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 2 155 38 A QUALITATIVE STUDY EXPLORING YOGA IN VETERANS WITH PTSD SYMPTOMS. QUANTITATIVE STUDIES OF YOGA HAVE REPORTED REDUCED POSTTRAUMATIC STRESS DISORDER (PTSD) SYMPTOMS IN VETERANS, BUT LITTLE IS KNOWN ABOUT HOW AND WHY VETERANS ARE ATTRACTED TO AND STICK WITH A YOGA PRACTICE. GUIDED BY THE HEALTH BELIEF MODEL, THIS STUDY EXAMINED VETERANS' PERCEPTIONS OF THE BENEFITS, BARRIERS, AND MOTIVATIONS TO CONTINUE PRACTICING TRAUMA-SENSITIVE YOGA. INTERVIEWS WERE CONDUCTED WITH NINE INDIVIDUALS, FIVE OF WHOM COMPLETED A 6-WEEK TRAUMA-SENSITIVE YOGA INTERVENTION DESIGNED FOR VETERANS AND FOUR WHO DID NOT COMPLETE THE INTERVENTION. TRANSCRIPTS WERE ANALYZED FOR THEMES. THE BENEFITS IDENTIFIED BY VETERANS WERE FINDING MENTAL STILLNESS, BODY AWARENESS, AND SOCIAL CONNECTION. THE BARRIERS WERE PERCEPTIONS THAT YOGA IS SOCIALLY UNACCEPTABLE, ESPECIALLY FOR MEN, AND PHYSICALLY UNCHALLENGING. UNDERSTANDING THESE BENEFITS AND BARRIERS CAN HELP TO MAKE YOGA MORE ATTRACTIVE TO SERVICE MEMBERS AND VETERANS. FOR EXAMPLE, MEDICAL PERSONNEL CAN REFER SERVICE MEMBERS AND VETERANS TO YOGA NOT ONLY FOR PTSD SYMPTOMS, BUT ALSO TO ADDRESS BACK PAIN AND TO REDUCE ISOLATION. ACCESS TO MALE YOGA INSTRUCTORS, ESPECIALLY THOSE WHO ARE THEMSELVES SERVICE MEMBERS OR VETERANS, COULD BE EXPANDED, AND CLASSES COULD BE INTEGRATED INTO PHYSICAL ACTIVITY ROUTINES REQUIRED OF ACTIVE-DUTY PERSONNEL. PROMOTIONAL MATERIALS CAN FEATURE MALE SERVICE MEMBERS AND VETERANS WITH CAPTIONS RELATED TO YOGA AS A WAY TO INCREASE RESILIENCY, SELF-SUFFICIENCY, AND PHYSICAL AND MENTAL MISSION READINESS. FINDINGS FROM THIS STUDY CAN HELP THE DEPARTMENT OF DEFENSE AND THE VETERANS HEALTH ADMINISTRATION IMPLEMENT YOGA AS AN ADJUNCT OR ALTERNATIVE TREATMENT FOR VETERANS WITH PTSD SYMPTOMS. 2018 3 336 33 APPROPRIATENESS AND ACCEPTABILITY OF A TELE-YOGA INTERVENTION FOR PEOPLE WITH HEART FAILURE AND CHRONIC OBSTRUCTIVE PULMONARY DISEASE: QUALITATIVE FINDINGS FROM A CONTROLLED PILOT STUDY. BACKGROUND: HEART FAILURE (HF) AND CHRONIC OBSTRUCTIVE PULMONARY DISEASE (COPD) ARE HIGHLY PREVALENT AND ASSOCIATED WITH A LARGE SYMPTOM BURDEN, THAT IS COMPOUNDED IN A DUAL HF-COPD DIAGNOSIS. YOGA HAS POTENTIAL BENEFIT FOR SYMPTOM RELIEF; HOWEVER FUNCTIONAL IMPAIRMENT HINDERS ACCESS TO USUAL YOGA CLASSES. WE DEVELOPED A TELE-YOGA INTERVENTION AND EVALUATED IT IN A CONTROLLED PILOT TRIAL. THIS PAPER REPORTS ON THE APPROPRIATENESS AND ACCEPTABILITY OF THE INTERVENTION AND THE EVALUATION DESIGN. METHODS: A CONTROLLED, NON-RANDOMISED TRIAL WAS CONDUCTED OF AN 8-WEEK TELE-YOGA INTERVENTION VERSUS AN EDUCATIONAL CONTROL (INFORMATION LEAFLETS MAILED TO PARTICIPANTS WITH ONE PHONE CALL A WEEK). BIWEEKLY ONE-HOUR TELE-YOGA CLASSES WERE IMPLEMENTED VIA MULTIPOINT VIDEOCONFERENCING THAT CONNECTED PARTICIPANTS TO LIVE CLASSES VIA AN INTERNET CONNECTION TO THEIR TELEVISIONS. SEMI-STRUCTURED QUALITATIVE INTERVIEWS WERE CONDUCTED WITH PARTICIPANTS POST STUDY EXIT TO EXPLORE REASONS FOR AND EXPERIENCES OF PARTICIPATING, INCLUDING VIEWS OF STUDY OUTCOME MEASURES AND PHYSIOLOGICAL TESTS. TRANSCRIBED INTERVIEWS WERE ANALYSED USING THEMATIC CONTENT ANALYSIS. RESULTS: FIFTEEN PEOPLE PARTICIPATED IN THE PILOT STUDY (7 IN THE INTERVENTION GROUP, 8 IN THE CONTROL). OF THESE, 12 PARTICIPANTS WERE INTERVIEWED, 6 IN EACH GROUP, MEAN AGE 71.2 YEARS (SD 10.09); 3 WERE MALE. THEMES ARE REPORTED IN THE FOLLOWING CATEGORIES: ACCEPTABILITY AND APPROPRIATENESS OF THE INTERVENTION, POTENTIAL ACTIVE INGREDIENTS OF THE INTERVENTION, ACCEPTABILITY AND APPROPRIATENESS OF THE CONTROL, PARTICIPATION IN THE RESEARCH, AND ACCEPTABILITY OF THE TESTING PROCEDURES. THE INTERVENTION WAS ACCEPTABLE AND APPROPRIATE: THE INTERVENTION GROUP REPORTED ENJOYING YOGA AND VALUING THE HOME-BASED ASPECT AND PARTICIPANTS DESCRIBED A HIGH SYMPTOM BURDEN AND SOCIAL ISOLATION. HOWEVER, TECHNOLOGICAL PROBLEMS RESULTED IN POOR VIDEO-STREAMING QUALITY FOR SOME PARTICIPANTS. POTENTIAL ACTIVE INGREDIENTS INCLUDED PHYSICAL POSTURES, BREATHING EXERCISES AND GUIDANCE IN RELAXATION AND MEDITATION. THE EDUCATIONAL CONTROL INTERVENTION WAS ACCEPTABLE AND APPROPRIATE, WITH PARTICIPANTS REPORTING LITTLE EFFECT ON THEIR WELL-BEING AND NO IMPACT ON MECHANISMS HYPOTHESISED TO EXPLAIN YOGA'S EFFECTIVENESS. THE QUESTIONNAIRES AND HOME PHYSIOLOGICAL TESTING WERE ACCEPTABLE TO PARTICIPANTS. CONCLUSIONS: TELE-YOGA IS AN ACCEPTABLE AND APPROPRIATE INTERVENTION IN PEOPLE WITH HF AND COPD AND FURTHER RESEARCH IS WARRANTED TO REFINE THE TECHNOLOGY USED IN ITS DELIVERY. FINDINGS PROVIDE GUIDANCE FOR RESEARCHERS WORKING IN TELE-INTERVENTIONS, YOGA, AND SIMILAR POPULATIONS. TRIAL REGISTRATION: CLINICALTRIALS.GOV IDENTIFIER: NCT02078739 (4 MARCH 2014). 2015 4 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 5 6 34 "I JUST START CRYING FOR NO REASON": THE EXPERIENCE OF STRESS AND DEPRESSION IN PREGNANT, URBAN, AFRICAN-AMERICAN ADOLESCENTS AND THEIR PERCEPTION OF YOGA AS A MANAGEMENT STRATEGY. PURPOSE: PERINATAL HEALTH DISPARITIES ARE OF PARTICULAR CONCERN WITH PREGNANT, URBAN, AFRICAN-AMERICAN (AA) ADOLESCENTS, WHO HAVE HIGH RATES OF STRESS AND DEPRESSION DURING PREGNANCY, HIGHER RATES OF ADVERSE PREGNANCY AND NEONATAL OUTCOMES, AND MANY BARRIERS TO EFFECTIVE TREATMENT. THE PURPOSE OF THIS STUDY WAS TO EXPLORE PREGNANT, URBAN, AA TEENAGERS' EXPERIENCE OF STRESS AND DEPRESSION AND EXAMINE THEIR PERCEPTIONS OF ADJUNCTIVE NONPHARMACOLOGIC MANAGEMENT STRATEGIES, SUCH AS YOGA. METHODS: THIS COMMUNITY-BASED, QUALITATIVE STUDY USED NONTHERAPEUTIC FOCUS GROUPS TO ALLOW FOR EXPLORATION OF ATTITUDES, CONCERNS, BELIEFS, AND VALUES REGARDING STRESS AND DEPRESSION IN PREGNANCY AND NONPHARMACOLOGIC MANAGEMENT APPROACHES, SUCH AS MIND-BODY THERAPIES AND OTHER PRENATAL ACTIVITIES. FINDINGS: THE SAMPLE CONSISTED OF PREGNANT, AA, LOW-INCOME ADOLESCENTS (N=17) WHO RESIDED IN A LARGE URBAN AREA IN THE UNITED STATES. THE THEMES THAT AROSE IN THE FOCUS GROUP DISCUSSIONS WERE THAT 1) STRESS AND DEPRESSION SYMPTOMS ARE PERVASIVE IN DAILY LIFE, 2) PARTICIPANTS FELT A GENERALIZED SENSE OF ISOLATION, 3) STRESS/DEPRESSION MANAGEMENT TECHNIQUES SHOULD BE GROUP BASED, INTERACTIVE, AND FOCUSED ON THE SPECIFIC NEEDS OF TEENAGERS, AND 4) YOGA IS AN APPEALING STRESS MANAGEMENT TECHNIQUE TO THIS POPULATION. CONCLUSIONS: FINDINGS FROM THIS STUDY SUGGEST THAT PREGNANT, URBAN, ADOLESCENTS ARE HIGHLY STRESSED; THEY INTERPRET DEPRESSION-LIKE SYMPTOMS TO BE SIGNS OF STRESS; THEY DESIRE GROUP-BASED, INTERACTIVE ACTIVITIES; AND THEY ARE INTERESTED IN YOGA CLASSES FOR STRESS/DEPRESSION MANAGEMENT AND RELATIONSHIP BUILDING. IT IS IMPERATIVE THAT HEALTH CARE PROVIDERS AND RESEARCHERS FOCUS ON THESE NEEDS, PARTICULARLY WHEN DESIGNING PREVENTION AND INTERVENTION STRATEGIES. 2015 6 3 25 "I AM A NICE PERSON WHEN I DO YOGA!!!" A QUALITATIVE ANALYSIS OF HOW YOGA AFFECTS RELATIONSHIPS. PURPOSE: TO DEVELOP A BETTER UNDERSTANDING OF HOW YOGA PRACTICE AFFECTS ONE'S INTERPERSONAL RELATIONSHIPS. DESIGN: QUALITATIVE. METHOD: CONTENT ANALYSIS WAS USED TO QUALITATIVELY ANALYZE WRITTEN COMMENTS (N = 171) MADE REGARDING YOGA IMPROVING INTERPERSONAL RELATIONSHIPS IN A LARGE CROSS-SECTIONAL SURVEY OF YOGA PRACTITIONERS (N = 1,067). FINDINGS: FOUR THEMES WERE IDENTIFIED: YOGA PRACTICE LEADS TO PERSONAL TRANSFORMATION, INCREASES SOCIAL INTERACTION, PROVIDES COPING MECHANISMS TO WEATHER RELATIONSHIP LOSSES AND DIFFICULTIES, AND LEADS TO SPIRITUAL TRANSCENDENCE. PRACTITIONERS BELIEVED THAT THEIR INTERPERSONAL RELATIONSHIPS IMPROVED BECAUSE THEIR ATTITUDE AND PERSPECTIVE HAD CHANGED, MAKING THEM MORE PATIENT, KIND, MINDFUL, AND SELF-AWARE. THEY EXPRESSED AN ASPECT OF COMMUNITY THAT WAS BOTH PRACTICAL (THEY MET NEW FRIENDS) AND SPIRITUAL (THEY FELT THEY BELONGED). THEY THOUGHT THEY COULD BETTER WEATHER DIFFICULTIES SUCH AS DIVORCE AND DEATH. A NUMBER DISCUSSED FEELING A SENSE OF PURPOSE AND THAT THEIR PRACTICE CONTRIBUTED TO A GREATER GOOD. CONCLUSIONS: THERE APPEARS TO BE AN ASPECT OF COMMUNITY ASSOCIATED WITH YOGA PRACTICE THAT MAY BE BENEFICIAL TO ONE'S SOCIAL AND SPIRITUAL HEALTH. YOGA COULD BE BENEFICIAL FOR POPULATIONS AT RISK FOR SOCIAL ISOLATION, SUCH AS THOSE WHO ARE ELDERLY, BEREAVED, AND DEPRESSED, AS WELL AS INDIVIDUALS UNDERGOING INTERPERSONAL CRISES. 2014 7 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 8 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 9 250 22 A YOGA INTERVENTION PROGRAM FOR PATIENTS SUFFERING FROM SYMPTOMS OF POSTTRAUMATIC STRESS DISORDER: A QUALITATIVE DESCRIPTIVE STUDY. OBJECTIVE: TO UNDERSTAND HOW INDIVIDUALS WITH SYMPTOMS OF POSTTRAUMATIC STRESS DISORDER (PTSD) PERCEIVE A TRAUMA-SENSITIVE KUNDALINI YOGA (KY) PROGRAM. METHODS: DIGITALLY RECORDED TELEPHONE INTERVIEWS 30-60 MINUTES IN DURATION WERE CONDUCTED WITH 40 INDIVIDUALS WITH PTSD PARTICIPATING IN AN 8-WEEK KY TREATMENT PROGRAM. INTERVIEWS WERE TRANSCRIBED VERBATIM AND ANALYZED USING QUALITATIVE THEMATIC ANALYSIS TECHNIQUES. RESULTS: QUALITATIVE ANALYSIS IDENTIFIES THREE MAJOR THEMES: SELF-OBSERVED CHANGES, NEW AWARENESS, AND THE YOGA PROGRAM ITSELF. FINDINGS SUGGEST THAT PARTICIPANTS NOTED CHANGES IN AREAS OF HEALTH AND WELL-BEING, LIFESTYLE, PSYCHOSOCIAL INTEGRATION, AND PERCEPTIONS OF SELF IN RELATION TO THE WORLD. PRESENTED ARE PRACTICAL SUGGESTIONS FOR TRAUMA-RELATED PROGRAMMING. CONCLUSION: THERE IS A NEED TO CONSIDER ALTERNATIVE AND POTENTIALLY EMPOWERING APPROACHES TO TRAUMA TREATMENT. YOGA-RELATED SELF-CARE OR SELF-MANAGEMENT STRATEGIES ARE WIDELY ACCESSIBLE, ARE EMPOWERING, AND MAY ADDRESS THE MIND-BODY ELEMENTS OF PTSD. 2015 10 421 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 11 144 26 A QUALITATIVE APPROACH EXPLORING THE ACCEPTABILITY OF YOGA FOR MINORITIES LIVING WITH ARTHRITIS: 'WHERE ARE THE PEOPLE WHO LOOK LIKE ME?' OBJECTIVES: TO EXAMINE THE ACCEPTABILITY OF YOGA RESEARCH TAILORED TO RECRUIT AND RETAIN A MINORITY POPULATION (BOTH ENGLISH AND SPANISH SPEAKING) WITH ARTHRITIS. YOGA RESEARCH FOR ARTHRITIS OFTEN UNDERREPRESENTS MINORITIES AND ACCEPTABILITY FOR THIS POPULATION HAS NOT PREVIOUSLY BEEN INVESTIGATED. DESIGN: ACCEPTABILITY WAS EVALUATED USING RETENTION, ADHERENCE, JOURNALS, AND SEMI-STRUCTURED EXIT INTERVIEWS FROM TWELVE PARTICIPANTS WITH OSTEOARTHRITIS OR RHEUMATOID ARTHRITIS UNDERGOING AN 8-WEEK YOGA INTERVENTION. JOURNAL QUOTES WERE ANALYZED USING CONTENT ANALYSIS TECHNIQUES. NVIVO SOFTWARE WAS USED TO ORGANIZE TRANSCRIPTS AND ASSEMBLE THEMES. TWO METHODS OF TRIANGULATION (DATA AND INVESTIGATOR) WERE USED TO OVERCOME POTENTIAL BIAS FROM A SINGLE-PERSPECTIVE INTERPRETATION. EXIT INTERVIEW COMMENTS WERE CONTENT ANALYZED USING A CARD SORT METHOD. THE STUDY WAS DESIGNED WITH A CULTURAL INFRASTRUCTURE INCLUDING A MULTICULTURAL RESEARCH TEAM, TRANSLATORS, AND BILINGUAL MATERIALS AND CLASSES, TO FACILITATE TRUST AND ACCEPTABILITY FOR PRIMARILY HISPANIC AND BLACK/AFRICAN-AMERICAN ADULTS. SETTING: WASHINGTON, D.C. METROPOLITAN AREA, USA. RESULTS: ON AVERAGE PARTICIPANTS ATTENDED 10 OF 16 CLASSES, WITH HOME PRACTICE 2-3DAYS A WEEK. ALL WHO COMPLETED WERE STILL PRACTICING YOGA THREE-MONTHS LATER. QUALITATIVE NARRATIVE ANALYSIS IDENTIFIED MAJOR THEMES RELATED TO FACILITATING FACTORS AND BARRIERS FOR YOGA PRACTICE, SELF-EFFICACY, AND SUPPORT. PARTICIPANT COMMENTS INDICATED THAT OFFERING AN ARTHRITIS-BASED YOGA INTERVENTION AND USING A CULTURALLY CONGRUENT RESEARCH DESIGN WAS FOUND TO BE ACCEPTABLE. CONCLUSIONS: AS YOGA RESEARCH GROWS, THERE IS A NEED TO UNDERSTAND AND PROMOTE ACCEPTABILITY FOR TYPICALLY UNDER-REPRESENTED POPULATIONS. THIS STUDY ATTEMPTS TO INFORM THE EXPANSION OF MULTICULTURAL RESEARCH DESIGNED TO RECRUIT AND RETAIN THOSE FROM DIVERSE BACKGROUNDS. 2017 12 491 29 CO-DESIGNING A NEW YOGA-BASED MINDFULNESS INTERVENTION FOR SURVIVORS OF STROKE: A FORMATIVE EVALUATION. MOVEMENT-BASED MINDFULNESS INTERVENTIONS (MBI) ARE COMPLEX, MULTI-COMPONENT INTERVENTIONS FOR WHICH THE DESIGN PROCESS IS RARELY REPORTED. FOR PEOPLE WITH STROKE, EMERGING EVIDENCE SUGGESTS BENEFITS, BUT MAINSTREAM PROGRAMS ARE GENERALLY UNSUITABLE. WE AIMED TO DESCRIBE THE PROCESSES INVOLVED AND TO CONDUCT A FORMATIVE EVALUATION OF THE DEVELOPMENT OF A NOVEL YOGA-BASED MBI DESIGNED FOR SURVIVORS OF STROKE. WE USED THE MEDICAL RESEARCH COUNCIL COMPLEX INTERVENTIONS FRAMEWORK AND PRINCIPLES OF CO-DESIGN. WE PURPOSEFULLY APPROACHED HEALTH PROFESSIONALS AND CONSUMERS TO ESTABLISH AN ADVISORY COMMITTEE FOR DEVELOPING THE INTERVENTION. MEMBERS COLLABORATED AND ITERATIVELY REVIEWED THE DESIGN AND CONTENT OF THE PROGRAM, FORMATTED INTO A TRAINING MANUAL. FOUR EXTERNAL YOGA TEACHERS INDEPENDENTLY REVIEWED THE PROGRAM. FORMATIVE EVALUATION INCLUDED REVIEW OF MULTIPLE DATA SOURCES AND DOCUMENTATION (E.G., FORMAL MEETING MINUTES, FOCUS GROUP DISCUSSIONS, RESEARCHER OBSERVATIONS). THE DATA WERE SYNTHESIZED USING INDUCTIVE THEMATIC ANALYSIS. THREE BROAD THEMES EMERGED: (A) MBI CONTENT AND TERMINOLOGY; (B) MANUAL DESIGN AND READABILITY; AND (C) BARRIERS AND ENABLERS TO DELIVER THE INTERVENTION. VARIOUS PERSPECTIVES AND FEEDBACK ON ESSENTIAL COMPONENTS GUIDED FINALIZING THE PROGRAM. THE DESIGN PHASE OF A NOVEL YOGA-BASED MBI WAS STRENGTHENED BY INTERDISCIPLINARY, CONSUMER CONTRIBUTIONS AND PEER REVIEW. THE 12-WEEK INTERVENTION IS READY FOR TESTING AMONG SURVIVORS OF STROKE. 2021 13 2795 34 YOGA THERAPY FOR MILITARY PERSONNEL AND VETERANS: QUALITATIVE PERSPECTIVES OF YOGA STUDENTS AND INSTRUCTORS. OBJECTIVE: MILLIONS OF MILITARY PERSONNEL AND VETERANS LIVE WITH CHRONIC MENTAL AND PHYSICAL HEALTH CONDITIONS THAT OFTEN DO NOT RESPOND WELL TO PHARMACOLOGICAL TREATMENTS. SERIOUS SIDE EFFECTS AND LACK OF TREATMENT RESPONSE HAVE LED TO WIDESPREAD EFFORTS TO STUDY AND PROMOTE NON-PHARMACOLOGICAL AND BEHAVIORAL HEALTH TREATMENTS FOR MANY CHRONIC HEALTH CONDITIONS. YOGA IS AN INCREASINGLY POPULAR MIND-BODY INTERVENTION THAT HAS GROWING RESEARCH SUPPORT FOR ITS EFFICACY AND SAFETY. OUR OBJECTIVE WAS TO EXPLORE THE ATTITUDES, PERSPECTIVES, AND PREFERENCES OF MILITARY PERSONNEL AND VETERANS TOWARD YOGA AS A THERAPEUTIC MODALITY, THUS PROVIDING NEEDED INFORMATION FOR DESIGNING AND PROMOTING YOGA INTERVENTIONS FOR THIS POPULATION. METHODS: PARTICIPANTS INCLUDED 24 INDIVIDUALS WITH YOGA EXPERIENCE AND CURRENT OR PAST MILITARY SERVICE AND 12 INSTRUCTORS WHO HAVE TAUGHT YOGA FOR MILITARY PERSONNEL AND/OR VETERANS. A SEMI-STRUCTURED SET OF QUESTIONS GUIDED INTERVIEWS WITH EACH PARTICIPANT. RESULTS: FIVE THEMES EMERGED FROM THE INTERVIEWS: (1) MENTAL HEALTH BENEFITS EXPERIENCED FROM YOGA PRACTICE; (2) PHYSICAL HEALTH BENEFITS EXPERIENCED FROM YOGA PRACTICE; (3) IMPORTANT YOGA ELEMENTS AND CONDITIONS THAT SUPPORT EFFECTIVE PRACTICE; (4) FACILITATORS FOR ENGAGING MILITARY IN YOGA PRACTICE; AND (5) CHALLENGES AND BARRIERS TO YOGA PRACTICE FOR MILITARY. CONCLUSIONS: THE STUDY HIGHLIGHTS CONSISTENT REPORTS OF MENTAL AND PHYSICAL BENEFITS OF YOGA PRACTICE, ONGOING STIGMA RESULTING IN THE NEED FOR COMBATTING AND DEMYSTIFYING YOGA AND OTHER COMPLEMENTARY AND INTEGRATIVE HEALTH (CIH) PRACTICES, THE IMPORTANCE OF DESIGNING INTERVENTIONS TO ADDRESS THE UNIQUE MENTAL HEALTH ISSUES AND PERSPECTIVES OF THIS POPULATION, AND THE IMPORTANCE OF EFFORTS BY MILITARY LEADERSHIP TO BRING CIH TO MILITARY PERSONNEL AND VETERANS. RIGOROUS RESEARCH ADDRESSING THESE FINDINGS, ALONG WITH FURTHER RESEARCH ON THE EFFICACY AND EFFECTIVENESS OF YOGA INTERVENTIONS FOR TREATING VARIOUS CONDITIONS ARE NEEDED. 2018 14 151 35 A QUALITATIVE INVESTIGATION TO INFORM YOGA INTERVENTION RECRUITMENT PRACTICES FOR RACIAL/ETHNIC MINORITY ADOLESCENTS IN OUTPATIENT MENTAL HEALTH TREATMENT. OBJECTIVE: YOGA IS RECOGNIZED AS AN EFFECTIVE APPROACH TO IMPROVING OVERALL PHYSICAL AND MENTAL HEALTH; HOWEVER, THERE MAY BE PERCEIVED BARRIERS TO YOGA PARTICIPATION, PARTICULARLY AMONG POPULATIONS MOST AT RISK FOR MENTAL HEALTH ISSUES. WE CONDUCTED QUALITATIVE FORMATIVE RESEARCH TO HELP INFORM RECRUITMENT PRACTICES FOR A FUTURE STUDY AND TO SPECIFICALLY UNDERSTAND THE BARRIERS AND FACILITATORS TO ENGAGEMENT IN YOGA PRACTICE AMONG RACIAL/ETHNIC MINORITY ADOLESCENTS, AS WELL AS ADOLESCENTS IN OUTPATIENT MENTAL HEALTH TREATMENT. METHODS: QUALITATIVE DATA WERE COLLECTED AT A COMMUNITY HEALTH CLINIC THAT SERVES LOW INCOME FAMILIES IN SOUTHEASTERN FLORIDA. USING SEMI STRUCTURED INTERVIEWS WITH RACIAL AND ETHNIC MINORITY ADOLESCENTS BETWEEN 12 AND 17 YEARS OLD, PARTICIPANTS WERE ASKED ABOUT BELIEFS AND PERCEPTIONS ABOUT YOGA, AS WELL AS RECOMMENDATIONS ON RECRUITING PEERS. A THEMATIC ANALYSIS APPROACH WAS USED TO IDENTIFY AND EXAMINE COMMON THEMES. RESULTS: TWENTY INTERVIEWS WERE CONDUCTED AND EIGHT MAJOR THEMES EMERGED FROM THE DATA. THEMES WERE GROUPED AS (1) FACILITATORS TO RECRUITMENT AND (2) BARRIERS TO RECRUITMENT. INTERPRETATION: ADVERTISING FREE YOGA THAT EMPHASIZES THE SOCIAL, PHYSICAL, AND MENTAL BENEFITS CAN HELP ASSUAGE NEGATIVE PERCEPTIONS OF YOGA AND PROMOTE THE ADVANTAGES OF YOGA AMONG TEENAGERS. HAVING RECRUITMENT MATERIALS AND MODALITIES THAT HIGHLIGHT INCLUSIVITY OF ALL GENDERS AND PHYSICAL ABILITIES IN THE YOGA CLASSES ARE ALSO IMPORTANT IN FACILITATING PARTICIPATION. UNDERSTANDING PERCEPTIONS OF YOGA, AS WELL AS PERCEIVED BARRIERS AND FACILITATORS, AMONG RACIALLY/ETHNICALLY DIVERSE ADOLESCENTS IN OUTPATIENT MENTAL HEALTH TREATMENT, CAN ASSIST RECRUITMENT EFFORTS, INCREASE YOGA INTERVENTION PARTICIPATION, AND ULTIMATELY, IMPROVE MENTAL HEALTH OUTCOMES FOR UNDERSERVED POPULATIONS. 2020 15 122 39 A PILOT STUDY OF YOGA AS SELF-CARE FOR ARTHRITIS IN MINORITY COMMUNITIES. BACKGROUND: WHILE ARTHRITIS IS THE MOST COMMON CAUSE OF DISABILITY, NON-HISPANIC BLACKS AND HISPANICS EXPERIENCE WORSE ARTHRITIS IMPACT DESPITE HAVING THE SAME OR LOWER PREVALENCE OF ARTHRITIS COMPARED TO NON-HISPANIC WHITES. PEOPLE WITH ARTHRITIS WHO EXERCISE REGULARLY HAVE LESS PAIN, MORE ENERGY, AND IMPROVED SLEEP, YET ARTHRITIS IS ONE OF THE MOST COMMON REASONS FOR LIMITING PHYSICAL ACTIVITY. MIND-BODY INTERVENTIONS, SUCH AS YOGA, THAT TEACH STRESS MANAGEMENT ALONG WITH PHYSICAL ACTIVITY MAY BE WELL SUITED FOR INVESTIGATION IN BOTH OSTEOARTHRITIS AND RHEUMATOID ARTHRITIS. YOGA USERS ARE PREDOMINANTLY WHITE, FEMALE, AND COLLEGE EDUCATED. THERE ARE FEW STUDIES THAT EXAMINE YOGA IN MINORITY POPULATIONS; NONE ADDRESS ARTHRITIS. THIS PAPER PRESENTS A STUDY PROTOCOL EXAMINING THE FEASIBILITY AND ACCEPTABILITY OF PROVIDING YOGA TO AN URBAN, MINORITY POPULATION WITH ARTHRITIS. METHODS/DESIGN: IN THIS ONGOING PILOT STUDY, A CONVENIENCE SAMPLE OF 20 MINORITY ADULTS DIAGNOSED WITH EITHER OSTEOARTHRITIS OR RHEUMATOID ARTHRITIS UNDERGO AN 8-WEEK PROGRAM OF YOGA CLASSES. IT IS BELIEVED THAT BY ATTENDING YOGA CLASSES DESIGNED FOR PATIENTS WITH ARTHRITIS, WITH RACIALLY CONCORDANT INSTRUCTORS; ACCEPTABILITY OF YOGA AS AN ADJUNCT TO STANDARD ARTHRITIS TREATMENT AND SELF-CARE WILL BE ENHANCED. SELF-CARE IS DEFINED AS ADOPTING BEHAVIORS THAT IMPROVE PHYSICAL AND MENTAL WELL-BEING. THIS CONCEPT IS QUANTIFIED THROUGH COLLECTING PATIENT-REPORTED OUTCOME MEASURES RELATED TO SPIRITUAL GROWTH, HEALTH RESPONSIBILITY, INTERPERSONAL RELATIONS, AND STRESS MANAGEMENT. ADDITIONAL MEASURES COLLECTED DURING THIS STUDY INCLUDE: PHYSICAL FUNCTION, ANXIETY/DEPRESSION, FATIGUE, SLEEP DISTURBANCE, SOCIAL ROLES, AND PAIN; AS WELL AS BASELINE DEMOGRAPHIC AND CLINICAL DATA. FIELD NOTES, QUANTITATIVE AND QUALITATIVE DATA REGARDING FEASIBILITY AND ACCEPTABILITY ARE ALSO COLLECTED. ACCEPTABILITY IS DETERMINED BY RESPONSE/RETENTION RATES, POSITIVE QUALITATIVE DATA, AND CONTINUING YOGA PRACTICE AFTER THREE MONTHS. DISCUSSION: THERE ARE A NUMBER OF CHALLENGES IN RECRUITING AND RETAINING PARTICIPANTS FROM A COMMUNITY CLINIC SERVING MINORITY POPULATIONS. ADOPTING BEHAVIORS THAT IMPROVE WELL-BEING AND QUALITY OF LIFE INCLUDE THOSE THAT INTEGRATE MENTAL HEALTH (MIND) AND PHYSICAL HEALTH (BODY). FEW STUDIES HAVE EXAMINED OFFERING INTEGRATIVE MODALITIES TO THIS POPULATION. THIS PILOT WAS UNDERTAKEN TO QUANTIFY MEASURES OF FEASIBILITY AND ACCEPTABILITY THAT WILL BE USEFUL WHEN EVALUATING FUTURE PLANS FOR EXPANDING THE STUDY OF YOGA IN URBAN, MINORITY POPULATIONS WITH ARTHRITIS. TRIAL REGISTRATION: CLINICALTRIALS.GOV: NCT01617421. 2013 16 129 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 17 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 18 2767 29 YOGA PROVISION FOR INDIVIDUALS LIVING WITH MULTIPLE SCLEROSIS: IS THE FUTURE ONLINE? BACKGROUND: YOGA HAS MULTIPLE BENEFITS FOR INDIVIDUALS LIVING WITH MULTIPLE SCLEROSIS (MS), INCLUDING REDUCED PAIN, DEPRESSION, FATIGUE, STRENGTH, AND IMPROVED QUALITY OF LIFE. DURING THE COVID-19 PANDEMIC, HOME-BASED DELIVERY OF YOGA INCREASED. HOWEVER, NO STUDIES TO DATE HAVE EXPLORED ONLINE HOME-BASED YOGA FOR INDIVIDUALS LIVING WITH MS, MORE SPECIFICALLY THE MOTIVATIONS, EXPERIENCES, OR THE SUSTAINABILITY OF HOME-BASED YOGA PRACTICE FOR INDIVIDUALS LIVING WITH MS. AIM: THIS STUDY AIMED TO EXPLORE THE FACILITATORS AND BARRIERS OF ONLINE YOGA PROVISION FOR INDIVIDUALS LIVING WITH MS. METHODS: ONE FOCUS GROUP AND THREE SEMI-STRUCTURED INTERVIEWS WERE CARRIED OUT ONLINE VIA ZOOM WITH ONE YOGA INSTRUCTOR AND SEVEN YOGA PARTICIPANTS LIVING WITH MS. THEMATIC ANALYSIS WAS USED TO ANALYSE THIS DATA. FINDINGS: TWO THEMES WERE GENERATED FROM THE INTERVIEWS, THE ENVIRONMENT AND FUTURE PROVISION, EACH WITH THEIR OWN SUB-THEMES. THE THEMES REFLECT VARIOUS FACILITATORS AND BARRIERS OF HOME-BASED YOGA PROVISION WHICH DIFFERED DEPENDING UPON THE INDIVIDUALS HOME ENVIRONMENT, SOCIAL CONNECTIONS, PHYSICAL ABILITY, AND CONFIDENCE PRACTISING YOGA. FURTHERMORE, PREFERENCES OF HOME PROVISION FLUCTUATED OVER TIME DEPENDING UPON SYMPTOMS OF MS. CONCLUSIONS: HOME-BASED YOGA PRACTICE IS A VIABLE AND ENJOYABLE OPTION FOR INDIVIDUALS LIVING WITH MS. IT IS RECOMMENDED THAT YOGA STUDIOS OFFERING HOME-BASED YOGA PROVISION CONSIDER INDIVIDUAL DIFFERENCES IN PREFERENCE, AS WELL AS FLUCTUATIONS IN SYMPTOMS THAT MAY CREATE INEQUITABLE ACCESS TO SERVICES AND MAY PREVENT PARTICIPATION FOR SOME. 2022 19 2574 17 YOGA FOR EVERYONE: A QUALITATIVE STUDY OF A COMMUNITY YOGA CLASS FOR PEOPLE WITH DISABILITY. BACKGROUND AND OBJECTIVE: PEOPLE WITH MOBILITY IMPAIRMENTS FACE INCREASED BARRIERS TO PHYSICAL ACTIVITY. THE STUDY AIMED TO UNDERSTAND THE LIVED EXPERIENCES OF INDIVIDUALS WITH DISABILITY WHO ARE REGULAR PARTICIPANTS IN THE YOGA FOR EVERYONE CLASS TO INFORM FUTURE RESEARCH, INTERVENTION AND COMMUNITY PROGRAMS.METHODS: A PHENOMENOLOGICAL QUALITATIVE APPROACH UTILIZED SEMI-STRUCTURED INTERVIEWS AND CLASS OBSERVATIONS. DATA WAS ANALYZED THROUGH ITERATIVE INDUCTIVE THEMATIC ANALYSIS.RESULTS: SIX PEOPLE OF VARIED MOBILITY LIMITATIONS PARTICIPATED. THEMATIC ANALYSIS REVEALED THEMES ON INFLUENTIAL ENVIRONMENTAL AND PERSONAL FACTORS, A HOLISTIC-FOCUSED CLASS ENVIRONMENT, PHYSICAL IMPROVEMENTS, MENTAL/EMOTIONAL IMPACT, AND A SENSE OF BELONGING TO COMMUNITY.CONCLUSION: THE YOGA FOR EVERYONE CLASS FOSTERED MULTI-FACETED OUTCOMES FOR PEOPLE WITH DIVERSE MOVEMENT IMPAIRMENTS. FOCUSING ON COMMUNITY-CLINICAL PARTNERSHIPS, UTILIZING A CLASS STRUCTURE WITH VOLUNTEERS, AND FOSTERING AN ONGOING INCLUSIVE SOCIAL ENVIRONMENT ARE POTENTIAL STRATEGIES FOR SUCCESS IN OTHER COMMUNITY PROGRAMS FOR THOSE WITH DISABILITY. 2022 20 156 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