1 2127 127 THE EFFECTIVENESS OF YOGA FOR THE IMPROVEMENT OF WELL-BEING AND RESILIENCE TO STRESS IN THE WORKPLACE. OBJECTIVES: RECENT RESEARCH HAS INDICATED CONCERN FOR THE DEGREE OF STRESS AND EMOTIONAL WELL-BEING AMONG UNIVERSITY STAFF. THIS STUDY EXAMINED THE EFFECTIVENESS OF YOGA IN ENHANCING EMOTIONAL WELL-BEING AND RESILIENCE TO STRESS AMONG UNIVERSITY EMPLOYEES. METHODS: IN A RANDOMIZED CONTROLLED TRIAL AT A BRITISH UNIVERSITY, WE RECRUITED 48 EMPLOYEES AND RANDOMIZED THEM INTO EITHER A YOGA OR A WAIT-LIST CONTROL GROUP. THE YOGA GROUP WAS OFFERED SIX WEEKS OF DRU YOGA, COMPRISING ONE 60-MINUTE CLASS PER WEEK. THESE CLASSES WERE OFFERED BY A CERTIFIED DRU YOGA INSTRUCTOR AT LUNCHTIME FROM JANUARY-MARCH 2008. THE WAIT-LIST CONTROL GROUP RECEIVED NO INTERVENTION DURING THIS SIX-WEEK STUDY. BASELINE AND END-PROGRAM MEASUREMENTS OF SELF-REPORTED MOOD AND WELL-BEING WERE SELF-ASSESSED WITH THE PROFILE OF MOOD STATES - BIPOLAR (POMS-BI) AND THE INVENTORY OF POSITIVE PSYCHOLOGICAL ATTITUDES (IPPA). RESULTS: THIS SIX-WEEK YOGA INTERVENTION RESULTED IN SIGNIFICANTLY IMPROVED POMS-BI AND IPPA SCORES FOR THE YOGA COMPARED TO THE WAIT-LIST CONTROL GROUP FOR SEVEN OF EIGHT MEASURES OF MOOD AND WELL-BEING. IN COMPARISON TO THE WAIT-LIST CONTROL GROUP AT BASELINE AND THE END OF THE PROGRAM, THE YOGA GROUP REPORTED MARKED IMPROVEMENTS IN FEELINGS OF CLEAR-MINDEDNESS, COMPOSURE, ELATION, ENERGY, AND CONFIDENCE. IN ADDITION, THE YOGA GROUP REPORTED INCREASED LIFE PURPOSE AND SATISFACTION, AND FEELINGS OF GREATER SELF-CONFIDENCE DURING STRESSFUL SITUATIONS. CONCLUSION: THESE RESULTS SHOW THAT EVEN A SHORT PROGRAM OF YOGA IS EFFECTIVE FOR ENHANCING EMOTIONAL WELL-BEING AND RESILIENCE TO STRESS IN THE WORKPLACE. WE SUGGEST THAT EMPLOYERS SHOULD CONSIDER OFFERING YOGA CLASSES TO THEIR EMPLOYEES.	2011	
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
2  579  30 DESIGNING A YOGA INTERVENTION PROGRAM TO IMPROVE WELL-BEING FOR PHYSICIAN TRAINEES: CHALLENGES AND LESSONS LEARNED. WELL-BEING ACTIVITIES MAY HELP TO COUNTERACT PHYSICIAN BURNOUT. YOGA IS KNOWN TO ENHANCE WELL-BEING, BUT THERE ARE FEW STUDIES OF YOGA AS AN INTERVENTION FOR PHYSICIANS IN TRAINING. THIS PROSPECTIVE METHODOLOGY-DEVELOPMENT STUDY AIMED TO EXPLORE HOW TO ESTABLISH A YOGA-BASED WELL-BEING INTERVENTION FOR PHYSICIAN TRAINEES IN A LARGE URBAN TRAINING HOSPITAL. WE AIMED TO IDENTIFY FACTORS THAT CONTRIBUTE TO TRAINEE PARTICIPATION AND EXPLORE AN INSTRUMENT TO MEASURE CHANGES IN SELF-REPORTED WELL-BEING AFTER YOGA. COHORTS INCLUDED A REQUIRED-ATTENDANCE GROUP, A VOLUNTARY-ATTENDANCE GROUP, AND AN UNASSIGNED WALK-IN YOGA GROUP. WEEKLY 1-HOUR YOGA SESSIONS WERE LED BY A QUALIFIED YOGA INSTRUCTOR FOR 4 WEEKS. THE SEVEN-QUESTION RESIDENT PHYSICIAN WELL-BEING INDEX (RPWBI) WAS USED TO MEASURE RESIDENT WELL-BEING BEFORE YOGA, AFTER 4 WEEKS OF YOGA, AND 6 MONTHS POST-YOGA. TRAINEES ATTENDING EACH SESSION RANGED FROM 17 FOR REQUIRED YOGA TO 0-2 FOR VOLUNTARY YOGA, 2-9 FOR LUNCHTIME WALK-IN YOGA, AND 1-7 FOR EVENING WALK-IN YOGA. IN THE REQUIRED-YOGA GROUP (N = 17), OVERALL RPWBI MEAN SCORES DID NOT CHANGE SIGNIFICANTLY ACROSS THE THREE QUERY TIMES, AND PARTICIPATION IN THE SURVEY DECLINED OVER TIME. THE MEAN BASELINE RPWBI SCORE FOR THE REQUIRED GROUP BEFORE YOGA WAS IN THE NON-DISTRESSED RANGE AND ANSWERS TO THE SEVEN INDIVIDUAL QUESTIONS VARIED. REQUIRING A YOGA ACTIVITY FOR MEDICAL TRAINEES MAY BE A GOOD STRATEGY FOR PROMOTING PARTICIPATION IN YOGA. THE RPWBI MAY HAVE LIMITED UTILITY FOR MEASURING CHANGES IN OVERALL GROUP WELL-BEING AFTER A YOGA INTERVENTION.	2021	
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
3  137  52 A PRELIMINARY RANDOMISED CONTROL TRIAL OF THE EFFECTS OF DRU YOGA ON PSYCHOLOGICAL WELL-BEING IN NORTHERN IRISH FIRST TIME MOTHERS. BACKGROUND: THE TRANSITION TO MOTHERHOOD CAN BE STRESSFUL, ESPECIALLY FOR FIRST TIME MOTHERS. RECENT RESEARCH HAS SHOWN THAT YOGA CAN BE EFFECTIVE FOR ENHANCING PSYCHOLOGICAL WELL-BEING. OBJECTIVES: THE PURPOSE OF THIS STUDY WAS TO ESTABLISH IF A POSTPARTUM DRU YOGA INTERVENTION IMPROVES PSYCHOLOGICAL WELL-BEING IN FIRST TIME MOTHERS. DESIGN: A RANDOMISED CONTROLLED STUDY WAS CONDUCTED. SETTING AND PARTICIPANTS: FIRST TIME MOTHERS WERE RECRUITED FROM A SURE START COMMUNITY CENTRE AND INCLUDED IN THE STUDY IF THEY HAD A BABY AGED BETWEEN 6 WEEKS TO ONE-YEAR-OLD. EXCLUSION CRITERIA WERE THE PRESENCE OF SCIATICA, BULGING DISCS, HEART DISEASE OR WHIPLASH AND IF THEY ALREADY PRACTICED YOGA. METHODS: PARTICIPANTS WERE RANDOMISED INTO A DRU YOGA GROUP (N=16) WHO RECEIVED A ONE-HOUR DRU YOGA SESSION EACH WEEK FOR 4 WEEKS AND A 20-MINUTE DVD FOR PRACTICE AT HOME. THE CONTROL GROUP (N=16) WHO DID NOT RECEIVE AN INTERVENTION. BASELINE AND FOLLOW UP MEASURES OF PERCEIVED STRESS, MOOD AND COPING WERE ASSESSED IN EACH GROUP. RESULTS: A REPEATED MEASURES FACTORIAL ANALYSIS OF VARIANCE SHOWED THAT IN COMPARISON TO THE CONTROL GROUP, THE DRU YOGA INTERVENTION GROUP HAD IMPROVED PSYCHOLOGICAL WELL-BEING AS INDICATED BY REDUCTIONS IN STRESS, NEGATIVE AFFECT, AND DYSFUNCTIONAL COPING AND INCREASES IN PROBLEM FOCUSED COPING AT FOLLOW UP (P<0.05). CONCLUSION: THE CURRENT STUDY SHOWS THAT DRU YOGA IS BENEFICIAL FOR THE PSYCHOLOGICAL WELL-BEING OF FIRST TIME MOTHERS. FURTHER RESEARCH IS NEEDED USING LARGE SCALE REPLICATION STUDIES WITH A LONGER FOLLOW UP PERIOD AND INCLUDING MULTIPAROUS WOMEN. THIS STUDY EXTENDS THE SUPPORT FOR YOGA WITH POSTPARTUM MOTHERS.	2017	
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
4  278  35 ADDRESSING OBSTETRICS AND GYNECOLOGY TRAINEE BURNOUT USING A YOGA-BASED WELLNESS INITIATIVE DURING DEDICATED EDUCATION TIME. OBJECTIVE: TO ESTIMATE THE FEASIBILITY OF IMPLEMENTING A YOGA-BASED WELLNESS PROGRAM DURING TRAINING AND ITS INFLUENCE ON BURNOUT, DEPRESSION, ANXIETY, STRESS, AND MINDFULNESS AMONG OBSTETRICS AND GYNECOLOGY TRAINEES. METHODS: WE CONDUCTED A DEPARTMENTAL QUALITY IMPROVEMENT INITIATIVE CONSISTING OF WEEKLY 1-HOUR YOGA CLASSES CONDUCTED DURING PROTECTED EDUCATION TIME AND NUTRITION AND PHYSICAL CHALLENGES FOR 24 OBSTETRICS AND GYNECOLOGY RESIDENTS AND FIVE MATERNAL-FETAL MEDICINE FELLOWS. PARTICIPANTS RECEIVED A FREE WRIST-WORN FITNESS TRACKER DEVICE TO RECORD THEIR ACTIVITY. PREPROGRAM AND POSTPROGRAM DATA COLLECTION INCLUDED RESULTS FROM VALIDATED SCALES ON BURNOUT, MINDFULNESS, DEPRESSION AND ANXIETY, BLOOD PRESSURE, HEART RATE, AND WEIGHT. WILCOXON SIGNED RANK TESTS WERE USED FOR ANALYSIS. A P-VALUE <.05 WAS CONSIDERED SIGNIFICANT. RESULTS: OVER AN 8-WEEK PERIOD, 90% (N=26) OF PARTICIPANTS ATTENDED AT LEAST ONE YOGA CLASS AND 68% ATTENDED AT LEAST 50% OF THE CLASSES. NO PARTICIPANT COMPLETED ALL SESSIONS. EIGHTY PERCENT (N=20) ENGAGED IN AT LEAST ONE NUTRITION CHALLENGE AND 60% (N=15) IN AT LEAST ONE PHYSICAL CHALLENGE. AFTER THE PROGRAM, A SIGNIFICANT REDUCTION IN THE DEPERSONALIZATION COMPONENT OF BURNOUT (P=.04), ANXIETY (P=.02), AND SYSTOLIC (PREPROGRAM: 122, POSTPROGRAM: 116 MM HG; P=.01) AND DIASTOLIC BLOOD PRESSURE (PREPROGRAM: 82, POSTPROGRAM: 76 MM HG; P=.01) OCCURRED. THOSE PARTICIPANTS WHO ATTENDED MORE THAN 50% OF YOGA CLASSES DEMONSTRATED A SIGNIFICANT REDUCTION IN SYSTOLIC AND DIASTOLIC BLOOD PRESSURE COMPARED WITH LESS-FREQUENT ATTENDEES (P=.02 AND .04, RESPECTIVELY). A POSTPROGRAM SURVEY REVEALED FEELINGS OF INCREASED CAMARADERIE, APPRECIATION, MOTIVATION, AND OVERALL TRAINING EXPERIENCE. DISCUSSION: IMPLEMENTING A WELLNESS PROGRAM CONSISTING OF WEEKLY YOGA CLASSES IS FEASIBLE AND MAY BE BENEFICIAL. A WELLNESS INITIATIVE THAT EMPHASIZES ACTIVE PARTICIPATION DURING EDUCATION TIME WITH THE AUTONOMY TO IMPLEMENT DAILY WELLNESS ACTIVITIES MAY REDUCE BURNOUT AND IMPROVE WELL-BEING.	2019	
                                                                                                                                                                                                                                                                                                                                                     
5 2610  51 YOGA FOR REDUCING PERCEIVED STRESS AND BACK PAIN AT WORK. BACKGROUND: STRESS AND BACK PAIN ARE TWO KEY FACTORS LEADING TO SICKNESS ABSENCE AT WORK. RECENT RESEARCH INDICATES THAT YOGA CAN BE EFFECTIVE FOR REDUCING PERCEIVED STRESS, ALLEVIATING BACK PAIN, AND IMPROVING PSYCHOLOGICAL WELL-BEING. AIMS: TO DETERMINE THE EFFECTIVENESS OF A YOGA-BASED INTERVENTION FOR REDUCING PERCEIVED STRESS AND BACK PAIN AT WORK. METHODS: PARTICIPANTS WERE RECRUITED FROM A BRITISH LOCAL GOVERNMENT AUTHORITY AND RANDOMIZED INTO A YOGA GROUP WHO RECEIVED ONE 50 MIN DRU YOGA SESSION EACH WEEK FOR 8 WEEKS AND A 20 MIN DVD FOR HOME PRACTICE AND A CONTROL GROUP WHO RECEIVED NO INTERVENTION. BASELINE AND END-PROGRAMME MEASUREMENTS OF SELF-REPORTED STRESS, BACK PAIN AND PSYCHOLOGICAL WELL-BEING WERE ASSESSED WITH THE PERCEIVED STRESS SCALE, ROLAND MORRIS DISABILITY QUESTIONNAIRE AND THE POSITIVE AND NEGATIVE AFFECT SCALE. RESULTS: THERE WERE 37 PARTICIPANTS IN EACH GROUP. ANALYSIS OF VARIANCE AND MULTIPLE LINEAR REGRESSION SHOWED THAT IN COMPARISON TO THE CONTROL GROUP, THE YOGA GROUP REPORTED SIGNIFICANT REDUCTIONS IN PERCEIVED STRESS AND BACK PAIN, AND A SUBSTANTIAL IMPROVEMENT IN PSYCHOLOGICAL WELL-BEING. WHEN COMPARED WITH THE CONTROL GROUP AT THE END OF THE PROGRAMME, THE YOGA GROUP SCORES WERE SIGNIFICANTLY LOWER FOR PERCEIVED STRESS, BACK PAIN, SADNESS AND HOSTILITY, AND SUBSTANTIALLY HIGHER FOR FEELING SELF-ASSURED, ATTENTIVE AND SERENE. CONCLUSIONS: THE RESULTS INDICATE THAT A WORKPLACE YOGA INTERVENTION CAN REDUCE PERCEIVED STRESS AND BACK PAIN AND IMPROVE PSYCHOLOGICAL WELL-BEING. LARGER RANDOMIZED CONTROLLED TRIALS ARE NEEDED TO DETERMINE THE BROADER EFFICACY OF YOGA FOR IMPROVING WORKPLACE PRODUCTIVITY AND REDUCING SICKNESS ABSENCE.	2012	
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
6 1372  43 IMPACT OF A YOGA AND MEDITATION INTERVENTION ON STUDENTS' STRESS AND ANXIETY LEVELS. OBJECTIVE. TO EVALUATE THE IMPACT OF A SIX-WEEK YOGA AND MEDITATION INTERVENTION ON COLLEGE STUDENTS' STRESS PERCEPTION, ANXIETY LEVELS, AND MINDFULNESS SKILLS. METHODS. COLLEGE STUDENTS PARTICIPATED IN A SIX-WEEK PILOT PROGRAM THAT CONSISTED OF A 60-MINUTE VINYASA FLOW YOGA CLASS ONCE WEEKLY, FOLLOWED BY GUIDED MEDITATION DELIVERED BY TRAINED FACULTY MEMBERS AT THE UNIVERSITY OF RHODE ISLAND COLLEGE OF PHARMACY. STUDENTS COMPLETED PRE- AND POST-INTERVENTION QUESTIONNAIRES TO EVALUATE CHANGES IN THE FOLLOWING OUTCOMES: STRESS LEVELS, ANXIETY LEVELS, AND MINDFULNESS SKILLS. THE QUESTIONNAIRE CONSISTED OF THREE SELF-REPORTING TOOLS: THE BECK ANXIETY INVENTORY (BAI), THE PERCEIVED STRESS SCALE (PSS), AND THE FIVE FACET MINDFULNESS QUESTIONNAIRE (FFMQ). STUDENTS' SCORES ON EACH WERE ASSESSED TO DETECT ANY CHANGES FROM BASELINE USING THE NUMERICAL AND CATEGORICAL SCALES (LOW, MEDIUM, AND HIGH) FOR EACH INSTRUMENT. RESULTS. SEVENTEEN PARTICIPANTS, AGED 19 TO 23 YEARS, COMPLETED THE STUDY. THIRTEEN PARTICIPANTS WERE FEMALE AND FOUR WERE MALE. NINE OF THE STUDENTS WERE ENROLLED IN THE DOCTOR OF PHARMACY PROGRAM AND EIGHT WERE ENROLLED IN OTHER ACADEMIC PROGRAMS. STUDENTS' ANXIETY AND STRESS SCORES DECREASED SIGNIFICANTLY WHILE THEIR TOTAL MINDFULNESS INCREASED SIGNIFICANTLY. CHANGES IN CATEGORICAL DATA FROM PRE- TO POST-INTERVENTION ON THE BAI AND PSS WERE SIGNIFICANT, WITH NO STUDENTS SCORING IN THE "HIGH" CATEGORY FOR STRESS OR ANXIETY ON THE POST-INTERVENTION QUESTIONNAIRE. CONCLUSION. STUDENTS EXPERIENCED A REDUCTION IN STRESS AND ANXIETY LEVELS AFTER COMPLETING A SIX-WEEK YOGA AND MEDITATION PROGRAM PRECEDING FINAL EXAMINATIONS. RESULTS SUGGEST THAT ADOPTING A MINDFULNESS PRACTICE FOR AS LITTLE AS ONCE PER WEEK MAY REDUCE STRESS AND ANXIETY IN COLLEGE STUDENTS. ADMINISTRATORS SHOULD CONSIDER INCLUDING INSTRUCTION IN NONPHARMACOLOGIC STRESS AND ANXIETY REDUCTION METHODS, WITHIN CURRICULA IN ORDER TO SUPPORT STUDENT SELF-CARE.	2019	
                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
7  201  42 A RESTORATIVE YOGA INTERVENTION FOR AFRICAN-AMERICAN BREAST CANCER SURVIVORS: A PILOT STUDY. BACKGROUND: DATA SHOW THAT YOGA IS EFFECTIVE FOR IMPROVING HEALTH-RELATED OUTCOMES IN BREAST CANCER SURVIVORS. WHILE BREAST CANCER IS THE MOST COMMONLY DIAGNOSED CANCER AMONG AFRICAN-AMERICAN WOMEN (AAW), AAW ARE LESS LIKELY TO ENGAGE IN YOGA COMPARED TO OTHER ETHNIC GROUPS. THE GOALS OF THE CURRENT STUDY WERE TO ASSESS THE FEASIBILITY OF AN 8-WEEK RESTORATIVE YOGA PROGRAM AMONG AFRICAN-AMERICAN BREAST CANCER SURVIVORS (AA BCS). SPECIFICALLY, STUDY AIMS WERE TO (1) MEASURE CHANGES IN STUDY OUTCOMES IN A RESTORATIVE YOGA (RY) GROUP COMPARED TO A WAIT LIST CONTROL GROUP, (2) ASSESS ADHERENCE TO THE RY PROGRAM, AND (3) ASSESS PROGRAM SATISFACTION AMONG STUDY PARTICIPANTS. METHODS: THIRTY-THREE AA BCS WERE RANDOMLY ASSIGNED TO EITHER THE RY INTERVENTION (N = 18) OR WAIT LIST CONTROL GROUP (N = 15). RY CLASSES MET ONCE PER WEEK FOR 8 WEEKS. PRE- AND POST-TESTING ASSESSMENTS WERE MEASURED AT 0 AND 8 WEEKS (IMMEDIATELY POST-INTERVENTION). RESULTS: DEPRESSION SCORES AT FOLLOW-UP WERE SIGNIFICANTLY LOWER IN THE YOGA GROUP (M = 4.78, SD = 3.56) COMPARED TO THE CONTROL GROUP (M = 6.91, SD = 5.86). NO SIGNIFICANT GROUP DIFFERENCES WERE OBSERVED FOR SLEEP QUALITY, FATIGUE, OR PERCEIVED STRESS. YOGA PROGRAM PARTICIPANTS COMPLETING BASELINE ASSESSMENTS DEMONSTRATED 61% ADHERENCE TO THE YOGA CLASSES. AVERAGE RATING OF THE YOGA PROGRAM WAS "VERY USEFUL." RECOMMENDATIONS FOR FUTURE YOGA PROGRAMS WERE PROVIDED. CONCLUSIONS: THIS STUDY SUGGESTS THAT YOGA HAS A BENEFICIAL EFFECT ON DEPRESSION IN AA BCS. THERE IS, HOWEVER, A NEED TO FURTHER EXPLORE THE BENEFITS OF YOGA AMONG MINORITY BREAST CANCER SURVIVORS USING A STUDY WITH LARGER SAMPLE SIZES.	2018	
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
8  256  38 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	
                                                                                                                                                                                                                                                                                                                                                                      
9 2474  45 YOGA AS AN ADJUNCT ACTIVITY FOR MEDICAL STUDENTS LEARNING ANATOMY. BACKGROUND: MEDICAL STUDENTS EXPERIENCE HIGH LEVELS OF STRESS DURING TRAINING DUE TO DEMANDING COURSE LOADS WHICH OFTEN LEAVES LESS TIME FOR SELF-CARE. THIS STUDY COMBINES THE SELF-CARE TECHNIQUE OF YOGA WITH LEARNING ANATOMICAL LOCATIONS, INNERVATIONS, ACTIONS, AND FUNCTIONS OF THE MUSCLES AND ORGANS TO DETERMINE IF ANATOMY TESTS SCORES ARE IMPROVED AND WHETHER STUDENTS' STRESS LEVELS ATTENUATE FROM PARTICIPATING IN YOGA. METHODS: IN THIS RANDOMIZED CONTROLLED STUDY, 64 STUDENT VOLUNTEERS WERE RANDOMIZED INTO EITHER A YOGA INTERVENTION GROUP OR WAIT LIST CONTROL GROUP THROUGHOUT THE M1 ANATOMY COURSE. THE YOGA GROUP (N = 32) PARTICIPATED IN 8 YOGA SESSIONS SYNCED WITH THE ANATOMY TOPICS THEY WERE LEARNING IN LECTURE. THE WAIT LIST GROUP (N = 32) WENT THROUGH THEIR NORMAL ANATOMY CURRICULUM BUT HAD AN OPTION TO PARTICIPATE IN THE SAME YOGA SESSIONS AFTER THE ANATOMY COURSE. THE PRIMARY RESEARCH PURPOSE WAS TO DETERMINE WHETHER YOGA IMPROVED ANATOMY EXAM PERFORMANCE BY COMPARING FOUR ANATOMY EXAM SCORES BETWEEN THE TWO GROUPS. THE SECONDARY RESEARCH PURPOSES INCLUDED THE FOLLOWING: TO DETERMINE WHETHER YOGA CLASSES INCLUDING ANATOMY TEACHING STILL CONFERRED ACUTE AND LONG-LASTING STRESS RELIEF BY, RESPECTIVELY, COMPARING A STUDENTS' OWN PRE- AND POST-YOGA STRESS LEVEL AND SELF-PERCEIVED STRESS LEVELS BETWEEN THE TWO GROUPS; AND TO DETERMINE IF A STUDENT'S CONFIDENCE IN ANATOMY WAS IMPROVED AFTER A YOGA SESSION. RESULTS: THERE WAS NO SIGNIFICANT DIFFERENCE IN ANATOMY EXAM PERFORMANCE BETWEEN STUDENTS WHO RECEIVED YOGA AND THOSE ON THE WAITLIST (ALL P > 0.05). FOR STUDENTS WHO RECEIVED YOGA, THEIR AVERAGE SELF-REPORTED STRESS LEVELS DECREASED AFTER EACH YOGA SESSION, THEIR AVERAGE DASS (DEPRESSION, ANXIETY AND STRESS SCALE) SCORE DECREASED AFTER A YOGA SESSION, BUT THEY WERE NOT SIGNIFICANTLY LESS STRESSED THAN THEIR WAITLIST PEERS PRIOR TO AN EXAM, AND THEIR SELF-REPORTED CONFIDENCE IN ANATOMY MATERIAL RELATED TO THE BACK, UPPER EXTREMITY, HEAD AND NECK, AND ABDOMEN/PELVIS INCREASED. CONCLUSION: WITH THIS SAMPLE, THERE WAS NO EVIDENCE THAT YOGA SESSIONS PAIRED WITH ANATOMY LECTURE MATERIAL IMPROVED OVERALL ANATOMY EXAM PERFORMANCE, AS OPPOSED TO ONLY THE MUSCULOSKELETAL PORTION WHICH OTHER STUDIES HAVE LOOKED AT. HOWEVER, YOGA ACUTELY REDUCED STRESS LEVELS, AND SUBJECTIVE FEELINGS OF KNOWLEDGE IMPROVEMENT WERE NOTED BY PARTICIPANTS. BOTH OF THESE CAN PROVIDE BENEFITS TO MEDICAL STUDENTS.	2022	

10 1174  42 EVALUATION OF A YOGA-BASED MIND-BODY INTERVENTION FOR RESIDENT PHYSICIANS: A RANDOMIZED CLINICAL TRIAL. BACKGROUND AND OBJECTIVE: MIND-BODY INTERVENTIONS (MBIS) HAVE BEEN SHOWN TO BE EFFECTIVE INDIVIDUAL-LEVEL INTERVENTIONS FOR MITIGATING PHYSICIAN BURNOUT, BUT THERE ARE NO CONTROLLED STUDIES OF YOGA-BASED MBIS IN RESIDENT PHYSICIANS. WE ASSESSED THE FEASIBILITY OF A YOGA-BASED MBI CALLED RISE (RESILIENCE, INTEGRATION, SELF-AWARENESS, ENGAGEMENT) FOR RESIDENTS AMONG MULTIPLE SPECIALTIES AND ACADEMIC MEDICAL CENTERS. METHODS: WE CONDUCTED A WAITLIST CONTROLLED RANDOMIZED CLINICAL TRIAL OF THE RISE PROGRAM WITH RESIDENTS FROM MULTIPLE SPECIALTY DEPARTMENTS AT THREE ACADEMIC MEDICAL CENTERS. THE RISE PROGRAM CONSISTED OF SIX WEEKLY SESSIONS WITH SUGGESTED HOME PRACTICE. FEASIBILITY WAS ASSESSED ACROSS SIX DOMAINS: DEMAND, IMPLEMENTATION, PRACTICALITY, ACCEPTABILITY, ADAPTATION, AND INTEGRATION. SELF-REPORTED MEASURES OF PSYCHOLOGICAL HEALTH WERE COLLECTED AT BASELINE, POST-PROGRAM, AND TWO-MONTH FOLLOW-UP. RESULTS: AMONG 2,000 RESIDENTS CONTACTED, 75 WERE ASSESSED FOR ELIGIBILITY AND 56 WERE ENROLLED. FORTY-FOUR PARTICIPANTS COMPLETED THE STUDY AND WERE INCLUDED IN ANALYSIS. ON AVERAGE, PARTICIPANTS ATTENDED TWO OF SIX SESSIONS. FEASIBILITY OF IN-PERSON ATTENDANCE WAS RATED AS 28.9 (SD 25.6) ON A 100-POINT VISUAL ANALOGUE SCALE. PARTICIPANTS RATED FEASIBILITY AS 69.2 (SD 26.0) IF THE PROGRAM WAS OFFERED VIRTUALLY. THOSE WHO RECEIVED RISE REPORTED IMPROVEMENTS IN MINDFULNESS, STRESS, BURNOUT, AND PHYSICIAN WELL-BEING FROM BASELINE TO POST-PROGRAM, WHICH WERE SUSTAINED AT TWO-MONTH FOLLOW-UP. CONCLUSION: THIS IS THE FIRST CONTROLLED STUDY OF A YOGA-BASED MBI IN RESIDENTS. WHILE THE PROGRAM WAS NOT FEASIBLE AS DELIVERED IN THIS PILOT STUDY, INITIAL ANALYSES SHOWED IMPROVEMENT IN MULTIPLE MEASURES OF PSYCHOLOGICAL HEALTH. RESIDENTS REPORTED THAT VIRTUAL DELIVERY WOULD INCREASE FEASIBILITY.	2021	
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
11 1205  30 EXPERIENCES OF CHILDREN AND PARENTS IN MIYOGA, AN EMBODIED MINDFULNESS YOGA PROGRAM FOR CEREBRAL PALSY: A MIXED METHOD STUDY. BACKGROUND AND PURPOSE: A MINDFULNESS YOGA PROGRAM (MIYOGA) WAS DEVELOPED AND TRIALLED WITH CHILDREN WITH CEREBRAL PALSY AND THEIR PARENTS. THIS MIXED-METHOD STUDY EXPLORES THE EXPERIENCES OF CHILDREN AND PARENTS WHO PARTICIPATED IN MIYOGA, TO ASSESS ITS ACCEPTABILITY, FEASIBILITY AND IMPLEMENTATION. MATERIALS AND METHODS: OF THE FORTY-TWO CHILD-PARENT DYADS WHO PARTICIPATED IN THE MIYOGA RANDOMISED CONTROL TRIAL, 19 CHILDREN AND 22 PARENTS WERE INTERVIEWED INDIVIDUALLY IN A SEMI-STRUCTURED WAY ABOUT THEIR EXPERIENCES OF MIYOGA. PARTICIPANTS RATED THEIR MOOD ON A 5-POINT SCALE BEFORE AND AFTER EACH SESSION AND COMPLETED SHORT QUESTIONNAIRES AT THE END OF EACH SESSION. RESULTS: CHILDREN AND PARENTS REPORTED IMPROVED MOOD AFTER EACH MIYOGA SESSION. PARENTS REPORTED BEING MORE AWARE OF THEIR THOUGHTS AND FEELINGS AND POSSIBLY BECAME MORE AWARE OF THEIR DAY-TO-DAY MINDLESSNESS. CONCLUSION: MIYOGA SIGNIFICANTLY IMPROVED CHILDREN AND PARENTS' MOOD. PARENTS REPORTED GAINS IN AWARENESS AS WELL AS CHALLENGES OF ADHERING TO THE HOME PRACTICE.	2019	
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
12 1586  35 MEDICAL YOGA IN THE WORKPLACE SETTING-PERCEIVED STRESS AND WORK ABILITY-A FEASIBILITY STUDY. OBJECTIVE: THIS STUDY EXAMINED THE FEASIBILITY OF USING AN INTERVENTION OF MEDICAL YOGA IN THE WORKPLACE AND INVESTIGATED ITS EFFECTS ON PERCEIVED STRESS AND WORK ABILITY. DESIGN AND SETTING: THIS WAS A QUASI-EXPERIMENTAL PILOT STUDY COMPARING A GROUP WHO RECEIVED MEDICAL YOGA (INTERVENTION GROUP, N=17), WITH A GROUP WAITING TO RECEIVE MEDICAL YOGA (CONTROL GROUP, N=15). INTERVENTION: MEDICAL YOGA IN NINE WEEKLY SESSIONS LED BY A CERTIFIED INSTRUCTOR, AS WELL AS AN INSTRUCTION FILM TO BE FOLLOWED AT HOME TWICE WEEKLY. MAIN OUTCOME MEASURES: FEASIBILITY WAS ASSESSED THROUGH RECRUITMENT, ELIGIBILITY, WILLINGNESS TO PARTICIPATE, RESPONSE TO QUESTIONNAIRES AND ADHERENCE TO THE INTERVENTION PLAN. STRESS WAS MEASURED WITH THE PERCEIVED STRESS SCALE, WORK ABILITY WITH THE WORK ABILITY INDEX. RESULTS: CONVINCING UNIT MANAGERS TO LET THEIR EMPLOYEES PARTICIPATE IN THIS INTERVENTION WAS DIFFICULT. ELIGIBILITY WAS PERFECT, BUT ONLY 40% OF WORKERS WERE WILLING TO PARTICIPATE. THE SUBJECTS ADHERED TO A GREAT EXTENT TO THE INTERVENTION AND ANSWERED THE QUESTIONNAIRES SATISFACTORILY. REACHING TARGET INDIVIDUALS REQUIRES CAREFUL ATTENTION TO INFORMING PARTICIPANTS. THE INTERVENTION SHOWED NO SIGNIFICANT EFFECTS ON STRESS AND WORK ABILITY, THOUGH THE TWO MEASURES CORRELATED SIGNIFICANTLY OVER TIME. CONCLUSION: FACTORS LIMITING FEASIBILITY OF THIS WORKPLACE INTERVENTION WERE IDENTIFIED. WORK PLACE INTERVENTIONS MAY NEED TO BE SANCTIONED AT A HIGHER MANAGERIAL LEVEL. THE OPTIMAL TIME, LENGTH AND AVAILABILITY OF THE WORKPLACE INTERVENTION SHOULD BE EXPLORED FURTHER. KNOWLEDGE FROM THIS STUDY COULD BE USED AS A FOUNDATION WHEN PLANNING A LARGER SCALE STUDY.	2017	
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
13 1367  26 IMPACT OF A MINDFULNESS-BASED, WORKPLACE GROUP YOGA INTERVENTION ON BURNOUT, SELF-CARE, AND COMPASSION IN HEALTH CARE PROFESSIONALS: A PILOT STUDY. OBJECTIVE: TO INVESTIGATE WHETHER A WORKPLACE, GROUP MINDFULNESS-BASED YOGA INTERVENTION COULD HELP MANAGE BURNOUT AND IMPROVE WELLBEING AMONG HEALTH CARE PROFESSIONALS. METHODS: A TOTAL OF 43 HEALTH CARE PROFESSIONALS PARTICIPATED IN 8-WEEK SUPERVISED WORKPLACE, GROUP MINDFULNESS-BASED YOGA ACTIVITIES. THE AUTHORS USED A SINGLE-SAMPLE, PRE-POST DESIGN. AT TWO POINTS IN TIME (BASELINE AND POSTINTERVENTION), PARTICIPANTS COMPLETED A SET OF ONLINE MEASURES ASSESSING BURNOUT, DEPRESSION, ANXIETY, STRESS, RESILIENCE, AND COMPASSION. THE AUTHORS USED LINEAR MIXED MODEL ANALYSIS TO ASSESS CHANGES IN OUTCOME MEASURES. RESULTS: PARTICIPANTS HAD IMPROVEMENTS AFTER THE 8-WEEK INTERVENTION. AT POSTINTERVENTION, THEY HAD SIGNIFICANTLY BETTER SCORES ON PERSONAL ACCOMPLISHMENT, DEPRESSION, ANXIETY, STRESS, PERCEIVED RESILIENCE, AND COMPASSION. PARTICIPANTS HAD A POSITIVE PERCEPTION OF THE YOGA INTERVENTION. CONCLUSION: GROUP MINDFULNESS-BASED YOGA PROGRAM MAY BE CONVENIENT AND LOW-COST APPROACH TO SUPPORT HEALTH AND WELLBEING AMONG HEALTH CARE PROFESSIONALS.	2020	
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
14 1900  43 RESTORATIVE YOGA FOR WOMEN WITH BREAST CANCER: FINDINGS FROM A RANDOMIZED PILOT STUDY. OBJECTIVES: RESTORATIVE YOGA (RY) IS A GENTLE TYPE OF YOGA THAT MAY BE BENEFICIAL FOR CANCER PATIENTS AND POST-TREATMENT SURVIVORS. STUDY GOALS WERE: TO DETERMINE THE FEASIBILITY OF IMPLEMENTING A RY INTERVENTION FOR WOMEN WITH BREAST CANCER; AND TO EXAMINE GROUP DIFFERENCES IN SELF-REPORTED EMOTIONAL, HEALTH-RELATED QUALITY OF LIFE, AND SYMPTOM OUTCOMES. METHODS: WOMEN WITH BREAST CANCER (N=44; MEAN AGE 55.8 YEARS) ENROLLED IN THIS STUDY; 34% WERE ACTIVELY UNDERGOING CANCER TREATMENT. STUDY PARTICIPANTS WERE RANDOMIZED TO THE INTERVENTION (10 WEEKLY 75-MINUTE RY CLASSES) OR A WAITLIST CONTROL GROUP. PARTICIPANTS COMPLETED QUESTIONNAIRES AT WEEK 0 (BASELINE) AND WEEK 10 (IMMEDIATELY POST-INTERVENTION FOR THE YOGA GROUP). RESULTS: GROUP DIFFERENCES FAVORING THE YOGA GROUP WERE SEEN FOR MENTAL HEALTH, DEPRESSION, POSITIVE AFFECT, AND SPIRITUALITY (PEACE/MEANING). SIGNIFICANT BASELINE*GROUP INTERACTIONS WERE OBSERVED FOR NEGATIVE AFFECT AND EMOTIONAL WELL-BEING. WOMEN WITH HIGHER NEGATIVE AFFECT AND LOWER EMOTIONAL WELL-BEING AT BASELINE DERIVED GREATER BENEFIT FROM THE YOGA INTERVENTION COMPARED TO THOSE WITH SIMILAR VALUES AT BASELINE IN THE CONTROL GROUP. THE YOGA GROUP DEMONSTRATED A SIGNIFICANT WITHIN-GROUP IMPROVEMENT IN FATIGUE; NO SIGNIFICANT DIFFERENCE WAS NOTED FOR THE CONTROL GROUP. CONCLUSIONS: ALTHOUGH LIMITED BY SAMPLE SIZE, THESE PILOT DATA SUGGEST POTENTIAL BENEFIT OF RY ON EMOTIONAL OUTCOMES AND FATIGUE IN CANCER PATIENTS. THIS STUDY DEMONSTRATES THAT A RY INTERVENTION IS FEASIBLE FOR WOMEN WITH BREAST CANCER; IMPLICATIONS FOR STUDY DESIGN AND IMPLEMENTATION ARE NOTED WITH AN EMPHASIS ON PROGRAM ADOPTION AND PARTICIPANT ADHERENCE.	2009	
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
15 1899  38 RESTORATIVE YOGA FOR OCCUPATIONAL STRESS AMONG JAPANESE FEMALE NURSES WORKING NIGHT SHIFT: RANDOMIZED CROSSOVER TRIAL. OBJECTIVES: TO DETERMINE WHETHER RESTORATIVE YOGA IS AN EFFECTIVE METHOD FOR RELIEVING OCCUPATIONAL STRESS AMONG FEMALE NURSES WORKING THE NIGHT SHIFT IN JAPAN. METHODS: FROM JULY 2017 TO MAY 2018, 20 FEMALE NURSES AGED IN THEIR 20S TO 30S WHO WERE WORKING THE NIGHT SHIFT AT A UNIVERSITY HOSPITAL PARTICIPATED IN A RANDOMIZED CROSSOVER TRIAL, CONSISTING OF A 1-HOUR GUIDED GROUP YOGA SESSION FOLLOWED BY 4 WEEKS OF AT-HOME PRACTICE AND 4 WEEKS OF USUAL STRESS RELIEF METHODS. THE LEVEL OF STRESS WAS ASSESSED BY THE BRIEF JOB STRESS QUESTIONNAIRE OF THE MINISTRY OF HEALTH, LABOUR AND WELFARE BEFORE AND AFTER PERFORMING RESTORATIVE YOGA. DESCRIPTIVE STATISTICS WERE CALCULATED AND DATA WERE ANALYZED BY STUDENT'S T TEST, ONE-WAY ANALYSIS OF VARIANCE (WITH REPEATED MEASURES), OR BONFERRONI'S MULTIPLE COMPARISON TEST. RESULTS: VITAL SIGNS SHOWED NO SIGNIFICANT DIFFERENCES FROM BEFORE TO AFTER THE GROUP YOGA SESSION, AND THERE WAS NO CHANGE OF WEIGHT AFTER 4 WEEKS OF AT-HOME PRACTICE. THE MEAN QUESTIONNAIRE SCORE FOR "PSYCHOLOGICAL AND PHYSICAL STRESS REACTIONS" WAS SIGNIFICANTLY REDUCED AFTER THE GROUP YOGA SESSION. IN ADDITION, THE MEAN SCORE WAS SIGNIFICANTLY LOWER AFTER 4 WEEKS OF AT-HOME PRACTICE THAN BEFORE OR AFTER GROUP YOGA, OR AFTER 4 WEEKS OF THE USUAL STRESS RELIEF METHODS. CONCLUSIONS: THESE FINDINGS SUGGEST THAT RESTORATIVE YOGA MAY BE EFFECTIVE FOR ALLEVIATING OCCUPATIONAL STRESS AMONG FEMALE NURSES WORKING THE NIGHT SHIFT.	2019	
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
16   38  38 A 3-DAY RESIDENTIAL YOGA-BASED PROGRAM IMPROVES EDUCATION PROFESSIONALS' PSYCHOLOGICAL AND OCCUPATIONAL HEALTH IN A SINGLE ARM TRIAL. OBJECTIVE: THIS STUDY EXAMINED CHANGES IN PSYCHOLOGICAL AND OCCUPATIONAL HEALTH IN URBAN EDUCATION PROFESSIONALS AFTER ATTENDING A BRIEF YOGA-BASED PROGRAM. METHODS: EDUCATION PROFESSIONALS FROM THE NEW YORK CITY DEPARTMENT OF EDUCATION (NYC DOE) WHO WERE ATTENDING A RESIDENTIAL 3-DAY YOGA-BASED PROGRAM AT KRIPALU CENTER FOR YOGA & HEALTH WERE RECRUITED TO PARTICIPATE IN THE STUDY. MEASURES OF PSYCHOLOGICAL AND OCCUPATIONAL HEALTH AND HEALTH-RELATED BEHAVIORS WERE COMPLETED BEFORE (BASELINE), AFTER (POST), AND TWO MONTHS AFTER THE PROGRAM (FOLLOW-UP). PAIRED SAMPLES T-TESTS WERE USED TO COMPARE SCORES BETWEEN TIME POINTS. RESULTS: AT POST, PARTICIPANTS (N=74) SHOWED IMPROVEMENTS IN STRESS, RESILIENCE, AFFECT, MINDFULNESS, EMPOWERMENT, SELF-COMPASSION, SATISFACTION WITH LIFE, WORK ENGAGEMENT, BURNOUT, EXERCISE, AND VEGETABLE INTAKE (ALL P VALUES < 0.05) COMPARED TO BASELINE. AT THE FOLLOW-UP (N=33), SHOWED IMPROVEMENTS IN RESILIENCE, AFFECT, MINDFULNESS, EMPOWERMENT, SELF-COMPASSION, WORK ENGAGEMENT, AND BURNOUT (ALL P VALUES < 0.05) COMPARED TO BASELINE. THERE WERE SIGNIFICANT CORRELATIONS BETWEEN THE DEGREE OF HOME PRACTICE OF THE SKILLS AND TECHNIQUES LEARNED IN THE PROGRAM AND IMPROVEMENTS IN MULTIPLE MEASURES OF PSYCHOLOGICAL AND OCCUPATIONAL HEALTH AT FOLLOW-UP (ALL P VALUES < 0.05). CONCLUSIONS: THESE FINDINGS SUGGEST THAT THE YOGA-BASED PROGRAM IMPROVES PSYCHOLOGICAL AND OCCUPATIONAL HEALTH AND HEALTHY BEHAVIORS IN EDUCATION PROFESSIONALS IMMEDIATELY FOLLOWING THE PROGRAM AND UP TO TWO-MONTHS FOLLOWING THE PROGRAM, HOWEVER, MORE DATA WITH LARGER SAMPLE SIZES ARE NEEDED TO CONFIRM SUSTAINED BENEFITS OVER THE LONGER TERM.	2021	
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
17  951  28 EFFECTS OF A CLASSROOM-BASED YOGA INTERVENTION ON CORTISOL AND BEHAVIOR IN SECOND- AND THIRD-GRADE STUDENTS: A PILOT STUDY. THIS UNCONTROLLED PILOT STUDY EXAMINED THE EFFECTS OF A CLASSROOM-BASED YOGA INTERVENTION ON CORTISOL CONCENTRATIONS AND PERCEIVED BEHAVIOR IN CHILDREN. A 10-WEEK YOGA 4 CLASSROOMS INTERVENTION WAS IMPLEMENTED IN ONE SECOND-GRADE AND ONE THIRD-GRADE CLASSROOM. STUDENTS' SALIVARY CORTISOL RESPONSES WERE ASSESSED AT 3 TIME POINTS. CLASSROOM TEACHERS ALSO DOCUMENTED THEIR PERCEPTIONS OF THE EFFECTS OF THE INTERVENTION ON STUDENTS' COGNITIVE, SOCIAL, AND EMOTIONAL SKILLS. SECOND, BUT NOT THIRD, GRADERS SHOWED A SIGNIFICANT DECREASE IN BASELINE CORTISOL FROM BEFORE TO AFTER THE INTERVENTION. SECOND AND THIRD GRADERS BOTH SHOWED SIGNIFICANT DECREASES IN CORTISOL FROM BEFORE TO AFTER A COGNITIVE TASK, BUT NEITHER GRADE SHOWED ADDITIONAL DECREASES FROM BEFORE TO AFTER A SINGLE YOGA CLASS. THE SECOND-GRADE TEACHER PERCEIVED SIGNIFICANT IMPROVEMENTS IN SEVERAL ASPECTS HIS/HER STUDENTS' BEHAVIOR. THE THIRD-GRADE TEACHER PERCEIVED SOME, BUT FEWER, IMPROVEMENTS IN HIS/HER STUDENTS' BEHAVIOR. RESULTS SUGGEST THAT SCHOOL-BASED YOGA MAY BE ADVANTAGEOUS FOR STRESS MANAGEMENT AND BEHAVIOR.	2015	
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
18  390  44 BENEFITS OF YOGA FOR PSYCHOSOCIAL WELL-BEING IN A US HIGH SCHOOL CURRICULUM: A PRELIMINARY RANDOMIZED CONTROLLED TRIAL. OBJECTIVE: TO TEST FEASIBILITY OF YOGA WITHIN A HIGH SCHOOL CURRICULUM AND EVALUATE PREVENTIVE EFFICACY FOR PSYCHOSOCIAL WELL-BEING. METHODS: GRADE 11 OR 12 STUDENTS (N = 51) WHO REGISTERED FOR PHYSICAL EDUCATION (PE) WERE CLUSTER-RANDOMIZED BY CLASS 2:1 YOGA:PE-AS-USUAL. A KRIPALU-BASED YOGA PROGRAM OF PHYSICAL POSTURES, BREATHING EXERCISES, RELAXATION, AND MEDITATION WAS TAUGHT 2 TO 3 TIMES A WEEK FOR 10 WEEKS. SELF-REPORT QUESTIONNAIRES WERE ADMINISTERED TO STUDENTS 1 WEEK BEFORE AND AFTER. PRIMARY OUTCOME MEASURES OF PSYCHOSOCIAL WELL-BEING WERE PROFILE OF MOOD STATES-SHORT FORM AND POSITIVE AND NEGATIVE AFFECT SCHEDULE FOR CHILDREN. ADDITIONAL MEASURES OF PSYCHOSOCIAL WELL-BEING INCLUDED PERCEIVED STRESS SCALE AND INVENTORY OF POSITIVE PSYCHOLOGICAL ATTITUDES. SECONDARY MEASURES OF SELF-REGULATORY SKILLS INCLUDED RESILIENCE SCALE, STATE TRAIT ANGER EXPRESSION INVENTORY-2, AND CHILD ACCEPTANCE MINDFULNESS MEASURE. TO ASSESS FEASIBILITY, YOGA STUDENTS COMPLETED A PROGRAM EVALUATION. ANALYSES OF COVARIANCE WERE CONDUCTED BETWEEN GROUPS WITH BASELINE AS THE COVARIATE. RESULTS: ALTHOUGH PE-AS-USUAL STUDENTS SHOWED DECREASES IN PRIMARY OUTCOMES, YOGA STUDENTS MAINTAINED OR IMPROVED. TOTAL MOOD DISTURBANCE IMPROVED IN YOGA STUDENTS AND WORSENED IN CONTROLS (P = .015), AS DID PROFILE OF MOOD STATES-SHORT FORM (POMS-SF) TENSION-ANXIETY SUBSCALE (P = .002). ALTHOUGH POSITIVE AFFECT REMAINED UNCHANGED IN BOTH, NEGATIVE AFFECT SIGNIFICANTLY WORSENED IN CONTROLS WHILE IMPROVING IN YOGA STUDENTS (P = .006). SECONDARY OUTCOMES WERE NOT SIGNIFICANT. STUDENTS RATED YOGA FAIRLY HIGH, DESPITE MODERATE ATTENDANCE. CONCLUSIONS: IMPLEMENTATION WAS FEASIBLE AND STUDENTS GENERALLY FOUND IT BENEFICIAL. ALTHOUGH NOT CAUSAL DUE TO SMALL, UNEVEN SAMPLE SIZE, THIS PRELIMINARY STUDY SUGGESTS PREVENTIVE BENEFITS IN PSYCHOSOCIAL WELL-BEING FROM KRIPALU YOGA DURING HIGH SCHOOL PE. THESE RESULTS ARE CONSISTENT WITH PREVIOUSLY PUBLISHED STUDIES OF YOGA IN SCHOOL SETTINGS.	2012	
                                                                                                                                                                                                                                                                                                                                                                                                              
19 1428  47 IMPROVEMENTS IN PSYCHOLOGICAL AND OCCUPATIONAL WELL-BEING FOLLOWING A BRIEF YOGA-BASED PROGRAM FOR EDUCATION PROFESSIONALS. OBJECTIVE: THE PURPOSE OF THIS STUDY WAS TO EXAMINE CHANGES IN PSYCHOLOGICAL AND OCCUPATIONAL WELL-BEING IN EDUCATION PROFESSIONALS WHO ATTENDED A YOGA-BASED PROGRAM. METHODS: EDUCATION PROFESSIONALS WHO ATTENDED A 3-DAY YOGA-BASED RISE (RESILIENCE, INTEGRATION, SELF-AWARENESS, ENGAGEMENT) PROGRAM WERE RECRUITED TO PARTICIPATE. RISE WAS ADMINISTERED AT THE KRIPALU CENTER FOR YOGA & HEALTH. MEASURES OF PSYCHOLOGICAL AND OCCUPATIONAL WELL-BEING, AND HEALTH-RELATED BEHAVIORS WERE COMPLETED BEFORE (BASELINE), AFTER (POST), AND 2 MONTHS AFTER RISE (FOLLOW-UP). FORTY-FOUR PARTICIPANTS COMPLETED BASELINE AND POST AND WERE INCLUDED IN THE ANALYSIS. OF THOSE, 33 PARTICIPANTS ALSO COMPLETED THE FOLLOW-UP. PAIRED SAMPLES T TESTS WERE USED TO COMPARE SCORES BETWEEN TIME POINTS. RESULTS: COMPARED TO BASELINE, AT POST, PARTICIPANTS SHOWED IMPROVEMENTS IN PERCEIVED STRESS, MINDFULNESS, EMPOWERMENT, POSITIVE AFFECT, NEGATIVE AFFECT, SELF-COMPASSION, TOTAL WORK ENGAGEMENT, VIGOR, SLEEP QUALITY (ALL P VALUES < .001), RESILIENCE, SATISFACTION WITH LIFE, AS WELL AS EXHAUSTION AND PROFESSIONAL EFFICACY WHICH ARE DIMENSIONS OF BURNOUT (ALL P VALUES < .01). AT THE FOLLOW-UP, SIGNIFICANT IMPROVEMENTS WERE MAINTAINED FOR MINDFULNESS, EMPOWERMENT, SELF-COMPASSION, SLEEP QUALITY (ALL P VALUES < .001), RESILIENCE, VIGOR, AND EXHAUSTION (ALL P VALUES < .01) AND POSITIVE AFFECT, SATISFACTION WITH LIFE, AND WORK ENGAGEMENT (ALL P VALUES < .05). CONCLUSIONS: THESE FINDINGS SUGGEST THAT THE YOGA-BASED RISE PROGRAM IMPROVES PSYCHOLOGICAL AND OCCUPATIONAL WELL-BEING IN EDUCATION PROFESSIONALS. IN ADDITION, PARTICIPANTS REPORTED THAT ATTENDING RISE WAS FEASIBLE, THEY COULD CONTINUE USING RISE PRACTICES LONG-TERM, SHARED THEM WITH WORK COLLEAGUES, AND REPORTED THAT RISE POSITIVELY IMPACTED BOTH THEIR DAILY LIVES AND WORKPLACE ENVIRONMENT. WITH THESE PROMISING RESULTS, ADDITIONAL CONTROLLED RESEARCH IS WARRANTED.	2019	
                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
20 1832  35 PSYCHOLOGICAL WELL-BEING, HEALTH BEHAVIORS, AND WEIGHT LOSS AMONG PARTICIPANTS IN A RESIDENTIAL, KRIPALU YOGA-BASED WEIGHT LOSS PROGRAM. UNLABELLED: THE INCREASING PREVALENCE OF OVERWEIGHT AND OBESITY IN HUMANS IS A GROWING PUBLIC HEALTH CONCERN IN THE UNITED STATES. CONCOMITANTS INCLUDE POOR HEALTH BEHAVIORS AND REDUCED PSYCHOLOGICAL WELL-BEING. PRELIMINARY EVIDENCE SUGGESTS YOGA AND TREATMENT PARADIGMS INCORPORATING MINDFULNESS, SELF-COMPASSION (SC), ACCEPTANCE, NON-DIETING, AND INTUITIVE EATING MAY IMPROVE THESE ANCILLARY CORRELATES, WHICH MAY PROMOTE LONG-TERM WEIGHT LOSS. METHODS: WE EXPLORED THE IMPACT OF A 5-DAY RESIDENTIAL WEIGHT LOSS PROGRAM, WHICH WAS MULTIFACETED AND BASED ON KRIPALU YOGA, ON HEALTH BEHAVIORS, WEIGHT LOSS, AND PSYCHOLOGICAL WELL-BEING IN OVERWEIGHT/OBESE INDIVIDUALS. THIRTY-SEVEN OVERWEIGHT/OBESE PROGRAM PARTICIPANTS (AGE 32-65, BMI<25) COMPLETED VALIDATED MIND-FULNESS, SC, LIFESTYLE BEHAVIOR, AND MOOD QUESTIONNAIRES AT BASELINE, POST-PROGRAM, AND 3-MONTH FOLLOW-UP AND REPORTED THEIR WEIGHT 1 YEAR AFTER PROGRAM COMPLETION. RESULTS: SIGNIFICANT IMPROVEMENTS IN NUTRITION BEHAVIORS, SC, MINDFULNESS, STRESS MANAGEMENT, AND SPIRITUAL GROWTH WERE OBSERVED IMMEDIATELY POST-PROGRAM (N = 31, 84% RETENTION), WITH MEDIUM TO LARGE EFFECT SIZES. AT 3-MONTH FOLLOW-UP (N = 18, 49% RETENTION), MOST CHANGES PERSISTED. PHYSICAL ACTIVITY AND MOOD DISTURBANCE HAD IMPROVED SIGNIFICANTLY POST-PROGRAM BUT FAILED TO REACH SIGNIFICANCE AT 3-MONTH FOLLOW-UP. SELF-REPORT WEIGHT LOSS AT 1 YEAR (N = 19, 51% RETENTION) WAS SIGNIFICANT. CONCLUSION: THESE FINDINGS SUGGEST A KRIPALU YOGA-BASED, RESIDENTIAL WEIGHT LOSS PROGRAM MAY FOSTER PSYCHOLOGICAL WELL-BEING, IMPROVED NUTRITION BEHAVIORS, AND WEIGHT LOSS. GIVEN THE EXPLORATORY NATURE OF THIS INVESTIGATION, MORE RIGOROUS WORK IN THIS AREA IS WARRANTED.	2012