1 2408 169 YOGA AND HEALTHCARE IN THE UNITED KINGDOM. THE EMERGENCE OF YOGA THERAPY IN THE UNITED KINGDOM BEGAN ABOUT 45 YEARS AGO WITH THE EMERGENCE OF YOGA THERAPY ORGANIZATIONS THAT OFFERED BOTH TREATMENT AND TRAINING. THE INTEGRATION OF YOGA INTO THE NATIONAL HEALTH SERVICE (NHS) IS GRADUALLY HAPPENING BECAUSE: (A) YOGA RESEARCH SUPPORTS ITS EFFICACY AS A COST-EFFECTIVE, PREVENTIVE AND COMPLEMENTARY TREATMENT FOR A HOST OF NON-COMMUNICABLE DISEASES; AND (B) THE ESCALATING ECONOMIC BURDEN OF LONG-TERM CONDITIONS IS OVERWHELMING THE NHS. THE NHS IS ACTIVELY DEVELOPING 'SUSTAINABILITY AND TRANSFORMATION PLANS' THAT INCLUDE YOGA. CHIEF AMONG THESE IS 'SOCIAL PRESCRIBING,' WHICH EMPOWERS PATIENTS WITH COMPLEX HEALTH NEEDS THROUGH ACTIVITIES GROUPS. THESE ACTIVITIES REDUCE SEDENTARY HABITS AND SOCIAL ISOLATION, WHILE HELPING PATIENTS TO BE MORE SELF-RELIANT. THE NHS HAS ALLOCATED POUND450 MILLION IN FUNDING TO IMPLEMENT A VARIETY OF PROGRAMS FOR ITS OWN STAFF, IN WHICH STAFF YOGA CLASSES WERE EXPRESSLY MENTIONED. THE YOGA COMMUNITY IS MOBILIZING FORCES AND APPLYING FOR FUNDING TO PILOT RELEVANT NHS STAFF YOGA COURSES THAT CAN SUPPORT THE SERVICE IN ACHIEVING ITS VISION. RESEARCH SHOWS THAT INTEGRATING YOGA THERAPY FOR THE TREATMENT OF LOW BACK PAIN (LBP) INTO THE NHS WOULD RESULT IN SIGNIFICANT COST SAVINGS AS COMPARED WITH USUAL CARE. THE NATIONAL INSTITUTE FOR HEALTH AND CARE EXCELLENCE (NICE) GUIDELINES ON LBP AND SCIATICA INCLUDE YOGA AS ONE OF THE RECOMMENDED TREATMENTS FOR THESE CONDITIONS. THREE GROUPS OF YOGA TEACHERS, USING DIFFERENT YOGA PRACTICES, HAVE GAINED TRACTION WITH THE NHS FOR THE APPLICATION OF YOGA THERAPY TO LBP. MANY REGIONAL HOSPITALS IN ENGLAND HAVE YOGA CLASSES. THE NHS CHOICES WEBSITE, WHICH CONVEYS INFORMATION TO THE PUBLIC REGARDING TREATMENT OPTIONS, HAS A PAGE DEDICATED TO THE HEALTH BENEFITS OF YOGA. SEVERAL INSTITUTIONS OFFER COMPREHENSIVE TRAINING PROGRAMS IN YOGA THERAPY AND YOGA THERAPY IS RECOGNIZED AS AN OFFICIAL PROFESSION. THE YOGA IN HEALTHCARE ALLIANCE HAS BEEN ESTABLISHED TO HELP INTEGRATE YOGA THERAPY INTO THE NHS. THIS CONSISTS OF PARLIAMENTARIANS, LEADERS IN THE NHS, YOGA RESEARCHERS, HEALTH PROFESSIONALS, AND REPRESENTATIVES FROM LEADING YOGA ORGANIZATIONS. 2017 2 2372 32 WHAT HELPS OLDER PEOPLE PERSEVERE WITH YOGA CLASSES? A REALIST PROCESS EVALUATION OF A COVID-19-AFFECTED YOGA PROGRAM FOR FALL PREVENTION. BACKGROUND: FALLS AMONG OLDER PEOPLE ARE A MAJOR GLOBAL HEALTH CONCERN. THIS PROCESS EVALUATION INVESTIGATES THE EXPERIENCE OF PARTICIPANTS AGED 60+ IN A YOGA PROGRAM AIMED AT PREVENTING FALLS WHICH TRANSITIONED FROM STUDIO-BASED CLASSES TO ONLINE CLASSES IN RESPONSE TO COVID-19 RESTRICTIONS. WE SOUGHT TO UNDERSTAND HOW THE SUCCESSFUL AGEING (SAGE) YOGA PROGRAM FUNCTIONED IN BOTH SETTINGS AND AS A HYBRID PROGRAM, AND TO EXPLAIN WHY IT WORKED WELL FOR MOST PARTICIPANTS. METHODS: REALIST PROCESS EVALUATION WAS USED TO EXPLORE THE FACTORS THAT FACILITATED A SUCCESSFUL TRANSITION FOR MOST PARTICIPANTS, AND TO CONSIDER WHY IT DID NOT WORK FOR A MINORITY. THIS APPROACH DEVELOPS PROGRAM THEORIES THAT DESCRIBE WHICH MECHANISMS AN INTERVENTION IS (OR IS NOT) ACTIVATING, AND HOW THIS IS MEDIATED BY CONTEXT TO GENERATE PROCESS OUTCOMES. DATA INCLUDED INTERVIEWS WITH PARTICIPANTS (N = 21) AND YOGA INSTRUCTORS (N = 3), SELF-REPORT FEEDBACK FORMS (N = 46), OBSERVATION OF CLASSES AND ROUTINE PROCESS MEASURES. RESULTS: FACTORS THAT FACILITATED A SUCCESSFUL TRANSITION FOR MOST PARTICIPANTS INCLUDED THE QUALITY OF YOGA INSTRUCTION, THE PROGRAM FORMAT AND INHERENT CHARACTERISTICS OF YOGA. GAINS IN TRANSITIONING ONLINE INCLUDED CONTINUITY AND GREATER CONVENIENCE. LOSSES INCLUDED PERCEIVED REDUCTION IN THE EFFECTIVENESS OF YOGA INSTRUCTION. THERE WERE GREATER CHALLENGES FOR PEOPLE STRUGGLING WITH PAIN AND IN DISADVANTAGEOUS HOME ENVIRONMENTS. WE IDENTIFIED SIX PROGRAM THEORIES CONFIGURED AROUND 16 MECHANISMS: 1. IT'S WORTH THE EFFORT AND 2. IN EXPERT HANDS (THESE HAD THE SAME MECHANISMS: VALUE EXPECTANCY, THERAPEUTIC ALLIANCE AND ACHIEVEMENT/MASTERY), 3. A COMMUNAL EXPERIENCE (THESE MECHANISMS WERE SHARED EXPERIENCE, SOCIAL CONNECTION, SOCIAL COMPARISON AND PEER CHECKING), 4. PUTTING YOGA WITHIN REACH (ACCESSIBILITY, CONVENIENCE, GRATITUDE), 5. BUILDING YOGA HABITS (PURPOSEFUL STRUCTURE, MOMENTUM, ACCOUNTABILITY AND CONTINUITY), AND 6. YOGA'S SPECIAL PROPERTIES (EMBODIMENT AND MINDFULNESS). CONCLUSIONS: THIS STUDY SHOWED THAT ONLINE DELIVERY OF A YOGA PROGRAM FOR PEOPLE AGED 60+ RETAINED MUCH OF THE VALUE OF A FACE-TO-FACE PROGRAM FOR THE MAJORITY OF PARTICIPANTS, AND INCREASED THE VALUE FOR SOME. THE STRUCTURED, COMMUNAL NATURE OF AN ORGANISED GROUP PROGRAM DELIVERED BY A SKILLED INSTRUCTOR, TOGETHER WITH YOGA'S INTRINSIC FOCUS ON MINDFULNESS, FACILITATED CONTINUED ENGAGEMENT AND PERCEIVED HEALTH BENEFITS, DESPITE THE CHANGE IN DELIVERY MODE. 2022 3 1640 35 MOLECULAR SIGNATURE OF THE IMMUNE RESPONSE TO YOGA THERAPY IN STRESS-RELATED CHRONIC DISEASE CONDITIONS: AN INSIGHT. THE WORLD HEALTH ORGANIZATION DEFINES HEALTH AS COMPLETE WELL-BEING IN TERMS OF PHYSICAL, MENTAL AND SOCIAL, AND NOT MERELY THE ABSENCE OF DISEASE. TO ATTAIN THIS, INDIVIDUAL SHOULD ADAPT AND SELF-MANGE THE SOCIAL, PHYSICAL AND EMOTIONAL CHALLENGES OF LIFE. EXPOSURE TO CHRONIC STRESS DUE TO URBANIZATION, WORK STRESS, NUCLEAR FAMILY, POLLUTION, UNHEALTHY FOOD HABITS, LIFESTYLE, ACCIDENTAL DEATH IN THE FAMILY, AND NATURAL CALAMITIES ARE THE TRIGGERING FACTORS, LEADING TO HORMONAL IMBALANCE AND INFLAMMATION IN THE TISSUE. THE RELATIONSHIP BETWEEN STRESS AND ILLNESS IS COMPLEX; ALL CHRONIC ILLNESSES SUCH AS CARDIOVASCULAR DISEASE AND ASTHMA HAVE THEIR ROOT IN CHRONIC STRESS ATTRIBUTED BY INFLAMMATION. IN RECENT TIMES, YOGA THERAPY HAS EMERGED AS AN IMPORTANT COMPLEMENTARY ALTERNATIVE MEDICINE FOR MANY HUMAN DISEASES. YOGA THERAPY HAS A POSITIVE IMPACT ON MIND AND BODY; IT ACTS BY INCORPORATING APPROPRIATE BREATHING TECHNIQUES AND MINDFULNESS TO ATTAIN CONSCIOUS DIRECTION OF OUR AWARENESS OF THE PRESENT MOMENT BY MEDITATION, WHICH HELPS ACHIEVE HARMONY BETWEEN THE BODY AND MIND. STUDIES HAVE ALSO DEMONSTRATED THE IMPORTANT REGULATORY EFFECTS OF YOGA THERAPY ON BRAIN STRUCTURE AND FUNCTIONS. DESPITE THESE ADVANCES, THE CELLULAR AND MOLECULAR MECHANISMS BY WHICH YOGA THERAPY RENDERS ITS BENEFICIAL EFFECTS ARE INADEQUATELY KNOWN. A GROWING BODY OF EVIDENCE SUGGESTS THAT YOGA THERAPY HAS IMMUNOMODULATORY EFFECTS. HOWEVER, THE PRECISE MECHANISTIC BASIS HAS NOT BEEN ADDRESSED EMPIRICALLY. IN THIS REVIEW, WE HAVE ATTEMPTED TO HIGHLIGHT THE EFFECT OF YOGA THERAPY ON IMMUNE SYSTEM FUNCTIONING WITH AN AIM TO IDENTIFY IMPORTANT IMMUNOLOGICAL SIGNATURES THAT INDEX THE EFFECT OF YOGA THERAPY. TOWARD THIS, WE HAVE SUMMARIZED THE AVAILABLE SCIENTIFIC EVIDENCE SHOWING POSITIVE IMPACTS OF YOGA THERAPY. FINALLY, WE HAVE EMPHASIZED THE EFFICACY OF YOGA IN IMPROVING PHYSICAL AND MENTAL WELL-BEING. YOGA HAS BEEN A PART OF INDIAN CULTURE AND TRADITION FOR LONG; NOW, THE TIME HAS COME TO SCIENTIFICALLY VALIDATE THIS AND IMPLEMENT THIS AS AN ALTERNATIVE TREATMENT METHOD FOR STRESS-RELATED CHRONIC DISEASE. 2020 4 5 25 "I JUST FIND IT EASIER TO LET GO OF ANGER": REFLECTIONS ON THE WAYS IN WHICH YOGA INFLUENCES HOW YOUNG PEOPLE MANAGE THEIR EMOTIONS. IN THIS ARTICLE WE DISCUSS HOW YOUNG PEOPLE EXPERIENCED A SCHOOL-BASED YOGA INTERVENTION. WE PAY PARTICULAR ATTENTION TO HOW YOGA PROVIDES A SPACE FOR YOUNG PEOPLE TO DEAL WITH THEIR EMOTIONS. WE BASE OUR DISCUSSION ON QUALITATIVE DATA FROM YOUNG PEOPLE IN NORWAY WHO PARTICIPATED IN THE EUROPEAN RESEARCH PROJECT "HIPPOCAMPUS: PROMOTING MENTAL HEALTH AND WELLBEING AMONG YOUNG PEOPLE THROUGH YOGA." THE QUALITATIVE RESULTS ARE BASED ON EXPERIENCES DESCRIBED BY THESE YOUNG PEOPLE IN INDIVIDUAL SEMI-STRUCTURED INTERVIEWS AND IN DIARIES OR LOGS. OUR DATA INCLUDE NINE INTERVIEWS PERFORMED IN THE SPRING OF 2019 WITH YOUNG PEOPLE OF NORWEGIAN AND REFUGEE BACKGROUND IN THEIR LATE TEENS AND EARLY TWENTIES. THERE WERE ALSO 133 LOGS NOTED BY THE STUDENTS EXPOSED TO THE YOGA INTERVENTION. IN THE QUALITATIVE INTERVIEWS, YOUNG PEOPLE TALK ABOUT YOGA AND EMOTIONAL MANAGEMENT, IMPROVED SLEEP HABITS, AND REGULATION. THEY ALSO REPORT IMPROVED ABILITY TO REGULATE AND COPE WITH STRESS. YOGA SEEMED ESPECIALLY BENEFICIAL FOR REFUGEE TRAUMA. IN THIS ARTICLE, WE HAVE CHOSEN TO FOCUS ON THE UTTERANCES OF YOUNG PEOPLE ABOUT EMOTIONS, AS THOSE WERE QUITE DOMINANT IN OUR DATA, ESPECIALLY IN THE INTERVIEW MATERIAL. WE HAVE IDENTIFIED INSTANCES OF EMOTIONAL REGULATION, BUT ALSO OF EMOTIONAL PROCESSES AND CHANGES OF EMOTIONS, ALL OF WHICH WERE RELATED TO THESE YOUNG STUDENTS PRACTICING YOGA. THE IMPACT OF YOGA ON EMOTIONS ILLUSTRATES THE POTENTIAL OF YOGA TO IMPROVE THE WELL-BEING AND MENTAL HEALTH OF YOUNG PEOPLE. 2021 5 1560 35 LONG-TERM YOGA AND AEROBIC/STRENGTH EXERCISE ADHERENCE IN OLDER WOMEN WITH KNEE OSTEOARTHRITIS: A MIXED METHODS APPROACH. HATHA YOGA (HY) AND AEROBIC AND STRENGTHENING EXERCISE (ASE) PROGRAMS ARE RECOMMENDED FOR OPTIMAL MANAGEMENT OF OSTEOARTHRITIS. HOWEVER, EVIDENCE ON LONG-TERM ADHERENCE TO THESE PROGRAMS AND FACTORS THAT INFLUENCE IT IS LACKING IN OLDER ADULTS. THE PURPOSES OF THIS STUDY WERE TO (1) DESCRIBE AND COMPARE LONG-TERM HY AND ASE ADHERENCE IN COMMUNITY-DWELLING OLDER WOMEN WITH KNEE OSTEOARTHRITIS 12 MONTHS POST-HY/ASE INTERVENTION PROGRAMS; (2) IDENTIFY BENEFITS AND FACILITATORS OF, AND BARRIERS TO, LONG-TERM ADHERENCE; AND (3) EXAMINE OTHER SELF-CARE INTERVENTIONS USED AFTER COMPLETING HY OR ASE PROGRAMS. ADHERENCE WAS DEFINED AS FOLLOWING THE PRESCRIBED HY/ASE PROGRAM OR INCORPORATING THE PRACTICE INTO DAILY HABITS. FIVE SEMISTRUCTURED FOCUS GROUP INTERVIEWS AND 12 MONTHS OF EXERCISE DIARIES WERE OBTAINED FROM 28 WOMEN (MEAN AGE 71.2 YEARS). LONG-TERM ADHERENCE TO THE PRESCRIBED HY OR ASE REGIMEN WAS RELATIVELY HIGH, ALBEIT ADAPTED TO INDIVIDUAL NEEDS, PRIORITIES, AND PREFERENCES. OVER THE 12-MONTH FOLLOW-UP PERIOD, PARTICIPANTS SPENT ON AVERAGE 3.5 DAYS/3.1 HOURS PER WEEK ON EXERCISE. MOST PARTICIPANTS REMAINED PHYSICALLY ACTIVE BY MODIFYING THEIR PRESCRIBED PROGRAMS AND INTEGRATING ELEMENTS OF THE INTERVENTIONS INTO THEIR OWN EXERCISE REGIMENS. FACILITATORS TO LONG-TERM ADHERENCE WERE PERCEIVED BENEFITS, HAVING AN EXERCISE ROUTINE/HABIT, AND PROGRAM STRUCTURE/INSTRUCTION. POOR HEALTH STATUS, LACK OF TIME, AND EXERCISE PREFERENCES WERE IDENTIFIED AS BARRIERS. PARTICIPANTS USED A VARIETY OF SELF-CARE INTERVENTIONS INCLUDING ORAL SUPPLEMENTS AND ALTERNATIVE DIETS FOR MANAGING THEIR OSTEOARTHRITIS. THIS WORK SUGGESTS THAT EXERCISE PROGRAMS FOR OSTEOARTHRITIS THAT INCORPORATE INDIVIDUAL PREFERENCES, FLEXIBLE HOURS, AND EASY-TO-FOLLOW INSTRUCTIONS ARE MOST LIKELY TO RESULT IN LONG-TERM ADHERENCE. 2022 6 2625 31 YOGA FOR TEENS WITH IRRITABLE BOWEL SYNDROME: RESULTS FROM A MIXED-METHODS PILOT STUDY. IRRITABLE BOWEL SYNDROME (IBS) IS A COMMON CONDITION ASSOCIATED WITH RECURRENT ABDOMINAL PAIN AND ALTERED BOWEL HABITS. IT IS PARTICULARLY PERNICIOUS TO YOUTH, WHO MAY WITHDRAW FROM LIFE TASKS DUE TO PAIN, DIARRHEA, AND/OR FEAR OF SYMPTOMS. EMOTIONAL STRESS EXACERBATES IBS SYMPTOMS, AND MIND-BODY INTERVENTIONS MAY BE BENEFICIAL. IN THIS MIXED-METHODS STUDY OF 18 TEENS AGED 14 TO 17 YEARS UNDERTAKING A 6-WEEK IYENGAR YOGA INTERVENTION, WE AIMED TO IDENTIFY TREATMENT RESPONDERS AND TO EXPLORE DIFFERENCES BETWEEN RESPONDERS AND NONRESPONDERS ON A RANGE OF QUANTITATIVE OUTCOMES AND QUALITATIVE THEMES RELATED TO YOGA IMPACT, GOODNESS OF FIT, AND BARRIERS TO TREATMENT. HALF OF THE TEENS RESPONDED SUCCESSFULLY TO YOGA, DEFINED AS A CLINICALLY MEANINGFUL REDUCTION IN ABDOMINAL PAIN. RESPONDERS DIFFERED FROM NONRESPONDERS ON POSTINTERVENTION QUANTITATIVE OUTCOMES, INCLUDING REDUCED ABDOMINAL PAIN, IMPROVED SLEEP, AND INCREASED VISCERAL SENSITIVITY. QUALITATIVE OUTCOMES REVEALED THAT RESPONDERS REPORTED GENERALIZED BENEFITS EARLY IN TREATMENT AND THAT THEIR PARENTS WERE SUPPORTIVE AND COMMITTED TO THE INTERVENTION. RESPONDERS AND NONRESPONDERS ALIKE NOTED THE IMPORTANCE OF HOME PRACTICE TO ACHIEVE MAXIMAL, SUSTAINED BENEFITS. THIS STUDY REVEALS THE NEED FOR DEVELOPMENTALLY SENSITIVE YOGA PROGRAMS THAT INCREASE ACCESSIBILITY OF YOGA FOR ALL PATIENTS. 2018 7 2346 21 USING REALIST EVALUATION TO UNDERSTAND PROCESS OUTCOMES IN A COVID-19-IMPACTED YOGA INTERVENTION TRIAL: A WORKED EXAMPLE. REALIST EVALUATION OFFERS A VALUABLE WAY TO UNDERSTAND HOW INTERVENTIONS FUNCTION AND THUS HOW THEY CAN BE IMPROVED AND LOCALLY ADAPTED. CONSEQUENTLY, REALIST EVALUATION IS INCREASINGLY CONDUCTED IN PARALLEL WITH INTERVENTION TRIALS. IT COMPRISES A CLEAR PHILOSOPHICAL FOUNDATION AND VIEW OF CAUSALITY, PRAGMATIC MIXED DATA COLLECTION METHODS, AND A THEORY-DRIVEN APPROACH IN WHICH HYPOTHESISED PROGRAM THEORIES ARE TESTED AND REFINED. HOWEVER, DETAILED METHODS FOR DATA ANALYSIS ARE SELDOM WELL-DESCRIBED IN REALIST STUDIES AND NO CLEAR METHOD FOR ANALYSING AND PRESENTING REALIST EVALUATION DATA HAS YET EMERGED. IN THIS METHODOLOGICAL PAPER WE USE THE WORKED EXAMPLE OF OUR REALIST PROCESS EVALUATION OF THE SAGE YOGA TRIAL TO ILLUSTRATE AN APPLIED PROCESS OF DATA ANALYSIS AND PRESENTATION OF FINDINGS. WE SHOW HOW WE DREW ON OTHER REALIST STUDIES FOR IDEAS, PROVIDE EXAMPLES OF SIX KEY TASKS INVOLVED IN CONDUCTING A REALIST PROCESS EVALUATION (INCLUDING CODING DATA AND STRUCTURING RESULTS) AND DESCRIBE STRATEGIES THAT DID NOT WORK AND OUR RATIONALE FOR REJECTING THEM. THIS DETAILED ACCOUNT OF THE DECISIONS AND METHODS THAT WORKED FOR US IS INTENDED TO PROVIDE A PRACTICAL AND INFORMED POINT OF DEPARTURE FOR RESEARCHERS CONDUCTING A REALIST EVALUATION. 2021 8 2034 30 TEENS' PERSPECTIVES ON YOGA AS A TREATMENT FOR STRESS AND DEPRESSION. OBJECTIVE: TO UNDERSTAND ADOLESCENTS' EXPERIENCES AND ATTITUDES TOWARD YOGA, WITH A PARTICULAR FOCUS ON ACCEPTABILITY AND FEASIBILITY OF A YOGA INTERVENTION FOR DEPRESSED ADOLESCENTS. DESIGN: QUALITATIVE ANALYSIS OF DATA FROM THREE FOCUS GROUPS AND EIGHT INDIVIDUAL INTERVIEWS, FOR A TOTAL OF 22 TEEN PARTICIPANTS. SETTING: OUTPATIENT SETTING IN A PSYCHIATRIC HOSPITAL IN THE U.S. MAIN OUTCOME MEASURES: TEENS WERE ASKED ABOUT THEIR OWN AND THEIR PEERS' ATTITUDES TOWARD, AND EXPERIENCES WITH, HATHA YOGA; REACTIONS TO A STUDY-CREATED YOGA VIDEO; AND OPINIONS ON CLASS LOGISTICS. RESULTS: TEENS HAD BOTH POSITIVE AND NEGATIVE ATTITUDES TOWARD, AND EXPERIENCES WITH, HATHA YOGA. THEY COMMENTED ON "WHO DOES YOGA;" MANY RESPONSES SUGGESTED A LIMITED GROUP (E.G., MOMS; PEOPLE WITH MONEY AND TIME). PARTICIPANTS AGREED THAT YOGA COULD BE POTENTIALLY BENEFICIAL FOR DEPRESSED OR STRESSED TEENS. SELF-CONSCIOUSNESS WHILE BEING IN A YOGA CLASS WAS A MAJOR CONCERN. OVERALL, TEENS REACTED FAVORABLY TO THE STUDY-CREATED YOGA VIDEO. TEENS HAD VARIED OPINIONS ABOUT CLASS LOGISTICS INCLUDING CLASS DURATION AND SIZE. TEENS CITED BARRIERS TO CLASS, SUCH AS TRANSPORTATION, AS WELL AS BARRIERS TO HOME YOGA PRACTICE. CONCLUSIONS: KEY POINTS FOR DEVELOPING A YOGA CLASS THAT MIGHT BE APPEALING TO DEPRESSED OR STRESSED TEENS INCLUDE: CREATING A CLASS WITH VARIETY THAT TEENS WILL FIND INTERESTING; TAKING CONCRETE STEPS TO DECREASE TEEN SELF-CONSCIOUSNESS; INCORPORATING MESSAGES RELEVANT FOR TEENS AND CONSISTENT WITH YOGA PHILOSOPHY; AND ACTIVELY COUNTERING STEREOTYPES ABOUT WHO PRACTICES YOGA. LIMITATIONS OF THIS STUDY INCLUDE THE LACK OF DATA FROM MALE TEENS. 2021 9 421 23 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 10 2690 26 YOGA IN WOMEN WITH ABDOMINAL OBESITY - DO LIFESTYLE FACTORS MEDIATE THE EFFECT? SECONDARY ANALYSIS OF A RCT. INTRODUCTION: THE REDUCTION OF OBESITY IS AN IMPORTANT CHALLENGE FOR HEALTH POLICY. ALTHOUGH DIETARY INTERVENTIONS ARE WIDELY AVAILABLE, PATIENT ADHERENCE IS USUALLY LOW. A PROMISING ALTERNATIVE IS YOGA. WE HYPOTHESIZED THAT WEIGHT REDUCTION THROUGH YOGA IS MEDIATED BY ASPECTS RELATED TO EATING HABITS AS WELL AS PHYSICAL ASPECTS. METHODS: THIS IS AN EXPLORATORY SECONDARY ANALYSIS OF A RANDOMIZED CONTROLLED TRIAL COMPARING THE EFFECTS OF YOGA TO WAITING LIST IN WOMEN WITH ABDOMINAL OBESITY. BODY MASS INDEX (BMI) AND WAIST CIRCUMFERENCE WERE ASSESSED AS OUTCOMES; PHYSICAL EXERCISE HABITS, PHYSICAL ACTIVITY HABITS AT LEISURE TIME, PHYSICAL ACTIVITY HABITS AT WORK TIME, DAILY FRUIT AND VEGETABLE INTAKE, NUTRITION SELF-EFFICACY, AND PHYSICAL SELF-EFFICACY WERE CAPTURED AS MEDIATORS. MEASURES WERE ASSESSED AT WEEKS 0 AND 12. THE ORIGINAL TRIAL WAS CONDUCTED BETWEEN APRIL AND AUGUST 2015. THE SECONDARY ANALYSIS WAS PERFORMED DECEMBER 2019. RESULTS: FORTY PATIENTS WERE RANDOMIZED TO THE 12 WEEKLY YOGA SESSIONS (48.5 +/- 7.9 YEARS) AND 20 PATIENTS TO THE WAITLIST GROUP (46.4 +/- 8.9 YEARS). PHYSICAL EXERCISE HABITS FULLY MEDIATED THE EFFECT OF YOGA ON BMI (B=-0.26;CI[-.56;-.07]). DAILY FRUIT AND VEGETABLE INTAKE PARTIALLY MEDIATED THE EFFECT OF YOGA ON BMI (B=-0.13;CI[-.38;-.01]). NO FURTHER MEDIATION EFFECTS WERE FOUND. CONCLUSIONS: YOGA SUPPORTS PEOPLE WITH OVERWEIGHT IN EATING HEALTHIER AND INCREASING THEIR PHYSICAL ACTIVITY WHICH IN TURN LEADS TO A REDUCED BMI. YOGA'S EFFECTS ON WAIST CIRCUMFERENCE SEEM TO BE DUE TO OTHER MECHANISMS. 2021 11 129 36 A POPULATION-PRACTICE-BASED MODEL TO UNDERSTAND HOW YOGA IMPACTS ON HUMAN GLOBAL FUNCTIONING: A QUALITATIVE STUDY. INTRODUCTION:RESEARCH IS INCREASINGLY DEMONSTRATING A RANGE OF BENEFITS OF PRACTICING YOGA, SUCH AS IMPROVED PHYSICAL AND MENTAL HEALTH, SOCIAL CONNECTEDNESS, AND SELF-CARE. MECHANISMS OF ACTION ARE LESS WELL UNDERSTOOD, BUT MAY INCLUDE BOTH PSYCHOLOGICAL AND PHYSIOLOGICAL CHANGES. THE AIM OF THIS STUDY WAS TO UNDERSTAND MORE ABOUT BENEFITS AND MECHANISMS OF YOGA PRACTICE, USING QUALITATIVE DATA COLLECTED FROM A LARGE-SCALE SURVEY OF YOGA USE IN THE UNITED KINGDOM. METHODS: THE MIXED METHODS, CROSS-SECTIONAL ONLINE SURVEY COLLECTED DATA ON YOGA USE AND PERCEIVED BENEFITS FROM 2434 U.K. YOGA PRACTITIONERS. THE QUALITATIVE SURVEY ELEMENT USED OPEN-ENDED QUESTIONS TO GAIN "REAL LIFE" DATA REGARDING PRACTICE AND PERCEIVED BENEFITS. DATA WERE ANALYZED THEMATICALLY AND DEDUCTIVELY. A PRACTICE-BASED MODEL DESCRIBING YOGA PRACTICE, MECHANISMS, AND BENEFITS, BASED ON THE KHALSA LOGIC MODEL OF YOGA, WAS DEVELOPED TO EXPLAIN THE DATA. FINDINGS: FINDINGS HIGHLIGHTED THAT A DIVERSE RANGE OF YOGA PRACTICES AND NONSPECIFIC CONTEXTUAL FACTORS RELATED TO PRACTICING YOGA, NEEDED TO BE CONSIDERED TO UNDERSTAND HOW YOGA WAS BENEFITTING PEOPLE. THESE PRACTICES ENCOMPASSED BOTH MODERN AND TRADITIONAL CONCEPTIONS OF YOGA AS A DEEPER LIFESTYLE PRACTICE. KEY MECHANISMS FOR CHANGE INCLUDED IMPROVEMENTS IN PHYSICAL STRENGTH AND FLEXIBILITY, STRESS REGULATION, RESILIENCE, EQUANIMITY, MIND-BODY AWARENESS, AND SPIRITUAL/PERSONAL GROWTH. THESE MECHANISMS RESULTED IN DIVERSE IMPROVEMENTS IN GLOBAL HEALTH FUNCTIONING, PARTICULARLY PHYSICAL AND MENTAL HEALTH AND WELL-BEING. CONCLUSIONS: THE KHALSA MODEL PROVIDED A USEFUL BASE UPON WHICH TO GUIDE THE NEW POPULATION-PRACTICE-BASED MODEL, TO UNDERSTAND PARTICIPANTS' "REAL LIFE" EXPERIENCES OF YOGA, HOW YOGA IS HELPING PEOPLE AND WHY. IT PROVIDES IMPORTANT INFORMATION FOR PRACTITIONERS, TEACHERS, AND THOSE DELIVERING YOGA INTERVENTIONS AS TO THE RANGE OF SKILLS AND POTENTIAL BENEFITS OF YOGA PRACTICE. IN ADDITION, FINDINGS INDICATE DIRECTIONS FOR FUTURE RESEARCH, BY HIGHLIGHTING KEY YOGA MECHANISMS THAT RESEARCHERS MAY CHOOSE TO FOCUS ON IN FUTURE STUDIES. 2021 12 2032 34 TAILORING TRAUMA-SENSITIVE YOGA FOR HIGH-RISK POPULATIONS IN PUBLIC-SECTOR SETTINGS. LOW-INCOME, RACIAL-MINORITY, HIGH-RISK POPULATIONS HAVE LIMITED ACCESS TO EVIDENCE-BASED TREATMENTS FOR POSTTRAUMATIC STRESS DISORDER (PTSD), AND THEIR ACCEPTANCE OF COMPLEMENTARY INTERVENTIONS IS UNKNOWN. TRAUMA CENTER TRAUMA-SENSITIVE YOGA (TC-TSY), WHICH HAS DEMONSTRATED EFFICACY IN COMMUNITY SAMPLES, HAS NOT YET BEEN WIDELY USED WITH ETHNIC MINORITY LOW-INCOME INDIVIDUALS. THIS ARTICLE PRESENTS A CULTURALLY TAILORED VERSION OF A TC-TSY INTERVENTION DELIVERED AS A DROP-IN SERVICE IN A PUBLIC HOSPITAL-BASED CLINIC TO PATIENTS WITH HISTORIES OF INTERPERSONAL VIOLENCE AND SUICIDE ATTEMPTS. TC-TSY WAS ITERATIVELY TAILORED TO MEET THE UNIQUE CLINICAL NEEDS OF INDIVIDUALS WITHIN THIS SETTING. GROUP FACILITATOR OBSERVATIONS ARE SUMMARIZED; THEY DESCRIBE A SUCCESSFUL INITIAL IMPLEMENTATION AND CULTURALLY INFORMED ADAPTATION OF THE GROUP INTERVENTION. THE FACILITATORS' OBSERVATIONS ILLUSTRATED THAT GROUP MEMBERS ACCEPTED THE INTEGRATION OF THIS STRUCTURED, GENTLE YOGA PRACTICE INTO OUTPATIENT BEHAVIORAL HEALTH PROGRAMMING AND IDENTIFIED SITE-SPECIFIC MODIFICATIONS TO INFORM FORMAL STUDY. THE PROCESS BY WHICH TC-TSY WAS ADAPTED AND IMPLEMENTED FOR BLACK INDIVIDUALS WITH A HISTORY OF INTERPERSONAL TRAUMA AT RISK FOR SUICIDAL BEHAVIOR CAN SERVE AS A GUIDE FOR TAILORING OTHER COMPLEMENTARY, INTEGRATIVE INTERVENTIONS TO MEET THE NEEDS OF UNIQUE CLINICAL SETTINGS. THIS PROCESS IS OFFERED AS A FOUNDATION FOR FUTURE SYSTEMATIC TESTING OF THIS COMPLEMENTARY, INTEGRATED, CULTURALLY ADAPTED TRAUMA THERAPY IN HIGH-RISK CLINICAL POPULATIONS. 2021 13 1481 32 INTEGRATING YOGA INTO PSYCHOTHERAPY: THE ETHICS OF MOVING FROM THE MIND TO THE MAT. GIVEN THE RISE IN ATTENTION TO CLIENT PREFERENCES IN MEDICAL TREATMENT AND THE SHIFT IN FOCUS TOWARD HEALTH PROMOTION, IT IS NOT SURPRISING THAT THE USE OF COMPLEMENTARY HEALTH APPROACHES HAVE INCREASED IN THE PAST SEVERAL YEARS. YOGA IS AMONG THE MOST PROMINENT COMPLEMENTARY HEALTH APPROACHES. RECENTLY, BOTH QUALITATIVE AND QUANTITATIVE WORK HAS EMERGED SUPPORTING ITS USE FOR A VARIETY OF MEDICAL AND PSYCHOLOGICAL DISORDERS. HOWEVER, THERE IS A CRITICAL GAP IN KNOWLEDGE REGARDING HOW TO MOST OPTIMALLY AND ETHICALLY INTEGRATE COMPLEMENTARY THERAPIES (I.E., YOGA) INTO CURRENT PSYCHOLOGY PRACTICES. MOREOVER, IT REMAINS UNCLEAR WHICH CLIENTS ARE THE BEST CANDIDATES FOR RECEIVING SUCH COMPLEMENTARY TREATMENTS AND WHICH THERAPISTS SHOULD PROVIDE THEM. THE PURPOSE OF THIS PAPER IS TO PROVIDE AN OVERVIEW OF THE HISTORY OF YOGA, THE SCIENTIFIC EVIDENCE IN SUPPORT OF ITS USE FOR MENTAL HEALTH ISSUES, AND AN ETHICAL FRAMEWORK TO GUIDE PSYCHOLOGISTS INTERESTED IN INTEGRATING YOGA INTO PSYCHOTHERAPY. 2017 14 1725 35 PERCEPTIONS OF YOGA THERAPY EMBEDDED IN TWO INPATIENT REHABILITATION HOSPITALS: AGENCY PERSPECTIVES. INPATIENT MEDICAL REHABILITATION HAS MAINTAINED A TYPICAL MEDICAL-MODEL FOCUS AND STRUCTURE FOR MANY YEARS. HOWEVER, AS INTEGRATIVE THERAPIES, SUCH AS YOGA THERAPY, EMERGE AS TREATMENTS WHICH CAN ENHANCE THE PHYSICAL AND MENTAL HEALTH OF ITS PARTICIPANTS, IT IS IMPORTANT TO DETERMINE IF THEY CAN BE EASILY IMPLEMENTED INTO THE TRADITIONAL REHABILITATION STRUCTURE AND MILIEU. THEREFORE, THE PURPOSE OF THIS STUDY WAS TO EXAMINE THE PERCEPTIONS OF KEY AGENCY PERSONNEL ON THE FEASIBILITY AND UTILITY OF YOGA THERAPY IMPLEMENTED IN INPATIENT REHABILITATION. THIS STUDY REPORTS THE RESULTS OF FOCUS GROUPS AND AN INDIVIDUAL INTERVIEW WITH KEY STAKEHOLDERS (ADMINISTRATORS AND REHABILITATION THERAPISTS) FROM TWO REHABILITATION HOSPITALS FOLLOWING THE IMPLEMENTATION OF YOGA THERAPY. RESULTS FOCUSED ON SEVERAL KEY THEMES: FEASIBILITY FROM THE THERAPIST AND ADMINISTRATOR PERSPECTIVES, CHALLENGES TO IMPLEMENTATION, AND UTILITY AND BENEFIT. OVERALL, THE IMPLEMENTATION AND INTEGRATION OF YOGA THERAPY WERE POSITIVE; HOWEVER, SOME PROGRAMMATIC AND POLICY AND ORGANIZATIONAL CONSIDERATIONS REMAIN. IMPLICATIONS FOR PRACTICE AND FUTURE RESEARCH ARE PROVIDED. 2015 15 2035 34 TELE-YOGA FOR CHRONIC PAIN: CURRENT STATUS AND FUTURE DIRECTIONS. PAIN IS A PERVASIVE, DEBILITATING DISORDER THAT IS RESISTANT TO LONG-TERM PHARMACOLOGICAL INTERVENTIONS. ALTHOUGH PSYCHOLOGICAL THERAPIES SUCH AS COGNITIVE BEHAVIOR THERAPY DEMONSTRATE MODERATE EFFICACY, MANY INDIVIDUALS CONTINUE TO HAVE ONGOING DIFFICULTIES FOLLOWING TREATMENT. THERE IS A CURRENT TREND TO ESTABLISH COMPLEMENTARY AND INTEGRATIVE HEALTH INTERVENTIONS FOR CHRONIC PAIN, FOR WHICH YOGA HAS BEEN FOUND TO HAVE EXCITING POTENTIAL. NEVERTHELESS, AN IMPORTANT CONSIDERATION WITHIN THE FIELD IS ACCESSIBILITY TO ADEQUATE CARE. TELEHEALTH CAN BE USED TO PROVIDE REAL-TIME INTERACTIVE VIDEO CONFERENCING LEADING TO INCREASED ACCESS TO HEALTH CARE FOR INDIVIDUALS LOCATED REMOTELY OR WHO OTHERWISE HAVE DIFFICULTY ACCESSING SERVICES, PERHAPS THROUGH ISSUES OF MOBILITY OR PROXIMITY OF ADEQUATE SERVICES. THIS ARTICLE ASSESSES THE CURRENT STATUS AND FEASIBILITY OF IMPLEMENTING TELE-YOGA FOR CHRONIC PAIN. METHODOLOGICAL LIMITATIONS AND RECOMMENDATIONS FOR FUTURE RESEARCH ARE DISCUSSED. 2018 16 2259 31 THE PRACTICABILITY AND RELEVANCE OF DEVELOPING A YOGA INTERVENTION FOR MENTAL HEALTH CONSUMERS: A QUALITATIVE STUDY. THE AIM OF THE STUDY WAS TO UNDERSTAND THE PERSPECTIVES OF MENTAL HEALTH CONSUMERS, STAFF, AND YOGA TEACHERS ON THE CHARACTERISTICS OF A YOGA-BASED INTERVENTION TO BE DEVELOPED FOR CONSUMERS WITH A LONG-TERM MENTAL HEALTH CONDITION, IN ADDITION TO ANXIETY AND/OR DEPRESSION. TWO FOCUS GROUPS WERE HELD WITH MENTAL HEALTH CONSUMERS (N = 8), TWO FOCUS GROUPS WITH MENTAL HEALTH STAFF (N = 13) FROM A METROPOLITAN COMMUNITY MENTAL HEALTH SETTING, AND FIVE ONE-ON-ONE INTERVIEWS WITH YOGA TEACHERS. PARTICIPANTS WERE ASKED ABOUT THE FEASIBILITY AND APPROPRIATENESS OF A RANGE OF YOGA PRACTICE FEATURES TO BE TESTED AS A NEWLY DEVELOPED YOGA-BASED INTERVENTION. THEMATIC ANALYSIS WAS USED TO IDENTIFY THEMES. FINDINGS INCLUDED THE FOLLOWING CONSUMER THEMES: MENTAL HEALTH UNDERSTANDING AND EXPERIENCE OF TEACHERS AND PARTICIPANTS IS IMPORTANT, CREATING A SAFE SPACE AND YOGA PRACTICE ELEMENTS. STAFF THEMES INCLUDED MENTAL HEALTH UNDERSTANDING AND EXPERIENCE OF TEACHERS IS IMPORTANT, ENVIRONMENTAL DESIGN, AND YOGA PRACTICE ELEMENTS. YOGA TEACHER THEMES INCLUDED ENVIRONMENTAL DESIGN AND YOGA PRACTICE ELEMENTS. MENTAL HEALTH UNDERSTANDING AND EXPERIENCE OF THE YOGA TEACHER, AND TRAUMA-INFORMED CARE WERE CONSISTENTLY EMPHASIZED BY CONSUMERS AND STAFF. TEACHERS FOCUSED LESS ON SPECIFIC MENTAL HEALTH CONSIDERATIONS, WHICH MAY BE REFLECTIVE OF A BROADER KNOWLEDGE GAP. RECOMMENDATIONS REGARDING YOGA PRACTICE ELEMENTS, INCLUDING PRE-INFORMATION, REGULAR AND CONSISTENT PRACTICE, MODIFICATIONS, BREATHWORK, MINDFULNESS AND GUIDED PRACTICE, AND ENVIRONMENTAL DESIGN FEATURES, WERE CONSISTENT WITH CURRENT TRAUMA-INFORMED YOGA RESEARCH. FINDINGS WILL BE USED TO GUIDE THE DEVELOPMENT OF A YOGA-BASED INTERVENTION FOR CONSUMERS WITH A LONG-TERM MENTAL HEALTH CONDITION, IN ADDITION TO ANXIETY AND/OR DEPRESSION. 2020 17 156 29 A QUALITATIVE STUDY OF LOVEYOURBRAIN YOGA: A GROUP-BASED YOGA WITH PSYCHOEDUCATION INTERVENTION TO FACILITATE COMMUNITY INTEGRATION FOR PEOPLE WITH TRAUMATIC BRAIN INJURY AND THEIR CAREGIVERS. PURPOSE: TO EXPLORE PARTICIPANTS' EXPERIENCES IN A GROUP-BASED YOGA WITH PSYCHOEDUCATION INTERVENTION DESIGNED TO FACILITATE COMMUNITY INTEGRATION FOR PEOPLE WITH TRAUMATIC BRAIN INJURY AND THEIR CAREGIVERS.MATERIALS AND METHODS: WE CONDUCTED SEMI-STRUCTURED INTERVIEWS WITH 13 PEOPLE WITH TRAUMATIC BRAIN INJURY AND THREE CAREGIVERS WHO HAD COMPLETED LOVEYOURBRAIN YOGA, A 6-SESSION, MANUALIZED, GROUP-BASED YOGA INTERVENTION THAT INCORPORATES BREATHING EXERCISES, YOGA, MEDITATION, AND PSYCHOEDUCATION. INTERVIEWS WERE ANALYZED USING CONTENT ANALYSIS.RESULTS: WE IDENTIFIED SEVEN THEMES: EASE OF PARTICIPATION, BELONGING, SUSTAINING COMMUNITY CONNECTION, PHYSICAL HEALTH, SELF-REGULATION, SELF-EFFICACY, AND RESILIENCE. ALL PARTICIPANTS VALUED THE COMMUNITY-BASED YOGA STUDIO ENVIRONMENT AND MULTIFACETED STRUCTURE OF THE PROGRAM. PARTICIPANTS REPORTED IMPROVEMENTS IN STRENGTH, BALANCE, FLEXIBILITY, AND ATTENTION CONTROL, AND A GREATER SENSE OF BELONGING, COMMUNITY CONNECTION, AND ABILITY TO MOVE FORWARD WITH THEIR LIVES. PARTICIPANTS REPORTED ONGOING USE OF TOOLS (E.G., BREATHING EXERCISES) TO COPE WITH NEGATIVE EMOTIONS AND STRESS. ABOUT HALF OF PARTICIPANTS SUSTAINED RELATIONSHIPS BUILT DURING LOVEYOURBRAIN YOGA AND FELT MORE CAPABLE OF ACCESSING OTHER ACTIVITIES IN THEIR COMMUNITY.CONCLUSIONS: LOVEYOURBRAIN YOGA SUCCESSFULLY PROMOTED COMMUNITY INTEGRATION FOR PEOPLE WITH TRAUMATIC BRAIN INJURY. IT ALSO FACILITATED DIVERSE AND MEANINGFUL PHYSICAL, PSYCHOLOGICAL, AND SOCIAL HEALTH BENEFITS, WHICH SUGGEST THAT IT MAY BE AN EFFECTIVE MODE OF COMMUNITY-BASED REHABILITATION.IMPLICATIONS FOR REHABILITATIONTRAUMATIC BRAIN INJURY SURVIVORS OFTEN STRUGGLE TO PARTICIPATE IN THEIR COMMUNITY, THE ULTIMATE GOAL OF REHABILITATIONYOGA IS A HOLISTIC THERAPY WITH MANY BENEFITS, YET IS NOT ACCESSIBLE TO THE TRAUMATIC BRAIN INJURY POPULATION AT THE COMMUNITY LEVELPARTICIPANTS IN A COMMUNITY-BASED YOGA WITH PSYCHOEDUCATION INTERVENTION IN SIX STATES EXPERIENCED DIVERSE AND MEANINGFUL PHYSICAL, PSYCHOLOGICAL, AND SOCIAL HEALTH BENEFITSGROUP-BASED YOGA WITH PSYCHOEDUCATION MAY BE AN EFFECTIVE MODE OF COMMUNITY INTEGRATION AND COMMUNITY-BASED REHABILITATION FOR TRAUMATIC BRAIN INJURY SURVIVORS. 2020 18 2763 27 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 19 1911 21 ROLE OF AYURVEDA AND YOGA-BASED LIFESTYLE IN THE COVID-19 PANDEMIC - A NARRATIVE REVIEW. THE COVID-19 PANDEMIC HAS POSED AN IMMENSE CHALLENGE TO HEALTH CARE SYSTEMS AROUND THE GLOBE IN TERMS OF LIMITED HEALTH CARE FACILITIES AND PROVEN MEDICAL THERAPEUTICS TO ADDRESS THE SYMPTOMS OF THE INFECTION. THE CURRENT HEALTH CARE STRATEGIES ARE PRIMARILY FOCUSED ON EITHER THE PATHOGEN OR THE ENVIRONMENTAL FACTORS. HOWEVER, EFFORTS TOWARDS STRENGTHENING THE HOST IMMUNITY ARE IMPORTANT FROM PUBLIC HEALTH PERSPECTIVE TO PREVENT THE SPREAD OF INFECTION AND DOWNREGULATE THE POTENCY OF THE INFECTIOUS AGENT. WHILE A VACCINE CAN INDUCE SPECIFIC IMMUNITY IN THE HOST, NON-SPECIFIC WAYS OF IMPROVING OVERALL HOST IMMUNITY ARE NEEDED AS WELL. THIS SCENARIO HAS PAVED THE WAY FOR THE USE OF TRADITIONAL INDIAN THERAPIES SUCH AS AYURVEDA AND YOGA. THIS REVIEW AIMS AT COLLATING AVAILABLE EVIDENCE ON AYURVEDA, YOGA, AND COVID-19. FURTHER, IT DRAWS INFERENCES FROM RECENT STUDIES ON YOGA AND AYURVEDA ON IMMUNITY, RESPIRATORY HEALTH, AND MENTAL HEALTH RESPECTIVELY TO APPROXIMATE ITS PROBABLE ROLE IN PROPHYLAXIS AND AS AN ADD-ON MANAGEMENT OPTION FOR THE CURRENT PANDEMIC. 2022 20 1466 27 INJURY IN YOGA ASANA PRACTICE: ASSESSMENT OF THE RISKS. BACKGROUND: THE RISK OF INJURY FROM MODERN YOGA ASANA PRACTICE IS POORLY CHARACTERIZED IN THE SCIENTIFIC LITERATURE, BUT ANECDOTAL REPORTS IN THE LAY LITERATURE AND PRESS HAVE POSED QUESTIONS ABOUT THE POSSIBILITY OF FREQUENT, SEVERE INJURIES. DESIGN: WE PERFORMED A CROSS-SECTIONAL SURVEY OF YOGA ASANA PARTICIPANTS ASSESSING THEIR EXPERIENCE WITH YOGA-RELATED INJURY, USING A VOLUNTARY CONVENIENCE SAMPLE. RESULTS: A TOTAL OF 2620 PARTICIPANTS RESPONDED TO OUR SURVEY. SEVENTY-NINE PERCENT WERE BETWEEN AGES 31 AND 60 AND 84% WERE FEMALE. THE MAJORITY OF RESPONDENTS LIVED IN NORTH AMERICA OR EUROPE. FORTY-FIVE PERCENT OF PARTICIPANTS REPORTED EXPERIENCING NO INJURIES DURING THE TIME THEY HAD BEEN PRACTICING YOGA. OF THOSE WHO DID EXPERIENCE AN INJURY FROM ASANA PRACTICE, 28% WERE MILD (E.G., SPRAINS OR NONSPECIFIC PAINS NOT REQUIRING A MEDICAL PROCEDURE, WITH SYMPTOMS LASTING LESS THAN 6 MONTHS) AND 63% WERE MODERATE (E.G., SPRAINS OR NONSPECIFIC PAINS NOT REQUIRING A MEDICAL PROCEDURE, WITH SYMPTOMS LASTING FROM 6 MONTHS TO 1 YEAR). ONLY 9% OF THOSE REPORTING INJURIES (4% OF THE TOTAL SAMPLE) HAD A SEVERE INJURY. THE STRONGEST PREDICTORS FOR INCREASED PROBABILITY OF REPORTING AN INJURY OVER A LIFETIME OF YOGA PRACTICE WERE GREATER NUMBER OF YEARS OF PRACTICE (P<.0001) AND TEACHING YOGA (P=.0177). OTHER ASPECTS OF PARTICIPANT DEMOGRAPHICS OR YOGA PRACTICE HABITS WERE NOT RELATED TO LIKELIHOOD OF REPORTING A YOGA-RELATED INJURY. CONCLUSIONS: WE FOUND THE NUMBER OF INJURIES REPORTED BY YOGA PARTICIPANTS PER YEARS OF PRACTICE EXPOSURE TO BE LOW AND THE OCCURRENCE OF SERIOUS INJURIES IN YOGA TO BE INFREQUENT COMPARED TO OTHER PHYSICAL ACTIVITIES, SUGGESTING THAT YOGA IS NOT A HIGH-RISK PHYSICAL ACTIVITY. MORE WORK IS NEEDED TO CLARIFY THE CAUSAL RELATIONSHIPS BETWEEN THE YOGA PARTICIPANT CHARACTERISTICS, THE ASANA PRACTICE STYLE, AND THE RISK OF SIGNIFICANT INJURY. 2019