1 2367 96 WEEKLY ASSESSMENT OF NUMBER OF YOGA CLASSES AND AMOUNT OF YOGA HOME PRACTICE: AGREEMENT WITH DAILY DIARIES. OBJECTIVE: TO EVALUATE A WEEKLY YOGA PRACTICE ASSESSMENT INSTRUMENT DESIGNED TO ASSESS NUMBER OF CLASSES ATTENDED IN THE PREVIOUS WEEK, NUMBER OF TIMES ENGAGED IN FORMAL HOME YOGA PRACTICE, TOTAL NUMBER OF MINUTES ENGAGED IN FORMAL HOME YOGA PRACTICE IN THE PAST WEEK, AND NUMBER OF TIMES ENGAGED IN INFORMAL HOME YOGA PRACTICE. "INFORMAL" PRACTICE WAS DEFINED AS "IN THE MIDDLE OF OTHER ACTIVITIES, YOU SPENT A FEW MOMENTS ENGAGED IN ASANAS/POSTURES, FOCUS ON BREATH, BODY AWARENESS, OR VERY BRIEF MEDITATION, FOR LESS THAN 5 MIN AT A TIME." WE ASSESSED AGREEMENT BETWEEN THIS WEEKLY ASSESSMENT AND A DAILY HOME PRACTICE LOG. DESIGN AND SETTING: SEVENTY-TWO COMMUNITY YOGA PRACTITIONERS COMPLETED ONLINE DAILY YOGA LOGS FOR 28 DAYS AS WELL AS THE WEEKLY YOGA PRACTICE ASSESSMENT FOUR TIMES OVER THE 28 DAY PERIOD. RESULTS: WE EXAMINED AGREEMENT BETWEEN THE TWO METHODS ON THE FOUR INDICES OF AMOUNT OF WEEKLY YOGA PRACTICE. WE FOUND ACCEPTABLE AGREEMENT BETWEEN THE TWO METHODS FOR NUMBER OF CLASSES, NUMBER OF TIMES ENGAGED IN FORMAL HOME PRACTICE, AND TOTAL NUMBER OF MINUTES ENGAGED IN FORMAL HOME PRACTICE. AGREEMENT WAS LOWER FOR NUMBER OF TIMES ENGAGED IN INFORMAL PRACTICE. CONCLUSIONS: THESE DATA PROVIDE SUPPORT FOR USE OF A WEEKLY YOGA PRACTICE ASSESSMENT TO ASSESS NUMBER OF CLASSES ATTENDED AND AMOUNT OF FORMAL BUT NOT INFORMAL HOME PRACTICE.	2019	
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
2  278 28 ADDRESSING OBSTETRICS AND GYNECOLOGY TRAINEE BURNOUT USING A YOGA-BASED WELLNESS INITIATIVE DURING DEDICATED EDUCATION TIME. OBJECTIVE: TO ESTIMATE THE FEASIBILITY OF IMPLEMENTING A YOGA-BASED WELLNESS PROGRAM DURING TRAINING AND ITS INFLUENCE ON BURNOUT, DEPRESSION, ANXIETY, STRESS, AND MINDFULNESS AMONG OBSTETRICS AND GYNECOLOGY TRAINEES. METHODS: WE CONDUCTED A DEPARTMENTAL QUALITY IMPROVEMENT INITIATIVE CONSISTING OF WEEKLY 1-HOUR YOGA CLASSES CONDUCTED DURING PROTECTED EDUCATION TIME AND NUTRITION AND PHYSICAL CHALLENGES FOR 24 OBSTETRICS AND GYNECOLOGY RESIDENTS AND FIVE MATERNAL-FETAL MEDICINE FELLOWS. PARTICIPANTS RECEIVED A FREE WRIST-WORN FITNESS TRACKER DEVICE TO RECORD THEIR ACTIVITY. PREPROGRAM AND POSTPROGRAM DATA COLLECTION INCLUDED RESULTS FROM VALIDATED SCALES ON BURNOUT, MINDFULNESS, DEPRESSION AND ANXIETY, BLOOD PRESSURE, HEART RATE, AND WEIGHT. WILCOXON SIGNED RANK TESTS WERE USED FOR ANALYSIS. A P-VALUE <.05 WAS CONSIDERED SIGNIFICANT. RESULTS: OVER AN 8-WEEK PERIOD, 90% (N=26) OF PARTICIPANTS ATTENDED AT LEAST ONE YOGA CLASS AND 68% ATTENDED AT LEAST 50% OF THE CLASSES. NO PARTICIPANT COMPLETED ALL SESSIONS. EIGHTY PERCENT (N=20) ENGAGED IN AT LEAST ONE NUTRITION CHALLENGE AND 60% (N=15) IN AT LEAST ONE PHYSICAL CHALLENGE. AFTER THE PROGRAM, A SIGNIFICANT REDUCTION IN THE DEPERSONALIZATION COMPONENT OF BURNOUT (P=.04), ANXIETY (P=.02), AND SYSTOLIC (PREPROGRAM: 122, POSTPROGRAM: 116 MM HG; P=.01) AND DIASTOLIC BLOOD PRESSURE (PREPROGRAM: 82, POSTPROGRAM: 76 MM HG; P=.01) OCCURRED. THOSE PARTICIPANTS WHO ATTENDED MORE THAN 50% OF YOGA CLASSES DEMONSTRATED A SIGNIFICANT REDUCTION IN SYSTOLIC AND DIASTOLIC BLOOD PRESSURE COMPARED WITH LESS-FREQUENT ATTENDEES (P=.02 AND .04, RESPECTIVELY). A POSTPROGRAM SURVEY REVEALED FEELINGS OF INCREASED CAMARADERIE, APPRECIATION, MOTIVATION, AND OVERALL TRAINING EXPERIENCE. DISCUSSION: IMPLEMENTING A WELLNESS PROGRAM CONSISTING OF WEEKLY YOGA CLASSES IS FEASIBLE AND MAY BE BENEFICIAL. A WELLNESS INITIATIVE THAT EMPHASIZES ACTIVE PARTICIPATION DURING EDUCATION TIME WITH THE AUTONOMY TO IMPLEMENT DAILY WELLNESS ACTIVITIES MAY REDUCE BURNOUT AND IMPROVE WELL-BEING.	2019	
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
3 2223 28 THE IMPACT OF PRENATAL YOGA ON EXERCISE ATTITUDES AND BEHAVIOR: TEACHABLE MOMENTS FROM A RANDOMIZED CONTROLLED TRIAL. OBJECTIVE: PREGNANCY SERVES AS AN OPPORTUNE TIME FOR "TEACHABLE MOMENTS" TO ELICIT POSITIVE BEHAVIOR CHANGE. WE EVALUATED CHANGE IN EXERCISE PERCEPTION, BEHAVIOR AND GESTATIONAL WEIGHT GAIN IN PARTICIPANTS ENGAGED IN A ONE-HOUR EDUCATIONAL EXPERIENCE. METHODS: WOMEN BETWEEN 28 0/7 TO 36 6/7 WEEKS WITH NO PRIOR YOGA EXPERIENCE CARRYING A NON-ANOMALOUS SINGLETON FETUS PARTICIPATED IN A RANDOMIZED CONTROLLED TRIAL ON PRENATAL YOGA. THE YOGA GROUP ENGAGED IN A ONE-HOUR YOGA CLASS; THE ATTENTION CONTROL EDUCATIONAL GROUP, IN A ONE-HOUR PRESENTATION ON EXERCISE, NUTRITION AND OBESITY IN PREGNANCY. MATERNAL PERCEPTION OF YOGA, EXERCISE EFFECTS AND CURRENT HEALTH STATUS WAS CONDUCTED BEFORE AND AFTER THE INTERVENTION. GESTATIONAL WEIGHT GAIN (GWG) AND BODY MASS INDEX (BMI) WERE ASSESSED. A POSTPARTUM SURVEY WAS PERFORMED TO DETERMINE SELF-REPORTED BEHAVIORAL CHANGES DURING AND AFTER PREGNANCY. RESULTS: OVER 6 MONTHS, 52 WOMEN WERE RANDOMIZED AND 46 (88%) COMPLETED THE STUDY. WOMEN REPORTED A MORE POSITIVE ATTITUDE TOWARDS EXERCISE AND YOGA AFTER THE YOGA INTERVENTION. TOTAL GWG WAS SIMILAR (YOGA 32.9 VERSUS EDUCATION 32.8 POUNDS, P = 0.98). STRATIFIED BY PRE-PREGNANCY BMI, 13% GAINED WITHIN AND 61% GAINED ABOVE THE INSTITUTE OF MEDICINE GUIDELINES IN EACH GROUP. OF 29 INACTIVE WOMEN PRIOR TO THE INTERVENTION, 60% OF THE YOGA GROUP AND 75% OF THE EDUCATION GROUP BEGAN PRENATAL EXERCISES AFTER THE INTERVENTION AND 50% OF EACH GROUP CONTINUED TO EXERCISE AFTER DELIVERY. THERE WERE NO SIGNIFICANT DIFFERENCES BETWEEN GROUPS. CONCLUSION: A ONE-TIME, ONE-HOUR INTERVENTION TEACHING A NEW EXERCISE OR EDUCATING WOMEN DURING PREGNANCY CAN POSITIVELY IMPACT PREGNANCY BEHAVIORS AND PERCEPTION WITH THE POTENTIAL TO IMPROVE MATERNAL AND NEONATAL OUTCOMES. CLINICAL TRIAL REGISTRATION: CLINICALTRIALS.GOV, WWW.CLINICALTRIALS.GOV , NCT02063711.	2017	
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
4   73 42 A GROUP-BASED YOGA PROGRAM FOR URINARY INCONTINENCE IN AMBULATORY WOMEN: FEASIBILITY, TOLERABILITY, AND CHANGE IN INCONTINENCE FREQUENCY OVER 3 MONTHS IN A SINGLE-CENTER RANDOMIZED TRIAL. BACKGROUND: BECAUSE OF THE LIMITATIONS OF EXISTING CLINICAL TREATMENTS FOR URINARY INCONTINENCE, MANY WOMEN WITH INCONTINENCE ARE INTERESTED IN COMPLEMENTARY STRATEGIES FOR MANAGING THEIR SYMPTOMS. YOGA HAS BEEN RECOMMENDED AS A BEHAVIORAL SELF-MANAGEMENT STRATEGY FOR INCONTINENCE, BUT EVIDENCE OF ITS FEASIBILITY, TOLERABILITY, AND EFFICACY IS LACKING. OBJECTIVE: TO EVALUATE THE FEASIBILITY AND TOLERABILITY OF A GROUP-BASED THERAPEUTIC YOGA PROGRAM FOR AMBULATORY MIDDLE-AGED AND OLDER WOMEN WITH INCONTINENCE, AND TO EXAMINE PRELIMINARY CHANGES IN INCONTINENCE FREQUENCY AS THE PRIMARY EFFICACY OUTCOME AFTER 3 MONTHS. MATERIALS AND METHODS: AMBULATORY WOMEN AGED 50 YEARS OR OLDER WHO REPORTED AT LEAST DAILY STRESS-, URGENCY-, OR MIXED-TYPE INCONTINENCE, WERE NOT ALREADY ENGAGED IN YOGA, AND WERE WILLING TO TEMPORARILY FORGO CLINICAL INCONTINENCE TREATMENTS WERE RECRUITED INTO A RANDOMIZED TRIAL IN THE SAN FRANCISCO BAY AREA. WOMEN WERE RANDOMLY ASSIGNED TO TAKE PART IN A PROGRAM OF TWICE-WEEKLY GROUP CLASSES AND ONCE-WEEKLY HOME PRACTICE FOCUSED ON IYENGAR-BASED YOGA TECHNIQUES SELECTED BY AN EXPERT YOGA PANEL (YOGA GROUP), OR A NONSPECIFIC MUSCLE STRETCHING AND STRENGTHENING PROGRAM DESIGNED TO PROVIDE A RIGOROUS TIME-AND-ATTENTION CONTROL (CONTROL GROUP) FOR 3 MONTHS. ALL PARTICIPANTS ALSO RECEIVED WRITTEN, EVIDENCE-BASED INFORMATION ABOUT BEHAVIORAL INCONTINENCE SELF-MANAGEMENT TECHNIQUES (PELVIC FLOOR EXERCISES, BLADDER TRAINING) CONSISTENT WITH USUAL FIRST-LINE CARE. INCONTINENCE FREQUENCY AND TYPE WERE ASSESSED BY VALIDATED VOIDING DIARIES. ANALYSIS OF COVARIANCE MODELS EXAMINED WITHIN- AND BETWEEN-GROUP CHANGES IN INCONTINENCE FREQUENCY AS THE PRIMARY EFFICACY OUTCOME OVER 3 MONTHS. RESULTS: OF THE 56 WOMEN RANDOMIZED (28 TO YOGA, 28 TO CONTROL), THE MEAN AGE WAS 65.4 (+/-8.1) YEARS (RANGE, 55-83 YEARS), THE MEAN BASELINE INCONTINENCE FREQUENCY WAS 3.5 (+/-2.0) EPISODES/D, AND 37 WOMEN (66%) HAD URGENCY-PREDOMINANT INCONTINENCE. A TOTAL OF 50 WOMEN COMPLETED THEIR ASSIGNED 3-MONTH INTERVENTION PROGRAM (89%), INCLUDING 27 IN THE YOGA AND 23 IN THE CONTROL GROUP (P = .19). OF THOSE, 24 (89%) IN THE YOGA AND 20 (87%) IN THE CONTROL GROUP ATTENDED AT LEAST 80% OF GROUP CLASSES. OVER 3 MONTHS, TOTAL INCONTINENCE FREQUENCY DECREASED BY AN AVERAGE OF 76% FROM BASELINE IN THE YOGA AND 56% IN THE CONTROL GROUP (P = .07 FOR BETWEEN-GROUP DIFFERENCE). STRESS INCONTINENCE FREQUENCY ALSO DECREASED BY AN AVERAGE OF 61% IN THE YOGA GROUP AND 35% IN CONTROLS (P = .045 FOR BETWEEN-GROUP DIFFERENCE), BUT CHANGES IN URGENCY INCONTINENCE FREQUENCY DID NOT DIFFER SIGNIFICANTLY BETWEEN GROUPS. A TOTAL OF 48 NONSERIOUS ADVERSE EVENTS WERE REPORTED, INCLUDING 23 IN THE YOGA AND 25 IN THE CONTROL GROUP, BUT NONE WERE DIRECTLY ATTRIBUTABLE TO YOGA OR CONTROL PROGRAM PRACTICE. CONCLUSION: FINDINGS DEMONSTRATE THE FEASIBILITY OF RECRUITING AND RETAINING INCONTINENT WOMEN ACROSS THE AGING SPECTRUM INTO A THERAPEUTIC YOGA PROGRAM, AND PROVIDE PRELIMINARY EVIDENCE OF REDUCTION IN TOTAL AND STRESS-TYPE INCONTINENCE FREQUENCY AFTER 3 MONTHS OF YOGA PRACTICE. WHEN TAUGHT WITH ATTENTION TO WOMEN'S CLINICAL NEEDS, YOGA MAY OFFER A POTENTIAL COMMUNITY-BASED BEHAVIORAL SELF-MANAGEMENT STRATEGY FOR INCONTINENCE TO ENHANCE CLINICAL TREATMENT, ALTHOUGH FUTURE RESEARCH SHOULD ASSESS WHETHER YOGA OFFERS UNIQUE BENEFITS FOR INCONTINENCE ABOVE AND BEYOND OTHER PHYSICAL ACTIVITY-BASED INTERVENTIONS.	2019	

5 1978 30 SLEEP AMONG OBSTETRICS AND GYNECOLOGY TRAINEES: RESULTS FROM A YOGA-BASED WELLNESS INITIATIVE. OBJECTIVE: THIS STUDY AIMED TO DETERMINE THE FEASIBILITY OF USING A WRIST-BASED FITNESS TRACKING DEVICE TO ASSESS SLEEP AMONG OBSTETRICS AND GYNECOLOGY (OBGYN) TRAINEES WHO ENGAGED IN A YOGA-BASED WELLNESS PROGRAM. WE ALSO SOUGHT TO EVALUATE THE EFFECTS OF YOGA ON SLEEP. STUDY DESIGN: A QUALITY IMPROVEMENT INITIATIVE CONSISTING OF AN 8-WEEK WELLNESS PROGRAM OF WEEKLY YOGA CLASSES, NUTRITION, AND PHYSICAL CHALLENGES WAS IMPLEMENTED FOR OBGYN RESIDENTS AND MATERNAL-FETAL MEDICINE FELLOWS. THE POLAR A370 FITNESS TRACKER DEVICE WAS PROVIDED AND SYNCED TO THE POLAR FLOW FOR COACH PROGRAM FOR INCLUSION. DATA OBTAINED INCLUDED TOTAL AND RESTFUL SLEEP FROM EACH NIGHT THE DEVICE WERE WORN. PRE- AND POST-ASSESSMENT OF THE PITTSBURG SLEEP QUALITY INDEX (PSQI) WERE COMPARED. LINEAR MIXED MODELS WERE USED TO ESTIMATE AND TEST THE EFFECT OF YOGA ON SLEEP WHILE CONTROLLING FOR ON-CALL SHIFTS. RESULTS: OF THE 15 PARTICIPANTS WHO SYNCED THEIR DEVICE, 13 (87%) WERE INCLUDED FOR ANALYSIS. SLEEP DATA FROM 572 NIGHTS WERE ANALYZED. THE MEAN (SD) TOTAL SLEEP WAS 434.28 (110.03) MINUTES OVER THE 8 WEEKS. A MINIMUM OF 7 HOURS (420 MINUTES) OF TOTAL SLEEP OCCURRED 59.3% OF THE TIME. AFTER CONTROLLING FOR FRIDAY OR SATURDAY NIGHT ON-CALL, THOSE WHO ATTENDED YOGA CLASS HAD A SIGNIFICANTLY GREATER TOTAL SLEEP (YOGA: 425.14 MINUTES [41.89], NO YOGA: 357.33 [43.04] MINUTES; P = 0.04). THERE WAS NO SIGNIFICANT CHANGE IN THE MEAN GLOBAL PSQI SCORE AFTER THE PROGRAM (PRE: 5.0 [1.6], POST: 5.1 [2.5], P = 0.35). CONCLUSION: WEARABLE FITNESS MONITORS PROVIDE INSIGHT INTO SLEEP PATTERNS DISPLAYED DURING TRAINING AND CAN SERVE AS A TOOL TO IDENTIFY THOSE WHO ARE SLEEP DEPRIVED AND ASSIST IN THE EVALUATION OF TRAINEE WELLNESS. TRAINING PROGRAMS ARE ENCOURAGED TO PROVIDE ACCESS TO YOGA AND MINDFULNESS INTERVENTIONS TO IMPROVE SLEEP AND POSSIBLY CLINICAL PERFORMANCE. KEY POINTS: . YOGA IMPROVES TRAINEE SLEEP BY APPROXIMATELY 60 MINUTES.. . TOTAL AND RESTFUL SLEEP ARE REDUCED DURING NIGHT FLOAT ROTATION.. . TRAINEES OBTAINED 7 HOURS OF SLEEP APPROXIMATELY 60% OF THE TIME..	2021	
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
6 1788 29 PRELIMINARY EVIDENCE THAT YOGA PRACTICE PROGRESSIVELY IMPROVES MOOD AND DECREASES STRESS IN A SAMPLE OF UK PRISONERS. OBJECTIVES. IN THE FIRST RANDOMIZED CONTROLLED TRIAL OF YOGA ON UK PRISONERS, WE PREVIOUSLY SHOWED THAT YOGA PRACTICE WAS ASSOCIATED WITH IMPROVED MENTAL WELLBEING AND COGNITION. HERE, WE AIMED TO ASSESS HOW CLASS ATTENDANCE, SELF-PRACTICE, AND DEMOGRAPHIC FACTORS WERE RELATED TO OUTCOME AMONGST PRISONERS ENROLLED IN THE 10-WEEK YOGA INTERVENTION. METHODS. THE DATA OF 55 PARTICIPANTS (52 MALE, 3 FEMALE) WHO COMPLETED A 10-WEEK YOGA COURSE WERE ANALYSED. CHANGES IN PRE- AND POSTYOGA MEASURES OF AFFECT, PERCEIVED STRESS, AND PSYCHOLOGICAL SYMPTOMS WERE ENTERED INTO LINEAR REGRESSION ANALYSES WITH BIAS-CORRECTED AND ACCELERATED BOOTSTRAP CONFIDENCE INTERVALS. CLASS ATTENDANCE, SELF-PRACTICE, DEMOGRAPHIC VARIABLES, AND BASELINE PSYCHOMETRIC VARIABLES WERE INCLUDED AS REGRESSORS. RESULTS. PARTICIPANTS WHO ATTENDED MORE YOGA CLASSES AND THOSE WHO ENGAGED IN FREQUENT (5 TIMES OR MORE) SELF-PRACTICE REPORTED SIGNIFICANTLY GREATER DECREASES IN PERCEIVED STRESS. DECREASES IN NEGATIVE AFFECT WERE ALSO SIGNIFICANTLY RELATED TO HIGH FREQUENCY SELF-PRACTICE AND GREATER CLASS ATTENDANCE AT A NEAR-SIGNIFICANT LEVEL. AGE WAS POSITIVELY CORRELATED WITH YOGA CLASS ATTENDANCE, AND HIGHER LEVELS OF EDUCATION WERE ASSOCIATED WITH GREATER DECREASES IN NEGATIVE AFFECT. CONCLUSIONS. OUR RESULTS SUGGEST THAT THERE MAY BE PROGRESSIVE BENEFICIAL EFFECTS OF YOGA WITHIN PRISON POPULATIONS AND POINT TO SUBPOPULATIONS WHO MAY BENEFIT THE MOST FROM THIS PRACTICE.	2015	
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
7 2843 19 YOGA, COGNITIVE-BEHAVIOURAL THERAPY VERSUS EDUCATION TO IMPROVE QUALITY OF LIFE AND REDUCE HEALTHCARE COSTS IN PEOPLE WITH ENDOMETRIOSIS: A RANDOMISED CONTROLLED TRIAL. INTRODUCTION: ENDOMETRIOSIS IS A DEBILITATING CHRONIC INFLAMMATORY CONDITION HIGHLY BURDENSOME TO THE HEALTHCARE SYSTEM. THE PRESENT TRIAL WILL ESTABLISH THE EFFICACY OF (1) YOGA AND (2) COGNITIVE-BEHAVIOURAL THERAPY (CBT), ABOVE (3) EDUCATION, ON QUALITY OF LIFE, BIOPSYCHOSOCIAL OUTCOMES AND COST-EFFECTIVENESS. METHODS AND ANALYSIS: THIS STUDY IS A PARALLEL RANDOMISED CONTROLLED TRIAL. PARTICIPANTS WILL BE RANDOMLY ALLOCATED TO YOGA, CBT OR EDUCATION. PARTICIPANTS WILL BE ENGLISH-SPEAKING ADULTS, HAVE A DIAGNOSIS OF ENDOMETRIOSIS BY A QUALIFIED PHYSICIAN, WITH PAIN FOR AT LEAST 6 MONTHS, AND ACCESS TO INTERNET. PARTICIPANTS WILL ATTEND 8 WEEKLY GROUP CBT SESSIONS OF 120 MIN; OR 8 WEEKLY GROUP YOGA SESSIONS OF 60 MIN; OR RECEIVE WEEKLY EDUCATIONAL HANDOUTS ON ENDOMETRIOSIS. THE PRIMARY OUTCOME MEASURE IS QUALITY OF LIFE. THE ANALYSIS WILL INCLUDE MIXED-EFFECTS ANALYSIS OF VARIANCE AND LINEAR MODELS, COST-UTILITY ANALYSIS FROM A SOCIETAL AND HEALTH SYSTEM PERSPECTIVE AND QUALITATIVE THEMATIC ANALYSIS. ETHICS AND DISSEMINATION: ENROLMENT IN THE STUDY IS VOLUNTARY AND PARTICIPANTS CAN WITHDRAW AT ANY TIME. PARTICIPANTS WILL BE GIVEN THE OPTION TO DISCUSS THE STUDY WITH THEIR NEXT OF KIN/TREATING PHYSICIAN. FINDINGS WILL BE DISSEMINATED VIA PUBLICATIONS, CONFERENCES AND BRIEFS TO PROFESSIONAL ORGANISATIONS. THE UNIVERSITY'S MEDIA TEAM WILL ALSO BE USED TO FURTHER DISSEMINATE VIA LAY PERSON ARTICLES AND MEDIA RELEASES. TRIAL REGISTRATION NUMBER: ACTRN12620000756921P; PRE-RESULTS.	2021	
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
8   70 30 A FEASIBILITY STUDY EXAMINING THE IMPACT OF YOGA ON PSYCHOSOCIAL HEALTH AND SYMPTOMS IN PEDIATRIC OUTPATIENTS RECEIVING CHEMOTHERAPY. PURPOSE: PEDIATRIC CANCER PATIENTS EXPERIENCE SYMPTOMS THAT NEGATIVELY IMPACT QUALITY OF LIFE; YOGA MAY BE AN EFFECTIVE INTERVENTION. THE PRIMARY OBJECTIVE WAS TO DETERMINE THE FEASIBILITY OF A 10-WEEK, WEEKLY INDIVIDUALIZED YOGA INTERVENTION FOR CHILDREN AND ADOLESCENTS RECEIVING OUTPATIENT CANCER THERAPY PRIMARILY DELIVERED REMOTELY USING SKYPE. SECONDARY OBJECTIVES WERE TO DESCRIBE DEPRESSION, ANXIETY, ANGER, FATIGUE, QUALITY OF LIFE, AND SYMPTOMS AT 5 AND 10 WEEKS AFTER ENROLLMENT. METHODS: WE INCLUDED ENGLISH-SPEAKING PATIENTS AGED 10 TO 18 YEARS RECEIVING OUTPATIENT CHEMOTHERAPY FOR CANCER. WEEKLY INDIVIDUALIZED YOGA SESSIONS WERE OFFERED FOR 10 WEEKS. WEEKS 1, 5, AND 10 WERE IN-HOSPITAL WHILE THE REMAINING SESSIONS WERE DELIVERED REMOTELY USING SKYPE. TWICE WEEKLY, HOMEWORK WAS ASSIGNED BETWEEN EACH SESSION. THE PRIMARY OUTCOME WAS FEASIBILITY, DEFINED AS 80% OF PARTICIPANTS COMPLETING AT LEAST 60% OF PLANNED IN-HOSPITAL OR REMOTE YOGA SESSIONS. RESULTS: BETWEEN MARCH AND NOVEMBER 2017, 10 PATIENTS WERE ENROLLED. TWO PATIENTS DISCONTINUED THE STUDY AFTER ONE AND TWO SESSIONS. ONLY SIX PARTICIPANTS ACHIEVED AT LEAST 60% OF PLANNED YOGA SESSIONS AND THUS, THE STUDY DID NOT MEET THE A PRIORI DEFINED FEASIBILITY THRESHOLD. AMONG ALL PARTICIPANTS, ONLY ONE HOMEWORK SESSION WAS PERFORMED. CONCLUSIONS: A 10-WEEK INDIVIDUALIZED IN-PERSON AND REMOTELY CONDUCTED YOGA INTERVENTION WAS NOT FEASIBLE IN CHILDREN RECEIVING CANCER TREATMENTS BECAUSE OF FAILURE TO ACHIEVE THE DESIRED FREQUENCY OF YOGA SESSIONS IN A SUFFICIENT NUMBER OF PARTICIPANTS. FUTURE RESEARCH SHOULD IDENTIFY APPROACHES TO IMPROVE COMPLIANCE WITH REMOTE YOGA SESSIONS AND HOME PRACTICE. TRIAL REGISTRATION: NCT03318068.	2019	
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
9  608 32 DEVELOPMENT OF A FALLS REDUCTION YOGA PROGRAM FOR OLDER ADULTS-A PILOT STUDY. OBJECTIVES: WORK WITH LOCAL RURAL ORGANIZATIONS TO DEVELOP AN EVIDENCE-BASED HATHA YOGA PROGRAM INTENDED TO IMPROVE CORE STRENGTH AND BALANCE TO REDUCE FALLS RISK. FEASIBILITY DETERMINED BY SUCCESSFUL RECRUITING, INTERVENTION AND EVALUATION OF PARTICIPANTS AND ACCEPTABLE FREQUENCY OF ADVERSE EVENTS. DESIGN: SINGLE-ARM PILOT STUDY. SETTING: RURAL WISCONSIN TOWN OF 4200 PEOPLE. INTERVENTION: EIGHT WEEK YOGA PROGRAM WITH WEEKLY GROUP CLASSES AND HOME YOGA PRACTICE THREE TIMES PER WEEK. MAIN OUTCOME MEASURES: THE PRIMARY OUTCOMES WERE (1) ABILITY TO ENROLL AT LEAST 20 PARTICIPANTS, (2) PARTICIPANT COMPLETION OF INTERVENTION AND POST-INTERVENTION EVALUATION, AND (3) ADVERSE EVENT DESCRIPTION AND FREQUENCY. RESULTS: A CONVENIENCE SAMPLE OF 20 ADULTS OVER AGE 59 WAS ENROLLED AND STARTED THE PROGRAM WITH ONE DROP OUT. PARTICIPANTS ATTENDED A MEAN OF 7.1 (SD 1.47) OF THE 8 CLASSES AND A TOTAL OF 141 OUT OF 160 (88.1%) CLASSES. NINETEEN (95%) COMPLETED FOLLOW UP EVALUATION. PARTICIPANTS REPORTED 4 FALLS IN THE MONTH BEFORE THE INTERVENTION AND 1 FALL THE MONTH BEFORE THE POST-INTERVENTION EVALUATION (P=0.34). NO OTHER SERIOUS ADVERSE EVENTS OCCURRED. CONCLUSIONS: THIS PROJECT SUGGESTS AN EVIDENCE-BASED YOGA PROGRAM DESIGNED TO IMPROVE CORE STRENGTH AND BALANCE IS FEASIBLE AND ACCEPTABLE TO PARTICIPANTS. FUTURE RESEARCH WILL INCLUDE A RANDOMIZED TRIAL TO ASSESS IMPACT ON FALLS RISK.	2017	
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
10 2685 30 YOGA IN THE REAL WORLD: PERCEPTIONS, MOTIVATORS, BARRIERS, AND PATTERNS OF USE. BACKGROUND: YOGA IS A MIND-BODY EXERCISE PRACTICED BY NEARLY 16 MILLION US ADULTS. CLINICAL YOGA RESEARCH HAS YIELDED PROMISING FINDINGS IN PHYSICAL AND MENTAL HEALTH OUTCOMES. HOWEVER, RESEARCH IN NON-PATIENT POPULATIONS IS LIMITED. THE PURPOSE OF THIS STUDY IS TO SURVEY A NON-CLINICAL POPULATION TO BETTER UNDERSTAND YOGA USE IN A REAL-WORLD SETTING. METHODS: THIS STUDY USED A PRE-POST TEST DESIGN IN A CONVENIENCE SAMPLE OF ADULTS REGISTERED FOR A 4-WEEK BEGINNER YOGA PROGRAM WITHIN A NETWORK OF FIVE YOGA STUDIOS IN AUSTIN, TEXAS. STUDENTS WERE LINKED VIA E-MAIL TO BASELINE AND ENDPOINT SURVEYS. ANALYSES WERE DESCRIPTIVE. RESULTS: SIX HUNDRED FOUR STUDENTS COMPLETED THE BASELINE SURVEY, AND 290 (48%) COMPLETED THE 4-WEEK ENDPOINT SURVEY. BASELINE DEMOGRAPHICS WERE SIMILAR TO THOSE IN NATIONAL SURVEYS, WITH RESPONDENTS BEING PRIMARILY FEMALE (86%), WHITE (88%), AND COLLEGE EDUCATED (78%). THE PRIMARY BARRIER TO PRACTICE WAS TIME (55%). RESPONDENTS PERCEIVED YOGA PRIMARILY AS AN EXERCISE ACTIVITY (92%), SPIRITUAL ACTIVITY (73%), OR A WAY TO MANAGE OR TREAT A HEALTH CONDITION (50%). MAIN REASONS FOR TAKING YOGA WERE GENERAL WELLNESS (81%), PHYSICAL EXERCISE (80%), AND STRESS MANAGEMENT (73%). NINETY-EIGHT PERCENT BELIEVED YOGA WOULD IMPROVE THEIR HEALTH, WITH 28% TAKING YOGA TO ALLEVIATE A HEALTH CONDITION. ON AVERAGE, RESPONDENTS PRACTICED 3 TO 4 HOURS/ WEEK IN AND OUT OF CLASS. CONCLUSIONS: RESPONDENT DEMOGRAPHICS WERE CONSISTENT WITH NATIONAL SURVEY DATA. DATA SHOW THAT YOGA IS PERCEIVED SEVERAL WAYS. INFORMATION ON PRACTICE PATTERNS PROVIDES NEW INFORMATION, WHICH MAY IMPROVE UNDERSTANDING OF HOW NON-CLINICAL POPULATIONS INCORPORATE YOGA INTO DAILY LIFE FOR HEALTH MANAGEMENT.	2013	
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
11 2477 27 YOGA AS AN ADJUNCTIVE INTERVENTION TO MEDICATION-ASSISTED TREATMENT WITH BUPRENORPHINE+NALOXONE. OBJECTIVE: ACCORDING TO THE CDC, 2.6 MILLION PEOPLE IN THE UNITED STATES HAVE AN OPIOID USE DISORDER AND DRUG OVERDOSE IS THE LEADING CAUSE OF ACCIDENTAL DEATH. OPIOIDS ARE INVOLVED IN 63% OF OVERDOSE DEATHS. IT IS IMPERATIVE THAT WE IDENTIFY EVIDENCE BASED TREATMENTS TO STEM THE TIDE OF THIS EPIDEMIC. THIS PILOT STUDY SERVES TO EXPLORE THE FEASIBILITY AND EFFECTIVENESS OF YOGA AS AN ADJUNCTIVE INTERVENTION FOR INDIVIDUALS WITH OPIOID USE DISORDER IN ACTIVE MEDICATION-ASSISTED TREATMENT (MAT). METHODS: PARTICIPANTS (N=26) WERE RECRUITED FROM A BUPRENORPHINE/NALOXONE MAT PROGRAM TO PARTICIPATE IN THIS STUDY. 13 PARTICIPANTS ENGAGED IN A 12 WEEK ADJUNCTIVE YOGA INTERVENTION WHILE REMAINING IN TREATMENT AS USUAL (TAU) MAT. 13 MATCHED CONTROLS WERE RECRUITED AND REMAINED IN TAU MAT. BOTH GROUPS WERE EVALUATED AT BASELINE, 45 DAYS AND 90 DAYS FOR CHANGES IN CRAVING FOR OPIOIDS, TREATMENT RETENTION, RELAPSE RATES, SLEEP, AND SYMPTOMS OF ANXIETY AND PERCEIVED STRESS. RESULTS: A TWO-WAY TREATMENT BY TIME ANALYSIS OF VARIANCE WAS PERFORMED USING A MIXED EFFECTS MODEL. THE TREATMENT BY FOLLOW-UP TIME INTERACTION EFFECT WAS SIGNIFICANT FOR PERCEIVED STRESS (P=0.026) INDICATING THAT THE YOGA INTERVENTION HAD A LARGER EFFECT THAN TAU (MAT). CHANGES IN PERCEIVED STRESS DECREASED SIGNIFICANTLY OVER TIME IN BOTH THE YOGA INTERVENTION GROUP AND THE TAU MAT MATCHED CONTROL GROUP. CONCLUSION: THIS PILOT STUDY INDICATED STRONG EVIDENCE FOR YOGA BEING AN EFFECTIVE ADJUNCTIVE TREATMENT TO MAT TAU IN REDUCING PERCEIVED STRESS. FURTHER RESEARCH WITH A LARGER POPULATION IS NEEDED TO DETERMINE IMPACT ON OTHER MENTAL HEALTH SYMPTOMS AND RELAPSE AND RETENTION RATES.	2018	
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
12 2318 29 TREATING MAJOR DEPRESSION WITH YOGA: A PROSPECTIVE, RANDOMIZED, CONTROLLED PILOT TRIAL. BACKGROUND: CONVENTIONAL PHARMACOTHERAPIES AND PSYCHOTHERAPIES FOR MAJOR DEPRESSION ARE ASSOCIATED WITH LIMITED ADHERENCE TO CARE AND RELATIVELY LOW REMISSION RATES. YOGA MAY OFFER AN ALTERNATIVE TREATMENT OPTION, BUT RIGOROUS STUDIES ARE FEW. THIS RANDOMIZED CONTROLLED TRIAL WITH BLINDED OUTCOME ASSESSORS EXAMINED AN 8-WEEK HATHA YOGA INTERVENTION AS MONO-THERAPY FOR MILD-TO-MODERATE MAJOR DEPRESSION. METHODS: INVESTIGATORS RECRUITED 38 ADULTS IN SAN FRANCISCO MEETING CRITERIA FOR MAJOR DEPRESSION OF MILD-TO-MODERATE SEVERITY, PER STRUCTURED PSYCHIATRIC INTERVIEW AND SCORES OF 14-28 ON BECK DEPRESSION INVENTORY-II (BDI). AT SCREENING, INDIVIDUALS ENGAGED IN PSYCHOTHERAPY, ANTIDEPRESSANT PHARMACOTHERAPY, HERBAL OR NUTRACEUTICAL MOOD THERAPIES, OR MIND-BODY PRACTICES WERE EXCLUDED. PARTICIPANTS WERE 68% FEMALE, WITH MEAN AGE 43.4 YEARS (SD = 14.8, RANGE = 22-72), AND MEAN BDI SCORE 22.4 (SD = 4.5). TWENTY PARTICIPANTS WERE RANDOMIZED TO 90-MINUTE HATHA YOGA PRACTICE GROUPS TWICE WEEKLY FOR 8 WEEKS. EIGHTEEN PARTICIPANTS WERE RANDOMIZED TO 90-MINUTE ATTENTION CONTROL EDUCATION GROUPS TWICE WEEKLY FOR 8 WEEKS. CERTIFIED YOGA INSTRUCTORS DELIVERED BOTH INTERVENTIONS AT A UNIVERSITY CLINIC. PRIMARY OUTCOME WAS DEPRESSION SEVERITY, MEASURED BY BDI SCORES EVERY 2 WEEKS FROM BASELINE TO 8 WEEKS. SECONDARY OUTCOMES WERE SELF-EFFICACY AND SELF-ESTEEM, MEASURED BY SCORES ON THE GENERAL SELF-EFFICACY SCALE (GSES) AND ROSENBERG SELF-ESTEEM SCALE (RSES) AT BASELINE AND AT 8 WEEKS. RESULTS: IN INTENT-TO-TREAT ANALYSIS, YOGA PARTICIPANTS EXHIBITED SIGNIFICANTLY GREATER 8-WEEK DECLINE IN BDI SCORES THAN CONTROLS (P-VALUE = 0.034). IN SUB-ANALYSES OF PARTICIPANTS COMPLETING FINAL 8-WEEK MEASURES, YOGA PARTICIPANTS WERE MORE LIKELY TO ACHIEVE REMISSION, DEFINED PER FINAL BDI SCORE </= 9 (P-VALUE = 0.018). EFFECT SIZE OF YOGA IN REDUCING BDI SCORES WAS LARGE, PER COHEN'S D = -0.96 [95%CI, -1.81 TO -0.12]. INTERVENTION GROUPS DID NOT DIFFER SIGNIFICANTLY IN 8-WEEK CHANGE SCORES FOR EITHER THE GSES OR RSES. CONCLUSION: IN ADULTS WITH MILD-TO-MODERATE MAJOR DEPRESSION, AN 8-WEEK HATHA YOGA INTERVENTION RESULTED IN STATISTICALLY AND CLINICALLY SIGNIFICANT REDUCTIONS IN DEPRESSION SEVERITY. TRIAL REGISTRATION: CLINICALTRIALS.GOV NCT01210651.	2017	
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
13  254 23 A YOGA STRESS REDUCTION INTERVENTION FOR UNIVERSITY FACULTY, STAFF, AND GRADUATE STUDENTS. YOGA CAN BE AN EFFECTIVE INTERVENTION FOR PHYSICAL AND PSYCHOLOGICAL SYMPTOMS AND DECREASED ABILITY TO COPE WITH PHYSICAL, EMOTIONAL, VOCATIONAL, OR ACADEMIC STRESS. ONE GROUP OF INDIVIDUALS CHALLENGED REGARDING ADEQUATE SELF-CARE IN THE FACE OF STRESS ARE PERSONNEL IN UNIVERSITY TRAINING PROGRAMS FOR HELPING PROFESSIONS (E.G., PSYCHOLOGY, NURSING, NUTRITION). THIS FEASIBILITY STUDY EXPLORED ENGAGEMENT IN AND EFFECTIVENESS OF A SYSTEMATIC 10-WEEK YOGA PROGRAM AIMED AT UNIVERSITY FACULTY, STAFF, AND STUDENTS. THE INTERVENTION CONSISTED OF 10 WEEKLY 90-MINUTE SESSIONS THAT WERE STRUCTURED TO INCLUDE CONCEPTUAL GROUNDING, BREATHING, POSTURES, AND MEDITATION. WEEKLY CLASS OUTLINES WERE MADE AVAILABLE TO STUDENTS FOR HOME PRACTICE. PARTICIPANTS SIGNED INFORMED CONSENTS, LIABILITY WAIVERS, AND HEALTH SCREENINGS. SELF-REPORTS OF HOME PRACTICE, BARRIERS TO PRACTICE, PERCEIVED STRESS, AND STRESS SYMPTOMS WERE USED TO EVALUATE WHETHER THE INTERVENTION WAS SUCCESSFUL IN ENGAGING PARTICIPANTS AND REDUCING STRESS-RELATED SYMPTOMS. ENGAGEMENT WAS DEMONSTRATED BY STUDY ADHERENCE IN THE FIRST 10-WEEK SERIES (88%; 44 OF 50 ENROLLED), AS WELL AS RE-ENROLLMENT FOR AT LEAST ONE ADDITIONAL 10-WEEK SERIES (64%; 28 OF 44). INTERVENTION SUCCESS WAS DEMONSTRATED THROUGH REPEATED MEASURE S ANOVAS OF 44 PARTICIPANTS' DATA, WHICH SHOWED SIGNIFICANT IMPROVEMENT AFTER A SINGLE 10-WEEK SERIES IN PERCEIVED STRESS, AS WELL AS SELF-REPORTED PSYCHOLOGICAL, BEHAVIORAL, AND PHYSICAL SYMPTOMS OF STRESS. THE STUDY DEMONSTRATES FEASIBILITY OF A YOGA INTERVENTION IN AN ACADEMIC SETTING AND PROVIDES PRELIMINARY EVIDENCE FOR EFFICACY IN STRESS REDUCTION. IT ALSO SUPPLIES 10 DETAILED SESSION PROTOCOLS FOR INTERVENTION REPLICATION.	2015	
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
14 1795 30 PRENATAL YOGA FOR YOUNG WOMEN A MIXED METHODS STUDY OF ACCEPTABILITY AND BENEFITS. BACKGROUND: HIGH RATES OF PSYCHOLOGICAL-DISTRESS, TRAUMA AND SOCIAL COMPLEXITY ARE REPORTED AMONG YOUNG PREGNANT WOMEN. AT THE ROYAL WOMEN'S HOSPITAL, AUSTRALIA, YOUNG PREGNANT WOMEN ACKNOWLEDGE WANTING TOOLS TO IMPROVE MATERNAL WELLBEING YET REMAIN CHALLENGING TO ENGAGE IN ANTENATAL EDUCATION AND SUPPORT. WHILE YOGA IS A WIDELY ACCEPTED AND PARTICIPATED ACTIVITY IN PREGNANCY, WITH DEMONSTRATED BENEFITS FOR ADULT PREGNANT WOMEN, ADOLESCENT WOMEN ARE OFTEN EXCLUDED FROM BOTH THESE YOGA INTERVENTIONS AND RELATED PREGNANCY STUDIES. METHODS: THIS MIXED METHODS STUDY EXAMINED THE ACCEPTABILITY AND BENEFITS OF YOGA FOR YOUNG WOMEN. WE RECRUITED 30 PARTICIPANTS AGED UNDER 24 YEARS, WHO WERE OFFERED TWICE A WEEK, ONE-HOUR VOLUNTARY PRENATAL YOGA SESSIONS THROUGHOUT THEIR PREGNANCY. A MEDICAL FILE AUDIT GATHERED BASELINE DEMOGRAPHICS, PRE AND POST YOGA SESSION SURVEYS WERE ADMINISTERED AND BRIEF INDIVIDUAL INTERVIEW WERE CONDUCTED WITH STUDY PARTICIPANTS. RESULTS: WHILE 26 STUDY PARTICIPANTS WERE POSITIVE ABOUT THE AVAILABILITY OF A YOGA PROGRAM, ONLY 15 COULD ATTEND YOGA SESSIONS (MEAN = 8 SESSIONS, RANGE 1-27). NO DIFFERENCES WERE FOUND IN THE DEMOGRAPHIC OR PSYCHOSOCIAL FACTORS BETWEEN THOSE WHO DID AND DID NOT ATTEND THE YOGA SESSIONS. THE MEDICAL FILE AUDIT FOUND THAT 60% OF ALL THE STUDY PARTICIPANTS HAD A DOCUMENTED HISTORY OF PSYCHOLOGICAL DISTRESS. BARRIERS TO PARTICIPATION WERE PRAGMATIC, NOT ATTITUDINAL, BASED ON THE TIMING OF THE GROUP SESSIONS, TRANSPORT AVAILABILITY AND THEIR OWN HEALTH. ALL STUDY PARTICIPANTS IDENTIFIED PERCEIVED BENEFITS, AND THE YOGA PARTICIPANTS IDENTIFIED THESE AS IMPROVED RELAXATION AND REDUCTION OF PSYCHOLOGICAL DISTRESS; LABOUR PREPARATION; BONDING WITH THEIR BABY IN UTERO; AND SOCIAL CONNECTEDNESS WITH THE YOGA GROUP PEERS. CONCLUSIONS: THIS STUDY DEMONSTRATED YOGA WAS ACCEPTABLE TO YOUNG PREGNANT WOMEN. FOR THOSE WHO DID PARTICIPATE IN THE SESSIONS, YOGA WAS FOUND TO DECREASE SELF-REPORTED DISTRESS AND INCREASE PERCEIVED SKILLS TO ASSIST WITH THEIR LABOUR AND THE BIRTH OF THEIR BABY. THE PROVISION OF ACCESSIBLE YOGA PROGRAMS FOR PREGNANT YOUNG WOMEN IS RECOMMENDED.	2019	
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
15  445 19 CHAIR YOGA: FEASIBILITY AND SUSTAINABILITY STUDY WITH OLDER COMMUNITY-DWELLING ADULTS WITH OSTEOARTHRITIS. THIS STUDY MEASURED THE FEASIBILITY OF COMPLETING A RANDOMIZED CONTROL TRIAL ON AN 8-WEEK SEATED YOGA PROGRAM FOR OLDER ADULTS WITH OSTEOARTHRITIS. PART OF THE FEASIBILITY OF THIS PROGRAM WAS TO DETERMINE WHETHER PARTICIPANTS WOULD CONTINUE THE YOGA PRACTICE AT HOME USING A GUIDE BOOK AFTER THE 8-WEEK PROGRAM. FINDINGS DEMONSTRATED THAT ONCE PARTICIPANTS WERE NOT IN A GROUP SETTING FOR THE YOGA, THEY DID NOT CONTINUE WITH YOGA PRACTICE. THIS OUTCOME DEMONSTRATES THE NEED FOR GROUP PROGRAMS FOR OLDER ADULTS TO PROMOTE ADHERENCE TO MOVEMENT-BASED PROGRAMS. (TRIAL REGISTRATION: CLINICALTRIALS.GOV: NCT02113410).	2017	
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
16 2226 31 THE IMPACT OF YOGA IN MEDICALLY UNDERSERVED POPULATIONS: A MIXED-METHODS STUDY. OBJECTIVES: WE EVALUATED THE ACCEPTABILITY, ACCESS, AND IMPACT OF YOGA AMONG PARTICIPANTS IN YOGA CLASSES CO-LOCATED IN COMMUNITY HEALTH CENTERS. DESIGN: PARTICIPANTS WERE INVITED TO COMPLETE A MIXED-METHODS PROGRAM EVALUATION CONSISTING OF A PRE/POST SURVEY AT THEIR FIRST CLASS AND STRUCTURED INTERVIEWS AT 4 MONTHS. SETTING: THE STUDY TOOK PLACE AT TWO COMMUNITY HEALTH CENTERS ON THE SOUTH SIDE OF CHICAGO, IL, USA. INTERVENTIONS: FOUR WEEKLY 1-1.5 HOUR YOGA CLASSES WERE PROVIDED BY FOUR CERTIFIED YOGA INSTRUCTORS TRAINED TO TEACH TO ALL ABILITY LEVELS. MEASURES: OUR PRIMARY OUTCOME MEASURES WERE PAIN AND STRESS BEFORE AND AFTER THE FIRST CLASS, AND AT 4-MONTHS. WE GATHERED DATA ABOUT PARTICIPANT DEMOGRAPHICS, THEIR HEALTH PROBLEMS, HOW THEY ACCESSED THE CLASSES, AND MOTIVATIONS AND BARRIERS TO ATTENDING. WE ALSO EXTRACTED THEMES FROM PARTICIPANTS' QUALITATIVE FEEDBACK ABOUT THEIR EXPERIENCES. RESULTS: OVERALL, 70 PARTICIPANTS COMPLETED THE INITIAL SURVEYS; 44 COMPLETED THE 4-MONTH INTERVIEWS. A RACIALLY AND ETHNICALLY DIVERSE GROUP OF MIDDLE- AND LOW-INCOME ADULT PATIENTS AND COMMUNITY MEMBERS ATTENDED, WITH FLYERS AND WORD OF MOUTH THE MAJOR ROUTES TO THE CLASS. A SINGLE YOGA CLASS PROVIDED STATISTICALLY SIGNIFICANT DECREASES IN PAIN AND STRESS, BUT THESE BENEFITS WERE NOT DEMONSTRATED AT THE 4-MONTH FOLLOW-UP. THE PRIMARY MOTIVATORS FOR YOGA CLASS ATTENDANCE WERE STRESS RELIEF, EXERCISE, AND OVERALL HEALTH IMPROVEMENT. PRIMARY BARRIERS INCLUDED FAMILY ISSUES, SCHEDULE, ILLNESS, AND WORK CONFLICTS. PRIMARY BENEFITS INCLUDED PHYSICAL BENEFITS, RELAXATION, EMOTIONAL BENEFITS, AND COMMUNITY CONNECTEDNESS. CONCLUSIONS: CO-LOCATING YOGA CLASSES IN COMMUNITY HEALTH CENTERS PROVIDES A VARIETY OF BENEFITS AND IS A VIABLE PATHWAY TO ADDRESSING DISPARITIES IN YOGA ACCESS.	2019	
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
17 1156 31 ENSURING YOGA INTERVENTION FIDELITY IN A RANDOMIZED PREFERENCE TRIAL FOR THE TREATMENT OF WORRY IN OLDER ADULTS. INTRODUCTION: YOGA FOR TREATMENT OF WORRY IN OLDER ADULTS IS AN INTERVENTION THAT IS ESPECIALLY LIKELY TO TRANSLATE INTO REAL-WORLD PRACTICE. ASSESSING TREATMENT FIDELITY IMPROVES CONFIDENCE THAT EFFECTIVE INTERVENTIONS CAN BE CONSISTENTLY APPLIED AND ALLOWS RESEARCHERS TO EXPLORE IF ANY NULL RESULTS FOR EFFECTIVENESS ARE INDEED THE RESULT OF A LACK OF INTERVENTION EFFICACY OR LACK OF PROPER INTERVENTION IMPLEMENTATION. METHODS: THIS STUDY DESCRIBES TREATMENT FIDELITY OF A YOGA INTERVENTION IN A RANDOMIZED PREFERENCE TRIAL THAT COMPARED COGNITIVE-BEHAVIORAL THERAPY (CBT) AND YOGA FOR THE TREATMENT OF WORRY, ANXIETY, AND SLEEP IN WORRIED OLDER (>/=60 YEARS) ADULTS. ESTABLISHED METHODS FOR ASSESSING TREATMENT FIDELITY OF CBT GUIDED THE PROCEDURE FOR ENSURING THAT THE YOGA INTERVENTION WAS DELIVERED AS INTENDED. THE YOGA INTERVENTION CONSISTED OF 20, 75-MIN, IN-PERSON, GROUP, GENTLE YOGA CLASSES HELD TWICE WEEKLY. RESULTS: SIX FEMALE INSTRUCTORS (MEAN AGE = 64 YEARS) TAUGHT 660 YOGA CLASSES THAT WERE VIDEOTAPED. TEN PERCENT OF THESE CLASSES, STRATIFIED BY INSTRUCTOR, WERE RANDOMLY SELECTED FOR REVIEW. THE AVERAGE ADHERENCE SCORE FOR YOGA INSTRUCTORS WAS 6.84 (RANGE 4-8). THE AVERAGE COMPETENCY SCORES WERE CONSISTENTLY HIGH, WITH AN AVERAGE SCORE OF 7.24 (RANGE 6-8). TEACHING CONTENT NOT INCLUDED IN THE PROTOCOL OCCURRED IN 26 (38.1%) SESSIONS AND DECREASED OVER TIME. OBSERVED RATINGS OF INSTRUCTOR ADHERENCE WERE SIGNIFICANTLY RELATED TO RATINGS OF COMPETENCY. INSTRUCTOR ADHERENCE WAS ALSO SIGNIFICANTLY ASSOCIATED WITH LOWER PARTICIPANT ATTENDANCE, BUT NOT WITH ANY OF THE OTHER PROCESS OR OUTCOME MEASURES. CONCLUSIONS: THE LARGER RANGE FOUND IN ADHERENCE RELATIVE TO COMPETENCE SCORES DEMONSTRATED THAT TEACHING A YOGA CLASS ACCORDING TO A PROTOCOL REQUIRES DIFFERENT SKILLS THAN COMPETENTLY TEACHING A YOGA CLASS IN THE COMMUNITY, AND THESE SKILLS IMPROVED WITH FEEDBACK. THESE RESULTS MAY FOSTER DIALOG BETWEEN THE YOGA RESEARCH AND PRACTICE COMMUNITIES. CLINICAL TRIAL REGISTRATION NO.: NCT02968238.	2021	
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
18  265 26 ACUTE EFFECTS OF AEROBIC EXERCISE AND HATHA YOGA ON CRAVING TO SMOKE. INTRODUCTION: RECENT STUDIES HAVE EXAMINED THE EFFECTS OF PHYSICAL ACTIVITY ON CRAVING TO SMOKE AND SMOKING WITHDRAWAL. THE CURRENT STUDY WAS DESIGNED TO COMPARE AND CONTRAST THE EFFECTS OF 2 DIFFERENT FORMS OF PHYSICAL ACTIVITY ON GENERAL AND CUE-ELICITED CRAVING TO SMOKE. METHODS: FOLLOWING 1-HR NICOTINE ABSTINENCE, 76 DAILY SMOKERS WERE RANDOMLY ASSIGNED TO ENGAGE IN A 30-MIN BOUT OF CARDIOVASCULAR EXERCISE (CE; BRISK WALK ON A TREADMILL), HATHA YOGA (HY), OR A NONACTIVITY CONTROL CONDITION. PARTICIPANTS COMPLETED MEASURES OF CRAVING AND MOOD, AND A SMOKING CUE REACTIVITY ASSESSMENT, BEFORE, IMMEDIATELY FOLLOWING, AND APPROXIMATELY 20 MIN AFTER THE PHYSICAL ACTIVITY OR CONTROL CONDITIONS. RESULTS: COMPARED WITH THE CONTROL CONDITION, PARTICIPANTS IN EACH OF THE PHYSICAL ACTIVITY GROUPS REPORTED A DECREASE IN CRAVING TO SMOKE, AN INCREASE IN POSITIVE AFFECT, AND A DECREASE IN NEGATIVE AFFECT. IN ADDITION, CRAVING IN RESPONSE TO SMOKING CUES WAS SPECIFICALLY REDUCED AMONG THOSE WHO ENGAGED IN CE, WHEREAS THOSE WHO ENGAGED IN HY REPORTED A GENERAL DECREASE IN CRAVINGS. CONCLUSIONS: THIS STUDY PROVIDES FURTHER SUPPORT FOR THE USE OF EXERCISE BOUTS FOR ATTENUATING CIGARETTE CRAVINGS DURING TEMPORARY NICOTINE ABSTINENCE. RESULTS ALSO SUGGEST THAT CE CAN ATTENUATE CRAVINGS IN RESPONSE TO SMOKING CUES. THERE ARE SEVERAL AREAS FOR FURTHER RESEARCH THAT MAY IMPROVE INTEGRATION OF EXERCISE WITHIN SMOKING CESSATION TREATMENT.	2011	
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
19   96 22 A NATURALISTIC STUDY OF YOGA, MEDITATION, SELF-PERCEIVED STRESS, SELF-COMPASSION, AND MINDFULNESS IN COLLEGE STUDENTS. OBJECTIVE: THIS STUDY COMPARED THE EFFECTS OF YOGA AND MINDFULNESS MEDITATION ON SELF-COMPASSION, MINDFULNESS, AND PERCEIVED STRESS IN COLLEGE STUDENTS; AND EXPLORED MIND-BODY MECHANISMS AND PREDICTORS OF STRESS REDUCTION. PARTICIPANTS: STUDENT PARTICIPANTS (N = 92) WERE ENROLLED IN EITHER YOGA OR MINDFULNESS MEDITATION CLASSES AT A COLLEGE IN THE SOUTHERN UNITED STATES FROM AUGUST THROUGH MAY OF 2015-2016. METHODS: STUDENTS PARTICIPATED IN 50-MINUTE CLASSES TWICE A WEEK FOR 10 WEEKS, COMPLETING SELF-REPORT QUESTIONNAIRES DURING THE 1ST AND 10TH WEEK. RESULTS: MULTIPLE-LINEAR REGRESSION ANALYSIS FOUND CHANGE IN SELF-COMPASSION WAS THE STRONGEST PREDICTOR OF STRESS REDUCTION. CONCLUSIONS: INCREASING SELF-COMPASSION MAY INCREASE THE EFFICACY OF MIND-BODY INTERVENTIONS. RESEARCH INTO MIND-BODY MECHANISMS IS NEEDED TO IDENTIFY INTERVENTION COMPONENTS THAT MOST IMPROVE STUDENT WELL-BEING.	2019	
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
20 1127 23 EFFICACY OF THE GET READY TO LEARN YOGA PROGRAM AMONG CHILDREN WITH AUTISM SPECTRUM DISORDERS: A PRETEST-POSTTEST CONTROL GROUP DESIGN. OCCUPATIONAL THERAPISTS USE SCHOOL-BASED YOGA PROGRAMS, BUT THESE INTERVENTIONS TYPICALLY LACK MANUALIZATION AND EVIDENCE FROM WELL-DESIGNED STUDIES. USING AN EXPERIMENTAL PRETEST-POSTTEST CONTROL GROUP DESIGN, WE EXAMINED THE EFFECTIVENESS OF THE GET READY TO LEARN (GRTL) CLASSROOM YOGA PROGRAM AMONG CHILDREN WITH AUTISM SPECTRUM DISORDERS (ASD). THE INTERVENTION GROUP RECEIVED THE MANUALIZED YOGA PROGRAM DAILY FOR 16 WK, AND THE CONTROL GROUP ENGAGED IN THEIR STANDARD MORNING ROUTINE. WE ASSESSED CHALLENGING BEHAVIORS WITH STANDARDIZED MEASURES AND BEHAVIOR CODING BEFORE AND AFTER INTERVENTION. WE COMPLETED A BETWEEN-GROUPS ANALYSIS OF VARIANCE TO ASSESS DIFFERENCES IN GAIN SCORES ON THE DEPENDENT VARIABLES. STUDENTS IN THE GRTL PROGRAM SHOWED SIGNIFICANT DECREASES (P < .05) IN TEACHER RATINGS OF MALADAPTIVE BEHAVIOR, AS MEASURED WITH THE ABERRANT BEHAVIOR CHECKLIST, COMPARED WITH THE CONTROL PARTICIPANTS. THIS STUDY DEMONSTRATES THAT USE OF DAILY CLASSROOMWIDE YOGA INTERVENTIONS HAS A SIGNIFICANT IMPACT ON KEY CLASSROOM BEHAVIORS AMONG CHILDREN WITH ASD.	2012