1 1595 120 MEDITATION AND YOGA-ASSISTED ALTERATION OF DIETARY BEHAVIOR AS A USEFUL STRATEGY FOR LIMITING ZOONOTIC PANDEMICS: A NOVEL INSIGHT. VEGETARIAN DIETS ARE KNOWN TO HAVE SIGNIFICANT POSITIVE EFFECTS ON PERSONAL AND PLANETARY HEALTH AND ARE LIKELY TO CURB ZOONOTIC INFECTION TRANSMISSION. WE PROPOSE THAT MINIMIZING MEAT CONSUMPTION SHOULD BECOME AN ESSENTIAL DIETARY SHIFT IN THE POST-COVID-19 ERA. TO DATE, HOWEVER, THERE IS LIMITED KNOWLEDGE CONCERNING SUITABLE METHODS THAT COULD CATALYZE THIS CHANGE ON A GLOBAL SCALE. MEDITATION AND YOGA ARE PRACTICAL AND EASY TO IMPLEMENT PSYCHOMODULATORY STRATEGIES THAT CAN NATURALLY TRIGGER VEGETARIANISM AND RELATED EATING BEHAVIORS, LOWERING OUR RELIANCE ON ANIMAL MEAT. DECREASING DEPENDENCE ON ANIMAL MEAT REDUCES THE NEED FOR ANIMAL MARKETS AND MAY SUBSTANTIALLY MINIMIZE THE LIKELIHOOD OF SPILLOVER (PASSAGE OF VIRUSES FROM ANIMAL RESERVOIRS INTO HUMAN POPULATIONS). GLOBAL IMPLEMENTATION OF THESE STRATEGIES, IN OUR OPINION, CAN ADD TO SPIRITUAL WISDOM, COMPASSION, AND COOPERATIVE HUMAN BEHAVIOR, THUS REDUCING THE ENCROACHMENT OF WILD-LIFE RESERVES AND ANIMAL EXPLOITATION. THE APPLICATION OF THESE ANCIENT INDIAN APPROACHES REPRESENTS A NOVEL AND FOCUSED STRATEGY TOWARD CURBING ZOONOTIC PANDEMICS. KEYWORDS: CORONAVIRUS DISEASE-19, MEAT-EATING, MEDITATION, PANDEMICS, VIRAL SPILLOVER, YOGA. 2020
2 2839 25 YOGA, AHIMSA AND CONSUMING ANIMALS: UK YOGA TEACHERS' BELIEFS ABOUT FARMED ANIMALS AND ATTITUDES TO PLANT-BASED DIETS. YOGA IS A HOLISTIC DISCIPLINE ORIGINATING IN ANCIENT INDIA. YOGA HAS LINKS WITH HINDUISM, BUDDHISM AND JAINISM BASED ON A SHARED PHILOSOPHICAL FRAMEWORK OF UNITY WITH ALL BEINGS AND BELIEF IN AHIMSA, MEANING NON-HARMING. THERE IS DEBATE IN THE INTERNATIONAL YOGA COMMUNITY ABOUT THE SPIRITUAL, ETHICAL AND HEALTH-RELATED LINKS BETWEEN YOGA AND PLANT-BASED DIETS. THIS MIXED METHODOLOGY RESEARCH INVESTIGATES THE BELIEFS ABOUT THE MORAL STATUS OF FARMED ANIMALS AND ATTITUDES TOWARDS PLANT-BASED DIETS OF UK YOGA TEACHERS. A SEQUENTIAL MIXED-METHODS DESIGN EMPLOYING A QUESTIONNAIRE AND SEMI-STRUCTURED INTERVIEWS IS USED. THIS PAPER FOCUSES ON THE QUESTIONNAIRE-BASED PHASE OF THE RESEARCH. KEY RESULTS ARE: (I) UK YOGA TEACHERS HAVE VERY PROGRESSIVE BELIEFS ABOUT THE MORAL STATUS OF FARMED ANIMALS; (II) 29.6% OF UK YOGA TEACHERS FOLLOW A PLANT-BASED DIET (N = 446), WHICH IS 25-FOLD THE PROPORTION IN THE WIDER UK POPULATION; (III) 73.9% DESIRE TO FOLLOW A PLANT-BASED DIET; (IV) 68.6% REGARD PLANT-BASED DIETS AS BEST ALIGNED TO THEIR YOGIC PRACTICE; AND (V) UK YOGA TEACHERS WITH MORE PROGRESSIVE BELIEFS ABOUT FARMED ANIMALS AND WITH MORE SELF-REPORTED KNOWLEDGE OF AGRICULTURE ABSTAIN FROM CONSUMING ANIMAL PRODUCTS TO A GREATER EXTENT. THE FAR HIGHER PROPORTIONS OF UK YOGA TEACHERS FOLLOWING VEGETARIAN AND PLANT-BASED DIETS, RELATIVE TO THE WIDER POPULATION, ARE LIKELY BASED ON APPLYING YOGIC TEACHINGS SUCH AS THE PRINCIPLE OF AHIMSA THROUGH ABSTAINING FROM THE CONSUMPTION OF ANIMAL PRODUCTS. 2020
3 1560 25 LONG-TERM YOGA AND AEROBIC/STRENGTH EXERCISE ADHERENCE IN OLDER WOMEN WITH KNEE OSTEOARTHRITIS: A MIXED METHODS APPROACH. HATHA YOGA (HY) AND AEROBIC AND STRENGTHENING EXERCISE (ASE) PROGRAMS ARE RECOMMENDED FOR OPTIMAL MANAGEMENT OF OSTEOARTHRITIS. HOWEVER, EVIDENCE ON LONG-TERM ADHERENCE TO THESE PROGRAMS AND FACTORS THAT INFLUENCE IT IS LACKING IN OLDER ADULTS. THE PURPOSES OF THIS STUDY WERE TO (1) DESCRIBE AND COMPARE LONG-TERM HY AND ASE ADHERENCE IN COMMUNITY-DWELLING OLDER WOMEN WITH KNEE OSTEOARTHRITIS 12 MONTHS POST-HY/ASE INTERVENTION PROGRAMS; (2) IDENTIFY BENEFITS AND FACILITATORS OF, AND BARRIERS TO, LONG-TERM ADHERENCE; AND (3) EXAMINE OTHER SELF-CARE INTERVENTIONS USED AFTER COMPLETING HY OR ASE PROGRAMS. ADHERENCE WAS DEFINED AS FOLLOWING THE PRESCRIBED HY/ASE PROGRAM OR INCORPORATING THE PRACTICE INTO DAILY HABITS. FIVE SEMISTRUCTURED FOCUS GROUP INTERVIEWS AND 12 MONTHS OF EXERCISE DIARIES WERE OBTAINED FROM 28 WOMEN (MEAN AGE 71.2 YEARS). LONG-TERM ADHERENCE TO THE PRESCRIBED HY OR ASE REGIMEN WAS RELATIVELY HIGH, ALBEIT ADAPTED TO INDIVIDUAL NEEDS, PRIORITIES, AND PREFERENCES. OVER THE 12-MONTH FOLLOW-UP PERIOD, PARTICIPANTS SPENT ON AVERAGE 3.5 DAYS/3.1 HOURS PER WEEK ON EXERCISE. MOST PARTICIPANTS REMAINED PHYSICALLY ACTIVE BY MODIFYING THEIR PRESCRIBED PROGRAMS AND INTEGRATING ELEMENTS OF THE INTERVENTIONS INTO THEIR OWN EXERCISE REGIMENS. FACILITATORS TO LONG-TERM ADHERENCE WERE PERCEIVED BENEFITS, HAVING AN EXERCISE ROUTINE/HABIT, AND PROGRAM STRUCTURE/INSTRUCTION. POOR HEALTH STATUS, LACK OF TIME, AND EXERCISE PREFERENCES WERE IDENTIFIED AS BARRIERS. PARTICIPANTS USED A VARIETY OF SELF-CARE INTERVENTIONS INCLUDING ORAL SUPPLEMENTS AND ALTERNATIVE DIETS FOR MANAGING THEIR OSTEOARTHRITIS. THIS WORK SUGGESTS THAT EXERCISE PROGRAMS FOR OSTEOARTHRITIS THAT INCORPORATE INDIVIDUAL PREFERENCES, FLEXIBLE HOURS, AND EASY-TO-FOLLOW INSTRUCTIONS ARE MOST LIKELY TO RESULT IN LONG-TERM ADHERENCE. 2022
4 2763 18 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
5 1251 18 FEASIBILITY TRIAL OF YOGA PROGRAMME FOR TYPE 2 DIABETES PREVENTION (YOGA-DP) AMONG HIGH-RISK PEOPLE IN INDIA: A QUALITATIVE STUDY TO EXPLORE PARTICIPANTS' TRIAL- AND INTERVENTION-RELATED BARRIERS AND FACILITATORS. YOGA-BASED INTERVENTIONS CAN BE EFFECTIVE IN PREVENTING TYPE 2 DIABETES MELLITUS (T2DM). WE DEVELOPED A YOGA PROGRAMME FOR T2DM PREVENTION (YOGA-DP) AND CONDUCTED A FEASIBILITY RANDOMISED CONTROLLED TRIAL (RCT) AMONG HIGH-RISK PEOPLE IN INDIA. THIS QUALITATIVE STUDY'S OBJECTIVE WAS TO IDENTIFY AND EXPLORE PARTICIPANTS' TRIAL- AND INTERVENTION-RELATED BARRIERS AND FACILITATORS. THE FEASIBILITY TRIAL WAS CONDUCTED AT TWO YOGA CENTRES IN NEW DELHI AND BENGALURU, INDIA. IN THIS QUALITATIVE STUDY, 25 TRIAL PARTICIPANTS (13 INTERVENTION GROUP, 12 CONTROL GROUP) WERE RECRUITED FOR SEMI-STRUCTURED INTERVIEWS. DATA WERE ANALYSED USING DEDUCTIVE LOGIC AND AN INTERPRETATIVE PHENOMENOLOGICAL APPROACH. AMONGST INTERVENTION AND CONTROL PARTICIPANTS, KEY BARRIERS TO TRIAL PARTICIPATION WERE INADEQUATE INFORMATION ABOUT RECRUITMENT AND RANDOMISATION PROCESSES AND THE NEGATIVE INFLUENCE OF NON-PARTICIPANTS. FREE BLOOD TESTS TO AID T2DM PREVENTION, SITE STAFF'S FRIENDLY BEHAVIOUR AND FRIENDS' POSITIVE INFLUENCE FACILITATED TRIAL PARTICIPATION. AMONGST INTERVENTION PARTICIPANTS, READABILITY AND UNDERSTANDING OF THE PROGRAMME BOOKLETS, DISLIKE OF THE YOGA DIARY, POOR QUALITY YOGA MATS, DIFFICULTY IN USING THE PROGRAMME VIDEO, HOUSEHOLD COMMITMENT DURING HOME SESSIONS, UNPLANNED TRAVEL, DIFFICULTY IN PRACTISING YOGA POSES, HESITATION IN ATTENDING PROGRAMME SESSIONS WITH THE YOGA-DP INSTRUCTOR OF THE OPPOSITE SEX AND MIXED-SEX GROUP PROGRAMME SESSIONS WERE KEY BARRIERS TO INTERVENTION PARTICIPATION. ADEQUATE INFORMATION WAS PROVIDED ON T2DM PREVENTION AND SELF-CARE, GOOD VENUE AND OTHER SUPPORT PROVIDED FOR PROGRAMME SESSIONS, YOGA-DP INSTRUCTORS' POSITIVE BEHAVIOUR AND IMPROVEMENTS IN PHYSICAL AND MENTAL WELL-BEING FACILITATED INTERVENTION PARTICIPATION. IN CONCLUSION, WE IDENTIFIED AND EXPLORED PARTICIPANTS' TRIAL- AND INTERVENTION-RELATED BARRIERS AND FACILITATORS. WE IDENTIFIED AN ALMOST EQUAL NUMBER OF BARRIERS (N = 12) AND FACILITATORS (N = 13); HOWEVER, INTERVENTION-RELATED BARRIERS AND FACILITATORS WERE GREATER THAN FOR PARTICIPATING IN THE TRIAL. THESE FINDINGS WILL INFORM THE DESIGN OF THE PLANNED DEFINITIVE RCT DESIGN AND INTERVENTION AND CAN ALSO BE USED TO DESIGN OTHER YOGA INTERVENTIONS AND RCTS. 2022
6 613 25 DEVELOPMENT OF A YOGA PROGRAM FOR TYPE-2 DIABETES PREVENTION (YOGA-DP) AMONG HIGH-RISK PEOPLE IN INDIA. INTRODUCTION: MANY INDIANS ARE AT HIGH-RISK OF TYPE-2 DIABETES MELLITUS (T2DM). YOGA IS AN ANCIENT INDIAN MIND-BODY DISCIPLINE, THAT HAS BEEN ASSOCIATED WITH IMPROVED GLUCOSE LEVELS AND CAN HELP TO PREVENT T2DM. THE STUDY AIMED TO SYSTEMATICALLY DEVELOP A YOGA PROGRAM FOR T2DM PREVENTION (YOGA-DP) AMONG HIGH-RISK PEOPLE IN INDIA USING A COMPLEX INTERVENTION DEVELOPMENT APPROACH. MATERIALS AND METHODS: AS PART OF THE INTERVENTION, WE DEVELOPED A BOOKLET AND A HIGH-DEFINITION VIDEO FOR PARTICIPANTS AND A MANUAL FOR YOGA-DP INSTRUCTORS. A SYSTEMATIC ITERATIVE PROCESS WAS FOLLOWED TO DEVELOP THE INTERVENTION AND INCLUDED FIVE STEPS: (I) A SYSTEMATIC REVIEW OF THE LITERATURE TO GENERATE A LIST OF YOGIC PRACTICES THAT IMPROVES BLOOD GLUCOSE LEVELS AMONG ADULTS AT HIGH-RISK OF OR WITH T2DM, (II) VALIDATION OF IDENTIFIED YOGIC PRACTICES BY YOGA EXPERTS, (III) DEVELOPMENT OF THE INTERVENTION, (IV) CONSULTATION WITH YOGA, EXERCISE, PHYSICAL ACTIVITY, DIET, BEHAVIOR CHANGE, AND/OR DIABETES EXPERTS ABOUT THE INTERVENTION, AND (V) PRETEST THE INTERVENTION AMONG YOGA PRACTITIONERS AND LAY PEOPLE (THOSE AT RISK OF T2DM AND HAD NOT PRACTICED YOGA BEFORE) IN INDIA. RESULTS: YOGA-DP IS A STRUCTURED LIFESTYLE EDUCATION AND EXERCISE PROGRAM, PROVIDED OVER A PERIOD OF 24 WEEKS. THE EXERCISE PART IS BASED ON YOGA AND INCLUDES SHITHILIKARANA VYAYAMA (LOOSENING EXERCISES), SURYA NAMASKAR (SUN SALUTATION EXERCISES), ASANA (YOGIC POSES), PRANAYAMA (BREATHING PRACTICES), AND DHYANA (MEDITATION) AND RELAXATION PRACTICES. ONCE PARTICIPANTS COMPLETE THE PROGRAM, THEY ARE STRONGLY ENCOURAGED TO MAINTAIN A HEALTHY LIFESTYLE IN THE LONG-TERM. CONCLUSIONS: WE SYSTEMATICALLY DEVELOPED A NOVEL YOGA PROGRAM FOR T2DM PREVENTION (YOGA-DP) AMONG HIGH-RISK PEOPLE IN INDIA. A MULTI-CENTER FEASIBILITY RANDOMIZED CONTROLLED TRIAL IS IN PROGRESS IN INDIA. 2020
7 93 30 A NARRATIVE REVIEW OF YOGA AND MINDFULNESS AS COMPLEMENTARY THERAPIES FOR ADDICTION. THIS PAPER REVIEWS THE PHILOSOPHICAL ORIGINS, CURRENT SCIENTIFIC EVIDENCE, AND CLINICAL PROMISE OF YOGA AND MINDFULNESS AS COMPLEMENTARY THERAPIES FOR ADDICTION. HISTORICALLY, THERE ARE EIGHT ELEMENTS OF YOGA THAT, TOGETHER, COMPRISE ETHICAL PRINCIPLES AND PRACTICES FOR LIVING A MEANINGFUL, PURPOSEFUL, MORAL AND SELF-DISCIPLINED LIFE. TRADITIONAL YOGA PRACTICES, INCLUDING POSTURES AND MEDITATION, DIRECT ATTENTION TOWARD ONE'S HEALTH, WHILE ACKNOWLEDGING THE SPIRITUAL ASPECTS OF ONE'S NATURE. MINDFULNESS DERIVES FROM ANCIENT BUDDHIST PHILOSOPHY, AND MINDFULNESS MEDITATION PRACTICES, SUCH AS GENTLE HATHA YOGA AND MINDFUL BREATHING, ARE INCREASINGLY INTEGRATED INTO SECULAR HEALTH CARE SETTINGS. CURRENT THEORETICAL MODELS SUGGEST THAT THE SKILLS, INSIGHTS, AND SELF-AWARENESS LEARNED THROUGH YOGA AND MINDFULNESS PRACTICE CAN TARGET MULTIPLE PSYCHOLOGICAL, NEURAL, PHYSIOLOGICAL, AND BEHAVIORAL PROCESSES IMPLICATED IN ADDICTION AND RELAPSE. A SMALL BUT GROWING NUMBER OF WELL-DESIGNED CLINICAL TRIALS AND EXPERIMENTAL LABORATORY STUDIES ON SMOKING, ALCOHOL DEPENDENCE, AND ILLICIT SUBSTANCE USE SUPPORT THE CLINICAL EFFECTIVENESS AND HYPOTHESIZED MECHANISMS OF ACTION UNDERLYING MINDFULNESS-BASED INTERVENTIONS FOR TREATING ADDICTION. BECAUSE VERY FEW STUDIES HAVE BEEN CONDUCTED ON THE SPECIFIC ROLE OF YOGA IN TREATING OR PREVENTING ADDICTION, WE PROPOSE A CONCEPTUAL MODEL TO INFORM FUTURE STUDIES ON OUTCOMES AND POSSIBLE MECHANISMS. ADDITIONAL RESEARCH IS ALSO NEEDED TO BETTER UNDERSTAND WHAT TYPES OF YOGA AND MINDFULNESS-BASED INTERVENTIONS WORK BEST FOR WHAT TYPES OF ADDICTION, WHAT TYPES OF PATIENTS, AND UNDER WHAT CONDITIONS. OVERALL, CURRENT FINDINGS INCREASINGLY SUPPORT YOGA AND MINDFULNESS AS PROMISING COMPLEMENTARY THERAPIES FOR TREATING AND PREVENTING ADDICTIVE BEHAVIORS. 2013
8 2764 24 YOGA PROGRAMME FOR TYPE-2 DIABETES PREVENTION (YOGA-DP) AMONG HIGH RISK PEOPLE IN INDIA: A MULTICENTRE FEASIBILITY RANDOMISED CONTROLLED TRIAL PROTOCOL. INTRODUCTION: A HUGE POPULATION IN INDIA IS AT HIGH RISK OF TYPE-2 DIABETES (T2DM). PHYSICAL ACTIVITY AND A HEALTHY DIET (HEALTHY LIFESTYLE) IMPROVE BLOOD GLUCOSE LEVELS IN PEOPLE AT HIGH RISK OF T2DM. HOWEVER, AN UNHEALTHY LIFESTYLE IS COMMON AMONG INDIANS. YOGA COVERS PHYSICAL ACTIVITY AND A HEALTHY DIET AND CAN HELP TO PREVENT T2DM. THE RESEARCH QUESTION TO BE ADDRESSED BY THE MAIN RANDOMISED CONTROLLED TRIAL (RCT) IS WHETHER A YOGA PROGRAMME FOR T2DM PREVENTION (YOGA-DP) IS EFFECTIVE IN PREVENTING T2DM AMONG HIGH RISK PEOPLE IN INDIA AS COMPARED WITH ENHANCED STANDARD CARE. IN THIS CURRENT STUDY, WE ARE DETERMINING THE FEASIBILITY OF UNDERTAKING THE MAIN RCT. INTERVENTION: YOGA-DP IS A STRUCTURED LIFESTYLE EDUCATION AND EXERCISE PROGRAMME. THE EXERCISE PART IS BASED ON YOGA AND INCLUDES SHITHILIKARANA VYAYAMA (LOOSENING EXERCISES), SURYA NAMASKAR (SUN SALUTATION EXERCISES), ASANA (YOGIC POSES), PRANAYAMA (BREATHING PRACTICES) AND DHYANA (MEDITATION) AND RELAXATION PRACTICES. METHODS AND ANALYSIS: THIS IS A MULTICENTRE, TWO-ARM, PARALLEL-GROUP, FEASIBILITY RCT WITH BLINDED OUTCOME ASSESSMENT AND INTEGRATED MIXED-METHODS PROCESS EVALUATION. ELIGIBLE PARTICIPANTS SHOULD BE AGED 18-74 YEARS, AT HIGH RISK OF T2DM (FASTING PLASMA GLUCOSE LEVEL 5.6-6.9 MMOL/L) AND SAFE TO PARTICIPATE IN PHYSICAL ACTIVITIES. AT LEAST 64 PARTICIPANTS WILL BE RANDOMISED TO INTERVENTION OR CONTROL GROUP WITH FINAL FOLLOW-UP AT 6 MONTHS. IMPORTANT PARAMETERS, NEEDED TO DESIGN THE MAIN RCT, WILL BE ESTIMATED, SUCH AS SD OF THE OUTCOME MEASURE (FASTING PLASMA GLUCOSE LEVEL AT 6-MONTH FOLLOW-UP), RECRUITMENT, INTERVENTION ADHERENCE, FOLLOW-UP, POTENTIAL CONTAMINATION AND TIME NEEDED TO CONDUCT THE STUDY. SEMISTRUCTURED QUALITATIVE INTERVIEWS WILL BE CONDUCTED WITH UP TO 20-30 PARTICIPANTS, A SAMPLE OF THOSE DECLINING TO PARTICIPATE, FOUR YOGA-DP INSTRUCTORS AND AROUND EIGHT STUDY STAFF TO EXPLORE THEIR PERCEPTIONS AND EXPERIENCES OF TAKING PART IN THE STUDY AND OF THE INTERVENTION, REASONS BEHIND NON-PARTICIPATION, EXPERIENCES OF DELIVERING THE INTERVENTION AND RUNNING THE STUDY, RESPECTIVELY. ETHICS AND DISSEMINATION: ETHICS APPROVAL HAS BEEN OBTAINED FROM THE FOLLOWING RESEARCH ETHICS COMMITTEES: FACULTY OF MEDICINE AND HEALTH SCIENCES, UNIVERSITY OF NOTTINGHAM (UK); CENTRE FOR CHRONIC DISEASE CONTROL (CCDC, INDIA); BAPU NATURE CURE HOSPITAL AND YOGASHRAM (BNCHY, INDIA) AND SWAMI VIVEKANANDA YOGA ANUSANDHANA SAMSTHANA (S-VYASA, INDIA). THE RESULTS WILL BE WIDELY DISSEMINATED AMONG KEY STAKEHOLDERS THROUGH VARIOUS AVENUES. TRIAL REGISTRATION NUMBER: CTRI/2019/05/018893. 2020
9 2057 20 THE BENEFITS OF YOGA FOR ADULTS WITH TYPE 2 DIABETES: A REVIEW OF THE EVIDENCE AND CALL FOR A COLLABORATIVE, INTEGRATED RESEARCH INITIATIVE. TYPE 2 DIABETES (T2DM) IS A GLOBAL PUBLIC HEALTH CRISIS. RESEARCH SUGGESTS THAT YOGA HOLDS PROMISE FOR T2DM MANAGEMENT. THIS ARTICLE SUMMARIZES EVIDENCE REGARDING THE EFFICACY OF YOGA FOR T2DM MANAGEMENT AND ENCOURAGES THE DEVELOPMENT OF AN INTEGRATED RESEARCH AGENDA AND A COLLABORATIVE WORK GROUP TO TEST IT. WE PRESENT A BRIEF OVERVIEW OF THE GLOBAL RISE IN T2DM AND ITS CONSEQUENCES AND COSTS, REVIEW THE EVIDENCE REGARDING THE POTENTIAL BENEFITS OF YOGA FOR T2DM MANAGEMENT, OUTLINE LIMITATIONS IN THE LITERATURE, DISCUSS POSSIBLE MECHANISMS UNDERLYING THE EFFECTS OF YOGA ON T2DM, AND SUGGEST HOW A COLLABORATIVE, MULTINATIONAL EFFORT BY YOGA THERAPIST AND RESEARCH COMMUNITIES MIGHT CONTRIBUTE TO RESEARCH AND INFORM CLINICAL PRACTICE. YOGA PROTOCOLS THAT SERVE T2DM PATIENTS AND A RESEARCH FRAMEWORK FOR CREATING AN EVIDENCE BASE TO SUPPORT THE USE OF YOGA FOR T2DM MANAGEMENT ARE CLEARLY NEEDED. 2013
10 148 19 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
11 2304 22 TOWARD AN EXPLANATORY FRAMEWORK FOR YOGA THERAPY INFORMED BY PHILOSOPHICAL AND ETHICAL PERSPECTIVES. CONTEXT * YOGA THERAPY IS AN EMERGING COMPLEMENTARY AND INTEGRATIVE HEALTH PRACTICE FOR WHICH THERE IS INCREASING INTEREST FROM BOTH CLINICAL AND RESEARCH PERSPECTIVES. CURRENTLY MISSING, HOWEVER, IS AN EXPLANATORY FRAMEWORK FOR THE PROFESSION THAT PROVIDES PRACTITIONERS, CLIENTS, AND THE PUBLIC WITH AN UNDERSTANDING OF HOW VARIOUS YOGIC TRADITIONS AND PRINCIPLES CAN BE UNDERSTOOD IN MODERN HEALTH CARE CONTEXTS. OBJECTIVE * THIS STUDY PROPOSES AN EXPLANATORY FRAMEWORK FOR YOGA THERAPY, INFORMED BY PHENOMENOLOGY, EUDAIMONIA, VIRTUE ETHICS, AND FIRST-PERSON ETHICAL INQUIRY. CONCLUSIONS * THESE 4 PHILOSOPHICAL PERSPECTIVES-PHENOMENOLOGY, EUDAIMONIA, VIRTUE ETHICS, AND FIRST-PERSON ETHICAL INQUIRY-PROVIDE A LENS THROUGH WHICH TO UNDERSTAND HOW YOGIC PRACTICES SUPPORT THE INDIVIDUAL'S TRANSFORMATION IN THE EXPERIENCE OF ILLNESS, PAIN, OR DISABILITY. WE PROPOSE THAT THIS TRANSFORMATION OCCURS THROUGH FACILITATING A REHARMONIZATION OF BODY, MIND, AND ENVIRONMENT TOWARD THE EXPERIENCE OF EUDAIMONIC WELL-BEING. 2018
12 491 17 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
13 10 19 "MAKING IT OKAY": PROFESSIONALS IN HIGH-STRESS ENVIRONMENTS CONSTRUCT THEIR UNDERSTANDING OF THE IMPACT OF A YOGA-BASED RETREAT DESIGNED TO BUILD RESILIENCE. PURPOSE: WHILE THERE IS GROWING EVIDENCE FOR RESILIENCE BUILDING PROGRAMMES, TO DATE RESEARCH HAS NOT EXPLORED HOW PROFESSIONALS CONSTRUCT UNDERSTANDING OF PROGRAMME IMPACT. RISE (RESILIENCE, INTEGRATION, SELF-AWARENESS, ENGAGEMENT), A 5-DAY YOGA-BASED RETREAT PROGRAMME, HAS BEEN LINKED WITH POSITIVE WELLNESS OUTCOMES. THIS QUALITATIVE INQUIRY EXPLORES PARTICIPANTS' REFLECTION AND EXPERIENCE 3 MONTHS AFTER PROGRAMME COMPLETION. METHODS: THROUGH A GROUNDED CONSTRUCTIVIST LENS, IN-DEPTH SEMI-STRUCTURED PHONE INTERVIEWS WERE CONDUCTED WITH 17 ADULT PROFESSIONALS IN HIGH-STRESS WORK ENVIRONMENTS WHO ATTENDED RISE. INITIAL HAND-CODING INFORMED CODEBOOK DEVELOPMENT FOR SYSTEMATIC CODING USING DIRECTED CONTENT ANALYSIS USING SENSITIZING STRUCTURING. RESULTS: TWO INTEGRATED PERCEPTIONS WOVEN THROUGH FIVE THEMES. PERSISTENT THREADS OF EXPERIENTIAL LEARNING AND SENSE OF PERMISSION PROVIDED STRUCTURE FOR THEMES FOUND. FIVE INTERRELATED THEMES RELATED TO PSYCHOLOGICAL HEALTH AND WORKPLACE DYNAMICS WERE (1) USE OF ACQUIRED BEHAVIOURAL SKILLS AND PRACTICES; (2) LIVED MINDFULNESS; (3) RESILIENCE TO STRESS AND EMOTION REGULATION (4) SELF-CARE AND SELF-COMPASSION, AND (5) SHARING WITH OTHERS. CONCLUSION: FINDINGS PROVIDE MEANINGFUL INTERPRETATION OF PREVIOUSLY REPORTED PROGRAMME EFFICACY BY CONTEXTUALIZING PERCEIVED BENEFITS WITHIN PARTICIPANTS' CONSTRUCTED UNDERSTANDING OF CHANGE. SPECIFICALLY, ENVIRONMENTAL, SOCIAL, AND EXPERIENTIAL CONSIDERATIONS HAVE SUGGESTED IMPLICATIONS FOR RESILIENCE BUILDING PROGRAMMES.ABBREVIATIONS: RISE (RESILIENCE, INTEGRATION, SELF-AWARENESS, ENGAGEMENT). 2022
14 2781 30 YOGA THERAPY AND POLYVAGAL THEORY: THE CONVERGENCE OF TRADITIONAL WISDOM AND CONTEMPORARY NEUROSCIENCE FOR SELF-REGULATION AND RESILIENCE. YOGA THERAPY IS A NEWLY EMERGING, SELF-REGULATING COMPLEMENTARY AND INTEGRATIVE HEALTHCARE (CIH) PRACTICE. IT IS GROWING IN ITS PROFESSIONALIZATION, RECOGNITION AND UTILIZATION WITH A DEMONSTRATED COMMITMENT TO SETTING PRACTICE STANDARDS, EDUCATIONAL AND ACCREDITATION STANDARDS, AND PROMOTING RESEARCH TO SUPPORT ITS EFFICACY FOR VARIOUS POPULATIONS AND CONDITIONS. HOWEVER, HETEROGENEITY OF PRACTICE, POOR REPORTING STANDARDS, AND LACK OF A BROADLY ACCEPTED UNDERSTANDING OF THE NEUROPHYSIOLOGICAL MECHANISMS INVOLVED IN YOGA THERAPY LIMITS THE STRUCTURING OF TESTABLE HYPOTHESES AND CLINICAL APPLICATIONS. CURRENT PROPOSED FRAMEWORKS OF YOGA-BASED PRACTICES FOCUS ON THE INTEGRATION OF BOTTOM-UP NEUROPHYSIOLOGICAL AND TOP-DOWN NEUROCOGNITIVE MECHANISMS. IN ADDITION, IT HAS BEEN PROPOSED THAT PHENOMENOLOGY AND FIRST PERSON ETHICAL INQUIRY CAN PROVIDE A LENS THROUGH WHICH YOGA THERAPY IS VIEWED AS A PROCESS THAT CONTRIBUTES TOWARDS EUDAIMONIC WELL-BEING IN THE EXPERIENCE OF PAIN, ILLNESS OR DISABILITY. IN THIS ARTICLE WE BUILD ON THESE FRAMEWORKS, AND PROPOSE A MODEL OF YOGA THERAPY THAT CONVERGES WITH POLYVAGAL THEORY (PVT). PVT LINKS THE EVOLUTION OF THE AUTONOMIC NERVOUS SYSTEM TO THE EMERGENCE OF PROSOCIAL BEHAVIORS AND POSITS THAT THE NEURAL PLATFORMS SUPPORTING SOCIAL BEHAVIOR ARE INVOLVED IN MAINTAINING HEALTH, GROWTH AND RESTORATION. THIS EXPLANATORY MODEL WHICH CONNECTS NEUROPHYSIOLOGICAL PATTERNS OF AUTONOMIC REGULATION AND EXPRESSION OF EMOTIONAL AND SOCIAL BEHAVIOR, IS INCREASINGLY UTILIZED AS A FRAMEWORK FOR UNDERSTANDING HUMAN BEHAVIOR, STRESS AND ILLNESS. SPECIFICALLY, WE DESCRIBE HOW PVT CAN BE CONCEPTUALIZED AS A NEUROPHYSIOLOGICAL COUNTERPART TO THE YOGIC CONCEPT OF THE GUNAS, OR QUALITIES OF NATURE. SIMILAR TO THE NEURAL PLATFORMS DESCRIBED IN PVT, THE GUNAS PROVIDE THE FOUNDATION FROM WHICH BEHAVIORAL, EMOTIONAL AND PHYSICAL ATTRIBUTES EMERGE. WE DESCRIBE HOW THESE TWO DIFFERENT YET ANALOGOUS FRAMEWORKS-ONE BASED IN NEUROPHYSIOLOGY AND THE OTHER IN AN ANCIENT WISDOM TRADITION-HIGHLIGHT YOGA THERAPY'S PROMOTION OF PHYSICAL, MENTAL AND SOCIAL WELLBEING FOR SELF-REGULATION AND RESILIENCE. THIS PARALLEL BETWEEN THE NEURAL PLATFORMS OF PVT AND THE GUNAS OF YOGA IS INSTRUMENTAL IN CREATING A TRANSLATIONAL FRAMEWORK FOR YOGA THERAPY TO ALIGN WITH ITS PHILOSOPHICAL FOUNDATIONS. CONSEQUENTLY, YOGA THERAPY CAN OPERATE AS A DISTINCT PRACTICE RATHER THAN FITTING INTO AN OUTSIDE MODEL FOR ITS UTILIZATION IN RESEARCH AND CLINICAL CONTEXTS. 2018
15 65 22 A CONCEPTUAL MODEL DESCRIBING MECHANISMS FOR HOW YOGA PRACTICE MAY SUPPORT POSITIVE EMBODIMENT. YOGA PRACTICE HAS BEEN ASSOCIATED WITH VARIOUS INDICES OF POSITIVE EMBODIMENT IN CORRELATIONAL AND INTERVENTION STUDIES. YET, SYSTEMATIC, THEORETICALLY-GROUNDED MODELS DETAILING SPECIFIC MECHANISMS BY WHICH YOGA SUPPORTS POSITIVE EMBODIMENT ARE LACKING. IN THIS ARTICLE, WE PRESENT A CONCEPTUAL MODEL THAT DESCRIBES MECHANISMS (I.E., MEDIATORS AND MODERATORS) THAT CAN BE USED TO GUIDE RESEARCH TO HELP ANSWER HOW, FOR WHOM, AND UNDER WHAT CONDITIONS YOGA PRACTICE MAY PROMOTE POSITIVE EMBODIMENT. BASED ON EXISTING THEORETICAL FRAMEWORKS AND EMPIRICAL FINDINGS, THIS MODEL SUGGESTS THAT (A) YOGA PRACTICE MAY CULTIVATE EMBODYING EXPERIENCES DURING YOGA (E.G., STATE MINDFULNESS), (B) THESE EMBODYING EXPERIENCES MAY BUILD STABLE EMBODYING EXPERIENCES THAT GENERALIZE BEYOND THE YOGA CONTEXT (E.G., TRAIT MINDFULNESS), AND (C) THESE STABLE EMBODYING EXPERIENCES MAY THEN PROMOTE EMBODYING PRACTICES (E.G., MINDFUL SELF-CARE). THIS MEDIATIONAL CHAIN IS LIKELY MODERATED BY THE YOGA CONTEXT (E.G., INSTRUCTIONAL FOCUS, PRESENCE OF MIRRORS, DIVERSITY OF BODIES REPRESENTED) AND YOGA PRACTITIONERS' SOCIAL IDENTITIES (E.G., BODY SIZE, PHYSICAL LIMITATIONS), SOCIAL AND PERSONAL HISTORIES (E.G., EXPERIENCES WITH WEIGHT STIGMA AND TRAUMA), AND PERSONALITY TRAITS AND MOTIVES (E.G., BODY COMPARISON, APPEARANCE-FOCUSED MOTIVES TO PRACTICE YOGA). USING THE STRUCTURE OF THIS CONCEPTUAL MODEL, WE OFFER RESEARCHERS IDEAS FOR TESTABLE MODELS AND STUDY DESIGNS THAT CAN SUPPORT THEM. 2020
16 1772 27 POTENTIAL SELF-REGULATORY MECHANISMS OF YOGA FOR PSYCHOLOGICAL HEALTH. RESEARCH SUGGESTING THE BENEFICIAL EFFECTS OF YOGA ON MYRIAD ASPECTS OF PSYCHOLOGICAL HEALTH HAS PROLIFERATED IN RECENT YEARS, YET THERE IS CURRENTLY NO OVERARCHING FRAMEWORK BY WHICH TO UNDERSTAND YOGA'S POTENTIAL BENEFICIAL EFFECTS. HERE WE PROVIDE A THEORETICAL FRAMEWORK AND SYSTEMS-BASED NETWORK MODEL OF YOGA THAT FOCUSES ON INTEGRATION OF TOP-DOWN AND BOTTOM-UP FORMS OF SELF-REGULATION. WE BEGIN BY CONTEXTUALIZING YOGA IN HISTORICAL AND CONTEMPORARY SETTINGS, AND THEN DETAIL HOW SPECIFIC COMPONENTS OF YOGA PRACTICE MAY AFFECT COGNITIVE, EMOTIONAL, BEHAVIORAL, AND AUTONOMIC OUTPUT UNDER STRESS THROUGH AN EMPHASIS ON INTEROCEPTION AND BOTTOM-UP INPUT, RESULTING IN PHYSICAL AND PSYCHOLOGICAL HEALTH. THE MODEL DESCRIBES YOGA PRACTICE AS A COMPREHENSIVE SKILLSET OF SYNERGISTIC PROCESS TOOLS THAT FACILITATE BIDIRECTIONAL FEEDBACK AND INTEGRATION BETWEEN HIGH- AND LOW-LEVEL BRAIN NETWORKS, AND AFFERENT AND RE-AFFERENT INPUT FROM INTEROCEPTIVE PROCESSES (SOMATOSENSORY, VISCEROSENSORY, CHEMOSENSORY). FROM A PREDICTIVE CODING PERSPECTIVE WE PROPOSE A SHIFT TO PERCEPTUAL INFERENCE FOR STRESS MODULATION AND OPTIMAL SELF-REGULATION. WE DESCRIBE HOW THE PROCESSES THAT SUB-SERVE SELF-REGULATION BECOME MORE AUTOMATIZED AND EFFICIENT OVER TIME AND PRACTICE, REQUIRING LESS EFFORT TO INITIATE WHEN NECESSARY AND TERMINATE MORE RAPIDLY WHEN NO LONGER NEEDED. TO SUPPORT OUR PROPOSED MODEL, WE PRESENT THE AVAILABLE EVIDENCE FOR YOGA AFFECTING SELF-REGULATORY PATHWAYS, INTEGRATING EXISTING CONSTRUCTS FROM BEHAVIOR THEORY AND COGNITIVE NEUROSCIENCE WITH EMERGING YOGA AND MEDITATION RESEARCH. THIS PAPER IS INTENDED TO GUIDE FUTURE BASIC AND CLINICAL RESEARCH, SPECIFICALLY TARGETING AREAS OF DEVELOPMENT IN THE TREATMENT OF STRESS-MEDIATED PSYCHOLOGICAL DISORDERS. 2014
17 1671 23 NEW ENERGY GEOGRAPHIES: A CASE STUDY OF YOGA, MEDITATION AND HEALTHFULNESS. BEGINNING WITH A ROUTINE DAY IN THE LIFE OF A PRACTITIONER OF YOGA AND MEDITATION AND EMPHASISING THE IMPORTANCE OF NURTURING, MAINTAINING AND PREVENTING THE DISSIPATION OF DIVERSE 'ENERGIES', THIS PAPER EXPLORES THE POSSIBILITIES FOR GEOGRAPHICAL HEALTH STUDIES WHICH TAKE SERIOUSLY 'NEW ENERGY GEOGRAPHIES'. IT IS EXPLAINED HOW THIS ACCOUNT IS DERIVED FROM IN-DEPTH FIELDWORK TRACING HOW PRACTITIONERS OF YOGA AND MEDITATION FIND TIMES AND SPACES FOR THESE PRACTICES, OFTEN IN THE FACE OF BUSY URBAN LIFESTYLES. ATTENTION IS PAID TO THE 'ENERGY TALK' FEATURING HEAVILY IN HOW PRACTITIONERS DESCRIBE THE BENEFITS THAT THEY PERCEIVE THEMSELVES TO DERIVE FROM THESE PRACTICES, AND TO CLAIMS MADE ABOUT 'ENERGIES' GENERATED DURING THE TIME-SPACES OF THESE PRACTICES WHICH SEEMINGLY FLOW, USUALLY WITH POSITIVE EFFECTS, INTO OTHER DOMAINS OF THEIR LIVES. THE PAPER THEN DISCUSSES THE IMPLICATIONS OF THIS ENERGY TALK IN THE CONTEXT OF: (A) CRITICALLY REVIEWING CONVENTIONAL APPROACHES TO STUDYING 'ENERGY GEOGRAPHIES'; (B) IDENTIFYING AN ALERTNESS TO THE LIKES OF 'AFFECTIVE ENERGIES' SURFACING IN RECENT THEORETICALLY-ATTUNED WORKS OF HUMAN GEOGRAPHY (AND COGNATE DISCIPLINES); AND (C) EXPLORING DIFFERING UNDERSTANDINGS OF ENERGY/ENERGIES EXTANT IN GEOGRAPHICAL STUDIES OF HEALTH AND IN STEP WITH THE EMPIRICAL RESEARCH MATERIALS PRESENTED ABOUT YOGA, MEDITATION AND HEALTHFULNESS. WHILE ORIENTATED TOWARDS EXPLICITLY GEOGRAPHICAL INQUIRIES, THE PAPER IS INTENDED AS A STATEMENT OF INTEREST TO THE WIDER MEDICAL HUMANITIES. 2015
18 2032 23 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
19 1481 25 INTEGRATING YOGA INTO PSYCHOTHERAPY: THE ETHICS OF MOVING FROM THE MIND TO THE MAT. GIVEN THE RISE IN ATTENTION TO CLIENT PREFERENCES IN MEDICAL TREATMENT AND THE SHIFT IN FOCUS TOWARD HEALTH PROMOTION, IT IS NOT SURPRISING THAT THE USE OF COMPLEMENTARY HEALTH APPROACHES HAVE INCREASED IN THE PAST SEVERAL YEARS. YOGA IS AMONG THE MOST PROMINENT COMPLEMENTARY HEALTH APPROACHES. RECENTLY, BOTH QUALITATIVE AND QUANTITATIVE WORK HAS EMERGED SUPPORTING ITS USE FOR A VARIETY OF MEDICAL AND PSYCHOLOGICAL DISORDERS. HOWEVER, THERE IS A CRITICAL GAP IN KNOWLEDGE REGARDING HOW TO MOST OPTIMALLY AND ETHICALLY INTEGRATE COMPLEMENTARY THERAPIES (I.E., YOGA) INTO CURRENT PSYCHOLOGY PRACTICES. MOREOVER, IT REMAINS UNCLEAR WHICH CLIENTS ARE THE BEST CANDIDATES FOR RECEIVING SUCH COMPLEMENTARY TREATMENTS AND WHICH THERAPISTS SHOULD PROVIDE THEM. THE PURPOSE OF THIS PAPER IS TO PROVIDE AN OVERVIEW OF THE HISTORY OF YOGA, THE SCIENTIFIC EVIDENCE IN SUPPORT OF ITS USE FOR MENTAL HEALTH ISSUES, AND AN ETHICAL FRAMEWORK TO GUIDE PSYCHOLOGISTS INTERESTED IN INTEGRATING YOGA INTO PSYCHOTHERAPY. 2017
20 560 22 CREATING INCLUSIVE PHYSICAL ACTIVITY SPACES: THE CASE OF BODY-POSITIVE YOGA. PURPOSE: WITHIN THE MODERN CULTURAL CLIMATE, THOSE IN LARGER BODIES FACE HIGH LEVELS OF WEIGHT STIGMA, PARTICULARLY IN SPORT AND PHYSICAL ACTIVITY SPACES, WHICH SERVES AS A STRONG BARRIER TO THEIR PARTICIPATION. HOWEVER, GIVEN THE STRONG LINK BETWEEN PHYSICAL ACTIVITY AND GENERAL HEALTH AND WELL-BEING FOR PARTICIPANTS, IT IS IMPORTANT TO EXPLORE STRATEGIES THAT ENCOURAGE PARTICIPATION OF THESE INDIVIDUALS. THUS, THE CURRENT RESEARCH EXAMINED STRATEGIES THAT PHYSICAL ACTIVITY INSTRUCTORS USE TO DEVELOP INCLUSIVE EXERCISE SPACES FOR ALL BODY SIZES. METHOD: THIS STUDY EMPLOYED A SERIES OF SEMISTRUCTURED QUALITATIVE INTERVIEWS (N = 9) WITH INSTRUCTORS OF BODY-INCLUSIVE YOGA CLASSES TO EXPLORE THE WAYS IN WHICH THEY ENCOURAGE PARTICIPATION FOR THOSE IN LARGER BODIES. RESULTS: EMERGENT THEMES FROM THE CURRENT STUDY SUGGESTED SUPPORT FOR 6 FACTORS FOR CREATING BODY-INCLUSIVE PHYSICAL ACTIVITY SPACES: AUTHENTIC LEADERSHIP, A CULTURE OF INCLUSION, A FOCUS ON HEALTH, INCLUSIVE LANGUAGE, LEADER SOCIAL ACTIVISM, AND A SENSE OF COMMUNITY. CONCLUSION: THIS STUDY REVEALED THAT LEADERS MUST INTENTIONALLY CULTIVATE INCLUSION IN THEIR SPACES TO ENCOURAGE THOSE IN NONCONFORMING BODIES TO PARTICIPATE. THESE FINDINGS HAVE IMPORTANT HEALTH AND MANAGEMENT IMPLICATIONS FOR THE SPORT AND PHYSICAL ACTIVITY CONTEXT AND PROVIDE A BASIC OUTLINE OF PRACTICAL STRATEGIES THAT PRACTITIONERS CAN USE TO FOSTER INCLUSION IN THEIR SPACES. 2017