1 2304 87 TOWARD AN EXPLANATORY FRAMEWORK FOR YOGA THERAPY INFORMED BY PHILOSOPHICAL AND ETHICAL PERSPECTIVES. CONTEXT * YOGA THERAPY IS AN EMERGING COMPLEMENTARY AND INTEGRATIVE HEALTH PRACTICE FOR WHICH THERE IS INCREASING INTEREST FROM BOTH CLINICAL AND RESEARCH PERSPECTIVES. CURRENTLY MISSING, HOWEVER, IS AN EXPLANATORY FRAMEWORK FOR THE PROFESSION THAT PROVIDES PRACTITIONERS, CLIENTS, AND THE PUBLIC WITH AN UNDERSTANDING OF HOW VARIOUS YOGIC TRADITIONS AND PRINCIPLES CAN BE UNDERSTOOD IN MODERN HEALTH CARE CONTEXTS. OBJECTIVE * THIS STUDY PROPOSES AN EXPLANATORY FRAMEWORK FOR YOGA THERAPY, INFORMED BY PHENOMENOLOGY, EUDAIMONIA, VIRTUE ETHICS, AND FIRST-PERSON ETHICAL INQUIRY. CONCLUSIONS * THESE 4 PHILOSOPHICAL PERSPECTIVES-PHENOMENOLOGY, EUDAIMONIA, VIRTUE ETHICS, AND FIRST-PERSON ETHICAL INQUIRY-PROVIDE A LENS THROUGH WHICH TO UNDERSTAND HOW YOGIC PRACTICES SUPPORT THE INDIVIDUAL'S TRANSFORMATION IN THE EXPERIENCE OF ILLNESS, PAIN, OR DISABILITY. WE PROPOSE THAT THIS TRANSFORMATION OCCURS THROUGH FACILITATING A REHARMONIZATION OF BODY, MIND, AND ENVIRONMENT TOWARD THE EXPERIENCE OF EUDAIMONIC WELL-BEING. 2018 2 2130 29 THE EFFECTIVENESS OF YOGA TO PREVENT DIABETES MELLITUS TYPE 2: A PROTOCOL FOR SYSTEMATIC REVIEW AND META-ANALYSIS. BACKGROUND: TYPE 2 DIABETES MELLITUS (T2DM) IS BECOMING A LEADING PROBLEM WORLDWIDE. EMERGING REPORTS REVEAL ALARMING EVIDENCE OF INCREASING PREVALENCE OF T2DM THAT HAS REACHED PANDEMIC LEVELS. DESPITE THE SIGNIFICANT INCIDENCE, THERE ARE LIMITED RELIABLE DATA RESOURCES AND COMPREHENSIVE SYSTEMATIC REVIEW AND META-ANALYSIS ON THE EFFECTS OF YOGA ON PEOPLE WHO ARE A PREDIABETIC OR HIGH RISK FOR DEVELOPING T2DM. OBJECTIVE: THE OBJECTIVE OF THIS PROTOCOL IS TO CONDUCT A FULL-SCALE SYSTEMATIC REVIEW AND META-ANALYSES ON THE EFFECTS OF YOGA ON PEOPLE WHO ARE PREDIABETES OR HIGH RISK OF DEVELOPING T2DM. METHODS: THE ARTICLES ENROLLED IN THE STUDY WILL BE RETRIEVED FROM THE ONLINE DATABASES BETWEEN 2002 AND THE DATE THE SEARCHES ARE EXECUTED. THE SEARCHES WILL BE REPEATED JUST BEFORE THE FINAL ANALYSES AND FURTHER RELEVANT STUDIES FOR INCLUSION. WE WILL CONDUCT A BIBLIOGRAPHIC SEARCH IN DATABASES: MEDLINE/PUBMED, SCOPUS, COCHRANE LIBRARY, EBSCO, AND INDMED USING KEYWORDS INCLUDING PREDIABETES STATE, HIGH RISK FOR DIABETES, METABOLIC SYNDROME, AND YOGA. A DEFINED SEARCH STRATEGY WILL BE IMPLEMENTED ALONG WITH SELECTION CRITERIA TO OBTAIN FULL-TEXT ARTICLES OF RELEVANT STUDIES. THIS STUDY PROTOCOL WAS PREPARED ACCORDING TO THE PREFERRED REPORTING ITEMS FOR SYSTEMATIC REVIEWS AND META-ANALYSIS FOR PROTOCOLS 2015 GUIDELINES. THERE WILL BE NO LANGUAGE RESTRICTIONS. ETHICS AND DISSEMINATION: THE PROPOSED STUDY WILL BE BASED ON PUBLISHED STUDIES AND PUBLICLY AVAILABLE ANONYMIZED DATA WITHOUT DIRECTLY INVOLVING HUMAN PARTICIPANTS AND THEREFORE REQUIRES NEITHER FORMAL HUMAN ETHICAL REVIEW NOR APPROVAL BY A HUMAN RESEARCH ETHICS COMMITTEE. WE PUBLISHED AN OUTLINE OF THE PROTOCOL IN THE INTERNATIONAL PROSPECTIVE REGISTER OF SYSTEMATIC REVIEWS (PROSPERO) IN 2018. WE PLAN TO DISSEMINATE THE FINDINGS OF THIS SYSTEMATIC REVIEW AND META-ANALYSIS THROUGH PUBLICATION IN A PEER-REVIEWED JOURNAL AND PRESENTATION AT RELEVANT CONFERENCE PROCEEDINGS. IN ADDITION, WE BELIEVE THE RESULTS OF THE SYSTEMATIC REVIEW WILL HAVE IMPLICATIONS FOR POLICY AND PRACTICE. WE WILL PREPARE POLICYMAKER SUMMARY USING A VALIDATED FORMAT, DISSEMINATE THROUGH SOCIAL MEDIA AND EMAIL DISCUSSION GROUPS. REVIEW REGISTRATION NUMBER: PROSPERO REGISTRATION NUMBER CRD 42018106657. 2019 3 93 33 A NARRATIVE REVIEW OF YOGA AND MINDFULNESS AS COMPLEMENTARY THERAPIES FOR ADDICTION. THIS PAPER REVIEWS THE PHILOSOPHICAL ORIGINS, CURRENT SCIENTIFIC EVIDENCE, AND CLINICAL PROMISE OF YOGA AND MINDFULNESS AS COMPLEMENTARY THERAPIES FOR ADDICTION. HISTORICALLY, THERE ARE EIGHT ELEMENTS OF YOGA THAT, TOGETHER, COMPRISE ETHICAL PRINCIPLES AND PRACTICES FOR LIVING A MEANINGFUL, PURPOSEFUL, MORAL AND SELF-DISCIPLINED LIFE. TRADITIONAL YOGA PRACTICES, INCLUDING POSTURES AND MEDITATION, DIRECT ATTENTION TOWARD ONE'S HEALTH, WHILE ACKNOWLEDGING THE SPIRITUAL ASPECTS OF ONE'S NATURE. MINDFULNESS DERIVES FROM ANCIENT BUDDHIST PHILOSOPHY, AND MINDFULNESS MEDITATION PRACTICES, SUCH AS GENTLE HATHA YOGA AND MINDFUL BREATHING, ARE INCREASINGLY INTEGRATED INTO SECULAR HEALTH CARE SETTINGS. CURRENT THEORETICAL MODELS SUGGEST THAT THE SKILLS, INSIGHTS, AND SELF-AWARENESS LEARNED THROUGH YOGA AND MINDFULNESS PRACTICE CAN TARGET MULTIPLE PSYCHOLOGICAL, NEURAL, PHYSIOLOGICAL, AND BEHAVIORAL PROCESSES IMPLICATED IN ADDICTION AND RELAPSE. A SMALL BUT GROWING NUMBER OF WELL-DESIGNED CLINICAL TRIALS AND EXPERIMENTAL LABORATORY STUDIES ON SMOKING, ALCOHOL DEPENDENCE, AND ILLICIT SUBSTANCE USE SUPPORT THE CLINICAL EFFECTIVENESS AND HYPOTHESIZED MECHANISMS OF ACTION UNDERLYING MINDFULNESS-BASED INTERVENTIONS FOR TREATING ADDICTION. BECAUSE VERY FEW STUDIES HAVE BEEN CONDUCTED ON THE SPECIFIC ROLE OF YOGA IN TREATING OR PREVENTING ADDICTION, WE PROPOSE A CONCEPTUAL MODEL TO INFORM FUTURE STUDIES ON OUTCOMES AND POSSIBLE MECHANISMS. ADDITIONAL RESEARCH IS ALSO NEEDED TO BETTER UNDERSTAND WHAT TYPES OF YOGA AND MINDFULNESS-BASED INTERVENTIONS WORK BEST FOR WHAT TYPES OF ADDICTION, WHAT TYPES OF PATIENTS, AND UNDER WHAT CONDITIONS. OVERALL, CURRENT FINDINGS INCREASINGLY SUPPORT YOGA AND MINDFULNESS AS PROMISING COMPLEMENTARY THERAPIES FOR TREATING AND PREVENTING ADDICTIVE BEHAVIORS. 2013 4 2674 27 YOGA IN PRINT MEDIA: MISSING THE HEART OF THE PRACTICE. BACKGROUND: POPULAR MEDIA TYPICALLY PORTRAY YOGA AS AN EXERCISE OR POSTURE PRACTICE DESPITE THE REALITY THAT YOGA COMPRISED EIGHT PRACTICES (CALLED LIMBS) INCLUDING ETHICAL BEHAVIOR, CONSCIOUS LIFESTYLE CHOICES, POSTURES, BREATHING, INTROSPECTION, CONCENTRATION, MEDITATION, AND WHOLENESS. AIM: THIS STUDY ASSESSED THE COMPREHENSIVENESS OF YOGA PRACTICE AS REPRESENTED IN ARTICLES IN THE POPULAR YOGA MAGAZINE, YOGA JOURNAL. IT EXPLORED THE DEGREE TO WHICH ARTICLES REFERENCED EACH OF THE EIGHT LIMBS OF YOGA AND OTHER CONTENTS (E.G., FITNESS, SPIRITUALITY). MATERIALS AND METHODS: SIX CODERS WERE TRAINED TO RELIABLY AND INDEPENDENTLY REVIEW 702 ARTICLES IN 33 YOGA JOURNAL ISSUES PUBLISHED BETWEEN 2007 AND 2014, CODING FOR THE LIMBS OF YOGA AND OTHER CONTENTS. RESULTS: BREATHING AND POSTURES WERE MOST FREQUENTLY REFERENCED, WHICH WERE COVERED IN 48.7% AND 40.1% OF ARTICLES. INTERNAL PRACTICES WERE COVERED IN 36.5% OF ARTICLES WITH INTROSPECTION BEING THE MOST AND CONCENTRATION THE LEAST COMMONLY REFERRED TO INTERNAL PRACTICES. ETHICAL AND LIFESTYLE PRACTICES WERE LEAST FREQUENTLY COVERED (5.2% AND 6.8%). SINCE 2007, COVERAGE OF POSTURES STEADILY INCREASED, WHEREAS CONTENTS RELATED TO THE OTHER LIMBS STEADILY DECREASED. THE MOST FREQUENT OTHER CONTENTS RELATED TO FITNESS (31.7%), SPIRITUALITY (20.8), AND RELATIONSHIPS (18.7%) COVERAGE OF THESE DID NOT CHANGE ACROSS TIME. CONCLUSIONS: REPRESENTATION OF YOGA IN ARTICLES CONTAINED IN THE MOST POPULAR YOGA MAGAZINE IS HEAVILY BIASED IN FAVOR OF PHYSICAL PRACTICES. RECOMMENDATIONS ARE OFFERED ABOUT HOW TO SHIFT MEDIA REPRESENTATION OF YOGA TO MAKE THE HEART OF THE PRACTICE MORE ACCESSIBLE TO INDIVIDUALS WHO COULD EXPERIENCE HEALTH BENEFITS BUT CURRENTLY FEEL EXCLUDED FROM THE PRACTICE. 2017 5 2781 54 YOGA THERAPY AND POLYVAGAL THEORY: THE CONVERGENCE OF TRADITIONAL WISDOM AND CONTEMPORARY NEUROSCIENCE FOR SELF-REGULATION AND RESILIENCE. YOGA THERAPY IS A NEWLY EMERGING, SELF-REGULATING COMPLEMENTARY AND INTEGRATIVE HEALTHCARE (CIH) PRACTICE. IT IS GROWING IN ITS PROFESSIONALIZATION, RECOGNITION AND UTILIZATION WITH A DEMONSTRATED COMMITMENT TO SETTING PRACTICE STANDARDS, EDUCATIONAL AND ACCREDITATION STANDARDS, AND PROMOTING RESEARCH TO SUPPORT ITS EFFICACY FOR VARIOUS POPULATIONS AND CONDITIONS. HOWEVER, HETEROGENEITY OF PRACTICE, POOR REPORTING STANDARDS, AND LACK OF A BROADLY ACCEPTED UNDERSTANDING OF THE NEUROPHYSIOLOGICAL MECHANISMS INVOLVED IN YOGA THERAPY LIMITS THE STRUCTURING OF TESTABLE HYPOTHESES AND CLINICAL APPLICATIONS. CURRENT PROPOSED FRAMEWORKS OF YOGA-BASED PRACTICES FOCUS ON THE INTEGRATION OF BOTTOM-UP NEUROPHYSIOLOGICAL AND TOP-DOWN NEUROCOGNITIVE MECHANISMS. IN ADDITION, IT HAS BEEN PROPOSED THAT PHENOMENOLOGY AND FIRST PERSON ETHICAL INQUIRY CAN PROVIDE A LENS THROUGH WHICH YOGA THERAPY IS VIEWED AS A PROCESS THAT CONTRIBUTES TOWARDS EUDAIMONIC WELL-BEING IN THE EXPERIENCE OF PAIN, ILLNESS OR DISABILITY. IN THIS ARTICLE WE BUILD ON THESE FRAMEWORKS, AND PROPOSE A MODEL OF YOGA THERAPY THAT CONVERGES WITH POLYVAGAL THEORY (PVT). PVT LINKS THE EVOLUTION OF THE AUTONOMIC NERVOUS SYSTEM TO THE EMERGENCE OF PROSOCIAL BEHAVIORS AND POSITS THAT THE NEURAL PLATFORMS SUPPORTING SOCIAL BEHAVIOR ARE INVOLVED IN MAINTAINING HEALTH, GROWTH AND RESTORATION. THIS EXPLANATORY MODEL WHICH CONNECTS NEUROPHYSIOLOGICAL PATTERNS OF AUTONOMIC REGULATION AND EXPRESSION OF EMOTIONAL AND SOCIAL BEHAVIOR, IS INCREASINGLY UTILIZED AS A FRAMEWORK FOR UNDERSTANDING HUMAN BEHAVIOR, STRESS AND ILLNESS. SPECIFICALLY, WE DESCRIBE HOW PVT CAN BE CONCEPTUALIZED AS A NEUROPHYSIOLOGICAL COUNTERPART TO THE YOGIC CONCEPT OF THE GUNAS, OR QUALITIES OF NATURE. SIMILAR TO THE NEURAL PLATFORMS DESCRIBED IN PVT, THE GUNAS PROVIDE THE FOUNDATION FROM WHICH BEHAVIORAL, EMOTIONAL AND PHYSICAL ATTRIBUTES EMERGE. WE DESCRIBE HOW THESE TWO DIFFERENT YET ANALOGOUS FRAMEWORKS-ONE BASED IN NEUROPHYSIOLOGY AND THE OTHER IN AN ANCIENT WISDOM TRADITION-HIGHLIGHT YOGA THERAPY'S PROMOTION OF PHYSICAL, MENTAL AND SOCIAL WELLBEING FOR SELF-REGULATION AND RESILIENCE. THIS PARALLEL BETWEEN THE NEURAL PLATFORMS OF PVT AND THE GUNAS OF YOGA IS INSTRUMENTAL IN CREATING A TRANSLATIONAL FRAMEWORK FOR YOGA THERAPY TO ALIGN WITH ITS PHILOSOPHICAL FOUNDATIONS. CONSEQUENTLY, YOGA THERAPY CAN OPERATE AS A DISTINCT PRACTICE RATHER THAN FITTING INTO AN OUTSIDE MODEL FOR ITS UTILIZATION IN RESEARCH AND CLINICAL CONTEXTS. 2018 6 1481 30 INTEGRATING YOGA INTO PSYCHOTHERAPY: THE ETHICS OF MOVING FROM THE MIND TO THE MAT. GIVEN THE RISE IN ATTENTION TO CLIENT PREFERENCES IN MEDICAL TREATMENT AND THE SHIFT IN FOCUS TOWARD HEALTH PROMOTION, IT IS NOT SURPRISING THAT THE USE OF COMPLEMENTARY HEALTH APPROACHES HAVE INCREASED IN THE PAST SEVERAL YEARS. YOGA IS AMONG THE MOST PROMINENT COMPLEMENTARY HEALTH APPROACHES. RECENTLY, BOTH QUALITATIVE AND QUANTITATIVE WORK HAS EMERGED SUPPORTING ITS USE FOR A VARIETY OF MEDICAL AND PSYCHOLOGICAL DISORDERS. HOWEVER, THERE IS A CRITICAL GAP IN KNOWLEDGE REGARDING HOW TO MOST OPTIMALLY AND ETHICALLY INTEGRATE COMPLEMENTARY THERAPIES (I.E., YOGA) INTO CURRENT PSYCHOLOGY PRACTICES. MOREOVER, IT REMAINS UNCLEAR WHICH CLIENTS ARE THE BEST CANDIDATES FOR RECEIVING SUCH COMPLEMENTARY TREATMENTS AND WHICH THERAPISTS SHOULD PROVIDE THEM. THE PURPOSE OF THIS PAPER IS TO PROVIDE AN OVERVIEW OF THE HISTORY OF YOGA, THE SCIENTIFIC EVIDENCE IN SUPPORT OF ITS USE FOR MENTAL HEALTH ISSUES, AND AN ETHICAL FRAMEWORK TO GUIDE PSYCHOLOGISTS INTERESTED IN INTEGRATING YOGA INTO PSYCHOTHERAPY. 2017 7 2121 23 THE EFFECTIVENESS AND CHARACTERISTICS OF PREGNANCY YOGA INTERVENTIONS: A SYSTEMATIC REVIEW PROTOCOL. BACKGROUND: THE PURPOSE OF THIS REVIEW IS TO SYSTEMATICALLY EXAMINE THE REPORTED CLINICAL EFFECTIVENESS OF PREGNANCY YOGA. THE REVIEW WILL USE THE FITT (FREQUENCY, INTENSITY, TIME/DURATION AND TYPE) PRINCIPLE OF PHYSICAL ACTIVITY TO CHARACTERISE THE DIFFERENT TYPES OF YOGA INTERVENTIONS THAT HAVE BEEN EVALUATED IN THE INCLUDED STUDIES. STUDIES WILL BE CATEGORISED AS EFFECTIVENESS OR EFFICACY STUDIES AND THIS CONTINUUM OF EFFICACY VERSUS EFFECTIVENESS WILL BE INCORPORATED INTO THE FULL REVIEW. METHODS/DESIGN: THE FOLLOWING ELECTRONIC DATABASES WILL BE SEARCHED USING A DETAILED SEARCH STRATEGY: MEDLINE, PSYCINFO, EMBASE, CINAHL, WHOLIS, AMED, SCIELO, ASSIA AND WEB OF SCIENCE. RANDOMISED CONTROL TRIALS AND QUASI-EXPERIMENTAL STUDIES EXAMINING PREGNANCY YOGA AND REPORTING ON EFFECT WILL BE INCLUDED. TITLES, ABSTRACTS AND FULL ARTICLES WILL BE SCREENED BY TWO INVESTIGATORS INDEPENDENTLY TO IDENTIFY ELIGIBLE STUDIES. THE COCHRANE COLLABORATION'S RISK OF BIAS ASSESSMENT TOOL WILL BE USED TO ASSESS STUDY QUALITY. QUALITY OF THE EVIDENCE WILL BE EVALUATED USING THE GRADE CRITERIA. A STANDARDISED DATA EXTRACTION FORM WILL BE USED TO EXTRACT DATA. EFFECT SIZES WILL BE ESTIMATED USING MEAN DIFFERENCES FOR CONTINUOUS OUTCOMES, AND RELATIVE RISKS FOR DICHOTOMOUS OUTCOME. WHERE POSSIBLE, POOLING OF EFFECT ESTIMATES WILL BE DONE USING A RANDOM EFFECT MODEL. THE OUTCOMES OF INTEREST ARE QUALITY OF LIFE, STRESS, ANXIETY, DEPRESSION, MODE OF BIRTH, LABOUR DURATION AND PAIN MANAGEMENT IN LABOUR. DISCUSSION: THIS REVIEW WILL SYNTHESISE THE BEST AVAILABLE EVIDENCE ON THE EFFECTIVENESS OF YOGA DURING PREGNANCY AND PROVIDE VALUABLE HIGH-QUALITY INFORMATION FOR CLINICIANS AND HEALTH POLICYMAKERS. FINDINGS WILL BE DISSEMINATED THROUGH PUBLICATION IN A PEER-REVIEWED JOURNAL AND PRESENTATION AT RELEVANT CONFERENCE PROCEEDINGS. THE REVIEW WILL MAKE RECOMMENDATIONS FOR THE APPROPRIATE VOLUME, INTENSITY AND TYPE OF PREGNANCY YOGA FOR MAXIMUM EFFECT AND MAY HAVE IMPLICATIONS FOR POLICY AND PRACTICE RELATING TO PREGNANCY YOGA AS AN INTERVENTION. REGISTRATION: PROSPERO, CRD42019119916. REGISTERED ON 11TH JANUARY 2019. 2019 8 1294 19 GUIDELINES FOR DEVELOPING YOGA INTERVENTIONS FOR RANDOMIZED TRIALS. LITTLE GUIDANCE IS AVAILABLE TO ASSIST RESEARCHERS IN DEVELOPING TREATMENT PROTOCOLS FOR RESEARCH ON YOGA FOR HEALTH CONCERNS. BECAUSE YOGA IS A COMPLEX MULTIFACTORIAL MIND-BODY DISCIPLINE HISTORICALLY DEVELOPED FOR NONMEDICAL PURPOSES, NUMEROUS DECISIONS MUST BE MADE IN ORDER TO THOUGHTFULLY DEVELOP SUCH PROTOCOLS. IN THIS PAPER, A SYSTEMATIC APPROACH IS PROPOSED TO ASSIST RESEARCHERS IN SELECTING AN INTERVENTION THAT IS APPROPRIATE FOR THE CONDITION UNDER CONSIDERATION AND EXPLICITLY DEVELOPED. RESEARCHERS NEED TO CONSIDER THE TYPE OR "STYLE" OF YOGA, THE COMPONENTS TO INCLUDE (E.G., BREATHING EXERCISES, POSTURES) AS WELL AS THE SPECIFIC PROTOCOL FOR EACH COMPONENT, THE DOSE TO BE DELIVERED (FREQUENCY, DURATION OF PRACTICE, AND THE TOTAL DURATION OF PRACTICE), AND ISSUES RELATED TO SELECTION OF INSTRUCTORS AND MONITORING THE FIDELITY TO THE INTERVENTION. EACH OF THESE DOMAINS AND THE KEY ISSUES FOR THE DEVELOPMENT OF PROTOCOLS IS DISCUSSED. FINALLY, SOME AREAS FOR FURTHER RESEARCH RELATED TO PROTOCOL DEVELOPMENT ARE RECOMMENDED. 2012 9 2035 26 TELE-YOGA FOR CHRONIC PAIN: CURRENT STATUS AND FUTURE DIRECTIONS. PAIN IS A PERVASIVE, DEBILITATING DISORDER THAT IS RESISTANT TO LONG-TERM PHARMACOLOGICAL INTERVENTIONS. ALTHOUGH PSYCHOLOGICAL THERAPIES SUCH AS COGNITIVE BEHAVIOR THERAPY DEMONSTRATE MODERATE EFFICACY, MANY INDIVIDUALS CONTINUE TO HAVE ONGOING DIFFICULTIES FOLLOWING TREATMENT. THERE IS A CURRENT TREND TO ESTABLISH COMPLEMENTARY AND INTEGRATIVE HEALTH INTERVENTIONS FOR CHRONIC PAIN, FOR WHICH YOGA HAS BEEN FOUND TO HAVE EXCITING POTENTIAL. NEVERTHELESS, AN IMPORTANT CONSIDERATION WITHIN THE FIELD IS ACCESSIBILITY TO ADEQUATE CARE. TELEHEALTH CAN BE USED TO PROVIDE REAL-TIME INTERACTIVE VIDEO CONFERENCING LEADING TO INCREASED ACCESS TO HEALTH CARE FOR INDIVIDUALS LOCATED REMOTELY OR WHO OTHERWISE HAVE DIFFICULTY ACCESSING SERVICES, PERHAPS THROUGH ISSUES OF MOBILITY OR PROXIMITY OF ADEQUATE SERVICES. THIS ARTICLE ASSESSES THE CURRENT STATUS AND FEASIBILITY OF IMPLEMENTING TELE-YOGA FOR CHRONIC PAIN. METHODOLOGICAL LIMITATIONS AND RECOMMENDATIONS FOR FUTURE RESEARCH ARE DISCUSSED. 2018 10 2807 27 YOGA THERAPY RESEARCH: A WHOLE-SYSTEMS PERSPECTIVE ON COMPARATIVE EFFECTIVENESS AND PATIENT-CENTERED OUTCOMES. FOR THE YOGA RESEARCH COMMUNITY TO CAPITALIZE ON ITS CURRENT MOMENTUM, IT IS CRITICAL TO CONSIDER CERTAIN DEVELOPMENTS IN RESEARCH THEORY AND INNOVATIVE METHODOLOGIES. THE CONCEPT OF MODEL VALIDITY MUST BE INCORPORATED IN YOGA THERAPY RESEARCH SO THAT EXPLANATORY CONSTRUCTS EMPLOYED AND OUTCOME MEASURES CHOSEN REFLECT THE PRINCIPLES OF TRADITIONAL YOGIC SCIENCE. FOCUSING ON EFFECTIVENESS RESEARCH WILL ENSURE MAXIMUM GENERALIZABILITY OF STUDY RESULTS AND REFLECT REAL-WORLD THERAPY DELIVERY SETTINGS, THEREBY INCREASING THE RELEVANCE OF OUTCOMES. WHOLE SYSTEMS OF HEALING REQUIRE RESEARCH METHODOLOGIES THAT ADDRESS COMPLEX RELATIONSHIPS BETWEEN MULTI-TARGET THERAPIES WITH MULTIPLE POTENTIAL TREATMENT RESULTS. COMPLEX, DYNAMIC SYSTEMS THEORY PROVIDES THE THEORETICAL AND METHODOLOGICAL INNOVATIONS NECESSARY TO DESIGN STUDIES, CHOOSE OUTCOMES, AND ANALYZE DATA IN A WAY THAT CAN ACCOUNT FOR CHARTING COMPLEX, CYCLICAL, THERAPEUTIC TRAJECTORIES ACROSS TIME. EMPHASIZING PATIENT-CENTERED OUTCOMES IS ALIGNED WITH THE PATENT-ORIENTED AND TAILORED NATURED OF YOGA THERAPY DELIVERY. INCREASING THE QUALITY AND QUANTITY OF COMPARATIVE EFFECTIVENESS RESEARCH TO ANALYZE THE HARMS AND BENEFITS OF CONTRASTING THERAPIES CAN PROVIDE AN INFRASTRUCTURE FOR DESIGNING STUDIES THAT CAN HAVE SIGNIFICANT PRACTICAL IMPACT. THE CREATION OF PRACTICE-BASED RESEARCH NETWORKS WITHIN THE YOGA RESEARCH COMMUNITY WILL INCENTIVIZE LINKS BETWEEN MAINSTREAM CLINICAL RESEARCHERS AND YOGA THERAPY DELIVERY SETTINGS, ULTIMATELY DEVELOPING COLLABORATIVE NETWORKS. YOGA THERAPY CENTERS CAN FACILITATE PATIENT RECRUITMENT FOR STUDIES AND INFORM STANDARDS FOR YOGA RESEARCHERS. COLLABORATIVE EFFORTS BETWEEN THE YOGA AND AYURVEDIC RESEARCH COMMUNITIES WILL STREAMLINE EFFORTS, SOLIDIFY EXPERTISE, CROSS-POLLINATE THEORETICAL AND METHODOLOGICAL INNOVATION, AND CONSOLIDATE EFFORTS TO SECURE RESEARCH FUNDING AND INCREASE PUBLICATION AND DISSEMINATION OF STUDY FINDINGS. 2015 11 2447 23 YOGA AND THE BATTLEFIELD OF ETHICS: HIGHLIGHTING AN INFUSION MODEL FOR ETHICS EDUCATION. THIS PAPER ARTICULATES AN INFUSION MODEL OF ETHICS EDUCATION FOR ENGINEERING STUDENTS BY ILLUMINATING THE VALUE OF A RELIGIOUS STUDIES COURSE ON YOGA. THIS MODEL IS DISTINGUISHED FROM FOUR OTHER POSSIBLE APPROACHES THAT HAVE TRADITIONALLY BEEN USED TO PREPARE ENGINEERING STUDENTS TO FACE THE CHALLENGES OF THE WORK PLACE. THE ARTICLE IS NOT CLAIMING THAT THIS APPROACH SHOULD BE USED TO THE EXCLUSION OF THE OTHER APPROACHES, BUT RATHER THAT IT ADDS STRENGTH TO THE OTHER APPROACHES. SPECIFICALLY, THE ARTICLE CLAIMS THAT THE INFUSION MODEL PROVIDES AN OPPORTUNITY FOR STUDENTS TO REFLECT UPON THE FOUNDATIONAL ETHICAL POSITIONS EMANATING FROM THE WORLD'S RELIGIONS AND THEREBY PROVIDES THEM WITH A VISTA FROM WHICH THEY CAN NOT ONLY ASK WHAT PROFESSIONAL ETHICAL CODE APPLIES IN A GIVEN SITUATION, BUT ALSO PONDER THE NATURE OF CHARACTER NEEDED TO FOLLOW THAT ETHICAL CODE. 2006 12 491 21 CO-DESIGNING A NEW YOGA-BASED MINDFULNESS INTERVENTION FOR SURVIVORS OF STROKE: A FORMATIVE EVALUATION. MOVEMENT-BASED MINDFULNESS INTERVENTIONS (MBI) ARE COMPLEX, MULTI-COMPONENT INTERVENTIONS FOR WHICH THE DESIGN PROCESS IS RARELY REPORTED. FOR PEOPLE WITH STROKE, EMERGING EVIDENCE SUGGESTS BENEFITS, BUT MAINSTREAM PROGRAMS ARE GENERALLY UNSUITABLE. WE AIMED TO DESCRIBE THE PROCESSES INVOLVED AND TO CONDUCT A FORMATIVE EVALUATION OF THE DEVELOPMENT OF A NOVEL YOGA-BASED MBI DESIGNED FOR SURVIVORS OF STROKE. WE USED THE MEDICAL RESEARCH COUNCIL COMPLEX INTERVENTIONS FRAMEWORK AND PRINCIPLES OF CO-DESIGN. WE PURPOSEFULLY APPROACHED HEALTH PROFESSIONALS AND CONSUMERS TO ESTABLISH AN ADVISORY COMMITTEE FOR DEVELOPING THE INTERVENTION. MEMBERS COLLABORATED AND ITERATIVELY REVIEWED THE DESIGN AND CONTENT OF THE PROGRAM, FORMATTED INTO A TRAINING MANUAL. FOUR EXTERNAL YOGA TEACHERS INDEPENDENTLY REVIEWED THE PROGRAM. FORMATIVE EVALUATION INCLUDED REVIEW OF MULTIPLE DATA SOURCES AND DOCUMENTATION (E.G., FORMAL MEETING MINUTES, FOCUS GROUP DISCUSSIONS, RESEARCHER OBSERVATIONS). THE DATA WERE SYNTHESIZED USING INDUCTIVE THEMATIC ANALYSIS. THREE BROAD THEMES EMERGED: (A) MBI CONTENT AND TERMINOLOGY; (B) MANUAL DESIGN AND READABILITY; AND (C) BARRIERS AND ENABLERS TO DELIVER THE INTERVENTION. VARIOUS PERSPECTIVES AND FEEDBACK ON ESSENTIAL COMPONENTS GUIDED FINALIZING THE PROGRAM. THE DESIGN PHASE OF A NOVEL YOGA-BASED MBI WAS STRENGTHENED BY INTERDISCIPLINARY, CONSUMER CONTRIBUTIONS AND PEER REVIEW. THE 12-WEEK INTERVENTION IS READY FOR TESTING AMONG SURVIVORS OF STROKE. 2021 13 1093 29 EFFECTS OF YOGA ON WELL-BEING AND HEALTHY AGEING: STUDY PROTOCOL FOR A RANDOMISED CONTROLLED TRIAL (FITFORAGE). INTRODUCTION: DUE TO AGEING POPULATIONS WORLDWIDE, THE BURDEN OF DISABILITY IS INCREASING. IT IS THEREFORE IMPORTANT TO DEVELOP INTERVENTIONS THAT IMPROVE HEALTHY AGEING, REDUCE DISABILITY ONSET AND ENHANCE LIFE QUALITY. PHYSICAL ACTIVITY CAN PROMOTE HEALTHY AGEING AND HELP MAINTAIN INDEPENDENCE, YET MANY OLDER ADULTS ARE INACTIVE. YOGA IS A FORM OF PHYSICAL ACTIVITY THAT AIMS TO IMPROVE HEALTH AND MAY BE PARTICULARLY SUITABLE FOR OLDER ADULTS. RESEARCH INDICATES POSITIVE EFFECTS OF YOGA ON SEVERAL HEALTH-RELATED OUTCOMES; HOWEVER, EMPIRICAL STUDIES EXAMINING THE BENEFITS OF YOGA ON WELL-BEING AMONG THE ELDERLY REMAIN SCARCE. THIS STUDY PROTOCOL REPORTS THE METHODOLOGY FOR A 12-WEEK YOGA PROGRAMME AIMED TO IMPROVE HEALTH AND WELL-BEING AMONG PHYSICALLY INACTIVE OLDER ADULTS. METHODS AND ANALYSIS: THREE GROUP PARALLEL, SINGLE-BLIND RANDOMISED CONTROLLED TRIAL. TWO COMPARISON GROUPS ARE INCLUDED: AEROBIC EXERCISE AND A NON-ACTIVE WAIT-LIST CONTROL. IN TOTAL, 180 PARTICIPANTS AGED 65-85 YEARS WILL BE RECRUITED. ASSESSMENTS WILL BE PERFORMED AT BASELINE AND POSTINTERVENTION (12-WEEK FOLLOW-UP). THE PRIMARY OUTCOME IS SUBJECTIVE WELL-BEING. SECONDARY OUTCOMES INCLUDE PHYSICAL ACTIVITY/SEDENTARY BEHAVIOUR, MOBILITY/FALL RISK, COGNITION, DEPRESSION, ANXIETY, MOOD, STRESS, PAIN, SLEEP QUALITY, SOCIAL SUPPORT AND CARDIOMETABOLIC RISK FACTORS. DATA WILL BE ANALYSED USING INTENTION-TO-TREAT ANALYSES, WITH MIXED LINEAR MODELLING. ETHICS AND DISSEMINATION: THIS STUDY IS APPROVED BY THE ETHICAL REVIEW BOARD IN STOCKHOLM (2017/1862-31/2). ALL PARTICIPANTS MUST VOLUNTARILY AGREE TO PARTICIPATE AND ARE FREE TO WITHDRAW FROM THE STUDY AT ANY POINT. WRITTEN INFORMED CONSENT WILL BE OBTAINED FROM EACH PARTICIPANT PRIOR TO INCLUSION. RESULTS WILL BE AVAILABLE THROUGH RESEARCH ARTICLES AND CONFERENCES. A SUMMARY OF KEY RESULTS WILL BE PUBLICLY AVAILABLE THROUGH NEWSPAPER ARTICLES. TRIAL REGISTRATION NUMBER: DRKS00015093, U1111-1217-4248. 2019 14 2346 24 USING REALIST EVALUATION TO UNDERSTAND PROCESS OUTCOMES IN A COVID-19-IMPACTED YOGA INTERVENTION TRIAL: A WORKED EXAMPLE. REALIST EVALUATION OFFERS A VALUABLE WAY TO UNDERSTAND HOW INTERVENTIONS FUNCTION AND THUS HOW THEY CAN BE IMPROVED AND LOCALLY ADAPTED. CONSEQUENTLY, REALIST EVALUATION IS INCREASINGLY CONDUCTED IN PARALLEL WITH INTERVENTION TRIALS. IT COMPRISES A CLEAR PHILOSOPHICAL FOUNDATION AND VIEW OF CAUSALITY, PRAGMATIC MIXED DATA COLLECTION METHODS, AND A THEORY-DRIVEN APPROACH IN WHICH HYPOTHESISED PROGRAM THEORIES ARE TESTED AND REFINED. HOWEVER, DETAILED METHODS FOR DATA ANALYSIS ARE SELDOM WELL-DESCRIBED IN REALIST STUDIES AND NO CLEAR METHOD FOR ANALYSING AND PRESENTING REALIST EVALUATION DATA HAS YET EMERGED. IN THIS METHODOLOGICAL PAPER WE USE THE WORKED EXAMPLE OF OUR REALIST PROCESS EVALUATION OF THE SAGE YOGA TRIAL TO ILLUSTRATE AN APPLIED PROCESS OF DATA ANALYSIS AND PRESENTATION OF FINDINGS. WE SHOW HOW WE DREW ON OTHER REALIST STUDIES FOR IDEAS, PROVIDE EXAMPLES OF SIX KEY TASKS INVOLVED IN CONDUCTING A REALIST PROCESS EVALUATION (INCLUDING CODING DATA AND STRUCTURING RESULTS) AND DESCRIBE STRATEGIES THAT DID NOT WORK AND OUR RATIONALE FOR REJECTING THEM. THIS DETAILED ACCOUNT OF THE DECISIONS AND METHODS THAT WORKED FOR US IS INTENDED TO PROVIDE A PRACTICAL AND INFORMED POINT OF DEPARTURE FOR RESEARCHERS CONDUCTING A REALIST EVALUATION. 2021 15 565 26 CURRENT STATUS OF YOGA IN MENTAL HEALTH SERVICES. YOGA (DERIVED FROM 'YUJ' WHICH MEANS TO YOKE TOGETHER OR UNITE) HAS BEEN USED FOR MILLENNIA AS A TOOL FOR SELF-IMPROVEMENT, WITH THE ULTIMATE GOAL OF UNITING THE INDIVIDUAL CONSCIOUSNESS WITH THE UNIVERSAL. THE PHYSICAL ELEMENTS OF YOGA, ALTHOUGH SEEN AS NECESSARY IN THE PATH TO ACHIEVE THE GOAL, THEY WERE NOT CONSIDERED AS THE ENDPOINT FOR A PRACTITIONER. SAGE PATANJALI, WHO CODIFIED THE PRACTICES INTO AN EIGHT-LIMBED MODEL (ASHTANGA YOGA) IN THE PATANJALI YOGA SUTRAS, MAKES IT CLEAR THAT THE TARGET OF YOGA IS PRIMARILY THE MIND. HOWEVER, IN THE MODERN WORLD, YOGA PRACTICES HAVE BECOME IMMENSELY POPULAR AS AIDS TO IMPROVE HEALTH. YOGA-BASED PRACTICES ARE BEING EXTENSIVELY USED AS THERAPEUTIC INGREDIENTS, ALONE OR AS ADJUNCTS TO OTHER THERAPIES IN A VARIETY OF DISORDERS, BOTH PHYSICAL AND MENTAL. THERE IS NOW STRONG EVIDENCE TO SUGGEST THAT YOGA-BASED INTERVENTIONS ARE BENEFICIAL IN SEVERAL LIFESTYLE DISORDERS. RECENT RESEARCH HAS ALSO SHOWN SIGNIFICANT BENEFITS IN MENTAL DISORDERS SUCH AS DEPRESSION, ANXIETY, AND PSYCHOSIS. THIS PAPER DISCUSSES THE PLACE OF YOGA AS ONE OF THE THERAPEUTIC STRATEGIES IN THE HOLISTIC APPROACH TO MENTAL DISORDERS, AND THE CHALLENGES INHERENT TO RESEARCH IN THIS AREA. 2016 16 2805 27 YOGA THERAPY IN THE GERMAN HEALTHCARE SYSTEM. AN ESTIMATED 15.7 MILLION GERMANS ARE CURRENTLY PRACTICING YOGA OR ARE AT LEAST INTERESTED IN STARTING TO PRACTICE, AND THEY OFTEN PERCEIVE YOGA AS A THERAPEUTIC APPROACH. FROM A HEALTHCARE SYSTEM PERSPECTIVE, THE SITUATION IS LESS CLEAR. HERE, YOGA IS ONLY RECOGNIZED AS A RECREATIONAL OR PREVENTIVE ACTIVITY. WHEN YOGA TEACHERS FULFILL SPECIFIC QUALIFICATIONS, THEIR PREVENTIVE YOGA CLASSES ARE COVERED BY THE STATUTORY HEALTH INSURANCES. ONLY THOSE WITH ADDITIONAL QUALIFICATIONS IN MEDICINE OR PSYCHOTHERAPY, HOWEVER, CAN INDEPENDENTLY USE AND PROMOTE "YOGA THERAPY." THE GENERAL PERCEPTION OF YOGA IN GERMANY AS A PREVENTIVE PRACTICE IS REFLECTED IN THE PROFESSIONAL ORGANIZATION OF YOGA PROVIDERS. MOST PROVIDERS ARE CONSIDERED TO BE YOGA TEACHERS RATHER THAN YOGA THERAPISTS AND ARE ORGANIZED MAINLY IN YOGA TEACHER ASSOCIATIONS. DESPITE THE UNCERTAIN LEGAL FRAMEWORK, YOGA IS NOW CONSIDERED IN A NUMBER OF MEDICAL GUIDELINES; IN A NUMBER OF HOSPITALS, YOGA IS PART OF MULTIMODAL INPATIENT TREATMENT PROGRAMS AND IS DELIVERED BY PHYSICAL THERAPISTS OR MEMBERS OF OTHER HEALTH PROFESSIONS. AN INCREASING NUMBER OF YOGA THERAPY CLINICAL TRIALS ARE CONDUCTED IN GERMANY, AND EFFORTS ARE UNDERWAY TO ESTABLISH YOGA THERAPY AS AN ACCEPTED ADJUNCT TREATMENT APPROACH FOR SELECTED MEDICAL CONDITIONS WITHIN THE GERMAN HEALTHCARE SYSTEM. 2018 17 2013 24 SUDARSHAN KRIYA YOGA: A BREATH OF HOPE DURING COVID-19 PANDEMIC. IMPORTANT COUNTER MEASURES TO COMBAT AN INFECTIOUS DISEASE PANDEMIC INCLUDE VACCINATION, ANTIVIRAL THERAPY, AND IMMUNOMODULATION THERAPY. VACCINATIONS ARE DISEASE SPECIFIC AND MOREOVER STRAIN SPECIFIC, SO THE PROTECTION PROVIDED IS ALSO SPECIFIC AND LIMITED. ANTIVIRAL THERAPIES ARE COSTLY AND REQUIRE BULK PRODUCTION OF DRUGS, HENCE GLOBALLY THERE IS AN INCREASED INTEREST TOWARD LOW-RISK, COST-EFFECTIVE COMPLEMENTARY ALTERNATIVE THERAPIES, SUCH AS YOGA AND AYURVEDA TO TACKLE THE INFECTIOUS PANDEMIC, CORONAVIRUS DISEASE 2019 (COVID-19). THERE IS CLINICAL EVIDENCE AVAILABLE ON THE POTENTIAL COMPLEMENTARY ROLE OF YOGIC PRACTICES IN THE MANAGEMENT OF NONCOMMUNICABLE AND COMMUNICABLE DISEASES. VARIOUS ONLINE DATABASES WERE SEARCHED FOR ARTICLES PUBLISHED BETWEEN 2000 AND 2020. DATABASES EXPLORED WERE MEDLINE, EMBASE, INDIAN CITATION INDEX, PSYCINFO, INDEX MEDICUS FOR SOUTH-EAST ASIA REGION, AND GOOGLE SCHOLAR. ALL SEARCH RESULTS WERE SCREENED, AND ARTICLES RELATED TO KEYWORDS SUCH AS COVID-19, YOGA THERAPY, AND SUDARSHAN KRIYA YOGA (SKY) WERE SELECTED FOR DATA EXTRACTION. QUALITY OF THE STUDIES INCLUDED WAS EVALUATED ON THE BASIS OF THE CONSTRUCT VALIDITY, CONTENT VALIDITY, RELEVANCE, BIAS, CREDIBILITY RELATING TO INFORMATION, AND DATA SOURCES. SKY IS A UNIQUE YOGIC PRACTICE THAT INCLUDES SPECIFIC SEQUENTIAL BREATHING TECHNIQUES. IT BALANCES THE AUTONOMIC NERVOUS SYSTEM AND THUS CAN ALLEVIATE ANXIETY, ROUTINE STRESS, DEPRESSION, STRESS-RELATED MEDICAL DISORDERS, AND POSTTRAUMATIC STRESS. IT POTENTIATES NATURAL HOST IMMUNE DEFENSES THAT ARE ESSENTIAL TO TACKLE A PLETHORA OF MICROBIAL INFECTIONS. THIS NARRATIVE REVIEW ARTICLE PROVIDES AN OVERVIEW OF POTENTIAL THERAPEUTIC BENEFITS THAT SKY CAN OFFER TO THE POPULATION AT LARGE DURING THIS COVID-19 PANDEMIC. 2021 18 2492 26 YOGA AS COMPLEMENTARY CARE FOR YOUNG PEOPLE PLACED IN JUVENILE INSTITUTIONS-A STUDY PLAN. RECENT STUDIES HAVE ESTABLISHED YOGA PRACTICE AS A MAINSTREAM COMPLEMENTARY CLINICAL TOOL WITHIN CORRECTIONAL ENVIRONMENTS. IT IS SHOWN THAT REGULAR YOGA PRACTICE IS COUPLED WITH IMPROVED IMPULSE CONTROL, SUSTAINED ATTENTION, ATTENUATED ANTISOCIAL AND SELF-HARM BEHAVIORS, REDUCED STRESS, AND PSYCHOLOGICAL DISTRESS. NO ACADEMIC RESEARCH UNTIL NOW HAS PROVIDED EVIDENCE OF MENTAL HEALTH BENEFITS OF YOGA FOR INSTITUTIONALIZED YOUNG PEOPLE. IN SWEDEN, EACH YEAR MORE THAN THOUSAND ADOLESCENTS RECEIVE COMPULSORY CARE AT JUVENILE INSTITUTIONS RUN BY THE SWEDISH NATIONAL BOARD OF INSTITUTIONAL CARE. THESE YOUNG PEOPLE ARE CHARACTERIZED BY SUBSTANCE ABUSE, AGGRESSIVE AND ANTISOCIAL BEHAVIORS, HIGH FREQUENCY OF SELF-HARM, AND THE EXPERIENCE OF ABUSE. MOST OF THEM MANIFEST ATTENTION PROBLEMS, DEPRESSION, ANXIETY, AND IMPULSIVITY. THEY HAVE A DRAMATICALLY INCREASED RISK FOR RECIDIVISTIC CRIMINAL BEHAVIOR, CONTINUOUS MEDICAL, AND SOCIAL CARE AND UNTIMELY DEATH. THE PRESENT STUDY PLAN AIMS AT EVALUATING, WITH PREVIOUSLY VALIDATED PSYCHOLOGICAL MEASURES, IN A QUASI-EXPERIMENTAL DESIGN, THE EFFECTS OF YOGA PRACTICE FOR INSTITUTIONALIZED ADOLESCENTS. ADOLESCENTS' EXPERIENCES OF PARTICIPATING IN YOGA PRACTICE WILL ALSO BE ASSESSED BY SEMI-STRUCTURED INDIVIDUAL INTERVIEWS. ETHICAL APPROVAL WAS GIVEN BY THE SWEDISH ETHICAL REVIEW AUTHORITY. IT IS HYPOTHESIZED THAT YOGA PRACTICE (IN COMBINATION WITH THE STANDARD TREATMENT WITHIN INSTITUTIONAL CARE) WILL REDUCE INSTITUTIONALIZED ADOLESCENTS' AGGRESSION, ANTISOCIAL BEHAVIOR, ANXIETY, DEPRESSION, AND NEGATIVE AFFECT, AND INCREASE THEIR COGNITIVE FLEXIBILITY (IN THE FORM OF INCREASED IMPULSE CONTROL). 2021 19 2269 28 THE RELATIONSHIP BETWEEN YOGA AND SPIRITUALITY: A SYSTEMATIC REVIEW OF EMPIRICAL RESEARCH. OBJECTIVE: BOTH YOGA PRACTICE AND SPIRITUALITY ARE ASSOCIATED WITH BENEFICIAL MENTAL HEALTH OUTCOMES. WITHIN YOGA RESEARCH, HOWEVER, SPIRITUALITY IS STILL A WIDELY NEGLECTED AREA. THE PRESENT SYSTEMATIC REVIEW AIMS TO EXPLORE EMPIRICAL STUDIES, WHICH DO, IN FACT, INVESTIGATE THE RELATIONSHIP BETWEEN YOGA AND SPIRITUALITY IN ORDER TO PROVIDE AN OVERVIEW AND FUTURE DIRECTIONS FOR RESEARCH ON THIS TOPIC. THE REVIEW EXAMINES WHETHER AVAILABLE EMPIRICAL RESEARCH SUPPORTS AN ASSOCIATION BETWEEN YOGA PRACTICE AND SPIRITUALITY AND, IF SO, WHICH SPECIFIC ASPECTS OF SPIRITUALITY ARE ASSOCIATED WITH YOGA PRACTICE. METHODS: THE SYSTEMATIC REVIEW FOLLOWED THE PRISMA GUIDELINE (PROSPERO REGISTRATION NUMBER: CRD42020155043). EMPIRICAL STUDIES WRITTEN IN ENGLISH, GERMAN, OR HUNGARIAN LANGUAGE WERE SELECTED FROM A DATABASE SEARCH IN GOOGLE SCHOLAR, PSYCINFO, AND SCIENCE DIRECT. A TOTAL OF 30 STUDIES MET THE FINAL INCLUSION CRITERIA. RESULTS: ACCORDING TO THE QUANTITATIVE AND QUALITATIVE STUDIES REVIEWED, YOGA PRACTICE SEEMS TO BE POSITIVELY ASSOCIATED WITH SPIRITUALITY. THIS ASSOCIATION CONCERNS VARIOUS ASPECTS OF SPIRITUALITY, SUCH AS SPIRITUAL ASPIRATIONS, A SEARCH FOR INSIGHT/WISDOM, AN INTEGRATIVE WORLDVIEW, A SENSE OF MEANING AND PEACE, FAITH, HOPE, COMPASSION, AND HAPPINESS WITHIN. TO HARNESS THE POTENTIAL SPIRITUAL BENEFITS OF YOGA, REGULAR PRACTICE APPEARS TO BE ESSENTIAL. YOGA PRACTITIONERS SEEM TO HAVE BOTH PHYSICAL AND SPIRITUAL MOTIVES FOR PRACTICING. AT LEAST IN WESTERN SOCIETIES, HOWEVER, PHYSICAL INTENTIONS ARE MORE PREVALENT THAN SPIRITUAL ONES. THE MEANING OF SPIRITUALITY FOR YOGA PRACTITIONERS IS ALSO DISCUSSED. DUE TO RISK OF BIAS OF THE MAJORITY OF THE REVIEWED STUDIES, HOWEVER, OUTCOMES MUST BE TAKEN WITH CAUTION. CONCLUSION: YOGA PRACTICE MAY BE POSITIVELY ASSOCIATED WITH SEVERAL ASPECTS OF SPIRITUALITY. FOR MORE EVIDENCE, FURTHER INVESTIGATION OF THE TOPIC IS SUGGESTED. PARTICULARLY, WE PROPOSE THE INCLUSION OF HOLISTIC FORMS OF YOGA PRACTICE AND A COMPARISON OF EASTERN AND WESTERN APPROACHES TO YOGA. 2021 20 1632 33 MIYOGA: A RANDOMISED CONTROLLED TRIAL OF A MINDFULNESS MOVEMENT PROGRAMME BASED ON HATHA YOGA PRINCIPLES FOR CHILDREN WITH CEREBRAL PALSY: A STUDY PROTOCOL. INTRODUCTION: CEREBRAL PALSY (CP) IS THE MOST COMMON CHILDHOOD PHYSICAL DISABILITY, WITH LIFE-LONG IMPACTS FOR 1.77 IN 1000 CHILDREN. ALTHOUGH CP IS PRIMARILY A PHYSICAL DISABILITY, CHILDREN WITH CP HAVE AN INCREASED RISK OF EXPERIENCING COGNITIVE DIFFICULTIES, PARTICULARLY ATTENTION AND EXECUTIVE FUNCTION DEFICITS. IMPAIRMENT IN COGNITIVE ABILITIES CAN LEAD TO SUBSEQUENT IMPAIRMENT IN INDEPENDENT FUNCTIONING, EDUCATION, EMPLOYMENT AND INTERPERSONAL RELATIONSHIPS. THIS PAPER REPORTS THE PROTOCOL OF A RANDOMISED CONTROLLED TRIAL OF A NOVEL FAMILY-CENTRED LIFESTYLE INTERVENTION BASED ON MINDFULNESS AND HATHA YOGA PRINCIPLES (MIYOGA). MIYOGA AIMS TO ENHANCE CHILD AND PARENT OUTCOMES FOR CHILDREN WITH CP. METHODS AND ANALYSIS: THE AIM IS TO RECRUIT 36 CHILD-PARENT DYADS (CHILDREN AGED 6-16 YEARS; BILATERAL OR UNILATERAL CP; GROSS MOTOR FUNCTION CLASSIFICATION SYSTEM I-III), WHO WILL BE RANDOMLY ASSIGNED TO TWO GROUPS: MIYOGA ANDWAITLISTT CONTROL. THE MIYOGA PROGRAMME WILL BE FACILITATED IN A GROUP FORMAT FOR 8 WEEKS. ASSESSMENTS WILL BE ADMINISTERED AT BASELINE, PRIOR TO MIYOGA, FOLLOWING COMPLETION OF MIYOGA, AND AT 6-MONTH FOLLOW-UP (RETENTION). THE PRIMARY OUTCOME WILL BE THE CHILD'S SUSTAINED ATTENTIONAL ABILITY AS MEASURED BY THE CONNER'S CONTINUOUS PERFORMANCE TEST II. OTHER OUTCOMES OF INTEREST FOR CHILDREN WITH CP CONSISTS OF ATTENTIONAL CONTROL, PHYSICAL FUNCTIONING, BEHAVIOURAL AND WELL-BEING. FOR PARENTS, THE OUTCOMES OF INTEREST ARE MINDFULNESS, PSYCHOLOGICAL FLEXIBILITY AND WELL-BEING. DATA WILL BE ANALYSED USING GENERAL LINEAR MODELS, SPECIFICALLY ANALYSIS OF COVARIANCE AND ANALYSIS OF VARIANCE. ETHICS AND DISSEMINATION: FULL ETHICAL APPROVAL FOR THIS STUDY HAS BEEN OBTAINED BY THE CHILDREN'S HEALTH QUEENSLAND HOSPITAL AND HEALTH SERVICE RESEARCH ETHICS COMMITTEE (HREC/12/QRCH/120) AND THE UNIVERSITY OF QUEENSLAND (2012000993). IF MIYOGA IS PROVEN EFFECTIVE, ITS DISSEMINATION WOULD ASSIST CHILDREN WITH CP AND COMPLEMENT THEIR ONGOING THERAPY BY IMPROVING THE ABILITY OF THE CHILD TO PAY ATTENTION AT SCHOOL AND IN THERAPY, AND ALLEVIATING ENVIRONMENTALSTRESSORSS FOR BOTH THE CHILD AND HIS/HER PARENTS. TRIAL REGISTRATION NUMBER: ACTRN12613000729729; PRE-RESULTS.HTTP://WWW.ANZCTR.ORG.AU/ACTRN12613000729729.ASPX DATE OF TRIAL REGISTRATION: PROSPECTIVELY REGISTERED ON 2 JULY 2013-PRESENT (ONGOING). FINDINGS TO DATE: RECRUITMENT IS COMPLETE. DATA ARE STILL BEING COLLECTED AT PRESENT. WE AIM TO COMPLETE DATA COLLECTION BY FEBRUARY 2017. 2017