1 581 102 DESIGNING AND VALIDATION OF A YOGA-BASED INTERVENTION FOR SCHIZOPHRENIA. CONTEXT: SCHIZOPHRENIA IS A CHRONIC MENTAL ILLNESS WHICH CAUSES SIGNIFICANT DISTRESS AND DYSFUNCTION. YOGA HAS BEEN FOUND TO BE EFFECTIVE AS AN ADD-ON THERAPY IN SCHIZOPHRENIA. MODULES OF YOGA USED IN PREVIOUS STUDIES WERE BASED ON INDIVIDUAL RESEARCHER'S EXPERIENCE. AIM: THIS STUDY AIMED TO DEVELOP AND VALIDATE A SPECIFIC GENERIC YOGA-BASED INTERVENTION MODULE FOR PATIENTS WITH SCHIZOPHRENIA. THE STUDY WAS CONDUCTED AT NIMHANS INTEGRATED CENTRE FOR YOGA (NICY). MATERIALS AND METHODS: A YOGA MODULE WAS DESIGNED BASED ON TRADITIONAL AND CONTEMPORARY YOGA LITERATURE AS WELL AS PUBLISHED STUDIES. THE YOGA MODULE ALONG WITH THREE CASE VIGNETTES OF ADULT PATIENTS WITH SCHIZOPHRENIA WAS SENT TO 10 YOGA EXPERTS FOR THEIR VALIDATION. RESULTS: EXPERTS (N = 10) GAVE THEIR OPINION ON THE USEFULNESS OF A YOGA MODULE FOR PATIENTS WITH SCHIZOPHRENIA WITH SOME MODIFICATIONS. IN TOTAL, 87% (13 OF 15 ITEMS) OF THE ITEMS IN THE INITIAL MODULE WERE RETAINED, WITH MODIFICATION IN THE REMAINDER AS SUGGESTED BY THE EXPERTS. CONCLUSION: A SPECIFIC YOGA-BASED MODULE FOR SCHIZOPHRENIA WAS DESIGNED AND VALIDATED BY EXPERTS. FURTHER STUDIES ARE NEEDED TO CONFIRM EFFICACY AND CLINICAL UTILITY OF THE MODULE. ADDITIONAL CLINICAL VALIDATION IS SUGGESTED. 2016 2 582 62 DESIGNING AND VALIDATION OF A YOGA-BASED MODULE FOR OBESITY WITH METABOLIC COMORBIDITIES. OBJECTIVES: OBESITY IS A CONDITION OF INCREASED ADIPOSE TISSUE IN THE BODY, WHICH IS COMMONLY ASSOCIATED WITH VARIOUS COMORBIDITIES LIKE DIABETES, HYPERTENSION, ARTHRITIS, BACK PAIN, AND MANY OTHERS. YOGA MODULES HAVE BEEN DESIGNED AND VALIDATED FOR OBESITY; HOWEVER, WE COULDN'T FIND ANY SPECIFIC MODULE FOR METABOLIC SYNDROME, A CONDITION WHICH INCLUDES OBESITY, DIABETES MELLITUS TYPE 2 AND/OR HYPERTENSION TOGETHER. KEEPING THIS IN VIEW, OUR STUDY AIMED TO DEVELOP AND VALIDATE A SPECIFIC GENERIC YOGA-BASED INTERVENTION MODULE FOR METABOLIC SYNDROME PATIENTS. MATERIALS AND METHODS: A YOGA MODULE WAS DESIGNED BASED ON TRADITIONAL AND CONTEMPORARY YOGA LITERATURE AS WELL AS PUBLISHED STUDIES. WE DERIVED THE YOGA PRACTICES FOR THE MODULE, FROM THESE YOGA TEXTS AND RESEARCH EVIDENCE WERE ALREADY AVAILABLE. THE YOGA MODULE WAS SENT TO 40 YOGA EXPERTS FOR THEIR VALIDATION. RESULTS: TWENTY-TWO EXPERTS GAVE THEIR OPINION ON THE USEFULNESS OF A YOGA MODULE FOR PATIENTS WITH METABOLIC SYNDROME WITH SOME SUGGESTIONS. OF THESE EXPERTS, 73% WERE MALES, AND 27% WERE FEMALES. YOGA THERAPY PRACTICES WITH CONTENT VALIDITY RATIO (CVR) >0.08 WERE INCLUDED IN THE FINAL MODULE. IN TOTAL, 86% (31 OF 36 ITEMS) OF THE ITEMS IN THE INITIAL MODULE WERE RETAINED. CONCLUSION: A SPECIFIC YOGA-BASED MODULE FOR METABOLIC SYNDROME WAS DESIGNED AND VALIDATED BY EXPERTS. FURTHER STUDIES ARE NEEDED TO CONFIRM THE EFFICACY AND CLINICAL UTILITY OF THE MODULE.ADDITIONAL CLINICAL VALIDATION IS SUGGESTED. 2020 3 583 54 DESIGNING, VALIDATION AND FEASIBILITY OF A YOGA-BASED INTERVENTION FOR ELDERLY. CONTEXT: AGEING IS AN UNAVOIDABLE FACET OF LIFE. YOGIC PRACTICES HAVE BEEN REPORTED TO PROMOTE HEALTHY AGING. PREVIOUS STUDIES HAVE USED EITHER YOGA THERAPY INTERVENTIONS DERIVED FROM A PARTICULAR SCHOOL OF YOGA OR HAVE TESTED SPECIFIC YOGIC PRACTICES LIKE MEDITATION. AIMS: THIS STUDY REPORTS THE DEVELOPMENT, VALIDATION AND FEASIBILITY OF A YOGA-BASED INTERVENTION FOR ELDERLY WITH OR WITHOUT MILD COGNITIVE IMPAIRMENT. SETTINGS AND DESIGN: THE STUDY WAS CONDUCTED AT THE ADVANCED CENTRE FOR YOGA, NATIONAL INSTITUTE FOR MENTAL HEALTH AND NEUROSCIENCES, BANGALORE. THE MODULE WAS DEVELOPED, VALIDATED, AND THEN PILOT-TESTED ON VOLUNTEERS. MATERIALS AND METHODS: THE FIRST PART OF THE STUDY CONSISTED OF DESIGNING OF A YOGA MODULE BASED ON TRADITIONAL AND CONTEMPORARY YOGIC LITERATURE. THIS YOGA MODULE ALONG WITH THE THREE CASE VIGNETTES OF ELDERLY WITH COGNITIVE IMPAIRMENT WERE SENT TO 10 YOGA EXPERTS TO HELP DEVELOP THE INTENDED YOGA-BASED INTERVENTION. IN THE SECOND PART, THE FEASIBILITY OF THE DEVELOPED YOGA-BASED INTERVENTION WAS TESTED. RESULTS: EXPERTS (N=10) OPINED THE YOGA-BASED INTERVENTION WILL BE USEFUL IN IMPROVING COGNITION IN ELDERLY, BUT WITH SOME MODIFICATIONS. FREQUENT SUPERVISED YOGA SESSIONS, REGULAR FOLLOW-UPS, ADDITION/DELETION/MODIFICATIONS OF YOGA POSTURES WERE SOME OF THE SUGGESTIONS. TEN ELDERLY CONSENTED AND EIGHT COMPLETED THE PILOT TESTING OF THE INTERVENTION. ALL OF THEM WERE ABLE TO PERFORM MOST OF THE SUKSMAVYAYAMA, PRANAYAMA AND NADANUSANDHANA (MEDITATION) TECHNIQUE WITHOUT DIFFICULTY. SOME OF THE PARTICIPANTS (N=3) EXPERIENCED DIFFICULTY IN PERFORMING POSTURES SEATED ON THE GROUND. MOST OF THE OLDER ADULTS EXPERIENCED DIFFICULTY IN REMEMBERING AND COMPLETING ENTIRE SEQUENCE OF YOGA-BASED INTERVENTION INDEPENDENTLY. CONCLUSIONS: THE YOGA BASED INTERVENTION IS FEASIBLE IN THE ELDERLY WITH COGNITIVE IMPAIRMENT. TESTING WITH A LARGER SAMPLE OF OLDER ADULTS IS WARRANTED. 2013 4 580 52 DESIGNING AND VALIDATION OF A YOGA-BASED INTERVENTION FOR OBSESSIVE COMPULSIVE DISORDER. SOME YOGA-BASED PRACTICES HAVE BEEN FOUND TO BE USEFUL FOR PATIENTS WITH OBSESSIVE COMPULSIVE DISORDER (OCD). THE AUTHORS COULD NOT FIND A VALIDATED YOGA THERAPY MODULE AVAILABLE FOR OCD. THIS STUDY ATTEMPTED TO FORMULATE A GENERIC YOGA-BASED INTERVENTION MODULE FOR OCD. A YOGA MODULE WAS DESIGNED BASED ON TRADITIONAL AND CONTEMPORARY YOGA LITERATURE. THE MODULE WAS SENT TO 10 YOGA EXPERTS FOR CONTENT VALIDATION. THE EXPERTS RATED THE USEFULNESS OF THE PRACTICES ON A SCALE OF 1-5 (5 = EXTREMELY USEFUL). THE FINAL VERSION OF THE MODULE WAS PILOT-TESTED ON PATIENTS WITH OCD (N = 17) FOR BOTH FEASIBILITY AND EFFECT ON SYMPTOMS. EIGHTY-EIGHT PER CENT (22 OUT OF 25) OF THE ITEMS IN THE INITIAL MODULE WERE RETAINED, WITH MODIFICATIONS IN THE MODULE AS SUGGESTED BY THE EXPERTS ALONG WITH PATIENTS' INPUTS AND AUTHORS' EXPERIENCE. THE MODULE WAS FOUND TO BE FEASIBLE AND SHOWED AN IMPROVEMENT IN SYMPTOMS OF OCD ON TOTAL YALE-BROWN OBSESSIVE-COMPULSIVE SCALE (YBOCS) SCORE (P = 0.001). A GENERIC YOGA THERAPY MODULE FOR OCD WAS VALIDATED BY EXPERTS IN THE FIELD AND FOUND FEASIBLE TO PRACTICE IN PATIENTS. A DECREASE IN THE SYMPTOM SCORES WAS ALSO FOUND FOLLOWING YOGA PRACTICE OF 2 WEEKS. FURTHER CLINICAL VALIDATION IS WARRANTED TO CONFIRM EFFICACY. 2016 5 620 48 DEVELOPMENT, VALIDATION, AND FEASIBILITY OF A GENERIC YOGA-BASED INTERVENTION FOR GENERALIZED ANXIETY DISORDER. CONTEXT: EVIDENCE SUGGESTS THAT YOGA EFFECTIVELY MANAGES ANXIETY, BUT TECHNIQUES ARE DERIVED FROM DIFFERENT YOGA SCHOOLS. THIS PAPER DESCRIBES THE DEVELOPMENT, VALIDATION, AND FEASIBILITY OF A GENERIC YOGA-BASED INTERVENTION IN PATIENTS WITH GENERALIZED ANXIETY DISORDER (GAD). METHODS: THE FIRST PART OF THE STUDY CONSISTED OF DESIGNING A GENERIC YOGA MODULE FROM THE TRADITIONAL AND CONTEMPORARY YOGIC LITERATURE AND INPUTS FROM TEN EXPERIENCED YOGA PRACTITIONERS. THE CONTENT WAS VALIDATED USING A CASE-VIGNETTE METHOD FROM 28 YOGA EXPERTS. THESE YOGA EXPERTS RATED THE USEFULNESS OF THE PRACTICES ON A SCALE OF 1-5 (5-EXTREMELY USEFUL). THE SECOND PART CONSISTED OF TESTING THE FEASIBILITY OF THIS VALIDATED GENERIC YOGA INTERVENTION IN AN OPEN-LABEL CLINICAL TRIAL IN PATIENTS WITH GAD. TWO WEEKS OF TEN SUPERVISED YOGA SESSIONS (SYS) WERE OFFERED BY A TRAINED YOGA THERAPIST TO THE RECRUITED PARTICIPANTS AND SUBSEQUENTLY ADVISED FOR HOME PRACTICE. A WEEKLY BOOSTER SYS WAS ALSO PROVIDED FOR THREE MONTHS AFTER 10SYS. RESULTS: YOGA EXPERTS (N = 28) OPINED THAT THE YOGA INTERVENTION WOULD BE HELPFUL IN PATIENTS WITH GAD WITH MINIMAL MODIFICATIONS. ALL EXPERTS OPINED THAT THE MODULE WAS EASY TO TEACH, LEARN AND PRACTICE. THE FINAL YOGA MODULE RETAINED 97.7% (42 OUT OF 43) ITEMS OF THE INITIAL MODULE. IN THE FEASIBILITY STUDY, (N = 20) PATIENTS WERE RECRUITED, AND FIFTEEN FOLLOWED-UP AFTER ONE MONTH. ALL PATIENTS WERE ABLE TO LEARN AND PRACTICE THE FINAL YOGA MODULE WITHIN TEN SESSIONS WITHOUT ANY SIGNIFICANT ADVERSE EFFECTS. THE SEVERITY OF ANXIETY REDUCED SUBSTANTIALLY AFTER THE TEN DAYS OF SYS AND THIS IMPROVEMENT WAS SUSTAINED FOR THE NEXT 4 WEEKS. CONCLUSION: THE DESIGNED GENERIC YOGA INTERVENTION WAS VALIDATED BY YOGA EXPERTS AND FOUND SAFE AND FEASIBLE IN PATIENTS WITH GAD. PATIENTS OBTAINED SIGNIFICANT SYMPTOM REDUCTIONS WHICH NEED TO BE CONFIRMED IN RANDOMIZED CONTROLLED TRIALS. 2021 6 551 22 CONVENIENT AND LIVE MOVEMENT (CALM) FOR WOMEN UNDERGOING BREAST CANCER TREATMENT: CHALLENGES AND RECOMMENDATIONS FOR INTERNET-BASED YOGA RESEARCH. OBJECTIVE: TO CONDUCT A PILOT TRIAL OF INTERNET-BASED, CANCER-ADAPTED YOGA FOR WOMEN RECEIVING BREAST CANCER TREATMENT. DESIGN: WOMEN UNDERGOING RADIATION OR CHEMOTHERAPY FOR BREAST CANCER WERE RECRUITED FOR 12, 75-MIN, BIWEEKLY, CANCER-ADAPTED YOGA CLASSES DELIVERED VIA INTERNET-BASED, MULTIPOINT VIDEOCONFERENCING. DATA WERE COLLECTED ON FEASIBILITY AND ACCEPTABILITY, INCLUDING QUALITATIVE FEEDBACK FROM PARTICIPANTS AND THE YOGA INSTRUCTOR. RESULTS: AMONG 42 WOMEN APPROACHED, 13 DECLINED ELIGIBILITY SCREENING, AND 23 WERE INELIGIBLE. ALL 6 WOMEN WHO WERE ELIGIBLE PROVIDED CONSENT, BUT 2 WITHDREW PRIOR TO BEGINNING YOGA CLASSES. THE REMAINING 4 PARTICIPANTS ATTENDED 1-11 OF 12 ONLINE YOGA CLASSES. IN POST-INTERVENTION INTERVIEWS, PARTICIPANTS AND THE INSTRUCTOR AGREED THAT INTERNET-BASED YOGA CLASSES HOLD GREAT POTENTIAL FOR INCREASING ACCESS AND IMPROVING PSYCHOLOGICAL OUTCOMES IN ADULTS WITH CANCER. QUALITATIVE FEEDBACK FROM PARTICIPANTS REVEALED SUGGESTIONS FOR FUTURE TRIALS OF INTERNET-BASED, CANCER-ADAPTED YOGA CLASSES, INCLUDING: CONTINUED USE OF GROUP FORMAT; OFFERING MORE VARIED CLASS TIMES TO ACCOMMODATE PATIENTS' DEMANDING SCHEDULES AND FLUCTUATING SYMPTOMS; ENROLLING PATIENTS AFTER THEY HAVE ACCLIMATED TO OR COMPLETED CANCER TREATMENT; STREAMLINING THE TECHNOLOGY INTERFACE; AND CAREFUL ATTENTION TO PARTICIPANT BURDEN WHEN DESIGNING SURVEYS/FORMS. THE INSTRUCTOR RECOMMENDED CLOSED SESSION COURSES, AS OPPOSED TO ROLLING ENROLLMENT; TEACHING THE SAME MODIFIED POSES FOR ALL PARTICIPANTS, RATHER THAN INDIVIDUAL TAILORING; AND USING A LARGE SCREEN TO ALLOW CLOSER MONITORING OF STUDENTS' CLASS EXPERIENCE. CONCLUSIONS: INTERNET DELIVERY MAY INCREASE PATIENTS' ACCESS TO CANCER-ADAPTED YOGA CLASSES, BUT CANCER-RELATED AND TECHNOLOGICAL BARRIERS REMAIN. THIS STUDY INFORMS HOW TO OPTIMALLY DESIGN YOGA CLASSES, TECHNOLOGY, AND RESEARCH PROCEDURES TO MAXIMIZE FEASIBILITY AND ACCEPTABILITY IN FUTURE TRIALS. 2018 7 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 8 1280 24 GENERIC YOGA MODULES FOR CLINICAL AND RESEARCH SETTINGS-NEED OF THE HOUR. YOGA-BASED INTERVENTIONS OFFER SIGNIFICANT PROMISE IN HEALTHCARE. HOWEVER, META-ANALYSES OF VARIOUS YOGA TRIALS SUGGEST THAT COMPARISONS OF TRIALS ARE EITHER NOT POSSIBLE OR DIFFICULT DUE TO HETEROGENEITY IN THERAPEUTIC YOGA INTERVENTIONS. ALSO, IN VIEW OF EMERGING EVIDENCE FOR THE ROLE OF THERAPEUTIC YOGA, IT IS IMPORTANT TO IDENTIFY THE SPECIFICITY AND VALIDITY OF VARIOUS YOGA COMPONENTS BEING USED IN DIFFERENT TRIALS. EFFORTS IN THIS DIRECTION WILL BE FRUITFUL ONLY IF A SYSTEMATIC APPROACH IS ADOPTED TO DEVELOP YOGA PROGRAMS FOR VARIOUS AILMENTS. IN THIS ARTICLE, WE EMPHASIZE THE NEED FOR A "GENERIC YOGA" CONCEPT FOR DESIGNING A THERAPEUTIC YOGA PROGRAM FOR PARTICULAR HEALTH ISSUES, WITH THE OBJECTIVES OF PROMOTING SCIENTIFIC GROWTH OF THERAPEUTIC APPLICATIONS OF YOGA AND WIDESPREAD APPLICATION OF STANDARDIZED THERAPEUTIC YOGA PROGRAMS WITHIN A BIOMEDICAL FRAMEWORK. THIS GENERIC THERAPEUTIC YOGA WILL ESSENTIALLY HIGHLIGHT THE DEVELOPMENT-VALIDATION PROCESS OF UNCOPYRIGHTED YOGA PROGRAMS; THEIR COMPONENTS, BENEFITS, AND POSSIBLE SIDE-EFFECTS; AND REQUIREMENT FOR NEED-BASED MODIFICATIONS. 2021 9 144 30 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 10 2807 24 YOGA THERAPY RESEARCH: A WHOLE-SYSTEMS PERSPECTIVE ON COMPARATIVE EFFECTIVENESS AND PATIENT-CENTERED OUTCOMES. FOR THE YOGA RESEARCH COMMUNITY TO CAPITALIZE ON ITS CURRENT MOMENTUM, IT IS CRITICAL TO CONSIDER CERTAIN DEVELOPMENTS IN RESEARCH THEORY AND INNOVATIVE METHODOLOGIES. THE CONCEPT OF MODEL VALIDITY MUST BE INCORPORATED IN YOGA THERAPY RESEARCH SO THAT EXPLANATORY CONSTRUCTS EMPLOYED AND OUTCOME MEASURES CHOSEN REFLECT THE PRINCIPLES OF TRADITIONAL YOGIC SCIENCE. FOCUSING ON EFFECTIVENESS RESEARCH WILL ENSURE MAXIMUM GENERALIZABILITY OF STUDY RESULTS AND REFLECT REAL-WORLD THERAPY DELIVERY SETTINGS, THEREBY INCREASING THE RELEVANCE OF OUTCOMES. WHOLE SYSTEMS OF HEALING REQUIRE RESEARCH METHODOLOGIES THAT ADDRESS COMPLEX RELATIONSHIPS BETWEEN MULTI-TARGET THERAPIES WITH MULTIPLE POTENTIAL TREATMENT RESULTS. COMPLEX, DYNAMIC SYSTEMS THEORY PROVIDES THE THEORETICAL AND METHODOLOGICAL INNOVATIONS NECESSARY TO DESIGN STUDIES, CHOOSE OUTCOMES, AND ANALYZE DATA IN A WAY THAT CAN ACCOUNT FOR CHARTING COMPLEX, CYCLICAL, THERAPEUTIC TRAJECTORIES ACROSS TIME. EMPHASIZING PATIENT-CENTERED OUTCOMES IS ALIGNED WITH THE PATENT-ORIENTED AND TAILORED NATURED OF YOGA THERAPY DELIVERY. INCREASING THE QUALITY AND QUANTITY OF COMPARATIVE EFFECTIVENESS RESEARCH TO ANALYZE THE HARMS AND BENEFITS OF CONTRASTING THERAPIES CAN PROVIDE AN INFRASTRUCTURE FOR DESIGNING STUDIES THAT CAN HAVE SIGNIFICANT PRACTICAL IMPACT. THE CREATION OF PRACTICE-BASED RESEARCH NETWORKS WITHIN THE YOGA RESEARCH COMMUNITY WILL INCENTIVIZE LINKS BETWEEN MAINSTREAM CLINICAL RESEARCHERS AND YOGA THERAPY DELIVERY SETTINGS, ULTIMATELY DEVELOPING COLLABORATIVE NETWORKS. YOGA THERAPY CENTERS CAN FACILITATE PATIENT RECRUITMENT FOR STUDIES AND INFORM STANDARDS FOR YOGA RESEARCHERS. COLLABORATIVE EFFORTS BETWEEN THE YOGA AND AYURVEDIC RESEARCH COMMUNITIES WILL STREAMLINE EFFORTS, SOLIDIFY EXPERTISE, CROSS-POLLINATE THEORETICAL AND METHODOLOGICAL INNOVATION, AND CONSOLIDATE EFFORTS TO SECURE RESEARCH FUNDING AND INCREASE PUBLICATION AND DISSEMINATION OF STUDY FINDINGS. 2015 11 1224 31 FEASIBILITY AND ASSESSMENT OF OUTCOME MEASURES FOR YOGA AS SELF-CARE FOR MINORITIES WITH ARTHRITIS: A PILOT STUDY. BACKGROUND: WHILE THERE IS A GROWING INTEREST IN THE THERAPEUTIC BENEFITS OF YOGA, MINORITY POPULATIONS WITH ARTHRITIS TEND TO BE UNDER-REPRESENTED IN THE RESEARCH. ADDITIONALLY, THERE IS AN ABSENCE OF GUIDANCE IN THE LITERATURE REGARDING THE USE OF MULTICULTURAL TEAMS AND SOCIOCULTURAL HEALTH BELIEFS, WHEN DESIGNING YOGA STUDIES FOR A RACIALLY DIVERSE POPULATION WITH ARTHRITIS. THIS PILOT STUDY EXAMINED THE FEASIBILITY OF OFFERING YOGA AS A SELF-CARE MODALITY TO AN URBAN, BILINGUAL, MINORITY POPULATION WITH OSTEOARTHRITIS (OA) OR RHEUMATOID ARTHRITIS (RA), IN THE WASHINGTON, DC AREA. METHODS: THE PRIMARY OBJECTIVE OF THE STUDY WAS TO ASSESS THE FEASIBILITY OF OFFERING AN 8-WEEK, BILINGUAL YOGA INTERVENTION ADAPTED FOR ARTHRITIS TO A CONVENIENCE SAMPLE OF PRIMARILY HISPANIC AND BLACK/AFRICAN-AMERICAN ADULTS. A RACIALLY DIVERSE INTERDISCIPLINARY RESEARCH TEAM WAS ASSEMBLED TO DESIGN A STUDY TO FACILITATE RECRUITMENT AND RETENTION. THE SECOND OBJECTIVE IDENTIFIED OUTCOME MEASURES TO OPERATIONALIZE POTENTIAL FACILITATORS AND BARRIERS TO SELF-CARE AND SELF-EFFICACY. THE THIRD OBJECTIVE DETERMINED THE FEASIBILITY OF USING COMPUTER-ASSISTED SELF-INTERVIEW (CASI) FOR DATA COLLECTION. RESULTS: ENROLLED PARTICIPANTS (N = 30) WERE MOSTLY FEMALE (93%), SPANISH SPEAKING (69%), AND DIAGNOSED WITH RA (88.5%). FEASIBILITY WAS EVALUATED USING PRACTICALITY, ACCEPTABILITY, ADAPTATION, AND EXPANSION OF AN ARTHRITIS-ADAPTED YOGA INTERVENTION, MODIFIED FOR THIS POPULATION. RECRUITMENT (51%) AND PARTICIPATION (60%) RATES WERE SIMILAR TO PREVIOUS RESEARCH AND CLINICAL EXPERIENCE WITH THE STUDY POPULATION. OF THOSE ENROLLED, 18 STARTED THE INTERVENTION. FOR ADHERENCE, 12 OUT OF 18 (67%) PARTICIPANTS COMPLETED THE INTERVENTION. ALL (100%), WHO COMPLETED THE INTERVENTION, CONTINUED TO PRACTICE YOGA 3 MONTHS AFTER COMPLETING THE STUDY. USING NONPARAMETRIC TESTS, SELECTED OUTCOME MEASURES SHOWED A MEASURABLE CHANGE POST-INTERVENTION SUGGESTING APPROPRIATE USE IN FUTURE STUDIES. AN IN-PERSON COMPUTERIZED QUESTIONNAIRE WAS DETERMINED TO BE A FEASIBLE METHOD OF DATA COLLECTION. CONCLUSIONS: FINDINGS FROM THIS PILOT STUDY CONFIRM THE FEASIBILITY OF OFFERING YOGA TO THIS RACIALLY/ETHNICALLY DIVERSE POPULATION WITH ARTHRITIS. THIS ARTICLE PROVIDES RECRUITMENT/RETENTION RATES, OUTCOME MEASURES WITH ERROR RATES, AND DATA COLLECTION RECOMMENDATIONS FOR A PREVIOUSLY UNDER-REPRESENTED POPULATION. SUGGESTIONS INCLUDE ALLOCATING RESOURCES FOR TRANSLATION AND USING A MULTICULTURAL DESIGN TO FACILITATE RECRUITMENT AND RETENTION. TRIAL REGISTRATION: CLINICALTRIALS.GOV, NCT01617421. 2018 12 603 32 DEVELOPMENT AND VALIDATION OF INTEGRATED YOGA MODULE FOR OBESITY IN ADOLESCENTS. BACKGROUND: OBESITY IS A GROWING GLOBAL EPIDEMIC AND CAUSE OF NONCOMMUNICABLE DISEASES. YOGA IS ONE OF THE EFFECTIVE WAYS TO REDUCE STRESS WHICH IS ONE OF THE CAUSES OF OBESITY. NOWADAYS, CHILDREN IN ADOLESCENT AGE ARE MORE PRONE TO GET OBESE DUE TO LACK OF PHYSICAL ACTIVITY MAKING THEM MORE SEDENTARY. AIM: TO IDENTIFY THE DESIGN AND VALIDATION OF INTEGRATED APPROACH OF YOGA THERAPY MODULE (IAYTM) FOR OBESITY IN ADOLESCENTS. MATERIALS AND METHODS: FIRST PHASE - IAYTM FOR OBESITY WAS DESIGNED BASED ON THE LITERATURE REVIEW OF CLASSICAL TEXTS AND RECENTLY PUBLISHED RESEARCH ARTICLES. SECOND PHASE - DESIGNED IAYTM WAS VALIDATED BY 16 SUBJECT MATTER (YOGA) EXPERTS. CONTENT-VALIDITY RATIO (CVR) WAS ANALYZED USING LAWSHE'S FORMULA. RESULTS: YOGA PRACTICES WERE DESIGNED FOR INTEGRATED YOGA MODULE FOR OBESITY IN ADOLESCENTS. YOGA PRACTICES WITH CVR >/=0.5 AND WHICH WERE VALIDATED BY 16 YOGA EXPERTS AND APPROVED IN FACULTY GROUP DISCUSSION WERE INCLUDED IN FINAL INTEGRATED YOGA THERAPY MODULE. CONCLUSION: THE YOGA PRACTICES WERE DESIGNED AND VALIDATED FOR IAYTM FOR OBESITY IN ADOLESCENTS. 2018 13 596 43 DEVELOPMENT AND FEASIBILITY OF YOGA THERAPY MODULE FOR OUT-PATIENTS WITH DEPRESSION IN INDIA. CONTEXT: EVIDENCE SUGGESTS THAT CERTAIN YOGA PRACTICES ARE USEFUL IN THE MANAGEMENT OF DEPRESSION. TO THE BEST OF OUR KNOWLEDGE, THERE HAS BEEN NO STUDY THAT DEALS WITH THE FORMULATION OF A YOGA MODULE FOR THE PARTICULAR CLINICAL FEATURES OF DEPRESSION. AIM: THE MAIN AIM OF OUR STUDY WAS TO DEVELOP A COMPREHENSIVE YOGA THERAPY MODULE TARGETING SPECIFIC CLINICAL FEATURES OF DEPRESSION. SETTINGS AND DESIGN: SPECIFIC YOGA PRACTICES WERE MATCHED FOR CLINICAL FEATURES OF DEPRESSION BASED ON A THOROUGH LITERATURE REVIEW. A YOGA PROGRAM WAS DEVELOPED, WHICH CONSISTED OF SUKSMAVYAYAMA, (LOOSENING EXERCISES), ASANAS (POSTURES), RELAXATION TECHNIQUES, PRANAYAMA (BREATHING EXERCISES) AND CHANTING MEDITATION TO BE TAUGHT IN A 2 WEEK PERIOD. MATERIALS AND METHODS: A STRUCTURED QUESTIONNAIRE WAS DEVELOPED FOR VALIDATION FROM NINE EXPERIENCED YOGA PROFESSIONALS. THE FINAL VERSION OF YOGA THERAPY MODULE WAS PILOT-TESTED ON SEVEN PATIENTS (FIVE FEMALES) WITH DEPRESSION RECRUITED FROM OUTPATIENT SERVICE OF NATIONAL INSTITUTE OF MENTAL HEALTH AND NEURO SCIENCES, BANGALORE. RESULTS: THE FINAL YOGA THERAPY MODULE HAD THOSE PRACTICES THAT RECEIVED A SCORE OF THREE OR MORE (MODERATELY/VERY MUCH/EXTREMELY USEFUL) FROM ALL RESPONDERS. SIX OUT OF NINE (>65%) EXPERTS SUGGESTED SUKSMAVYAYAMA SHOULD BE INCLUDED. FIVE OUT OF NINE EXPERTS OPINED THAT TRAINING WITH 10 SESSIONS (OVER 2 WEEKS) IS RATHER SHORT. ALL EXPERTS OPINED THAT THE MODULE IS EASY TO TEACH, LEARN AND PRACTICE. AT THE PILOT STAGE, THE FIVE PATIENTS WHO COMPLETED THE MODULE REPORTED MORE THAN 80% SATISFACTION ABOUT THE YOGA PRACTICES AND HOW THE YOGA WAS TAUGHT. SEVERITY OF DEPRESSION SUBSTANTIALLY REDUCED AT BOTH 1 AND 3 MONTHS FOLLOW-UP. CONCLUSION: THE DEVELOPED COMPREHENSIVE YOGA THERAPY MODULE WAS VALIDATED BY EXPERTS IN THE FIELD AND WAS FOUND TO BE FEASIBLE AND USEFUL IN PATIENTS WITH DEPRESSION. 2013 14 584 45 DESIGNING, VALIDATION, AND FEASIBILITY OF A YOGA MODULE FOR PATIENTS WITH ANKYLOSING SPONDYLITIS. BACKGROUND: ANKYLOSING SPONDYLITIS (AS) IS A CHRONIC INFLAMMATORY DISEASE THAT CAUSES SIGNIFICANT DISABILITY AND REDUCED QUALITY OF LIFE. SCIENTIFIC STUDIES ON YOGA HAVE REVEALED ITS VARIOUS HEALTH BENEFITS IN CHRONIC CONDITIONS, INCLUDING AUTOIMMUNE DISEASES. HOWEVER, WHETHER YOGA IS FEASIBLE FOR AS PATIENTS OR NOT IS NOT STUDIED. FURTHER, NO VALIDATED YOGA MODULE IS AVAILABLE FOR AS PATIENTS. OBJECTIVE(S): THIS STUDY INTENDED TO DEVELOP A YOGA MODULE FOR AS PATIENTS AND INVESTIGATED ITS FEASIBILITY OF USE. MATERIALS AND METHODS: THE STUDY WAS COMPLETED IN THREE STAGES. IN STAGE I, SIX YOGA EXPERTS PREPARED A LIST OF 64 YOGA PRACTICES BASED ON THE CLASSICAL AND CONTEMPORARY YOGIC LITERATURE REVIEW. OF THESE PRACTICES, 41 WERE INCLUDED IN THE DESIGNED YOGA MODULE. IN STAGE II, 41 EXPERTS WITH A MINIMUM OF FIVE YEARS OF EXPERIENCE IN YOGA THERAPY WERE INVITED FOR YOGA MODULE VALIDATION. THE USEFULNESS OF THE PRACTICES WAS RATED BY EXPERTS ON A 3-POINT SCALE (1: NOT AT ALL USEFUL, 2: MODERATELY USEFUL, AND 3: VERY MUCH USEFUL). THE LAWSHE CONTENT VALIDITY RATIO (CVR) METHOD WAS USED FOR THE CONTENT VALIDITY OF THE YOGA MODULE. PRACTICES WITH A CVR SCORE OF > 0.3 WERE RETAINED IN THE FINAL YOGA MODULE. IN STAGE III, A CERTIFIED YOGA INSTRUCTOR ADMINISTERED THE VALIDATED YOGA MODULE TO 19 AS PATIENTS (AVERAGE AGE: 35.5 +/- 10.7 YEARS) THRICE WEEKLY FOR A MONTH. FEASIBILITY WAS ASSESSED ON THE BASIS OF THE ATTRITION RATE, RETENTION RATE, ATTENDANCE OF THE PARTICIPANTS, AND THE SUBJECTIVE RESPONSE ON PRACTICAL SESSIONS USING A STRUCTURED CHECKLIST. RESULTS: OF THE 41 PRACTICES IN THE MODULE, 31 HAD A CVR SCORE OF > 0.3 AND WERE INCLUDED IN THE FINAL YOGA MODULE. OF THE 25 PARTICIPANTS, 19 (76%) COMPLETED THE STUDY WHILE SIX DROPPED OUT (24%). NINETEEN PATIENTS REPORTED GREATER IMPROVEMENT IN PAIN AND FLEXIBILITY. THEY FOUND YOGA RELAXING AND EASY TO PRACTICE. MOST PARTICIPANTS (65%) WERE ABLE TO PRACTICE A MINIMUM OF 30 MIN/DAY. CONCLUSION: THE PRESENT STUDY OFFERS A VALIDATED YOGA MODULE CONSISTING OF 31 PRACTICES FOR AS PATIENTS. THE RESULTS OF THE PILOT SUGGESTED THAT THE MODULE IS FEASIBLE, ACCEPTABLE, AND EASY TO PRACTICE FOR AS PATIENTS. WE RECOMMEND THAT AS PATIENTS SHOULD PRACTICE THIS YOGA MODULE FOR A MINIMUM OF 30 MIN EVERY DAY UNDER THE SUPERVISION OF A YOGA EXPERT. 2022 15 619 34 DEVELOPMENT OF THE CLARIFY (CHECKLIST STANDARDISING THE REPORTING OF INTERVENTIONS FOR YOGA) GUIDELINES: A DELPHI STUDY. BACKGROUND: THE USE OF YOGA AS A THERAPEUTIC MODALITY IS INCREASING; HOWEVER, A LACK OF TRANSPARENT INTERVENTION REPORTING IS RESTRICTING THE DISSEMINATION AND IMPLEMENTATION OF YOGA RESEARCH INTO CLINICAL AND COMMUNITY PRACTICE. THE AIM OF THIS STUDY WAS TO DEVELOP A YOGA-SPECIFIC REPORTING GUIDELINE AS AN EXTENSION TO EXISTING REPORTING GUIDELINES FOR RANDOMISED CONTROLLED TRIALS, OBSERVATIONAL STUDIES AND CASE REPORTS. METHODS: RECOGNISED INTERNATIONAL STAKEHOLDERS IN THE DESIGN AND CONDUCT OF YOGA RESEARCH WERE INVITED TO CONTRIBUTE TO THE ELECTRONIC DELPHI SURVEY. A FOUR-ROUND DELPHI WAS CONDUCTED, WHEREBY PANELLISTS RATED SELECTED ITEMS FOR THEIR IMPORTANCE IN THE INCLUSION OF YOGA REPORTING GUIDELINES, ACCORDING TO A 5-STEP LIKERT SCALE. A PRIORI CONSENSUS FOR ITEM INCLUSION WAS AGREEMENT OF ITEMS AS 'VERY IMPORTANT' OR 'EXTREMELY IMPORTANT' BY >/=80% OF PANELLISTS. NON-CONSENSUS ITEMS WERE FORWARDED TO SUBSEQUENT ROUNDS FOR RE-RATING. RESULTS: 53 EXPERTS IN YOGA RESEARCH FROM 11 COUNTRIES, PRIMARILY IDENTIFYING AS RESEARCHERS (50%), ALLIED HEALTH PROFESSIONALS (18.8%) AND YOGA PROFESSIONALS (12.5%), CONSENTED TO PARTICIPATE IN THE DELPHI. OF THESE, 48 COMPLETED ROUND 1 (91%), 43 COMPLETED ROUND 2 (81%), 39 COMPLETED ROUND 3 (74%) AND 32 COMPLETED ROUND 4 (60%). PANELLISTS REACHED CONSENSUS FOR INCLUSION ON 21 ITEMS, GROUPED UNDER 10 DOMAINS REFLECTIVE OF MORE GENERIC INTERVENTION-BASED GUIDELINES. CONCLUSIONS: THE CONSENSUS-BASED 21-ITEM CLARIFY (CHECKLIST STANDARDISING THE REPORTING OF INTERVENTIONS FOR YOGA) CHECKLIST PROVIDES A MINIMUM REPORTING TEMPLATE FOR RESEARCHERS ACROSS A RANGE OF METHODOLOGY DESIGNS. USE OF THESE YOGA-SPECIFIC GUIDELINES, IN CONJUNCTION WITH THE CLARIFY EXPLANATION AND ELABORATION GUIDELINES, WILL STANDARDISE THE MINIMUM LEVEL OF DETAIL REQUIRED FOR TRANSPARENT YOGA INTERVENTION, FACILITATING THE REPLICATION, DISSEMINATION AND IMPLEMENTATION OF YOGA RESEARCH. ONGOING RESEARCH WILL ASSESS THE UPTAKE AND IMPACT OF CLARIFY, TO ENSURE THESE GUIDELINES RETAIN THEIR RELEVANCE TO THE INTERNATIONALLY GROWING FIELD OF YOGA RESEARCH. 2022 16 6 30 "I JUST START CRYING FOR NO REASON": THE EXPERIENCE OF STRESS AND DEPRESSION IN PREGNANT, URBAN, AFRICAN-AMERICAN ADOLESCENTS AND THEIR PERCEPTION OF YOGA AS A MANAGEMENT STRATEGY. PURPOSE: PERINATAL HEALTH DISPARITIES ARE OF PARTICULAR CONCERN WITH PREGNANT, URBAN, AFRICAN-AMERICAN (AA) ADOLESCENTS, WHO HAVE HIGH RATES OF STRESS AND DEPRESSION DURING PREGNANCY, HIGHER RATES OF ADVERSE PREGNANCY AND NEONATAL OUTCOMES, AND MANY BARRIERS TO EFFECTIVE TREATMENT. THE PURPOSE OF THIS STUDY WAS TO EXPLORE PREGNANT, URBAN, AA TEENAGERS' EXPERIENCE OF STRESS AND DEPRESSION AND EXAMINE THEIR PERCEPTIONS OF ADJUNCTIVE NONPHARMACOLOGIC MANAGEMENT STRATEGIES, SUCH AS YOGA. METHODS: THIS COMMUNITY-BASED, QUALITATIVE STUDY USED NONTHERAPEUTIC FOCUS GROUPS TO ALLOW FOR EXPLORATION OF ATTITUDES, CONCERNS, BELIEFS, AND VALUES REGARDING STRESS AND DEPRESSION IN PREGNANCY AND NONPHARMACOLOGIC MANAGEMENT APPROACHES, SUCH AS MIND-BODY THERAPIES AND OTHER PRENATAL ACTIVITIES. FINDINGS: THE SAMPLE CONSISTED OF PREGNANT, AA, LOW-INCOME ADOLESCENTS (N=17) WHO RESIDED IN A LARGE URBAN AREA IN THE UNITED STATES. THE THEMES THAT AROSE IN THE FOCUS GROUP DISCUSSIONS WERE THAT 1) STRESS AND DEPRESSION SYMPTOMS ARE PERVASIVE IN DAILY LIFE, 2) PARTICIPANTS FELT A GENERALIZED SENSE OF ISOLATION, 3) STRESS/DEPRESSION MANAGEMENT TECHNIQUES SHOULD BE GROUP BASED, INTERACTIVE, AND FOCUSED ON THE SPECIFIC NEEDS OF TEENAGERS, AND 4) YOGA IS AN APPEALING STRESS MANAGEMENT TECHNIQUE TO THIS POPULATION. CONCLUSIONS: FINDINGS FROM THIS STUDY SUGGEST THAT PREGNANT, URBAN, ADOLESCENTS ARE HIGHLY STRESSED; THEY INTERPRET DEPRESSION-LIKE SYMPTOMS TO BE SIGNS OF STRESS; THEY DESIRE GROUP-BASED, INTERACTIVE ACTIVITIES; AND THEY ARE INTERESTED IN YOGA CLASSES FOR STRESS/DEPRESSION MANAGEMENT AND RELATIONSHIP BUILDING. IT IS IMPERATIVE THAT HEALTH CARE PROVIDERS AND RESEARCHERS FOCUS ON THESE NEEDS, PARTICULARLY WHEN DESIGNING PREVENTION AND INTERVENTION STRATEGIES. 2015 17 148 21 A QUALITATIVE EXPLORATION OF IMPLEMENTATION FACTORS IN A SCHOOL-BASED MINDFULNESS AND YOGA PROGRAM: LESSONS LEARNED FROM STUDENTS AND TEACHERS. IDENTIFYING FACTORS RELEVANT FOR SUCCESSFUL IMPLEMENTATION OF SCHOOL-BASED INTERVENTIONS IS ESSENTIAL TO ENSURE THAT PROGRAMS ARE PROVIDED IN AN EFFECTIVE AND ENGAGING MANNER. THE PERSPECTIVES OF TWO KEY STAKEHOLDERS CRITICAL FOR IDENTIFYING IMPLEMENTATION BARRIERS AND FACILITATORS - STUDENTS AND THEIR CLASSROOM TEACHERS - MERIT ATTENTION IN THIS CONTEXT AND HAVE RARELY BEEN EXPLORED USING QUALITATIVE METHODS. THIS STUDY REPORTS QUALITATIVE PERSPECTIVES OF FIFTH AND SIXTH GRADE PARTICIPANTS AND THEIR TEACHERS OF A 16-WEEK SCHOOL-BASED MINDFULNESS AND YOGA PROGRAM IN THREE PUBLIC SCHOOLS SERVING LOW-INCOME URBAN COMMUNITIES. FOUR THEMES RELATED TO PROGRAM IMPLEMENTATION BARRIERS AND FACILITATORS EMERGED: PROGRAM DELIVERY FACTORS, PROGRAM BUY-IN, IMPLEMENTER COMMUNICATION WITH TEACHERS, AND INSTRUCTOR QUALITIES. FEEDBACK FROM STUDENTS AND TEACHERS IS DISCUSSED IN THE CONTEXT OF INFORMING IMPLEMENTATION, ADAPTATION, AND FUTURE DEVELOPMENT OF SCHOOL-BASED MINDFULNESS AND YOGA PROGRAMMING IN URBAN SETTINGS. 2017 18 491 24 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 1158 32 ESTABLISHING KEY COMPONENTS OF YOGA INTERVENTIONS FOR MUSCULOSKELETAL CONDITIONS: A DELPHI SURVEY. BACKGROUND: EVIDENCE SUGGESTS YOGA IS A SAFE AND EFFECTIVE INTERVENTION FOR THE MANAGEMENT OF PHYSICAL AND PSYCHOSOCIAL SYMPTOMS ASSOCIATED WITH MUSCULOSKELETAL CONDITIONS. HOWEVER, HETEROGENEITY IN THE COMPONENTS AND REPORTING OF CLINICAL YOGA TRIALS IMPEDES BOTH THE GENERALIZATION OF STUDY RESULTS AND THE REPLICATION OF STUDY PROTOCOLS. THE AIM OF THIS DELPHI SURVEY WAS TO ADDRESS THESE ISSUES OF HETEROGENEITY, BY DEVELOPING A LIST OF RECOMMENDATIONS OF KEY COMPONENTS FOR THE DESIGN AND REPORTING OF YOGA INTERVENTIONS FOR MUSCULOSKELETAL CONDITIONS. METHODS: RECOGNISED EXPERTS INVOLVED IN THE DESIGN, CONDUCT, AND TEACHING OF YOGA FOR MUSCULOSKELETAL CONDITIONS WERE IDENTIFIED FROM A SYSTEMATIC REVIEW, AND INVITED TO CONTRIBUTE TO THE DELPHI SURVEY. FORTY-ONE OF THE 58 EXPERTS CONTACTED, REPRESENTING SIX COUNTRIES, AGREED TO PARTICIPATE. A THREE-ROUND DELPHI WAS CONDUCTED VIA ELECTRONIC SURVEYS. ROUND 1 PRESENTED AN OPEN-ENDED QUESTION, ALLOWING PANELLISTS TO INDIVIDUALLY IDENTIFY COMPONENTS THEY CONSIDERED KEY TO THE DESIGN AND REPORTING OF YOGA INTERVENTIONS FOR MUSCULOSKELETAL CONDITIONS. THEMATIC ANALYSIS OF ROUND 1 IDENTIFIED ITEMS FOR QUANTITATIVE RATING IN ROUND 2; ITEMS NOT REACHING CONSENSUS WERE FORWARDED TO ROUND 3 FOR RE-RATING. RESULTS: THIRTY-SIX PANELLISTS (36/41; 88%) COMPLETED THE THREE ROUNDS OF THE DELPHI SURVEY. PANELLISTS PROVIDED 348 COMMENTS TO THE ROUND 1 QUESTION. THESE COMMENTS WERE REDUCED TO 49 ITEMS, GROUPED UNDER FIVE THEMES, FOR RATING IN SUBSEQUENT ROUNDS. A PRIORI GROUP CONSENSUS OF >/=80% WAS REACHED ON 28 ITEMS RELATED TO FIVE THEMES CONCERNING DEFINING THE YOGA INTERVENTION, TYPES OF YOGA PRACTICES TO INCLUDE IN AN INTERVENTION, DELIVERY OF THE YOGA PROTOCOL, DOMAINS OF OUTCOME MEASURES, AND REPORTING OF YOGA INTERVENTIONS FOR MUSCULOSKELETAL CONDITIONS. ADDITIONALLY, A PRIORI CONSENSUS OF >/=50% WAS REACHED ON FIVE ITEMS RELATING TO MINIMUM VALUES FOR INTERVENTION PARAMETERS. CONCLUSIONS: EXPERT CONSENSUS HAS PROVIDED A NON-PRESCRIPTIVE REFERENCE LIST FOR THE DESIGN AND REPORTING OF YOGA INTERVENTIONS FOR MUSCULOSKELETAL CONDITIONS. IT IS ANTICIPATED FUTURE RESEARCH INCORPORATING THE DELPHI GUIDELINES WILL FACILITATE HIGH QUALITY INTERNATIONAL RESEARCH IN THIS FIELD, INCREASE HOMOGENEITY OF INTERVENTION COMPONENTS AND PARAMETERS, AND ENHANCE THE COMPARISON AND REPRODUCIBILITY OF RESEARCH INTO THE USE OF YOGA FOR THE MANAGEMENT OF MUSCULOSKELETAL CONDITIONS. 2014 20 602 31 DEVELOPMENT AND VALIDATION OF A YOGA MODULE FOR PARKINSON DISEASE. BACKGROUND PARKINSON'S DISEASE (PD), A PROGRESSIVE NEURODEGENERATIVE DISEASE, AFFECTS MOTOR AND NONMOTOR FUNCTIONS, LEADING TO SEVERE DEBILITY AND POOR QUALITY OF LIFE. STUDIES HAVE REPORTED THE BENEFICIAL ROLE OF YOGA IN ALLEVIATING THE SYMPTOMS OF PD; HOWEVER, A VALIDATED YOGA MODULE FOR PD IS UNAVAILABLE. THIS STUDY DEVELOPED AND VALIDATED AN INTEGRATED YOGA MODULE(IYM) FOR PD. METHODS THE IYM WAS PREPARED AFTER A THOROUGH REVIEW OF CLASSICAL YOGA TEXTS AND PREVIOUS FINDINGS. TWENTY EXPERIENCED YOGA EXPERTS, WHO FULFILLED THE INCLUSION CRITERIA, WERE SELECTED VALIDATING THE CONTENT OF THE IYM. A TOTAL OF 28 PRACTICES WERE INCLUDED IN THE IYM, AND EACH PRACTICE WAS DISCUSSED AND RATED AS (I) NOT ESSENTIAL, (II) USEFUL BUT NOT ESSENTIAL, AND (III) ESSENTIAL; THE CONTENT VALIDITY RATIO (CVR) WAS CALCULATED USING LAWSHE'S FORMULA. RESULTS DATA ANALYSIS REVEALED THAT OF THE 28 IYM PRACTICES, 21 EXHIBITED SIGNIFICANT CONTENT VALIDITY (CUT-OFF VALUE: 0.42, AS CALCULATED BY APPLYING LAWSHE'S FORMULA FOR THE CVR). CONCLUSIONS THE IYM IS VALID FOR PD, WITH GOOD CONTENT VALIDITY. HOWEVER, FUTURE STUDIES MUST DETERMINE THE FEASIBILITY AND EFFICACY OF THE DEVELOPED MODULE. 2017