1 2763 121 YOGA PROGRAM FOR TYPE 2 DIABETES PREVENTION (YOGA-DP) AMONG HIGH-RISK PEOPLE: QUALITATIVE STUDY TO EXPLORE REASONS FOR NON-PARTICIPATION IN A FEASIBILITY RANDOMIZED CONTROLLED TRIAL IN INDIA. BACKGROUND: YOGA-BASED INTERVENTIONS CAN BE EFFECTIVE IN PREVENTING TYPE 2 DIABETES MELLITUS (T2DM). WE DEVELOPED A YOGA PROGRAM FOR T2DM PREVENTION (YOGA-DP) AMONG HIGH-RISK PEOPLE AND CONDUCTED A FEASIBILITY RANDOMIZED CONTROLLED TRIAL (RCT) IN INDIA. THE OBJECTIVE OF THIS STUDY WAS TO IDENTIFY AND EXPLORE WHY POTENTIAL PARTICIPANTS DECLINED TO PARTICIPATE IN THE FEASIBILITY RCT. METHODS: AN EXPLORATORY QUALITATIVE STUDY, USING SEMI-STRUCTURED INTERVIEWS, WAS CONDUCTED AT A YOGA CENTER IN NEW DELHI, INDIA. FOURTEEN PEOPLE (10 WOMEN AND FOUR MEN) WHO DECLINED TO PARTICIPATE IN THE FEASIBILITY RCT WERE INTERVIEWED, AND 13 OF THEM COMPLETED THE NON-PARTICIPANT QUESTIONNAIRE, WHICH CAPTURED THEIR SOCIO-DEMOGRAPHICS, DIETS, PHYSICAL ACTIVITIES, AND REASONS FOR DECLINING. RESULTS: THREE TYPES OF BARRIERS WERE IDENTIFIED AND EXPLORED WHICH PREVENTED PARTICIPATION IN THE FEASIBILITY RCT: (1) PERSONAL BARRIERS, SUCH AS LACK OF TIME, PERCEIVED SUFFICIENCY OF KNOWLEDGE, PREFERENCES ABOUT SELF-MANAGEMENT OF HEALTH, AND TRUST IN OTHER TRADITIONAL AND ALTERNATIVE THERAPIES; (2) CONTEXTUAL BARRIERS, SUCH AS SOCIAL INFLUENCES AND LACK OF AWARENESS ABOUT PREVENTIVE CARE; AND (3) STUDY-RELATED BARRIERS, SUCH AS LACK OF STUDY INFORMATION, POOR ACCESSIBILITY TO THE YOGA SITE, AND LACK OF TRUST IN THE STUDY METHODS AND INTERVENTION. CONCLUSIONS: WE IDENTIFIED AND EXPLORED PERSONAL, CONTEXTUAL, AND STUDY-RELATED BARRIERS TO PARTICIPATION IN A FEASIBILITY RCT IN INDIA. THE FINDINGS WILL HELP TO ADDRESS RECRUITMENT CHALLENGES IN FUTURE YOGA AND OTHER RCTS. CLINICAL TRIAL REGISTRATION:WWW.CLINICALTRIALS.GOV, IDENTIFIER: CTRI/2019/05/018893. 2021 2 1159 34 ESTABLISHING KEY COMPONENTS OF YOGA INTERVENTIONS FOR REDUCING DEPRESSION AND ANXIETY, AND IMPROVING WELL-BEING: A DELPHI METHOD STUDY. BACKGROUND: PREVIOUS RESEARCH SUGGESTS BENEFITS OF YOGA IN REDUCING DEPRESSION AND ANXIETY. HOWEVER, COMMON CONCERNS IN REVIEWS OF THE RESEARCH INCLUDE LACK OF DETAIL, RATIONALE AND CONSISTENCY OF APPROACH OF INTERVENTIONS USED. ISSUES RELATED TO HETEROGENEITY INCLUDE AMOUNT, TYPES AND DELIVERY OF YOGA INTERVENTIONS. THIS STUDY AIMS TO DOCUMENT CONSENSUS-BASED RECOMMENDATIONS FOR CONSISTENCY OF YOGA INTERVENTIONS FOR REDUCING DEPRESSION AND ANXIETY. METHODS: THE DELPHI METHOD WAS USED TO ESTABLISH CONSENSUS FROM EXPERIENCED YOGA TEACHERS. THIRTY-THREE ELIGIBLE TEACHERS WERE INVITED TO PARTICIPATE, FROM FOUR DIFFERENT COUNTRIES. TWO ROUNDS OF AN ONLINE SURVEY WERE SENT TO PARTICIPANTS. THE FIRST ROUND SOUGHT INITIAL VIEWS. THE SECOND ROUND SOUGHT CONSENSUS ON A SUMMARY OF THOSE VIEWS. SURVEY QUESTIONS RELATED TO FREQUENCY AND DURATION (DOSAGE) OF THE YOGA, APPROACHES AND TECHNIQUES TO BE INCLUDED OR AVOIDED, AND TRAINING AND EXPERIENCE FOR YOGA TEACHERS. RESULTS: TWENTY-FOUR TEACHERS AGREED TO PARTICIPATE. EIGHTEEN COMPLETED THE SECOND ROUND (N = 18). GENERAL CONSENSUS (>75% OF PARTICIPANTS IN AGREEMENT) WAS ACHIEVED ON PARAMETERS OF PRACTICE (DOSAGE): AN AVERAGE OF 30 TO 40 MINUTES, TO BE DONE 5 TIMES PER WEEK, OVER A PERIOD OF 6 WEEKS. NUMEROUS RECOMMENDATIONS FOR YOGA TECHNIQUES TO INCLUDE OR AVOID WERE COLLECTED IN THE FIRST ROUND. THE SECOND ROUND PRODUCED A CONSENSUS STATEMENT ON THOSE RECOMMENDATIONS. BREATH REGULATION AND POSTURES WERE CONSIDERED VERY IMPORTANT OR ESSENTIAL FOR PEOPLE WITH DEPRESSION; AND RELAXATION, BREATH REGULATION AND MEDITATION BEING VERY IMPORTANT OR ESSENTIAL FOR PEOPLE WITH ANXIETY. OTHER RECOMMENDED COMPONENTS ALSO ACHIEVED CONSENSUS. THERE WAS ALSO GENERAL CONSENSUS THAT IT IS VERY IMPORTANT OR ESSENTIAL FOR TEACHERS TO HAVE A MINIMUM OF 500 TRAINING HOURS OVER 2 YEARS, AT LEAST 2 YEARS TEACHING EXPERIENCE, TRAINING IN DEVELOPING PERSONALISED YOGA PRACTICES, TRAINING IN YOGA FOR MENTAL HEALTH, AND PROFESSIONAL SUPERVISION OR MENTORING. CONCLUSIONS: THE DELPHI PROCESS HAS ACHIEVED A CONSENSUS STATEMENT ON THE APPLICATION OF YOGA FOR REDUCING ANXIETY AND DEPRESSION. THIS CONSENSUS PROVIDES A CHECKLIST FOR IDENTIFICATION OF COMMONALITIES AND EVALUATION OF PAST RESEARCH. FUTURE RESEARCH CAN PROCEED TO DEVELOP AND EVALUATE CONSENSUS-BASED YOGA INTERVENTION PROTOCOLS FOR THE REDUCTION OF ANXIETY AND DEPRESSION, AND IMPROVEMENTS IN WELL-BEING. 2015 3 1042 31 EFFECTS OF YOGA INTERVENTIONS ON FATIGUE IN CANCER PATIENTS AND SURVIVORS: A SYSTEMATIC REVIEW OF RANDOMIZED CONTROLLED TRIALS. BACKGROUND: FATIGUE IS ONE OF THE MOST FREQUENTLY REPORTED, DISTRESSING SIDE EFFECTS REPORTED BY CANCER SURVIVORS AND OFTEN HAS SIGNIFICANT LONG-TERM CONSEQUENCES. RESEARCH INDICATES THAT YOGA CAN PRODUCE INVIGORATING EFFECTS ON PHYSICAL AND MENTAL ENERGY, AND THEREBY MAY IMPROVE LEVELS OF FATIGUE. THE OBJECTIVE OF THIS SYSTEMATIC REVIEW WAS TO EXAMINE THE LITERATURE THAT REPORTS THE EFFECTS OF RANDOMIZED, CONTROLLED YOGA INTERVENTIONS ON SELF-REPORTED FATIGUE IN CANCER PATIENTS AND SURVIVORS. THE ONLINE ELECTRONIC DATABASES, PUBMED AND PSYCINFO, WERE USED TO SEARCH FOR PEER-REVIEWED RESEARCH ARTICLES STUDYING THE EFFECTS OF YOGA INTERVENTIONS ON FATIGUE IN CANCER SURVIVORS. COMBINATIONS OF YOGA, CANCER, AND FATIGUE-RELATED SEARCH TERMS WERE ENTERED SIMULTANEOUSLY TO OBTAIN ARTICLES THAT INCLUDED ALL THREE ELEMENTS. STUDIES WERE INCLUDED IF THEY MET THE FOLLOWING INCLUSION CRITERIA: PARTICIPANTS WERE MALE OR FEMALE CANCER PATIENTS OR SURVIVORS PARTICIPATING IN RANDOMIZED, CONTROLLED YOGA INTERVENTIONS. THE MAIN OUTCOME OF INTEREST WAS CHANGE IN FATIGUE FROM PRE- TO POST-INTERVENTION. INTERVENTIONS OF ANY LENGTH WERE INCLUDED IN THE ANALYSIS. RISK OF BIAS USING THE FORMAT OF THE COCHRANE COLLABORATION'S TOOL FOR ASSESSING RISK OF BIAS WAS ALSO EXAMINED ACROSS STUDIES. RESULTS: TEN ARTICLES MET INCLUSION CRITERIA AND INVOLVED A TOTAL OF 583 PARTICIPANTS WHO WERE PREDOMINANTLY FEMALE, BREAST CANCER SURVIVORS. FOUR STUDIES INDICATED THAT THE YOGA INTERVENTION RESULTED IN SIGNIFICANT REDUCTIONS IN SELF-REPORTED FATIGUE FROM PRE- TO POST-INTERVENTION. THREE OF THE STUDIES REPORTED THAT THERE WERE SIGNIFICANT REDUCTIONS OF FATIGUE AMONG PARTICIPANTS WHO ATTENDED A GREATER NUMBER OF YOGA CLASSES. RISK OF BIAS WAS HIGH FOR AREAS OF ADEQUATE SELECTION, PERFORMANCE, DETECTION, AND PATIENT-REPORTED BIAS AND MIXED FOR ATTRITION AND REPORTING BIAS. RISK OF BIAS WAS UNIFORMLY LOW FOR OTHER FORMS OF BIAS, INCLUDING FINANCIAL CONFLICTS OF INTEREST. CONCLUSIONS: RESULTS OF THE STUDIES INCLUDED IN THIS REVIEW SUGGEST THAT YOGA INTERVENTIONS MAY BE BENEFICIAL FOR REDUCING CANCER-RELATED FATIGUE IN WOMEN WITH BREAST CANCER; HOWEVER, CONCLUSIONS SHOULD BE INTERPRETED WITH CAUTION AS A RESULT OF LEVELS OF BIAS AND INCONSISTENT METHODS USED ACROSS STUDIES. MORE WELL-CONSTRUCTED RANDOMIZED CONTROLLED TRIALS ARE NEEDED TO DETERMINE THE IMPACT OF YOGA INTERVENTIONS ON FATIGUE IN CANCER PATIENTS AND SURVIVORS. 2013 4 13 32 "MORE THAN I EXPECTED": PERCEIVED BENEFITS OF YOGA PRACTICE AMONG OLDER ADULTS AT RISK FOR CARDIOVASCULAR DISEASE. OBJECTIVE: THIS STUDY WAS CONDUCTED WITH PARTICIPANTS FROM TRIALS EXAMINING THE EFFECTS OF AN IYENGAR YOGA PROGRAM ON CARDIOVASCULAR DISEASE RISK. THE OBJECTIVE OF THE CURRENT STUDY WAS TO EVALUATE THE PERCEIVED BENEFITS OF YOGA IN A POPULATION OF OLDER, PREDOMINANTLY OVERWEIGHT ADULTS PARTICIPATING IN A GENTLE 8-WEEK YOGA PROGRAM. DESIGN: THIS STUDY USED A CONSTRUCTIVIST-INTERPRETIVE APPROACH TO NATURALISTIC INQUIRY. SETTING: A TOTAL OF 42 PARTICIPANTS COMPLETED THE INTERVENTION AND MET THE INCLUSION CRITERIA FOR THE CURRENT QUALITATIVE STUDY. INTERVENTION: THE 8-WEEK IYENGAR YOGA PROGRAM INCLUDED TWO 90-MIN YOGA CLASSES AND FIVE 30-MIN HOME SESSIONS PER WEEK. PARTICIPANTS COMPLETED WEEKLY LOGS AND AN EXIT QUESTIONNAIRE AT THE END OF THE STUDY. MAIN OUTCOME MEASURES: QUALITATIVE DATA FROM WEEKLY LOGS AND EXIT QUESTIONNAIRES WERE COMPILED AND CONVENTIONAL CONTENT ANALYSIS PERFORMED WITH THE USE OF ATLAS.TI TO FACILITATE THE PROCESS. RESULTS: FOUR BROAD THEMES EMERGED FROM CONTENT ANALYSIS: PRACTICING YOGA IMPROVED OVERALL PHYSICAL FUNCTION AND CAPACITY (FOR 83% OF PARTICIPANTS); PRACTICING YOGA REDUCED STRESS/ANXIETY AND ENHANCED CALMNESS (83% OF PARTICIPANTS); PRACTICING YOGA ENRICHED THE QUALITY OF SLEEP (21% OF PARTICIPANTS); AND PRACTICING YOGA SUPPORTED EFFORTS TOWARD DIETARY IMPROVEMENTS (14% OF PARTICIPANTS). CONCLUSIONS: THESE RESULTS SUGGEST THAT YOGA MAY HAVE ANCILLARY BENEFITS IN TERMS OF IMPROVED PHYSICAL FUNCTION, ENHANCED MENTAL/EMOTIONAL STATE, ENRICHED SLEEP QUALITY, AND IMPROVED LIFESTYLE CHOICES, AND MAY BE USEFUL AS A HEALTH PROMOTION STRATEGY IN THE PREVENTION AND MANAGEMENT OF CHRONIC DISEASE. 2013 5 1661 33 NARRATIVE REVIEW OF YOGA INTERVENTION CLINICAL TRIALS INCLUDING WEIGHT-RELATED OUTCOMES. CONTEXT: MEDICAL AUTHORITIES HAVE IDENTIFIED OBESITY AS A CAUSAL FACTOR IN THE DEVELOPMENT OF DIABETES, HYPERTENSION, AND CARDIOVASCULAR DISEASE (CVD), AND MORE BROADLY, OF METABOLIC SYNDROME/INSULIN RESISTANCE SYNDROME. TO PROVIDE SOLUTIONS THAT CAN MODIFY THIS RISK FACTOR, RESEARCHERS NEED TO IDENTIFY METHODS OF EFFECTIVE RISK REDUCTION AND PRIMARY PREVENTION OF OBESITY. RESEARCH ON THE EFFECTIVENESS OF YOGA AS A TREATMENT FOR OBESITY IS LIMITED, AND STUDIES VARY IN OVERALL QUALITY AND METHODOLOGICAL RIGOR. OBJECTIVE: THIS NARRATIVE REVIEW ASSESSED THE QUANTITY AND QUALITY OF CLINICAL TRIALS OF YOGA AS AN INTERVENTION FOR WEIGHT LOSS OR AS A MEANS OF RISK REDUCTION OR TREATMENT FOR OBESITY AND DISEASES IN WHICH OBESITY IS A CAUSAL FACTOR. THIS REVIEW SUMMARIZED THE STUDIES' RESEARCH DESIGNS AND EVALUATED THE EFFICACY OF YOGA FOR WEIGHT LOSS VIA THE CURRENT EVIDENCE BASE. DESIGN: THE RESEARCH TEAM EVALUATED PUBLISHED STUDIES TO DETERMINE THE APPROPRIATENESS OF RESEARCH DESIGNS, COMPARABILITY OF PROGRAMS' INTERVENTION ELEMENTS, AND STANDARDIZATION OF OUTCOME MEASURES. THE RESEARCH TEAM'S LITERATURE SEARCH USED THE KEY TERMS YOGA AND OBESITY OR YOGA AND WEIGHT LOSS IN THREE PRIMARY MEDICAL-LITERATURE DATABASES (PUBMED, PSYCHINFO, AND WEB OF SCIENCE). THE STUDY EXCLUDED CLINICAL TRIALS WITH NO QUANTITATIVE OBESITY RELATED MEASURE. EXTRACTED DATA INCLUDED EACH STUDY'S (1) DESIGN; (2) SETTING AND POPULATION; (3) NATURE, DURATION, AND FREQUENCY OF INTERVENTIONS; (4) COMPARISON GROUPS; (5) RECRUITMENT STRATEGIES; (6) OUTCOME MEASURES; (7) DATA ANALYSIS AND PRESENTATION; AND (8) RESULTS AND CONCLUSIONS. THE RESEARCH TEAM DEVELOPED AN OVERALL EVALUATION PARAMETER TO COMPARE DISPARATE TRIALS. OUTCOME MEASURES: THE RESEARCH TEAM REVIEWED EACH STUDY TO DETERMINE ITS KEY FEATURES, EACH WORTH A SPECIFIED NUMBER OF POINTS, WITH A MAXIMUM TOTAL OF 20 POINTS. THE FEATURES INCLUDED A STUDY'S (1) DURATION, (2) FREQUENCY OF YOGA PRACTICE, (3) INTENSITY OF (LENGTH OF) EACH PRACTICE, (4) NUMBER OF YOGIC ELEMENTS, (5) INCLUSION OF DIETARY MODIFICATION, (6) INCLUSION OF A RESIDENTIAL COMPONENT, (7) THE NUMBER OF WEIGHT-RELATED OUTCOME MEASURES, AND (8) A DISCUSSION OF THE DETAILS OF THE YOGIC ELEMENTS. RESULTS: OVERALL, THERAPEUTIC YOGA PROGRAMS ARE FREQUENTLY EFFECTIVE IN PROMOTING WEIGHT LOSS AND/OR IMPROVEMENTS IN BODY COMPOSITION. THE EFFECTIVENESS OF YOGA FOR WEIGHT LOSS IS RELATED TO THE FOLLOWING KEY FEATURES: (1) AN INCREASED FREQUENCY OF PRACTICE; (2) A LONGER INTERVENTION DURATION (3) A YOGIC DIETARY COMPONENT; (4) A RESIDENTIAL COMPONENT; (5) THE COMPREHENSIVE INCLUSION OF YOGIC COMPONENTS; (5) AND A HOME-PRACTICE COMPONENT. CONCLUSIONS: YOGA APPEARS TO BE AN APPROPRIATE AND POTENTIALLY SUCCESSFUL INTERVENTION FOR WEIGHT MAINTENANCE, PREVENTION OF OBESITY, AND RISK REDUCTION FOR DISEASES IN WHICH OBESITY PLAYS A SIGNIFICANT CAUSAL ROLE. 2013 6 1711 32 PERCEIVED BENEFITS AND BARRIERS TO YOGA PARTICIPATION AFTER STROKE: A FOCUS GROUP APPROACH. BACKGROUND: AND PURPOSE: THERE IS INCREASING EVIDENCE TO SUGGEST YOGA CAN BE BENEFICIAL TO HEALTH AND WELLBEING AFTER STROKE. THE PURPOSE OF THIS STUDY WAS TO IDENTIFY PERCEIVED BENEFITS AND BARRIERS TO YOGA PARTICIPATION AMONG ADULTS WITH CHRONIC STROKE. MATERIALS AND METHODS: TWENTY-SIX COMMUNITY DWELLING ADULTS (14 FEMALE, 12 MALE) WHO WERE AT LEAST 6-MONTHS POST-STROKE PARTICIPATED IN FOUR FOCUS GROUPS HELD AT LOCAL STROKE RECOVERY MEETINGS. DATA WAS RECORDED AND TRANSCRIPTS WERE ANALYSED THEMATICALLY. RESULTS: PARTICIPANTS IDENTIFIED WHOLE BODY BENEFITS, THE RETURN OF CONNECTION AND FEELING HEALTH IN MIND AS THE PRIMARY BENEFITS OF YOGA. PERCEIVED BARRIERS INCLUDED PHYSICAL BARRIERS TO PARTICIPATION, COGNITIVE CHALLENGES, ENVIRONMENTAL ACCESS, AND FINANCIAL LIMITATIONS. CONCLUSION: STROKE SURVIVORS PERCEIVE YOGA PRACTICE PROVIDES BENEFITS IN 'CONNECTEDNESS'. FUTURE INTERVENTIONS SHOULD RECOGNIZE THE IMPORTANCE OF YOGA INSTRUCTOR TRAINING, FOCUS ON THE MIND-BODY CONNECTION ASPECTS OF YOGA, AND MODIFYING ACTIVITIES TO SAFELY ACCOMMODATE THE PHYSICAL ABILITIES OF THE PARTICIPANTS. 2019 7 593 29 DEVELOPMENT AND EVALUATION OF A YOGA INTERVENTION PROGRAM FOR PARKINSON'S DISEASE. PRELIMINARY RESEARCH INDICATES THAT YOGA COULD BE A VALUABLE TOOL FOR PEOPLE SUFFERING FROM PARKINSON'S DISEASE (PD). HOWEVER, LITTLE HAS BEEN PUBLISHED ABOUT THE PROCESS BY WHICH THE YOGA INTERVENTIONS WERE DESIGNED AND EVALUATED. THIS STUDY ELABORATES ON THE PROCESS OF DEVELOPING AND TESTING A BI-WEEKLY, 12-WEEK YOGA PROGRAM TO DETERMINE ITS SAFETY AND FEASIBILITY FOR PEOPLE WITH PD. THE LEAD YOGA TEACHER USED INPUT FROM A FOCUSED LITERATURE REVIEW TO DESIGN AN INITIAL DRAFT OF THE INTERVENTION PROGRAM. THIS DRAFT WAS REVIEWED BY A GROUP OF YOGA EXPERTS ( N = 6) TO DEVELOP THE FINAL INTERVENTION PROGRAM. THIS 12-WEEK INTERVENTION WAS IMPLEMENTED IN 19 PARTICIPANTS WITH PD (MEAN AGE 63 +/- 8, RANGE 49-75) VIA TWICE-WEEKLY YOGA CLASSES. THROUGH THIS COMPREHENSIVE DEVELOPMENT PROCESS, A SERIES OF 24 INDIVIDUAL 1-HOUR YOGA SEQUENCES WAS CREATED. THESE SEQUENCES INCLUDED YOGA POSTURES (ASANA), BREATHING TECHNIQUES (PRANAYAMA), AND MINDFULNESS MEDITATION PRINCIPLES SPECIFICALLY CHOSEN TO ADDRESS CONCERNS UNIQUE TO THE PD POPULATION. THE FEASIBILITY OF THE PROGRAM WAS SUPPORTED WITH EXCELLENT ATTENDANCE: 90% OF PARTICIPANTS ATTENDED > 75% OF THE CLASSES, WITH FOUR PARTICIPANTS ATTENDING 100%. NO ADVERSE EVENTS WERE REPORTED. THIS DEVELOPMENT PROCESS PRODUCED A SAFE AND ENJOYABLE YOGA PROGRAM SPECIFIC FOR THE NEEDS OF PEOPLE WITH PD. HOWEVER, THIS METHODOLOGY COULD SERVE AS A TEMPLATE FOR FUTURE STUDIES ON HOW TO DEVELOP SAFE AND EFFECTIVE YOGA INTERVENTIONS FOR OTHER POPULATIONS. 2018 8 2367 24 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 9 2451 37 YOGA AS A COMPLEMENTARY APPROACH TO HEALING FOR ADULT VICTIMS AND SURVIVORS OF INTERPERSONAL VIOLENCE. PURPOSE: YOGA IS INCREASINGLY ACCEPTED TO IMPROVE OVERALL HEALTH AND WELLNESS AND IS CONSIDERED A MEANINGFUL ADJUNCT TREATMENT FOR MENTAL AND PHYSICAL HEALTH AILMENTS ASSOCIATED WITH INTERPERSONAL VIOLENCE (IV). THIS REVIEW PROVIDES BACKGROUND INFORMATION ABOUT THE USE OF YOGA AMONG INDIVIDUALS WITH IV HISTORIES AND AIMS TO INFORM RESEARCHERS AND PRACTITIONERS ABOUT THE AVAILABLE EVIDENCE ON YOGA'S APPLICATION AND EFFECTIVENESS. METHODS: USING SIX DATABASES, WE SYSTEMATICALLY REVIEWED EMPIRICAL LITERATURE EXAMINING YOGA AMONG IV SURVIVORS. CRITERIA FOR STUDY INCLUSION: YOGA INCLUDED A PHYSICAL COMPONENT AND WAS THE PRIMARY INTERVENTION; PARTICIPANTS HAD AN IV HISTORY; PEER-REVIEWED; AND PARTICIPANTS WERE 17 YEARS AND OLDER. AFTER REVIEW, 10 ARTICLES REPORTING FINDINGS FROM SEVEN INDEPENDENT SAMPLES WERE INCLUDED. FINDINGS: YOGA DEMONSTRATED PRELIMINARY, POSITIVE IMPLICATIONS AS A COMPLEMENTARY TREATMENT FOR INDIVIDUALS WITH AN IV HISTORY. SYNTHESIZING ACROSS ARTICLES FOUR THEMES EMERGED: (1) ACCEPTABILITY AND FEASIBILITY, (2) ENHANCEMENT OF MENTAL AND PHYSICAL HEALTH, (3) PROMOTION OF PERSONAL GROWTH, AND (4) FACILITATORS AND BARRIERS TO PRACTICE. CONCLUSIONS: THE NASCENT LITERATURE INDICATES POTENTIAL BENEFITS OF INTEGRATING YOGA INTO INTERVENTIONS FOR IV SURVIVORS TO ENHANCE PHYSICAL AND PSYCHOLOGICAL FUNCTIONING. THE PRIMARY BARRIERS TO INTERVENTION WERE RESOURCES (E.G., ACCESS) AND INCOMPATIBILITY WITH SPIRITUAL BELIEFS FOR SELECT CLIENTS. DESPITE CONSISTENT BARRIERS, PRELIMINARY FINDINGS INDICATE YOGA HAS MANY POSITIVE IMPLICATIONS FOR INDIVIDUALS WITH AN IV HISTORY. GIVEN THE SMALL EVIDENCE BASE AND INSUFFICIENT METHODOLOGY, ADDITIONAL EMPIRICAL RESEARCH WITH DIVERSE SAMPLES AND SITES, AND ROBUST DESIGNS, COULD IMPROVE THE STATE OF KNOWLEDGE AND STRENGTHEN THE EFFICACY OF THIS PROMISING PRACTICE. 2021 10 1574 25 MANAGING LYMPHEDEMA, INCREASING RANGE OF MOTION, AND QUALITY OF LIFE THROUGH YOGA THERAPY AMONG BREAST CANCER SURVIVORS: A SYSTEMATIC REVIEW. LYMPHEDEMA IS A COMMON COMPLICATION OF BREAST CANCER TREATMENT. YOGA IS A NONCONVENTIONAL AND NONINVASIVE INTERVENTION THAT IS REPORTED TO SHOW BENEFICIAL EFFECTS IN PATIENTS WITH BREAST CANCER-RELATED LYMPHEDEMA (BCRL). THIS STUDY ATTEMPTED TO SYSTEMATICALLY REVIEW THE EFFECT OF YOGA THERAPY ON MANAGING LYMPHEDEMA, INCREASING THE RANGE OF MOTION (ROM), AND QUALITY OF LIFE (QOL) AMONG BREAST CANCER SURVIVORS. THE REVIEW SEARCH INCLUDED STUDIES FROM ELECTRONIC BIBLIOGRAPHIC DATABASES, NAMELY MEDLINE (PUBMED), EMBASE, AND GOOGLE SCHOLAR TILL JUNE 2019. STUDIES WHICH ASSESSED THE OUTCOME VARIABLES SUCH AS QOL AND MANAGEMENT OF LYMPHEDEMA OR RELATED PHYSICAL SYMPTOMS AS EFFECT OF YOGA INTERVENTION WERE CONSIDERED FOR REVIEW. TWO AUTHORS INDIVIDUALLY REVIEWED, SELECTED ACCORDING TO COCHRANE GUIDELINES, AND EXTRACTED THE ARTICLES USING COVIDENCE SOFTWARE. SCREENING PROCESS OF THIS REVIEW RESULTED IN A TOTAL OF SEVEN STUDIES. THE DIFFERENT STYLES OF YOGA EMPLOYED IN THE STUDIES WERE IYENGAR YOGA (N = 2), SATYANANDA YOGA (N = 2), HATHA YOGA (N = 2), AND ASHTANGA YOGA (N = 1). THE LENGTH OF INTERVENTION AND POST INTERVENTION ANALYSIS RANGED FROM 8 WEEKS TO 12 MONTHS. FOUR STUDIES INCLUDED HOME PRACTICE SESSIONS. QOL, ROM, AND MUSCULOSKELETAL SYMPTOMS SHOWED IMPROVEMENT IN ALL THE STUDIES. YOGA COULD BE A SAFE AND FEASIBLE EXERCISE INTERVENTION FOR BCRL PATIENTS. EVIDENCE GENERATED FROM THESE STUDIES WAS OF MODERATE STRENGTH. FURTHER LONG-TERM CLINICAL TRIALS WITH LARGE SAMPLE SIZE ARE ESSENTIAL FOR THE DEVELOPMENT AND STANDARDIZATION OF YOGA INTERVENTION GUIDELINES FOR BCRL PATIENTS. 2021 11 1907 32 REVIEW OF YOGA THERAPY DURING CANCER TREATMENT. PURPOSE: REVIEWS OF YOGA RESEARCH THAT DISTINGUISH RESULTS OF TRIALS CONDUCTED DURING (VERSUS AFTER) CANCER TREATMENT ARE NEEDED TO GUIDE FUTURE RESEARCH AND CLINICAL PRACTICE. WE THEREFORE CONDUCTED A REVIEW OF NON-RANDOMIZED STUDIES AND RANDOMIZED CONTROLLED TRIALS OF YOGA INTERVENTIONS FOR CHILDREN AND ADULTS UNDERGOING TREATMENT FOR ANY CANCER TYPE. METHODS: STUDIES WERE IDENTIFIED VIA RESEARCH DATABASES AND REFERENCE LISTS. INCLUSION CRITERIA WERE THE FOLLOWING: (1) CHILDREN OR ADULTS UNDERGOING CANCER TREATMENT, (2) INTERVENTION STATED AS YOGA OR COMPONENT OF YOGA, AND (3) PUBLICATION IN ENGLISH IN PEER-REVIEWED JOURNALS THROUGH OCTOBER 2015. EXCLUSION CRITERIA WERE THE FOLLOWING: (1) SAMPLES RECEIVING HORMONE THERAPY ONLY, (2) INTERVENTIONS INVOLVING MEDITATION ONLY, AND (3) YOGA DELIVERED WITHIN BROADER CANCER RECOVERY OR MINDFULNESS-BASED STRESS REDUCTION PROGRAMS. RESULTS: RESULTS OF NON-RANDOMIZED (ADULT N = 8, PEDIATRIC N = 4) AND RANDOMIZED CONTROLLED TRIALS (ADULT N = 13, PEDIATRIC N = 0) CONDUCTED DURING CANCER TREATMENT ARE SUMMARIZED SEPARATELY BY AGE GROUP. FINDINGS MOST CONSISTENTLY SUPPORT IMPROVEMENT IN PSYCHOLOGICAL OUTCOMES (E.G., DEPRESSION, DISTRESS, ANXIETY). SEVERAL STUDIES ALSO FOUND THAT YOGA ENHANCED QUALITY OF LIFE, THOUGH FURTHER INVESTIGATION IS NEEDED TO CLARIFY DOMAIN-SPECIFIC EFFICACY (E.G., PHYSICAL, SOCIAL, CANCER-SPECIFIC). REGARDING PHYSICAL AND BIOMEDICAL OUTCOMES, EVIDENCE INCREASINGLY SUGGESTS THAT YOGA AMELIORATES SLEEP AND FATIGUE; ADDITIONAL RESEARCH IS NEEDED TO ADVANCE PRELIMINARY FINDINGS FOR OTHER TREATMENT SEQUELAE AND STRESS/IMMUNITY BIOMARKERS. CONCLUSIONS: AMONG ADULTS UNDERGOING CANCER TREATMENT, EVIDENCE SUPPORTS RECOMMENDING YOGA FOR IMPROVING PSYCHOLOGICAL OUTCOMES, WITH POTENTIAL FOR ALSO IMPROVING PHYSICAL SYMPTOMS. EVIDENCE IS INSUFFICIENT TO EVALUATE THE EFFICACY OF YOGA IN PEDIATRIC ONCOLOGY. WE DESCRIBE SUGGESTIONS FOR STRENGTHENING YOGA RESEARCH METHODOLOGY TO INFORM CLINICAL PRACTICE GUIDELINES. 2017 12 2422 35 YOGA AND MINDFULNESS AS THERAPEUTIC INTERVENTIONS FOR STROKE REHABILITATION: A SYSTEMATIC REVIEW. AIM. THIS PAPER REPORTS A SYSTEMATIC REVIEW AND CRITICAL APPRAISAL OF THE EVIDENCE ON THE EFFECTIVENESS OF BEHAVIORAL THERAPIES SUCH AS YOGA AND MINDFULNESS PRACTICES FOR STROKE REHABILITATION. BACKGROUND. THE EXPERIENCE OF STROKE CAN HAVE A NEGATIVE IMPACT ON BOTH PSYCHOLOGICAL AND PHYSICAL HEALTH AND ON QUALITY OF LIFE. YOGA AND RELEVANT PRACTICES ARE PROMISING THERAPIES THAT HAVE BEEN USED WITH PATIENTS WITH A VARIETY OF CONDITIONS. IN ORDER TO DRAW CONCLUSIONS ON EFFECTIVENESS FOR STROKE PATIENTS, THE EVIDENCE REQUIRES SYSTEMATIC ASSESSMENT. METHODS. A COMPREHENSIVE SEARCH OF MAJOR BIOMEDICAL AND COMPLEMENTARY MEDICINE DATABASES WAS CONDUCTED. RELEVANT RESEARCH WAS CATEGORIZED BY STUDY TYPE AND APPRAISED ACCORDING TO STUDY DESIGN. RESULTS. FIVE RANDOMIZED CONTROLLED CLINICAL TRIALS AND FOUR SINGLE CASE STUDIES WERE FOUND. ADDITIONALLY, ONE QUALITATIVE RESEARCH STUDY WAS IDENTIFIED. STUDIES REPORTED POSITIVE RESULTS, INCLUDING IMPROVEMENTS IN COGNITION, MOOD, AND BALANCE AND REDUCTIONS IN STRESS. MODIFICATIONS TO DIFFERENT YOGA PRACTICES MAKE COMPARISON BETWEEN STUDIES DIFFICULT, AND A LACK OF CONTROLLED STUDIES PRECLUDES ANY FIRM CONCLUSIONS ON EFFICACY. CONCLUSION. YOGA AND MINDFULNESS COULD BE CLINICALLY VALUABLE SELF-ADMINISTERED INTERVENTION OPTIONS FOR STROKE REHABILITATION. FURTHER RESEARCH IS NEEDED TO EVALUATE THESE SPECIFIC PRACTICES AND THEIR SUITABILITY IN STROKE REHABILITATION. 2013 13 2685 35 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 14 592 38 DEVELOPMENT AND EVALUATION OF A YOGA EXERCISE PROGRAMME FOR OLDER ADULTS. AIM: THIS STUDY REPORTS THE DEVELOPMENT AND EVALUATION OF A NEW YOGA EXERCISE PROGRAMME FOR OLDER ADULTS, CALLED THE SILVER YOGA PROGRAMME. BACKGROUND: YOGA PRACTICE IS ASSOCIATED WITH NUMEROUS HEALTH IMPROVEMENTS, INCLUDING REDUCED CARDIOVASCULAR RISK, BODY MASS INDEX AND BLOOD PRESSURE. YOGA IS ALSO ASSOCIATED WITH IMPROVED RESPIRATION, PSYCHOLOGICAL HEALTH AND PAIN MANAGEMENT. STUDIES HAVE SUGGESTED THE BENEFICIAL EFFECTS OF YOGA IN THE OLDER POPULATION. METHOD: THE STUDY WAS CONDUCTED IN 2005 AND IT HAD TWO PHASES. PHASE I CONSISTED OF SENDING A SURVEY TO 10 EXPERTS TO HELP DEVELOP THE SILVER YOGA PROGRAMME. A HARD COPY AND A VIDEO CONTAINING DETAILED DESCRIPTIONS AND DEMONSTRATIONS OF THE PROGRAMME WERE THEN SENT TO THE EXPERTS FOR REVIEW AND CRITIQUE REGARDING THE CLARITY AND FEASIBILITY OF THE YOGA POSTURES. PHASE II WAS AN ENQUIRY INTO OLDER ADULTS' VIEWS ON THE PROGRAMME USING A QUANTITATIVE EVALUATION AND SEMI-STRUCTURED QUALITATIVE INQUIRY. FOURTEEN WOMEN PARTICIPANTS FROM A SENIOR ACTIVITY CENTRE WERE INTERVIEWED INDIVIDUALLY AFTER 1 MONTH OF SILVER YOGA GROUP PRACTICE, THREE TIMES PER WEEK, 70 MINUTES PER SESSION. THEY WERE ASKED TO EVALUATE THE APPROPRIATENESS OF POSTURES BASED ON THE CRITERIA OF DIFFICULTY, ACCEPTABILITY, FEASIBILITY AND HELPFULNESS. FIVE OPEN-ENDED QUESTIONS ASKED PARTICIPANTS TO REFLECT ON THEIR YOGA EXPERIENCES. RESULTS: PARTICIPANTS' MEAN RATINGS OF THE ACCEPTABILITY, FEASIBILITY AND HELPFULNESS OF THE FOUR ASPECTS OF THE PROGRAMME (WARM-UP, HATHA YOGA, RELAXATION AND GUIDED-IMAGERY MEDITATION) RANGED FROM 8.8 +/- 1.9 TO 9.3 +/- 1.5; MEAN RATINGS OF THE DIFFICULTY OF THE PROGRAMME REVEALED THAT RELAXATION AND GUIDED-IMAGERY MEDITATION WERE FAIRLY EASY TO FOLLOW (0.1 +/- 0.3 AND 0.1 +/- 0.3 RESPECTIVELY), BUT THE POSTURES IN THE HATHA YOGA WERE RELATIVELY CHALLENGING (2.1 +/- 2.6). CONCLUSION: THE SILVER YOGA PROGRAMME SHOULD UNDERGO FURTHER PILOT-TESTING WITH LARGER SAMPLES OF OLDER ADULTS BEFORE IT IS TAKEN UP INTERNATIONALLY AS A HEALTH-PROMOTION ACTIVITY FOR OLDER ADULTS. 2007 15 2385 38 YOGA ADHERENCE IN OLDER WOMEN SIX MONTHS POST-OSTEOARTHRITIS INTERVENTION. BACKGROUND/OBJECTIVE: OSTEOARTHRITIS (OA) IS A HIGHLY PREVALENT CONDITION WORLDWIDE. YOGA IS POTENTIALLY A SAFE AND FEASIBLE OPTION FOR MANAGING OA; HOWEVER, THE EXTENT OF LONG-TERM YOGA ADHERENCE IS UNKNOWN. THE PURPOSE OF THIS STUDY WAS TO EXAMINE YOGA ADHERENCE 6 MONTHS AFTER PARTICIPANTS COMPLETED AN OA INTERVENTION PROGRAM. METHODS: THIS FOLLOW-UP STUDY EMPLOYED A CROSS-SECTIONAL DESCRIPTIVE DESIGN USING SURVEY, INTERVIEW, AND VIDEO RECORDINGS TO COLLECT BOTH QUANTITATIVE AND QUALITATIVE DATA. A TOTAL OF 31 PARTICIPANTS COMPLETED AND RETURNED THE SURVEY, AND 10 VIDEOTAPED THEIR YOGA PRACTICE FOR 1 WEEK AND PARTICIPATED IN A FACE-TO-FACE INTERVIEW. RESULTS: A MAJORITY OF PARTICIPANTS (N=19, 61%) REPORTED THAT THEY WERE STILL PRACTICING YOGA 6 MONTHS AFTER THE INTERVENTION PROGRAM. ON AVERAGE, PARTICIPANTS REPORTED PRACTICING 21 TO 30 MINUTES OF YOGA PER DAY (32%) 3 TO 4 DAYS PER WEEK (47%). "FEELING GOOD OR FEELING BETTER AFTER YOGA PRACTICE" (50%) AND "SET ASIDE A TIME" (31%) WERE THE MOST COMMON MOTIVATING FACTORS FOR YOGA ADHERENCE. DEALING WITH HEALTH PROBLEMS (42%), HAVING PAIN (25%), AND BEING TOO BUSY (25%) WERE THE MAJOR BARRIERS. QUALITATIVE DATA REVEALED THAT PARTICIPANTS: (1) USED MINDFUL YOGA MOVEMENT, (2) INCORPORATED OTHER FORMS OF EXERCISE AND RESOURCES DURING YOGA PRACTICE, AND (3) CREATED PERSONALIZED YOGA PROGRAMS. ADDITIONALLY, THE PARTICIPANTS REPORTED LESS OA PAIN, INCREASED PHYSICAL ENDURANCE, AND MORE RELAXATION. CONCLUSION: MANY PARTICIPANTS ADHERED TO YOGA PRACTICE 6 MONTHS POST-INTERVENTION ALTHOUGH NOT AT THE FREQUENCY AND SEQUENCE AS PRESCRIBED. FEELING BETTER AFTER PRACTICE MOTIVATED PARTICIPANTS, BUT OTHER FACTORS REMAINED KEY BARRIERS. 2015 16 1958 27 SELF-MANAGEMENT AND YOGA FOR OLDER ADULTS WITH CHRONIC STROKE: A MIXED-METHODS STUDY OF PHYSICAL FITNESS AND PHYSICAL ACTIVITY. OBJECTIVE: THIS STUDY INVESTIGATED CHANGES IN PHYSICAL FITNESS AND PHYSICAL ACTIVITY AMONG OLDER PATIENTS WITH CHRONIC STROKE (STROKE >/= 6 MONTHS PREVIOUS) AFTER PARTICIPATION IN A YOGA INFUSED SELF-MANAGEMENT INTERVENTION. METHODS: A MIXED-METHODS SECONDARY DATA ANALYSIS EXAMINED QUANTITATIVE MEASURES OF ENDURANCE, STRENGTH, AND GAIT SPEED AND QUALITATIVE PERSPECTIVES OF INTERVENTION PARTICIPANTS. RESULTS: BASED ON WILCOXON ANALYSIS, PHYSICAL FITNESS OUTCOME MEASURES INCLUDING ENDURANCE AND LOWER AND UPPER BODY STRENGTH SIGNIFICANTLY (P < .02) IMPROVED. BASED ON QUALITATIVE RESULTS OF 2 FOCUS GROUPS AND 14 INDIVIDUAL INTERVIEWS, PARTICIPANTS EXPRESSED POSITIVE CHANGES IN ENDURANCE, STRENGTH, GAIT SPEED, FLEXIBILITY, AND BALANCE. THEY ALSO REPORTED IMPROVEMENTS IN WALKING ABILITY AND DURATION, AND EXPRESSED A DESIRE TO CONTINUE YOGA AND INCREASE LEVELS OF EXERCISE. CONCLUSIONS: WITH THE OBJECTIVE OF IMPROVING PHYSICAL FITNESS AND EXERCISE FOR OLDER ADULTS WITH CHRONIC STROKE, IT IS IMPORTANT FOR SELF-MANAGEMENT INTERVENTIONS TO PROVIDE SPECIFIC SAFE AND FEASIBLE PHYSICAL ACTIVITY COMPONENTS, SUCH AS YOGA. CLINICAL IMPLICATIONS: HEALTH PROFESSIONALS MAY IMPROVE OFFERED CHRONIC STROKE SELF-MANAGEMENT INTERVENTIONS BY INCORPORATING YOGA. 2018 17 1413 23 IMPLEMENTING YOGA INTO THE MANAGEMENT OF PATIENTS WITH REFRACTORY LOW BACK PAIN IN AN OUTPATIENT CLINIC SETTING. PURPOSE: TO EVALUATE THE EFFECTIVENESS OF IMPLEMENTING YOGA INTO THE TREATMENT OF PATIENTS WITH CHRONIC LOW BACK PAIN. DESIGN: QUANTITATIVE ANALYSIS WITH OPPORTUNITY FOR QUALITATIVE FEEDBACK. METHOD: EFFECTIVENESS OF THIS COMPLEMENTARY TREATMENT WAS ASSESSED USING A PRETEST/POSTTEST DESIGN OF PATIENTS WHO VOLUNTEERED TO PARTICIPATE IN YOGA CLASSES AS PART OF THEIR BACK PAIN MANAGEMENT. MEASUREMENTS INCLUDED LOW BACK PAIN RATING, PERCEPTION OF BACK PAIN INTERFERENCE WITH DAILY ACTIVITIES, AND SELF-EFFICACY IN DEALING WITH CHRONIC LOW BACK PAIN. FINDINGS: ALTHOUGH NO STATISTICALLY SIGNIFICANT FINDINGS WERE FOUND DUE TO THE SMALL SAMPLE SIZE, MOST PARTICIPANTS DEMONSTRATED IMPROVED INDIVIDUAL SCORES ON ALL MEASUREMENT SURVEYS INCLUDING QUALITATIVE COMMENTS. CONCLUSION: BASED ON THE FINDINGS OF THIS PILOT STUDY, FURTHER STUDIES ON IMPLEMENTING YOGA INTO THE TREATMENT OF CHRONIC LOW BACK PAIN ARE ENCOURAGED. 2019 18 1516 26 IS YOGA AN EFFECTIVE TREATMENT IN THE MANAGEMENT OF PATIENTS WITH CHRONIC LOW BACK PAIN COMPARED WITH OTHER CARE MODALITIES - A SYSTEMATIC REVIEW. OBJECTIVE: THE AIM OF THE STUDY WAS TO ASSESS RANDOMIZED-CONTROL TRIALS (RCTS) TO ASCERTAIN WHETHER YOGA IS AN EFFECTIVE TREATMENT IN THE MANAGEMENT OF PATIENTS WITH CHRONIC LOW BACK PAIN (CLBP) COMPARED WITH OTHER CARE MODALITIES. METHODS: A SEARCH STRATEGY WAS FORMULATED WITH KEY CONCEPTS IDENTIFIED USING THE PICO PROCESS. FOUR DATABASES WERE SEARCHED IN JUNE 2012. APPROPRIATE ELIGIBILITY CRITERIA WERE SET AND IMPLEMENTED. RESULTS: FOUR RANDOMIZED CONTROL TRIALS MET THE INCLUSION CRITERIA. ALL FOUR PAPERS FOUND THAT YOGA LEAD TO A SIGNIFICANT IMPROVEMENT IN BACK FUNCTION, AND THREE DEMONSTRATED A SIGNIFICANT IMPROVEMENT IN BACK PAIN WHEN COMPARED WITH CERTAIN CARE MODALITIES. ALL PAPERS HAD SIGNIFICANT LIMITATIONS IDENTIFIED, HOWEVER. CONCLUSIONS: GIVEN THE LIMITATIONS IDENTIFIED WITHIN THE STUDIES, THE CONCLUSIONS DRAWN MUST BE CONSIDERED CONSERVATIVELY. ALTHOUGH EARLY RESULTS APPEAR PROMISING, BUT FURTHER WELL-DESIGNED RCTS ARE WARRANTED, WITH MULTIPLE, SPECIFIED COMPARATOR CARE MODALITIES BEFORE FIRM CONCLUSIONS CAN BE GAINED. 2013 19 2628 34 YOGA FOR THE MANAGEMENT OF PAIN AND SLEEP IN RHEUMATOID ARTHRITIS: A PILOT RANDOMIZED CONTROLLED TRIAL. OBJECTIVE: THE AIM OF THE PRESENT STUDY WAS TO DETERMINE THE FEASIBILITY OF A RELAXATION-BASED YOGA INTERVENTION FOR RHEUMATOID ARTHRITIS, DESIGNED AND REPORTED IN ACCORDANCE WITH DELPHI RECOMMENDATIONS FOR YOGA INTERVENTIONS FOR MUSCULOSKELETAL CONDITIONS. METHODS: PARTICIPANTS WERE RECRUITED FROM A HOSPITAL DATABASE, AND RANDOMIZED TO EITHER EIGHT WEEKLY 75-MIN YOGA CLASSES OR A USUAL CARE CONTROL. FEASIBILITY WAS DETERMINED BY RECRUITMENT RATES, RETENTION, PROTOCOL ADHERENCE, PARTICIPANT SATISFACTION AND ADVERSE EVENTS. SECONDARY PHYSICAL AND PSYCHOSOCIAL OUTCOMES WERE ASSESSED USING SELF-REPORTED QUESTIONNAIRES AT BASELINE (WEEK 0), WEEK 9 (PRIMARY TIME POINT) AND WEEK 12 (FOLLOW-UP). RESULTS: OVER A 3-MONTH PERIOD, 26 PARTICIPANTS WITH MILD PAIN, MILD TO MODERATE FUNCTIONAL DISABILITY AND MODERATE DISEASE ACTIVITY WERE RECRUITED INTO THE STUDY (25% RECRUITMENT RATE). RETENTION RATES WERE 100% FOR YOGA PARTICIPANTS AND 92% FOR USUAL CARE PARTICIPANTS AT BOTH WEEKS 9 AND 12. PROTOCOL ADHERENCE AND PARTICIPANT SATISFACTION WERE HIGH. YOGA PARTICIPANTS ATTENDED A MEDIAN OF SEVEN CLASSES; ADDITIONALLY, SEVEN OF THE YOGA PARTICIPANTS (54%) REPORTED CONTINUING YOGA AT HOME DURING THE FOLLOW-UP PERIOD. NO SERIOUS ADVERSE EVENTS WERE RELATED TO THE STUDY. SECONDARY OUTCOMES SHOWED NO GROUP EFFECTS OF YOGA COMPARED WITH USUAL CARE. CONCLUSIONS: A RELAXATION-BASED YOGA PROGRAMME WAS FOUND TO BE FEASIBLE AND SAFE FOR PARTICIPANTS WITH RHEUMATOID ARTHRITIS-RELATED PAIN AND FUNCTIONAL DISABILITY. ADVERSE EVENTS WERE MINOR, AND NOT UNEXPECTED FROM AN INTERVENTION INCLUDING PHYSICAL COMPONENTS. THIS PILOT PROVIDES A FRAMEWORK FOR LARGER INTERVENTION STUDIES, AND SUPPORTS FURTHER EXPLORATION OF YOGA AS A COMPLEX INTERVENTION TO ASSIST WITH THE MANAGEMENT OF RHEUMATOID ARTHRITIS. 2018 20 1243 38 FEASIBILITY OF A YOGA, AEROBIC AND STRETCHING-TONING EXERCISE PROGRAM FOR ADULT CANCER SURVIVORS: THE STAYFIT TRIAL. BACKGROUND: THE USE OF YOGA AS A MIND-BODY PRACTICE HAS BECOME INCREASINGLY POPULAR AMONG CLINICAL POPULATIONS AND OLDER ADULTS WHO USE THIS PRACTICE TO MANAGE AGE AND CHRONIC DISEASE-RELATED SYMPTOMS. ALTHOUGH YOGA CONTINUES TO GAIN POPULARITY AMONG PRACTITIONERS AND RESEARCHERS, PILOT STUDIES THAT EXAMINE ITS FEASIBILITY AND ACCEPTABILITY, ESPECIALLY AMONG CANCER SURVIVORS, ARE LIMITED. FEASIBILITY STUDIES PLAY A CRITICAL ROLE IN DETERMINING WHETHER THE TARGET POPULATION IS LIKELY TO ENGAGE WITH LARGER SCALE EFFICACY AND EFFECTIVENESS TRIALS. IN THIS PAPER WE PRESENT FEASIBILITY AND ACCEPTABILITY DATA FROM A 12-WEEK RANDOMIZED CONTROLLED TRIAL (RCT) CONDUCTED WITH ADULT CANCER SURVIVORS. METHODS: PARTICIPANTS N = 78 (MEAN AGE: 55 YEARS) WERE RANDOMIZED TO ONE OF THREE GROUPS: A HATHA YOGA, AEROBIC EXERCISE, OR STRETCHING-TONING CONTROL GROUP WITH GROUP EXERCISE CLASSES HELD FOR 150 MIN/WEEK FOR 12 WEEKS. HEREIN WE REPORT FEASIBILITY AND ACCEPTABILITY, INCLUDING ENROLLMENT RATES, ATTENDANCE, ATTRITION AND ADVERSE EVENTS, AND PARTICIPANT FEEDBACK AND SATISFACTION DATA. RESULTS: OF THE 233 ADULTS SCREENED, 109 WERE ELIGIBLE AND 78 RANDOMIZED TO ONE OF THE THREE INTERVENTION ARMS. SESSION ATTENDANCE WAS HIGH FOR ALL GROUPS (75.5-89.5%) AND 17 PARTICIPANTS DROPPED OUT DURING THE 12-WEEK INTERVENTION. PROGRAM SATISFACTION WAS HIGH (4.8 OR HIGHER OUT OF 5) AND NO ADVERSE EVENTS WERE REPORTED. ONE COHORT (N = 15) OF THE INTERVENTION TRANSITIONED TO REMOTE INTERVENTION DELIVERY DUE TO THE COVID-19 PANDEMIC. FEASIBILITY DATA FROM THESE PARTICIPANTS SUGGESTED THAT SYNCHRONIZED GROUP EXERCISE CLASSES VIA ZOOM WITH A LIVE INSTRUCTOR WERE ACCEPTABLE AND ENJOYABLE. PARTICIPANT FEEDBACK REGARDING MOST AND LEAST HELPFUL ASPECTS OF THE PROGRAM AS WELL AS SUGGESTIONS FOR FUTURE YOGA INTERVENTIONS ARE SUMMARIZED. CONCLUSIONS: OVERALL, THE YOGA INTERVENTION WAS HIGHLY FEASIBLE AND ACCEPTABLE. THE FEASIBILITY PARAMETERS FROM THIS TRIAL CAN AID RESEARCHERS IN ESTIMATING RECRUITMENT RATES FOR DESIRED SAMPLE SIZES TO SUCCESSFULLY RANDOMIZE AND RETAIN CANCER SURVIVORS IN SHORT- AND LONG-TERM YOGA-BASED EFFICACY AND EFFECTIVENESS TRIALS. THE FINDINGS ALSO PROVIDE EVIDENCE TO CLINICIANS WHO CAN RECOMMEND UP TO 150 MIN OF A COMBINATION OF EXERCISES-AEROBIC, YOGA, OR STRETCHING-TONING TO THEIR CANCER PATIENTS IN ORDER TO IMPROVE HEALTH AND WELLBEING DURING CANCER SURVIVORSHIP. 2021