1 2574 91 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 2 156 36 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 3 2035 20 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 4 2795 30 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 5 2032 22 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 6 2286 23 THE USE OF YOGA IN SPECIALIZED VA PTSD TREATMENT PROGRAMS. BACKGROUND: POSTTRAUMATIC STRESS DISORDER (PTSD) IS A CHRONIC, DEBILITATING ANXIETY DISORDER THAT IS HIGHLY PREVALENT AMONG U.S. MILITARY VETERANS. YOGA, DEFINED TO INCLUDE PHYSICAL POSTURES (ASANA) AND MINDFULNESS AND MEDITATION, IS BEING INCREASINGLY USED AS AN ADJUNCTIVE TREATMENT FOR PTSD AND OTHER PSYCHOLOGICAL DISORDERS. NO RESEARCH OR ADMINISTRATIVE DATA HAVE DETAILED THE USE OF THESE SERVICES IN DEPARTMENT OF VETERANS AFFAIRS' (VA) 170 PTSD TREATMENT PROGRAMS. METHODS: ONE HUNDRED TWENTY-FIVE PROGRAM COORDINATORS OR DESIGNATED STAFF COMPLETED AN 81-ITEM SURVEY OF THEIR PROGRAM'S USE OF COMPLEMENTARY AND ALTERNATIVE MEDICINE MODALITIES IN THE PAST YEAR. THIS REPORT DESCRIBES DATA FROM A SUBSET OF 30 QUESTIONS USED TO ASSESS THE PREVALENCE, NATURE, AND CONTEXT OF THE USE OF YOGA, MINDFULNESS, AND MEDITATION OTHER THAN MINDFULNESS PRACTICES. RESULTS: RESULTS REVEALED THAT THESE PRACTICES ARE WIDELY OFFERED IN VA SPECIALIZED PTSD TREATMENT PROGRAMS AND THAT THERE IS GREAT VARIABILITY IN THE CONTEXT AND NATURE OF HOW THEY ARE DELIVERED. CONCLUSIONS: UNDERSTANDING HOW YOGA IS USED BY THESE PROGRAMS MAY INFORM ONGOING EFFORTS TO DEFINE AND DISTINGUISH YOGA THERAPY AS A RESPECTED THERAPEUTIC DISCIPLINE AND TO CREATE PATIENT-CENTERED CARE MODELS THAT MINDFULLY FULFILL THE UNMET NEEDS OF INDIVIDUALS WITH MENTAL HEALTH ISSUES, INCLUDING VETERANS WITH PTSD. 2012 7 2313 26 TRAUMA SURVIVORS' EXPERIENCES OF KUNDALINI YOGA IN FOSTERING POSTTRAUMATIC GROWTH. THE PREVALENCE OF TRAUMATIC EVENTS IN SOUTH AFRICA IS CONSIDERABLY HIGH DUE TO A HISTORY OF POLITICAL VIOLENCE AND THE ONGOING CYCLE OF INTERPERSONAL, COMMUNITY-BASED, AND SOCIOECONOMIC VIOLENCE. WHILE CONVENTIONAL THERAPEUTIC TECHNIQUES HAVE BEEN FOUND TO SUPPORT TRAUMA SURVIVORS IN THE LOCAL CONTEXT, ALTERNATIVE APPROACHES THAT FOCUS ON THE MIND-BODY CONNECTION HAVE BECOME INCREASINGLY POPULAR. HOWEVER, STUDIES REPORTING ON THE USE OF THESE APPROACHES REMAIN SCARCE. THIS STUDY AIMED TO ADD TO THE BODY OF KNOWLEDGE ON YOGA AS A NON-CONVENTIONAL THERAPY TO SUPPORT TRAUMA SURVIVORS AND FOSTER POSTTRAUMATIC GROWTH. SEMI-STRUCTURED INTERVIEWS WERE CONDUCTED WITH A SAMPLE OF SEVEN KUNDALINI YOGA PRACTITIONERS WHO HAD BEEN EXPOSED TO TRAUMA. A THEMATIC ANALYSIS CONFIRMED THAT KUNDALINI YOGA WAS BENEFICIAL IN FOSTERING POSTTRAUMATIC GROWTH. OVERALL, THE STUDY FINDINGS, EVIDENCE A POCKET OF SUCCESS IN RELATION TO VALUE OF SUCH AN INTERVENTION WITHIN A LOW SOCIO ECONOMIC BLACK SOUTH AFRICAN CONTEXT. 2022 8 151 37 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 9 250 27 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 10 619 23 DEVELOPMENT OF THE CLARIFY (CHECKLIST STANDARDISING THE REPORTING OF INTERVENTIONS FOR YOGA) GUIDELINES: A DELPHI STUDY. BACKGROUND: THE USE OF YOGA AS A THERAPEUTIC MODALITY IS INCREASING; HOWEVER, A LACK OF TRANSPARENT INTERVENTION REPORTING IS RESTRICTING THE DISSEMINATION AND IMPLEMENTATION OF YOGA RESEARCH INTO CLINICAL AND COMMUNITY PRACTICE. THE AIM OF THIS STUDY WAS TO DEVELOP A YOGA-SPECIFIC REPORTING GUIDELINE AS AN EXTENSION TO EXISTING REPORTING GUIDELINES FOR RANDOMISED CONTROLLED TRIALS, OBSERVATIONAL STUDIES AND CASE REPORTS. METHODS: RECOGNISED INTERNATIONAL STAKEHOLDERS IN THE DESIGN AND CONDUCT OF YOGA RESEARCH WERE INVITED TO CONTRIBUTE TO THE ELECTRONIC DELPHI SURVEY. A FOUR-ROUND DELPHI WAS CONDUCTED, WHEREBY PANELLISTS RATED SELECTED ITEMS FOR THEIR IMPORTANCE IN THE INCLUSION OF YOGA REPORTING GUIDELINES, ACCORDING TO A 5-STEP LIKERT SCALE. A PRIORI CONSENSUS FOR ITEM INCLUSION WAS AGREEMENT OF ITEMS AS 'VERY IMPORTANT' OR 'EXTREMELY IMPORTANT' BY >/=80% OF PANELLISTS. NON-CONSENSUS ITEMS WERE FORWARDED TO SUBSEQUENT ROUNDS FOR RE-RATING. RESULTS: 53 EXPERTS IN YOGA RESEARCH FROM 11 COUNTRIES, PRIMARILY IDENTIFYING AS RESEARCHERS (50%), ALLIED HEALTH PROFESSIONALS (18.8%) AND YOGA PROFESSIONALS (12.5%), CONSENTED TO PARTICIPATE IN THE DELPHI. OF THESE, 48 COMPLETED ROUND 1 (91%), 43 COMPLETED ROUND 2 (81%), 39 COMPLETED ROUND 3 (74%) AND 32 COMPLETED ROUND 4 (60%). PANELLISTS REACHED CONSENSUS FOR INCLUSION ON 21 ITEMS, GROUPED UNDER 10 DOMAINS REFLECTIVE OF MORE GENERIC INTERVENTION-BASED GUIDELINES. CONCLUSIONS: THE CONSENSUS-BASED 21-ITEM CLARIFY (CHECKLIST STANDARDISING THE REPORTING OF INTERVENTIONS FOR YOGA) CHECKLIST PROVIDES A MINIMUM REPORTING TEMPLATE FOR RESEARCHERS ACROSS A RANGE OF METHODOLOGY DESIGNS. USE OF THESE YOGA-SPECIFIC GUIDELINES, IN CONJUNCTION WITH THE CLARIFY EXPLANATION AND ELABORATION GUIDELINES, WILL STANDARDISE THE MINIMUM LEVEL OF DETAIL REQUIRED FOR TRANSPARENT YOGA INTERVENTION, FACILITATING THE REPLICATION, DISSEMINATION AND IMPLEMENTATION OF YOGA RESEARCH. ONGOING RESEARCH WILL ASSESS THE UPTAKE AND IMPACT OF CLARIFY, TO ENSURE THESE GUIDELINES RETAIN THEIR RELEVANCE TO THE INTERNATIONALLY GROWING FIELD OF YOGA RESEARCH. 2022 11 122 32 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 12 155 25 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 13 1343 31 HOW YOGA IMPACTS THE SUBSTANCE USE OF PEOPLE LIVING WITH HIV WHO ARE IN REENTRY FROM PRISON OR JAIL: A QUALITATIVE STUDY. OBJECTIVES: NASCENT RESEARCH REFLECTS THE PROMISE OF YOGA AS A COMPLEMENTARY TREATMENT FOR SUBSTANCE USE. WHILE PUTATIVE MECHANISMS BEHIND YOGA'S IMPACT ON SUBSTANCE USE HAVE BEEN PROPOSED, THE RESEARCH IS LIMITED. THIS MANUSCRIPT AIMS TO DETERMINE HOW A HATHA YOGA INTERVENTION IMPACTS THE SUBSTANCE USE OF PEOPLE WHO ARE IN REENTRY FROM PRISON OR JAIL (RETURNING CITIZENS), AND LIVING WITH HIV AND SUBSTANCE USE PROBLEMS. DESIGN: SEMI-STRUCTURED INTERVIEWS WERE CONDUCTED WITH 28 RETURNING CITIZENS WHO PARTICIPATED IN A YOGA INTERVENTION. GUIDED BY A QUALITATIVE DESCRIPTIVE METHODOLOGY, THEMATIC ANALYSIS WAS USED TO IDENTIFY THEMES THAT ANSWERED HOW YOGA IMPACTED PARTICIPANT SUBSTANCE USE. SETTING: A COMMUNITY ORGANIZATION IN PHILADELPHIA, PA, USA THAT CONNECTS PEOPLE TO HEALTH SERVICES, PROVIDES EDUCATION AND SUPPORTIVE SERVICES, AND ADVOCATES FOR PEOPLE WITH CRIMINAL JUSTICE INVOLVEMENT. INTERVENTION: A 90-MINUTE HATHA YOGA CLASS OFFERED ONCE A WEEK FOR 12 WEEKS. RESULTS: FOURTEEN PARTICIPANTS REPORTED THAT YOGA EITHER REDUCED SUBSTANCE USE OR MAINTAINED NON-USE, VIA THE MECHANISMS OF PURPOSEFUL DISTRACTION, STRESS COPING (BY CULTIVATING MINDFULNESS AND REDUCING PHYSICAL DISCOMFORT), SOCIAL SUPPORT AND CONFIDENCE. ELEVEN PARTICIPANTS REPORTED THAT YOGA DID NOT IMPACT THEIR SUBSTANCE USE. THREE PARTICIPANTS DID NOT DISCUSS IT. CONCLUSIONS: BY PROVIDING PURPOSEFUL DISTRACTION, INCREASED STRESS COPING, SOCIAL SUPPORT AND CONFIDENCE; YOGA MAY REDUCE SUBSTANCE USE AND MAINTAIN ENGAGEMENT IN RECOVERY. THESE MECHANISTIC ACTIONS PROVIDE GUIDANCE FOR THEMES TO HIGHLIGHT IN YOGA CLASSES THAT AIM TO IMPACT SUBSTANCE USE AMONG RETURNING CITIZENS LIVING WITH HIV. 2019 14 2520 29 YOGA COMPLEMENTS COGNITIVE BEHAVIOUR THERAPY AS AN ADJUNCT TREATMENT FOR ANXIETY AND DEPRESSION: QUALITATIVE FINDINGS FROM A MIXED-METHODS STUDY. OBJECTIVES: COGNITIVE BEHAVIOUR THERAPY (CBT) IS RECOMMENDED FOR TREATING ANXIETY AND DEPRESSION, DEMONSTRATING GOOD EFFICACY AND MODERATE RATES OF ENGAGEMENT. TO FURTHER IMPROVE OUTCOMES AND ACCESS TO EVIDENCE-BASED TREATMENTS, RESEARCHERS HAVE SOUGHT TO ENHANCE CBT PROTOCOLS WITH MINDFULNESS-BASED APPROACHES, SUCH AS YOGA. THIS STUDY AIMED TO EXAMINE WHETHER YOGA IS AN ACCEPTABLE AND COMPLEMENTARY ADJUNCT TO CBT THROUGH EXPLORING THE LIVED EXPERIENCES OF ADULTS WITH ANXIETY AND DEPRESSION WHO ENGAGED IN AN ADJUNCT THERAPEUTIC YOGA PROGRAMME ALONGSIDE GROUP CBT. DESIGN: SINGLE-GROUP QUALITATIVE DESIGN WITH POST-INTERVENTION AND FOLLOW-UP TIMEPOINTS. METHODS: THIRTY-SIX ADULTS WITH ANXIETY AND DEPRESSION SELF-SELECTED INTO A THERAPEUTIC YOGA PROGRAMME AS AN ADJUNCT TO GROUP CBT. QUALITATIVE INTERVIEWS WERE CONDUCTED WITH 27 PARTICIPANTS IMMEDIATELY AFTER THE EIGHT-WEEK PROGRAMME AND AGAIN THREE MONTHS LATER. THEMATIC ANALYSIS WAS USED TO IDENTIFY COMMON THEMES FROM THE LIVED EXPERIENCES. RESULTS: THREE PRIMARY THEMES, WITH NINE SUBTHEMES, WERE IDENTIFIED WHICH REFLECT THE EXPERIENCES OF THE COMBINED THERAPIES, THE COMPLEMENTARY ELEMENTS, AND PROCESS OF ENGAGEMENT OVER TIME. THE ADJUNCT YOGA PROGRAMME WAS HIGHLY ACCEPTABLE TO ADULTS WITH ANXIETY AND DEPRESSION, ENHANCING ENGAGEMENT AND PERCEIVED OUTCOMES. YOGA WAS IDENTIFIED AS PROVIDING A UNIQUE COMBINATION OF ELEMENTS THAT COMPLEMENTED PROCESSES OF CBT, SUCH AS BEHAVIOURAL ACTIVATION AND THOUGHT DISPUTATION. YOGA PRACTICES REPRESENTED MENTAL HEALTH SELF-MANAGEMENT TOOLS THAT ARE ACCESSIBLE AND AVAILABLE AS RELAPSE PREVENTION STRATEGIES. CONCLUSIONS: THERAPEUTIC YOGA WARRANTS CONSIDERATION AS AN ADJUNCT TREATMENT FOR ANXIETY AND DEPRESSION AS IT OFFERS UNIQUE AND COMPLEMENTARY ELEMENTS TO CBT AND CAN ENHANCE ENGAGEMENT AND PERCEIVED CLINICAL OUTCOMES. PRACTITIONER POINTS: ADULTS WITH ANXIETY AND DEPRESSION EXPERIENCED A THERAPEUTIC YOGA PROGRAMME AS A SUITABLE AND APPEALING ADJUNCT THAT ENHANCED ENGAGEMENT WITH PSYCHOLOGICAL TREATMENT. YOGA OFFERS A UNIQUE COMBINATION OF ELEMENTS, INCLUDING A VALUES SYSTEM, BODY-BASED MINDFULNESS PRACTICES, AND BREATHING TECHNIQUES, THAT COMPLEMENT CBT PROCESSES, SUCH AS BEHAVIOURAL ACTIVATION, AWARENESS OF MALADAPTIVE PATTERNS, AND THOUGHT DISPUTATION. A THERAPEUTIC YOGA PROGRAMME PROVIDES ADULTS WITH ANXIETY AND DEPRESSION WITH AN ACCESSIBLE AND SUSTAINABLE MENTAL HEALTH SELF-MANAGEMENT TOOL. THERAPEUTIC YOGA CAN BE CONSIDERED FOR INTEGRATION TO MODELS OF MENTAL HEALTH SERVICE PROVISION TO ENHANCE ENGAGEMENT AND CLINICAL OUTCOMES FOR ADULTS WITH ANXIETY AND DEPRESSION. 2021 15 1158 24 ESTABLISHING KEY COMPONENTS OF YOGA INTERVENTIONS FOR MUSCULOSKELETAL CONDITIONS: A DELPHI SURVEY. BACKGROUND: EVIDENCE SUGGESTS YOGA IS A SAFE AND EFFECTIVE INTERVENTION FOR THE MANAGEMENT OF PHYSICAL AND PSYCHOSOCIAL SYMPTOMS ASSOCIATED WITH MUSCULOSKELETAL CONDITIONS. HOWEVER, HETEROGENEITY IN THE COMPONENTS AND REPORTING OF CLINICAL YOGA TRIALS IMPEDES BOTH THE GENERALIZATION OF STUDY RESULTS AND THE REPLICATION OF STUDY PROTOCOLS. THE AIM OF THIS DELPHI SURVEY WAS TO ADDRESS THESE ISSUES OF HETEROGENEITY, BY DEVELOPING A LIST OF RECOMMENDATIONS OF KEY COMPONENTS FOR THE DESIGN AND REPORTING OF YOGA INTERVENTIONS FOR MUSCULOSKELETAL CONDITIONS. METHODS: RECOGNISED EXPERTS INVOLVED IN THE DESIGN, CONDUCT, AND TEACHING OF YOGA FOR MUSCULOSKELETAL CONDITIONS WERE IDENTIFIED FROM A SYSTEMATIC REVIEW, AND INVITED TO CONTRIBUTE TO THE DELPHI SURVEY. FORTY-ONE OF THE 58 EXPERTS CONTACTED, REPRESENTING SIX COUNTRIES, AGREED TO PARTICIPATE. A THREE-ROUND DELPHI WAS CONDUCTED VIA ELECTRONIC SURVEYS. ROUND 1 PRESENTED AN OPEN-ENDED QUESTION, ALLOWING PANELLISTS TO INDIVIDUALLY IDENTIFY COMPONENTS THEY CONSIDERED KEY TO THE DESIGN AND REPORTING OF YOGA INTERVENTIONS FOR MUSCULOSKELETAL CONDITIONS. THEMATIC ANALYSIS OF ROUND 1 IDENTIFIED ITEMS FOR QUANTITATIVE RATING IN ROUND 2; ITEMS NOT REACHING CONSENSUS WERE FORWARDED TO ROUND 3 FOR RE-RATING. RESULTS: THIRTY-SIX PANELLISTS (36/41; 88%) COMPLETED THE THREE ROUNDS OF THE DELPHI SURVEY. PANELLISTS PROVIDED 348 COMMENTS TO THE ROUND 1 QUESTION. THESE COMMENTS WERE REDUCED TO 49 ITEMS, GROUPED UNDER FIVE THEMES, FOR RATING IN SUBSEQUENT ROUNDS. A PRIORI GROUP CONSENSUS OF >/=80% WAS REACHED ON 28 ITEMS RELATED TO FIVE THEMES CONCERNING DEFINING THE YOGA INTERVENTION, TYPES OF YOGA PRACTICES TO INCLUDE IN AN INTERVENTION, DELIVERY OF THE YOGA PROTOCOL, DOMAINS OF OUTCOME MEASURES, AND REPORTING OF YOGA INTERVENTIONS FOR MUSCULOSKELETAL CONDITIONS. ADDITIONALLY, A PRIORI CONSENSUS OF >/=50% WAS REACHED ON FIVE ITEMS RELATING TO MINIMUM VALUES FOR INTERVENTION PARAMETERS. CONCLUSIONS: EXPERT CONSENSUS HAS PROVIDED A NON-PRESCRIPTIVE REFERENCE LIST FOR THE DESIGN AND REPORTING OF YOGA INTERVENTIONS FOR MUSCULOSKELETAL CONDITIONS. IT IS ANTICIPATED FUTURE RESEARCH INCORPORATING THE DELPHI GUIDELINES WILL FACILITATE HIGH QUALITY INTERNATIONAL RESEARCH IN THIS FIELD, INCREASE HOMOGENEITY OF INTERVENTION COMPONENTS AND PARAMETERS, AND ENHANCE THE COMPARISON AND REPRODUCIBILITY OF RESEARCH INTO THE USE OF YOGA FOR THE MANAGEMENT OF MUSCULOSKELETAL CONDITIONS. 2014 16 144 35 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 17 2632 15 YOGA FOR TRAUMA AND RELATED MENTAL HEALTH PROBLEMS: A META-REVIEW WITH CLINICAL AND SERVICE RECOMMENDATIONS. HEALTH AND HUMAN SERVICE PROVIDERS HAVE EXPRESSED GROWING INTEREST IN THE BENEFITS OF YOGA TO HELP INDIVIDUALS COPE WITH THE EFFECTS OF TRAUMA, INCLUDING ANXIETY, DEPRESSION, AND POSTTRAUMATIC STRESS DISORDER (PTSD). DESPITE THE GROWING POPULARITY AND STRONG APPEAL OF YOGA, PROVIDERS MUST BE MINDFUL OF THE EVIDENCE REGARDING THE EFFICACY OF YOGA IN TREATING TRAUMA EFFECTS AS WELL AS TRAUMA-RELATED MENTAL HEALTH SYMPTOMS AND ILLNESSES. THEREFORE, OUR RESEARCH TEAM SOUGHT TO ANSWER TWO QUESTIONS: (A) WHAT IS THE EVIDENCE REGARDING YOGA AS A TREATMENT FOR TRAUMA EFFECTS, INCLUDING ANXIETY, DEPRESSION, AND PTSD AND (B) WHAT ARE THE CLINICAL AND SERVICE RECOMMENDATIONS FOR USING YOGA WITH TRAUMA-EXPOSED INDIVIDUALS? OUR INITIAL SCANS IDENTIFIED A SUBSTANTIAL BODY OF RESEARCH, INCLUDING REVIEWS. RATHER THAN REPLICATE EARLIER EFFORTS, WE UNDERTOOK A SYSTEMATIC META-REVIEW OF 13 LITERATURE REVIEWS, ONE OF WHICH INCLUDED A META-ANALYSIS. WE DETERMINED THE 13 REVIEWS EXAMINED 185 DISTINCT STUDIES. FINDINGS SHOW THAT THE EVIDENCE REGARDING YOGA AS AN INTERVENTION FOR THE EFFECTS OF TRAUMA AS WELL AS THE MENTAL HEALTH SYMPTOMS AND ILLNESSES OFTEN ASSOCIATED WITH TRAUMA IS ENCOURAGING BUT PRELIMINARY. OVERALL, THE BODY OF RESEARCH IS LACKING IN RIGOR AS WELL AS SPECIFICITY REGARDING TRAUMA. REVIEW RESULTS ALSO ONLY ALLOW FOR THE RECOMMENDATION OF YOGA AS AN ANCILLARY TREATMENT. FURTHER, THE REVIEWS HAD CONSIDERABLE DIFFERENCES IN THEIR METHODS AND LIMITATIONS. NONETHELESS, THE RESULTS YIELDED FINDINGS CONCERNING HOW CLINICIANS AND SERVICE PROVIDERS CAN USE YOGA IN THEIR OWN PRACTICES, WHICH IS AN IMPORTANT STEP FOR BUILDING AN EVIDENCE BASE IN THIS AREA. 2018 18 2451 28 YOGA AS A COMPLEMENTARY APPROACH TO HEALING FOR ADULT VICTIMS AND SURVIVORS OF INTERPERSONAL VIOLENCE. PURPOSE: YOGA IS INCREASINGLY ACCEPTED TO IMPROVE OVERALL HEALTH AND WELLNESS AND IS CONSIDERED A MEANINGFUL ADJUNCT TREATMENT FOR MENTAL AND PHYSICAL HEALTH AILMENTS ASSOCIATED WITH INTERPERSONAL VIOLENCE (IV). THIS REVIEW PROVIDES BACKGROUND INFORMATION ABOUT THE USE OF YOGA AMONG INDIVIDUALS WITH IV HISTORIES AND AIMS TO INFORM RESEARCHERS AND PRACTITIONERS ABOUT THE AVAILABLE EVIDENCE ON YOGA'S APPLICATION AND EFFECTIVENESS. METHODS: USING SIX DATABASES, WE SYSTEMATICALLY REVIEWED EMPIRICAL LITERATURE EXAMINING YOGA AMONG IV SURVIVORS. CRITERIA FOR STUDY INCLUSION: YOGA INCLUDED A PHYSICAL COMPONENT AND WAS THE PRIMARY INTERVENTION; PARTICIPANTS HAD AN IV HISTORY; PEER-REVIEWED; AND PARTICIPANTS WERE 17 YEARS AND OLDER. AFTER REVIEW, 10 ARTICLES REPORTING FINDINGS FROM SEVEN INDEPENDENT SAMPLES WERE INCLUDED. FINDINGS: YOGA DEMONSTRATED PRELIMINARY, POSITIVE IMPLICATIONS AS A COMPLEMENTARY TREATMENT FOR INDIVIDUALS WITH AN IV HISTORY. SYNTHESIZING ACROSS ARTICLES FOUR THEMES EMERGED: (1) ACCEPTABILITY AND FEASIBILITY, (2) ENHANCEMENT OF MENTAL AND PHYSICAL HEALTH, (3) PROMOTION OF PERSONAL GROWTH, AND (4) FACILITATORS AND BARRIERS TO PRACTICE. CONCLUSIONS: THE NASCENT LITERATURE INDICATES POTENTIAL BENEFITS OF INTEGRATING YOGA INTO INTERVENTIONS FOR IV SURVIVORS TO ENHANCE PHYSICAL AND PSYCHOLOGICAL FUNCTIONING. THE PRIMARY BARRIERS TO INTERVENTION WERE RESOURCES (E.G., ACCESS) AND INCOMPATIBILITY WITH SPIRITUAL BELIEFS FOR SELECT CLIENTS. DESPITE CONSISTENT BARRIERS, PRELIMINARY FINDINGS INDICATE YOGA HAS MANY POSITIVE IMPLICATIONS FOR INDIVIDUALS WITH AN IV HISTORY. GIVEN THE SMALL EVIDENCE BASE AND INSUFFICIENT METHODOLOGY, ADDITIONAL EMPIRICAL RESEARCH WITH DIVERSE SAMPLES AND SITES, AND ROBUST DESIGNS, COULD IMPROVE THE STATE OF KNOWLEDGE AND STRENGTHEN THE EFFICACY OF THIS PROMISING PRACTICE. 2021 19 149 39 A QUALITATIVE EXPLORATION OF THE IMPACT OF YOGA ON BREAST CANCER SURVIVORS WITH AROMATASE INHIBITOR-ASSOCIATED ARTHRALGIAS. RESEARCH QUESTION: ARTHRALGIA AFFECTS POSTMENOPAUSAL BREAST CANCER SURVIVORS (BCS) RECEIVING AROMATASE INHIBITORS (AI), WHICH MAY RESULT IN REDUCED FUNCTION AND LONG-TERM WELL-BEING. THIS IS AN EXPLORATORY, QUALITATIVE INVESTIGATION OF BCS WHO PARTICIPATED IN A YOGA-BASED PROGRAM TO UNDERSTAND IMPACT ON JOINT PAIN AND VARIOUS ASPECTS OF QUALITY OF LIFE (QOL) THROUGH A YOGA PROGRAM. THEORETICAL FRAMEWORK: SOCIAL COGNITIVE THEORY WAS USED AND PROVIDED THE FOUNDATION FOR DEVELOPING A YOGA INTERVENTION THROUGH SOURCES OF EFFICACY INFORMATION: (1) PERFORMANCE ACCOMPLISHMENT, (2) STRUCTURED EXPERIENCE, (3) VERBAL SUPPORT FROM INSTRUCTOR AND GROUP, AND (4) PHYSICAL FEEDBACK. METHODOLOGY: TEN POSTMENOPAUSAL WOMEN WITH STAGE I-III BREAST CANCER AND AI ASSOCIATED ARTHRALGIA (AIAA) RECEIVED YOGA TWICE A WEEK FOR EIGHT WEEKS FOR 90 MINUTES AND WERE INSTRUCTED TO CONTINUE IN A HOME-BASED YOGA PROGRAM. WE USED SOCIAL COGNITIVE THEORY (SCT) TO STRUCTURE A YOGA INTERVENTION AS AN ONGOING PHYSICAL ACTIVITY TO MANAGE JOINT PAIN AND FUNCTION. PARTICIPANTS COMPLETED JOURNAL REFLECTIONS ON THEIR EXPERIENCE AND RECEIVED WEEKLY PHONE CALLS. ANALYSIS: DATA WAS COLLECTED AND ANALYZED USING QUALITATIVE METHODS. MEMBER CHECKS WERE COMPLETED AND EMERGENT THEMES WERE EXPLORED AND AGREED UPON BY THE RESEARCH TEAM TO ENSURE RELIABILITY AND VALIDITY OF DATA. SEVERAL EMERGENT THEMES WERE DISCOVERED: EMPOWERMENT: IMPORTANCE OF CAMARADERIE, COMMUNITY, AND SHARING; PAIN RELIEF; INCREASED PHYSICAL FITNESS (ENERGY, FLEXIBILITY, AND FUNCTION); RELIEVED STRESS/ANXIETY AND TRANSFERABILITY OF YOGA THROUGH BREATHING. THESE THEMES WERE IDENTIFIED THROUGH INSTRUCTOR OBSERVATION, PARTICIPANT OBSERVATION, AND WEEKLY PHONE CALL DOCUMENTATION. INTERPRETATION: PARTICIPANTS EXPERIENCED AN EIGHT-WEEK YOGA INTERVENTION AS AN EFFECTIVE PHYSICAL ACTIVITY AND SUPPORT GROUP THAT FOSTERED VARIOUS IMPROVEMENTS IN QUALITY OF LIFE (QOL) AND REDUCTION IN AIAA. PARTICIPANTS WERE HIGHLY MOTIVATED TO IMPROVE PHYSICAL FITNESS LEVELS AND REDUCE PAIN. THIS STUDY REVEALED BENEFITS FROM ALTERNATIVE FORMS OF EXERCISE SUCH AS YOGA TO PROVIDE A STRUCTURE, WHICH IS TRANSFERABLE IN OTHER SITUATIONS. INFORMATION, STRUCTURED PHYSICAL GUIDANCE IN YOGA POSTURES, SUPPORT, AND FEEDBACK ARE NECESSARY TO FOSTER PHYSICAL ACTIVITY FOR BCS EXPERIENCING PAIN. IMPLICATIONS FOR CANCER SURVIVORS: RESULTS OF THIS QUALITATIVE ANALYSIS INDICATE THAT INTERVENTIONS TO SUPPORT BCS WITH AIAA ARE WARRANTED. YOGA APPEARS TO POSITIVELY IMPACT THESE SIDE EFFECTS OF HORMONAL THERAPIES. ADDITIONAL RESEARCH WOULD AID IN THE DEVELOPMENT OF OTHER INTERVENTIONS. 2012 20 2247 30 THE INTEGRATION OF YOGA IN PHYSICAL THERAPY CLINICAL PRACTICE. HEALTH PROFESSIONALS ARE BEGINNING TO USE YOGA AS A TREATMENT MODALITY. HOWEVER, EVIDENCE EXPLAINING PHYSICAL THERAPISTS' INTEGRATION OF YOGA IN CLINICAL PRACTICE IS LACKING. OBJECTIVE: THE PURPOSE OF THIS STUDY WAS TO EXPLORE HOW, WHY, AND WITH WHOM PHYSICAL THERAPISTS INTEGRATE YOGA INTO CLINICAL PRACTICE. DESIGN: THIS STUDY IS A SECONDARY ANALYSIS OF QUALITATIVE DATA COLLECTED DURING A LARGER MULTI-METHODS STUDY. THEMATIC ANALYSIS OF 13 INTERVIEWS WAS CONDUCTED. RESULTS: ANALYSIS INDICATED FOUR THEMES, AND SIX SUBTHEMES. FACILITATING YOGA IN CLINICAL PRACTICE AND YOGA TRAINING THEMES; INCLUDING EVALUATION OF OUTCOMES, BILLING, TERMINOLOGY, AND SAFETY SUBTHEMES DESCRIBE HOW PHYSICAL THERAPISTS ARE USING YOGA IN CLINICAL PRACTICE. THE PERCEIVED CLIENT OUTCOMES THEME, INCLUDING PHYSICAL AND PSYCHOSOCIAL OUTCOMES EXPLAIN WHY PHYSICAL THERAPISTS USE YOGA IN PRACTICE. THE YOGA WITH CLINICAL POPULATIONS THEME ADDRESSES WITH WHOM PHYSICAL THERAPISTS ARE USING YOGA. CONCLUSION: PHYSICAL THERAPISTS ARE USING YOGA WITH INDIVIDUALS WITH VARIOUS HEALTH CONDITIONS TO IMPROVE THEIR PHYSICAL AND MENTAL HEALTH. FINDINGS SUPPORT THE NEED FOR PHYSICAL THERAPISTS TO INCREASE THEIR ASSESSMENT AND DOCUMENTATION OF FUNCTIONAL OUTCOMES ASSOCIATED WITH CLIENT'S YOGA PARTICIPATION. DOCUMENTATION COULD CONTRIBUTE TO EVIDENCE-BASED LITERATURE RELATED TO HOW, WHY, AND WITH WHOM PHYSICAL THERAPISTS ARE USING YOGA. DOCUMENTED OUTCOMES COULD ALSO PROVIDE RATIONALE FOR YOGA TO RECEIVE CLASSIFICATION AS A REIMBURSABLE COMPLEMENTARY AND INTEGRATIVE HEALTH APPROACH. FUTURE RESEARCH INVOLVING A LARGER, DIVERSE SAMPLE (E.G., PHYSICAL THERAPISTS WITH VARYING LEVELS OF EDUCATION AND YOGA TRAINING) FOCUSED ON HOW, WHY, AND WITH WHOM PHYSICAL THERAPISTS INTEGRATE YOGA INTO CLINICAL PRACTICE IS RECOMMENDED. 2021