1 383 144 BENDING WITHOUT BREAKING: A NARRATIVE REVIEW OF TRAUMA-SENSITIVE YOGA FOR WOMEN WITH PTSD. OBJECTIVE: THE PURPOSE OF THIS REVIEW IS TO EVALUATE THE PEER-REVIEWED EMPIRICAL EVIDENCE ON THE USE OF TRAUMA-SENSITIVE YOGA (TSY) FOR THE TREATMENT OF WOMEN WITH POST-TRAUMATIC STRESS DISORDER (PTSD): SPECIFICALLY INTERPERSONAL TRAUMA SUCH AS INTIMATE PARTNER VIOLENCE. TO DATE, NO SUCH REVIEW HAS BEEN CONDUCTED. METHODS: ARTICLES MEETING STUDY INCLUSIONARY CRITERIA WERE IDENTIFIED THROUGH ELECTRONIC DATABASE SEARCHES. A TOTAL OF FIVE STUDIES (N = 5) WERE SELECTED AND REVIEWED. THESE STUDIES INCLUDED TWO RANDOMIZED CONTROLLED TRIALS (RCT), ONE FOLLOW-UP OF AN RCT, ONE QUASI-EXPERIMENTAL STUDY, AND ONE QUALITATIVE STUDY. RESULTS: THERE IS TENTATIVE EVIDENCE TO SUPPORT THE EFFICACY OF TSY IN REDUCING PTSD, DEPRESSION, AND ANXIETY SYMPTOMATOLOGY FOR WOMEN WITH PTSD; THERE IS ALSO TENTATIVE EVIDENCE CONFIRMING THE FEASIBILITY OF IMPLEMENTING TSY AS AN ADJUNCTIVE MENTAL HEALTH INTERVENTION, PARTICULARLY FOR INDIVIDUALS WHO ARE NON-RESPONSIVE TO COGNITIVE-BASED PSYCHOTHERAPIES. THE QUALITATIVE FINDINGS SPEAK TO A NUMBER OF BENEFITS OF YOGA PRACTICE STIMULATED BY TSY PARTICIPATION CENTERING ON THE PHENOMENON OF PEACEFUL EMBODIMENT. CONCLUSIONS: REPLICATION OF THESE RESULTS USING LARGER AND MORE DIVERSE SAMPLES AND RIGOROUS STUDY DESIGNS BY INDEPENDENT RESEARCHERS WOULD ADD CREDIBILITY TO THESE FINDINGS AND CONTRIBUTE TO THE GROWING BODY OF KNOWLEDGE ON TSY. ADDITIONALLY, THERE IS A DEARTH OF STUDIES ON THIS NASCENT FORM OF THERAPEUTIC YOGA. THEREFORE, FURTHER RESEARCH IS NEEDED TO EXPLORE THE POTENTIAL EFFICACY OF TSY WITH OTHER TYPES OF TRAUMA, POPULATIONS, AND SETTINGS. 2016 2 2013 36 SUDARSHAN KRIYA YOGA: A BREATH OF HOPE DURING COVID-19 PANDEMIC. IMPORTANT COUNTER MEASURES TO COMBAT AN INFECTIOUS DISEASE PANDEMIC INCLUDE VACCINATION, ANTIVIRAL THERAPY, AND IMMUNOMODULATION THERAPY. VACCINATIONS ARE DISEASE SPECIFIC AND MOREOVER STRAIN SPECIFIC, SO THE PROTECTION PROVIDED IS ALSO SPECIFIC AND LIMITED. ANTIVIRAL THERAPIES ARE COSTLY AND REQUIRE BULK PRODUCTION OF DRUGS, HENCE GLOBALLY THERE IS AN INCREASED INTEREST TOWARD LOW-RISK, COST-EFFECTIVE COMPLEMENTARY ALTERNATIVE THERAPIES, SUCH AS YOGA AND AYURVEDA TO TACKLE THE INFECTIOUS PANDEMIC, CORONAVIRUS DISEASE 2019 (COVID-19). THERE IS CLINICAL EVIDENCE AVAILABLE ON THE POTENTIAL COMPLEMENTARY ROLE OF YOGIC PRACTICES IN THE MANAGEMENT OF NONCOMMUNICABLE AND COMMUNICABLE DISEASES. VARIOUS ONLINE DATABASES WERE SEARCHED FOR ARTICLES PUBLISHED BETWEEN 2000 AND 2020. DATABASES EXPLORED WERE MEDLINE, EMBASE, INDIAN CITATION INDEX, PSYCINFO, INDEX MEDICUS FOR SOUTH-EAST ASIA REGION, AND GOOGLE SCHOLAR. ALL SEARCH RESULTS WERE SCREENED, AND ARTICLES RELATED TO KEYWORDS SUCH AS COVID-19, YOGA THERAPY, AND SUDARSHAN KRIYA YOGA (SKY) WERE SELECTED FOR DATA EXTRACTION. QUALITY OF THE STUDIES INCLUDED WAS EVALUATED ON THE BASIS OF THE CONSTRUCT VALIDITY, CONTENT VALIDITY, RELEVANCE, BIAS, CREDIBILITY RELATING TO INFORMATION, AND DATA SOURCES. SKY IS A UNIQUE YOGIC PRACTICE THAT INCLUDES SPECIFIC SEQUENTIAL BREATHING TECHNIQUES. IT BALANCES THE AUTONOMIC NERVOUS SYSTEM AND THUS CAN ALLEVIATE ANXIETY, ROUTINE STRESS, DEPRESSION, STRESS-RELATED MEDICAL DISORDERS, AND POSTTRAUMATIC STRESS. IT POTENTIATES NATURAL HOST IMMUNE DEFENSES THAT ARE ESSENTIAL TO TACKLE A PLETHORA OF MICROBIAL INFECTIONS. THIS NARRATIVE REVIEW ARTICLE PROVIDES AN OVERVIEW OF POTENTIAL THERAPEUTIC BENEFITS THAT SKY CAN OFFER TO THE POPULATION AT LARGE DURING THIS COVID-19 PANDEMIC. 2021 3 2320 32 TREATMENT CREDIBILITY, EXPECTANCY, AND PREFERENCE: PREDICTION OF TREATMENT ENGAGEMENT AND OUTCOME IN A RANDOMIZED CLINICAL TRIAL OF HATHA YOGA VS. HEALTH EDUCATION AS ADJUNCT TREATMENTS FOR DEPRESSION. BACKGROUND: HATHA YOGA MAY BE HELPFUL FOR ALLEVIATING DEPRESSION SYMPTOMS. THE PURPOSE OF THIS ANALYSIS IS TO DETERMINE WHETHER TREATMENT PROGRAM PREFERENCE, CREDIBILITY, OR EXPECTANCY PREDICT ENGAGEMENT IN DEPRESSION INTERVENTIONS (YOGA OR A CONTROL CLASS) OR DEPRESSION SYMPTOM SEVERITY OVER TIME. METHODS: THIS IS A SECONDARY ANALYSIS OF A RANDOMIZED CONTROLLED TRIAL (RCT) OF HATHA YOGA VS. A HEALTH EDUCATION CONTROL GROUP FOR TREATMENT OF DEPRESSION. DEPRESSED PARTICIPANTS (N=122) ATTENDED UP TO 20 CLASSES OVER A PERIOD OF 10 WEEKS, AND THEN COMPLETED ADDITIONAL ASSESSMENTS AFTER 3 AND 6 MONTHS. WE ASSESSED TREATMENT PREFERENCE PRIOR TO RANDOMIZATION, AND TREATMENT CREDIBILITY AND EXPECTANCY AFTER PARTICIPANTS ATTENDED THEIR FIRST CLASS. TREATMENT "CONCORDANCE" INDICATED THAT TREATMENT PREFERENCE MATCHED ASSIGNED TREATMENT. RESULTS: TREATMENT CREDIBILITY, EXPECTANCY, AND CONCORDANCE WERE NOT ASSOCIATED WITH TREATMENT ENGAGEMENT. TREATMENT EXPECTANCY MODERATED THE ASSOCIATION BETWEEN TREATMENT GROUP AND DEPRESSION. DEPRESSION SEVERITY OVER TIME DIFFERED BY EXPECTANCY LEVEL FOR THE YOGA GROUP BUT NOT FOR THE HEALTH EDUCATION GROUP. CONTROLLING FOR BASELINE DEPRESSION, PARTICIPANTS IN THE YOGA GROUP WITH AN AVERAGE OR HIGH EXPECTANCY FOR IMPROVEMENT SHOWED LOWER DEPRESSION SYMPTOMS ACROSS THE ACUTE INTERVENTION AND FOLLOW-UP PERIOD THAN THOSE WITH A LOW EXPECTANCY FOR IMPROVEMENT. THERE WAS A TREND FOR A SIMILAR PATTERN FOR CREDIBILITY. CONCORDANCE WAS NOT ASSOCIATED WITH TREATMENT OUTCOME. LIMITATIONS: THIS IS A SECONDARY, POST-HOC ANALYSIS AND SHOULD BE CONSIDERED HYPOTHESIS-GENERATING. CONCLUSIONS: RESULTS SUGGEST THAT EXPECTANCY IMPROVES THE LIKELIHOOD OF SUCCESS ONLY FOR A INTERVENTION THOUGHT TO ACTIVELY TARGET DEPRESSION (YOGA) AND NOT A CONTROL INTERVENTION. 2018 4 345 31 ASSESSING FEASIBILITY AND ACCEPTABILITY OF YOGA AND GROUP CBT FOR ADOLESCENTS WITH DEPRESSION: A PILOT RANDOMIZED CLINICAL TRIAL. PURPOSE: GIVEN INCREASING RATES OF DEPRESSION IN ADOLESCENTS, THERE IS A CLEAR NEED FOR INNOVATIVE TREATMENTS. IN THIS PILOT RANDOMIZED CLINICAL TRIAL, WE ASSESSED ACCEPTABILITY AND FEASIBILITY OF TWO GROUP-BASED INTERVENTIONS: YOGA AND COGNITIVE-BEHAVIORAL THERAPY (CBT). THE GOAL OF THIS WORK IS TO PREPARE FOR A FUTURE FULLY POWERED RANDOMIZED TRIAL TO TEST THE HYPOTHESIS THAT YOGA IS NOT INFERIOR TO AN ESTABLISHED ADOLESCENT DEPRESSION TREATMENT, NAMELY, GROUP CBT. METHODS: WE ENROLLED 42 ADOLESCENTS WITH ELEVATED DEPRESSION SYMPTOMS. PARTICIPANTS WERE RANDOMLY ASSIGNED TO A 12-WEEK GROUP-BASED INTERVENTION, YOGA OR CBT. WE HAD A PRIORI FEASIBILITY AND ACCEPTABILITY TARGETS, INCLUDING FOR RECRUITMENT RATE, RETENTION RATE, EXPECTANCY, CREDIBILITY, PROGRAM SATISFACTION, CLASS ATTENDANCE, ENGAGEMENT IN HOME PRACTICE, AND INSTRUCTOR/LEADER MANUAL ADHERENCE. WE ASSESSED ADVERSE EVENTS, AND WITHIN-SUBJECT CHANGES IN OUTCOMES (DEPRESSION, ANXIETY, IMPAIRMENT, SLEEP DISTURBANCE) AND POSSIBLE MEDIATORS (MINDFULNESS, SELF-COMPASSION). RESULTS: BOTH INTERVENTIONS MET MOST ACCEPTABILITY AND FEASIBILITY TARGETS. THE ONLY TARGET NOT MET RELATED TO LOW ENGAGEMENT IN HOME PRACTICE. PARTICIPANTS WITHIN EACH STUDY ARM SHOWED DECREASED DEPRESSION SYMPTOMS OVER TIME AND INCREASED SELF-COMPASSION. CONCLUSIONS: A YOGA INTERVENTION APPEARS TO BE ACCEPTABLE AND FEASIBLE TO ADOLESCENTS WITH DEPRESSION. HOWEVER, IT MAY BE CHALLENGING FOR THIS GROUP TO ENGAGE IN UNSTRUCTURED HOME PRACTICE. 2022 5 2317 41 TRAUMA-SENSITIVE YOGA INTERVENTIONS AND POSTTRAUMATIC STRESS AND DEPRESSION OUTCOMES AMONG WOMEN: A SYSTEMATIC REVIEW AND ANALYSIS OF RANDOMIZED CONTROL TRIALS. RESEARCH SHOWS THAT MOST PEOPLE EXPERIENCE AT LEAST ONE TRAUMATIC EVENT IN THEIR LIFETIMES, AND BETWEEN 6% AND 8% OF THOSE WITH A HISTORY OF TRAUMA WILL DEVELOP POSTTRAUMATIC STRESS DISORDER (PTSD) AND/OR RELATED MENTAL HEALTH CONDITIONS. WOMEN FACE A GREATER THREAT OF TRAUMA EXPOSURE AND HAVE A HIGHER RISK OF PTSD AND DEPRESSION THAN MEN. TRAUMA-SENSITIVE YOGA (TSY), A BODY-BASED ADJUNCTIVE THERAPY, HAS SHOWN POTENTIAL IN SEVERAL STUDIES AS AN EFFECTIVE METHOD FOR REDUCING PTSD AND DEPRESSION SYMPTOMS. HOWEVER, EXISTING RESEARCH AND SYSTEMATIC REVIEWS VARY WIDELY IN THEIR METHODOLOGICAL RIGOR AND COMPARISON SAMPLES. THUS, IN THIS SYSTEMATIC REVIEW WE EXAMINED THE EFFECTIVENESS OF TSY AMONG WOMEN WITH A HISTORY OF TRAUMA AND DEPRESSION WHO HAD PARTICIPATED IN RANDOMIZED CONTROL TRIALS WITH CLEAR CONTROL AND EXPERIMENTAL GROUPS. FINDINGS IN FIXED- AND MIXED-EFFECTS META-ANALYSIS MODELS SUGGEST MARGINALLY SIGNIFICANT TO NO EFFECTS OF TSY ON PTSD AND DEPRESSION OUTCOMES. OUR SYSTEMATIC REVIEW HIGHLIGHTS CRITICAL QUESTIONS AND SIGNIFICANT GAPS IN THE EXISTING LITERATURE ABOUT THE RATIONALE AND BEST PRACTICES OF TSY INTERVENTION DURATION. 2021 6 2032 37 TAILORING TRAUMA-SENSITIVE YOGA FOR HIGH-RISK POPULATIONS IN PUBLIC-SECTOR SETTINGS. LOW-INCOME, RACIAL-MINORITY, HIGH-RISK POPULATIONS HAVE LIMITED ACCESS TO EVIDENCE-BASED TREATMENTS FOR POSTTRAUMATIC STRESS DISORDER (PTSD), AND THEIR ACCEPTANCE OF COMPLEMENTARY INTERVENTIONS IS UNKNOWN. TRAUMA CENTER TRAUMA-SENSITIVE YOGA (TC-TSY), WHICH HAS DEMONSTRATED EFFICACY IN COMMUNITY SAMPLES, HAS NOT YET BEEN WIDELY USED WITH ETHNIC MINORITY LOW-INCOME INDIVIDUALS. THIS ARTICLE PRESENTS A CULTURALLY TAILORED VERSION OF A TC-TSY INTERVENTION DELIVERED AS A DROP-IN SERVICE IN A PUBLIC HOSPITAL-BASED CLINIC TO PATIENTS WITH HISTORIES OF INTERPERSONAL VIOLENCE AND SUICIDE ATTEMPTS. TC-TSY WAS ITERATIVELY TAILORED TO MEET THE UNIQUE CLINICAL NEEDS OF INDIVIDUALS WITHIN THIS SETTING. GROUP FACILITATOR OBSERVATIONS ARE SUMMARIZED; THEY DESCRIBE A SUCCESSFUL INITIAL IMPLEMENTATION AND CULTURALLY INFORMED ADAPTATION OF THE GROUP INTERVENTION. THE FACILITATORS' OBSERVATIONS ILLUSTRATED THAT GROUP MEMBERS ACCEPTED THE INTEGRATION OF THIS STRUCTURED, GENTLE YOGA PRACTICE INTO OUTPATIENT BEHAVIORAL HEALTH PROGRAMMING AND IDENTIFIED SITE-SPECIFIC MODIFICATIONS TO INFORM FORMAL STUDY. THE PROCESS BY WHICH TC-TSY WAS ADAPTED AND IMPLEMENTED FOR BLACK INDIVIDUALS WITH A HISTORY OF INTERPERSONAL TRAUMA AT RISK FOR SUICIDAL BEHAVIOR CAN SERVE AS A GUIDE FOR TAILORING OTHER COMPLEMENTARY, INTEGRATIVE INTERVENTIONS TO MEET THE NEEDS OF UNIQUE CLINICAL SETTINGS. THIS PROCESS IS OFFERED AS A FOUNDATION FOR FUTURE SYSTEMATIC TESTING OF THIS COMPLEMENTARY, INTEGRATED, CULTURALLY ADAPTED TRAUMA THERAPY IN HIGH-RISK CLINICAL POPULATIONS. 2021 7 2019 37 SYNCHRONOUS TELEHEALTH YOGA AND COGNITIVE PROCESSING GROUP THERAPIES FOR WOMEN VETERANS WITH POSTTRAUMATIC STRESS DISORDER: A MULTISITE RANDOMIZED CONTROLLED TRIAL ADAPTED FOR COVID-19. BACKGROUND: PROVIDING CARE OVER TELEHEALTH GREW SLOWLY UNTIL THE COVID-19 PANDEMIC. SINCE THE ONSET OF THE COVID-19 PANDEMIC, PROVIDING MENTAL HEALTH CARE WAS READILY ADAPTED TO VIRTUAL MEANS; HOWEVER, CLINICAL TRIAL RESEARCH IS NASCENT IN ADAPTING METHODS AND PROCEDURES TO THE VIRTUAL WORLD. METHODS: WE PRESENT PROTOCOL MODIFICATIONS TO PIVOT A MULTISITE RANDOMIZED CONTROLLED TRIAL STUDY, CONDUCTED AT SOUTHEASTERN AND PACIFIC NORTHWESTERN VETERANS AFFAIRS HEALTH CARE SYSTEMS, FROM BEING CONDUCTED IN-PERSON TO VIRTUALLY, FOLLOWING THE ONSET OF THE COVID-19 PANDEMIC. WE MEASURED OUTCOMES OF POSTTRAUMATIC STRESS DISORDER (PTSD) SYMPTOMS AND PSYCHOPHYSIOLOGICAL MARKERS OF STRESS AMONG FEMALE VETERANS WITH PTSD SECONDARY TO MILITARY SEXUAL TRAUMA. WE COLLECTED QUALITATIVE DATA ABOUT PROVIDER AND PARTICIPANT EXPERIENCES WITH TELEHEALTH. RESULTS: ACROSS SITES, 200 PARTICIPANTS WERE CONSENTED (48 VIRTUALLY), 132 WERE RANDOMIZED (28 TO VIRTUAL GROUPS), AND 117 COMPLETED DATA COLLECTION AND TREATMENT (69 COMPLETED ALL OR SOME DATA COLLECTION OR TREATMENT VIRTUALLY). CONCLUSIONS: THE PIVOTS MADE FOR THIS STUDY WERE IN RESPONSE TO THE COVID-19 PANDEMIC AND OFFER INNOVATIVE PROCEDURES LEVERAGING TECHNOLOGY AND CONTRIBUTING TO THE BROADER LANDSCAPE OF CONDUCTING RESEARCH VIRTUALLY. CLINICAL TRIALS NUMBER: NCT02640690. 2022 8 1503 34 INVESTIGATING THE PERCEIVED FEASIBILITY OF INTEGRATIVE MEDICINE IN A CONVENTIONAL ONCOLOGY SETTING: YOGA THERAPY AS A TREATMENT FOR BREAST CANCER SURVIVORS. BACKGROUND: A MAJORITY OF CANCER SURVIVORS EXPERIENCE DEBILITATING EFFECT(S) RELATED TO THEIR CANCER DIAGNOSIS AND TREATMENTS ACROSS PHYSICAL, PSYCHOLOGICAL, SOCIAL, AND SPIRITUAL DOMAINS. TIMELY AND INNOVATIVE SOLUTIONS ARE NEEDED TO ADDRESS THE ADVERSE TREATMENT-RELATED EFFECTS AND OFTEN DISJOINTED SERVICES THAT BREAST CANCER PATIENTS FACE. RECENT STUDIES SUGGEST THAT THE MAJORITY OF BREAST CANCER SURVIVORS ARE USING COMPLEMENTARY AND ALTERNATIVE MEDICINE AT SOME POINT ALONG THEIR CANCER TRAJECTORY. IN RECENT YEARS, SCIENTISTS AND CLINICIANS HAVE EXAMINED THE EFFECTS OF YOGA THERAPY AMONG CANCER PATIENTS AND SURVIVORS. THE CURRENT STUDY EXAMINED THE PERCEIVED FEASIBILITY OF IMPLEMENTING YOGA THERAPY AS A TREATMENT SERVICE FOR BREAST CANCER PATIENTS AT A LARGE URBAN CANCER CENTER IN CANADA. METHODS: A MIXED-METHODS APPROACH THAT INCLUDED FOCUS GROUPS AND SELF-REPORTED SURVEYS WITH HEALTH CARE PROVIDERS (HCPS) AND BREAST CANCER PATIENTS WAS USED IN THIS RESEARCH. RESULTS: OVERALL, RESULTS INDICATED THAT BREAST CANCER PATIENTS AND HCPS WERE SUPPORTIVE AND EAGER FOR THE IMPLEMENTATION OF A YOGA THERAPY PROGRAM. SIX THEMES EMERGED FROM THE ANALYSIS OF THE FOCUS GROUP AND THE SURVEY DATA: (1) THE AVAILABILITY OF RESOURCES AND ACCESSIBILITY OF YOGA THERAPY, (2) THE CREDIBILITY AND TRANSPARENCY OF YOGA THERAPY, (3) THE UNDERSTANDING OF YOGA THERAPY, (4) AN EDUCATIONAL COMPONENT, (5) THE THERAPEUTIC CONTEXT, AND (6) THE INTEGRATION OF YOGA THERAPY. SPECIFIC FACILITATORS AND BARRIERS BECAME EVIDENT WITHIN THESE THEMES. CONCLUSIONS: ALTHOUGH ENTHUSIASM FOR THE IMPLEMENTATION OF AN INTEGRATIVE YOGA THERAPY PROGRAM WAS APPARENT AMONG BOTH BREAST CANCER SURVIVORS AND HCPS, BARRIERS WERE ALSO IDENTIFIED. THE FINDINGS OF THIS STUDY ARE CURRENTLY BEING USED TO INFORM A LARGE-SCALE PROGRAM OF RESEARCH AIMED AT DEVELOPING INTEGRATIVE TREATMENT SERVICES FOR BREAST CANCER PATIENTS, BEGINNING WITH YOGA THERAPY. 2013 9 1872 22 RAPID CONVERSION OF A GROUP-BASED YOGA TRIAL FOR DIVERSE OLDER WOMEN TO HOME-BASED TELEHEALTH: LESSONS LEARNED USING ZOOM TO DELIVER MOVEMENT-BASED INTERVENTIONS. THIS BRIEF REPORT DESCRIBES THE RAPID CONVERSION OF A RANDOMIZED TRIAL OF A HATHA-BASED YOGA PROGRAM FOR OLDER WOMEN WITH URINARY INCONTINENCE TO A TELEHEALTH VIDEOCONFERENCE PLATFORM DURING THE CORONAVIRUS DISEASE 2019 (COVID-19) PANDEMIC. INTERIM RESULTS DEMONSTRATE THE FEASIBILITY OF RECRUITING AND RETAINING PARTICIPANTS ACROSS A WIDE RANGE OF AGES AND ETHNIC BACKGROUNDS, BUT ALSO POINT TO POTENTIAL OBSTACLES AND SAFETY CONCERNS ARISING FROM TELEHEALTH-BASED INSTRUCTION. THE INVESTIGATORS PRESENT LESSONS LEARNED ABOUT THE BENEFITS AND CHALLENGES OF USING TELEHEALTH PLATFORMS TO DELIVER MOVEMENT-BASED INTERVENTIONS AND CONSIDER STRATEGIES TO PROMOTE ACCESSIBLE AND WELL-TOLERATED TELEHEALTH-BASED YOGA PROGRAMS FOR OLDER AND DIVERSE POPULATIONS. CLINICAL TRIAL REGISTRATION NUMBER: NCT03672461. 2022 10 2312 35 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 11 1635 40 MODERATORS OF TREATMENT EFFICACY IN A RANDOMIZED CONTROLLED TRIAL OF TRAUMA-SENSITIVE YOGA AS AN ADJUNCTIVE TREATMENT FOR POSTTRAUMATIC STRESS DISORDER. OBJECTIVE: THIS STUDY IS A FOLLOW-UP TO VAN DER KOLK ET AL. (2014), A TRIAL CONDUCTED THROUGH THE TRAUMA CENTER AT JUSTICE RESOURCE INSTITUTE, WHICH DEMONSTRATED TREATMENT EFFICACY AND REMAINS THE ONLY RANDOMIZED CONTROLLED TRIAL OF TRAUMA-SENSITIVE YOGA. THE PRESENT PROCESS STUDY EXTENDS THE OUTCOMES STUDY BY EXAMINING TREATMENT MODERATORS OF THE ORIGINAL TRIAL. METHOD: SIXTY-FOUR WOMEN WITH CHILDHOOD INTERPERSONAL TRAUMA HISTORIES AND POSTTRAUMATIC STRESS DISORDER PARTICIPATED IN THE INTERVENTIONS: TRAUMA CENTER TRAUMA-SENSITIVE YOGA (TCTSY) VERSUS ACTIVE CONTROL (WOMEN'S HEALTH EDUCATION). ANALYSES EXPLORED IF ADULT-ONSET INTERPERSONAL TRAUMA AND BASELINE PSYCHOLOGICAL MEASURES (CLINICIAN-RATED AND SELF-REPORTED PTSD, DISSOCIATION, DEPRESSION, PSYCHOLOGICAL FUNCTIONING) MODERATED PTSD CHANGES. RESULTS: THREE OF SIX MEASURES HAD SMALL EFFECTS IN MODERATING THE RELATIONSHIP BETWEEN ADULT-ONSET INTERPERSONAL TRAUMA AND TCTSY EFFICACY, IN WHICH TCTSY WAS MOST EFFICACIOUS FOR THOSE WITH FEWER ADULT-ONSET INTERPERSONAL TRAUMAS. WITHIN THIS SUBGROUP, VARIOUS LEVELS OF ALL BASELINE MEASURES EXCEPT DEPRESSION INDICATED THAT TCTSY WAS MORE EFFECTIVE IN REDUCING PTSD THAN THE ACTIVE CONTROL CONDITION. CONCLUSIONS: BY DELINEATING CLIENT CHARACTERISTICS MOST ASSOCIATED WITH PTSD IMPROVEMENTS, PRACTITIONERS MAY BEST TARGET YOGA INTERVENTIONS TO INCREASE EFFECTIVENESS. (PSYCINFO DATABASE RECORD (C) 2020 APA, ALL RIGHTS RESERVED). 2020 12 2520 41 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 13 126 34 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 14 180 26 A RANDOMIZED CONTROLLED TRIAL OF YOGA FOR PREGNANT WOMEN WITH SYMPTOMS OF DEPRESSION AND ANXIETY. BACKGROUND: YOGA MAY BE WELL SUITED FOR DEPRESSED AND ANXIOUS PREGNANT WOMEN, GIVEN REPORTED BENEFITS OF MEDITATION AND PHYSICAL ACTIVITY AND PREGNANT WOMEN'S PREFERENCE FOR NONPHARMACOLOGICAL TREATMENTS. METHODS: WE RANDOMLY ASSIGNED 46 PREGNANT WOMEN WITH SYMPTOMS OF DEPRESSION AND ANXIETY TO AN 8-WEEK YOGA INTERVENTION OR TREATMENT-AS-USUAL (TAU) IN ORDER TO EXAMINE FEASIBILITY AND PRELIMINARY OUTCOMES. RESULTS: YOGA WAS ASSOCIATED WITH HIGH LEVELS OF CREDIBILITY AND SATISFACTION AS AN INTERVENTION FOR DEPRESSION AND ANXIETY DURING PREGNANCY. PARTICIPANTS IN BOTH CONDITIONS REPORTED SIGNIFICANT IMPROVEMENT IN SYMPTOMS OF DEPRESSION AND ANXIETY OVER TIME; AND YOGA WAS ASSOCIATED WITH SIGNIFICANTLY GREATER REDUCTION IN NEGATIVE AFFECT AS COMPARED TO TAU (BETA = -0.53, SE = 0.20, P = .011). CONCLUSION: PRENATAL YOGA WAS FOUND TO BE A FEASIBLE AND ACCEPTABLE INTERVENTION AND WAS ASSOCIATED WITH REDUCTIONS IN SYMPTOMS OF ANXIETY AND DEPRESSION; HOWEVER, PRENATAL YOGA ONLY SIGNIFICANTLY OUTPERFORMED TAU ON REDUCTION OF NEGATIVE AFFECT. 2015 15 421 30 BRIDGING BODY AND MIND: CONSIDERATIONS FOR TRAUMA-INFORMED YOGA. INDIVIDUALS WHO SUFFER FROM TRAUMA-RELATED SYMPTOMS ARE A UNIQUE POPULATION THAT COULD BENEFIT FROM THE MIND-BODY PRACTICE OF YOGA-OR HAVE THEIR SYMPTOMS REACTIVATED BY IT, DEPENDING ON THE TYPE OF YOGA. TRAUMA-INFORMED YOGA (TIY), THAT IS, YOGA ADAPTED TO THE UNIQUE NEEDS OF INDIVIDUALS WORKING TO OVERCOME TRAUMA, MAY AMELIORATE SYMPTOMS BY CREATING A SAFE, TAILORED PRACTICE FOR STUDENTS TO LEARN HOW TO RESPOND, RATHER THAN REACT, TO SYMPTOMS AND CIRCUMSTANCES. YOGA NOT THUS ADAPTED, ON THE OTHER HAND, MAY INCREASE REACTIVITY AND ACTIVATE SYMPTOMS SUCH AS HYPERAROUSAL OR DISSOCIATION. THIS ARTICLE REPORTS ON EXPERT INPUT ABOUT ADAPTING YOGA FOR INDIVIDUALS WITH TRAUMA, WITH SPECIAL CONSIDERATIONS FOR MILITARY POPULATIONS. ELEVEN EXPERTS, RECRUITED BASED ON LITERATURE REVIEW AND REFERRALS, WERE INTERVIEWED IN PERSON OR VIA TELEPHONE AND ASKED SEVEN QUESTIONS ABOUT TRAUMA-INFORMED YOGA. VERBATIM TRANSCRIPTS WERE SUBJECTED TO OPEN-CODING THEMATIC ANALYSIS AND A PRIORI THEMES. FINDINGS REVEALED THAT TIY NEEDS TO EMPHASIZE BENEFICIAL PRACTICES (E.G., DIAPHRAGMATIC BREATH AND RESTORATIVE POSTURES), CONSIDER CONTRAINDICATIONS (E.G., AVOIDING SEQUENCES THAT OVERLY ENGAGE THE SYMPATHETIC NERVOUS SYSTEM), ADAPT TO LIMITATIONS AND CHALLENGES FOR TEACHING IN UNCONVENTIONAL SETTINGS (E.G., PRISONS, VA HOSPITALS), AND PROVIDE SPECIALIZED TRAINING AND PREPARATION (E.G., SPECIALIZED TIY CERTIFICATIONS, SELF-CARE OF INSTRUCTORS/THERAPISTS, ADAPTIONS FOR STUDENT NEEDS). TIY FOR VETERANS MUST ADDITIONALLY CONSIDER GENDER- AND CULTURE-RELATED BARRIERS, DIFFERING RELATIONSHIPS TO PAIN AND INJURY, AND MEDICATION AS A BARRIER TO PRACTICE. 2018 16 2763 38 YOGA PROGRAM FOR TYPE 2 DIABETES PREVENTION (YOGA-DP) AMONG HIGH-RISK PEOPLE: QUALITATIVE STUDY TO EXPLORE REASONS FOR NON-PARTICIPATION IN A FEASIBILITY RANDOMIZED CONTROLLED TRIAL IN INDIA. BACKGROUND: YOGA-BASED INTERVENTIONS CAN BE EFFECTIVE IN PREVENTING TYPE 2 DIABETES MELLITUS (T2DM). WE DEVELOPED A YOGA PROGRAM FOR T2DM PREVENTION (YOGA-DP) AMONG HIGH-RISK PEOPLE AND CONDUCTED A FEASIBILITY RANDOMIZED CONTROLLED TRIAL (RCT) IN INDIA. THE OBJECTIVE OF THIS STUDY WAS TO IDENTIFY AND EXPLORE WHY POTENTIAL PARTICIPANTS DECLINED TO PARTICIPATE IN THE FEASIBILITY RCT. METHODS: AN EXPLORATORY QUALITATIVE STUDY, USING SEMI-STRUCTURED INTERVIEWS, WAS CONDUCTED AT A YOGA CENTER IN NEW DELHI, INDIA. FOURTEEN PEOPLE (10 WOMEN AND FOUR MEN) WHO DECLINED TO PARTICIPATE IN THE FEASIBILITY RCT WERE INTERVIEWED, AND 13 OF THEM COMPLETED THE NON-PARTICIPANT QUESTIONNAIRE, WHICH CAPTURED THEIR SOCIO-DEMOGRAPHICS, DIETS, PHYSICAL ACTIVITIES, AND REASONS FOR DECLINING. RESULTS: THREE TYPES OF BARRIERS WERE IDENTIFIED AND EXPLORED WHICH PREVENTED PARTICIPATION IN THE FEASIBILITY RCT: (1) PERSONAL BARRIERS, SUCH AS LACK OF TIME, PERCEIVED SUFFICIENCY OF KNOWLEDGE, PREFERENCES ABOUT SELF-MANAGEMENT OF HEALTH, AND TRUST IN OTHER TRADITIONAL AND ALTERNATIVE THERAPIES; (2) CONTEXTUAL BARRIERS, SUCH AS SOCIAL INFLUENCES AND LACK OF AWARENESS ABOUT PREVENTIVE CARE; AND (3) STUDY-RELATED BARRIERS, SUCH AS LACK OF STUDY INFORMATION, POOR ACCESSIBILITY TO THE YOGA SITE, AND LACK OF TRUST IN THE STUDY METHODS AND INTERVENTION. CONCLUSIONS: WE IDENTIFIED AND EXPLORED PERSONAL, CONTEXTUAL, AND STUDY-RELATED BARRIERS TO PARTICIPATION IN A FEASIBILITY RCT IN INDIA. THE FINDINGS WILL HELP TO ADDRESS RECRUITMENT CHALLENGES IN FUTURE YOGA AND OTHER RCTS. CLINICAL TRIAL REGISTRATION:WWW.CLINICALTRIALS.GOV, IDENTIFIER: CTRI/2019/05/018893. 2021 17 250 37 A YOGA INTERVENTION PROGRAM FOR PATIENTS SUFFERING FROM SYMPTOMS OF POSTTRAUMATIC STRESS DISORDER: A QUALITATIVE DESCRIPTIVE STUDY. OBJECTIVE: TO UNDERSTAND HOW INDIVIDUALS WITH SYMPTOMS OF POSTTRAUMATIC STRESS DISORDER (PTSD) PERCEIVE A TRAUMA-SENSITIVE KUNDALINI YOGA (KY) PROGRAM. METHODS: DIGITALLY RECORDED TELEPHONE INTERVIEWS 30-60 MINUTES IN DURATION WERE CONDUCTED WITH 40 INDIVIDUALS WITH PTSD PARTICIPATING IN AN 8-WEEK KY TREATMENT PROGRAM. INTERVIEWS WERE TRANSCRIBED VERBATIM AND ANALYZED USING QUALITATIVE THEMATIC ANALYSIS TECHNIQUES. RESULTS: QUALITATIVE ANALYSIS IDENTIFIES THREE MAJOR THEMES: SELF-OBSERVED CHANGES, NEW AWARENESS, AND THE YOGA PROGRAM ITSELF. FINDINGS SUGGEST THAT PARTICIPANTS NOTED CHANGES IN AREAS OF HEALTH AND WELL-BEING, LIFESTYLE, PSYCHOSOCIAL INTEGRATION, AND PERCEPTIONS OF SELF IN RELATION TO THE WORLD. PRESENTED ARE PRACTICAL SUGGESTIONS FOR TRAUMA-RELATED PROGRAMMING. CONCLUSION: THERE IS A NEED TO CONSIDER ALTERNATIVE AND POTENTIALLY EMPOWERING APPROACHES TO TRAUMA TREATMENT. YOGA-RELATED SELF-CARE OR SELF-MANAGEMENT STRATEGIES ARE WIDELY ACCESSIBLE, ARE EMPOWERING, AND MAY ADDRESS THE MIND-BODY ELEMENTS OF PTSD. 2015 18 491 28 CO-DESIGNING A NEW YOGA-BASED MINDFULNESS INTERVENTION FOR SURVIVORS OF STROKE: A FORMATIVE EVALUATION. MOVEMENT-BASED MINDFULNESS INTERVENTIONS (MBI) ARE COMPLEX, MULTI-COMPONENT INTERVENTIONS FOR WHICH THE DESIGN PROCESS IS RARELY REPORTED. FOR PEOPLE WITH STROKE, EMERGING EVIDENCE SUGGESTS BENEFITS, BUT MAINSTREAM PROGRAMS ARE GENERALLY UNSUITABLE. WE AIMED TO DESCRIBE THE PROCESSES INVOLVED AND TO CONDUCT A FORMATIVE EVALUATION OF THE DEVELOPMENT OF A NOVEL YOGA-BASED MBI DESIGNED FOR SURVIVORS OF STROKE. WE USED THE MEDICAL RESEARCH COUNCIL COMPLEX INTERVENTIONS FRAMEWORK AND PRINCIPLES OF CO-DESIGN. WE PURPOSEFULLY APPROACHED HEALTH PROFESSIONALS AND CONSUMERS TO ESTABLISH AN ADVISORY COMMITTEE FOR DEVELOPING THE INTERVENTION. MEMBERS COLLABORATED AND ITERATIVELY REVIEWED THE DESIGN AND CONTENT OF THE PROGRAM, FORMATTED INTO A TRAINING MANUAL. FOUR EXTERNAL YOGA TEACHERS INDEPENDENTLY REVIEWED THE PROGRAM. FORMATIVE EVALUATION INCLUDED REVIEW OF MULTIPLE DATA SOURCES AND DOCUMENTATION (E.G., FORMAL MEETING MINUTES, FOCUS GROUP DISCUSSIONS, RESEARCHER OBSERVATIONS). THE DATA WERE SYNTHESIZED USING INDUCTIVE THEMATIC ANALYSIS. THREE BROAD THEMES EMERGED: (A) MBI CONTENT AND TERMINOLOGY; (B) MANUAL DESIGN AND READABILITY; AND (C) BARRIERS AND ENABLERS TO DELIVER THE INTERVENTION. VARIOUS PERSPECTIVES AND FEEDBACK ON ESSENTIAL COMPONENTS GUIDED FINALIZING THE PROGRAM. THE DESIGN PHASE OF A NOVEL YOGA-BASED MBI WAS STRENGTHENED BY INTERDISCIPLINARY, CONSUMER CONTRIBUTIONS AND PEER REVIEW. THE 12-WEEK INTERVENTION IS READY FOR TESTING AMONG SURVIVORS OF STROKE. 2021 19 144 38 A QUALITATIVE APPROACH EXPLORING THE ACCEPTABILITY OF YOGA FOR MINORITIES LIVING WITH ARTHRITIS: 'WHERE ARE THE PEOPLE WHO LOOK LIKE ME?' OBJECTIVES: TO EXAMINE THE ACCEPTABILITY OF YOGA RESEARCH TAILORED TO RECRUIT AND RETAIN A MINORITY POPULATION (BOTH ENGLISH AND SPANISH SPEAKING) WITH ARTHRITIS. YOGA RESEARCH FOR ARTHRITIS OFTEN UNDERREPRESENTS MINORITIES AND ACCEPTABILITY FOR THIS POPULATION HAS NOT PREVIOUSLY BEEN INVESTIGATED. DESIGN: ACCEPTABILITY WAS EVALUATED USING RETENTION, ADHERENCE, JOURNALS, AND SEMI-STRUCTURED EXIT INTERVIEWS FROM TWELVE PARTICIPANTS WITH OSTEOARTHRITIS OR RHEUMATOID ARTHRITIS UNDERGOING AN 8-WEEK YOGA INTERVENTION. JOURNAL QUOTES WERE ANALYZED USING CONTENT ANALYSIS TECHNIQUES. NVIVO SOFTWARE WAS USED TO ORGANIZE TRANSCRIPTS AND ASSEMBLE THEMES. TWO METHODS OF TRIANGULATION (DATA AND INVESTIGATOR) WERE USED TO OVERCOME POTENTIAL BIAS FROM A SINGLE-PERSPECTIVE INTERPRETATION. EXIT INTERVIEW COMMENTS WERE CONTENT ANALYZED USING A CARD SORT METHOD. THE STUDY WAS DESIGNED WITH A CULTURAL INFRASTRUCTURE INCLUDING A MULTICULTURAL RESEARCH TEAM, TRANSLATORS, AND BILINGUAL MATERIALS AND CLASSES, TO FACILITATE TRUST AND ACCEPTABILITY FOR PRIMARILY HISPANIC AND BLACK/AFRICAN-AMERICAN ADULTS. SETTING: WASHINGTON, D.C. METROPOLITAN AREA, USA. RESULTS: ON AVERAGE PARTICIPANTS ATTENDED 10 OF 16 CLASSES, WITH HOME PRACTICE 2-3DAYS A WEEK. ALL WHO COMPLETED WERE STILL PRACTICING YOGA THREE-MONTHS LATER. QUALITATIVE NARRATIVE ANALYSIS IDENTIFIED MAJOR THEMES RELATED TO FACILITATING FACTORS AND BARRIERS FOR YOGA PRACTICE, SELF-EFFICACY, AND SUPPORT. PARTICIPANT COMMENTS INDICATED THAT OFFERING AN ARTHRITIS-BASED YOGA INTERVENTION AND USING A CULTURALLY CONGRUENT RESEARCH DESIGN WAS FOUND TO BE ACCEPTABLE. CONCLUSIONS: AS YOGA RESEARCH GROWS, THERE IS A NEED TO UNDERSTAND AND PROMOTE ACCEPTABILITY FOR TYPICALLY UNDER-REPRESENTED POPULATIONS. THIS STUDY ATTEMPTS TO INFORM THE EXPANSION OF MULTICULTURAL RESEARCH DESIGNED TO RECRUIT AND RETAIN THOSE FROM DIVERSE BACKGROUNDS. 2017 20 156 32 A QUALITATIVE STUDY OF LOVEYOURBRAIN YOGA: A GROUP-BASED YOGA WITH PSYCHOEDUCATION INTERVENTION TO FACILITATE COMMUNITY INTEGRATION FOR PEOPLE WITH TRAUMATIC BRAIN INJURY AND THEIR CAREGIVERS. PURPOSE: TO EXPLORE PARTICIPANTS' EXPERIENCES IN A GROUP-BASED YOGA WITH PSYCHOEDUCATION INTERVENTION DESIGNED TO FACILITATE COMMUNITY INTEGRATION FOR PEOPLE WITH TRAUMATIC BRAIN INJURY AND THEIR CAREGIVERS.MATERIALS AND METHODS: WE CONDUCTED SEMI-STRUCTURED INTERVIEWS WITH 13 PEOPLE WITH TRAUMATIC BRAIN INJURY AND THREE CAREGIVERS WHO HAD COMPLETED LOVEYOURBRAIN YOGA, A 6-SESSION, MANUALIZED, GROUP-BASED YOGA INTERVENTION THAT INCORPORATES BREATHING EXERCISES, YOGA, MEDITATION, AND PSYCHOEDUCATION. INTERVIEWS WERE ANALYZED USING CONTENT ANALYSIS.RESULTS: WE IDENTIFIED SEVEN THEMES: EASE OF PARTICIPATION, BELONGING, SUSTAINING COMMUNITY CONNECTION, PHYSICAL HEALTH, SELF-REGULATION, SELF-EFFICACY, AND RESILIENCE. ALL PARTICIPANTS VALUED THE COMMUNITY-BASED YOGA STUDIO ENVIRONMENT AND MULTIFACETED STRUCTURE OF THE PROGRAM. PARTICIPANTS REPORTED IMPROVEMENTS IN STRENGTH, BALANCE, FLEXIBILITY, AND ATTENTION CONTROL, AND A GREATER SENSE OF BELONGING, COMMUNITY CONNECTION, AND ABILITY TO MOVE FORWARD WITH THEIR LIVES. PARTICIPANTS REPORTED ONGOING USE OF TOOLS (E.G., BREATHING EXERCISES) TO COPE WITH NEGATIVE EMOTIONS AND STRESS. ABOUT HALF OF PARTICIPANTS SUSTAINED RELATIONSHIPS BUILT DURING LOVEYOURBRAIN YOGA AND FELT MORE CAPABLE OF ACCESSING OTHER ACTIVITIES IN THEIR COMMUNITY.CONCLUSIONS: LOVEYOURBRAIN YOGA SUCCESSFULLY PROMOTED COMMUNITY INTEGRATION FOR PEOPLE WITH TRAUMATIC BRAIN INJURY. IT ALSO FACILITATED DIVERSE AND MEANINGFUL PHYSICAL, PSYCHOLOGICAL, AND SOCIAL HEALTH BENEFITS, WHICH SUGGEST THAT IT MAY BE AN EFFECTIVE MODE OF COMMUNITY-BASED REHABILITATION.IMPLICATIONS FOR REHABILITATIONTRAUMATIC BRAIN INJURY SURVIVORS OFTEN STRUGGLE TO PARTICIPATE IN THEIR COMMUNITY, THE ULTIMATE GOAL OF REHABILITATIONYOGA IS A HOLISTIC THERAPY WITH MANY BENEFITS, YET IS NOT ACCESSIBLE TO THE TRAUMATIC BRAIN INJURY POPULATION AT THE COMMUNITY LEVELPARTICIPANTS IN A COMMUNITY-BASED YOGA WITH PSYCHOEDUCATION INTERVENTION IN SIX STATES EXPERIENCED DIVERSE AND MEANINGFUL PHYSICAL, PSYCHOLOGICAL, AND SOCIAL HEALTH BENEFITSGROUP-BASED YOGA WITH PSYCHOEDUCATION MAY BE AN EFFECTIVE MODE OF COMMUNITY INTEGRATION AND COMMUNITY-BASED REHABILITATION FOR TRAUMATIC BRAIN INJURY SURVIVORS. 2020