1 424 76 BUILDING BRIDGES FOR YOGA THERAPY RESEARCH: THE AETNA, INC. MIND-BODY PILOT STUDY ON CHRONIC AND HIGH STRESS. IN 2009, AETNA, INC., INVITED GARY KRAFTSOW AND THE AMERICAN VINIYOGA INSTITUTE (AVI) TO CONTRIBUTE TO A RESEARCH STUDY ON MODULATING STRESS. THIS PARTNERSHIP REPRESENTED THE FIRST FORMAL RECOGNITION OF THE POTENTIAL ROLE OF YOGA THERAPY IN MODERN HEALTHCARE BY AN INSURANCE COMPANY. THIS PROJECT EXEMPLIFIED THE POWER AND VALUE OF A COLLABORATION IN WHICH YOGA THERAPISTS MADE THE ANCIENT YOGA TEACHINGS RELEVANT TO HEALTHCARE RESEARCH. WE MUST UNDER-STAND OUR OWN ANCIENT TRADITIONS, LEARN THE LANGUAGE OF WESTERN MEDICINE, AND RECOGNIZE OPPORTUNITIES TO BUILD BRIDGES TO MEDICAL DISCIPLINES, ACADEMIC PARTNERS, INSURERS, FUNDERS, AND POLICY MAKERS. 2012 2 121 20 A PILOT STUDY OF THE FEASIBILITY AND OUTCOMES OF YOGA FOR LUNG CANCER SURVIVORS. PURPOSE/OBJECTIVES: TO DETERMINE THE FEASIBILITY OF A STANDARDIZED YOGA INTERVENTION FOR SURVIVORS OF NON-SMALL CELL LUNG CANCER (NSCLC) AND, EFFECTS ON SLEEP, MOOD, SALIVARY CORTISOL LEVELS, AND QUALITY OF LIFE (QOL). DESIGN: THIS 14-WEEK, ONE-GROUP, REPEATED-MEASURES STUDY INCLUDED A THREE-WEEK PREINTERVENTION PHASE, EIGHT WEEKS OF YOGA CLASSES (40 MINUTES ONCE PER WEEK) AND HOME PRACTICE, AND A THREE-WEEK POSTINTERVENTION PHASE. FOLLOW-UP OCCURRED AT THREE AND SIX MONTHS POSTSTUDY. SETTING: A COMMUNITY-BASED CANCER SUPPORT CENTER IN THE MIDWESTERN UNITED STATES. SAMPLE: 7 ADULTS WHO HAD COMPLETED INITIAL TREATMENT FOR STAGES I-IIIA NSCLC. METHODS: A STANDARDIZED YOGA PROTOCOL WAS DEVELOPED PRIOR TO THE STUDY BY EXPERTS IN THE FIELD. BREATHING EASE WAS MONITORED BEFORE, DURING, AND AFTER CLASSES TO ASSESS FEASIBILITY OF MOVEMENT WITHOUT COMPROMISING RESPIRATORY STATUS WHILE DOING YOGA. DATA ANALYSIS INCLUDED DESCRIPTIVE STATISTICS, REPEATED-MEASURES ANALYSIS OF VARIANCE, AND SALIVARY CORTISOL ANALYSIS. MAIN RESEARCH VARIABLES: SLEEP QUALITY, MOOD, SALIVARY CORTISOL, AND QOL WERE ASSESSED USING THE PITTSBURGH SLEEP QUALITY INDEX, PROFILE OF MOOD STATES-BRIEF, A CORTISOL MEASUREMENT, AND THE MEDICAL OUTCOMES SURVEY SF-36(R), RESPECTIVELY. BREATHING EASE WAS ASSESSED USING A DYSPNEA NUMERIC RATING SCALE AS WELL AS OBSERVATION OF PARTICIPANTS. FINDINGS: PARTICIPANTS WITH VARYING STAGES OF DISEASE AND LENGTH OF SURVIVORSHIP WERE ABLE TO PERFORM YOGA WITHOUT RESPIRATORY DISTRESS. CLASS ATTENDANCE EXCEEDED 95%, AND ALL PRACTICED AT HOME. MOOD, SLEEP EFFICIENCY, AND QOL SIGNIFICANTLY IMPROVED; SALIVARY CORTISOL LEVELS DECREASED OVER TIME. CONCLUSIONS: YOGA WAS FEASIBLE FOR NSCLC SURVIVORS WITHOUT FURTHER COMPROMISING BREATHING WITH MOVEMENT. POTENTIAL BENEFITS WERE IDENTIFIED, SUPPORTING THE NEED FOR FUTURE CLINICAL TRIALS WITH LARGER SAMPLES STRATIFIED BY CANCER STAGE, TREATMENT, AND LENGTH OF SURVIVORSHIP. IMPLICATIONS FOR NURSING: NURSES AND HEALTHCARE PROVIDERS SHOULD CONSIDER YOGA AS A MIND-BODY PRACTICE TO MANAGE STRESS, IMPROVE MOOD AND SLEEP, AND POTENTIALLY ENHANCE QOL FOR NSCLC SURVIVORS. 2014 3 2344 18 USING A STANDARDIZED VINIYOGA PROTOCOL FOR LUNG CANCER SURVIVORS: A PILOT STUDY EXAMINING EFFECTS ON BREATHING EASE. ALTHOUGH LUNG CANCER IS PERCEIVED AS A DIRE DIAGNOSIS, INCREASES IN THE 5-YEAR SURVIVAL RATE OF INDIVIDUALS WITH NON-SMALL CELL LUNG CANCER (NSCLC) HAVE BEEN REPORTED. SURVIVORS, HOWEVER, CONTINUE TO BE EXCESSIVELY BURDENED WITH SYMPTOMS SUCH AS RESPIRATORY DISTRESS WHICH INTERFERE WITH FUNCTIONING AND QUALITY OF LIFE. WHILE EXERCISE AND PHYSICAL ACTIVITY ARE STRONGLY RECOMMENDED, NSCLC SURVIVORS MAY BE RELUCTANT TO PARTICIPATE DUE TO ACTUAL OR ANTICIPATED SHORTNESS OF BREATH EXACERBATED WITH MOVEMENT.THIS QUASI-EXPERIMENTAL, INTERVENTION-ONLY PILOT STUDY AIMED TO DETERMINE THE EFFECTS OF AN 8-WEEK STANDARDIZED YOGA PROTOCOL FOR STAGE I-IIIA NSCLC SURVIVORS (N=9). THE PROTOCOL WAS DEVELOPED WITHIN THE VINIYOGA (HATHA) TRADITION WITH RESPIRATORY EXPERTS. BREATHING EASE, DYSPNEA, OXYGEN SATURATION, AND RESPIRATORY FUNCTION WERE EXPLORED IN RELATIONSHIP TO YOGA PRACTICE (45-MINUTE SESSIONS ONCE PER WEEK AND HOME PRACTICE) USING REPEATED-MEASURES ANALYSIS. NUMBER OF PARTICIPANTS REPORTING DYSPNEA RANGED FROM 25 TO 50% PRIOR TO PRACTICE WITH NO SIGNIFICANT INCREASE DURING SESSIONS, AND MODERATE DECREASES NOTED AT TIMES. OXYGEN SATURATION REMAINED HIGH AND VITAL SIGNS STABLE; FORCED EXPIRATORY VOLUME IN 1 SECOND (FEV1) VALUES INCREASED SIGNIFICANTLY OVER THE 14-WEEK STUDY PERIOD (P<0.0001). YOGA, WITH AN EMPHASIS ON POSTURES COORDINATED WITH BREATHING AND MEDITATION PRACTICES, OFFERS A POTENTIALLY FEASIBLE AND BENEFICIAL OPTION THAT REQUIRES FURTHER STUDY IN THIS POPULATION. 2013 4 1502 17 INVEST IN YOURSELF. YOGA AS A SELF-CARE STRATEGY. A WIDENING RECOGNITION OF THE MIND-BODY-SPIRIT CONNECTION IN WESTERN MEDICINE HAS RESULTED IN A GROWING INTEREST IN ANCIENT HEALTH PRACTICES SUCH AS YOGA. AS COMPLEMENTARY THERAPIES ENTER MAINSTREAM MEDICAL SETTINGS, NURSES AND OTHER HEALTHCARE PROVIDERS NEED A FUNDAMENTAL UNDERSTANDING OF THESE MODALITIES TO BE ABLE TO ADVISE PATIENTS EFFECTIVELY. THIS ARTICLE PROVIDES AN OVERVIEW OF YOGA AND DETAILS THE BENEFITS OF YOGA PRACTICE. 2000 5 2807 19 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 6 561 14 CREATING SPACE THROUGH AFRICA YOGA PROJECT: A QUALITATIVE STUDY. THIS QUALITATIVE ANALYSIS EXAMINED TEACHERS' EXPERIENCES OF THE AFRICA YOGA PROJECT (AYP), A MENTORING-ORIENTED YOGA PROGRAM FOR FOSTERING RESILIENCE AMONG INDIVIDUALS AND GROUPS IMPACTED BY POVERTY AND TRAUMA. INTERVIEWS CONDUCTED WITH AYP TEACHERS WERE CODED USING QUALITATIVE CONTENT ANALYSIS. THEMES DEMONSTRATED THAT AYP BENEFITED PARTICIPANTS BY CREATING S.P.A.C.E. (SAFETY AND STABILITY, PERSONAL GROWTH, ACTION, CULTURAL DIVERSITY, AND EMPOWERMENT). THE FINDINGS ILLUSTRATED WAYS IN WHICH THIS PROGRAM FOSTERED INDIVIDUAL AND COMMUNITY WELLNESS AND POSITIVE ENGAGEMENT. IMPLICATIONS ARE DISCUSSED INCLUDING THE POTENTIAL FOR PROVIDING YOGA AS A LOW-COST, SUSTAINABLE, AND EFFECTIVE INTERVENTION TO PROMOTE HEALTH, ECONOMIC SELF-SUFFICIENCY, AND COMMUNITY ENGAGEMENT IN DIVERSE SETTINGS WITH LIMITED RESOURCES. 2016 7 1878 17 REALIZING YOGA'S ALL-ACCESS PASS: A SOCIAL JUSTICE CRITIQUE OF WESTERNIZED YOGA AND INCLUSIVE EMBODIMENT. IN THE 21(ST) CENTURY, THE ANCIENT MIND-BODY PRACTICE OF YOGA HAS SURGED IN POPULARITY AMONG WESTERN ENTHUSIASTS FOR ITS NUMEROUS HEALTH BENEFITS. PARTICULARLY, A GROWING EVIDENCE BASE SUPPORTS YOGA FOR CULTIVATING POSITIVE EMBODIMENT AND REDUCING RISK FOR DISORDERED EATING. NEVERTHELESS, AMIDST ITS RISE ARE CONCERNS ABOUT YOGA'S DEPARTURE FROM ITS SPIRITUAL FOUNDATIONS AND INCREASING ASSIMILATION INTO THE APPEARANCE- AND COMMERCIAL-DRIVEN EXERCISE AND FITNESS CULTURE. CONSEQUENTLY, AN EXCLUSIONARY IDENTITY HAS BEEN PERPETUATED IN SHAPING NORMS SURROUNDING WHO CAN AND DOES PRACTICE YOGA, WHICH CONTRADICTS EARLIER EGALITARIAN VISIONS OF A YOGA FOR ALL. THEREFORE, WE ADOPT A SOCIAL JUSTICE LENS IN OFFERING A FOCUSED ANALYSIS OF THE INTERSECTION OF YOGA, EMBODIMENT, AND INCLUSION FOR SELECT MARGINALIZED SOCIAL IDENTITIES TYPICALLY UNDERREPRESENTED AMONG YOGA PRACTITIONERS AND IN YOGA SCHOLARSHIP. DATA ARE SYNTHESIZED FROM BOTH QUALITATIVE AND QUANTITATIVE SOURCES AND INTEGRATE AN UNDERSTANDING OF HOW CONFINED MEDIA REPRESENTATIONS OF "THE YOGA BODY" AND OTHER PRACTICAL CONSTRAINTS MAY UNDERMINE THE PERCEIVED ACCESS TO THE PRACTICE FOR MEMBERS OF DIVERSE GROUPS. WE CONCLUDE WITH INVITING FUTURE CONSIDERATIONS TOWARDS FOSTERING MORE INTERDISCIPLINARY COMMUNITY-BASED RESEARCH PARTNERSHIPS AMONG THE VARIETY OF STAKEHOLDERS INVESTED IN ADVANCING THE ACCESSIBILITY AND INCLUSION OF YOGA AND POSITIVE EMBODIMENT FOR ALL BODIES. 2020 8 398 19 BEYOND SCIENTIFIC MECHANISMS: SUBJECTIVE PERCEPTIONS WITH VINIYOGA MEDITATION. HEALTHCARE PROFESSIONALS AND RESEARCH SCIENTISTS GENERALLY RECOGNIZE THE POTENTIAL VALUE OF MIND-BODY PRACTICES GROUNDED IN ANCIENT WISDOM, BUT OFTEN HAVE LIMITED DIRECT EXPERIENCE WITH SUCH PRACTICES. MEDITATION PARTICIPANT SELF-REPORTS PROVIDE A WINDOW INTO SUBJECTIVE EXPERIENCES OF THREE VINIYOGA MEDITATIONS AND HOW AND WHY THOSE MEDITATIONS COULD CONTRIBUTE TO HEALTH AND WELL-BEING OUTCOMES. EACH OF THE MEDITATIONS IN THIS ANALYSIS HAD A UNIQUE STRUCTURE AND USED A DIFFERENT ASPECT OF THE OCEAN AS A MEDITATION OBJECT. YOGA PHILOSOPHY AND YOGA ANATOMY MODELS OF THE HUMAN SYSTEM ARE USED TO HELP EXPLAIN PARTICIPANTS' EXPERIENCES AND ASSOCIATED PERSONAL BENEFITS AND INSIGHTS. FOUR ASPECTS OF THE INDIVIDUAL THAT CAN INFLUENCE WHAT HAPPENS FOR THEM IN MEDITATION ARE ILLUSTRATED WITH TANGIBLE EXAMPLES: (1) WHAT IS HAPPENING IN GENERALLY IN SOMEONE'S LIFE; (2) THE STATE OF THEIR SYSTEM (MIND, BODY, BREATH) AROUND THE TIME OF THE MEDITATION; (3) REACTIONS TO THE MEDITATION STEPS AND INSTRUCTIONS; AND (4) THEIR PRIOR EXPERIENCES WITH THE OBJECT OF MEDITATION. SUMMARIES OF THE PRACTICES, AND WHY AND FOR WHOM EACH MEDITATION MIGHT BE BENEFICIAL ARE DISCUSSED. THE AUTHORS' PERSPECTIVES ARE GROUNDED IN VINIYOGA AND YOGA THERAPY. 2019 9 402 13 BEYOND TURMERIC AND YOGA: ADVANCE CARE PLANNING AND END-OF-LIFE CONSIDERATIONS AMONG ASIAN INDIAN AMERICAN HINDUS. HINDUISM IS THE FOURTH LARGEST RELIGION IN THE UNITED STATES; AN UNDERSTANDING OF HINDU BELIEFS AND PRACTICES WILL HELP HEALTH CARE PROVIDERS DELIVER CULTURALLY SENSITIVE CARE WHILE DISCUSSING ADVANCE CARE PLANNING AND END-OF-LIFE CARE FOR ADULT PATIENTS. FOR MANY WESTERNERS, THE PRACTICE OF YOGA, AYURVEDA, AND VEGETARIANISM IS USED BY PEOPLE STRIVING TO LIVE HEALTHFULLY. HOWEVER, WHAT MIGHT BE UNFAMILIAR TO WESTERNERS IS HOW FOR HINDUS, THESE PRACTICES REFLECT THEIR MILLENNIA-OLD SPIRITUALITY AND RELIGIOSITY. KNOWING THE HINDU BELIEFS OF ATMAN, BRAHMAN, KARMA, AND MOKSHA WILL HELP NURSES CONNECT TO HINDUS' VARIOUS END-OF-LIFE WISHES. IN ADDITION, GETTING FAMILIAR WITH INTERRELATING FACTORS SUCH AS LACK OF KNOWLEDGE ON PALLIATIVE CARE AND ADVANCE CARE PLANNING, FAMILY DYNAMICS, ACCULTURATION, AND PERSONAL PREFERENCES WILL ALLOW NURSES TO PROVIDE CULTURALLY COMPETENT CARE. BY FACILITATING END-OF-LIFE CONVERSATIONS AT AN EARLY STAGE, NURSES CAN PROMOTE CONFIDENCE AND SELF-EFFICACY FOR PATIENTS WHO MAY FEAR THAT THEIR RELIGIOSITY AND PERSONAL PRIORITIES ARE TRIVIALIZED BY ACCULTURATED FAMILY MEMBERS OR DISREGARDED BY THEIR ADOPTED HOMELAND. THIS CLINICAL ARTICLE PROVIDES NURSES WITH INFORMATION ABOUT ASIAN INDIAN AMERICAN HINDUS' BELIEFS AND PRACTICES, CLINICAL IMPLICATIONS FOR ASSESSMENT, AND SUGGESTIONS TO SUPPORT PATIENTS' AND FAMILIES' END-OF-LIFE WISHES. 2022 10 1992 16 STAFF PERSPECTIVES REGARDING THE IMPLEMENTATION OF A YOGA INTERVENTION WITH CHRONIC PAIN SELF-MANAGEMENT IN A CLINICAL SETTING. CHRONIC PAIN AFFECTS MILLIONS OF AMERICANS AND CAN BE ADDRESSED THROUGH MULTIPLE MODALITIES, INTERVENTIONS, AND STRATEGIES. YOGA AND SELF-MANAGEMENT HAVE BEEN PROVEN EFFECTIVE IN TREATING CHRONIC PAIN, BUT LITTLE RESEARCH HAS BEEN CONDUCTED ON THE FEASIBILITY AND IMPLEMENTATION BARRIERS RELATED TO THESE ALTERNATIVE INTERVENTION FORMS. IN OUR QUALITATIVE STUDY, WE EXAMINED STAFF PERCEPTIONS REGARDING THE FEASIBILITY OF IMPLEMENTING YOGA ALONG WITH ESTABLISHED SELF-MANAGEMENT AT A PAIN MANAGEMENT CLINIC IN COLORADO. WE UTILIZED THE IMPLEMENTATION DRIVERS OF COMPETENCY, ORGANIZATIONAL, AND LEADERSHIP, AND OUR ADDED HYPOTHETICAL DRIVER TO EXPLORE BARRIERS AND FACILITATORS RELATED TO PROJECT IMPLEMENTATION. OUR FINDINGS SUGGEST THAT POSITIVE STAFF AND PATIENT ATTITUDES WERE CRUCIAL FOR SUCCESSFUL IMPLEMENTATION. WE ALSO IDENTIFIED PHYSICAL SPACE, TRANSPORTATION, AND SUPPORTIVE LEADERSHIP AS NECESSARY COMPONENTS OF PROJECT IMPLEMENTATION. FURTHER RESEARCH IS NEEDED TO EXAMINE BARRIERS SUCH AS FUNDING TO ENSURE INTERVENTION SUSTAINABILITY AND THE NEED FOR ADEQUATE STAFFING. 2017 11 2373 22 WHAT IS OUR "EPISTEMIC RESPONSIBILITY"? REFLECTIONS ON SOCIAL WORK'S ORIENTATION IN YOGA THERAPY RESEARCH. THE PURPOSE OF THIS ARTICLE IS TO EXPLORE HOW THE SOCIAL WORK DISCIPLINE COULD PROVIDE A COMPLEMENTARY LENS THROUGH WHICH YOGA THERAPY CAN BE ANALYZED AND EVALUATED BY ENGAGING IN KNOWLEDGE-CREATION PRACTICES AND PROCEDURES THAT PRIORITIZE THE "EPISTEMIC RESPONSIBILITY" DESCRIBED BY PHILOSOPHER LORRAINE CODE. MORE SPECIFICALLY, BY SEEKING TO STRATEGICALLY INCLUDE OFTEN-SUBJUGATED TYPES OF KNOWLEDGE AND BY FOCUSING ON REDISTRIBUTING EPISTEMIC POWER TO AGENTS THAT TYPICALLY HAVE BEEN EXCLUDED FROM EPISTEMIC PARTICIPATION IN CONTEMPORARY YOGA THERAPY RESEARCH, THE SOCIAL WORK DISCIPLINE, WITH ITS STRONG COMMITMENT TO SOCIAL JUSTICE, HAS THE POTENTIAL TO CONTRIBUTE TO FILLING AN IMPORTANT GAP IN SCIENTIFIC LITERATURE. WE BEGIN BY PRESENTING THE RELEVANCE OF THE SOCIAL WORK PERSPECTIVE IN RELATION TO THE FIELD OF YOGA THERAPY. WE NEXT OFFER A RESERVED CRITICAL ANALYSIS OF THE DOMINANT TECHNICAL KNOWLEDGE BASE THAT CURRENTLY INFORMS YOGA THERAPY PRACTICE. THIS ANALYSIS HIGHLIGHTS THE SOCIAL PARAMETERS THAT MAY BE RENDERED INVISIBLE OR LEFT ASIDE WHEN ADOPTING A POSITIVIST EPISTEMOLOGICAL LENS AND JUSTIFIES HOW THE CONCEPTUAL APPARATUS OF EPISTEMIC RESPONSIBILITY SERVES AS A POTENTIAL PLATFORM FOR RETHINKING SOCIAL WORK'S POSITION AND FUTURE CONTRIBUTIONS TO THE FIELD OF YOGA THERAPY. FINALLY, WE MOBILIZE THE CONCEPT OF CULTURAL APPROPRIATION TO ILLUSTRATE HOW STRIVING FOR EPISTEMIC RESPONSIBILITY PROVIDES AN ENTRY POINT FOR ADDRESSING THE MULTILEVEL, COMPLEX SOCIAL PROCESSES EMBEDDED IN YOGA THERAPY PRACTICE AND RESEARCH WHILE AIMING TO CAPTURE THE MANY VOICES-AND HENCE THE VARIOUS TRUTHS-IMPLICATED IN A DEMOCRATIC, REFLEXIVE, AND INCLUSIVE RESEARCH PROCESS. 2020 12 2239 15 THE IMPORTANCE OF RESEARCH LITERACY FOR YOGA THERAPISTS. EVIDENCE-INFORMED PRACTICE (EIP) UTILIZES THE THREE COMPONENTS OF EXPERT OPINION, RESEARCH EVIDENCE, AND CLIENT VALUES. IT IS A RECOMMENDED TRAINING COMPETENCY FOR INTEGRATIVE HEALTH PRACTITIONERS IN DIVERSE FIELDS, SUCH AS ACUPUNCTURE AND MASSAGE THERAPY. RESEARCH LITERACY (RL) IS A NECESSARY PRE-REQUISITE TO EIP. MANY YOGA THERAPISTS HAVE LIMITED TRAINING IN THESE SKILLS, WHICH NEGATIVELY IMPACTS INTER-PROFESSIONAL COMMUNICATION AND COLLABORATION, AS WELL AS FURTHER ADVANCEMENT OF YOGA THERAPY RESEARCH AND PRACTICE. IN THIS ARTICLE, WE PROPOSE INCLUSION OF RL AND EIP IN THE TRAINING OF YOGA THERAPISTS. BENEFITS FOR CLIENT CARE, COLLABORATIVE CARE, AND THE FIELD OF YOGA THERAPY ARE DISCUSSED. 2017 13 2048 16 THE AFRICA YOGA PROJECT: A PARTICIPANT-DRIVEN CONCEPT MAP OF KENYAN TEACHERS' REPORTED EXPERIENCES. OBJECTIVE: THE AFRICA YOGA PROJECT (AYP) TRAINS AND FUNDS KENYANS TO TEACH COMMUNITY YOGA CLASSES. PRELIMINARY RESEARCH WITH A SMALL SAMPLE OF AYP TEACHERS SUGGESTED THE PROGRAM HAD A POSITIVE IMPACT. THIS STUDY USED CONCEPT MAPPING TO EXPLORE THE EXPERIENCES OF A LARGER SAMPLE. METHODS: PARTICIPANTS BRAINSTORMED STATEMENTS ABOUT HOW PRACTICING AND/OR TEACHING YOGA CHANGED THEM. THEY SORTED STATEMENTS INTO SELF-DEFINED PILES AND RATED THEM IN TERMS OF PERCEIVED IMPORTANCE. MULTIDIMENSIONAL SCALING (MDS) OF SORT DATA CALCULATED STATEMENT COORDINATES WHEREIN EACH STATEMENT IS PLACED IN PROXIMITY TO OTHER STATEMENTS AS A FUNCTION OF HOW FREQUENTLY STATEMENTS ARE SORTED TOGETHER BY PARTICIPANTS. THESE RESULTS ARE THEN AND MAPPED IN A TWO-DIMENSIONAL SPACE. HIERARCHICAL CLUSTER ANALYSIS (HCA) OF THESE DATA IDENTIFIED CLUSTERS (I.E., CONCEPTS) AMONG STATEMENTS. CLUSTER AVERAGE IMPORTANCE RATINGS GAVE THE CONCEPT MAP DEPTH AND INDICATED CONCEPT IMPORTANCE. BRIDGING ANALYSIS AND RESEARCHERS' CONCEPTUAL UNDERSTANDING OF YOGA LITERATURE FACILITATED HCA INTERPRETIVE DECISIONS. RESULTS: OF 72 AYP TEACHERS, 52 AND 48 TEACHERS PARTICIPATED IN BRAINSTORMING AND SORTING/RATING ACTIVITIES, RESPECTIVELY. TEACHERS BRAINSTORMED 93 STATEMENTS ABOUT HOW THEY HAD CHANGED. THE RESULTANT MDS STATEMENT MAP HAD ADEQUATE VALIDITY (STRESS VALUE = .29). HCA CREATED A 12-CLUSTER SOLUTION WITH THE FOLLOWING CONCEPTS OF PERCEIVED CHANGE: IDENTITY AS A YOGA TEACHER; PROSOCIAL DEVELOPMENT; EXISTENTIAL POSSIBILITY; GENUINE POSITIVE REGARD; VALUE AND RESPECT FOR OTHERS (HIGHEST IMPORTANCE); PRESENCE, ACCEPTANCE, AND COMPETENCE; SERVICE AND TRUST; NON-JUDGMENT AND EMOTION REGULATION (LOWEST IMPORTANCE); ENGAGEMENT AND CONNECTION; INTERPERSONAL EFFECTIVENESS; PSYCHOSOCIAL FUNCTIONING; AND PHYSICAL COMPETENCE AND SECURITY. CONCLUSIONS: TEACHERS PERCEIVED THE AYP AS FACILITATING CHANGE ACROSS PHYSICAL, MENTAL, AND SPIRITUAL DOMAINS. ADDITIONAL RESEARCH IS NEEDED TO QUANTIFY AND COMPARE THIS CHANGE TO OTHER HEALTH PROMOTION PROGRAM OUTCOMES. 2015 14 560 17 CREATING INCLUSIVE PHYSICAL ACTIVITY SPACES: THE CASE OF BODY-POSITIVE YOGA. PURPOSE: WITHIN THE MODERN CULTURAL CLIMATE, THOSE IN LARGER BODIES FACE HIGH LEVELS OF WEIGHT STIGMA, PARTICULARLY IN SPORT AND PHYSICAL ACTIVITY SPACES, WHICH SERVES AS A STRONG BARRIER TO THEIR PARTICIPATION. HOWEVER, GIVEN THE STRONG LINK BETWEEN PHYSICAL ACTIVITY AND GENERAL HEALTH AND WELL-BEING FOR PARTICIPANTS, IT IS IMPORTANT TO EXPLORE STRATEGIES THAT ENCOURAGE PARTICIPATION OF THESE INDIVIDUALS. THUS, THE CURRENT RESEARCH EXAMINED STRATEGIES THAT PHYSICAL ACTIVITY INSTRUCTORS USE TO DEVELOP INCLUSIVE EXERCISE SPACES FOR ALL BODY SIZES. METHOD: THIS STUDY EMPLOYED A SERIES OF SEMISTRUCTURED QUALITATIVE INTERVIEWS (N = 9) WITH INSTRUCTORS OF BODY-INCLUSIVE YOGA CLASSES TO EXPLORE THE WAYS IN WHICH THEY ENCOURAGE PARTICIPATION FOR THOSE IN LARGER BODIES. RESULTS: EMERGENT THEMES FROM THE CURRENT STUDY SUGGESTED SUPPORT FOR 6 FACTORS FOR CREATING BODY-INCLUSIVE PHYSICAL ACTIVITY SPACES: AUTHENTIC LEADERSHIP, A CULTURE OF INCLUSION, A FOCUS ON HEALTH, INCLUSIVE LANGUAGE, LEADER SOCIAL ACTIVISM, AND A SENSE OF COMMUNITY. CONCLUSION: THIS STUDY REVEALED THAT LEADERS MUST INTENTIONALLY CULTIVATE INCLUSION IN THEIR SPACES TO ENCOURAGE THOSE IN NONCONFORMING BODIES TO PARTICIPATE. THESE FINDINGS HAVE IMPORTANT HEALTH AND MANAGEMENT IMPLICATIONS FOR THE SPORT AND PHYSICAL ACTIVITY CONTEXT AND PROVIDE A BASIC OUTLINE OF PRACTICAL STRATEGIES THAT PRACTITIONERS CAN USE TO FOSTER INCLUSION IN THEIR SPACES. 2017 15 2304 18 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 16 2314 16 TRAUMA-INFORMED YOGA TRAINING IN KENYA: A QUALITATIVE PILOT STUDY ON FEASIBILITY AND ACCEPTABILITY. THE CURRENT STUDY PRESENTS A PILOT QUALITATIVE EXPLORATION OF THE COLLABORATION OF TWO YOGA SERVICE AGENCIES IN IMPLEMENTING A TRAUMA-INFORMED MINDFULNESS-BASED TEACHING CURRICULUM IN KENYA, AFRICA. YOGA AND MINDFULNESS PRACTICES HAVE BEEN DEMONSTRATED AS SUCCESSFUL COMPLEMENTARY AND ALTERNATIVE APPROACHES TO MANAGING THE IMPACTS OF STRESS TRAUMA. THIS STUDY EXPLORES THE FEASIBILITY AND ACCEPTABILITY OF MINDFULNESS PROGRAMMING FOR YOGA TEACHERS IN THE NAIROBI REGION OF KENYA. GROUNDED THEORY IS USED TO EXPLORE SURVEY RESULTS. OUTCOMES DEMONSTRATE PROMISE FOR BOTH ACCEPTABILITY AND FEASIBILITY. CURRICULUM TOOLS WERE VIEWED AS EFFECTIVE, AND PARTICIPANTS INDICATED INTENTION TO BOTH UTILIZE AND SHARE TOOLS. REFLECTIONS ON PROGRAM EFFECTIVENESS AND IMPACTS ARE ADDRESSED, AS ARE POTENTIAL CONSIDERATIONS FOR IMPROVED PROGRAM TRANSLATION. FINDINGS SUGGEST THE POTENTIAL BENEFIT FOR FUTURE COLLABORATIONS, AND ALSO SUGGEST BEST PRACTICES CONSIDERATIONS FOR GLOBAL IMPLEMENTATION OF EMBODIED MINDFULNESS PROGRAMMING. 2018 17 421 15 BRIDGING BODY AND MIND: CONSIDERATIONS FOR TRAUMA-INFORMED YOGA. INDIVIDUALS WHO SUFFER FROM TRAUMA-RELATED SYMPTOMS ARE A UNIQUE POPULATION THAT COULD BENEFIT FROM THE MIND-BODY PRACTICE OF YOGA-OR HAVE THEIR SYMPTOMS REACTIVATED BY IT, DEPENDING ON THE TYPE OF YOGA. TRAUMA-INFORMED YOGA (TIY), THAT IS, YOGA ADAPTED TO THE UNIQUE NEEDS OF INDIVIDUALS WORKING TO OVERCOME TRAUMA, MAY AMELIORATE SYMPTOMS BY CREATING A SAFE, TAILORED PRACTICE FOR STUDENTS TO LEARN HOW TO RESPOND, RATHER THAN REACT, TO SYMPTOMS AND CIRCUMSTANCES. YOGA NOT THUS ADAPTED, ON THE OTHER HAND, MAY INCREASE REACTIVITY AND ACTIVATE SYMPTOMS SUCH AS HYPERAROUSAL OR DISSOCIATION. THIS ARTICLE REPORTS ON EXPERT INPUT ABOUT ADAPTING YOGA FOR INDIVIDUALS WITH TRAUMA, WITH SPECIAL CONSIDERATIONS FOR MILITARY POPULATIONS. ELEVEN EXPERTS, RECRUITED BASED ON LITERATURE REVIEW AND REFERRALS, WERE INTERVIEWED IN PERSON OR VIA TELEPHONE AND ASKED SEVEN QUESTIONS ABOUT TRAUMA-INFORMED YOGA. VERBATIM TRANSCRIPTS WERE SUBJECTED TO OPEN-CODING THEMATIC ANALYSIS AND A PRIORI THEMES. FINDINGS REVEALED THAT TIY NEEDS TO EMPHASIZE BENEFICIAL PRACTICES (E.G., DIAPHRAGMATIC BREATH AND RESTORATIVE POSTURES), CONSIDER CONTRAINDICATIONS (E.G., AVOIDING SEQUENCES THAT OVERLY ENGAGE THE SYMPATHETIC NERVOUS SYSTEM), ADAPT TO LIMITATIONS AND CHALLENGES FOR TEACHING IN UNCONVENTIONAL SETTINGS (E.G., PRISONS, VA HOSPITALS), AND PROVIDE SPECIALIZED TRAINING AND PREPARATION (E.G., SPECIALIZED TIY CERTIFICATIONS, SELF-CARE OF INSTRUCTORS/THERAPISTS, ADAPTIONS FOR STUDENT NEEDS). TIY FOR VETERANS MUST ADDITIONALLY CONSIDER GENDER- AND CULTURE-RELATED BARRIERS, DIFFERING RELATIONSHIPS TO PAIN AND INJURY, AND MEDICATION AS A BARRIER TO PRACTICE. 2018 18 10 13 "MAKING IT OKAY": PROFESSIONALS IN HIGH-STRESS ENVIRONMENTS CONSTRUCT THEIR UNDERSTANDING OF THE IMPACT OF A YOGA-BASED RETREAT DESIGNED TO BUILD RESILIENCE. PURPOSE: WHILE THERE IS GROWING EVIDENCE FOR RESILIENCE BUILDING PROGRAMMES, TO DATE RESEARCH HAS NOT EXPLORED HOW PROFESSIONALS CONSTRUCT UNDERSTANDING OF PROGRAMME IMPACT. RISE (RESILIENCE, INTEGRATION, SELF-AWARENESS, ENGAGEMENT), A 5-DAY YOGA-BASED RETREAT PROGRAMME, HAS BEEN LINKED WITH POSITIVE WELLNESS OUTCOMES. THIS QUALITATIVE INQUIRY EXPLORES PARTICIPANTS' REFLECTION AND EXPERIENCE 3 MONTHS AFTER PROGRAMME COMPLETION. METHODS: THROUGH A GROUNDED CONSTRUCTIVIST LENS, IN-DEPTH SEMI-STRUCTURED PHONE INTERVIEWS WERE CONDUCTED WITH 17 ADULT PROFESSIONALS IN HIGH-STRESS WORK ENVIRONMENTS WHO ATTENDED RISE. INITIAL HAND-CODING INFORMED CODEBOOK DEVELOPMENT FOR SYSTEMATIC CODING USING DIRECTED CONTENT ANALYSIS USING SENSITIZING STRUCTURING. RESULTS: TWO INTEGRATED PERCEPTIONS WOVEN THROUGH FIVE THEMES. PERSISTENT THREADS OF EXPERIENTIAL LEARNING AND SENSE OF PERMISSION PROVIDED STRUCTURE FOR THEMES FOUND. FIVE INTERRELATED THEMES RELATED TO PSYCHOLOGICAL HEALTH AND WORKPLACE DYNAMICS WERE (1) USE OF ACQUIRED BEHAVIOURAL SKILLS AND PRACTICES; (2) LIVED MINDFULNESS; (3) RESILIENCE TO STRESS AND EMOTION REGULATION (4) SELF-CARE AND SELF-COMPASSION, AND (5) SHARING WITH OTHERS. CONCLUSION: FINDINGS PROVIDE MEANINGFUL INTERPRETATION OF PREVIOUSLY REPORTED PROGRAMME EFFICACY BY CONTEXTUALIZING PERCEIVED BENEFITS WITHIN PARTICIPANTS' CONSTRUCTED UNDERSTANDING OF CHANGE. SPECIFICALLY, ENVIRONMENTAL, SOCIAL, AND EXPERIENTIAL CONSIDERATIONS HAVE SUGGESTED IMPLICATIONS FOR RESILIENCE BUILDING PROGRAMMES.ABBREVIATIONS: RISE (RESILIENCE, INTEGRATION, SELF-AWARENESS, ENGAGEMENT). 2022 19 2375 14 WHITE PAPER: YOGA THERAPY AND PAIN-HOW YOGA THERAPY SERVES IN COMPREHENSIVE INTEGRATIVE PAIN MANAGEMENT, AND HOW IT CAN DO MORE. THIS PAPER EXAMINES THE ROLE OF YOGA THERAPY IN COMPREHENSIVE INTEGRATIVE PAIN MANAGEMENT (CIPM). THE PAIN CRISIS IS DESCRIBED, AND HOW YOGA THERAPISTS CAN CONTRIBUTE TO ITS SOLUTION IS EXPLAINED. YOGA THERAPY CAN BE AN ESSENTIAL COMPONENT OF THE MULTIDISCIPLINARY UNDERTAKING THAT WILL BE REQUIRED TO IMPROVE PATIENT OUTCOMES AND ALTER THE TRAJECTORY OF THE GLOBAL PUBLIC HEALTH CRISIS CONSTITUTED BY AN EPIDEMIC OF POORLY UNDERSTOOD AND INADEQUATELY ADDRESSED PAIN. ADDITIONAL CONTEXT AND EVIDENCE ARE PRESENTED TO DOCUMENT THE EFFECTIVENESS OF YOGA THERAPY INTERVENTIONS TO SUPPORT PEOPLE LIVING WITH PAIN. THE WHITE PAPER CONCLUDES BY LISTING RECOMMENDATIONS TO PROVIDERS, CONSUMERS, PAYERS, AND LEGISLATORS, WHO TOGETHER CAN ADDRESS SYSTEMIC AND STRUCTURAL BARRIERS TO CIPM, AS WELL AS SUGGESTIONS FOR ENABLING THE YOGA THERAPY PROFESSION TO MORE FULLY PARTICIPATE IN THESE SOLUTIONS. 2020 20 65 17 A CONCEPTUAL MODEL DESCRIBING MECHANISMS FOR HOW YOGA PRACTICE MAY SUPPORT POSITIVE EMBODIMENT. YOGA PRACTICE HAS BEEN ASSOCIATED WITH VARIOUS INDICES OF POSITIVE EMBODIMENT IN CORRELATIONAL AND INTERVENTION STUDIES. YET, SYSTEMATIC, THEORETICALLY-GROUNDED MODELS DETAILING SPECIFIC MECHANISMS BY WHICH YOGA SUPPORTS POSITIVE EMBODIMENT ARE LACKING. IN THIS ARTICLE, WE PRESENT A CONCEPTUAL MODEL THAT DESCRIBES MECHANISMS (I.E., MEDIATORS AND MODERATORS) THAT CAN BE USED TO GUIDE RESEARCH TO HELP ANSWER HOW, FOR WHOM, AND UNDER WHAT CONDITIONS YOGA PRACTICE MAY PROMOTE POSITIVE EMBODIMENT. BASED ON EXISTING THEORETICAL FRAMEWORKS AND EMPIRICAL FINDINGS, THIS MODEL SUGGESTS THAT (A) YOGA PRACTICE MAY CULTIVATE EMBODYING EXPERIENCES DURING YOGA (E.G., STATE MINDFULNESS), (B) THESE EMBODYING EXPERIENCES MAY BUILD STABLE EMBODYING EXPERIENCES THAT GENERALIZE BEYOND THE YOGA CONTEXT (E.G., TRAIT MINDFULNESS), AND (C) THESE STABLE EMBODYING EXPERIENCES MAY THEN PROMOTE EMBODYING PRACTICES (E.G., MINDFUL SELF-CARE). THIS MEDIATIONAL CHAIN IS LIKELY MODERATED BY THE YOGA CONTEXT (E.G., INSTRUCTIONAL FOCUS, PRESENCE OF MIRRORS, DIVERSITY OF BODIES REPRESENTED) AND YOGA PRACTITIONERS' SOCIAL IDENTITIES (E.G., BODY SIZE, PHYSICAL LIMITATIONS), SOCIAL AND PERSONAL HISTORIES (E.G., EXPERIENCES WITH WEIGHT STIGMA AND TRAUMA), AND PERSONALITY TRAITS AND MOTIVES (E.G., BODY COMPARISON, APPEARANCE-FOCUSED MOTIVES TO PRACTICE YOGA). USING THE STRUCTURE OF THIS CONCEPTUAL MODEL, WE OFFER RESEARCHERS IDEAS FOR TESTABLE MODELS AND STUDY DESIGNS THAT CAN SUPPORT THEM. 2020