISTRESS AND ANXIETY. POST-INTERVENTION, THERE WAS A SIGNIFICANT REDUCTION IN ANXIETY SYMPTOMS AND AN IMPROVEMENT IN FUNCTION. CONCLUSIONS: MINDFULNESS-BASED YOGA INTERVENTIONS ARE BOTH ACCEPTABLE AND SAFE AS AN INTERVENTION FOR YOUTH WITH EARLY PSYCHOSIS. THOUGH NUMBERS WERE SMALL, THE STUDY SHOWS PROMISE FOR YOGA AS A POTENTIALLY USEFUL INTERVENTION. IMPORTANTLY, THERE WAS NO DETERIORATION IN MENTAL HEALTH OUTCOMES. A LARGER TRIAL EVALUATING CLINICAL EFFECTIVENESS IS NOW TIMELY.	2022