1 2035 97 TELE-YOGA FOR CHRONIC PAIN: CURRENT STATUS AND FUTURE DIRECTIONS. PAIN IS A PERVASIVE, DEBILITATING DISORDER THAT IS RESISTANT TO LONG-TERM PHARMACOLOGICAL INTERVENTIONS. ALTHOUGH PSYCHOLOGICAL THERAPIES SUCH AS COGNITIVE BEHAVIOR THERAPY DEMONSTRATE MODERATE EFFICACY, MANY INDIVIDUALS CONTINUE TO HAVE ONGOING DIFFICULTIES FOLLOWING TREATMENT. THERE IS A CURRENT TREND TO ESTABLISH COMPLEMENTARY AND INTEGRATIVE HEALTH INTERVENTIONS FOR CHRONIC PAIN, FOR WHICH YOGA HAS BEEN FOUND TO HAVE EXCITING POTENTIAL. NEVERTHELESS, AN IMPORTANT CONSIDERATION WITHIN THE FIELD IS ACCESSIBILITY TO ADEQUATE CARE. TELEHEALTH CAN BE USED TO PROVIDE REAL-TIME INTERACTIVE VIDEO CONFERENCING LEADING TO INCREASED ACCESS TO HEALTH CARE FOR INDIVIDUALS LOCATED REMOTELY OR WHO OTHERWISE HAVE DIFFICULTY ACCESSING SERVICES, PERHAPS THROUGH ISSUES OF MOBILITY OR PROXIMITY OF ADEQUATE SERVICES. THIS ARTICLE ASSESSES THE CURRENT STATUS AND FEASIBILITY OF IMPLEMENTING TELE-YOGA FOR CHRONIC PAIN. METHODOLOGICAL LIMITATIONS AND RECOMMENDATIONS FOR FUTURE RESEARCH ARE DISCUSSED. 2018 2 2286 33 THE USE OF YOGA IN SPECIALIZED VA PTSD TREATMENT PROGRAMS. BACKGROUND: POSTTRAUMATIC STRESS DISORDER (PTSD) IS A CHRONIC, DEBILITATING ANXIETY DISORDER THAT IS HIGHLY PREVALENT AMONG U.S. MILITARY VETERANS. YOGA, DEFINED TO INCLUDE PHYSICAL POSTURES (ASANA) AND MINDFULNESS AND MEDITATION, IS BEING INCREASINGLY USED AS AN ADJUNCTIVE TREATMENT FOR PTSD AND OTHER PSYCHOLOGICAL DISORDERS. NO RESEARCH OR ADMINISTRATIVE DATA HAVE DETAILED THE USE OF THESE SERVICES IN DEPARTMENT OF VETERANS AFFAIRS' (VA) 170 PTSD TREATMENT PROGRAMS. METHODS: ONE HUNDRED TWENTY-FIVE PROGRAM COORDINATORS OR DESIGNATED STAFF COMPLETED AN 81-ITEM SURVEY OF THEIR PROGRAM'S USE OF COMPLEMENTARY AND ALTERNATIVE MEDICINE MODALITIES IN THE PAST YEAR. THIS REPORT DESCRIBES DATA FROM A SUBSET OF 30 QUESTIONS USED TO ASSESS THE PREVALENCE, NATURE, AND CONTEXT OF THE USE OF YOGA, MINDFULNESS, AND MEDITATION OTHER THAN MINDFULNESS PRACTICES. RESULTS: RESULTS REVEALED THAT THESE PRACTICES ARE WIDELY OFFERED IN VA SPECIALIZED PTSD TREATMENT PROGRAMS AND THAT THERE IS GREAT VARIABILITY IN THE CONTEXT AND NATURE OF HOW THEY ARE DELIVERED. CONCLUSIONS: UNDERSTANDING HOW YOGA IS USED BY THESE PROGRAMS MAY INFORM ONGOING EFFORTS TO DEFINE AND DISTINGUISH YOGA THERAPY AS A RESPECTED THERAPEUTIC DISCIPLINE AND TO CREATE PATIENT-CENTERED CARE MODELS THAT MINDFULLY FULFILL THE UNMET NEEDS OF INDIVIDUALS WITH MENTAL HEALTH ISSUES, INCLUDING VETERANS WITH PTSD. 2012 3 2843 24 YOGA, COGNITIVE-BEHAVIOURAL THERAPY VERSUS EDUCATION TO IMPROVE QUALITY OF LIFE AND REDUCE HEALTHCARE COSTS IN PEOPLE WITH ENDOMETRIOSIS: A RANDOMISED CONTROLLED TRIAL. INTRODUCTION: ENDOMETRIOSIS IS A DEBILITATING CHRONIC INFLAMMATORY CONDITION HIGHLY BURDENSOME TO THE HEALTHCARE SYSTEM. THE PRESENT TRIAL WILL ESTABLISH THE EFFICACY OF (1) YOGA AND (2) COGNITIVE-BEHAVIOURAL THERAPY (CBT), ABOVE (3) EDUCATION, ON QUALITY OF LIFE, BIOPSYCHOSOCIAL OUTCOMES AND COST-EFFECTIVENESS. METHODS AND ANALYSIS: THIS STUDY IS A PARALLEL RANDOMISED CONTROLLED TRIAL. PARTICIPANTS WILL BE RANDOMLY ALLOCATED TO YOGA, CBT OR EDUCATION. PARTICIPANTS WILL BE ENGLISH-SPEAKING ADULTS, HAVE A DIAGNOSIS OF ENDOMETRIOSIS BY A QUALIFIED PHYSICIAN, WITH PAIN FOR AT LEAST 6 MONTHS, AND ACCESS TO INTERNET. PARTICIPANTS WILL ATTEND 8 WEEKLY GROUP CBT SESSIONS OF 120 MIN; OR 8 WEEKLY GROUP YOGA SESSIONS OF 60 MIN; OR RECEIVE WEEKLY EDUCATIONAL HANDOUTS ON ENDOMETRIOSIS. THE PRIMARY OUTCOME MEASURE IS QUALITY OF LIFE. THE ANALYSIS WILL INCLUDE MIXED-EFFECTS ANALYSIS OF VARIANCE AND LINEAR MODELS, COST-UTILITY ANALYSIS FROM A SOCIETAL AND HEALTH SYSTEM PERSPECTIVE AND QUALITATIVE THEMATIC ANALYSIS. ETHICS AND DISSEMINATION: ENROLMENT IN THE STUDY IS VOLUNTARY AND PARTICIPANTS CAN WITHDRAW AT ANY TIME. PARTICIPANTS WILL BE GIVEN THE OPTION TO DISCUSS THE STUDY WITH THEIR NEXT OF KIN/TREATING PHYSICIAN. FINDINGS WILL BE DISSEMINATED VIA PUBLICATIONS, CONFERENCES AND BRIEFS TO PROFESSIONAL ORGANISATIONS. THE UNIVERSITY'S MEDIA TEAM WILL ALSO BE USED TO FURTHER DISSEMINATE VIA LAY PERSON ARTICLES AND MEDIA RELEASES. TRIAL REGISTRATION NUMBER: ACTRN12620000756921P; PRE-RESULTS. 2021 4 113 28 A PILOT STUDY OF A RANDOMIZED CONTROLLED TRIAL OF YOGA AS AN INTERVENTION FOR PTSD SYMPTOMS IN WOMEN. POSTTRAUMATIC STRESS DISORDER (PTSD) IS A DEBILITATING CONDITION THAT AFFECTS APPROXIMATELY 10% OF WOMEN IN THE UNITED STATES. ALTHOUGH EFFECTIVE PSYCHOTHERAPEUTIC TREATMENTS FOR PTSD EXIST, CLIENTS WITH PTSD REPORT ADDITIONAL BENEFITS OF COMPLEMENTARY AND ALTERNATIVE APPROACHES SUCH AS YOGA. IN PARTICULAR, YOGA MAY DOWNREGULATE THE STRESS RESPONSE AND POSITIVELY IMPACT PTSD AND COMORBID DEPRESSION AND ANXIETY SYMPTOMS. WE CONDUCTED A PILOT STUDY OF A RANDOMIZED CONTROLLED TRIAL COMPARING A 12-SESSION KRIPALU-BASED YOGA INTERVENTION WITH AN ASSESSMENT CONTROL GROUP. PARTICIPANTS INCLUDED 38 WOMEN WITH CURRENT FULL OR SUBTHRESHOLD PTSD SYMPTOMS. DURING THE INTERVENTION, YOGA PARTICIPANTS SHOWED DECREASES IN REEXPERIENCING AND HYPERAROUSAL SYMPTOMS. THE ASSESSMENT CONTROL GROUP, HOWEVER, SHOWED DECREASES IN REEXPERIENCING AND ANXIETY SYMPTOMS AS WELL, WHICH MAY BE A RESULT OF THE POSITIVE EFFECT OF SELF-MONITORING ON PTSD AND ASSOCIATED SYMPTOMS. BETWEEN-GROUPS EFFECT SIZES WERE SMALL TO MODERATE (0.08-0.31). ALTHOUGH MORE RESEARCH IS NEEDED, YOGA MAY BE AN EFFECTIVE ADJUNCTIVE TREATMENT FOR PTSD. PARTICIPANTS RESPONDED POSITIVELY TO THE INTERVENTION, SUGGESTING THAT IT WAS TOLERABLE FOR THIS SAMPLE. FINDINGS UNDERSCORE THE NEED FOR FUTURE RESEARCH INVESTIGATING MECHANISMS BY WHICH YOGA MAY IMPACT MENTAL HEALTH SYMPTOMS, GENDER COMPARISONS, AND THE LONG-TERM EFFECTS OF YOGA PRACTICE. 2014 5 181 25 A RANDOMIZED CONTROLLED TRIAL OF YOGA VS NONAEROBIC EXERCISE FOR VETERANS WITH PTSD: UNDERSTANDING EFFICACY, MECHANISMS OF CHANGE, AND MODE OF DELIVERY. BACKGROUND AND OBJECTIVES: POSTTRAUMATIC STRESS DISORDER (PTSD) IS A CHRONIC, DISABLING, AND PREVALENT MENTAL HEALTH DISORDER AMONG VETERANS. DESPITE THE AVAILABILITY OF EMPIRICALLY SUPPORTED PSYCHOTHERAPIES, MANY VETERANS REMAIN SYMPTOMATIC AFTER TREATMENT AND/OR PREFER TO SEEK COMPLEMENTARY AND INTEGRATIVE HEALTH APPROACHES, INCLUDING YOGA, TO MANAGE PTSD. THE RANDOMIZED CONTROLLED TRIAL (RCT) DESCRIBED HEREIN WILL EVALUATE THE EFFICACY OF A MANUALIZED YOGA PROGRAM AS COMPARED TO NONAEROBIC EXERCISE IN REDUCING PTSD SEVERITY AMONG VETERANS. A SECONDARY AIM OF THIS STUDY IS TO BETTER UNDERSTAND THE MECHANISMS OF CHANGE. METHODS: VETERANS (N = 192) WITH PTSD WILL BE RANDOMIZED TO HATHA YOGA OR NONAEROBIC PHYSICAL ACTIVITY CONTROL; BOTH GROUPS CONSIST OF 12 WEEKLY, 60-MIN GROUP OR ONLINE TRAINING SESSIONS WITH 15-20 MIN OF DAILY AT-HOME PRACTICE. OUTCOME MEASURES WILL BE ADMINISTERED AT BASELINE, MID-TREATMENT, POSTTREATMENT, AND 12-WEEK FOLLOW-UP. PROJECTED OUTCOMES: THIS STUDY WILL EVALUATE CHANGES IN PTSD SEVERITY (PRIMARY OUTCOME) AS WELL AS DEPRESSION, ANXIETY, ANGER, SLEEP PROBLEMS, AND PSYCHOSOCIAL DISABILITY (SECONDARY OUTCOMES). WE WILL ALSO USE MULTIPLE MEDIATION TO EXAMINE TWO POTENTIAL MODELS OF THE MECHANISMS OF CLINICAL EFFECT: THE ATTENTION MODEL (I.E., YOGA INCREASES ATTENTIONAL CONTROL, WHICH REDUCES PTSD SYMPTOMS), THE COPING MODEL (I.E., YOGA INCREASES DISTRESS TOLERANCE, WHICH IMPROVES COPING, WHICH REDUCES PTSD SYMPTOMS), AND THE COMBINATION OF THESE MODELS. THIS ASPECT OF THE STUDY IS INNOVATIVE AND IMPORTANT GIVEN THE ABSENCE OF AN EXISTING, COMPREHENSIVE MODEL FOR UNDERSTANDING YOGA'S IMPACT ON PTSD. ULTIMATELY, WE HOPE TO DEVELOP GUIDELINES FOR APPLICATION OF YOGA TO PTSD RECOVERY. 2021 6 2019 19 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 7 2032 34 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 8 349 24 ASSESSING THE EFFECTIVENESS OF YOGA AS A COMPLEMENTARY AND ALTERNATIVE TREATMENT FOR POST-TRAUMATIC STRESS DISORDER: A REVIEW AND SYNTHESIS. OBJECTIVES: POSTTRAUMATIC STRESS DISORDER (PTSD) IS A DEBILITATING CONDITION THAT AFFECTS MANY WHO HAVE EXPERIENCED TRAUMA. IN ADDITION TO SKILLS-FOCUSED TREATMENTS, EXPOSURE-BASED TREATMENTS, COGNITIVE THERAPY, COMBINATION TREATMENTS, AND EMDR, A NUMBER OF ALTERNATIVE TREATMENTS FOR PTSD HAVE EMERGED IN RECENT YEARS. THE SEARCH FOR ALTERNATIVE TREATMENTS IS JUSTIFIED BASED ON THE EMPIRICAL OBSERVATION THAT A LARGE PERCENTAGE OF INDIVIDUALS FAIL TO BENEFIT OPTIMALLY FROM EXISTING TREATMENTS (E.G., BETWEEN 30 AND 60). MOREOVER, CURRENT STUDIES OFTEN UTILIZE STRINGENT INCLUSION CRITERIA (E.G., ABSENCE OF COMORBID DISORDERS), RAISING THE LIKELIHOOD THAT RESULTS WILL NOT GENERALIZE TO MANY INDIVIDUALS CURRENTLY EXPERIENCING PTSD. THE PRIMARY OBJECTIVE OF THE CURRENT PAPER WAS TO EXPLORE THE EFFECTS OF ONE TYPE OF ALTERNATIVE TREATMENT: YOGA. DESIGN: A COMPREHENSIVE REVIEW OF THE LITERATURE WAS CONDUCTED TARGETING RESEARCH EXAMINING YOGA POSTURES AND PTSD. SEVEN RANDOMIZED CONTROLLED TRIALS (RCTS) WERE IDENTIFIED AND REVIEWED, AND EFFECT SIZES WERE COMPUTED FOR THE POST-TEST ASSESSMENTS. RESULTS: COHEN'S D FOR EACH STUDY RANGED (IN ABSOLUTE VALUE) FROM A LOW OF -0.06 TO A HIGH OF 1.42 (AVERAGE WEIGHTED D ACROSS STUDIES WAS 0.48; 95% CI: 0.26, 0.69). CONCLUSIONS: PUTATIVE MECHANISMS OF ACTION FOR THE POSSIBLE BENEFICIAL EFFECTS OF YOGA FOR PTSD-RELATED SYMPTOMATOLOGY AND CLINICAL IMPLICATIONS ARE DISCUSSED. 2017 9 588 26 DETERMINING PSYCHONEUROIMMUNOLOGIC MARKERS OF YOGA AS AN INTERVENTION FOR PERSONS DIAGNOSED WITH PTSD: A SYSTEMATIC REVIEW. THERE IS A GROWING BODY OF RESEARCH ON YOGA AS A THERAPEUTIC INTERVENTION FOR PSYCHOLOGICAL SYMPTOMS OF POST-TRAUMATIC STRESS DISORDER (PTSD) ACCOMPANIED BY SPECULATIONS ON UNDERLYING PHYSIOLOGIC MECHANISMS. THE PURPOSE OF THIS SYSTEMATIC REVIEW IS TO IDENTIFY, QUALITATIVELY EVALUATE, AND SYNTHESIZE STUDIES OF YOGA AS AN INTERVENTION FOR PTSD THAT MEASURED PHYSIOLOGIC OUTCOMES IN ORDER TO GAIN INSIGHTS INTO POTENTIAL MECHANISMS. THE FOCUS IS ON STUDIES EVALUATING YOGA AS A THERAPEUTIC INTERVENTION FOR PTSD RATHER THAN FOR TRAUMA EXPOSURE, PTSD PREVENTION, OR SUBCLINICAL PTSD. MULTIPLE DATABASES WERE SEARCHED FOR PUBLICATIONS FROM THE PAST TWO DECADES USING TERMS DERIVED FROM THE QUESTION, "IN PEOPLE WITH PTSD, WHAT IS THE EFFECT OF YOGA ON OBJECTIVE OUTCOMES?" ELIGIBILITY CRITERIA INCLUDED YOGA-ONLY MODALITIES TESTED AS AN INTERVENTION FOR FORMALLY DIAGNOSED PTSD WITH AT LEAST ONE PHYSIOLOGIC OUTCOME. RESULTS OF THIS REVIEW CONFIRMED THAT, THOUGH MUCH OF THE PUBLISHED LITERATURE PROPOSES PHYSIOLOGICAL MECHANISMS UNDERLYING YOGA'S EFFECTS ON PTSD, VERY FEW STUDIES ( N = 3) HAVE ACTUALLY EVALUATED PHYSIOLOGICAL EVIDENCE. ADDITIONALLY, SEVERAL STUDIES HAD METHODOLOGICAL LIMITATIONS. IN LIGHT OF THE LIMITED DATA SUPPORTING YOGA'S BENEFICIAL EFFECTS ON AUTONOMIC NERVOUS SYSTEM DYSREGULATION, WE PRESENT A THEORETICAL MODEL OF THE PSYCHONEUROIMMUNOLOGIC PROCESSES ASSOCIATED WITH PTSD AND THE EFFECTS YOGA MAY HAVE ON THESE PROCESSES TO GUIDE FUTURE RESEARCH. GAPS IN THE LITERATURE REMAIN FOR MECHANISMS RELATED TO ACTIVATION OF THE HYPOTHALAMIC-PITUITARY-ADRENAL AXIS AND INFLAMMATION. ADDITIONAL RIGOROUS MECHANISTIC STUDIES ARE NEEDED TO GUIDE DEVELOPMENT OF EFFECTIVE YOGA INTERVENTIONS FOR PTSD TO AUGMENT EXISTING EVIDENCE-BASED PTSD TREATMENTS. 2018 10 2880 25 YOGA: A BIOBEHAVIORAL APPROACH TO REDUCE SYMPTOM DISTRESS IN WOMEN WITH URGE URINARY INCONTINENCE. URGE URINARY INCONTINENCE IS A DEBILITATING CHRONIC CONDITION THAT POSES CHALLENGES FOR AFFECTED WOMEN AND THE CLINICIANS WHO CARE FOR THEM. MULTICOMPONENT BEHAVIORAL THERAPIES HAVE SHOWN PROMISE IN ALLOWING WOMEN TO MANAGE THEIR SYMPTOMS. NEW EVIDENCE SUGGESTS AN UNDERLYING PATHOPHYSIOLOGIC INFLAMMATORY PROCESS FOR URGE URINARY INCONTINENCE, AND COMPLEMENTARY THERAPIES THAT ADDRESS THE PSYCHONEUROIMMUNOLOGY COMPONENT MAY IMPROVE THE HEALTH AND QUALITY OF LIFE FOR THE MILLIONS OF WOMEN WITH THIS CONDITION. YOGA, A MIND-BODY THERAPY, HAS BEEN SHOWN TO REDUCE INFLAMMATION AND MAY HELP IMPROVE SYMPTOMS OF URGE URINARY INCONTINENCE. MORE RESEARCH IS NECESSARY TO DEMONSTRATE THE EFFECTIVENESS OF YOGA TO REDUCE URGE URINARY INCONTINENCE SYMPTOM BURDEN AND IMPROVE QUALITY OF LIFE. 2014 11 2795 36 YOGA THERAPY FOR MILITARY PERSONNEL AND VETERANS: QUALITATIVE PERSPECTIVES OF YOGA STUDENTS AND INSTRUCTORS. OBJECTIVE: MILLIONS OF MILITARY PERSONNEL AND VETERANS LIVE WITH CHRONIC MENTAL AND PHYSICAL HEALTH CONDITIONS THAT OFTEN DO NOT RESPOND WELL TO PHARMACOLOGICAL TREATMENTS. SERIOUS SIDE EFFECTS AND LACK OF TREATMENT RESPONSE HAVE LED TO WIDESPREAD EFFORTS TO STUDY AND PROMOTE NON-PHARMACOLOGICAL AND BEHAVIORAL HEALTH TREATMENTS FOR MANY CHRONIC HEALTH CONDITIONS. YOGA IS AN INCREASINGLY POPULAR MIND-BODY INTERVENTION THAT HAS GROWING RESEARCH SUPPORT FOR ITS EFFICACY AND SAFETY. OUR OBJECTIVE WAS TO EXPLORE THE ATTITUDES, PERSPECTIVES, AND PREFERENCES OF MILITARY PERSONNEL AND VETERANS TOWARD YOGA AS A THERAPEUTIC MODALITY, THUS PROVIDING NEEDED INFORMATION FOR DESIGNING AND PROMOTING YOGA INTERVENTIONS FOR THIS POPULATION. METHODS: PARTICIPANTS INCLUDED 24 INDIVIDUALS WITH YOGA EXPERIENCE AND CURRENT OR PAST MILITARY SERVICE AND 12 INSTRUCTORS WHO HAVE TAUGHT YOGA FOR MILITARY PERSONNEL AND/OR VETERANS. A SEMI-STRUCTURED SET OF QUESTIONS GUIDED INTERVIEWS WITH EACH PARTICIPANT. RESULTS: FIVE THEMES EMERGED FROM THE INTERVIEWS: (1) MENTAL HEALTH BENEFITS EXPERIENCED FROM YOGA PRACTICE; (2) PHYSICAL HEALTH BENEFITS EXPERIENCED FROM YOGA PRACTICE; (3) IMPORTANT YOGA ELEMENTS AND CONDITIONS THAT SUPPORT EFFECTIVE PRACTICE; (4) FACILITATORS FOR ENGAGING MILITARY IN YOGA PRACTICE; AND (5) CHALLENGES AND BARRIERS TO YOGA PRACTICE FOR MILITARY. CONCLUSIONS: THE STUDY HIGHLIGHTS CONSISTENT REPORTS OF MENTAL AND PHYSICAL BENEFITS OF YOGA PRACTICE, ONGOING STIGMA RESULTING IN THE NEED FOR COMBATTING AND DEMYSTIFYING YOGA AND OTHER COMPLEMENTARY AND INTEGRATIVE HEALTH (CIH) PRACTICES, THE IMPORTANCE OF DESIGNING INTERVENTIONS TO ADDRESS THE UNIQUE MENTAL HEALTH ISSUES AND PERSPECTIVES OF THIS POPULATION, AND THE IMPORTANCE OF EFFORTS BY MILITARY LEADERSHIP TO BRING CIH TO MILITARY PERSONNEL AND VETERANS. RIGOROUS RESEARCH ADDRESSING THESE FINDINGS, ALONG WITH FURTHER RESEARCH ON THE EFFICACY AND EFFECTIVENESS OF YOGA INTERVENTIONS FOR TREATING VARIOUS CONDITIONS ARE NEEDED. 2018 12 250 21 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 13 1 27 "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 14 1254 29 FEASIBILITY, ACCEPTABILITY, AND EFFECTS OF GENTLE HATHA YOGA FOR WOMEN WITH MAJOR DEPRESSION: FINDINGS FROM A RANDOMIZED CONTROLLED MIXED-METHODS STUDY. MAJOR DEPRESSIVE DISORDER (MDD) IS A COMMON, DEBILITATING CHRONIC CONDITION IN THE UNITED STATES AND WORLDWIDE. PARTICULARLY IN WOMEN, DEPRESSIVE SYMPTOMS ARE OFTEN ACCOMPANIED BY HIGH LEVELS OF STRESS AND RUMINATIONS, OR REPETITIVE SELF-CRITICAL NEGATIVE THINKING. THERE IS A RESEARCH AND CLINICAL IMPERATIVE TO EVALUATE COMPLEMENTARY THERAPIES THAT ARE ACCEPTABLE AND FEASIBLE FOR WOMEN WITH DEPRESSION AND THAT TARGET SPECIFIC ASPECTS OF DEPRESSION IN WOMEN, SUCH AS RUMINATIONS. TO BEGIN TO ADDRESS THIS NEED, WE CONDUCTED A RANDOMIZED, CONTROLLED, MIXED-METHODS COMMUNITY-BASED STUDY COMPARING AN 8-WEEK YOGA INTERVENTION WITH AN ATTENTION-CONTROL ACTIVITY IN 27 WOMEN WITH MDD. AFTER CONTROLLING FOR BASELINE STRESS, THERE WAS A DECREASE IN DEPRESSION OVER TIME IN BOTH THE YOGA GROUP AND THE ATTENTION-CONTROL GROUP, WITH THE YOGA GROUP HAVING A UNIQUE TREND IN DECREASED RUMINATIONS. PARTICIPANTS IN THE YOGA GROUP REPORTED EXPERIENCING INCREASED CONNECTEDNESS AND GAINING A COPING STRATEGY THROUGH YOGA. THE FINDINGS PROVIDE SUPPORT FOR FUTURE LARGE SCALE RESEARCH TO EXPLORE THE EFFECTS OF YOGA FOR DEPRESSED WOMEN AND THE UNIQUE ROLE OF YOGA IN DECREASING RUMINATION. 2013 15 1541 20 KRIPALU YOGA FOR MILITARY VETERANS WITH PTSD: A RANDOMIZED TRIAL. OBJECTIVES: THIS RANDOMIZED CONTROLLED TRIAL OF YOGA FOR MILITARY VETERANS AND ACTIVE DUTY PERSONNEL WITH POSTTRAUMATIC STRESS DISORDER (PTSD) EVALUATED THE EFFICACY OF A 10-WEEK YOGA INTERVENTION ON PTSD. METHOD: FIFTY-ONE PARTICIPANTS WERE RANDOMIZED INTO YOGA OR NO-TREATMENT ASSESSMENT-ONLY CONTROL GROUPS. PRIMARY OUTCOME MEASURES INCLUDED QUESTIONNAIRES AND THE CLINICIAN ADMINISTERED PTSD SCALE. RESULTS: BOTH YOGA (N = 9) AND CONTROL (N = 6) PARTICIPANTS SHOWED SIGNIFICANT DECREASES IN REEXPERIENCING SYMPTOMS, WITH NO SIGNIFICANT BETWEEN-GROUP DIFFERENCES. SECONDARY WITHIN-GROUP ANALYSES OF A SELF-SELECTED WAIT-LIST YOGA GROUP (N = 7) SHOWED SIGNIFICANT REDUCTIONS IN PTSD SYMPTOMS AFTER YOGA PARTICIPATION, IN CONTRAST TO THEIR CONTROL GROUP PARTICIPATION. CONSISTENT WITH CURRENT LITERATURE REGARDING HIGH RATES OF PTSD TREATMENT DROPOUT FOR VETERANS, THIS STUDY FACED CHALLENGES RETAINING PARTICIPANTS ACROSS CONDITIONS. CONCLUSION: THESE RESULTS ARE CONSISTENT WITH RECENT LITERATURE INDICATING THAT YOGA MAY HAVE POTENTIAL AS A PTSD THERAPY IN A VETERAN OR MILITARY POPULATION. HOWEVER, ADDITIONAL LARGER SAMPLE SIZE TRIALS ARE NECESSARY TO CONFIRM THIS CONCLUSION. 2018 16 383 30 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 17 2317 21 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 18 1635 23 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 19 440 28 CASE REPORT: THE USE OF MEDICAL YOGA FOR ADOLESCENT MENTAL HEALTH. MENTAL HEALTH ISSUES ARE EPIDEMIC AMONG YOUTH IN THE UNITED STATES TODAY. RECENT STUDIES SUGGEST THAT UP TO 50% OF ALL TEENAGERS HAVE COMPLAINTS RELATED TO STRESS, ANXIETY, AND/OR DEPRESSION. THIS PROBLEM IS ACCOMPANIED BY AN UNPRECEDENTED RISE IN THE RATES OF CHILD AND TEEN SUICIDE IN THE UNITED STATES. IN RESPONSE TO THIS EPIDEMIC, THE AMERICAN ACADEMY OF PEDIATRICS IS RECOMMENDING UNIVERSAL DEPRESSION SCREENING FOR ALL TEENS. MEDICATIONS ARE AVAILABLE TO AMELIORATE MENTAL HEALTH DISORDERS, AND MANY CAN BE SAFELY USED IN THE PRIMARY CARE SETTING. HOWEVER, MANY OF THESE MEDICATIONS HAVE UNWANTED SIDE EFFECTS OR MAY NOT BE FAMILIAR TO THE PRIMARY CARE PHYSICIAN. FOR THESE REASONS AND OTHERS, PRIMARY CARE PHYSICIANS REQUIRE ADDITIONAL APPROACHES TO RESPOND TO THE CHALLENGES IMPOSED BY A GROWING NUMBER OF PATIENTS REQUIRING MENTAL HEALTH SUPPORT. MEDICAL YOGA THERAPY, PRESCRIBED BY A PHYSICIAN WITH SPECIAL YOGA THERAPY TRAINING, OFFERS A SAFE AND EFFECTIVE WAY TO SERVE THE PATIENT WITH PHYSICAL OR MENTAL CHALLENGES DISABILITIES. MEDICAL YOGA THERAPY IS AN INDIVIDUALIZED AND PERSONAL APPROACH TO THE PATIENT, AND IT MAY BE INTEGRATED WITH ANY CURRENT THERAPY OR MEDICAL REGIMEN. HERE, EVIDENCE FOR MEDICAL YOGA IS REVIEWED IN THE CONTEXT OF AN ADOLESCENT PATIENT WITH A COMMON DISORDER. YOGA PRACTICES, WITH PARTICULAR FOCUS ON MINDFULNESS, OFFER A SAFE AND EFFECTIVE INTERVENTION FOR A GROWING NUMBER OF PEDIATRIC PATIENTS. 2019 20 1503 31 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