1 1255 157 FEASIBILITY, ACCEPTABILITY, AND OUTCOMES OF A YOGA-BASED MEDITATION INTERVENTION FOR HOSPICE PROFESSIONALS TO COMBAT BURNOUT. (1) BACKGROUND. THIS RESEARCH EXAMINED THE FEASIBILITY, ACCEPTABILITY AND OUTCOMES OF DELIVERING A 6-WEEK YOGA-BASED MEDITATION INTERVENTION TO CLINICAL TEAMS OF HOSPICE PROFESSIONALS (HPS) AT A LARGE NON-PROFIT HOSPICE ORGANIZATION. THE INTERVENTION WAS DESIGNED TO INCREASE MIND-BODY INTEGRATION AND COMBAT BURNOUT. THIS ARTICLE WAS WRITTEN FOR DIFFERENT AUDIENCES, INCLUDING RESEARCH SCIENTISTS WHO STUDY INTEROCEPTION, BURNOUT, MEDITATION, OR YOGA, DESIGNERS OF MEDITATION INTERVENTIONS, AND HOSPICE ORGANIZATIONS LOOKING FOR WAYS TO MITIGATE HP BURNOUT. (2) METHODS. THE INTERVENTION WAS LAUNCHED WITHIN CLINICAL TEAMS, BEGINNING WITH A HALF-HOUR ONLINE INTRODUCTION TO THE PROGRAM AND EXPOSURE TO THE WEEK 1 MEDITATION AT EACH TEAM'S MONTHLY ALL-STAFF MEETING. THROUGHOUT THE PROGRAM, HPS COULD ACCESS THE MEDITATIONS ON THEIR OWN VIA THEIR WORKPLACE COMPUTERS, TABLETS, AND SMARTPHONES. ONLINE PRE- AND POST-INTERVENTION SURVEYS WERE SUBMITTED BY 151 HPS, 76 OF WHOM WERE EXPOSED TO THE INTERVENTION AND COMPLETED BOTH SURVEYS. THE SURVEYS ASSESSED BURNOUT USING THE PROFESSIONAL FULFILLMENT INDEX AND MIND-BODY INTEGRATION USING THE MULTIDIMENSIONAL ASSESSMENT OF INTEROCEPTIVE AWARENESS SCALES. (3) RESULTS. TWO-THIRDS OF HPS WHO WERE PRESENT AT A STAFF MEETING WHERE THE PROGRAM WAS INTRODUCED WENT ON TO DO A MEDITATION ON THEIR OWN AT LEAST ONCE. HALF OF HPS EXPRESSED A DESIRE TO CONTINUE WITH ACCESS TO THE MEDITATIONS AFTER THE 6-WEEK PROGRAM ENDED. DUE TO COVID-19 WORK FROM HOME RESTRICTIONS, THREE-FOURTH OF HPS DID A MEDITATION AT HOME, 29% IN A CAR BETWEEN PATIENT VISITS (NOT WHILE DRIVING), AND 23% AT THE OFFICE. HIGHER INTEROCEPTIVE AWARENESS WAS SIGNIFICANTLY RELATED TO LOWER BURNOUT, PARTICULARLY LOWER WORK EXHAUSTION. MEDITATION FREQUENCY WAS SIGNIFICANTLY RELATED TO HIGHER INTEROCEPTIVE AWARENESS BUT NOT TO BURNOUT. INTERPERSONAL DISENGAGEMENT WAS RARE AND TEMPORARY. (4) CONCLUSIONS. FINDINGS SHOWED THAT THE YOGA-BASED MEDITATION INTERVENTION WAS FEASIBLE AND ACCEPTABLE AND ASSOCIATED WITH HIGHER INTEROCEPTIVE AWARENESS. THE RESULTS POINT TO A ROLE FOR INTEROCEPTIVE AWARENESS IN REDUCING THE RISK FOR BURNOUT.	2021	
                                                                                                                                                                                                                                                                                                                                                                                                                                           
2  667  32 EFFECT OF A 12-WEEK YOGA THERAPY PROGRAM ON MENTAL HEALTH STATUS IN ELDERLY WOMEN INMATES OF A HOSPICE. AIM AND OBJECTIVES: THIS STUDY WAS UNDERTAKEN TO EVALUATE THE EFFECTIVENESS OF YOGA ON THE MENTAL HEALTH STATUS OF ELDERLY WOMEN INMATES RESIDING IN A HOSPICE IN PUDUCHERRY. MATERIALS AND METHODS: FORTY ELDERLY WOMEN WERE RANDOMLY DIVIDED INTO YOGA AND WAIT-LISTED CONTROL GROUP. A YOGA THERAPY PROGRAM OF 60 MIN WAS GIVEN TWICE A WEEK FOR 12 WEEKS. THIS PROTOCOL WAS SPECIALLY DESIGNED FOR SENIOR CITIZENS, KEEPING IN MIND THEIR HEALTH STATUS AND PHYSICAL LIMITATIONS THAT INCLUDED SIMPLE WARM-UP AND BREATH-BODY MOVEMENT COORDINATION PRACTICES (JATHIS AND KRIYAS), STATIC STRETCHING POSTURES (ASANAS), BREATHING TECHNIQUES (PRANAYAMAS), AND RELAXATION. HAMILTON ANXIETY SCALE FOR MEASURING ANXIETY, HAMILTON RATING SCALE FOR DEPRESSION, AND ROSENBERG SELF-ESTEEM SCALE TO MEASURE SELF-ESTEEM WERE ADMINISTERED TO BOTH GROUPS BEFORE AND AFTER THE 12-WEEK STUDY PERIOD. DATA WERE ASSESSED FOR NORMALITY, AND APPROPRIATE PARAMETRIC AND NONPARAMETRIC STATISTICAL METHODS WERE APPLIED FOR INTRA- AND INTER-GROUP COMPARISONS. RESULTS: OVERALL, INTRA- AND INTER-GROUP COMPARISON OF PREPOST DATA SHOWED STATISTICALLY SIGNIFICANT (P < 0.001) DIFFERENCES FOR ALL THREE PARAMETERS. THERE WAS AN OVERALL IMPROVEMENT IN THE SCORES INDICATING DECREASED LEVELS OF DEPRESSION AND ANXIETY COUPLED WITH AN INCREASE IN THE LEVEL OF SELF-ESTEEM AFTER THE YOGA THERAPY PROGRAM. DISCUSSION: THE INFLUENCE OF YOGA IN THE REDUCTION OF DEPRESSION AND ANXIETY SCORES AND IMPROVEMENT IN SELF-ESTEEM SCORES IN ELDERLY WOMEN SUBJECTS IS EVIDENT FROM THIS STUDY. AS REPORTED IN EARLIER STUDIES, THIS MAY BE ATTRIBUTED TO CHANGES IN CENTRAL NEUROTRANSMITTERS SUCH AS GAMMA-AMINOBUTYRIC-ACID COUPLED WITH INCREASED PARASYMPATHETIC TONE AND DECREASED SYMPATHO-ADRENAL ACTIVITY. CONCLUSION: IT IS RECOMMENDED THAT YOGA SHOULD BE A PART OF HEALTH-CARE FACILITIES FOR ELDERLY AS IT CAN ENHANCE THE QUALITY OF LIFE BY IMPROVING THEIR OVERALL MENTAL HEALTH STATUS. IT COULD PROVIDE A HEALTHY AND POSITIVE ALTERNATIVE FROM DEPRESSING NEGATIVE THOUGHTS, AND GIVE THEM A SENSE OF PURPOSE AND HOPE.	2017	
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
3 1975  35 SINGLE SESSION OF INTEGRATED "SILVER YOGA" PROGRAM IMPROVES CARDIOVASCULAR PARAMETERS IN SENIOR CITIZENS. AIM AND OBJECTIVE: THIS PILOT STUDY WAS CARRIED OUT TO DETERMINE CARDIOVASCULAR EFFECTS OF A SINGLE SESSION OF AN INTEGRATED "SILVER YOGA" PROGRAM IN SENIOR CITIZENS OF SERENE PELICAN TOWNSHIP, PONDICHERRY. MATERIALS AND METHODS: HEART RATE (HR) AND BLOOD PRESSURE (BP) MEASUREMENTS WERE RECORDED IN 124 SENIOR CITIZENS (75 FEMALE, 49 MALE) WITH MEAN AGE OF 67.19 +/- 10.61 YEAR WHO ATTENDED AN INTEGRATED "SILVER YOGA" PROGRAM AT CENTRE FOR YOGA THERAPY, EDUCATION AND RESEARCH FROM AUGUST TO OCTOBER 2014. PARTICIPANTS PRACTICED THE PROTOCOL THAT WAS SPECIALLY DESIGNED FOR SENIOR CITIZENS, KEEPING IN MIND THEIR HEALTH STATUS AND PHYSICAL LIMITATIONS. THIS INCLUDED SIMPLE WARM-UPS (JATHIS), BREATH BODY MOVEMENT COORDINATION PRACTICES (KRIYAS), STATIC STRETCHING POSTURES (ASANAS), BREATHING TECHNIQUES (PRANAYAMAS), RELAXATION AND SIMPLE CHANTING. NON-INVASIVE BP APPARATUS WAS USED TO RECORD THE HR, SYSTOLIC (SP) AND DIASTOLIC PRESSURE (DP) BEFORE AND AFTER THE 60 MIN SESSIONS. PULSE PRESSURE (PP), MEAN PRESSURE (MP), RATE-PRESSURE PRODUCT (RPP) AND DOUBLE PRODUCT (DOP) INDICES WERE DERIVED FROM THE RECORDED PARAMETERS. STUDENT'S PAIRED T-TEST WAS USED TO COMPARE DATA THAT PASSED NORMALITY TESTING BY KOLMOGOROV-SMIRNOV TEST AND WILCOXON MATCHED-PAIRS SIGNED-RANKS TEST FOR THOSE THAT DID NOT. P < 0.05 WERE ACCEPTED AS INDICATING SIGNIFICANT DIFFERENCES FOR PRE-POST COMPARISONS. RESULTS: ALL PARAMETERS WITNESSED A REDUCTION FOLLOWING THE SINGLE SESSION. THIS WAS STATISTICALLY MORE SIGNIFICANT (P < 0. 0001) IN HR, RPP AND DOP WHILE IT WAS ALSO SIGNIFICANT (P < 0.01 AND P < 0.05) IN SP AND PP, RESPECTIVELY. THE DECREASE IN MP JUST MISSED SIGNIFICANCE (P = 0.054) WHILE IT WAS NOT SIGNIFICANT IN DP. CONCLUSION: THERE IS A HEALTHY REDUCTION IN HR, BP AND DERIVED CARDIOVASCULAR INDICES FOLLOWING A SINGLE YOGA SESSION IN GERIATRIC SUBJECTS. THESE CHANGES MAY BE ATTRIBUTED TO ENHANCED HARMONY OF CARDIAC AUTONOMIC FUNCTION AS A RESULT OF COORDINATED BREATH-BODY WORK AND MIND-BODY RELAXATION DUE TO AN INTEGRATED "SILVER YOGA" PROGRAM.	2015	
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
4  256  48 A YOGA-BASED PROGRAM DECREASES PHYSICIAN BURNOUT IN NEONATOLOGISTS AND OBSTETRICIANS AT AN ACADEMIC MEDICAL CENTER. BACKGROUND: NEARLY HALF OF U.S. PEDIATRICIANS HAVE SYMPTOMS OF BURNOUT. THIS PILOT STUDY EXAMINED THE FEASIBILITY OF A 6-WEEK YOGA-BASED PROGRAM (RISE) FOR NEONATOLOGISTS AND OBSTETRICIANS AT BRIGHAM AND WOMEN'S HOSPITAL AND STUDIED THE EFFECTS ON BURNOUT, PROFESSIONAL FULFILLMENT, AND PSYCHOLOGICAL HEALTH. METHODS: PARTICIPANTS WERE RECRUITED VIA EMAIL TO PARTICIPATE EITHER IN BOTH PROGRAM AND RESEARCH STUDY, OR EXCLUSIVELY THE PROGRAM. RISE WAS DELIVERED 1 HOUR/WEEK DURING THE WORKDAY FOR 6 CONSECUTIVE WEEKS EITHER IN-PERSON OR REMOTELY; 18 PHYSICIANS PARTICIPATED, 12 COMPLETED POST-PROGRAM, AND 11 COMPLETED 2-MONTH FOLLOW-UP. THE QUESTIONNAIRES ASSESSED BURNOUT AND MEASURES OF PSYCHOLOGICAL HEALTH, PROFESSIONAL FULFILLMENT, WORK EXHAUSTION, INTERPERSONAL DISENGAGEMENT/BURNOUT (PFI), MINDFULNESS (FFMQ), PERCEIVED STRESS (PSS), POSITIVE/NEGATIVE AFFECT (PANAS), RESILIENCE (RS), ANXIETY/DEPRESSION/SLEEP DISTURBANCES (PROMIS), AT BASELINE, POST-PROGRAM, AND 2 MONTHS AFTER RISE. FINDINGS: AVERAGE ATTENDANCE IN-PERSON WAS 2.8 SESSIONS AND REMOTELY 1.4 SESSIONS (4.2/6 SESSIONS). PARTICIPANTS DEMONSTRATING TOTAL BURNOUT REDUCED FROM 50.0% AT BASELINE TO 9.1% POST-PROGRAM. PARTICIPANTS DEMONSTRATING PROFESSIONAL FULFILLMENT WERE 8.3% AT BASELINE AND 27.3% POST-PROGRAM. PAIRED SAMPLES T-TESTS REVEALED STATISTICALLY SIGNIFICANT IMPROVEMENTS IN BURNOUT, PROFESSIONAL FULFILLMENT, INTERPERSONAL DISENGAGEMENT, STRESS, RESILIENCE, ANXIETY, AND DEPRESSION AT POST-PROGRAM COMPARED WITH BASELINE (N = 12, ALL PS < .05). AT 2-MONTH FOLLOW-UP, STATISTICALLY SIGNIFICANT IMPROVEMENTS IN INTERPERSONAL DISENGAGEMENT, RESILIENCE, AND MINDFULNESS (N = 11, ALL PS < .05) COMPARED WITH BASELINE WERE REPORTED. CONCLUSIONS/APPLICATION TO PRACTICE: RISE IS FEASIBLE WITHIN A WORKDAY AND MAY ADDRESS BURNOUT AND OTHER PSYCHOLOGICAL HEALTH MEASURES IN PHYSICIANS WITH EFFECTS POTENTIALLY SUSTAINABLE OVER 2 MONTHS. OCCUPATIONAL HEALTH PRACTITIONERS IN HEALTH CARE SHOULD CONSIDER THIS TYPE OF INTERVENTION FOR THEIR WORKERS.	2020	
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
5  258  33 ACCEPTABILITY AND FEASIBILITY OF A 12-WEEK YOGA VS. EDUCATIONAL FILM PROGRAM FOR THE MANAGEMENT OF RESTLESS LEGS SYNDROME (RLS): STUDY PROTOCOL FOR A RANDOMIZED CONTROLLED TRIAL. BACKGROUND: RESTLESS LEGS SYNDROME (RLS) IS A COMMON AND BURDENSOME SLEEP DISORDER ASSOCIATED WITH PROFOUND IMPAIRMENT OF HEALTH, WELL-BEING, AND QUALITY OF LIFE. UNFORTUNATELY, THE MEDICATIONS USED FOR RLS MANAGEMENT CARRY RISK OF SERIOUS SIDE EFFECTS, INCLUDING AUGMENTATION OF SYMPTOMS. YOGA, AN ANCIENT MIND-BODY DISCIPLINE DESIGNED TO PROMOTE PHYSICAL, EMOTIONAL, AND MENTAL WELL-BEING, MAY OFFER A VIABLE, LOW-RISK NEW TREATMENT. THE PRIMARY OBJECTIVES OF THIS PILOT, PARALLEL-ARM, RANDOMIZED CONTROLLED TRIAL (RCT) ARE TO ASSESS THE ACCEPTABILITY AND FEASIBILITY OF A 12-WEEK YOGA VS. EDUCATIONAL FILM PROGRAM FOR THE MANAGEMENT OF RLS. METHODS: FORTY-FOUR ADULTS WITH CONFIRMED MODERATE TO SEVERE RLS WILL BE RECRUITED AND RANDOMIZED TO A 12-WEEK YOGA (N = 22) OR STANDARDIZED EDUCATIONAL FILM PROGRAM (N = 22). YOGA GROUP PARTICIPANTS WILL ATTEND TWO 75-MIN IYENGAR YOGA CLASSES PER WEEK FOR THE FIRST 4 WEEKS, THEN ONE 75-MIN CLASS PER WEEK FOR THE REMAINING 8 WEEKS, AND WILL COMPLETE A 30-MIN HOMEWORK ROUTINE ON NON-CLASS DAYS. EDUCATIONAL FILM GROUP PARTICIPANTS WILL ATTEND ONE 75-MIN CLASS PER WEEK FOR 12 WEEKS AND COMPLETE A DAILY RLS TREATMENT LOG; CLASSES WILL INCLUDE INFORMATION ON: RLS MANAGEMENT, INCLUDING SLEEP HYGIENE PRACTICES; OTHER SLEEP DISORDERS; AND COMPLEMENTARY THERAPIES LIKELY TO BE OF INTEREST TO THOSE PARTICIPATING IN A YOGA AND SLEEP EDUCATION STUDY. YOGA AND TREATMENT LOGS WILL BE COLLECTED WEEKLY. FEASIBILITY OUTCOMES WILL INCLUDE RECRUITMENT, ENROLLMENT, AND RANDOMIZATION RATES, RETENTION, ADHERENCE, AND PROGRAM SATISFACTION. PROGRAM EVALUATION AND YOGA-DOSING QUESTIONNAIRES WILL BE COLLECTED AT WEEK 12; DATA ON EXPLORATORY OUTCOMES (E.G., RLS SYMPTOM SEVERITY (IRLS), SLEEP QUALITY (PSQI), MOOD (POMS, PSS), AND HEALTH-RELATED QUALITY OF LIFE (SF-36)) WILL BE GATHERED AT BASELINE AND WEEK 12. DISCUSSION: THIS STUDY WILL LAY THE ESSENTIAL GROUNDWORK FOR A PLANNED LARGER RCT TO DETERMINE THE EFFICACY OF A YOGA PROGRAM FOR REDUCING SYMPTOMS AND ASSOCIATED BURDEN OF RLS. IF THE FINDINGS OF THE CURRENT TRIAL AND THE SUBSEQUENT LARGER RCTS ARE POSITIVE, THIS STUDY WILL ALSO HELP SUPPORT A NEW APPROACH TO CLINICAL TREATMENT OF THIS CHALLENGING DISORDER, HELP FOSTER IMPROVED UNDERSTANDING OF RLS ETIOLOGY, AND ULTIMATELY CONTRIBUTE TO REDUCING THE INDIVIDUAL, SOCIETAL, AND ECONOMIC BURDEN ASSOCIATED WITH THIS CONDITION. TRIAL REGISTRATION: CLINICALTRIALS.GOV, ID: NCT03570515 . RETROSPECTIVELY REGISTERED ON 1 FEBRUARY 2017.	2019	
                                          
6 1827  32 PSYCHOLOGICAL BENEFITS OF YOGA FOR FEMALE INMATES. FEMALE INMATES INVOLVED IN THE YOGA PRISON PROJECT AT TWO CORRECTIONAL FACILITIES IN SOUTH CAROLINA SERVED AS SUBJECTS. INMATES WERE SELECTED FROM THOSE WHO APPLIED TO PARTICIPATE IN A TEN-WEEK TRAUMA-FOCUSED YOGA PROGRAM. TO CREATE CONTROL AND EXPERIMENTAL GROUPS, INMATES WHO REQUESTED TO PARTICIPATE WERE RANDOMLY ASSIGNED TO BE IN THE CLASS (TREATMENT GROUP, N = 33) OR A WAITLIST (CONTROL GROUP, N = 17). INMATES ON THE WAITLIST SUBSEQUENTLY JOINED THE NEXT CLASS, SO ALL WHO APPLIED AND WERE ELIGIBLE PARTICIPATED IN A YOGA CLASS. MEASURES OF STRESS, DEPRESSION, SELF CONTROL, ANXIETY, SELF AWARENESS AND RUMINATION WERE USED AND DATA WAS COLLECTED FROM BOTH GROUPS BEFORE THE INITIAL YOGA CLASS BEGAN AND AGAIN AT THE END, TEN WEEKS LATER. TO ASSESS THE CHANGES FROM PRE-INTERVENTION TO POST-INTERVENTION, MIXED DESIGN ANOVA TESTS WERE CONDUCTED. INMATES IN THE YOGA GROUP REPORTED SIGNIFICANT DECREASES IN DEPRESSION AND STRESS AND IMPROVED SELF-AWARENESS. NO SIGNIFICANT CHANGES WERE FOUND ON MEASURES OF ANXIETY, RUMINATION AND SELF-CONTROL IN THE YOGA GROUPS. ALTHOUGH NOT STATISTICALLY SIGNIFICANT, ANXIETY SCORES DID DECREASE AND SELF-CONTROL SCORES IMPROVED FOR THE YOGA GROUP, WHILE INMATES IN THE CONTROL GROUP REPORTED A WORSENING OR NO CHANGE ON THESE TWO MEASURES. NO CHANGES WERE FOUND IN RUMINATION LEVELS. THE RESULTS SUGGEST THAT YOGA IS A RELATIVELY INEXPENSIVE INTERVENTION THAT COULD BENEFIT BOTH INMATES AND PRISON STAFF BY REDUCING SOME NEGATIVE BEHAVIORS AND POSSIBLY MENTAL HEALTH PROBLEMS.	2017	
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
7 1224  41 FEASIBILITY AND ASSESSMENT OF OUTCOME MEASURES FOR YOGA AS SELF-CARE FOR MINORITIES WITH ARTHRITIS: A PILOT STUDY. BACKGROUND: WHILE THERE IS A GROWING INTEREST IN THE THERAPEUTIC BENEFITS OF YOGA, MINORITY POPULATIONS WITH ARTHRITIS TEND TO BE UNDER-REPRESENTED IN THE RESEARCH. ADDITIONALLY, THERE IS AN ABSENCE OF GUIDANCE IN THE LITERATURE REGARDING THE USE OF MULTICULTURAL TEAMS AND SOCIOCULTURAL HEALTH BELIEFS, WHEN DESIGNING YOGA STUDIES FOR A RACIALLY DIVERSE POPULATION WITH ARTHRITIS. THIS PILOT STUDY EXAMINED THE FEASIBILITY OF OFFERING YOGA AS A SELF-CARE MODALITY TO AN URBAN, BILINGUAL, MINORITY POPULATION WITH OSTEOARTHRITIS (OA) OR RHEUMATOID ARTHRITIS (RA), IN THE WASHINGTON, DC AREA. METHODS: THE PRIMARY OBJECTIVE OF THE STUDY WAS TO ASSESS THE FEASIBILITY OF OFFERING AN 8-WEEK, BILINGUAL YOGA INTERVENTION ADAPTED FOR ARTHRITIS TO A CONVENIENCE SAMPLE OF PRIMARILY HISPANIC AND BLACK/AFRICAN-AMERICAN ADULTS. A RACIALLY DIVERSE INTERDISCIPLINARY RESEARCH TEAM WAS ASSEMBLED TO DESIGN A STUDY TO FACILITATE RECRUITMENT AND RETENTION. THE SECOND OBJECTIVE IDENTIFIED OUTCOME MEASURES TO OPERATIONALIZE POTENTIAL FACILITATORS AND BARRIERS TO SELF-CARE AND SELF-EFFICACY. THE THIRD OBJECTIVE DETERMINED THE FEASIBILITY OF USING COMPUTER-ASSISTED SELF-INTERVIEW (CASI) FOR DATA COLLECTION. RESULTS: ENROLLED PARTICIPANTS (N = 30) WERE MOSTLY FEMALE (93%), SPANISH SPEAKING (69%), AND DIAGNOSED WITH RA (88.5%). FEASIBILITY WAS EVALUATED USING PRACTICALITY, ACCEPTABILITY, ADAPTATION, AND EXPANSION OF AN ARTHRITIS-ADAPTED YOGA INTERVENTION, MODIFIED FOR THIS POPULATION. RECRUITMENT (51%) AND PARTICIPATION (60%) RATES WERE SIMILAR TO PREVIOUS RESEARCH AND CLINICAL EXPERIENCE WITH THE STUDY POPULATION. OF THOSE ENROLLED, 18 STARTED THE INTERVENTION. FOR ADHERENCE, 12 OUT OF 18 (67%) PARTICIPANTS COMPLETED THE INTERVENTION. ALL (100%), WHO COMPLETED THE INTERVENTION, CONTINUED TO PRACTICE YOGA 3 MONTHS AFTER COMPLETING THE STUDY. USING NONPARAMETRIC TESTS, SELECTED OUTCOME MEASURES SHOWED A MEASURABLE CHANGE POST-INTERVENTION SUGGESTING APPROPRIATE USE IN FUTURE STUDIES. AN IN-PERSON COMPUTERIZED QUESTIONNAIRE WAS DETERMINED TO BE A FEASIBLE METHOD OF DATA COLLECTION. CONCLUSIONS: FINDINGS FROM THIS PILOT STUDY CONFIRM THE FEASIBILITY OF OFFERING YOGA TO THIS RACIALLY/ETHNICALLY DIVERSE POPULATION WITH ARTHRITIS. THIS ARTICLE PROVIDES RECRUITMENT/RETENTION RATES, OUTCOME MEASURES WITH ERROR RATES, AND DATA COLLECTION RECOMMENDATIONS FOR A PREVIOUSLY UNDER-REPRESENTED POPULATION. SUGGESTIONS INCLUDE ALLOCATING RESOURCES FOR TRANSLATION AND USING A MULTICULTURAL DESIGN TO FACILITATE RECRUITMENT AND RETENTION. TRIAL REGISTRATION: CLINICALTRIALS.GOV, NCT01617421.	2018	

8  687  43 EFFECT OF AN OFFICE WORKSITE-BASED YOGA PROGRAM ON HEART RATE VARIABILITY: OUTCOMES OF A RANDOMIZED CONTROLLED TRIAL. BACKGROUND: CHRONIC WORK-RELATED STRESS IS AN INDEPENDENT RISK FACTOR FOR CARDIOMETABOLIC DISEASES AND ASSOCIATED MORTALITY, PARTICULARLY WHEN COMPOUNDED BY A SEDENTARY WORK ENVIRONMENT. THE PURPOSE OF THIS STUDY WAS TO DETERMINE IF AN OFFICE WORKSITE-BASED HATHA YOGA PROGRAM COULD IMPROVE PHYSIOLOGICAL STRESS, EVALUATED VIA HEART RATE VARIABILITY (HRV), AND ASSOCIATED HEALTH-RELATED OUTCOMES IN A COHORT OF OFFICE WORKERS. METHODS: THIRTY-SEVEN ADULTS EMPLOYED IN UNIVERSITY-BASED OFFICE POSITIONS WERE RANDOMIZED UPON THE COMPLETION OF BASELINE TESTING TO AN EXPERIMENTAL OR CONTROL GROUP. THE EXPERIMENTAL GROUP COMPLETED A 10-WEEK YOGA PROGRAM PRESCRIBED THREE SESSIONS PER WEEK DURING LUNCH HOUR (50 MIN PER SESSION). AN EXPERIENCED INSTRUCTOR LED THE SESSIONS, WHICH EMPHASIZED ASANAS (POSTURES) AND VINYASA (EXERCISES). THE PRIMARY OUTCOME WAS THE HIGH FREQUENCY (HF) POWER COMPONENT OF HRV. SECONDARY OUTCOMES INCLUDED ADDITIONAL HRV PARAMETERS, MUSCULOSKELETAL FITNESS (I.E. PUSH-UP, SIDE-BRIDGE, AND SIT & REACH TESTS) AND PSYCHOLOGICAL INDICES (I.E. STATE AND TRAIT ANXIETY, QUALITY OF LIFE AND JOB SATISFACTION). RESULTS: ALL MEASURES OF HRV FAILED TO CHANGE IN THE EXPERIMENTAL GROUP VERSUS THE CONTROL GROUP, EXCEPT THAT THE EXPERIMENTAL GROUP SIGNIFICANTLY INCREASED LF:HF (P = 0.04) AND REDUCED PNN50 (P = 0.04) VERSUS CONTROL, CONTRARY TO OUR HYPOTHESES. FLEXIBILITY, EVALUATED VIA SIT & REACH TEST INCREASED IN THE EXPERIMENTAL GROUP VERSUS THE CONTROL GROUP (P < 0.001). NO OTHER ADAPTATIONS WERE NOTED. POST HOC ANALYSIS COMPARING PARTICIPANTS WHO COMPLETED >/=70% OF YOGA SESSIONS (N = 11) TO CONTROL (N = 19) YIELDED THE SAME FINDINGS, EXCEPT THAT THE HIGH ADHERERS ALSO REDUCED STATE ANXIETY (P = 0.02) AND RMSSD (P = 0.05), AND TENDED TO IMPROVE THE PUSH-UP TEST (P = 0.07) VERSUS CONTROL. CONCLUSIONS: A 10-WEEK HATHA YOGA INTERVENTION DELIVERED AT THE OFFICE WORKSITE DURING LUNCH HOUR DID NOT IMPROVE HF POWER OR OTHER HRV PARAMETERS. HOWEVER, IMPROVEMENTS IN FLEXIBILITY, STATE ANXIETY AND MUSCULOSKELETAL FITNESS WERE NOTED WITH HIGH ADHERENCE. FUTURE INVESTIGATIONS SHOULD INCORPORATE STRATEGIES TO PROMOTE ADHERENCE, INVOLVE MORE FREQUENT AND LONGER DURATIONS OF YOGA TRAINING, AND ENROL COHORTS WHO SUFFER FROM HIGHER LEVELS OF WORK-RELATED STRESS. TRIAL REGISTRATION: ACTRN12611000536965.	2013	
                                                                                                                                                                                                                                                                 
9 1831  35 PSYCHOLOGICAL FUNCTION, IYENGAR YOGA, AND COHERENT BREATHING: A RANDOMIZED CONTROLLED DOSING STUDY. BACKGROUND: EVIDENCE SUGGESTS THAT YOGA MAY BE AN EFFECTIVE TREATMENT FOR MAJOR DEPRESSIVE DISORDER (MDD). STUDIES EVALUATING THE "DOSING" OF YOGA TREATMENT AND EFFICACY FOR MDD ARE NEEDED. THE GOAL OF THIS STUDY WAS TO ASSESS THE EFFECTS OF AN INTERVENTION COMBINING IYENGAR YOGA AND COHERENT BREATHING IN PARTICIPANTS WITH MDD AND DETERMINE THE OPTIMAL INTERVENTION DOSE. METHODS: THIRTY-TWO PARTICIPANTS (18 TO 65 Y OF AGE) DIAGNOSED WITH MDD WERE RANDOMIZED TO A HIGH-DOSE GROUP (HDG) OR A LOW-DOSE GROUP (LDG) OF YOGA AND COHERENT BREATHING FOR 12 WEEKS. THE HDG (N=15) INVOLVED THREE 90-MINUTE YOGA CLASSES AND FOUR 30-MINUTE HOMEWORK SESSIONS PER WEEK. THE LDG (N=15) INVOLVED TWO 90-MINUTE YOGA CLASSES AND THREE 30-MINUTE HOMEWORK SESSIONS PER WEEK. PARTICIPANTS WERE EVALUATED AT BASELINE, WEEK 4, WEEK 8, AND WEEK 12 WITH THE FOLLOWING INSTRUMENTS: POSITIVITY SELF-TEST, SPIELBERGER STATE ANXIETY INVENTORY, PATIENT HEALTH QUESTIONNAIRE-9, PITTSBURGH SLEEP QUALITY INDEX, AND EXERCISE-INDUCED FEELING INVENTORY. DATA WERE ANALYZED USING INTENT-TO-TREAT METHODS. RESULTS: SIGNIFICANT IMPROVEMENTS IN ALL OUTCOME MEASURES WERE FOUND FOR BOTH GROUPS, WITH ACUTE AND CUMULATIVE BENEFITS. ALTHOUGH THE HDG SHOWED GREATER IMPROVEMENTS ON ALL SCALES, BETWEEN-GROUP DIFFERENCES DID NOT REACH SIGNIFICANCE, POSSIBLY DUE TO LACK OF POWER BECAUSE OF THE SMALL SAMPLE SIZE. CUMULATIVE YOGA MINUTES WERE CORRELATED WITH IMPROVEMENT IN OUTCOME MEASURES. LIMITATION: THIS DOSING STUDY DID NOT INCLUDE A NON-YOGA CONTROL. CONCLUSIONS: IMPROVEMENT IN PSYCHOLOGICAL SYMPTOMS CORRELATED WITH CUMULATIVE YOGA PRACTICE. BOTH INTERVENTIONS REDUCED SYMPTOMS OF DEPRESSION AND ANXIETY AND INCREASED FEELINGS OF POSITIVITY. THE TIME COMMITMENT FOR YOGA PRACTICE NEEDS TO BE WEIGHED AGAINST BENEFITS WHEN DESIGNING YOGA INTERVENTIONS.	2019	
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
10 2756  35 YOGA PRACTICE TO IMPROVE SLEEP QUALITY AND BODY COMPOSITION PARAMETERS OF OBESE MALE - A RANDOMIZED CONTROLLED TRIAL. BACKGROUND GLOBALLY OBESITY INCREASE IS A BIG CHALLENGE. OBESITY CAUSES MANY NON-COMMUNICABLE DISEASES. OPTIONS TO CONTROL OBESITY ARE IN SEARCH. AIM: TO ASSESS THE OUTCOME OF 3 MONTHS FOLLOW-UP PERIOD, AFTER 14 WEEKS YOGA INTERVENTION, FOR BODY COMPOSITION AND SLEEP QUALITY PARAMETERS ON OBESE MALE IN URBAN SETTING. MATERIALS AND METHODS DESIGN: PARALLEL GROUP RCT (RANDOMIZED CONTROLLED TRIAL) ON OBESE MALE. THE TWO GROUPS WERE YOGA AND CONTROL GROUPS, WITH YOGA (N = 37, AGE 40.03 +/- 8.74), CONTROL (N = 35, AGE 42.20 +/- 12.06). THE IAYT (INTEGRATED APPROACH OF YOGA THERAPY) TRAINING WAS GIVEN TO YOGA GROUP FOR 14 WEEKS, AND THE UNSUPERVISED YOGA PRACTICE WAS CONTINUED BY THE SUBJECTS AT THEIR HOME, FOR FURTHER 3 MONTHS. TRAINING WAS 1.5 HOUR DAILY FOR 5 DAYS IN A WEEK, WHICH INCLUDED THE IAYT MODULE OF SURYANAMASKARA ASANA PRANAYAMA AND RELAXATION. NO YOGA ACTIVITY BUT WALKING ETC. FOR THE SAME TIME, WAS GIVEN TO CONTROL GROUP. BODY COMPOSITION PARAMETERS WERE ASSESSED THROUGH BIA (BIOELECTRICAL IMPEDANCE) METHOD USING INBODY R 20 MODEL. THE SLEEP QUALITY WAS ASSESSED USING PSQI (PITTSBURGH SLEEP QUALITY INDEX). WITHIN GROUP AND BETWEEN GROUP ANALYSIS WERE PERFORMED, USING SPSS VERSION 21. THE CORRELATION ANALYSIS WAS CARRIED OUT ON THE DIFFERENCE IN PRE FOLLOW-UP VALUES. RESULTS DURING THE FOLLOW-UP PERIOD WITHIN THE GROUP, THE BODY COMPOSITION PARAMETERS IMPROVED AND THE PARAMETERS OF QUALITY OF SLEEP SHOWED TRENDS OF IMPROVEMENT. ALSO SOME OF THE GAIN OBTAINED DURING 14 WEEKS INTERVENTION WAS LOST DURING FOLLOW-UP PERIOD. CONCLUSIONS THE CHANGES OBSERVED MAY INDICATE THE LONG-TERM BENEFITS OF YOGA PRACTICE FOR CONTROL OF OBESITY IN URBAN SETTING FOR MALES.	2018	
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
11 2553  27 YOGA FOR CHILDREN AND ADOLESCENTS AFTER COMPLETING CANCER TREATMENT. SURVIVORS OF CHILDHOOD CANCER MAY EXPERIENCE PERSISTENT SYMPTOMS, INCLUDING FATIGUE, SLEEP DISTURBANCE, AND BALANCE IMPAIRMENT. YOGA IS A COMPLEMENTARY THERAPY THAT IMPROVES FATIGUE, SLEEP, AND QUALITY OF LIFE IN ADULT CANCER SURVIVORS. USING A ONE GROUP, REPEATED MEASURES DESIGN, WE EVALUATED THE FEASIBILITY OF A YOGA PROGRAM AND ASSESSED IF CANCER SURVIVOR PARTICIPANTS AGES 10 TO 17 YEARS (N = 13) HAD SIGNIFICANTLY LESS FATIGUE AND ANXIETY, AND BETTER BALANCE AND SLEEP, AFTER A 6-WEEK YOGA INTERVENTION COMPARED WITH A 6-WEEK PRE-INTERVENTION WAIT PERIOD. STUDY RECRUITMENT WAS CHALLENGING WITH A 32% ENROLLMENT RATE; YOGA ATTENDANCE WAS 90%. NONE OF THE SCORES FOR ANXIETY, FATIGUE, SLEEP, AND BALANCE HAD SIGNIFICANT CHANGES DURING THE WAIT PERIOD. AFTER THE 6-WEEK YOGA PROGRAM, CHILDREN (N = 7) HAD A SIGNIFICANT DECREASE IN ANXIETY SCORE (P = .04) WHILE ADOLESCENT SCORES (N = 7) SHOWED A DECREASING TREND (P = .10). SCORES FOR FATIGUE, SLEEP, AND BALANCE REMAINED STABLE POST-INTERVENTION. FATIGUE AND BALANCE SCORES WERE BELOW NORMS FOR HEALTH CHILDREN/ADOLESCENTS WHILE SLEEP AND ANXIETY SCORES WERE SIMILAR TO HEALTHY PEERS.	2016	
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
12 2132  31 THE EFFECTS OF A GENTLE YOGA PROGRAM ON SLEEP, MOOD, AND BLOOD PRESSURE IN OLDER WOMEN WITH RESTLESS LEGS SYNDROME (RLS): A PRELIMINARY RANDOMIZED CONTROLLED TRIAL. OBJECTIVE. TO EXAMINE THE EFFECTS OF YOGA VERSUS AN EDUCATIONAL FILM PROGRAM ON SLEEP, MOOD, PERCEIVED STRESS, AND SYMPATHETIC ACTIVATION IN OLDER WOMEN WITH RLS. METHODS. PARTICIPANTS WERE DRAWN FROM A LARGER TRIAL REGARDING THE EFFECTS OF YOGA ON CARDIOVASCULAR DISEASE RISK PROFILES IN OVERWEIGHT, SEDENTARY POSTMENOPAUSAL WOMEN. SEVENTY-FIVE WOMEN WERE RANDOMIZED TO RECEIVE EITHER AN 8-WEEK YOGA (N = 38) OR EDUCATIONAL FILM (N = 37) PROGRAM. ALL 75 PARTICIPANTS COMPLETED AN RLS SCREENING QUESTIONNAIRE. THE 20 WOMEN WHO MET ALL FOUR DIAGNOSTIC CRITERIA FOR RLS (N = 10 YOGA, 10 FILM GROUP) COMPRISED THE POPULATION FOR THIS NESTED STUDY. MAIN OUTCOMES ASSESSED PRE- AND POST-TREATMENT INCLUDED: SLEEP (PITTSBURGH SLEEP QUALITY INDEX), STRESS (PERCEIVED STRESS SCALE), MOOD (PROFILE OF MOOD STATES, STATE-TRAIT ANXIETY INVENTORY), BLOOD PRESSURE, AND HEART RATE. RESULTS. THE YOGA GROUP DEMONSTRATED SIGNIFICANTLY GREATER IMPROVEMENTS THAN CONTROLS IN MULTIPLE DOMAINS OF SLEEP QUALITY AND MOOD, AND SIGNIFICANTLY GREATER REDUCTIONS IN INSOMNIA PREVALENCE, ANXIETY, PERCEIVED STRESS, AND BLOOD PRESSURE (ALL P'S</=0.05). ADJUSTED INTERGROUP EFFECT SIZES FOR PSYCHOSOCIAL VARIABLES WERE LARGE, RANGING FROM 1.9 FOR STATE ANXIETY TO 2.6 FOR SLEEP QUALITY. CONCLUSIONS. THESE PRELIMINARY FINDINGS SUGGEST YOGA MAY OFFER AN EFFECTIVE INTERVENTION FOR IMPROVING SLEEP, MOOD, PERCEIVED STRESS, AND BLOOD PRESSURE IN OLDER WOMEN WITH RLS.	2012	
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
13  945  38 EFFECTS OF A 12-WEEK YOGA VERSUS A 12-WEEK EDUCATIONAL FILM INTERVENTION ON SYMPTOMS OF RESTLESS LEGS SYNDROME AND RELATED OUTCOMES: AN EXPLORATORY RANDOMIZED CONTROLLED TRIAL. STUDY OBJECTIVES: TO ASSESS THE EFFECTS OF A YOGA VERSUS EDUCATIONAL FILM (EF) PROGRAM ON RESTLESS LEGS SYNDROME (RLS) SYMPTOMS AND RELATED OUTCOMES IN ADULTS WITH RLS. METHODS: FORTY-ONE COMMUNITY-DWELLING, AMBULATORY NONPREGNANT ADULTS WITH MODERATE TO SEVERE RLS WERE RANDOMIZED TO A 12-WEEK YOGA (N = 19) OR EF PROGRAM (N = 22). IN ADDITION TO ATTENDING CLASSES, ALL PARTICIPANTS COMPLETED PRACTICE/TREATMENT LOGS. YOGA GROUP PARTICIPANTS WERE ASKED TO PRACTICE AT HOME 30 MINUTES PER DAY ON NONCLASS DAYS; EF PARTICIPANTS WERE INSTRUCTED TO RECORD ANY RLS TREATMENTS USED ON THEIR DAILY LOGS. CORE OUTCOMES ASSESSED PRETREATMENT AND POSTTREATMENT WERE RLS SYMPTOMS AND SYMPTOM SEVERITY (INTERNATIONAL RLS STUDY GROUP SCALE (IRLS) AND RLS ORDINAL SCALE), SLEEP QUALITY, MOOD, PERCEIVED STRESS, AND QUALITY OF LIFE (QOL). RESULTS: THIRTY ADULTS (13 YOGA, 17 EF), AGED 24 TO 73 (MEAN = 50.4 +/- 2.4 YEARS), COMPLETED THE 12-WEEK STUDY (78% FEMALE, 80.5% WHITE). POST-INTERVENTION, BOTH GROUPS SHOWED SIGNIFICANT IMPROVEMENT IN RLS SYMPTOMS AND SEVERITY, PERCEIVED STRESS, MOOD, AND QOL-MENTAL HEALTH (P </= .04). RELATIVE TO THE EF GROUP, YOGA PARTICIPANTS DEMONSTRATED SIGNIFICANTLY GREATER REDUCTIONS IN RLS SYMPTOMS AND SYMPTOM SEVERITY (P </= .01), AND GREATER IMPROVEMENTS IN PERCEIVED STRESS AND MOOD (P </= .04), AS WELL AS SLEEP QUALITY (P = .09); RLS SYMPTOMS DECREASED TO MINIMAL/MILD IN 77% OF YOGA GROUP PARTICIPANTS, WITH NONE SCORING IN THE SEVERE RANGE BY WEEK 12, VERSUS 24% AND 12%, RESPECTIVELY, IN EF PARTICIPANTS. IN THE YOGA GROUP, IRLS AND RLS SEVERITY SCORES DECLINED WITH INCREASING MINUTES OF HOMEWORK PRACTICE (R = .7, P = .009 AND R = .6, P = .03, RESPECTIVELY), SUGGESTING A POSSIBLE DOSE-RESPONSE RELATIONSHIP. CONCLUSIONS: FINDINGS OF THIS EXPLORATORY RCT SUGGEST THAT YOGA MAY BE EFFECTIVE IN REDUCING RLS SYMPTOMS AND SYMPTOM SEVERITY, DECREASING PERCEIVED STRESS, AND IMPROVING MOOD AND SLEEP IN ADULTS WITH RLS. CLINICAL TRIAL REGISTRATION: REGISTRY: CLINICALTRIALS.GOV; TITLE: YOGA VS. EDUCATION FOR RESTLESS LEGS: A FEASIBILITY STUDY; IDENTIFIER: NCT03570515; URL: HTTPS://CLINICALTRIALS.GOV/CT2/SHOW/NCT03570515.	2020	
                                                                                                                                                                                                                                                                                                                                                                                  
14  686  35 EFFECT OF AN OFFICE WORKSITE-BASED YOGA PROGRAM ON HEART RATE VARIABILITY: A RANDOMIZED CONTROLLED TRIAL. BACKGROUND: CHRONIC WORK-RELATED STRESS IS A SIGNIFICANT AND INDEPENDENT RISK FACTOR FOR CARDIOVASCULAR AND METABOLIC DISEASES AND ASSOCIATED MORTALITY, PARTICULARLY WHEN COMPOUNDED BY A SEDENTARY WORK ENVIRONMENT. HEART RATE VARIABILITY (HRV) PROVIDES AN ESTIMATE OF PARASYMPATHETIC AND SYMPATHETIC AUTONOMIC CONTROL, AND CAN SERVE AS A MARKER OF PHYSIOLOGICAL STRESS. HATHA YOGA IS A PHYSICALLY DEMANDING PRACTICE THAT CAN HELP TO REDUCE STRESS; HOWEVER, TIME CONSTRAINTS INCURRED BY WORK AND FAMILY LIFE MAY LIMIT PARTICIPATION. THE PURPOSE OF THE PRESENT STUDY IS TO DETERMINE IF A 10-WEEK, WORKSITE-BASED YOGA PROGRAM DELIVERED DURING LUNCH HOUR CAN IMPROVE RESTING HRV AND RELATED PHYSICAL AND PSYCHOLOGICAL PARAMETERS IN SEDENTARY OFFICE WORKERS. METHODS AND DESIGN: THIS IS A PARALLEL-ARM RCT THAT WILL COMPARE THE OUTCOMES OF PARTICIPANTS ASSIGNED TO THE EXPERIMENTAL TREATMENT GROUP (YOGA) TO THOSE ASSIGNED TO A NO-TREATMENT CONTROL GROUP. PARTICIPANTS RANDOMIZED TO THE EXPERIMENTAL CONDITION WILL ENGAGE IN A 10-WEEK YOGA PROGRAM DELIVERED AT THEIR PLACE OF WORK. THE YOGA SESSIONS WILL BE GROUP-BASED, PRESCRIBED THREE TIMES PER WEEK DURING LUNCH HOUR, AND WILL BE LED BY AN EXPERIENCED YOGA INSTRUCTOR. THE PROGRAM WILL INVOLVE TEACHING BEGINNER STUDENTS SAFELY AND PROGRESSIVELY OVER 10 WEEKS A YOGA SEQUENCE THAT INCORPORATES ASANAS (POSES AND POSTURES), VINYASA (EXERCISES), PRANAYAMA (BREATHING CONTROL) AND MEDITATION. THE PRIMARY OUTCOME OF THIS STUDY IS THE HIGH FREQUENCY (HF) SPECTRAL POWER COMPONENT OF HRV (MEASURED IN ABSOLUTE UNITS; I.E. MS2), A MEASURE OF PARASYMPATHETIC AUTONOMIC CONTROL. SECONDARY OUTCOMES INCLUDE ADDITIONAL FREQUENCY AND TIME DOMAINS OF HRV, AND MEASURES OF PHYSICAL FUNCTIONING AND PSYCHOLOGICAL HEALTH STATUS. MEASURES WILL BE COLLECTED PRIOR TO AND FOLLOWING THE INTERVENTION PERIOD, AND AT 6 MONTHS FOLLOW-UP TO DETERMINE THE EFFECT OF INTERVENTION WITHDRAWAL. DISCUSSION: THIS STUDY WILL DETERMINE THE EFFECT OF WORKSITE-BASED YOGA PRACTICE ON HRV AND PHYSICAL AND PSYCHOLOGICAL HEALTH STATUS. THE FINDINGS MAY ASSIST IN IMPLEMENTING PRACTICAL INTERVENTIONS, SUCH AS YOGA, INTO THE WORKPLACE TO MITIGATE STRESS, ENHANCE HEALTH STATUS AND REDUCE THE RISK OF CARDIOVASCULAR AND METABOLIC DISEASES. TRIAL REGISTRATION: ACTRN12611000536965URL: HTTP://WWW.ANZCTR.ORG.AU/ACTRN12611000536965.ASPX.	2011	
                                                                                                                                                                                                                                                      
15 1192  39 EXAMINING A THERAPEUTIC YOGA PROGRAM FOR PROSTATE CANCER SURVIVORS. BACKGROUND: IN THE EARLIER STAGES OF PROSTATE CANCER, EFFECTIVE TREATMENTS HAVE CREATED A NEED FOR RESEARCH TO FOCUS ON PRACTICES THAT MAY IMPROVE QUALITY OF LIFE THROUGHOUT SURVIVORSHIP. PHYSICAL ACTIVITY IS A SIGNIFICANT SUPPORTIVE CARE MANAGEMENT STRATEGY FOR PROSTATE CANCER SURVIVORS, THOUGH THE OPTIMAL MODALITY IS NOT YET UNDERSTOOD. HYPOTHESES: THE AUTHORS HYPOTHESIZED THAT YOGA WOULD BE A FEASIBLE PHYSICAL ACTIVITY OPTION FOR PROSTATE CANCER SURVIVORS AND THEIR SUPPORT PERSONS AND THAT THE INCORPORATION OF SOCIAL SUPPORT WOULD INCREASE PHYSICAL ACTIVITY ADHERENCE. METHODS: THIS 14-WEEK FEASIBILITY STUDY INVOLVED A 7-WEEK CLASS-BASED YOGA PROGRAM (ADHERENCE PHASE), FOLLOWED BY 7 WEEKS OF SELF-SELECTED PHYSICAL ACTIVITY (MAINTENANCE PHASE). DEMOGRAPHIC INFORMATION, PHYSICAL ACTIVITY BEHAVIOR, QUALITY OF LIFE, FATIGUE, STRESS, MOOD, AND FITNESS VARIABLES WERE ASSESSED AT 3 TIME POINTS. PROSTATE CANCER SURVIVORS' PERCEIVED SOCIAL SUPPORT WAS RATED DURING YOGA AND AFTER YOGA. RESULTS: CLASS ATTENDANCE WAS 6.1 AND 5.8 FOR PROSTATE CANCER SURVIVORS (N = 15) AND THEIR SUPPORT PERSONS (N = 10), RESPECTIVELY, FOR THE 7 CLASSES. LEVELS OF PERCEIVED SOCIAL SUPPORT WERE HIGHER FOR THOSE WHO BROUGHT A SUPPORT PERSON. SIGNIFICANT IMPROVEMENTS WITH REGARD TO STRESS, FATIGUE, AND MOOD BEFORE AND AFTER YOGA CLASS (ALL PS < .05) WERE REPORTED BY ALL PARTICIPANTS. NO CLINICALLY SIGNIFICANT CHANGES WERE NOTED ON PROSTATE CANCER SURVIVOR'S QUALITY OF LIFE OR FATIGUE OVER THE COURSE OF THE 14-WEEK STUDY. CONCLUSIONS: YOGA IS A FEASIBLE PHYSICAL ACTIVITY OPTION FOR PROSTATE CANCER SURVIVORS. THE PROGRAM HAD A PROMISING UPTAKE RATE, HIGH PROGRAM ADHERENCE RATE, AND THERE WERE ACUTE PROGRAM BENEFITS WITH REGARD TO STRESS, FATIGUE, AND MOOD FOR ALL PARTICIPANTS. FUTURE EXAMINATION IS WARRANTED WITH REGARD TO CHRONIC BENEFITS AND GROUP COHESION INFLUENCES ON LEVELS OF PERCEIVED SOCIAL SUPPORT.	2013	
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
16 1317  29 HEART RATE VARIABILITY CHANGES DURING HIGH FREQUENCY YOGA BREATHING AND BREATH AWARENESS. BACKGROUND: PRE AND POST COMPARISON AFTER ONE MINUTE OF HIGH FREQUENCY YOGA BREATHING (HFYB) SUGGESTED THAT THE HFYB MODIFIES THE AUTONOMIC STATUS BY INCREASING SYMPATHETIC MODULATION, BUT ITS EFFECT DURING THE PRACTICE WAS NOT ASSESSED. METHODS: THIRTY-EIGHT MALE VOLUNTEERS WITH GROUP AVERAGE AGE +/- S.D., 23.3 +/- 4.4 YEARS WERE EACH ASSESSED ON TWO SEPARATE DAYS IN TWO SESSIONS, (I) HFYB AND (II) BREATH AWARENESS. EACH SESSION WAS FOR 35 MINUTES, WITH 3 PERIODS, I.E., PRE (5 MINUTES), DURING HFYB OR BREATH AWARENESS (15 MINUTES) AND POST (5 MINUTES). RESULTS: THERE WAS A SIGNIFICANT DECREASE IN NN50, PNN50 AND THE MEAN RR INTERVAL DURING AND AFTER HFYB AND AFTER BREATH AWARENESS, COMPARED TO THE RESPECTIVE 'PRE' VALUES (P < 0.05) (REPEATED MEASURES ANOVA FOLLOWED BY POST-HOC ANALYSIS). THE LF POWER INCREASED AND HF POWER DECREASED DURING AND AFTER BREATH AWARENESS AND LF/HF RATIO INCREASED AFTER BREATH AWARENESS (P < 0.05). CONCLUSION: THE RESULTS SUGGEST THAT THERE WAS REDUCED PARASYMPATHETIC MODULATION DURING AND AFTER HFYB AND INCREASED SYMPATHETIC MODULATION WITH REDUCED PARASYMPATHETIC MODULATION DURING AND AFTER BREATH AWARENESS.	2011	
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
17 1215  40 EXPLORING THE EFFECTS OF YOGA THERAPY ON HEART RATE VARIABILITY AND PATIENT-REPORTED OUTCOMES AFTER CANCER TREATMENT: A STUDY PROTOCOL. BACKGROUND: FOLLOWING CANCER TREATMENT, ADULTS COMMONLY REPORT WORSENED PATIENT-REPORTED OUTCOMES (PROS) SUCH AS ANXIETY, STRESS, DEPRESSION, PERSISTENT AND UPSETTING COGNITIVE COMPLAINTS, UNRELENTING FATIGUE, AND REDUCED QUALITY OF LIFE. POORER PROS ARE ASSOCIATED WITH DISRUPTED AUTONOMIC NERVOUS SYSTEM FUNCTIONING AS MEASURED BY HEART RATE VARIABILITY (HRV), BOTH OF WHICH HAVE BEEN ASSOCIATED WITH GREATER MORBIDITY AND MORTALITY. INTERVENTIONS TO IMPROVE HRV AND PROS AMONG ADULTS FOLLOWING CANCER TREATMENT ARE NEEDED. YOGA THERAPY HOLDS PROMISE AS AN INTERVENTION TO IMPROVE HRV AND PROS. THEREFORE, WE CONDUCTED A SINGLE-SUBJECT EXPLORATORY EXPERIMENTAL STUDY TO INVESTIGATE THE EFFECTS OF YOGA THERAPY ON HRV AND SPECIFIC PROS (IE, CANCER-RELATED FATIGUE, ANXIETY, COGNITIVE FUNCTION, DEPRESSION, STRESS, QUALITY OF LIFE) IN ADULTS TREATED FOR CANCER. TO REDUCE PUBLICATION BIAS, IMPROVE REPRODUCIBILITY, AND SERVE AS A REFERENCE FOR FORTHCOMING REPORTING OF STUDY RESULTS, WE PRESENT THE STUDY PROTOCOL FOR THIS STUDY HEREIN. METHODS: PARTICIPANTS WERE ADULTS WHO COMPLETED CANCER TREATMENT THAT WERE RECRUITED FROM THE OTTAWA INTEGRATIVE CANCER CENTRE. CONSENTING AND ELIGIBLE PARTICIPANTS RECEIVED ONE 1:1 YOGA THERAPY SESSION (IE, 1 PARTICIPANT, 1 YOGA THERAPIST) AND 6 WEEKLY GROUP-BASED YOGA THERAPY SESSIONS (IE, 2-3 PARTICIPANTS, 1 YOGA THERAPIST). PARTICIPANTS COMPLETED ASSESSMENTS 7 TIMES: 3 TIMES PRIOR TO THE PROGRAM (IE, -6 WEEKS, -3 WEEKS, IMMEDIATELY PRIOR TO THE 1:1 YOGA THERAPY SESSION), IMMEDIATELY FOLLOWING THE 1:1 YOGA THERAPY SESSION, PRIOR TO THE FIRST GROUP-BASED YOGA THERAPY SESSION, AFTER THE LAST GROUP-BASED YOGA THERAPY SESSION, AND AT A 6-WEEK FOLLOW-UP. HIERARCHICAL LINEAR MODELING WILL BE USED TO TEST THE AVERAGE EFFECTS OF THE YOGA THERAPY PROGRAM ACROSS PARTICIPANTS. DISCUSSION: THIS STUDY WILL EXPLORE SEVERAL NOVEL HYPOTHESES, INCLUDING WHETHER YOGA THERAPY CAN IMPROVE HRV AND/OR SPECIFIC PROS AMONG ADULTS TREATED FOR CANCER ACUTELY (IE, DURING A 1:1 YOGA THERAPY SESSION) AND/OR THROUGH REPEATED EXPOSURE (IE, AFTER COMPLETING 6 WEEKS OF GROUP-BASED YOGA THERAPY). ALTHOUGH THE FINDINGS WILL REQUIRE CONFIRMATION OR REFUTATION IN FUTURE TRIALS, THEY MAY PROVIDE INITIAL EVIDENCE THAT YT MAY BENEFIT ADULTS TREATED FOR CANCER. TRIAL REGISTRATION: ISRCTN REGISTRY, ISRCTN64763228. REGISTERED ON DECEMBER 12, 2021. THIS TRIAL WAS REGISTERED RETROSPECTIVELY. URL OF TRIAL REGISTRY RECORD: HTTPS://WWW.ISRCTN.COM/ISRCTN64763228.	2022	
                                                                                    
18  217  36 A STUDY PROTOCOL OF A THREE-GROUP RANDOMIZED FEASIBILITY TRIAL OF AN ONLINE YOGA INTERVENTION FOR MOTHERS AFTER STILLBIRTH (THE MINDFUL HEALTH STUDY). BACKGROUND: IN THE USA, STILLBIRTH (IN UTERO FETAL DEATH >/=20 WEEKS GESTATION) IS A MAJOR PUBLIC HEALTH ISSUE. WOMEN WHO EXPERIENCE STILLBIRTH, COMPARED TO WOMEN WITH LIVE BIRTH, HAVE A NEARLY SEVENFOLD INCREASED RISK OF A POSITIVE SCREEN FOR POST-TRAUMATIC STRESS DISORDER (PTSD) AND A FOURFOLD INCREASED RISK OF DEPRESSIVE SYMPTOMS. BECAUSE THE MAJORITY OF WOMEN WHO HAVE EXPERIENCED THE DEATH OF THEIR BABY BECOME PREGNANT WITHIN 12-18 MONTHS AND THE LACK OF INTERVENTION STUDIES CONDUCTED WITHIN THIS POPULATION, NOVEL APPROACHES TARGETING PHYSICAL AND MENTAL HEALTH, SPECIFIC TO THE NEEDS OF THIS POPULATION, ARE CRITICAL. EVIDENCE SUGGESTS THAT YOGA IS EFFICACIOUS, SAFE, ACCEPTABLE, AND COST-EFFECTIVE FOR IMPROVING MENTAL HEALTH IN A VARIETY OF POPULATIONS, INCLUDING PREGNANT AND POSTPARTUM WOMEN. TO DATE, THERE ARE NO KNOWN STUDIES EXAMINING ONLINE-STREAMING YOGA AS A STRATEGY TO HELP MOTHERS COPE WITH PTSD SYMPTOMS AFTER STILLBIRTH. METHODS: THE PRESENT STUDY IS A TWO-PHASE RANDOMIZED CONTROLLED TRIAL. PHASE 1 WILL INVOLVE (1) AN ITERATIVE DESIGN PROCESS TO DEVELOP THE ONLINE YOGA PRESCRIPTION FOR PHASE 2 AND (2) QUALITATIVE INTERVIEWS TO IDENTIFY CULTURAL BARRIERS TO RECRUITMENT IN NON-CAUCASIAN WOMEN (I.E., PREDOMINATELY HISPANIC AND/OR AFRICAN AMERICAN) WHO HAVE EXPERIENCED STILLBIRTH (N = 5). PHASE 2 IS A THREE-GROUP RANDOMIZED FEASIBILITY TRIAL WITH ASSESSMENTS AT BASELINE, AND AT 12 AND 20 WEEKS POST-INTERVENTION. NINETY WOMEN WHO HAVE EXPERIENCED A STILLBIRTH WITHIN 6 WEEKS TO 24 MONTHS WILL BE RANDOMIZED INTO ONE OF THE FOLLOWING THREE ARMS FOR 12 WEEKS: (1) INTERVENTION LOW DOSE (LD) = 60 MIN/WEEK ONLINE-STREAMING YOGA (N = 30), (2) INTERVENTION MODERATE DOSE (MD) = 150 MIN/WEEK ONLINE-STREAMING YOGA (N = 30), OR (3) STRETCH AND TONE CONTROL (STC) GROUP = 60 MIN/WEEK OF STRETCHING/TONING EXERCISES (N = 30). DISCUSSION: THIS STUDY WILL EXPLORE THE FEASIBILITY AND ACCEPTABILITY OF A 12-WEEK, HOME-BASED, ONLINE-STREAMED YOGA INTERVENTION, WITH VARYING DOSES AMONG MOTHERS AFTER A STILLBIRTH. IF FEASIBLE, THE FINDINGS FROM THIS STUDY WILL INFORM A FULL-SCALE TRIAL TO DETERMINE THE EFFECTIVENESS OF HOME-BASED ONLINE-STREAMED YOGA TO IMPROVE PTSD. LONG-TERM, HEALTH CARE PROVIDERS COULD USE ONLINE YOGA AS A NON-PHARMACEUTICAL, INEXPENSIVE RESOURCE FOR STILLBIRTH AFTERCARE. TRIAL REGISTRATION: NCT02925481.	2018	
                                                                                                                                                                                                       
19  312  37 AN EXPLORATORY RANDOMIZED CONTROLLED TRIAL OF A 12-WEEK YOGA VERSUS EDUCATIONAL FILM PROGRAM FOR THE MANAGEMENT OF RESTLESS LEGS SYNDROME: FEASIBILITY AND ACCEPTABILITY. OBJECTIVES: THE PRIMARY OBJECTIVES OF THIS PILOT TRIAL WERE TO ASSESS THE STUDY FEASIBILITY AND ACCEPTABILITY OF THE 12-WEEK YOGA AND EDUCATIONAL FILM PROGRAMS FOR THE MANAGEMENT OF RESTLESS LEGS SYNDROME (RLS) IN PREPARATION FOR A FUTURE RANDOMIZED CONTROLLED TRIAL (RCT). MATERIALS AND METHODS: THIS PILOT, PARALLEL-ARM, RANDOMIZED FEASIBILITY TRIAL WAS CONDUCTED AT TWO SITES, MORGANTOWN, WV AND COLUMBUS, OH. YOGA GROUP PARTICIPANTS ATTENDED 75-MIN IYENGAR YOGA CLASSES, TWICE WEEKLY FOR 4 WEEKS, THEN ONCE A WEEK FOR 8 WEEKS (16 TOTAL CLASSES), AND COMPLETED A 30-MIN HOMEWORK ROUTINE ON NONCLASS DAYS. EDUCATIONAL FILM GROUP PARTICIPANTS ATTENDED ONCE WEEKLY, 75-MIN CLASSES (12 TOTAL CLASSES), WHICH INCLUDED INFORMATION ON RLS AND OTHER SLEEP DISORDERS, RLS MANAGEMENT INCLUDING SLEEP HYGIENE PRACTICES, AND COMPLEMENTARY THERAPIES. FEASIBILITY AND ACCEPTABILITY OUTCOMES INCLUDED PROGRAM SATISFACTION AND RECRUITMENT, RETENTION, AND ADHERENCE RATES. IN ADDITION, PARTICIPANTS WERE ASKED THEIR PREFERENCES REGARDING THREE YOGA CLASS SCHEDULE SCENARIOS FOR A FUTURE STUDY. ATTENDANCE, YOGA, AND TREATMENT LOGS WERE COLLECTED WEEKLY. PROGRAM EVALUATION AND YOGA SCHEDULING QUESTIONNAIRES WERE COLLECTED AT WEEK 12. RESULTS: FORTY-ONE ADULTS WITH MODERATE TO SEVERE RLS WERE RANDOMIZED TO A 12-WEEK YOGA (N = 19) OR EDUCATIONAL FILM (N = 22) PROGRAM. THIRTY PARTICIPANTS (73%) COMPLETED THE PROGRAM. YOGA AND EDUCATION GROUP PARTICIPANTS ATTENDED AN AVERAGE OF 13.0 +/- 0.84 (81%) AND 10.3 +/- 0.3 CLASSES (85%), RESPECTIVELY. PARTICIPANTS FROM BOTH GROUPS INDICATED SATISFACTION WITH THE STUDY. ALL YOGA GROUP RESPONDENTS TO THE PROGRAM EVALUATION REPORTED THEY WOULD LIKELY (N = 6) OR VERY LIKELY (N = 7) CONTINUE YOGA PRACTICE; 86.7% OF EDUCATION GROUP RESPONDENTS (13 OF 15) INDICATED THAT THEY WERE LIKELY (N = 7) OR VERY LIKELY (N = 6) TO MAKE LASTING CHANGES BASED ON WHAT THEY HAD LEARNED. THE PREFERRED SCHEDULE FOR A FUTURE STUDY WAS A 16-WEEK STUDY WITH ONCE-WEEKLY YOGA CLASSES. CONCLUSIONS: THE FINDINGS OF THIS STUDY SUGGEST THAT A LARGER RCT COMPARING YOGA WITH AN EDUCATIONAL FILM GROUP FOR THE MANAGEMENT OF RLS IS FEASIBLE. TRIAL REGISTRATION: CLINICALTRIALS.GOV: NCT03570515; 02/01/2017.	2022	
                                                                                                                                                                                                                                                                                                                             
20  360  27 ASSOCIATION OF YOGA PRACTICE AND SERUM CORTISOL LEVELS IN CHRONIC PERIODONTITIS PATIENTS WITH STRESS-RELATED ANXIETY AND DEPRESSION. AIM: REDUCING THE PSYCHOSOCIAL STRESS BY VARIOUS METHODS CAN IMPROVE OVERALL HEALTH, AND YOGA IS NOW CONSIDERED AS AN EASILY AVAILABLE ALTERNATIVE METHOD. THE PRESENT CROSS-SECTIONAL PILOT STUDY WAS CONDUCTED MAINLY TO FIND THE ASSOCIATION OF YOGA PRACTICE WITH PERIODONTAL DISEASE BY MEASURING SERUM CORTISOL LEVELS. MATERIALS AND METHODS: A TOTAL OF 70 SUBJECTS WITH AGE RANGE OF 35-60 YEARS SUFFERING WITH CHRONIC PERIODONTITIS WERE DIVIDED INTO GROUP I (WITH STRESS), GROUP II (WITHOUT STRESS), AND GROUP III (PRACTICING YOGA). PSYCHOLOGICAL EVALUATION WAS CARRIED OUT USING HAMILTON ANXIETY RATING SCALE (HAM-A) AND ZUNG SELF-RATING DEPRESSION SCALE (ZSDS). PERIODONTAL PARAMETERS LIKE PLAQUE INDEX (PI), PROBING POCKET DEPTH (PPD), AND CLINICAL ATTACHMENT LEVEL (CAL) AT 5-8 MM AND >8 MM WERE RECORDED. BLOOD SAMPLES WERE COLLECTED AND SERUM CORTISOL LEVELS WERE MEASURED. RESULTS: MEAN AGE, PLAQUE SCORES, AND NUMBER OF TEETH WITH PPD AND CAL AT 5-8 MM AND >8 MM WERE SIMILAR IN ALL THE GROUPS, EXCEPT BETWEEN GROUP I AND GROUP III WHERE A MULTIPLE COMPARISON WITH TUKEY'S POST-HOC TEST SHOWED SIGNIFICANT DIFFERENCE IN PLAQUE INDEX (P < 0.038) AND THE NUMBER OF TEETH WITH CAL 5-8 MM (P < 0.016). SERUM CORTISOL LEVELS AND HAM-A SCALE AND ZSDS SCORES SHOWED HIGHLY SIGNIFICANT VALUE (P < 0.001) IN GROUP I SUBJECTS WHEN COMPARED WITH GROUP II AND GROUP III SUBJECTS. CONCLUSION: CROSS-SECTIONAL OBSERVATION DONE AMONG THREE GROUPS SHOWED THAT INDIVIDUALS PRACTICING YOGA REGULARLY HAD LOW SERUM CORTISOL LEVELS, HAM-A SCALE AND ZSDS SCORES, AND BETTER PERIODONTAL HEALTH.	2016