1 491 127 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 2 1251 28 FEASIBILITY TRIAL OF YOGA PROGRAMME FOR TYPE 2 DIABETES PREVENTION (YOGA-DP) AMONG HIGH-RISK PEOPLE IN INDIA: A QUALITATIVE STUDY TO EXPLORE PARTICIPANTS' TRIAL- AND INTERVENTION-RELATED BARRIERS AND FACILITATORS. YOGA-BASED INTERVENTIONS CAN BE EFFECTIVE IN PREVENTING TYPE 2 DIABETES MELLITUS (T2DM). WE DEVELOPED A YOGA PROGRAMME FOR T2DM PREVENTION (YOGA-DP) AND CONDUCTED A FEASIBILITY RANDOMISED CONTROLLED TRIAL (RCT) AMONG HIGH-RISK PEOPLE IN INDIA. THIS QUALITATIVE STUDY'S OBJECTIVE WAS TO IDENTIFY AND EXPLORE PARTICIPANTS' TRIAL- AND INTERVENTION-RELATED BARRIERS AND FACILITATORS. THE FEASIBILITY TRIAL WAS CONDUCTED AT TWO YOGA CENTRES IN NEW DELHI AND BENGALURU, INDIA. IN THIS QUALITATIVE STUDY, 25 TRIAL PARTICIPANTS (13 INTERVENTION GROUP, 12 CONTROL GROUP) WERE RECRUITED FOR SEMI-STRUCTURED INTERVIEWS. DATA WERE ANALYSED USING DEDUCTIVE LOGIC AND AN INTERPRETATIVE PHENOMENOLOGICAL APPROACH. AMONGST INTERVENTION AND CONTROL PARTICIPANTS, KEY BARRIERS TO TRIAL PARTICIPATION WERE INADEQUATE INFORMATION ABOUT RECRUITMENT AND RANDOMISATION PROCESSES AND THE NEGATIVE INFLUENCE OF NON-PARTICIPANTS. FREE BLOOD TESTS TO AID T2DM PREVENTION, SITE STAFF'S FRIENDLY BEHAVIOUR AND FRIENDS' POSITIVE INFLUENCE FACILITATED TRIAL PARTICIPATION. AMONGST INTERVENTION PARTICIPANTS, READABILITY AND UNDERSTANDING OF THE PROGRAMME BOOKLETS, DISLIKE OF THE YOGA DIARY, POOR QUALITY YOGA MATS, DIFFICULTY IN USING THE PROGRAMME VIDEO, HOUSEHOLD COMMITMENT DURING HOME SESSIONS, UNPLANNED TRAVEL, DIFFICULTY IN PRACTISING YOGA POSES, HESITATION IN ATTENDING PROGRAMME SESSIONS WITH THE YOGA-DP INSTRUCTOR OF THE OPPOSITE SEX AND MIXED-SEX GROUP PROGRAMME SESSIONS WERE KEY BARRIERS TO INTERVENTION PARTICIPATION. ADEQUATE INFORMATION WAS PROVIDED ON T2DM PREVENTION AND SELF-CARE, GOOD VENUE AND OTHER SUPPORT PROVIDED FOR PROGRAMME SESSIONS, YOGA-DP INSTRUCTORS' POSITIVE BEHAVIOUR AND IMPROVEMENTS IN PHYSICAL AND MENTAL WELL-BEING FACILITATED INTERVENTION PARTICIPATION. IN CONCLUSION, WE IDENTIFIED AND EXPLORED PARTICIPANTS' TRIAL- AND INTERVENTION-RELATED BARRIERS AND FACILITATORS. WE IDENTIFIED AN ALMOST EQUAL NUMBER OF BARRIERS (N = 12) AND FACILITATORS (N = 13); HOWEVER, INTERVENTION-RELATED BARRIERS AND FACILITATORS WERE GREATER THAN FOR PARTICIPATING IN THE TRIAL. THESE FINDINGS WILL INFORM THE DESIGN OF THE PLANNED DEFINITIVE RCT DESIGN AND INTERVENTION AND CAN ALSO BE USED TO DESIGN OTHER YOGA INTERVENTIONS AND RCTS. 2022 3 2763 24 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 4 2346 26 USING REALIST EVALUATION TO UNDERSTAND PROCESS OUTCOMES IN A COVID-19-IMPACTED YOGA INTERVENTION TRIAL: A WORKED EXAMPLE. REALIST EVALUATION OFFERS A VALUABLE WAY TO UNDERSTAND HOW INTERVENTIONS FUNCTION AND THUS HOW THEY CAN BE IMPROVED AND LOCALLY ADAPTED. CONSEQUENTLY, REALIST EVALUATION IS INCREASINGLY CONDUCTED IN PARALLEL WITH INTERVENTION TRIALS. IT COMPRISES A CLEAR PHILOSOPHICAL FOUNDATION AND VIEW OF CAUSALITY, PRAGMATIC MIXED DATA COLLECTION METHODS, AND A THEORY-DRIVEN APPROACH IN WHICH HYPOTHESISED PROGRAM THEORIES ARE TESTED AND REFINED. HOWEVER, DETAILED METHODS FOR DATA ANALYSIS ARE SELDOM WELL-DESCRIBED IN REALIST STUDIES AND NO CLEAR METHOD FOR ANALYSING AND PRESENTING REALIST EVALUATION DATA HAS YET EMERGED. IN THIS METHODOLOGICAL PAPER WE USE THE WORKED EXAMPLE OF OUR REALIST PROCESS EVALUATION OF THE SAGE YOGA TRIAL TO ILLUSTRATE AN APPLIED PROCESS OF DATA ANALYSIS AND PRESENTATION OF FINDINGS. WE SHOW HOW WE DREW ON OTHER REALIST STUDIES FOR IDEAS, PROVIDE EXAMPLES OF SIX KEY TASKS INVOLVED IN CONDUCTING A REALIST PROCESS EVALUATION (INCLUDING CODING DATA AND STRUCTURING RESULTS) AND DESCRIBE STRATEGIES THAT DID NOT WORK AND OUR RATIONALE FOR REJECTING THEM. THIS DETAILED ACCOUNT OF THE DECISIONS AND METHODS THAT WORKED FOR US IS INTENDED TO PROVIDE A PRACTICAL AND INFORMED POINT OF DEPARTURE FOR RESEARCHERS CONDUCTING A REALIST EVALUATION. 2021 5 1878 25 REALIZING YOGA'S ALL-ACCESS PASS: A SOCIAL JUSTICE CRITIQUE OF WESTERNIZED YOGA AND INCLUSIVE EMBODIMENT. IN THE 21(ST) CENTURY, THE ANCIENT MIND-BODY PRACTICE OF YOGA HAS SURGED IN POPULARITY AMONG WESTERN ENTHUSIASTS FOR ITS NUMEROUS HEALTH BENEFITS. PARTICULARLY, A GROWING EVIDENCE BASE SUPPORTS YOGA FOR CULTIVATING POSITIVE EMBODIMENT AND REDUCING RISK FOR DISORDERED EATING. NEVERTHELESS, AMIDST ITS RISE ARE CONCERNS ABOUT YOGA'S DEPARTURE FROM ITS SPIRITUAL FOUNDATIONS AND INCREASING ASSIMILATION INTO THE APPEARANCE- AND COMMERCIAL-DRIVEN EXERCISE AND FITNESS CULTURE. CONSEQUENTLY, AN EXCLUSIONARY IDENTITY HAS BEEN PERPETUATED IN SHAPING NORMS SURROUNDING WHO CAN AND DOES PRACTICE YOGA, WHICH CONTRADICTS EARLIER EGALITARIAN VISIONS OF A YOGA FOR ALL. THEREFORE, WE ADOPT A SOCIAL JUSTICE LENS IN OFFERING A FOCUSED ANALYSIS OF THE INTERSECTION OF YOGA, EMBODIMENT, AND INCLUSION FOR SELECT MARGINALIZED SOCIAL IDENTITIES TYPICALLY UNDERREPRESENTED AMONG YOGA PRACTITIONERS AND IN YOGA SCHOLARSHIP. DATA ARE SYNTHESIZED FROM BOTH QUALITATIVE AND QUANTITATIVE SOURCES AND INTEGRATE AN UNDERSTANDING OF HOW CONFINED MEDIA REPRESENTATIONS OF "THE YOGA BODY" AND OTHER PRACTICAL CONSTRAINTS MAY UNDERMINE THE PERCEIVED ACCESS TO THE PRACTICE FOR MEMBERS OF DIVERSE GROUPS. WE CONCLUDE WITH INVITING FUTURE CONSIDERATIONS TOWARDS FOSTERING MORE INTERDISCIPLINARY COMMUNITY-BASED RESEARCH PARTNERSHIPS AMONG THE VARIETY OF STAKEHOLDERS INVESTED IN ADVANCING THE ACCESSIBILITY AND INCLUSION OF YOGA AND POSITIVE EMBODIMENT FOR ALL BODIES. 2020 6 2304 21 TOWARD AN EXPLANATORY FRAMEWORK FOR YOGA THERAPY INFORMED BY PHILOSOPHICAL AND ETHICAL PERSPECTIVES. CONTEXT * YOGA THERAPY IS AN EMERGING COMPLEMENTARY AND INTEGRATIVE HEALTH PRACTICE FOR WHICH THERE IS INCREASING INTEREST FROM BOTH CLINICAL AND RESEARCH PERSPECTIVES. CURRENTLY MISSING, HOWEVER, IS AN EXPLANATORY FRAMEWORK FOR THE PROFESSION THAT PROVIDES PRACTITIONERS, CLIENTS, AND THE PUBLIC WITH AN UNDERSTANDING OF HOW VARIOUS YOGIC TRADITIONS AND PRINCIPLES CAN BE UNDERSTOOD IN MODERN HEALTH CARE CONTEXTS. OBJECTIVE * THIS STUDY PROPOSES AN EXPLANATORY FRAMEWORK FOR YOGA THERAPY, INFORMED BY PHENOMENOLOGY, EUDAIMONIA, VIRTUE ETHICS, AND FIRST-PERSON ETHICAL INQUIRY. CONCLUSIONS * THESE 4 PHILOSOPHICAL PERSPECTIVES-PHENOMENOLOGY, EUDAIMONIA, VIRTUE ETHICS, AND FIRST-PERSON ETHICAL INQUIRY-PROVIDE A LENS THROUGH WHICH TO UNDERSTAND HOW YOGIC PRACTICES SUPPORT THE INDIVIDUAL'S TRANSFORMATION IN THE EXPERIENCE OF ILLNESS, PAIN, OR DISABILITY. WE PROPOSE THAT THIS TRANSFORMATION OCCURS THROUGH FACILITATING A REHARMONIZATION OF BODY, MIND, AND ENVIRONMENT TOWARD THE EXPERIENCE OF EUDAIMONIC WELL-BEING. 2018 7 561 23 CREATING SPACE THROUGH AFRICA YOGA PROJECT: A QUALITATIVE STUDY. THIS QUALITATIVE ANALYSIS EXAMINED TEACHERS' EXPERIENCES OF THE AFRICA YOGA PROJECT (AYP), A MENTORING-ORIENTED YOGA PROGRAM FOR FOSTERING RESILIENCE AMONG INDIVIDUALS AND GROUPS IMPACTED BY POVERTY AND TRAUMA. INTERVIEWS CONDUCTED WITH AYP TEACHERS WERE CODED USING QUALITATIVE CONTENT ANALYSIS. THEMES DEMONSTRATED THAT AYP BENEFITED PARTICIPANTS BY CREATING S.P.A.C.E. (SAFETY AND STABILITY, PERSONAL GROWTH, ACTION, CULTURAL DIVERSITY, AND EMPOWERMENT). THE FINDINGS ILLUSTRATED WAYS IN WHICH THIS PROGRAM FOSTERED INDIVIDUAL AND COMMUNITY WELLNESS AND POSITIVE ENGAGEMENT. IMPLICATIONS ARE DISCUSSED INCLUDING THE POTENTIAL FOR PROVIDING YOGA AS A LOW-COST, SUSTAINABLE, AND EFFECTIVE INTERVENTION TO PROMOTE HEALTH, ECONOMIC SELF-SUFFICIENCY, AND COMMUNITY ENGAGEMENT IN DIVERSE SETTINGS WITH LIMITED RESOURCES. 2016 8 613 33 DEVELOPMENT OF A YOGA PROGRAM FOR TYPE-2 DIABETES PREVENTION (YOGA-DP) AMONG HIGH-RISK PEOPLE IN INDIA. INTRODUCTION: MANY INDIANS ARE AT HIGH-RISK OF TYPE-2 DIABETES MELLITUS (T2DM). YOGA IS AN ANCIENT INDIAN MIND-BODY DISCIPLINE, THAT HAS BEEN ASSOCIATED WITH IMPROVED GLUCOSE LEVELS AND CAN HELP TO PREVENT T2DM. THE STUDY AIMED TO SYSTEMATICALLY DEVELOP A YOGA PROGRAM FOR T2DM PREVENTION (YOGA-DP) AMONG HIGH-RISK PEOPLE IN INDIA USING A COMPLEX INTERVENTION DEVELOPMENT APPROACH. MATERIALS AND METHODS: AS PART OF THE INTERVENTION, WE DEVELOPED A BOOKLET AND A HIGH-DEFINITION VIDEO FOR PARTICIPANTS AND A MANUAL FOR YOGA-DP INSTRUCTORS. A SYSTEMATIC ITERATIVE PROCESS WAS FOLLOWED TO DEVELOP THE INTERVENTION AND INCLUDED FIVE STEPS: (I) A SYSTEMATIC REVIEW OF THE LITERATURE TO GENERATE A LIST OF YOGIC PRACTICES THAT IMPROVES BLOOD GLUCOSE LEVELS AMONG ADULTS AT HIGH-RISK OF OR WITH T2DM, (II) VALIDATION OF IDENTIFIED YOGIC PRACTICES BY YOGA EXPERTS, (III) DEVELOPMENT OF THE INTERVENTION, (IV) CONSULTATION WITH YOGA, EXERCISE, PHYSICAL ACTIVITY, DIET, BEHAVIOR CHANGE, AND/OR DIABETES EXPERTS ABOUT THE INTERVENTION, AND (V) PRETEST THE INTERVENTION AMONG YOGA PRACTITIONERS AND LAY PEOPLE (THOSE AT RISK OF T2DM AND HAD NOT PRACTICED YOGA BEFORE) IN INDIA. RESULTS: YOGA-DP IS A STRUCTURED LIFESTYLE EDUCATION AND EXERCISE PROGRAM, PROVIDED OVER A PERIOD OF 24 WEEKS. THE EXERCISE PART IS BASED ON YOGA AND INCLUDES SHITHILIKARANA VYAYAMA (LOOSENING EXERCISES), SURYA NAMASKAR (SUN SALUTATION EXERCISES), ASANA (YOGIC POSES), PRANAYAMA (BREATHING PRACTICES), AND DHYANA (MEDITATION) AND RELAXATION PRACTICES. ONCE PARTICIPANTS COMPLETE THE PROGRAM, THEY ARE STRONGLY ENCOURAGED TO MAINTAIN A HEALTHY LIFESTYLE IN THE LONG-TERM. CONCLUSIONS: WE SYSTEMATICALLY DEVELOPED A NOVEL YOGA PROGRAM FOR T2DM PREVENTION (YOGA-DP) AMONG HIGH-RISK PEOPLE IN INDIA. A MULTI-CENTER FEASIBILITY RANDOMIZED CONTROLLED TRIAL IS IN PROGRESS IN INDIA. 2020 9 148 28 A QUALITATIVE EXPLORATION OF IMPLEMENTATION FACTORS IN A SCHOOL-BASED MINDFULNESS AND YOGA PROGRAM: LESSONS LEARNED FROM STUDENTS AND TEACHERS. IDENTIFYING FACTORS RELEVANT FOR SUCCESSFUL IMPLEMENTATION OF SCHOOL-BASED INTERVENTIONS IS ESSENTIAL TO ENSURE THAT PROGRAMS ARE PROVIDED IN AN EFFECTIVE AND ENGAGING MANNER. THE PERSPECTIVES OF TWO KEY STAKEHOLDERS CRITICAL FOR IDENTIFYING IMPLEMENTATION BARRIERS AND FACILITATORS - STUDENTS AND THEIR CLASSROOM TEACHERS - MERIT ATTENTION IN THIS CONTEXT AND HAVE RARELY BEEN EXPLORED USING QUALITATIVE METHODS. THIS STUDY REPORTS QUALITATIVE PERSPECTIVES OF FIFTH AND SIXTH GRADE PARTICIPANTS AND THEIR TEACHERS OF A 16-WEEK SCHOOL-BASED MINDFULNESS AND YOGA PROGRAM IN THREE PUBLIC SCHOOLS SERVING LOW-INCOME URBAN COMMUNITIES. FOUR THEMES RELATED TO PROGRAM IMPLEMENTATION BARRIERS AND FACILITATORS EMERGED: PROGRAM DELIVERY FACTORS, PROGRAM BUY-IN, IMPLEMENTER COMMUNICATION WITH TEACHERS, AND INSTRUCTOR QUALITIES. FEEDBACK FROM STUDENTS AND TEACHERS IS DISCUSSED IN THE CONTEXT OF INFORMING IMPLEMENTATION, ADAPTATION, AND FUTURE DEVELOPMENT OF SCHOOL-BASED MINDFULNESS AND YOGA PROGRAMMING IN URBAN SETTINGS. 2017 10 2574 28 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 11 2032 26 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 12 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 13 10 25 "MAKING IT OKAY": PROFESSIONALS IN HIGH-STRESS ENVIRONMENTS CONSTRUCT THEIR UNDERSTANDING OF THE IMPACT OF A YOGA-BASED RETREAT DESIGNED TO BUILD RESILIENCE. PURPOSE: WHILE THERE IS GROWING EVIDENCE FOR RESILIENCE BUILDING PROGRAMMES, TO DATE RESEARCH HAS NOT EXPLORED HOW PROFESSIONALS CONSTRUCT UNDERSTANDING OF PROGRAMME IMPACT. RISE (RESILIENCE, INTEGRATION, SELF-AWARENESS, ENGAGEMENT), A 5-DAY YOGA-BASED RETREAT PROGRAMME, HAS BEEN LINKED WITH POSITIVE WELLNESS OUTCOMES. THIS QUALITATIVE INQUIRY EXPLORES PARTICIPANTS' REFLECTION AND EXPERIENCE 3 MONTHS AFTER PROGRAMME COMPLETION. METHODS: THROUGH A GROUNDED CONSTRUCTIVIST LENS, IN-DEPTH SEMI-STRUCTURED PHONE INTERVIEWS WERE CONDUCTED WITH 17 ADULT PROFESSIONALS IN HIGH-STRESS WORK ENVIRONMENTS WHO ATTENDED RISE. INITIAL HAND-CODING INFORMED CODEBOOK DEVELOPMENT FOR SYSTEMATIC CODING USING DIRECTED CONTENT ANALYSIS USING SENSITIZING STRUCTURING. RESULTS: TWO INTEGRATED PERCEPTIONS WOVEN THROUGH FIVE THEMES. PERSISTENT THREADS OF EXPERIENTIAL LEARNING AND SENSE OF PERMISSION PROVIDED STRUCTURE FOR THEMES FOUND. FIVE INTERRELATED THEMES RELATED TO PSYCHOLOGICAL HEALTH AND WORKPLACE DYNAMICS WERE (1) USE OF ACQUIRED BEHAVIOURAL SKILLS AND PRACTICES; (2) LIVED MINDFULNESS; (3) RESILIENCE TO STRESS AND EMOTION REGULATION (4) SELF-CARE AND SELF-COMPASSION, AND (5) SHARING WITH OTHERS. CONCLUSION: FINDINGS PROVIDE MEANINGFUL INTERPRETATION OF PREVIOUSLY REPORTED PROGRAMME EFFICACY BY CONTEXTUALIZING PERCEIVED BENEFITS WITHIN PARTICIPANTS' CONSTRUCTED UNDERSTANDING OF CHANGE. SPECIFICALLY, ENVIRONMENTAL, SOCIAL, AND EXPERIENTIAL CONSIDERATIONS HAVE SUGGESTED IMPLICATIONS FOR RESILIENCE BUILDING PROGRAMMES.ABBREVIATIONS: RISE (RESILIENCE, INTEGRATION, SELF-AWARENESS, ENGAGEMENT). 2022 14 2048 24 THE AFRICA YOGA PROJECT: A PARTICIPANT-DRIVEN CONCEPT MAP OF KENYAN TEACHERS' REPORTED EXPERIENCES. OBJECTIVE: THE AFRICA YOGA PROJECT (AYP) TRAINS AND FUNDS KENYANS TO TEACH COMMUNITY YOGA CLASSES. PRELIMINARY RESEARCH WITH A SMALL SAMPLE OF AYP TEACHERS SUGGESTED THE PROGRAM HAD A POSITIVE IMPACT. THIS STUDY USED CONCEPT MAPPING TO EXPLORE THE EXPERIENCES OF A LARGER SAMPLE. METHODS: PARTICIPANTS BRAINSTORMED STATEMENTS ABOUT HOW PRACTICING AND/OR TEACHING YOGA CHANGED THEM. THEY SORTED STATEMENTS INTO SELF-DEFINED PILES AND RATED THEM IN TERMS OF PERCEIVED IMPORTANCE. MULTIDIMENSIONAL SCALING (MDS) OF SORT DATA CALCULATED STATEMENT COORDINATES WHEREIN EACH STATEMENT IS PLACED IN PROXIMITY TO OTHER STATEMENTS AS A FUNCTION OF HOW FREQUENTLY STATEMENTS ARE SORTED TOGETHER BY PARTICIPANTS. THESE RESULTS ARE THEN AND MAPPED IN A TWO-DIMENSIONAL SPACE. HIERARCHICAL CLUSTER ANALYSIS (HCA) OF THESE DATA IDENTIFIED CLUSTERS (I.E., CONCEPTS) AMONG STATEMENTS. CLUSTER AVERAGE IMPORTANCE RATINGS GAVE THE CONCEPT MAP DEPTH AND INDICATED CONCEPT IMPORTANCE. BRIDGING ANALYSIS AND RESEARCHERS' CONCEPTUAL UNDERSTANDING OF YOGA LITERATURE FACILITATED HCA INTERPRETIVE DECISIONS. RESULTS: OF 72 AYP TEACHERS, 52 AND 48 TEACHERS PARTICIPATED IN BRAINSTORMING AND SORTING/RATING ACTIVITIES, RESPECTIVELY. TEACHERS BRAINSTORMED 93 STATEMENTS ABOUT HOW THEY HAD CHANGED. THE RESULTANT MDS STATEMENT MAP HAD ADEQUATE VALIDITY (STRESS VALUE = .29). HCA CREATED A 12-CLUSTER SOLUTION WITH THE FOLLOWING CONCEPTS OF PERCEIVED CHANGE: IDENTITY AS A YOGA TEACHER; PROSOCIAL DEVELOPMENT; EXISTENTIAL POSSIBILITY; GENUINE POSITIVE REGARD; VALUE AND RESPECT FOR OTHERS (HIGHEST IMPORTANCE); PRESENCE, ACCEPTANCE, AND COMPETENCE; SERVICE AND TRUST; NON-JUDGMENT AND EMOTION REGULATION (LOWEST IMPORTANCE); ENGAGEMENT AND CONNECTION; INTERPERSONAL EFFECTIVENESS; PSYCHOSOCIAL FUNCTIONING; AND PHYSICAL COMPETENCE AND SECURITY. CONCLUSIONS: TEACHERS PERCEIVED THE AYP AS FACILITATING CHANGE ACROSS PHYSICAL, MENTAL, AND SPIRITUAL DOMAINS. ADDITIONAL RESEARCH IS NEEDED TO QUANTIFY AND COMPARE THIS CHANGE TO OTHER HEALTH PROMOTION PROGRAM OUTCOMES. 2015 15 474 23 CLAIMING PEACEFUL EMBODIMENT THROUGH YOGA IN THE AFTERMATH OF TRAUMA. THE PURPOSE OF THIS STUDY WAS TO DESCRIBE THE EXPERIENCES OF PRACTICING YOGA AND ITS ROLE WITHIN PROCESSES OF HEALING FOR ADULT WOMEN WITH COMPLEX TRAUMA HISTORIES. USING A HERMENEUTIC PHENOMENOLOGICAL METHOD, DATA WERE ANALYZED FROM INTERVIEWS WITH 39 WOMEN. RESULTS SHOWED THAT THE CORE MEANING OF PARTICIPANTS' EXPERIENCE OF HEALING THROUGH YOGA IS CLAIMING PEACEFUL EMBODIMENT. THIS IS AN ONGOING PROCESS OCCURRING ON A CONTINUUM WHEREBY WOMEN EXPERIENCED IMPROVED CONNECTIONS WITH AND SENSE OF OWNERSHIP AND CONTROL OVER THEIR BODIES, EMOTIONS AND THOUGHTS, AND A GREATER SENSE OF WELL-BEING, CALMNESS, AND WHOLENESS IN THEIR BODIES AND MINDS. A NUMBER OF INTERCONNECTED ESSENTIAL THEMES RELATED TO THIS CORE MEANING WERE ALSO IDENTIFIED, ILLUMINATING PROCESSES THAT SUPPORTED CLAIMING PEACEFUL EMBODIMENT AND CAPABILITIES THAT WERE ENABLED BY BEING MORE PEACEFULLY EMBODIED. ADDITIONAL THEMES WERE IDENTIFIED HIGHLIGHTING FACTORS THAT FACILITATED OR IMPEDED PARTICIPANTS' ENGAGEMENT WITH YOGA AND THEIR EXPERIENCES OF HEALING THROUGH YOGA. 2015 16 2057 25 THE BENEFITS OF YOGA FOR ADULTS WITH TYPE 2 DIABETES: A REVIEW OF THE EVIDENCE AND CALL FOR A COLLABORATIVE, INTEGRATED RESEARCH INITIATIVE. TYPE 2 DIABETES (T2DM) IS A GLOBAL PUBLIC HEALTH CRISIS. RESEARCH SUGGESTS THAT YOGA HOLDS PROMISE FOR T2DM MANAGEMENT. THIS ARTICLE SUMMARIZES EVIDENCE REGARDING THE EFFICACY OF YOGA FOR T2DM MANAGEMENT AND ENCOURAGES THE DEVELOPMENT OF AN INTEGRATED RESEARCH AGENDA AND A COLLABORATIVE WORK GROUP TO TEST IT. WE PRESENT A BRIEF OVERVIEW OF THE GLOBAL RISE IN T2DM AND ITS CONSEQUENCES AND COSTS, REVIEW THE EVIDENCE REGARDING THE POTENTIAL BENEFITS OF YOGA FOR T2DM MANAGEMENT, OUTLINE LIMITATIONS IN THE LITERATURE, DISCUSS POSSIBLE MECHANISMS UNDERLYING THE EFFECTS OF YOGA ON T2DM, AND SUGGEST HOW A COLLABORATIVE, MULTINATIONAL EFFORT BY YOGA THERAPIST AND RESEARCH COMMUNITIES MIGHT CONTRIBUTE TO RESEARCH AND INFORM CLINICAL PRACTICE. YOGA PROTOCOLS THAT SERVE T2DM PATIENTS AND A RESEARCH FRAMEWORK FOR CREATING AN EVIDENCE BASE TO SUPPORT THE USE OF YOGA FOR T2DM MANAGEMENT ARE CLEARLY NEEDED. 2013 17 151 30 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 18 2781 27 YOGA THERAPY AND POLYVAGAL THEORY: THE CONVERGENCE OF TRADITIONAL WISDOM AND CONTEMPORARY NEUROSCIENCE FOR SELF-REGULATION AND RESILIENCE. YOGA THERAPY IS A NEWLY EMERGING, SELF-REGULATING COMPLEMENTARY AND INTEGRATIVE HEALTHCARE (CIH) PRACTICE. IT IS GROWING IN ITS PROFESSIONALIZATION, RECOGNITION AND UTILIZATION WITH A DEMONSTRATED COMMITMENT TO SETTING PRACTICE STANDARDS, EDUCATIONAL AND ACCREDITATION STANDARDS, AND PROMOTING RESEARCH TO SUPPORT ITS EFFICACY FOR VARIOUS POPULATIONS AND CONDITIONS. HOWEVER, HETEROGENEITY OF PRACTICE, POOR REPORTING STANDARDS, AND LACK OF A BROADLY ACCEPTED UNDERSTANDING OF THE NEUROPHYSIOLOGICAL MECHANISMS INVOLVED IN YOGA THERAPY LIMITS THE STRUCTURING OF TESTABLE HYPOTHESES AND CLINICAL APPLICATIONS. CURRENT PROPOSED FRAMEWORKS OF YOGA-BASED PRACTICES FOCUS ON THE INTEGRATION OF BOTTOM-UP NEUROPHYSIOLOGICAL AND TOP-DOWN NEUROCOGNITIVE MECHANISMS. IN ADDITION, IT HAS BEEN PROPOSED THAT PHENOMENOLOGY AND FIRST PERSON ETHICAL INQUIRY CAN PROVIDE A LENS THROUGH WHICH YOGA THERAPY IS VIEWED AS A PROCESS THAT CONTRIBUTES TOWARDS EUDAIMONIC WELL-BEING IN THE EXPERIENCE OF PAIN, ILLNESS OR DISABILITY. IN THIS ARTICLE WE BUILD ON THESE FRAMEWORKS, AND PROPOSE A MODEL OF YOGA THERAPY THAT CONVERGES WITH POLYVAGAL THEORY (PVT). PVT LINKS THE EVOLUTION OF THE AUTONOMIC NERVOUS SYSTEM TO THE EMERGENCE OF PROSOCIAL BEHAVIORS AND POSITS THAT THE NEURAL PLATFORMS SUPPORTING SOCIAL BEHAVIOR ARE INVOLVED IN MAINTAINING HEALTH, GROWTH AND RESTORATION. THIS EXPLANATORY MODEL WHICH CONNECTS NEUROPHYSIOLOGICAL PATTERNS OF AUTONOMIC REGULATION AND EXPRESSION OF EMOTIONAL AND SOCIAL BEHAVIOR, IS INCREASINGLY UTILIZED AS A FRAMEWORK FOR UNDERSTANDING HUMAN BEHAVIOR, STRESS AND ILLNESS. SPECIFICALLY, WE DESCRIBE HOW PVT CAN BE CONCEPTUALIZED AS A NEUROPHYSIOLOGICAL COUNTERPART TO THE YOGIC CONCEPT OF THE GUNAS, OR QUALITIES OF NATURE. SIMILAR TO THE NEURAL PLATFORMS DESCRIBED IN PVT, THE GUNAS PROVIDE THE FOUNDATION FROM WHICH BEHAVIORAL, EMOTIONAL AND PHYSICAL ATTRIBUTES EMERGE. WE DESCRIBE HOW THESE TWO DIFFERENT YET ANALOGOUS FRAMEWORKS-ONE BASED IN NEUROPHYSIOLOGY AND THE OTHER IN AN ANCIENT WISDOM TRADITION-HIGHLIGHT YOGA THERAPY'S PROMOTION OF PHYSICAL, MENTAL AND SOCIAL WELLBEING FOR SELF-REGULATION AND RESILIENCE. THIS PARALLEL BETWEEN THE NEURAL PLATFORMS OF PVT AND THE GUNAS OF YOGA IS INSTRUMENTAL IN CREATING A TRANSLATIONAL FRAMEWORK FOR YOGA THERAPY TO ALIGN WITH ITS PHILOSOPHICAL FOUNDATIONS. CONSEQUENTLY, YOGA THERAPY CAN OPERATE AS A DISTINCT PRACTICE RATHER THAN FITTING INTO AN OUTSIDE MODEL FOR ITS UTILIZATION IN RESEARCH AND CLINICAL CONTEXTS. 2018 19 2037 21 TELE-YOGA THERAPY FOR COMMON MENTAL HEALTH DISORDERS: NEED FOR ASSESSMENT TOOL AND GUIDELINES. INTRODUCTION: TELE-YOGA IS A COST-EFFECTIVE METHOD OF TEACHING YOGA USING CLOUD TECHNOLOGY TO RELAY FROM ONE SOURCE (TRAINER'S VENUE) TO MULTI-POINT VIDEO CONFERENCING CENTERS (PARTICIPANTS' HOMES). HOWEVER, THERE IS A NEED TO ASSESS THE TELE-YOGA TRAINER AND THE TRAINING ITSELF TO ENSURE SAFETY AND EFFECTIVENESS. MATERIALS AND METHODS: THE TELE-YOGA TRAINERS ASSESSMENT (TYTA) TOOL WAS DEVELOPED THROUGH (A) REVIEW OF EXISTING TOOLS, (B) KEY INFORMANT INTERVIEWS, AND (C) VALIDATION BY EXPERTS. IT WAS TESTED FOR ITS FEASIBILITY IN SIX PERSONS WITH COMMON MENTAL DISORDERS. A TRAINED YOGA THERAPIST CONDUCTED TELE-YOGA THERAPY SESSIONS WHICH WAS WEBCAST FROM NIMHANS INTEGRATED CENTER FOR YOGA TO NIMHANS CENTER FOR WELL-BEING FOR THE FIRST 15 DAYS AND TO THE RESPECTIVE HOMES OF THE PARTICIPANTS USING "SKYPE" IN THE REMAINING 15 DAYS. PARTICIPANTS WERE ASSESSED ON (A) MENTAL WELL-BEING, (B) SATISFACTION WITH OVERALL HEALTH AND WERE ADMINISTERED THE (C) TYTA TOOL ON THE 1(ST), 15(TH), AND 30(TH) DAY. RESULTS: THE TYTA WAS EASY TO ADMINISTER FOR ASSESSING THE PERFORMANCE OF THE YOGA TRAINER. THE QUALITATIVE CASE REPORTS OF INDIVIDUAL PARTICIPANTS DEPICTED THAT OVER 30 DAYS, MENTAL WELL-BEING AND SATISFACTION WITH OVERALL HEALTH IMPROVED TRAINER'S PERFORMANCE. CONCLUSION: TELE-YOGA THERAPY IS FEASIBLE WITH MINIMUM TECHNOLOGY AND AVAILABILITY OF GOOD INTERNET ACCESS AT THE RELAY AND RECEPTION SITE. THE TRAINER MUST BE ASSESSED FOR HIS/HER SUITABILITY AND BE PROVIDED GUIDELINES FOR ACHIEVING DESIRED OUTCOMES. 2021 20 2807 24 YOGA THERAPY RESEARCH: A WHOLE-SYSTEMS PERSPECTIVE ON COMPARATIVE EFFECTIVENESS AND PATIENT-CENTERED OUTCOMES. FOR THE YOGA RESEARCH COMMUNITY TO CAPITALIZE ON ITS CURRENT MOMENTUM, IT IS CRITICAL TO CONSIDER CERTAIN DEVELOPMENTS IN RESEARCH THEORY AND INNOVATIVE METHODOLOGIES. THE CONCEPT OF MODEL VALIDITY MUST BE INCORPORATED IN YOGA THERAPY RESEARCH SO THAT EXPLANATORY CONSTRUCTS EMPLOYED AND OUTCOME MEASURES CHOSEN REFLECT THE PRINCIPLES OF TRADITIONAL YOGIC SCIENCE. FOCUSING ON EFFECTIVENESS RESEARCH WILL ENSURE MAXIMUM GENERALIZABILITY OF STUDY RESULTS AND REFLECT REAL-WORLD THERAPY DELIVERY SETTINGS, THEREBY INCREASING THE RELEVANCE OF OUTCOMES. WHOLE SYSTEMS OF HEALING REQUIRE RESEARCH METHODOLOGIES THAT ADDRESS COMPLEX RELATIONSHIPS BETWEEN MULTI-TARGET THERAPIES WITH MULTIPLE POTENTIAL TREATMENT RESULTS. COMPLEX, DYNAMIC SYSTEMS THEORY PROVIDES THE THEORETICAL AND METHODOLOGICAL INNOVATIONS NECESSARY TO DESIGN STUDIES, CHOOSE OUTCOMES, AND ANALYZE DATA IN A WAY THAT CAN ACCOUNT FOR CHARTING COMPLEX, CYCLICAL, THERAPEUTIC TRAJECTORIES ACROSS TIME. EMPHASIZING PATIENT-CENTERED OUTCOMES IS ALIGNED WITH THE PATENT-ORIENTED AND TAILORED NATURED OF YOGA THERAPY DELIVERY. INCREASING THE QUALITY AND QUANTITY OF COMPARATIVE EFFECTIVENESS RESEARCH TO ANALYZE THE HARMS AND BENEFITS OF CONTRASTING THERAPIES CAN PROVIDE AN INFRASTRUCTURE FOR DESIGNING STUDIES THAT CAN HAVE SIGNIFICANT PRACTICAL IMPACT. THE CREATION OF PRACTICE-BASED RESEARCH NETWORKS WITHIN THE YOGA RESEARCH COMMUNITY WILL INCENTIVIZE LINKS BETWEEN MAINSTREAM CLINICAL RESEARCHERS AND YOGA THERAPY DELIVERY SETTINGS, ULTIMATELY DEVELOPING COLLABORATIVE NETWORKS. YOGA THERAPY CENTERS CAN FACILITATE PATIENT RECRUITMENT FOR STUDIES AND INFORM STANDARDS FOR YOGA RESEARCHERS. COLLABORATIVE EFFORTS BETWEEN THE YOGA AND AYURVEDIC RESEARCH COMMUNITIES WILL STREAMLINE EFFORTS, SOLIDIFY EXPERTISE, CROSS-POLLINATE THEORETICAL AND METHODOLOGICAL INNOVATION, AND CONSOLIDATE EFFORTS TO SECURE RESEARCH FUNDING AND INCREASE PUBLICATION AND DISSEMINATION OF STUDY FINDINGS. 2015