1 273 146 ADDING A FACEBOOK SUPPORT GROUP TO AN ONLINE YOGA RANDOMIZED TRIAL FOR WOMEN WHO HAVE EXPERIENCED STILLBIRTH: A FEASIBILITY STUDY. OBJECTIVES: WOMEN WHO EXPERIENCE STILLBIRTH ARE MORE LIKELY TO DEVELOP POST-TRAUMATIC STRESS DISORDER (PTSD), AND ANXIOUS AND DEPRESSIVE SYMPTOMS THAN THOSE WHO DELIVER LIVE HEALTHY BABIES. PARTICIPANTS IN A RECENT STUDY OF ONLINE YOGA (OY) REPORTED A DESIRE FOR MORE SOCIAL SUPPORT, WHICH MAY HELP REDUCE PTSD RELATED TO GRIEF AND AID IN COPING. FACEBOOK (FB) HAS BEEN USED SUCCESSFULLY TO DELIVER SUPPORT FOR ONLINE INTERVENTIONS, BUT LITTLE IS KNOWN ABOUT ITS USE IN CONJUNCTION WITH OY. THE PURPOSE OF THIS STUDY WAS TO EXAMINE THE FEASIBILITY OF A FB SUPPORT GROUP IN CONJUNCTION WITH AN 8-WEEK OY INTERVENTION. DESIGN: RANDOMIZED PARALLEL FEASIBILITY TRIAL WITH A 1:1 STUDY GROUP ALLOCATION RATIO. SETTING/LOCATION: ONLINE. SUBJECTS: WOMEN (N = 60) WHO EXPERIENCED STILLBIRTH WITHIN THE PAST 3 YEARS. INTERVENTIONS: PARTICIPANTS WERE RECRUITED NATIONALLY TO PARTICIPATE AND RANDOMIZED INTO ONE OF TWO GROUPS: OY ONLY (N = 30) OR ONLINE YOGA WITH FACEBOOK (OYFB) (N = 30). BOTH GROUPS WERE ASKED TO COMPLETE 60 MIN OF OY PER WEEK. WOMEN IN THE OY GROUP WERE ASKED TO LOG ON TO A FB PAGE AT LEAST ONCE PER WEEK. OUTCOME MEASURES: ACCEPTABILITY (I.E., SATISFACTION) AND DEMAND (I.E., ATTENDANCE), PTSD, ANXIETY, DEPRESSIVE SYMPTOMS, SOCIAL SUPPORT. RESULTS: PARTICIPANTS WERE SATISFIED WITH AND ENJOYED OY, AND 8/13 FB ACCEPTABILITY BENCHMARKS WERE MET. THERE WERE NO SIGNIFICANT DIFFERENCES BETWEEN GROUPS IN MINUTES OF YOGA PER WEEK. CONCLUSIONS: THE ADDITION OF A FB GROUP TO AN OY INTERVENTION FOR WOMEN WHO HAVE EXPERIENCED STILLBIRTH IS FEASIBLE, ALTHOUGH MORE RESEARCH IS NEEDED TO INCREASE ITS EFFICACY. TRIAL REGISTRATION: NCT04077476. REGISTERED SEPTEMBER 4, 2019. RETROSPECTIVELY REGISTERED (HTTPS://CLINICALTRIALS.GOV/CT2/SHOW/NCT04077476). 2022 2 2389 50 YOGA AND AEROBIC DANCE FOR PAIN MANAGEMENT IN JUVENILE IDIOPATHIC ARTHRITIS: PROTOCOL FOR A PILOT RANDOMIZED CONTROLLED TRIAL. BACKGROUND: JUVENILE IDIOPATHIC ARTHRITIS (JIA) IS ONE OF THE MOST COMMON TYPES OF ARTHRITIS AMONG CHILDREN. ACCORDING TO JIA GUIDELINES FOR PHYSICAL ACTIVITY (PA), STRUCTURED PA INTERVENTIONS LED TO IMPROVED HEALTH OUTCOMES. HOWEVER, MANY PA PROGRAMS, SUCH AS YOGA AND AEROBIC DANCE, HAVE NOT BEEN STUDIED IN THIS POPULATION DESPITE BEING POPULAR AMONG YOUTH. WEB-BASED PA PROGRAMS COULD PROVIDE PATIENTS WITH ACCESSIBLE AND AFFORDABLE INTERVENTIONS. OBJECTIVE: THE PRIMARY AIMS OF THE PROPOSED PILOT RANDOMIZED CONTROLLED TRIAL (RCT) ARE TO EXAMINE (1) THE FEASIBILITY OF CONDUCTING A FULL-SCALE RCT TO EVALUATE THE EFFECTIVENESS OF TWO POPULAR TYPES OF PA: A YOGA TRAINING PROGRAM AND AN AEROBIC DANCE TRAINING PROGRAM, IN FEMALE ADOLESCENTS (AGED 13-18 YEARS) WITH JIA COMPARED WITH AN ELECTRONIC PAMPHLET CONTROL GROUP; AND (2) THE ACCEPTABILITY OF THESE INTERVENTIONS. METHODS: A THREE-ARM PROSPECTIVE RANDOMIZED OPEN-LABEL STUDY WITH A PARALLEL GROUP DESIGN WILL BE USED. A TOTAL OF 25 FEMALE ADOLESCENTS WITH JIA WHO HAVE PAIN WILL BE RANDOMIZED IN A RATIO OF 2:2:1 TO ONE OF THE 3 GROUPS: (1) ONLINE YOGA TRAINING PROGRAM (GROUP A: N=10); (2) ONLINE AEROBIC DANCE TRAINING PROGRAM (GROUP B: N=10); AND (3) ELECTRONIC PAMPHLET CONTROL GROUP (GROUP C: N=5). PARTICIPANTS IN GROUPS A AND B WILL COMPLETE 3 INDIVIDUAL 1-HOUR SESSIONS PER WEEK USING ONLINE EXERCISE VIDEOS, AS WELL AS A 1-HOUR VIRTUAL GROUP SESSION PER WEEK USING A VIDEOCONFERENCING PLATFORM FOR 12 WEEKS. PARTICIPANTS FROM ALL GROUPS WILL HAVE ACCESS TO AN ELECTRONIC EDUCATIONAL PAMPHLET ON PA FOR ARTHRITIS DEVELOPED BY THE ARTHRITIS SOCIETY. ALL PARTICIPANTS WILL ALSO TAKE PART IN WEEKLY ONLINE CONSULTATIONS WITH A RESEARCH COORDINATOR AND DISCUSSIONS ON FACEBOOK WITH PARTICIPANTS FROM THEIR OWN GROUP. FEASIBILITY (IE, RECRUITMENT RATE, SELF-REPORTED ADHERENCE TO THE INTERVENTIONS, DROPOUT RATES, AND PERCENTAGE OF MISSING DATA), ACCEPTABILITY, AND USABILITY OF FACEBOOK AND THE VIDEOCONFERENCING PLATFORM WILL BE ASSESSED AT THE END OF THE PROGRAM. PAIN INTENSITY, PARTICIPATION IN GENERAL PA, MORNING STIFFNESS, FUNCTIONAL STATUS, FATIGUE, SELF-EFFICACY, PATIENT GLOBAL ASSESSMENT, DISEASE ACTIVITY, AND ADVERSE EVENTS WILL BE ASSESSED USING SELF-ADMINISTERED ELECTRONIC SURVEYS AT BASELINE AND THEN WEEKLY UNTIL THE END OF THE 12-WEEK PROGRAM. RESULTS: THIS PILOT RCT HAS BEEN FUNDED BY THE ARTHRITIS HEALTH PROFESSIONS ASSOCIATION. THIS PROTOCOL WAS APPROVED BY THE CHILDREN'S HOSPITAL OF EASTERN ONTARIO RESEARCH ETHICS BOARD (#17/08X). AS OF MAY 11, 2020, RECRUITMENT AND DATA COLLECTION HAVE NOT STARTED. CONCLUSIONS: TO OUR KNOWLEDGE, THIS IS THE FIRST STUDY TO EVALUATE THE EFFECTIVENESS OF YOGA AND AEROBIC DANCE AS PAIN MANAGEMENT INTERVENTIONS FOR FEMALE ADOLESCENTS WITH JIA. THE USE OF ONLINE PROGRAMS TO DISSEMINATE THESE 2 PA INTERVENTIONS MAY FACILITATE ACCESS TO ALTERNATIVE METHODS OF PAIN MANAGEMENT. THIS STUDY CAN LEAD TO A FULL-SCALE RCT. INTERNATIONAL REGISTERED REPORT IDENTIFIER (IRRID): PRR1-10.2196/12823. 2020 3 211 21 A SOCIAL MEDIA-BASED MINDFUL YOGA PROGRAM FOR PREGNANT WOMEN IN TAIWAN. SOCIAL MEDIA, A COMMUNICATION TOOL, IS INCREASINGLY USED TO FACILITATE THE ENGAGEMENT OF EXPERTS (SUCH AS A HEALTH PROVIDER) AND OTHER PARTICIPANTS IN A WIDE RANGE OF PROGRAMS. HOWEVER, SOCIAL MEDIA REQUIRES STUDY TO ELUCIDATE ITS APPLICATIONS UNDER WOMEN HEALTH-RELATED CONDITIONS. THIS WORK DEVELOPS A SOCIAL MEDIA-BASED MINDFUL YOGA PROGRAM FOR PREGNANT WOMEN, AND DELIVERS MEDIA CONTENT BY WAYS OF FACEBOOK PLATFORM AND DVD. THE RESULTS OF PILOT TESTING REVEALED USERS' PREFERENCE OF USING FACEBOOK PLATFORM. DEVELOPING EXPERIENCE AND USES' RESPONSES CAN PROVIDE VALUABLE INFORMATION FOR FURTHER IMPLEMENT SOCIALMEDIA BASED INTERVENTIONS. 2016 4 217 52 A STUDY PROTOCOL OF A THREE-GROUP RANDOMIZED FEASIBILITY TRIAL OF AN ONLINE YOGA INTERVENTION FOR MOTHERS AFTER STILLBIRTH (THE MINDFUL HEALTH STUDY). BACKGROUND: IN THE USA, STILLBIRTH (IN UTERO FETAL DEATH >/=20 WEEKS GESTATION) IS A MAJOR PUBLIC HEALTH ISSUE. WOMEN WHO EXPERIENCE STILLBIRTH, COMPARED TO WOMEN WITH LIVE BIRTH, HAVE A NEARLY SEVENFOLD INCREASED RISK OF A POSITIVE SCREEN FOR POST-TRAUMATIC STRESS DISORDER (PTSD) AND A FOURFOLD INCREASED RISK OF DEPRESSIVE SYMPTOMS. BECAUSE THE MAJORITY OF WOMEN WHO HAVE EXPERIENCED THE DEATH OF THEIR BABY BECOME PREGNANT WITHIN 12-18 MONTHS AND THE LACK OF INTERVENTION STUDIES CONDUCTED WITHIN THIS POPULATION, NOVEL APPROACHES TARGETING PHYSICAL AND MENTAL HEALTH, SPECIFIC TO THE NEEDS OF THIS POPULATION, ARE CRITICAL. EVIDENCE SUGGESTS THAT YOGA IS EFFICACIOUS, SAFE, ACCEPTABLE, AND COST-EFFECTIVE FOR IMPROVING MENTAL HEALTH IN A VARIETY OF POPULATIONS, INCLUDING PREGNANT AND POSTPARTUM WOMEN. TO DATE, THERE ARE NO KNOWN STUDIES EXAMINING ONLINE-STREAMING YOGA AS A STRATEGY TO HELP MOTHERS COPE WITH PTSD SYMPTOMS AFTER STILLBIRTH. METHODS: THE PRESENT STUDY IS A TWO-PHASE RANDOMIZED CONTROLLED TRIAL. PHASE 1 WILL INVOLVE (1) AN ITERATIVE DESIGN PROCESS TO DEVELOP THE ONLINE YOGA PRESCRIPTION FOR PHASE 2 AND (2) QUALITATIVE INTERVIEWS TO IDENTIFY CULTURAL BARRIERS TO RECRUITMENT IN NON-CAUCASIAN WOMEN (I.E., PREDOMINATELY HISPANIC AND/OR AFRICAN AMERICAN) WHO HAVE EXPERIENCED STILLBIRTH (N = 5). PHASE 2 IS A THREE-GROUP RANDOMIZED FEASIBILITY TRIAL WITH ASSESSMENTS AT BASELINE, AND AT 12 AND 20 WEEKS POST-INTERVENTION. NINETY WOMEN WHO HAVE EXPERIENCED A STILLBIRTH WITHIN 6 WEEKS TO 24 MONTHS WILL BE RANDOMIZED INTO ONE OF THE FOLLOWING THREE ARMS FOR 12 WEEKS: (1) INTERVENTION LOW DOSE (LD) = 60 MIN/WEEK ONLINE-STREAMING YOGA (N = 30), (2) INTERVENTION MODERATE DOSE (MD) = 150 MIN/WEEK ONLINE-STREAMING YOGA (N = 30), OR (3) STRETCH AND TONE CONTROL (STC) GROUP = 60 MIN/WEEK OF STRETCHING/TONING EXERCISES (N = 30). DISCUSSION: THIS STUDY WILL EXPLORE THE FEASIBILITY AND ACCEPTABILITY OF A 12-WEEK, HOME-BASED, ONLINE-STREAMED YOGA INTERVENTION, WITH VARYING DOSES AMONG MOTHERS AFTER A STILLBIRTH. IF FEASIBLE, THE FINDINGS FROM THIS STUDY WILL INFORM A FULL-SCALE TRIAL TO DETERMINE THE EFFECTIVENESS OF HOME-BASED ONLINE-STREAMED YOGA TO IMPROVE PTSD. LONG-TERM, HEALTH CARE PROVIDERS COULD USE ONLINE YOGA AS A NON-PHARMACEUTICAL, INEXPENSIVE RESOURCE FOR STILLBIRTH AFTERCARE. TRIAL REGISTRATION: NCT02925481. 2018 5 2700 31 YOGA INTERVENTION FOR AN ADOLESCENT WITH JUVENILE IDIOPATHIC ARTHRITIS: A CASE STUDY. JUVENILE IDIOPATHIC ARTHRITIS (JIA) IS A CHRONIC RHEUMATIC DISEASE ASSOCIATED WITH PAIN, STIFFNESS, AND PSYCHOSOCIAL DIFFICULTIES. THE PURPOSE OF THIS CASE STUDY WAS TO INVESTIGATE THE IMPACT OF A YOGA INTERVENTION ON PAIN AND MORNING STIFFNESS IN AN ADOLESCENT FEMALE WITH JIA. A SECONDARY AIM WAS TO ASSESS THE IMPACT OF THIS INTERVENTION ON SELF-EFFICACY, MINDFULNESS, HEALTH-RELATED QUALITY OF LIFE, AND DISEASE ACTIVITY. A 17-Y-OLD FEMALE WITH JIA PARTICIPATED IN 3 YOGA GROUPS AND HOME YOGA PRACTICE WITH A DIGITAL VIDEO DISC. SHE ENGAGED IN DAILY SELF-MONITORING OF PAIN AND STIFFNESS AND COMPLETED QUESTIONNAIRES ASSESSING PSYCHOSOCIAL FUNCTIONING AND DISEASE ACTIVITY AT PRE- AND POSTINTERVENTION, AND PSYCHOSOCIAL FUNCTIONING AT 3-MO FOLLOW-UP. PRIMARY OUTCOMES WERE EVALUATED USING QUASI-EXPERIMENTAL SINGLE-CASE DESIGN STRUCTURE (IE, ABAB), WITH EMPHASIS ON THE REPORT OF MEANS. RESULTS SUGGESTED THAT YOGA REDUCED PAIN INTENSITY, STIFFNESS INTENSITY, AND DURATION OF MORNING STIFFNESS. OUTCOMES FOR DISEASE ACTIVITY ALSO SUGGESTED IMPROVEMENTS. MODEST CHANGES WERE REVEALED ON PSYCHOSOCIAL OUTCOME MEASURES, HOWEVER NOT CONSISTENTLY IN THE DIRECTION OF HYPOTHESES. ANECDOTAL REPORTS FROM THE PARTICIPANT INDICATED ACCEPTABILITY OF THE INTERVENTION AND IMPROVEMENTS IN PAIN AND STIFFNESS ATTRIBUTED TO ENGAGING IN THE YOGA INTERVENTION. MORE RESEARCH IS WARRANTED TO FURTHER EXPLORE THE IMPACT OF YOGA FOR YOUTH WITH JIA AS AN ADJUNCTIVE COMPONENT OF MULTIDISCIPLINARY TREATMENT TARGETING PAIN, STIFFNESS, DISEASE ACTIVITY, AND PSYCHOSOCIAL FACTORS. 2018 6 1683 74 ONLINE YOGA TO REDUCE POST TRAUMATIC STRESS IN WOMEN WHO HAVE EXPERIENCED STILLBIRTH: A RANDOMIZED CONTROL FEASIBILITY TRIAL. BACKGROUND: ABOUT 1 IN EVERY 150 PREGNANCIES END IN STILLBIRTH. CONSEQUENCES INCLUDE SYMPTOMS OF POST TRAUMATIC STRESS DISORDER (PTSD), DEPRESSION, AND ANXIETY. YOGA HAS BEEN USED TO TREAT PTSD IN OTHER POPULATIONS AND MAY IMPROVE HEALTH OUTCOMES FOR STILLBIRTH MOTHERS. THE PURPOSE OF THIS STUDY WAS TO DETERMINE: (A) FEASIBILITY OF A 12-WEEK HOME-BASED, ONLINE YOGA INTERVENTION WITH VARYING DOSES; (B) ACCEPTABILITY OF A "STRETCH AND TONE" CONTROL GROUP; AND (C) PRELIMINARY EFFICACY OF THE INTERVENTION ON REDUCING SYMPTOMS OF PTSD, ANXIETY, DEPRESSION, PERINATAL GRIEF, SELF-COMPASSION, EMOTIONAL REGULATION, MINDFULNESS, SLEEP QUALITY, AND SUBJECTIVE HEALTH. METHODS: PARTICIPANTS (N = 90) WERE RECRUITED NATIONALLY AND RANDOMIZED INTO ONE OF THREE GROUPS FOR YOGA OR EXERCISE (LOW DOSE (LD), 60 MIN PER WEEK; MODERATE DOSE (MD), 150 MIN PER WEEK; AND STRETCH-AND-TONE CONTROL GROUP (STC)). BASELINE AND POST-INTERVENTION SURVEYS MEASURED MAIN OUTCOMES (LISTED ABOVE). FREQUENCY ANALYSES WERE USED TO DETERMINE FEASIBILITY. REPEATED MEASURES ANCOVA WERE USED TO DETERMINE PRELIMINARY EFFICACY. MULTIPLE REGRESSION ANALYSES WERE USED TO DETERMINE A DOSE-RESPONSE RELATIONSHIP BETWEEN MINUTES OF YOGA AND EACH OUTCOME VARIABLE. RESULTS: OVER HALF OF PARTICIPANTS COMPLETED THE INTERVENTION (N = 48/90). BENCHMARKS (>/=70% REPORTED > 75% SATISFACTION) WERE MET IN EACH GROUP FOR SATISFACTION AND ENJOYMENT. PARTICIPANTS MEETING BENCHMARKS (COMPLETING > 90% OF PRESCRIBED MINUTES 9/12 WEEKS) FOR LD AND MD GROUPS WERE 44% (N = 8/18) AND 6% (N = 1/16), RESPECTIVELY. LD AND MD GROUPS AVERAGED 44.0 AND 77.3 MIN PER WEEK OF YOGA, RESPECTIVELY. THE MD GROUP REPORTED THAT 150 PRESCRIBED MINUTES PER WEEK OF YOGA WAS TOO MUCH. THERE WERE SIGNIFICANT DECREASES IN PTSD AND DEPRESSION, AND IMPROVEMENTS IN SELF-RATED HEALTH AT POST-INTERVENTION FOR BOTH INTERVENTION GROUPS. THERE WAS A SIGNIFICANT DIFFERENCE IN DEPRESSION SCORES (P = .036) AND GRIEF INTENSITY (P = .009) BETWEEN THE MD AND STC GROUPS. PTSD SHOWED NON-SIGNIFICANT DECREASES OF 43% AND 56% AT POST-INTERVENTION IN LD AND MD GROUPS, RESPECTIVELY (22% DECREASE IN CONTROL). CONCLUSIONS: THIS WAS THE FIRST STUDY TO DETERMINE THE FEASIBILITY AND PRELIMINARY EFFICACY OF AN ONLINE YOGA INTERVENTION FOR WOMEN AFTER STILLBIRTH. FUTURE RESEARCH WARRANTS A RANDOMIZED CONTROLLED TRIAL. TRIAL REGISTRATION: CLINICALTRIALS.GOV. NCT02925481. REGISTERED 10-04-16. 2020 7 1872 22 RAPID CONVERSION OF A GROUP-BASED YOGA TRIAL FOR DIVERSE OLDER WOMEN TO HOME-BASED TELEHEALTH: LESSONS LEARNED USING ZOOM TO DELIVER MOVEMENT-BASED INTERVENTIONS. THIS BRIEF REPORT DESCRIBES THE RAPID CONVERSION OF A RANDOMIZED TRIAL OF A HATHA-BASED YOGA PROGRAM FOR OLDER WOMEN WITH URINARY INCONTINENCE TO A TELEHEALTH VIDEOCONFERENCE PLATFORM DURING THE CORONAVIRUS DISEASE 2019 (COVID-19) PANDEMIC. INTERIM RESULTS DEMONSTRATE THE FEASIBILITY OF RECRUITING AND RETAINING PARTICIPANTS ACROSS A WIDE RANGE OF AGES AND ETHNIC BACKGROUNDS, BUT ALSO POINT TO POTENTIAL OBSTACLES AND SAFETY CONCERNS ARISING FROM TELEHEALTH-BASED INSTRUCTION. THE INVESTIGATORS PRESENT LESSONS LEARNED ABOUT THE BENEFITS AND CHALLENGES OF USING TELEHEALTH PLATFORMS TO DELIVER MOVEMENT-BASED INTERVENTIONS AND CONSIDER STRATEGIES TO PROMOTE ACCESSIBLE AND WELL-TOLERATED TELEHEALTH-BASED YOGA PROGRAMS FOR OLDER AND DIVERSE POPULATIONS. CLINICAL TRIAL REGISTRATION NUMBER: NCT03672461. 2022 8 1207 41 EXPERIENCES OF WOMEN WHO PARTICIPATED IN A BETA-TEST FOR AN ONLINE-STREAMED YOGA INTERVENTION AFTER A STILLBIRTH. BACKGROUND: LITTLE IS KNOWN ABOUT HOW TO BEST CARE FOR MOTHERS AFTER STILLBIRTH. AS SUCH, THIS PAPER WILL REPORT THE SATISFACTION AND PERCEPTIONS OF AN ONLINE YOGA INTERVENTION (12-WEEK BETA TEST) IN WOMEN AFTER STILLBIRTH. METHODS: PARTICIPANTS (N=74) HAD A STILLBIRTH WITHIN THE LAST 24-MONTHS (M TIME SINCE LOSS 9.65 +/- 6.9 MONTHS). POST-INTERVENTION SATISFACTION SURVEYS AND INTERVIEWS AND DROPOUT SURVEYS WERE CONDUCTED. DESCRIPTIVE STATISTICS WERE USED TO ANALYZE SURVEY RESPONSES AND DEMOGRAPHIC INFORMATION. A PHENOMENOLOGICAL APPROACH WAS USED TO EXPLORE AND UNDERSTAND UNIQUE EXPERIENCES OF PARTICIPANT INTERVIEWS. DATA WERE ANALYZED USING NVIVO10. RESULTS: TWENTY-SIX WOMEN (M AGE 33.73 +/- 4.38) WERE COMPLETERS (> 3 WKS OF YOGA), 26 (M AGE 31.82 +/- 4.13) WERE NON-COMPLETERS (< 3 WKS OF YOGA), AND 22 (M AGE 32.94 +/- 2.93) DROPPED OUT. TWENTY COMPLETERS PARTICIPATED IN A POST-INTERVENTION SATISFACTION SURVEY WITH 75% (N=15) REPORTING BEING VERY SATISFIED OR SATISFIED WITH THE ONLINE YOGA INTERVENTION, FOUND IT TO BE VERY ENJOYABLE OR ENJOYABLE, AND VERY HELPFUL OR HELPFUL TO COPE WITH GRIEF. SATISFACTION AND PERCEPTIONS OF THE INTERVENTION IN THOSE WHO COMPLETED AN INTERVIEW (N=12) WERE CLUSTERED AROUND THE FOLLOWING THEMES: BENEFITS, BARRIERS, DISLIKES, SATISFACTION, AND PREFERENCES. OF THE 22 DROPOUTS, 14 COMPLETED A DROPOUT SURVEY. WOMEN WITHDREW FROM THE STUDY DUE TO PREGNANCY (N=3, 21%), BURDEN (N=3, 21%), STRESS (N=2, 14%), LACK OF TIME (N=2, 14%), DID NOT ENJOY (N=1, 7%), AND OTHER (N=3, 21%). CONCLUSION: FINDINGS HERE MAY BE USED TO HELP DESIGN FUTURE RESEARCH. 2017 9 999 28 EFFECTS OF INTUITIVE EATING ON THE QUALITY OF LIFE AND WELLBEING OF YOGA PRACTITIONERS, PHYSICAL ACTIVITY PRACTITIONERS AND SEDENTARY INDIVIDUALS. THIS STUDY IS A COMPARATIVE ANALYSIS OF THE EFFECTS OF INTUITIVE EATING AND CORRELATIONS WITH QUALITY OF LIFE AND WELLBEING IN YOGA PRACTITIONERS, PHYSICAL ACTIVITY PRACTITIONERS AND SEDENTARY INDIVIDUALS. THE STUDY INVOLVED 204 PARTICIPANTS, COMPRISING 66 YOGA PRACTITIONERS, 74 PHYSICAL ACTIVITY PRACTITIONERS AND 64 SEDENTARY INDIVIDUALS, BETWEEN THE AGES OF 20 AND 59, WHO WERE RESIDENT IN BRAZIL AT THE TIME OF THE STUDY. QUANTITATIVE RESEARCH WAS CONDUCTED THROUGH FACEBOOK AND THE APPLICATION QUESTIONNAIRES VIA GOOGLE FORMS TO MEASURE INTUITIVE EATING, FOOD CONSUMPTION, QUALITY OF LIFE, STRESS LEVEL, SATISFACTION WITH BODY IMAGE AND LEVEL OF MINDFULNESS. THE STUDY FOUND THAT WHILE INTUITIVE EATING DID NOT DIFFER BETWEEN YOGA PRACTITIONERS AND PHYSICAL ACTIVITY PRACTITIONERS, BOTH SHOWED GREATER ADOPTION OF INTUITIVE EATING AS COMPARED TO INACTIVE INDIVIDUALS. STILL, YOGA PRACTITIONERS HAD BETTER CONFIDENCE IN THEIR PHYSIOLOGICAL SIGNS OF HUNGER AND SATIETY, AS WELL AS BETTER EATING BEHAVIOR, QUALITY OF LIFE, SATISFACTION WITH BODY IMAGE, HEALTHY BODY WEIGHT, AND STRESS-RELATED EMOTIONAL REGULATION, AS COMPARED TO THE OTHER GROUPS. IN ADDITION, THERE WAS A POSITIVE CORRELATION BETWEEN INTUITIVE EATING AND QUALITY OF LIFE, BODY ESTEEM, MINDFULNESS AND EATING BEHAVIORS THAT DISCOURAGED EATING IN RESPONSE TO EXTERNAL OR PSYCHOLOGICAL INFLUENCES, AND A NEGATIVE CORRELATION TO STRESS AND WEIGHT GAIN. THIS STUDY FINDS THAT PHYSICAL EXERCISE, IN PARTICULAR THE PRACTICE OF YOGA, IS LINKED TO THE PROMOTION OF BETTER INTUITIVE EATING BEHAVIOR AS WELL AS BETTER QUALITY OF LIFE AND WELLBEING. 2021 10 2360 28 VIDEOCONFERENCED YOGA INTERVENTIONS FOR CANCER PATIENTS AND THEIR CAREGIVERS DURING THE COVID-19 PANDEMIC: A REPORT FROM A CLINICIAN'S PERSPECTIVE. BACKGROUND: THE ACCEPTABILITY OF VIDEOCONFERENCING DELIVERY OF YOGA INTERVENTIONS IN THE ADVANCED CANCER SETTING IS RELATIVELY UNEXPLORED. THE CURRENT REPORT SUMMARIZES THE CHALLENGES AND SOLUTIONS OF THE TRANSITION FROM AN IN-PERSON (IE, FACE-TO-FACE) TO A VIDEOCONFERENCE INTERVENTION DELIVERY APPROACH IN RESPONSE TO THE CORONAVIRUS DISEASE PANDEMIC. METHOD: PARTICIPANTS INCLUDED PATIENT-FAMILY CAREGIVER DYADS WHO WERE ENROLLED IN ONGOING YOGA TRIALS AND 2 CERTIFIED YOGA THERAPISTS WHO DELIVERED THE YOGA SESSIONS. WE SUMMARIZED THEIR EXPERIENCES USING RECORDINGS OF THE YOGA SESSIONS AND INTERVENTIONISTS' PROGRESS NOTES. RESULTS: OUT OF 7 DYADS PARTICIPATING IN THE PARENT TRIAL, 1 DECLINED THE VIDEOCONFERENCED SESSIONS. PARTICIPANTS WERE BETWEEN THE AGES OF 55 AND 76 AND MOSTLY NON-HISPANIC WHITE (83%). PATIENTS WERE MAINLY MALE (83%), ALL HAD STAGE III OR IV CANCER AND WERE UNDERGOING RADIOTHERAPY. CAREGIVERS WERE ALL FEMALE. DESPITE CHALLENGES IN THE AREAS OF TECHNOLOGY, LOCATION, AND SETTING, INSTRUCTION AND PERSONAL CONNECTION, THE OVERALL ACCEPTABILITY WAS HIGH AMONG PATIENTS, CAREGIVERS, AND INSTRUCTORS. THROUGH THIS TRANSITION PROCESS, SOLUTIONS TO THESE CHALLENGES WERE FOUND, WHICH ARE DESCRIBED HERE. CONCLUSION: ALTHOUGH IN-PERSON INTERVENTIONS ARE FAVORED BY BOTH THE STUDY PARTICIPANTS AND THE INTERVENTIONISTS, VIDEOCONFERENCE SESSIONS WERE DEEMED ACCEPTABLE. ALL PARTICIPANTS HAD THE BENEFIT OF A PREVIOUS IN-PERSON EXPERIENCE, WHICH WAS HELPFUL AND PERHAPS NECESSARY FOR OLDER AND ADVANCED CANCER PATIENTS REQUIRING PRACTICE MODIFICATIONS. IN A REMOTE SETTING, THE ASSISTANCE OF CAREGIVERS SEEMS PARTICULARLY BENEFICIAL TO ENSURE PRACTICE SAFETY. CLINICALTRIALS.GOV: NCT03948100; NCT02481349. 2021 11 319 48 AN INTERVENTION WITH DANCE AND YOGA FOR GIRLS WITH FUNCTIONAL ABDOMINAL PAIN DISORDERS (JUST IN TIME): PROTOCOL FOR A RANDOMIZED CONTROLLED TRIAL. BACKGROUND: FUNCTIONAL ABDOMINAL PAIN DISORDERS (FAPDS) AFFECT MANY CHILDREN WORLDWIDE, PREDOMINANTLY GIRLS, AND CAUSE CONSIDERABLE LONG-TERM NEGATIVE CONSEQUENCES FOR INDIVIDUALS AND SOCIETY. EVIDENCE-BASED AND COST-EFFECTIVE TREATMENTS ARE THEREFORE STRONGLY NEEDED. PHYSICAL ACTIVITY HAS SHOWN PROMISING EFFECTS IN THE PRACTICAL MANAGEMENT OF FAPDS. DANCE AND YOGA ARE BOTH POPULAR ACTIVITIES THAT HAVE BEEN SHOWN TO PROVIDE SIGNIFICANT PSYCHOLOGICAL AND PAIN-RELATED BENEFITS WITH MINIMAL RISK. THE ACTIVITIES COMPLEMENT EACH OTHER, IN THAT DANCE INVOLVES DYNAMIC, RHYTHMIC PHYSICAL ACTIVITY, WHILE YOGA ENHANCES RELAXATION AND FOCUS. OBJECTIVE: THIS STUDY AIMS TO EVALUATE THE EFFECTS OF A DANCE AND YOGA INTERVENTION AMONG GIRLS AGED 9 TO 13 YEARS WITH FAPDS. METHODS: THE STUDY IS A PROSPECTIVE RANDOMIZED CONTROLLED TRIAL AMONG GIRLS AGED 9 TO 13 YEARS WITH FUNCTIONAL ABDOMINAL PAIN, IRRITABLE BOWEL SYNDROME, OR BOTH. THE TARGET SAMPLE SIZE WAS 150 GIRLS RANDOMIZED INTO 2 ARMS: AN INTERVENTION ARM THAT RECEIVES DANCE AND YOGA SESSIONS TWICE WEEKLY FOR 8 MONTHS AND A CONTROL ARM THAT RECEIVES STANDARD CARE. OUTCOMES WILL BE MEASURED AT BASELINE AND AFTER 4, 8, 12, AND 24 MONTHS, AND LONG-TERM FOLLOW-UP WILL BE CONDUCTED 5 YEARS FROM BASELINE. QUESTIONNAIRES, INTERVIEWS, AND BIOMARKER MEASURES, SUCH AS CORTISOL IN SALIVA AND FECAL MICROBIOTA, WILL BE USED. THE PRIMARY OUTCOME IS THE PROPORTION OF GIRLS IN EACH GROUP WITH REDUCED PAIN, AS MEASURED BY THE FACES PAIN SCALE-REVISED IN A PAIN DIARY, IMMEDIATELY AFTER THE INTERVENTION. SECONDARY OUTCOMES ARE GASTROINTESTINAL SYMPTOMS, GENERAL HEALTH, MENTAL HEALTH, STRESS, AND PHYSICAL ACTIVITY. THE STUDY ALSO INCLUDES QUALITATIVE EVALUATIONS AND HEALTH ECONOMIC ANALYSES. THIS STUDY WAS APPROVED BY THE REGIONAL ETHICAL REVIEW BOARD IN UPPSALA (NO. 2016/082 1-2). RESULTS: DATA COLLECTION BEGAN IN OCTOBER 2016. THE INTERVENTION HAS BEEN PERFORMED IN 3 PERIODS FROM 2016 THROUGH 2019. THE FINAL 5-YEAR FOLLOW-UP IS ANTICIPATED TO BE COMPLETED BY FALL 2023. CONCLUSIONS: COST-EFFECTIVE AND EASILY ACCESSIBLE INTERVENTIONS ARE WARRANTED TO REDUCE THE NEGATIVE CONSEQUENCES ARISING FROM FAPDS IN YOUNG GIRLS. PHYSICAL ACTIVITY IS AN EFFECTIVE STRATEGY, BUT INTERVENTION STUDIES ARE NEEDED TO BETTER UNDERSTAND WHAT TYPES OF ACTIVITIES FACILITATE REGULAR PARTICIPATION IN THIS TARGET GROUP. THE JUST IN TIME (TRY, IDENTIFY, MOVE, AND ENJOY) STUDY WILL PROVIDE INSIGHTS REGARDING THE EFFECTIVENESS OF DANCE AND YOGA AND IS ANTICIPATED TO CONTRIBUTE TO THE CHALLENGING WORK OF REDUCING THE BURDEN OF FAPDS FOR YOUNG GIRLS. TRIAL REGISTRATION: CLINICALTRIALS.GOV (NCT02920268); HTTPS://CLINICALTRIALS.GOV/CT2/SHOW/NCT02920268. INTERNATIONAL REGISTERED REPORT IDENTIFIER (IRRID): DERR1-10.2196/19748. 2020 12 1222 40 FEASIBILITY AND ACCEPTABILITY OF AN INTERNET-BASED, AFRICAN DANCE-MODIFIED YOGA PROGRAM FOR AFRICAN-AMERICAN WOMEN WITH OR AT RISK FOR METABOLIC SYNDROME. AFRICAN-AMERICAN (AA) WOMEN ARE THE SEGMENT OF THE POPULATION THAT EXPERIENCES THE HIGHEST MORTALITY FROM METABOLIC SYNDROME (METS). YOGA DECREASES RISK OF METS, YET THERE HAVE BEEN NO YOGA STUDIES OF AA WOMEN WITH OR AT RISK FOR METS. THE PURPOSE OF THIS 4-WEEK STUDY WAS TO TEST THE FEASIBILITY AND ACCEPTABILITY OF A CULTURALLY TAILORED, INTERNET-BASED INTERVENTION, YOGIC DANCE (YD), USING DIGITAL VIDEOS IN A SAMPLE OF AA WOMEN (AGES 35-64) AT RISK FOR OR WITH METS. THE INVESTIGATORS EXAMINED THE RATES OF ACCRUAL, ATTRITION, AND REASONS FOR ATTRITION; THE FEASIBILITY OF USING THE INTERNET TO DELIVER THE INTERVENTION; THE ACCEPTABILITY OF THE INTERVENTION AS STRUCTURED; AND ANY OTHER BENEFITS AND/OR LIMITATIONS OF YD. THE STUDY USED A SINGLE-GROUP, MIXED-METHODS DESIGN UNDERPINNED BY SOCIAL CONSTRUCTIVIST THEORY AND PENDER'S HEALTH PROMOTION MODEL. TWENTY-FOUR WOMEN PROVIDED CONSENT TO ENROLL IN THE STUDY. AFTER COMPLETING IN-PERSON SEMI-STRUCTURED INTERVIEWS AND INTERNET-BASED MEASURES, INCLUDING THE PHYSICAL ACTIVITY READINESS QUESTIONNAIRE, AND THE MODIFIED INTERNATIONAL PHYSICAL ACTIVITY QUESTIONNAIRE, CONSENTED PARTICIPANTS ENGAGED IN 4-WEEKS OF THE YOGIC DANCE INTERVENTION VIA DAILY VIDEO-BASED INSTRUCTIONS LOCATED ON THE STUDY WEB SITE. AFTER THE INTERVENTION, FOUR WOMEN PARTICIPATED IN FOCUS GROUPS TO VOICE THEIR PERCEPTIONS OF BARRIERS TO AND BENEFITS FROM YD AND THE ACCEPTABILITY OF USING THE YD INTERVENTION. THE INVESTIGATORS ANALYZED FOCUS GROUP DATA USING CONTENT/THEMATIC ANALYSIS AND VALIDATED THEMES WITH BASELINE SEMI-STRUCTURED INTERVIEWS. THE MAJORITY OF THE WOMEN (79%) FOUND YD ACCEPTABLE. THEMES THAT EMERGED FROM THE DESCRIPTIVE DATA INCLUDE: (1) CULTURE IS AN IMPORTANT ASPECT OF YOGIC DANCE; AND (2) INCREASED SOCIAL SUPPORT WOULD ENHANCE YOGIC DANCE PARTICIPATION. THE INTEGRATED RESULTS FROM THIS FEASIBILITY STUDY WILL INFORM RESEARCH EXPLORING THE COMPLEX CORRELATES THAT INFLUENCE HEALTH BEHAVIORS IN AA WOMEN. 2014 13 1946 18 SATISFACTION WITH ONLINE VERSUS IN-PERSON YOGA DURING COVID-19. INTRODUCTION: DURING COVID-19 RESTRICTIONS, YOGA CLASSES TRANSITIONED TO ONLINE DELIVERY. THIS REPORT COMPARES THE PERCEIVED BENEFITS AND BARRIERS TO ONLINE AND IN-PERSON YOGA AND DETERMINE THE PREFERRED FORMAT. A SECONDARY AIM WAS TO COMPARE HOW WELL EACH FORMAT WAS PERCEIVED TO PRODUCE COMMON BENEFITS OF YOGA PRACTICE. MATERIALS AND METHODS: A CROSS-SECTIONAL ONLINE SURVEY OF AUSTRALIAN PARTICIPANTS. RESULTS: IN-PERSON YOGA SCORED HIGHEST FOR PROVIDING MENTAL HEALTH/MOOD BENEFITS, PHYSICAL SATISFACTION, AND FEELING ENERGIZED. ONLINE YOGA SCORED HIGHEST FOR CONVENIENCE, MENTAL HEALTH/MOOD BENEFITS, AND AFFORDABILITY (INITIAL N = 156; FOLLOW-UP N = 55). CONCLUSION: ONLINE YOGA WAS ACCEPTABLE AND PERCEIVED TO PROVIDE IMPROVED MENTAL HEALTH AND MOOD. 2021 14 1181 28 EVALUATION OF THE FEASIBILITY OF A HOME-BASED TELEYOGA INTERVENTION IN PARTICIPANTS WITH BOTH CHRONIC OBSTRUCTIVE PULMONARY DISEASE AND HEART FAILURE. OBJECTIVE: TEST THE FEASIBILITY AND CLINICAL OUTCOMES OF A HOME-BASED VIDEOCONFERENCING YOGA INTERVENTION IN PARTICIPANTS DIAGNOSED WITH BOTH CHRONIC OBSTRUCTIVE PULMONARY DISEASE (COPD) AND HEART FAILURE (HF). BACKGROUND: YOGA HAS POTENTIAL BENEFIT FOR SYMPTOM RELIEF IN PARTICIPANTS WITH COPD AND WITH HF; HOWEVER, FUNCTIONAL IMPAIRMENT AND TRANSPORTATION ISSUES CAN HINDER ACCESS TO TYPICAL YOGA CLASSES. METHODS: A CONTROLLED, NONRANDOMIZED TRIAL WAS CONDUCTED OF AN 8-WEEK TELEYOGA INTERVENTION VERSUS AN EDUCATIONAL CONTROL (INFORMATION LEAFLETS MAILED TO PARTICIPANTS WITH ONE WEEKLY PHONE CALL). ONE-HOUR TELEYOGA CLASSES WERE IMPLEMENTED TWICE WEEKLY VIA MULTIPOINT VIDEOCONFERENCING, WHICH CONNECTED PARTICIPANTS TO LIVE CLASSES VIA AN INTERNET CONNECTION TO THEIR TELEVISIONS. RESULTS: FOURTEEN PARTICIPANTS WITH COPD AND HF TOOK PART IN THE PILOT STUDY (7 IN THE INTERVENTION GROUP AND 8 IN THE CONTROL). INTERVENTION PARTICIPANTS WERE ADHERENT TO CLASSES, ABLE TO SAFELY PARTICIPATE, AND FOUND THE CLASSES ENJOYABLE AFTER THE 8-WEEK PROGRAM. DYSPNEA AFTER EXERCISE IMPROVED IN THE INTERVENTION GROUP. CONCLUSIONS: DESPITE THEIR FRAILTY, PATIENTS DIAGNOSED WITH BOTH COPD AND HF WERE ABLE TO PERFORM YOGA SAFELY IN THE HOME SETTING. TELEYOGA WAS ACCEPTABLE AND ADHERENCE WAS GOOD; HOWEVER, TECHNICAL ISSUES WERE AN IMPORTANT HINDRANCE TO PARTICIPATION. 2017 15 1591 40 MEDITATION AND YOGA FOR IRRITABLE BOWEL SYNDROME: STUDY PROTOCOL FOR A RANDOMISED CLINICAL TRIAL (MY-IBS STUDY). INTRODUCTION: WHEN DELIVERED IN PERSON, YOGA HAS BEEN SHOWN TO BE EFFECTIVE IN MANAGING IRRITABLE BOWEL SYNDROME (IBS) SYMPTOMS. RESEARCH IS NEEDED TO TEST THE FEASIBILITY AND EFFECTIVENESS OF YOGA AS A THERAPEUTIC OPTION WHEN DELIVERED VIRTUALLY. THE PRIMARY AIM OF THE MIND AND YOGA FOR IBS RANDOMISED CONTROLLED TRIAL IS TO DETERMINE THE EFFECTS OF AN 8-WEEK VIRTUAL MEDITATION AND YOGA INTERVENTION ON IBS SYMPTOM SEVERITY COMPARED WITH AN ADVICE-ONLY ACTIVE CONTROL GROUP. METHODS AND ANALYSIS: ADULTS DIAGNOSED WITH IBS WILL BE RANDOMISED TO RECEIVE EITHER A UPA YOGA INTERVENTION OR AN ADVICE-ONLY CONTROL GROUP. THE INTERVENTION WILL CONSIST OF WEEKLY ONLINE CLASSES FOR 8 WEEKS DELIVERED BY A FACILITATOR USING MICROSOFT OFFICE TEAMS AND DAILY HOME PRACTICE. FEASIBILITY WILL BE EVALUATED BY EXAMINING RECRUITMENT AND ATTRITION RATES, ADHERENCE, PARTICIPANT SATISFACTION WITH THE PROGRAMME AND SAFETY. THE PRIMARY OUTCOME IS IBS SYMPTOM SEVERITY, AND KEY SECONDARY OUTCOMES INCLUDE (BUT NOT LIMITED TO) QUALITY OF LIFE, ANXIETY AND DEPRESSION SYMPTOMS, COVID-19-RELATED STRESS AND ANXIETY, AND FATIGUE. OUTCOMES WILL BE ASSESSED AT BASELINE, 4 WEEKS AND 8 WEEKS. AN EMBEDDED DESIGN EXPERIMENTAL MODEL SUBSTUDY WILL BE CONDUCTED POST INTERVENTION USING QUALITATIVE RESEARCH METHODS TO IDENTIFY PARTICIPANTS' EXPERIENCES IN THE YOGA PROGRAMME. ETHICS AND DISSEMINATION: THIS STUDY HAS BEEN APPROVED BY THE CONJOINT HEALTH RESEARCH ETHICS BOARD (REB ID 20-0084). FINDINGS WILL BE DISSEMINATED THROUGH PEER-REVIEWED PUBLICATION, CONFERENCE PRESENTATION AND SOCIAL MEDIA. TRIAL REGISTRATION NUMBER: NCT04302623. 2022 16 1165 49 EVALUATING THE FEASIBILITY AND IMPACT OF A YOGA INTERVENTION ON COGNITION, PHYSICAL FUNCTION, PHYSICAL ACTIVITY, AND AFFECTIVE OUTCOMES IN PEOPLE LIVING WITH HIV: PROTOCOL FOR A RANDOMIZED PILOT TRIAL. BACKGROUND: DESPITE LOWER MORTALITY RATES DUE TO COMBINATION ANTIRETROVIRAL THERAPY, PEOPLE LIVING WITH HIV (PLWH) ARE GRAPPLING WITH INCREASINGLY COMPLEX HEALTH ISSUES, INCLUDING COGNITIVE IMPAIRMENTS IN AREAS SUCH AS MEMORY, ATTENTION, PROCESSING SPEED, AND MOTOR FUNCTION. YOGA HAS BEEN SHOWN TO BE AN EFFECTIVE FORM OF EXERCISE AND MINDFULNESS-BASED STRESS REDUCTION FOR MANY CLINICAL POPULATIONS. HOWEVER, NO RANDOMIZED TRIALS HAVE EVALUATED THE IMPACT OF YOGA ON COGNITIVE AND PHYSICAL FUNCTION AMONG PLWH. OBJECTIVE: THE AIM OF THIS PILOT RANDOMIZED TRIAL WAS TO DETERMINE THE FEASIBILITY OF A YOGA INTERVENTION TO LAY THE GROUNDWORK FOR A FULL-SCALE, MULTISITE, COMMUNITY-BASED TRIAL FOR PLWH. SPECIFIC OBJECTIVES ARE TO (1) ASSESS THE FEASIBILITY OF STUDY PROTOCOL AND PROCEDURES, (2) COMPARE COGNITION IN THE YOGA GROUP WITH THE USUAL CARE CONTROL GROUP AFTER 12 WEEKS OF THE INTERVENTION IN PLWH, AND (3) COMPARE THE EFFECTS OF THE 12-WEEK YOGA INTERVENTION VERSUS CONTROL ON BALANCE, WALKING SPEED, PHYSICAL ACTIVITY, MENTAL HEALTH, MEDICATION ADHERENCE, AND QUALITY OF LIFE AMONG PLWH. METHODS: WE PROPOSE A PILOT RANDOMIZED TRIAL WITH 2 PARALLEL GROUPS (YOGA VERSUS CONTROL). WE WILL RECRUIT 25 PLWH (>35 YEARS) FROM COMMUNITY AND HEALTH ORGANIZATIONS IN HALIFAX, CANADA. AFTER BASELINE ASSESSMENT WITH BLINDED ASSESSORS, PARTICIPANTS WILL BE RANDOMLY ASSIGNED TO THE YOGA OR CONTROL GROUP, USING A RANDOM COMPUTER GENERATOR. PARTICIPANTS IN THE YOGA GROUP WILL ENGAGE IN SUPERVISED 60-MIN GROUP-BASED YOGA SESSIONS 3 TIMES A WEEK FOR 12 WEEKS AT A YOGA STUDIO. PARTICIPANTS IN THE CONTROL GROUP WILL MAINTAIN THEIR CURRENT PHYSICAL ACTIVITY LEVELS THROUGHOUT THE STUDY. RESULTS: AS PER THE CONSOLIDATED STANDARDS OF REPORTING TRIALS EXTENSION FOR PILOT STUDIES, MEANS OF ALL OUTCOMES, MEAN CHANGE, AND 95% CIS WILL BE CALCULATED FOR EACH GROUP SEPARATELY. TWO-TAILED INDEPENDENT T TESTS AND FISHER EXACT TESTS WILL BE USED TO COMPARE GROUPS AT BASELINE. WE WILL ANALYZE QUANTITATIVE POSTINTERVENTION QUESTIONNAIRE RESPONSES USING CHI-SQUARE TESTS, AND OPEN-ENDED RESPONSES WILL BE ANALYZED THEMATICALLY. INTENTION-TO-TREAT AND PER-PROTOCOL ANALYSES WILL BE USED TO ANALYZE SECONDARY VARIABLES. CHANGES IN OUTCOME VARIABLES WILL BE EXAMINED BETWEEN GROUPS AND WITHIN GROUPS. EFFECT SIZES WILL BE REPORTED FOR EACH OUTCOME. A PRIORI ADHERENCE AND SATISFACTION CRITERIA WILL BE MET IF PARTICIPANTS ATTEND >70% OF THE YOGA SESSIONS AND IF >70% OF THE PARTICIPANTS ARE SATISFIED WITH THE INTERVENTION AS DETERMINED BY A POSTPARTICIPATION QUESTIONNAIRE. STUDY ENROLLMENT BEGAN IN JANUARY 2018, WITH RESULTS EXPECTED FOR OCTOBER 2019. CONCLUSIONS: THIS PILOT RANDOMIZED TRIAL WILL BE THE FIRST TO INVESTIGATE THE FEASIBILITY AND EFFECT OF A YOGA INTERVENTION ON COGNITIVE AND PHYSICAL OUTCOMES AMONG PLWH. THIS WORK WILL INFORM THE FEASIBILITY OF FURTHER INVESTIGATIONS IN TERMS OF CAPACITY BUILDING, PARTICIPANT RECRUITMENT AND RETENTION, AND ASSESSMENT AND INTERVENTION PROTOCOLS. TRIAL REGISTRATION: CLINICALTRIALS.GOV NCT03071562; HTTPS://CLINICALTRIALS.GOV/CT2/SHOW/NCT03071562 (ARCHIVED BY WEBCITE AT HTTP://WWW.WEBCITATION.ORG/785SFHWKW). INTERNATIONAL REGISTERED REPORT IDENTIFIER (IRRID): DERR1-10.2196/13818. 2019 17 420 36 BRIDGING BODY AND MIND: CASE SERIES OF A 10-WEEK TRAUMA-INFORMED YOGA PROTOCOL FOR VETERANS. THIS CASE SERIES EXPLORED THE FEASIBILITY AND PRELIMINARY EFFICACY OF THERAPEUTIC YOGA AS A COMPLEMENTARY FORM OF TREATMENT FOR COMBAT-RELATED TRAUMA. THE SERIES RECRUITED FOR AND IMPLEMENTED A 10-WEEK TRAUMA-INFORMED YOGA PROTOCOL FOR VETERANS IN AN INTERPROFESSIONAL COMMUNITY HEALTH TREATMENT SETTING. PARTICIPANTS WERE ENROLLED IN A SERIES OF 90-MINUTE THERAPEUTIC YOGA CLASSES ADAPTED TO BE TRAUMA-INFORMED. FEASIBILITY WAS MEASURED BY RECRUITMENT, RETENTION, AND LEVEL OF PARTICIPATION IN THE STUDY. PRELIMINARY EFFICACY WAS EXPLORED VIA THE POSTTRAUMATIC STRESS DISORDER CHECKLIST, SCALE OF BODY CONNECTION, PROMIS-29, PROMIS ALCOHOL USE, PROMIS SUBSTANCE USE, DIFFICULTIES IN EMOTIONAL REGULATION SCALE, AND SELF-COMPASSION SCALE-SHORT FORM. ALL MEASURES WERE ADMINISTERED AT BASELINE, WEEK 5, WEEK 10, AND AT A 5-WEEK FOLLOW-UP. A QUALITATIVE FEASIBILITY QUESTIONNAIRE WAS ADMINISTERED WEEKLY AND AT THE 5-WEEK FOLLOW-UP TO ASSESS BARRIERS AND MOTIVATORS FOR HOME PRACTICE AND TO COLLECT FEEDBACK ABOUT SESSION CONTENT. RECRUITMENT CHALLENGES RESULTED IN ONLY SEVEN INTERESTED INDIVIDUALS. FOUR PARTICIPANTS (THREE MALES, ONE FEMALE) WERE SUCCESSFULLY ENROLLED IN THE STUDY AFTER SEVEN PHONE SCREENINGS AND FIVE IN-PERSON INTERVIEWS. THE FOUR ENROLLED CLIENTS HAD A 100% FOLLOW-UP RETENTION RATE, REPORTED NO ADVERSE EVENTS, AND ON AVERAGE PARTICIPATED IN 85% OF CLASSES. CLINICALLY SIGNIFICANT ENHANCEMENTS WERE OBSERVED ON TRAUMA- AND BODY CONNECTION-RELATED SCALES FOR THREE PARTICIPANTS FROM BASELINE TO FOLLOW-UP. QUALITATIVE DATA REVEALED THAT MOTIVATORS TO PRACTICE INCLUDE IN-SESSION PHILOSOPHICAL DISCUSSIONS BASED ON PSYCHOLOGICAL THEMES; BREATHWORK; MINDFULNESS; AND PHYSICAL, SOCIAL, WORK/ACADEMIC, AND MENTAL HEALTH IMPACT. BARRIERS INCLUDED MOTIVATION, TIME, AND LOCATION. IMPORTANT THEMES EMERGED RELATED TO CULTURAL CONSIDERATIONS FOR VETERANS. ALTHOUGH THIS 10-WEEK TRAUMA-INFORMED PROTOCOL FACED CHALLENGES TO RECRUITMENT, RETENTION AND PARTICIPATION WERE HIGH. EFFICACY MEASURES YIELDED PROMISING RESULTS FOR REDUCING TRAUMA-RELATED SYMPTOMS. 2019 18 1996 40 STAY MINDFULLY ACTIVE DURING THE CORONAVIRUS PANDEMIC: A FEASIBILITY STUDY OF MHEALTH-DELIVERED MINDFULNESS YOGA PROGRAM FOR PEOPLE WITH PARKINSON'S DISEASE. IMPORTANCE: PATIENTS WITH LONG-TERM NEUROLOGICAL CONDITIONS, SUCH AS PARKINSON'S DISEASE (PD), ARE PARTICULARLY VULNERABLE TO THE PUBLIC HEALTH MEASURES TAKEN TO COMBAT THE COVID-19 PANDEMIC. THE INACCESSIBILITY OF CENTER-BASED REHABILITATION FURTHER AGGRAVATED THEIR MOTOR DYSFUNCTIONS AS WELL AS MENTAL DISTRESS, LEADING TO EXACERBATION OF MOTOR AND NON-MOTOR SYMPTOMS, HIGH HEALTHCARE UTILIZATION AND WORSENED HEALTH-RELATED QUALITY OF LIFE (HRQOL). OBJECTIVE: THIS STUDY AIMED TO EVALUATE THE FEASIBILITY, SAFETY, AND PRELIMINARY EFFECTS OF THE MHEALTH-DELIVERED HOME-BASED MINDFULNESS YOGA PROGRAM ON FUNCTIONAL BALANCE, MOTOR SYMPTOMS, MENTAL HEALTH AND HRQOL IN PATIENTS WITH PD. DESIGN, SETTING AND PARTICIPANTS: THIS PROSPECTIVE, SINGLE-ARM, NON-RANDOMIZED FEASIBILITY STUDY ADOPTED A SEQUENTIAL EXPLANATORY MIXED-METHOD DESIGN. ADULTS (AGED >/= 18) WITH A CLINICAL DIAGNOSIS OF IDIOPATHIC PARKINSON'S DISEASE (HOEHN AND YAHR STAGE I TO III) WHO WERE ABLE TO STAND UNAIDED AND WALK WITH OR WITHOUT AN ASSISTIVE DEVICE WERE ENROLLED VIA CONVENIENCE SAMPLING. INTERVENTION: HOME-BASED MINDFULNESS YOGA TRAINING WERE DELIVERED VIA VIDEO-CONFERENCING SOFTWARE (ZOOM) IN EIGHT BI-WEEKLY 90-MIN SESSIONS. MAIN OUTCOMES AND MEASURES: THIS CURRENT STUDY MEASURED FUNCTIONAL BALANCE, MOTOR SYMPTOMS, PERCEIVED BALANCE CONFIDENCE, PERCEIVED FREEZING OF GAIT SYMPTOMS, ANXIETY AND DEPRESSION, MINDFULNESS AND HRQOL USING A TELE-ASSESSMENT APPROACH AT BASELINE AND 1-WEEK POST-INTERVENTION. ALL PARTICIPANTS WERE INVITED TO ATTEND QUALITATIVE INDIVIDUAL INTERVIEWS TO EXPLORE THEIR EXPERIENCE OF USING ONLINE MINDFULNESS YOGA PROGRAM AS A LIFESTYLE INTERVENTION FOR PD REHABILITATION. RESULTS: AMONG THE TEN PATIENTS, 80% COMPLETED THE PROGRAM WITH AN ADHERENCE RATE OF 98.4%. ALL PARTICIPANTS WERE ABLE TO LEARN AND PRACTICE MINDFULNESS YOGA FOLLOWING THE EIGHT BI-WEEKLY ONLINE MINDFULNESS YOGA TRAINING SESSIONS, WITHOUT ANY SIGNIFICANT ADVERSE EVENTS. TELE-ASSESSMENT OF OUTCOMES WERE FEASIBLE AND UNEVENTFUL. QUALITATIVE FEEDBACK REVEALED PARTICIPANTS HAD A HIGH PREFERENCE OF USING THE TELE-REHABILITATION APPROACH TO STAY MINDFUL AND BEING ACTIVE, BOTH PHYSICALLY AND SOCIALLY, WHILE CONFRONTING THE CHANGES BROUGHT BY COVID-19 PANDEMIC. CONCLUSIONS AND RELEVANCE: THE MHEALTH-DELIVERED HOME-BASED MINDFULNESS YOGA INTERVENTION WAS FEASIBLE, SAFE, AND WELL-ACCEPTED AMONG PEOPLE WITH PD TO RELIEVE THE BURDEN BROUGHT BY COVID-19 PANDEMIC. FUTURE STUDIES SHOULD ADOPT A DESIGN WITH ENHANCED RIGOR, A COMPARISON GROUP, AND ENLARGED SAMPLE SIZE TO EVALUATE THE EFFICACY OF THE PROGRAM IN PATIENTS WITH LONG-TERM NEUROLOGICAL CONDITIONS AND/OR PHYSICAL IMPAIRMENTS. WE RECOMMEND A LONGER INTERVENTION DURATION OF AT LEAST 8 WEEKS TO ENHANCE THE PSYCHOPHYSIOLOGICAL EFFECTS. 2022 19 1224 43 FEASIBILITY AND ASSESSMENT OF OUTCOME MEASURES FOR YOGA AS SELF-CARE FOR MINORITIES WITH ARTHRITIS: A PILOT STUDY. BACKGROUND: WHILE THERE IS A GROWING INTEREST IN THE THERAPEUTIC BENEFITS OF YOGA, MINORITY POPULATIONS WITH ARTHRITIS TEND TO BE UNDER-REPRESENTED IN THE RESEARCH. ADDITIONALLY, THERE IS AN ABSENCE OF GUIDANCE IN THE LITERATURE REGARDING THE USE OF MULTICULTURAL TEAMS AND SOCIOCULTURAL HEALTH BELIEFS, WHEN DESIGNING YOGA STUDIES FOR A RACIALLY DIVERSE POPULATION WITH ARTHRITIS. THIS PILOT STUDY EXAMINED THE FEASIBILITY OF OFFERING YOGA AS A SELF-CARE MODALITY TO AN URBAN, BILINGUAL, MINORITY POPULATION WITH OSTEOARTHRITIS (OA) OR RHEUMATOID ARTHRITIS (RA), IN THE WASHINGTON, DC AREA. METHODS: THE PRIMARY OBJECTIVE OF THE STUDY WAS TO ASSESS THE FEASIBILITY OF OFFERING AN 8-WEEK, BILINGUAL YOGA INTERVENTION ADAPTED FOR ARTHRITIS TO A CONVENIENCE SAMPLE OF PRIMARILY HISPANIC AND BLACK/AFRICAN-AMERICAN ADULTS. A RACIALLY DIVERSE INTERDISCIPLINARY RESEARCH TEAM WAS ASSEMBLED TO DESIGN A STUDY TO FACILITATE RECRUITMENT AND RETENTION. THE SECOND OBJECTIVE IDENTIFIED OUTCOME MEASURES TO OPERATIONALIZE POTENTIAL FACILITATORS AND BARRIERS TO SELF-CARE AND SELF-EFFICACY. THE THIRD OBJECTIVE DETERMINED THE FEASIBILITY OF USING COMPUTER-ASSISTED SELF-INTERVIEW (CASI) FOR DATA COLLECTION. RESULTS: ENROLLED PARTICIPANTS (N = 30) WERE MOSTLY FEMALE (93%), SPANISH SPEAKING (69%), AND DIAGNOSED WITH RA (88.5%). FEASIBILITY WAS EVALUATED USING PRACTICALITY, ACCEPTABILITY, ADAPTATION, AND EXPANSION OF AN ARTHRITIS-ADAPTED YOGA INTERVENTION, MODIFIED FOR THIS POPULATION. RECRUITMENT (51%) AND PARTICIPATION (60%) RATES WERE SIMILAR TO PREVIOUS RESEARCH AND CLINICAL EXPERIENCE WITH THE STUDY POPULATION. OF THOSE ENROLLED, 18 STARTED THE INTERVENTION. FOR ADHERENCE, 12 OUT OF 18 (67%) PARTICIPANTS COMPLETED THE INTERVENTION. ALL (100%), WHO COMPLETED THE INTERVENTION, CONTINUED TO PRACTICE YOGA 3 MONTHS AFTER COMPLETING THE STUDY. USING NONPARAMETRIC TESTS, SELECTED OUTCOME MEASURES SHOWED A MEASURABLE CHANGE POST-INTERVENTION SUGGESTING APPROPRIATE USE IN FUTURE STUDIES. AN IN-PERSON COMPUTERIZED QUESTIONNAIRE WAS DETERMINED TO BE A FEASIBLE METHOD OF DATA COLLECTION. CONCLUSIONS: FINDINGS FROM THIS PILOT STUDY CONFIRM THE FEASIBILITY OF OFFERING YOGA TO THIS RACIALLY/ETHNICALLY DIVERSE POPULATION WITH ARTHRITIS. THIS ARTICLE PROVIDES RECRUITMENT/RETENTION RATES, OUTCOME MEASURES WITH ERROR RATES, AND DATA COLLECTION RECOMMENDATIONS FOR A PREVIOUSLY UNDER-REPRESENTED POPULATION. SUGGESTIONS INCLUDE ALLOCATING RESOURCES FOR TRANSLATION AND USING A MULTICULTURAL DESIGN TO FACILITATE RECRUITMENT AND RETENTION. TRIAL REGISTRATION: CLINICALTRIALS.GOV, NCT01617421. 2018 20 155 38 A QUALITATIVE STUDY EXPLORING YOGA IN VETERANS WITH PTSD SYMPTOMS. QUANTITATIVE STUDIES OF YOGA HAVE REPORTED REDUCED POSTTRAUMATIC STRESS DISORDER (PTSD) SYMPTOMS IN VETERANS, BUT LITTLE IS KNOWN ABOUT HOW AND WHY VETERANS ARE ATTRACTED TO AND STICK WITH A YOGA PRACTICE. GUIDED BY THE HEALTH BELIEF MODEL, THIS STUDY EXAMINED VETERANS' PERCEPTIONS OF THE BENEFITS, BARRIERS, AND MOTIVATIONS TO CONTINUE PRACTICING TRAUMA-SENSITIVE YOGA. INTERVIEWS WERE CONDUCTED WITH NINE INDIVIDUALS, FIVE OF WHOM COMPLETED A 6-WEEK TRAUMA-SENSITIVE YOGA INTERVENTION DESIGNED FOR VETERANS AND FOUR WHO DID NOT COMPLETE THE INTERVENTION. TRANSCRIPTS WERE ANALYZED FOR THEMES. THE BENEFITS IDENTIFIED BY VETERANS WERE FINDING MENTAL STILLNESS, BODY AWARENESS, AND SOCIAL CONNECTION. THE BARRIERS WERE PERCEPTIONS THAT YOGA IS SOCIALLY UNACCEPTABLE, ESPECIALLY FOR MEN, AND PHYSICALLY UNCHALLENGING. UNDERSTANDING THESE BENEFITS AND BARRIERS CAN HELP TO MAKE YOGA MORE ATTRACTIVE TO SERVICE MEMBERS AND VETERANS. FOR EXAMPLE, MEDICAL PERSONNEL CAN REFER SERVICE MEMBERS AND VETERANS TO YOGA NOT ONLY FOR PTSD SYMPTOMS, BUT ALSO TO ADDRESS BACK PAIN AND TO REDUCE ISOLATION. ACCESS TO MALE YOGA INSTRUCTORS, ESPECIALLY THOSE WHO ARE THEMSELVES SERVICE MEMBERS OR VETERANS, COULD BE EXPANDED, AND CLASSES COULD BE INTEGRATED INTO PHYSICAL ACTIVITY ROUTINES REQUIRED OF ACTIVE-DUTY PERSONNEL. PROMOTIONAL MATERIALS CAN FEATURE MALE SERVICE MEMBERS AND VETERANS WITH CAPTIONS RELATED TO YOGA AS A WAY TO INCREASE RESILIENCY, SELF-SUFFICIENCY, AND PHYSICAL AND MENTAL MISSION READINESS. FINDINGS FROM THIS STUDY CAN HELP THE DEPARTMENT OF DEFENSE AND THE VETERANS HEALTH ADMINISTRATION IMPLEMENT YOGA AS AN ADJUNCT OR ALTERNATIVE TREATMENT FOR VETERANS WITH PTSD SYMPTOMS. 2018