1 256 148 A YOGA-BASED PROGRAM DECREASES PHYSICIAN BURNOUT IN NEONATOLOGISTS AND OBSTETRICIANS AT AN ACADEMIC MEDICAL CENTER. BACKGROUND: NEARLY HALF OF U.S. PEDIATRICIANS HAVE SYMPTOMS OF BURNOUT. THIS PILOT STUDY EXAMINED THE FEASIBILITY OF A 6-WEEK YOGA-BASED PROGRAM (RISE) FOR NEONATOLOGISTS AND OBSTETRICIANS AT BRIGHAM AND WOMEN'S HOSPITAL AND STUDIED THE EFFECTS ON BURNOUT, PROFESSIONAL FULFILLMENT, AND PSYCHOLOGICAL HEALTH. METHODS: PARTICIPANTS WERE RECRUITED VIA EMAIL TO PARTICIPATE EITHER IN BOTH PROGRAM AND RESEARCH STUDY, OR EXCLUSIVELY THE PROGRAM. RISE WAS DELIVERED 1 HOUR/WEEK DURING THE WORKDAY FOR 6 CONSECUTIVE WEEKS EITHER IN-PERSON OR REMOTELY; 18 PHYSICIANS PARTICIPATED, 12 COMPLETED POST-PROGRAM, AND 11 COMPLETED 2-MONTH FOLLOW-UP. THE QUESTIONNAIRES ASSESSED BURNOUT AND MEASURES OF PSYCHOLOGICAL HEALTH, PROFESSIONAL FULFILLMENT, WORK EXHAUSTION, INTERPERSONAL DISENGAGEMENT/BURNOUT (PFI), MINDFULNESS (FFMQ), PERCEIVED STRESS (PSS), POSITIVE/NEGATIVE AFFECT (PANAS), RESILIENCE (RS), ANXIETY/DEPRESSION/SLEEP DISTURBANCES (PROMIS), AT BASELINE, POST-PROGRAM, AND 2 MONTHS AFTER RISE. FINDINGS: AVERAGE ATTENDANCE IN-PERSON WAS 2.8 SESSIONS AND REMOTELY 1.4 SESSIONS (4.2/6 SESSIONS). PARTICIPANTS DEMONSTRATING TOTAL BURNOUT REDUCED FROM 50.0% AT BASELINE TO 9.1% POST-PROGRAM. PARTICIPANTS DEMONSTRATING PROFESSIONAL FULFILLMENT WERE 8.3% AT BASELINE AND 27.3% POST-PROGRAM. PAIRED SAMPLES T-TESTS REVEALED STATISTICALLY SIGNIFICANT IMPROVEMENTS IN BURNOUT, PROFESSIONAL FULFILLMENT, INTERPERSONAL DISENGAGEMENT, STRESS, RESILIENCE, ANXIETY, AND DEPRESSION AT POST-PROGRAM COMPARED WITH BASELINE (N = 12, ALL PS < .05). AT 2-MONTH FOLLOW-UP, STATISTICALLY SIGNIFICANT IMPROVEMENTS IN INTERPERSONAL DISENGAGEMENT, RESILIENCE, AND MINDFULNESS (N = 11, ALL PS < .05) COMPARED WITH BASELINE WERE REPORTED. CONCLUSIONS/APPLICATION TO PRACTICE: RISE IS FEASIBLE WITHIN A WORKDAY AND MAY ADDRESS BURNOUT AND OTHER PSYCHOLOGICAL HEALTH MEASURES IN PHYSICIANS WITH EFFECTS POTENTIALLY SUSTAINABLE OVER 2 MONTHS. OCCUPATIONAL HEALTH PRACTITIONERS IN HEALTH CARE SHOULD CONSIDER THIS TYPE OF INTERVENTION FOR THEIR WORKERS. 2020 2 1255 48 FEASIBILITY, ACCEPTABILITY, AND OUTCOMES OF A YOGA-BASED MEDITATION INTERVENTION FOR HOSPICE PROFESSIONALS TO COMBAT BURNOUT. (1) BACKGROUND. THIS RESEARCH EXAMINED THE FEASIBILITY, ACCEPTABILITY AND OUTCOMES OF DELIVERING A 6-WEEK YOGA-BASED MEDITATION INTERVENTION TO CLINICAL TEAMS OF HOSPICE PROFESSIONALS (HPS) AT A LARGE NON-PROFIT HOSPICE ORGANIZATION. THE INTERVENTION WAS DESIGNED TO INCREASE MIND-BODY INTEGRATION AND COMBAT BURNOUT. THIS ARTICLE WAS WRITTEN FOR DIFFERENT AUDIENCES, INCLUDING RESEARCH SCIENTISTS WHO STUDY INTEROCEPTION, BURNOUT, MEDITATION, OR YOGA, DESIGNERS OF MEDITATION INTERVENTIONS, AND HOSPICE ORGANIZATIONS LOOKING FOR WAYS TO MITIGATE HP BURNOUT. (2) METHODS. THE INTERVENTION WAS LAUNCHED WITHIN CLINICAL TEAMS, BEGINNING WITH A HALF-HOUR ONLINE INTRODUCTION TO THE PROGRAM AND EXPOSURE TO THE WEEK 1 MEDITATION AT EACH TEAM'S MONTHLY ALL-STAFF MEETING. THROUGHOUT THE PROGRAM, HPS COULD ACCESS THE MEDITATIONS ON THEIR OWN VIA THEIR WORKPLACE COMPUTERS, TABLETS, AND SMARTPHONES. ONLINE PRE- AND POST-INTERVENTION SURVEYS WERE SUBMITTED BY 151 HPS, 76 OF WHOM WERE EXPOSED TO THE INTERVENTION AND COMPLETED BOTH SURVEYS. THE SURVEYS ASSESSED BURNOUT USING THE PROFESSIONAL FULFILLMENT INDEX AND MIND-BODY INTEGRATION USING THE MULTIDIMENSIONAL ASSESSMENT OF INTEROCEPTIVE AWARENESS SCALES. (3) RESULTS. TWO-THIRDS OF HPS WHO WERE PRESENT AT A STAFF MEETING WHERE THE PROGRAM WAS INTRODUCED WENT ON TO DO A MEDITATION ON THEIR OWN AT LEAST ONCE. HALF OF HPS EXPRESSED A DESIRE TO CONTINUE WITH ACCESS TO THE MEDITATIONS AFTER THE 6-WEEK PROGRAM ENDED. DUE TO COVID-19 WORK FROM HOME RESTRICTIONS, THREE-FOURTH OF HPS DID A MEDITATION AT HOME, 29% IN A CAR BETWEEN PATIENT VISITS (NOT WHILE DRIVING), AND 23% AT THE OFFICE. HIGHER INTEROCEPTIVE AWARENESS WAS SIGNIFICANTLY RELATED TO LOWER BURNOUT, PARTICULARLY LOWER WORK EXHAUSTION. MEDITATION FREQUENCY WAS SIGNIFICANTLY RELATED TO HIGHER INTEROCEPTIVE AWARENESS BUT NOT TO BURNOUT. INTERPERSONAL DISENGAGEMENT WAS RARE AND TEMPORARY. (4) CONCLUSIONS. FINDINGS SHOWED THAT THE YOGA-BASED MEDITATION INTERVENTION WAS FEASIBLE AND ACCEPTABLE AND ASSOCIATED WITH HIGHER INTEROCEPTIVE AWARENESS. THE RESULTS POINT TO A ROLE FOR INTEROCEPTIVE AWARENESS IN REDUCING THE RISK FOR BURNOUT. 2021 3 1815 25 PROGRESSIVE MUSCLE RELAXATION, YOGA STRETCHING, AND ABC RELAXATION THEORY. THIS STUDY COMPARED THE PSYCHOLOGICAL EFFECTS OF PROGRESSIVE MUSCLE RELAXATION (PMR) AND YOGA STRETCHING (HATHA) EXERCISES. FORTY PARTICIPANTS WERE RANDOMLY DIVIDED INTO TWO GROUPS AND TAUGHT PMR OR YOGA STRETCHING EXERCISES. BOTH GROUPS PRACTICED ONCE A WEEK FOR FIVE WEEKS AND WERE GIVEN THE SMITH RELAXATION STATES INVENTORY BEFORE AND AFTER EACH SESSION. AS HYPOTHESIZED, PRACTITIONERS OF PMR DISPLAYED HIGHER LEVELS OF RELAXATION STATES (R-STATES) PHYSICAL RELAXATION AND DISENGAGEMENT AT WEEK 4 AND HIGHER LEVELS OF MENTAL QUIET AND JOY AS A POSTTRAINING AFTEREFFECT AT WEEK 5. CONTRARY TO WHAT WAS HYPOTHESIZED, GROUPS DID NOT DISPLAY DIFFERENT LEVELS OF R-STATES ENERGIZED OR AWARE. RESULTS SUGGEST THE VALUE OF SUPPLEMENTING TRADITIONAL SOMATIC CONCEPTUALIZATIONS OF RELAXATION WITH THE PSYCHOLOGICAL APPROACH EMBODIED IN ABC RELAXATION THEORY. CLINICAL AND RESEARCH IMPLICATIONS ARE DISCUSSED. 2004 4 1430 48 IMPROVEMENTS IN PSYCHOLOGICAL HEALTH FOLLOWING A RESIDENTIAL YOGA-BASED PROGRAM FOR FRONTLINE PROFESSIONALS. OBJECTIVE: THE PURPOSE OF THIS PILOT STUDY WAS TO EXAMINE THE EFFECTS OF A RESIDENTIAL YOGA-BASED PROGRAM ON PSYCHOLOGICAL HEALTH AND HEALTH BEHAVIORS IN FRONTLINE PROFESSIONALS. METHODS: FRONTLINE PROFESSIONALS FROM EDUCATION, HEALTH CARE, HUMAN SERVICES, AND CORRECTIONS PARTICIPATED IN THE RISE (RESILIENCE, INTEGRATION, SELF-AWARENESS, ENGAGEMENT) PROGRAM AND COMPLETED QUESTIONNAIRES AT BASELINE, POST-PROGRAM, AND 2 MONTHS FOLLOWING RISE. RESULTS: PAIRED SAMPLES T TESTS REVEALED IMPROVEMENTS IN MINDFULNESS, STRESS, RESILIENCE, AFFECT, AND SLEEP QUALITY FROM BASELINE TO POST-PROGRAM (ALL PS < 0.001, N = 55), WHICH WERE SUSTAINED AT THE 2-MONTH FOLLOW-UP (ALL PS < 0.01, N = 40). PARTICIPANTS ALSO REPORTED INCREASES IN EXERCISE, FRUIT, AND VEGETABLE CONSUMPTION POST-PROGRAM (ALL PS < 0.001), ALL OF WHICH PERSISTED AT THE 2-MONTH FOLLOW-UP (ALL PS < 0.01) EXCEPT EXERCISE. CONCLUSION: THESE FINDINGS SUGGEST THAT RISE IMPROVED INDICES OF PSYCHOLOGICAL HEALTH AND HEALTHY BEHAVIORS THAT REMAINED 2 MONTHS FOLLOWING RISE. 2018 5 911 39 EFFECTIVENESS OF INTEGRATIVE RESTORATION (IREST) YOGA NIDRA ON MINDFULNESS, SLEEP, AND PAIN IN HEALTH CARE WORKERS. THIS ARTICLE EXAMINES THE EFFECTIVENESS OF INTEGRATIVE RESTORATION (IREST) YOGA NIDRA MEDITATION ON MINDFULNESS, SLEEP, AND PAIN IN HEALTH CARE WORKERS. AS HEALTH CARE WORKERS PROVIDE EMOTIONAL SUPPORT TO PATIENTS, IT IS NOT UNCOMMON FOR WORKERS TO EXPERIENCE BOTH PHYSICAL AND MENTAL EXHAUSTION. ONE HOLISTIC APPROACH TO SUPPORT EMPLOYEES IS MINDFULNESS TRAINING. IREST YOGA NIDRA IS A COMPLEMENTARY AND INTEGRATIVE HEALTH THERAPY THAT INCREASES MINDFULNESS. A PRE-/POSTINTERVENITON DESCRIPTIVE SURVEY DESIGN WAS USED. BEFORE AND AFTER EXPERIENCING IREST MEDITATION, PARTICIPANTS COMPLETED A 51-ITEM QUESTIONNAIRE CONSISTING OF DEMOGRAPHICS PLUS 3 VALIDATED INSTRUMENTS: THE FIVE-FACET MINDFULNESS QUESTIONNAIRE (FFMQ), THE EPWORTH SLEEPINESS SCALE (ESS), AND DEPARTMENT OF DEFENSE/VETERANS ADMINISTRATION (DOD/VA) PAIN SUPPLEMENTAL QUESTIONS (PSQ). A TOTAL OF 15 PARTICIPANTS COMPLETED BOTH QUESTIONNAIRES. POSTINTERVENTION FFMQ SCORES WERE SIGNIFICANTLY HIGHER THAN PREINTERVENTION (Z = -3.294, P = .001). THE HIGHEST SUBSCALE SCORES WERE "ACTING WITH AWARENESS" AND "NONJUDGING OF INNER EXPERIENCE." THERE WAS A NOT A SIGNIFICANT DIFFERENCE IN THE MEAN ESS SCORES AT BASELINE AND FOLLOW-UP. HOWEVER, THERE WAS A STRONG NEGATIVE CORRELATION BETWEEN THE MEAN ESS IMPROVEMENT SCORE AND THE NUMBER OF WEEKS ATTENDED (RS = -0.705, P = .003). THERE WAS A NOT A SIGNIFICANT DIFFERENCE IN THE MEAN PAIN BASELINE AND FOLLOW-UP SCORES. THIS STUDY SHOWED SIGNIFICANT IMPROVEMENT IN MINDFULNESS OF HEALTH CARE WORKERS FOLLOWING A GUIDED 8-WEEK IREST YOGA NIDRA PROGRAM. THE RESULTS OF THIS STUDY MAY PROVIDE SOME INSIGHT INTO HELPING HEALTH CARE WORKERS DEAL WITH THE DEMANDS OF THEIR PROFESSION IN A POSITIVE MANNER, THUS LEADING TO AN IMPROVED WORKPLACE ENVIRONMENT. 2018 6 1428 57 IMPROVEMENTS IN PSYCHOLOGICAL AND OCCUPATIONAL WELL-BEING FOLLOWING A BRIEF YOGA-BASED PROGRAM FOR EDUCATION PROFESSIONALS. OBJECTIVE: THE PURPOSE OF THIS STUDY WAS TO EXAMINE CHANGES IN PSYCHOLOGICAL AND OCCUPATIONAL WELL-BEING IN EDUCATION PROFESSIONALS WHO ATTENDED A YOGA-BASED PROGRAM. METHODS: EDUCATION PROFESSIONALS WHO ATTENDED A 3-DAY YOGA-BASED RISE (RESILIENCE, INTEGRATION, SELF-AWARENESS, ENGAGEMENT) PROGRAM WERE RECRUITED TO PARTICIPATE. RISE WAS ADMINISTERED AT THE KRIPALU CENTER FOR YOGA & HEALTH. MEASURES OF PSYCHOLOGICAL AND OCCUPATIONAL WELL-BEING, AND HEALTH-RELATED BEHAVIORS WERE COMPLETED BEFORE (BASELINE), AFTER (POST), AND 2 MONTHS AFTER RISE (FOLLOW-UP). FORTY-FOUR PARTICIPANTS COMPLETED BASELINE AND POST AND WERE INCLUDED IN THE ANALYSIS. OF THOSE, 33 PARTICIPANTS ALSO COMPLETED THE FOLLOW-UP. PAIRED SAMPLES T TESTS WERE USED TO COMPARE SCORES BETWEEN TIME POINTS. RESULTS: COMPARED TO BASELINE, AT POST, PARTICIPANTS SHOWED IMPROVEMENTS IN PERCEIVED STRESS, MINDFULNESS, EMPOWERMENT, POSITIVE AFFECT, NEGATIVE AFFECT, SELF-COMPASSION, TOTAL WORK ENGAGEMENT, VIGOR, SLEEP QUALITY (ALL P VALUES < .001), RESILIENCE, SATISFACTION WITH LIFE, AS WELL AS EXHAUSTION AND PROFESSIONAL EFFICACY WHICH ARE DIMENSIONS OF BURNOUT (ALL P VALUES < .01). AT THE FOLLOW-UP, SIGNIFICANT IMPROVEMENTS WERE MAINTAINED FOR MINDFULNESS, EMPOWERMENT, SELF-COMPASSION, SLEEP QUALITY (ALL P VALUES < .001), RESILIENCE, VIGOR, AND EXHAUSTION (ALL P VALUES < .01) AND POSITIVE AFFECT, SATISFACTION WITH LIFE, AND WORK ENGAGEMENT (ALL P VALUES < .05). CONCLUSIONS: THESE FINDINGS SUGGEST THAT THE YOGA-BASED RISE PROGRAM IMPROVES PSYCHOLOGICAL AND OCCUPATIONAL WELL-BEING IN EDUCATION PROFESSIONALS. IN ADDITION, PARTICIPANTS REPORTED THAT ATTENDING RISE WAS FEASIBLE, THEY COULD CONTINUE USING RISE PRACTICES LONG-TERM, SHARED THEM WITH WORK COLLEAGUES, AND REPORTED THAT RISE POSITIVELY IMPACTED BOTH THEIR DAILY LIVES AND WORKPLACE ENVIRONMENT. WITH THESE PROMISING RESULTS, ADDITIONAL CONTROLLED RESEARCH IS WARRANTED. 2019 7 38 48 A 3-DAY RESIDENTIAL YOGA-BASED PROGRAM IMPROVES EDUCATION PROFESSIONALS' PSYCHOLOGICAL AND OCCUPATIONAL HEALTH IN A SINGLE ARM TRIAL. OBJECTIVE: THIS STUDY EXAMINED CHANGES IN PSYCHOLOGICAL AND OCCUPATIONAL HEALTH IN URBAN EDUCATION PROFESSIONALS AFTER ATTENDING A BRIEF YOGA-BASED PROGRAM. METHODS: EDUCATION PROFESSIONALS FROM THE NEW YORK CITY DEPARTMENT OF EDUCATION (NYC DOE) WHO WERE ATTENDING A RESIDENTIAL 3-DAY YOGA-BASED PROGRAM AT KRIPALU CENTER FOR YOGA & HEALTH WERE RECRUITED TO PARTICIPATE IN THE STUDY. MEASURES OF PSYCHOLOGICAL AND OCCUPATIONAL HEALTH AND HEALTH-RELATED BEHAVIORS WERE COMPLETED BEFORE (BASELINE), AFTER (POST), AND TWO MONTHS AFTER THE PROGRAM (FOLLOW-UP). PAIRED SAMPLES T-TESTS WERE USED TO COMPARE SCORES BETWEEN TIME POINTS. RESULTS: AT POST, PARTICIPANTS (N=74) SHOWED IMPROVEMENTS IN STRESS, RESILIENCE, AFFECT, MINDFULNESS, EMPOWERMENT, SELF-COMPASSION, SATISFACTION WITH LIFE, WORK ENGAGEMENT, BURNOUT, EXERCISE, AND VEGETABLE INTAKE (ALL P VALUES < 0.05) COMPARED TO BASELINE. AT THE FOLLOW-UP (N=33), SHOWED IMPROVEMENTS IN RESILIENCE, AFFECT, MINDFULNESS, EMPOWERMENT, SELF-COMPASSION, WORK ENGAGEMENT, AND BURNOUT (ALL P VALUES < 0.05) COMPARED TO BASELINE. THERE WERE SIGNIFICANT CORRELATIONS BETWEEN THE DEGREE OF HOME PRACTICE OF THE SKILLS AND TECHNIQUES LEARNED IN THE PROGRAM AND IMPROVEMENTS IN MULTIPLE MEASURES OF PSYCHOLOGICAL AND OCCUPATIONAL HEALTH AT FOLLOW-UP (ALL P VALUES < 0.05). CONCLUSIONS: THESE FINDINGS SUGGEST THAT THE YOGA-BASED PROGRAM IMPROVES PSYCHOLOGICAL AND OCCUPATIONAL HEALTH AND HEALTHY BEHAVIORS IN EDUCATION PROFESSIONALS IMMEDIATELY FOLLOWING THE PROGRAM AND UP TO TWO-MONTHS FOLLOWING THE PROGRAM, HOWEVER, MORE DATA WITH LARGER SAMPLE SIZES ARE NEEDED TO CONFIRM SUSTAINED BENEFITS OVER THE LONGER TERM. 2021 8 1372 44 IMPACT OF A YOGA AND MEDITATION INTERVENTION ON STUDENTS' STRESS AND ANXIETY LEVELS. OBJECTIVE. TO EVALUATE THE IMPACT OF A SIX-WEEK YOGA AND MEDITATION INTERVENTION ON COLLEGE STUDENTS' STRESS PERCEPTION, ANXIETY LEVELS, AND MINDFULNESS SKILLS. METHODS. COLLEGE STUDENTS PARTICIPATED IN A SIX-WEEK PILOT PROGRAM THAT CONSISTED OF A 60-MINUTE VINYASA FLOW YOGA CLASS ONCE WEEKLY, FOLLOWED BY GUIDED MEDITATION DELIVERED BY TRAINED FACULTY MEMBERS AT THE UNIVERSITY OF RHODE ISLAND COLLEGE OF PHARMACY. STUDENTS COMPLETED PRE- AND POST-INTERVENTION QUESTIONNAIRES TO EVALUATE CHANGES IN THE FOLLOWING OUTCOMES: STRESS LEVELS, ANXIETY LEVELS, AND MINDFULNESS SKILLS. THE QUESTIONNAIRE CONSISTED OF THREE SELF-REPORTING TOOLS: THE BECK ANXIETY INVENTORY (BAI), THE PERCEIVED STRESS SCALE (PSS), AND THE FIVE FACET MINDFULNESS QUESTIONNAIRE (FFMQ). STUDENTS' SCORES ON EACH WERE ASSESSED TO DETECT ANY CHANGES FROM BASELINE USING THE NUMERICAL AND CATEGORICAL SCALES (LOW, MEDIUM, AND HIGH) FOR EACH INSTRUMENT. RESULTS. SEVENTEEN PARTICIPANTS, AGED 19 TO 23 YEARS, COMPLETED THE STUDY. THIRTEEN PARTICIPANTS WERE FEMALE AND FOUR WERE MALE. NINE OF THE STUDENTS WERE ENROLLED IN THE DOCTOR OF PHARMACY PROGRAM AND EIGHT WERE ENROLLED IN OTHER ACADEMIC PROGRAMS. STUDENTS' ANXIETY AND STRESS SCORES DECREASED SIGNIFICANTLY WHILE THEIR TOTAL MINDFULNESS INCREASED SIGNIFICANTLY. CHANGES IN CATEGORICAL DATA FROM PRE- TO POST-INTERVENTION ON THE BAI AND PSS WERE SIGNIFICANT, WITH NO STUDENTS SCORING IN THE "HIGH" CATEGORY FOR STRESS OR ANXIETY ON THE POST-INTERVENTION QUESTIONNAIRE. CONCLUSION. STUDENTS EXPERIENCED A REDUCTION IN STRESS AND ANXIETY LEVELS AFTER COMPLETING A SIX-WEEK YOGA AND MEDITATION PROGRAM PRECEDING FINAL EXAMINATIONS. RESULTS SUGGEST THAT ADOPTING A MINDFULNESS PRACTICE FOR AS LITTLE AS ONCE PER WEEK MAY REDUCE STRESS AND ANXIETY IN COLLEGE STUDENTS. ADMINISTRATORS SHOULD CONSIDER INCLUDING INSTRUCTION IN NONPHARMACOLOGIC STRESS AND ANXIETY REDUCTION METHODS, WITHIN CURRICULA IN ORDER TO SUPPORT STUDENT SELF-CARE. 2019 9 1174 52 EVALUATION OF A YOGA-BASED MIND-BODY INTERVENTION FOR RESIDENT PHYSICIANS: A RANDOMIZED CLINICAL TRIAL. BACKGROUND AND OBJECTIVE: MIND-BODY INTERVENTIONS (MBIS) HAVE BEEN SHOWN TO BE EFFECTIVE INDIVIDUAL-LEVEL INTERVENTIONS FOR MITIGATING PHYSICIAN BURNOUT, BUT THERE ARE NO CONTROLLED STUDIES OF YOGA-BASED MBIS IN RESIDENT PHYSICIANS. WE ASSESSED THE FEASIBILITY OF A YOGA-BASED MBI CALLED RISE (RESILIENCE, INTEGRATION, SELF-AWARENESS, ENGAGEMENT) FOR RESIDENTS AMONG MULTIPLE SPECIALTIES AND ACADEMIC MEDICAL CENTERS. METHODS: WE CONDUCTED A WAITLIST CONTROLLED RANDOMIZED CLINICAL TRIAL OF THE RISE PROGRAM WITH RESIDENTS FROM MULTIPLE SPECIALTY DEPARTMENTS AT THREE ACADEMIC MEDICAL CENTERS. THE RISE PROGRAM CONSISTED OF SIX WEEKLY SESSIONS WITH SUGGESTED HOME PRACTICE. FEASIBILITY WAS ASSESSED ACROSS SIX DOMAINS: DEMAND, IMPLEMENTATION, PRACTICALITY, ACCEPTABILITY, ADAPTATION, AND INTEGRATION. SELF-REPORTED MEASURES OF PSYCHOLOGICAL HEALTH WERE COLLECTED AT BASELINE, POST-PROGRAM, AND TWO-MONTH FOLLOW-UP. RESULTS: AMONG 2,000 RESIDENTS CONTACTED, 75 WERE ASSESSED FOR ELIGIBILITY AND 56 WERE ENROLLED. FORTY-FOUR PARTICIPANTS COMPLETED THE STUDY AND WERE INCLUDED IN ANALYSIS. ON AVERAGE, PARTICIPANTS ATTENDED TWO OF SIX SESSIONS. FEASIBILITY OF IN-PERSON ATTENDANCE WAS RATED AS 28.9 (SD 25.6) ON A 100-POINT VISUAL ANALOGUE SCALE. PARTICIPANTS RATED FEASIBILITY AS 69.2 (SD 26.0) IF THE PROGRAM WAS OFFERED VIRTUALLY. THOSE WHO RECEIVED RISE REPORTED IMPROVEMENTS IN MINDFULNESS, STRESS, BURNOUT, AND PHYSICIAN WELL-BEING FROM BASELINE TO POST-PROGRAM, WHICH WERE SUSTAINED AT TWO-MONTH FOLLOW-UP. CONCLUSION: THIS IS THE FIRST CONTROLLED STUDY OF A YOGA-BASED MBI IN RESIDENTS. WHILE THE PROGRAM WAS NOT FEASIBLE AS DELIVERED IN THIS PILOT STUDY, INITIAL ANALYSES SHOWED IMPROVEMENT IN MULTIPLE MEASURES OF PSYCHOLOGICAL HEALTH. RESIDENTS REPORTED THAT VIRTUAL DELIVERY WOULD INCREASE FEASIBILITY. 2021 10 2310 28 TRANSFORMING TRAUMA: A QUALITATIVE FEASIBILITY STUDY OF INTEGRATIVE RESTORATION (IREST) YOGA NIDRA ON COMBAT-RELATED POST-TRAUMATIC STRESS DISORDER. THIS EIGHT-WEEK STUDY EXAMINED THE FEASIBILITY OF OFFERING WEEKLY CLASSES IN INTEGRATIVE RESTORATION (IREST), A FORM OF MINDFULNESS MEDITATION, TO MILITARY COMBAT VETERANS AT A COMMUNITY MENTAL HEALTH AGENCY IN THE SAN FRANCISCO BAY AREA. PARTICIPANTS WERE 16 MALE COMBAT VETERANS (15 VIETNAM WAR AND 1 IRAQ WAR) OF MIXED ETHNICITY, AGED 41 TO 66 YEARS, SUFFERING FROM POSTTRAUMATIC STRESS DISORDER (PTSD). THE 11 PARTICIPANTS WHO COMPLETED THE STUDY REPORTED REDUCED RAGE, ANXIETY, AND EMOTIONAL REACTIVITY, AND INCREASED FEELINGS OF RELAXATION, PEACE, SELF-AWARENESS, AND SELF-EFFICACY, DESPITE CHALLENGES WITH MENTAL FOCUS, INTRUSIVE MEMORIES, AND OTHER CONCERNS. ALL PARTICIPANTS REPORTED THEY WOULD HAVE ATTENDED ONGOING IREST CLASSES AT THE AGENCY APPROXIMATELY ONCE PER WEEK. 2011 11 1367 33 IMPACT OF A MINDFULNESS-BASED, WORKPLACE GROUP YOGA INTERVENTION ON BURNOUT, SELF-CARE, AND COMPASSION IN HEALTH CARE PROFESSIONALS: A PILOT STUDY. OBJECTIVE: TO INVESTIGATE WHETHER A WORKPLACE, GROUP MINDFULNESS-BASED YOGA INTERVENTION COULD HELP MANAGE BURNOUT AND IMPROVE WELLBEING AMONG HEALTH CARE PROFESSIONALS. METHODS: A TOTAL OF 43 HEALTH CARE PROFESSIONALS PARTICIPATED IN 8-WEEK SUPERVISED WORKPLACE, GROUP MINDFULNESS-BASED YOGA ACTIVITIES. THE AUTHORS USED A SINGLE-SAMPLE, PRE-POST DESIGN. AT TWO POINTS IN TIME (BASELINE AND POSTINTERVENTION), PARTICIPANTS COMPLETED A SET OF ONLINE MEASURES ASSESSING BURNOUT, DEPRESSION, ANXIETY, STRESS, RESILIENCE, AND COMPASSION. THE AUTHORS USED LINEAR MIXED MODEL ANALYSIS TO ASSESS CHANGES IN OUTCOME MEASURES. RESULTS: PARTICIPANTS HAD IMPROVEMENTS AFTER THE 8-WEEK INTERVENTION. AT POSTINTERVENTION, THEY HAD SIGNIFICANTLY BETTER SCORES ON PERSONAL ACCOMPLISHMENT, DEPRESSION, ANXIETY, STRESS, PERCEIVED RESILIENCE, AND COMPASSION. PARTICIPANTS HAD A POSITIVE PERCEPTION OF THE YOGA INTERVENTION. CONCLUSION: GROUP MINDFULNESS-BASED YOGA PROGRAM MAY BE CONVENIENT AND LOW-COST APPROACH TO SUPPORT HEALTH AND WELLBEING AMONG HEALTH CARE PROFESSIONALS. 2020 12 130 39 A PRAGMATIC CONTROLLED TRIAL OF A BRIEF YOGA AND MINDFULNESS-BASED PROGRAM FOR PSYCHOLOGICAL AND OCCUPATIONAL HEALTH IN EDUCATION PROFESSIONALS. OBJECTIVES: TO EXAMINE CHANGES IN PSYCHOLOGICAL AND OCCUPATIONAL WELLBEING IN EDUCATION PROFESSIONALS THAT ATTENDED A BRIEF YOGA AND MINDFULNESS-BASED PROGRAM. DESIGN: PRAGMATIC CONTROLLED TRIAL COMPARING EDUCATION PROFESSIONALS THAT ATTENDED A YOGA MINDFULNESS-BASED PROGRAM (N = 9) TO A WAITLIST CONTROL GROUP (N = 22). SETTING: THE 3-DAY PROGRAM WAS DELIVERED AT THE KRIPALU CENTER FOR YOGA & HEALTH IN MASSACHUSETTS. INTERVENTION: THE 3-DAY YOGA MINDFULNESS PROGRAM INCLUDED 5 HOURS PER DAY OF YOGA, MINDFULNESS EXERCISES, FORMAL MEDITATION, DIDACTIC, AND EXPERIENTIAL ACTIVITIES. MAIN OUTCOME MEASURES: MEASURES OF PSYCHOLOGICAL AND OCCUPATIONAL WELLBEING WERE COMPLETED BEFORE (BASELINE), IMMEDIATELY AFTER (POST-PROGRAM), AND TWO MONTHS AFTER THE PROGRAM (FOLLOW-UP). RESULTS: RELATIVE TO CONTROLS (N = 21), THE RISE GROUP (N = 9) SHOWED SIGNIFICANT IMPROVEMENTS IN POSITIVE AFFECT (P = .033), NEGATIVE AFFECT (P = .044), MINDFULNESS (P = .001), EMPOWERMENT (P = .022), SELF-COMPASSION (P = .001), AND WORK ENGAGEMENT FROM BASELINE TO POST-PROGRAM. FROM BASELINE TO FOLLOW-UP, THE RISE GROUP SHOWED SIGNIFICANT IMPROVEMENTS IN STRESS (P = .008), NEGATIVE AFFECT (P = .013), MINDFULNESS (P = .001), EMPOWERMENT (P = .007), AND SELF-COMPASSION (P = .001) COMPARED TO THE CONTROL GROUP. CONCLUSIONS: THE YOGA MINDFULNESS PROGRAM WAS ASSOCIATED WITH IMPROVEMENTS IN EDUCATORS' PSYCHOLOGICAL AND OCCUPATIONAL WELLBEING IMMEDIATELY FOLLOWING AND 2-MONTHS FOLLOWING THE PROGRAM. FUTURE RESEARCH WITH A LARGER SAMPLE SIZE IS NEEDED TO CONFIRM THESE RESULTS. 2020 13 2314 25 TRAUMA-INFORMED YOGA TRAINING IN KENYA: A QUALITATIVE PILOT STUDY ON FEASIBILITY AND ACCEPTABILITY. THE CURRENT STUDY PRESENTS A PILOT QUALITATIVE EXPLORATION OF THE COLLABORATION OF TWO YOGA SERVICE AGENCIES IN IMPLEMENTING A TRAUMA-INFORMED MINDFULNESS-BASED TEACHING CURRICULUM IN KENYA, AFRICA. YOGA AND MINDFULNESS PRACTICES HAVE BEEN DEMONSTRATED AS SUCCESSFUL COMPLEMENTARY AND ALTERNATIVE APPROACHES TO MANAGING THE IMPACTS OF STRESS TRAUMA. THIS STUDY EXPLORES THE FEASIBILITY AND ACCEPTABILITY OF MINDFULNESS PROGRAMMING FOR YOGA TEACHERS IN THE NAIROBI REGION OF KENYA. GROUNDED THEORY IS USED TO EXPLORE SURVEY RESULTS. OUTCOMES DEMONSTRATE PROMISE FOR BOTH ACCEPTABILITY AND FEASIBILITY. CURRICULUM TOOLS WERE VIEWED AS EFFECTIVE, AND PARTICIPANTS INDICATED INTENTION TO BOTH UTILIZE AND SHARE TOOLS. REFLECTIONS ON PROGRAM EFFECTIVENESS AND IMPACTS ARE ADDRESSED, AS ARE POTENTIAL CONSIDERATIONS FOR IMPROVED PROGRAM TRANSLATION. FINDINGS SUGGEST THE POTENTIAL BENEFIT FOR FUTURE COLLABORATIONS, AND ALSO SUGGEST BEST PRACTICES CONSIDERATIONS FOR GLOBAL IMPLEMENTATION OF EMBODIED MINDFULNESS PROGRAMMING. 2018 14 1729 42 PERSONALISED YOGA FOR BURNOUT AND TRAUMATIC STRESS IN JUNIOR DOCTORS. OBJECTIVES: JUNIOR DOCTORS ARE FREQUENTLY EXPOSED TO OCCUPATIONAL AND TRAUMATIC STRESS, SOMETIMES WITH TRAGIC CONSEQUENCES. MINDFULNESS-BASED AND FITNESS INTERVENTIONS ARE INCREASINGLY USED TO MITIGATE THIS, BUT HAVE NOT BEEN COMPARED.WE CONDUCTED A RANDOMISED, CONTROLLED PILOT TRIAL TO ASSESS THE FEASIBILITY, ACCEPTABILITY AND EFFECTIVENESS OF THESE INTERVENTIONS IN JUNIOR DOCTORS. METHODS: WE RANDOMISED PARTICIPANTS (N=21) TO WEEKLY 1-HOUR SESSIONS OF PERSONALISED, TRAUMA-INFORMED YOGA (N=10), WITH A 4-HOUR WORKSHOP, AND EHEALTH HOMEWORK; OR GROUP-FORMAT FITNESS (N=8) IN AN EXISTING WELLNESS PROGRAMME, MDOK. BURNOUT, TRAUMATIC STRESS AND SUICIDALITY WERE MEASURED AT BASELINE AND 8 WEEKS. RESULTS: BOTH INTERVENTIONS REDUCED BURNOUT, AND YOGA INCREASED COMPASSION SATISFACTION WITHIN GROUP ON THE PROFESSIONAL QUALITY OF LIFE SCALE, WITHOUT DIFFERENCE BETWEEN GROUPS ON THIS MEASURE.PERSONALISED YOGA SIGNIFICANTLY REDUCED DEPERSONALISATION (Z=-1.99, P=0.05) COMPARED WITH GROUP FITNESS ON THE MASLACH BURNOUT INVENTORY (MBI-HSS (MP)) AND SHOWED GREATER FLEXIBILITY CHANGES. BOTH INTERVENTIONS INCREASED MBI PERSONAL ACCOMPLISHMENT, WITH NO CHANGES IN OTHER SELF-REPORT PSYCHOLOGICAL OR PHYSIOLOGICAL METRICS, INCLUDING BREATH-COUNTING.PARTICIPANTS DOING ONE-TO-ONE YOGA RATED IT MORE HIGHLY OVERALL (P=0.02) THAN GROUP FITNESS, AND REPORTED IT COMPARATIVELY MORE BENEFICIAL FOR MENTAL (P=0.01) AND PHYSICAL HEALTH (P=0.05). FACE-TO-FACE WEEKLY SESSIONS WERE 100% ATTENDED IN YOGA, BUT ONLY 45% IN FITNESS. CONCLUSION: IN THIS PILOT TRIAL, BOTH YOGA AND FITNESS IMPROVED BURNOUT, BUT TRAUMA-INFORMED YOGA REDUCED DEPERSONALISATION IN JUNIOR DOCTORS MORE THAN GROUP-FORMAT FITNESS. ONE-TO-ONE YOGA WAS BETTER ADHERED THAN FITNESS, BUT WAS MORE RESOURCE INTENSIVE. JUNIOR DOCTORS NEED LARGER-SCALE COMPARATIVE RESEARCH OF THE EFFECTIVENESS AND IMPLEMENTATION OF INDIVIDUAL, ORGANISATIONAL AND SYSTEMIC MENTAL HEALTH INTERVENTIONS. TRIAL REGISTRATION NUMBER: ANZCTR 12618001467224. 2020 15 1620 48 MINDFUL2WORK: EFFECTS OF COMBINED PHYSICAL EXERCISE, YOGA, AND MINDFULNESS MEDITATIONS FOR STRESS RELIEVE IN EMPLOYEES. A PROOF OF CONCEPT STUDY. WORK-RELATED STRESS AND ASSOCIATED ILLNESS AND BURNOUT IS RISING IN WESTERN SOCIETY, WITH NOW AS MUCH AS ALMOST A QUARTER OF EUROPEAN AND HALF OF USA'S EMPLOYEES ESTIMATED TO BE AT THE POINT OF BURNOUT. MINDFULNESS MEDITATION, YOGA, AND PHYSICAL EXERCISE HAVE ALL SHOWN BENEFICIAL EFFECTS FOR WORK-RELATED STRESS AND ILLNESS. THIS PROOF OF CONCEPT STUDY ASSESSED THE FEASIBILITY, ACCEPTABILITY, AND PRELIMINARY EFFECTS OF THE NEWLY DEVELOPED MINDFUL2WORK TRAINING, A COMBINATION OF PHYSICAL EXERCISE, RESTORATIVE YOGA, AND MINDFULNESS MEDITATIONS, DELIVERED IN SIX WEEKLY GROUP SESSIONS PLUS A FOLLOW-UP SESSION. PARTICIPANTS (N = 26, FOUR MALES), REFERRED BY COMPANY DOCTORS WITH (WORK-RELATED) STRESS AND BURNOUT COMPLAINTS, COMPLETED MEASUREMENTS PRE AND POST THE INTERVENTION, AS WELL AS AT 6-WEEK (FU1) AND 6-MONTH (FU2) FOLLOW-UP. RESULTS SHOWED VERY HIGH FEASIBILITY AND ACCEPTABILITY OF THE MINDFUL2WORK TRAINING. THE TRAINING AND TRAINERS WERE RATED WITH AN 8.1 AND 8.4 ON A 1-10 SCALE, RESPECTIVELY, AND TRAINING DROPOUT RATE WAS ZERO. SIGNIFICANT IMPROVEMENTS WITH (VERY) LARGE EFFECT SIZES WERE DEMONSTRATED FOR THE PRIMARY OUTCOME MEASURES OF PHYSICAL AND MENTAL WORKABILITY, AND FOR ANXIETY, DEPRESSION, STRESS, SLEEP QUALITY, POSITIVE AND NEGATIVE AFFECT, WHICH REMAINED (VERY) LARGE AND MOSTLY INCREASED FURTHER OVER TIME. RISK FOR LONG-TERM DROPOUT FROM WORK (CHECKLIST INDIVIDUAL STRENGTH [CIS]) WAS 92 % AT PRE-TEST, REDUCED TO 67 % AT POST-TEST, TO 44 % AT FU1, AND 35 % AT FU2, WHEREAS EMPLOYEES WORKED (RTWI) 65 % OF THEIR CONTRACT HOURS PER WEEK AT PRE-TEST, WHICH INCREASED TO 73 % AT POST-TEST, 81 % AT FU1 AND 93 % AT FU2. INTENSITY OF HOME PRACTICE OR NUMBER OF ATTENDED SESSIONS WERE NOT RELATED TO TRAINING EFFECTS. TO CONCLUDE, THE NEWLY DEVELOPED MINDFUL2WORK TRAINING SEEMS VERY FEASIBLE, AND ACCEPTABLE, AND ALTHOUGH NO CONTROL GROUP WAS INCLUDED, THE LARGE EFFECTS OF MINDFUL2WORK ARE HIGHLY PROMISING. 2017 16 1371 45 IMPACT OF A YIN YOGA AND MEDITATION INTERVENTION ON PHARMACY FACULTY AND STUDENT WELL-BEING. BACKGROUND: STUDENT PHARMACISTS AND FACULTY EXHIBIT HIGH LEVELS OF STRESS, INDEPENDENT OF THE CURRENT CORONAVIRUS 2019 PANDEMIC, AND THEIR PATH TOWARD WELLNESS, INCLUDING A REDUCTION IN STRESS AND ANXIETY, IS OF THE UTMOST IMPORTANCE. YOGA AND MEDITATION ARE PROVEN INTERVENTIONS TO REDUCE STRESS AND ANXIETY AND INCREASE WELLNESS. YIN YOGA IS AN ADAPTABLE, QUIET PRACTICE IDEAL FOR THOSE LACKING PREVIOUS YOGA EXPERIENCE, FLEXIBILITY, AND TIME. OBJECTIVE: TO EVALUATE THE IMPACT OF A 6-WEEK YIN YOGA AND MEDITATION INTERVENTION ON COLLEGE OF PHARMACY FACULTY AND STUDENTS' STRESS PERCEPTION, ANXIETY LEVELS, AND MINDFULNESS SKILLS. METHODS: FACULTY AND STUDENTS PARTICIPATED IN A 6-WEEK PILOT PROGRAM COMPRISING A ONCE-WEEKLY YIN YOGA CLASS FOLLOWED BY GUIDED MEDITATION. YIN YOGA WAS SELECTED FOR ITS QUIET MEDITATIVE STYLE. PARTICIPANTS COMPLETED A PRE- AND POSTQUESTIONNAIRE AT 6 WEEKS AND 3 AND 6 MONTHS TO EVALUATE POTENTIAL CHANGES IN PERCEIVED STRESS SCORES, ANXIETY SCORES, AND MINDFULNESS SKILLS. THE QUESTIONNAIRE WAS COMPOSED OF 3 SELF-REPORTING TOOLS: BECK ANXIETY INVENTORY (BAI), PERCEIVED STRESS SCALE, AND THE FIVE FACET MINDFULNESS QUESTIONNAIRE. RESULTS: TWENTY PARTICIPANTS, 12 STUDENTS AND 8 FACULTY (AGES 18-66 YEARS), COMPLETED THE STUDY. ANXIETY AND STRESS SCORES DECREASED, AND MINDFULNESS INCREASED AT 6 WEEKS, 3 MONTHS AND 6 MONTHS, WITH ALL CHANGES REACHING STATISTICAL SIGNIFICANCE. NO PARTICIPANTS REPORTED BEING IN THE "HIGH" CATEGORY OF ANXIETY AFTER INTERVENTION USING BAI CATEGORICAL DATA, ALTHOUGH THIS FINDING WAS NOT STATISTICALLY SIGNIFICANT. CONCLUSION: FACULTY AND STUDENTS DEMONSTRATED A REDUCTION IN STRESS AND ANXIETY LEVELS AND AN INCREASE IN MINDFULNESS AFTER A 6-WEEK YIN YOGA AND MEDITATION PROGRAM. OUTCOMES SUGGEST THAT INCLUSION OF AN ADAPTABLE, MEDITATIVE PRACTICE, WHICH MAY EASILY BE REPLICATED AT HOME, FOR AS LITTLE AS ONCE PER WEEK FOR 6 WEEKS MAY REDUCE STRESS AND ANXIETY AND INCREASE MINDFULNESS LONG TERM. CREATING A CULTURE OF WELLNESS SHOULD BE A PRIORITY FOR ALL COLLEGES OF PHARMACY. 2021 17 1118 50 EFFICACY OF AN EIGHT-WEEK YOGA INTERVENTION ON SYMPTOMS OF RESTLESS LEGS SYNDROME (RLS): A PILOT STUDY. BACKGROUND: RESTLESS LEGS SYNDROME (RLS) IS A COMMON AND HIGHLY BURDENSOME SLEEP DISORDER. WHILE RELAXATION THERAPIES, INCLUDING YOGA, ARE OFTEN RECOMMENDED FOR RLS MANAGEMENT, RIGOROUS SUPPORTING RESEARCH IS SPARSE. THE GOAL OF THIS PRELIMINARY STUDY WAS TO ASSESS THE EFFECTS OF YOGA ON RLS SYMPTOMS AND RELATED OUTCOMES IN WOMEN WITH RLS. METHODS: PARTICIPANTS WERE 13 NONSMOKING WOMEN WITH MODERATE TO SEVERE RLS, WHO DID NOT HAVE DIABETES, SLEEP APNEA, OR OTHER SERIOUS CONCOMITANT CHRONIC CONDITIONS, AND WHO WERE NOT PREGNANT. THE INTERVENTION WAS A GENTLE, 8-WEEK IYENGAR YOGA PROGRAM. CORE OUTCOMES ASSESSED PRE- AND POST-TREATMENT WERE RLS SYMPTOMS AND SYMPTOM SEVERITY (INTERNATIONAL RLS SCALE [IRLS] AND RLS ORDINAL SCALE), SLEEP QUALITY (MEDICAL OUTCOMES STUDY SLEEP SCALE), MOOD (PROFILE OF MOOD STATES), AND PERCEIVED STRESS (PERCEIVED STRESS SCALE). PARTICIPANTS ALSO COMPLETED YOGA LOGS AND A BRIEF EXIT QUESTIONNAIRE REGARDING THEIR EXPERIENCE WITH THE STUDY. RESULTS: TEN (10) WOMEN, AGED 32-66 YEARS, COMPLETED THE STUDY. PARTICIPANTS ATTENDED AN AVERAGE 13.4+/-0.5 (OF 16 POSSIBLE) CLASSES, AND COMPLETED A MEAN OF 4.1+/-0.3 (OF 5 POSSIBLE) HOMEWORK SESSIONS/WEEK. AT FOLLOW-UP, PARTICIPANTS DEMONSTRATED STRIKING REDUCTIONS IN RLS SYMPTOMS AND SYMPTOM SEVERITY, WITH SYMPTOMS DECREASING TO MINIMAL/MILD IN ALL BUT 1 WOMAN AND NO PARTICIPANT SCORING IN THE SEVERE RANGE BY WEEK 8. EFFECT SIZES (COHEN'S D) WERE LARGE: 1.6 FOR IRLS TOTAL, AND 2.2 FOR RLS ORDINAL SCALE. IRLS SCORES DECLINED SIGNIFICANTLY WITH INCREASING MINUTES OF HOMEWORK PRACTICE PER SESSION (R=0.70, P=0.025) AND TOTAL HOMEWORK MINUTES (R=0.64, P<0.05), SUGGESTING A POSSIBLE DOSE-RESPONSE RELATION. PARTICIPANTS ALSO SHOWED SIGNIFICANT IMPROVEMENTS IN SLEEP, PERCEIVED STRESS, AND MOOD (ALL P'S