1 1181 107 EVALUATION OF THE FEASIBILITY OF A HOME-BASED TELEYOGA INTERVENTION IN PARTICIPANTS WITH BOTH CHRONIC OBSTRUCTIVE PULMONARY DISEASE AND HEART FAILURE. OBJECTIVE: TEST THE FEASIBILITY AND CLINICAL OUTCOMES OF A HOME-BASED VIDEOCONFERENCING YOGA INTERVENTION IN PARTICIPANTS DIAGNOSED WITH BOTH CHRONIC OBSTRUCTIVE PULMONARY DISEASE (COPD) AND HEART FAILURE (HF). BACKGROUND: YOGA HAS POTENTIAL BENEFIT FOR SYMPTOM RELIEF IN PARTICIPANTS WITH COPD AND WITH HF; HOWEVER, FUNCTIONAL IMPAIRMENT AND TRANSPORTATION ISSUES CAN HINDER ACCESS TO TYPICAL YOGA CLASSES. METHODS: A CONTROLLED, NONRANDOMIZED TRIAL WAS CONDUCTED OF AN 8-WEEK TELEYOGA INTERVENTION VERSUS AN EDUCATIONAL CONTROL (INFORMATION LEAFLETS MAILED TO PARTICIPANTS WITH ONE WEEKLY PHONE CALL). ONE-HOUR TELEYOGA CLASSES WERE IMPLEMENTED TWICE WEEKLY VIA MULTIPOINT VIDEOCONFERENCING, WHICH CONNECTED PARTICIPANTS TO LIVE CLASSES VIA AN INTERNET CONNECTION TO THEIR TELEVISIONS. RESULTS: FOURTEEN PARTICIPANTS WITH COPD AND HF TOOK PART IN THE PILOT STUDY (7 IN THE INTERVENTION GROUP AND 8 IN THE CONTROL). INTERVENTION PARTICIPANTS WERE ADHERENT TO CLASSES, ABLE TO SAFELY PARTICIPATE, AND FOUND THE CLASSES ENJOYABLE AFTER THE 8-WEEK PROGRAM. DYSPNEA AFTER EXERCISE IMPROVED IN THE INTERVENTION GROUP. CONCLUSIONS: DESPITE THEIR FRAILTY, PATIENTS DIAGNOSED WITH BOTH COPD AND HF WERE ABLE TO PERFORM YOGA SAFELY IN THE HOME SETTING. TELEYOGA WAS ACCEPTABLE AND ADHERENCE WAS GOOD; HOWEVER, TECHNICAL ISSUES WERE AN IMPORTANT HINDRANCE TO PARTICIPATION.	2017	
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
2 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	
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
3  440  18 CASE REPORT: THE USE OF MEDICAL YOGA FOR ADOLESCENT MENTAL HEALTH. MENTAL HEALTH ISSUES ARE EPIDEMIC AMONG YOUTH IN THE UNITED STATES TODAY. RECENT STUDIES SUGGEST THAT UP TO 50% OF ALL TEENAGERS HAVE COMPLAINTS RELATED TO STRESS, ANXIETY, AND/OR DEPRESSION. THIS PROBLEM IS ACCOMPANIED BY AN UNPRECEDENTED RISE IN THE RATES OF CHILD AND TEEN SUICIDE IN THE UNITED STATES. IN RESPONSE TO THIS EPIDEMIC, THE AMERICAN ACADEMY OF PEDIATRICS IS RECOMMENDING UNIVERSAL DEPRESSION SCREENING FOR ALL TEENS. MEDICATIONS ARE AVAILABLE TO AMELIORATE MENTAL HEALTH DISORDERS, AND MANY CAN BE SAFELY USED IN THE PRIMARY CARE SETTING. HOWEVER, MANY OF THESE MEDICATIONS HAVE UNWANTED SIDE EFFECTS OR MAY NOT BE FAMILIAR TO THE PRIMARY CARE PHYSICIAN. FOR THESE REASONS AND OTHERS, PRIMARY CARE PHYSICIANS REQUIRE ADDITIONAL APPROACHES TO RESPOND TO THE CHALLENGES IMPOSED BY A GROWING NUMBER OF PATIENTS REQUIRING MENTAL HEALTH SUPPORT. MEDICAL YOGA THERAPY, PRESCRIBED BY A PHYSICIAN WITH SPECIAL YOGA THERAPY TRAINING, OFFERS A SAFE AND EFFECTIVE WAY TO SERVE THE PATIENT WITH PHYSICAL OR MENTAL CHALLENGES DISABILITIES. MEDICAL YOGA THERAPY IS AN INDIVIDUALIZED AND PERSONAL APPROACH TO THE PATIENT, AND IT MAY BE INTEGRATED WITH ANY CURRENT THERAPY OR MEDICAL REGIMEN. HERE, EVIDENCE FOR MEDICAL YOGA IS REVIEWED IN THE CONTEXT OF AN ADOLESCENT PATIENT WITH A COMMON DISORDER. YOGA PRACTICES, WITH PARTICULAR FOCUS ON MINDFULNESS, OFFER A SAFE AND EFFECTIVE INTERVENTION FOR A GROWING NUMBER OF PEDIATRIC PATIENTS.	2019	
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
4  587  25 DETERMINING PHYSICAL THERAPISTS' READINESS FOR INTEGRATING YOGA THERAPEUTICS INTO REHABILITATION. THE POSITIVE HEALTH EFFECTS OF YOGA HAVE LED PHYSICAL THERAPISTS (PTS) TO INTEGRATE ELEMENTS OF THE DISCIPLINE INTO THEIR TREATMENTS IN SOME SETTINGS. FORMAL PT EDUCATION INCLUDES LIMITED, IF ANY, TRAINING IN YOGA, AND THERE IS NO SYSTEM IN PLACE TO PROVIDE EDUCATION ON SAFELY IMPLEMENTING THERAPEUTIC YOGA (TY) AS AN ADJUNCTIVE TREATMENT APPROACH. THE PURPOSES OF THIS STUDY WERE TO: (1) ASSESS THE READINESS OF PTS (THOSE WHO DO NOT CURRENTLY PRESCRIBE TY TO PATIENTS) TO INTEGRATE TY INTO TREATMENT, AND (2) DETERMINE THE FEASIBILITY OF A 5-WEEK ONLINE TY TRAINING TO IMPROVE THE READINESS OF PTS TO UTILIZE TY IN THEIR PRACTICES. LICENSED PTS (N = 103) WERE RECRUITED NATIONALLY THROUGH SOCIAL MEDIA AND EMAIL. ELIGIBLE AND CONSENTED PTS REGISTERED FOR A 5-WEEK ONLINE TY TRAINING COURSE. PTS' PERCEPTIONS OF TY AND THE ROLE OF SAFETY AND CONFIDENCE IN PRESCRIBING TY TO PATIENTS WERE MEASURED AT BASELINE AND POSTINTERVENTION. FEASIBILITY OUTCOMES WERE MEASURED AFTER COMPLETION OF THE COURSE. BENCHMARKS INCLUDED: (1) > 70% OF PTS WOULD FIND THE COURSE ACCEPTABLE; (2) > 60% WOULD FINISH THE COURSE; AND (3) THERE WOULD BE SIGNIFICANT IMPROVEMENTS IN PTS' PERCEPTIONS OF TY. A TOTAL OF 95 ELIGIBLE PTS CONSENTED AND REGISTERED FOR THE COURSE, WITH 60 (63.1%) COMPLETING THE INTERVENTION. PRIOR TO THE TRAINING, MOST PTS FELT THEY WERE NOT READY (N = 19/60, 31.7%) OR SOMEWHAT READY (N = 25/60, 41.7%) TO INTEGRATE TY. MORE THAN HALF THOUGHT THE ONLINE TRAINING WAS ACCEPTABLE (N = 50/60, 83.3%) AND FINISHED THE COURSE (N = 60/95, 63.1%). THERE WERE SIGNIFICANT IMPROVEMENTS IN PERSONAL READINESS AND CONFIDENCE TO SAFELY PRESCRIBE TY, CURRENT UNDERSTANDING/KNOWLEDGE OF TY, AND FEELING ADEQUATELY TRAINED TO USE SOME FORM OF TY WITH PATIENTS. A 5-WEEK ONLINE TY TRAINING COURSE IS FEASIBLE TO DELIVER FOR IMPROVING PTS' READINESS TO PRESCRIBE TY. FUTURE STUDIES ARE PROPOSED TO TEST THE EFFECTIVENESS OF TY TRAINING AND EDUCATION WITH PTS.	2020	
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
5 2243  30 THE INFLUENCE OF TAI CHI AND YOGA ON BALANCE AND FALLS IN A RESIDENTIAL CARE SETTING: A RANDOMISED CONTROLLED TRIAL. ABSTRACT FALLS AMONGST OLDER PEOPLE IS A GLOBAL PUBLIC HEALTH CONCERN. WHILST FALLING IS NOT A TYPICAL FEATURE OF AGEING, OLDER PEOPLE ARE MORE LIKELY TO FALL. FALL INJURIES AMONGST OLDER PEOPLE ARE A LEADING CAUSE OF DEATH AND DISABILITY. MANY OLDER PEOPLE DO NOT DO REGULAR EXERCISE SO THAT THEY LOSE MUSCLE TONE, STRENGTH, AND FLEXIBILITY WHICH AFFECT BALANCE AND PREDISPOSE THEM TO FALLS. THE MANAGEMENT OF FALLS IN RESIDENTIAL CARE SETTINGS IS A MAJOR CONCERN WITH STRATEGIES FOR PREVENTION AND MONITORING A FOCUS IN THIS SETTING. YOGA AND TAI CHI HAVE SHOWN POTENTIAL TO IMPROVE BALANCE AND PREVENT FALLS IN OLDER ADULTS. THEY ALSO HAVE POTENTIAL TO IMPROVE PAIN AND QUALITY OF LIFE. THE AIM OF THIS STUDY WAS TO DETERMINE THE FEASIBILITY OF CONDUCTING A 3-ARM RCT WITH FRAIL OLDER PEOPLE IN A RESIDENTIAL CARE SETTING TO TEST THE HYPOTHESIS THAT A 14 WEEK MODIFIED TAI CHI OR YOGA PROGRAM IS MORE EFFECTIVE THAN USUAL CARE ACTIVITY IN IMPROVING BALANCE FUNCTION, QUALITY OF LIFE, PAIN EXPERIENCE AND IN REDUCING NUMBER OF FALLS. THERE WERE NO STATISTICALLY SIGNIFICANT DIFFERENCES BETWEEN THE THREE GROUPS IN THE OCCURRENCE OF FALLS. YOGA DEMONSTRATED A SLIGHT DECREASE IN FALL INCIDENCE; QUALITY OF LIFE IMPROVED FOR THE TAI CHI GROUP. ONLY THE YOGA GROUP EXPERIENCED A REDUCTION IN AVERAGE PAIN SCORES THOUGH NOT STATISTICALLY SIGNIFICANT. THE FINDINGS OF THE STUDY SUGGEST IT IS POSSIBLE TO SAFELY IMPLEMENT MODIFIED YOGA AND TAI CHI IN A RESIDENTIAL CARE SETTING AND EVALUATE THIS USING RCT DESIGN. THEY SHOW POSITIVE CHANGES TO BALANCE, PAIN AND QUALITY OF LIFE AND A HIGH LEVEL OF INTEREST THROUGH ATTENDANCE AMONGST THE OLDER PARTICIPANTS. THE RESULTS SUPPORT OFFERING TAI CHI AND YOGA TO OLDER PEOPLE WHO ARE FRAIL AND DEPENDENT WITH PHYSICAL AND COGNITIVE LIMITATIONS.	2014	
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
6 1711  25 PERCEIVED BENEFITS AND BARRIERS TO YOGA PARTICIPATION AFTER STROKE: A FOCUS GROUP APPROACH. BACKGROUND: AND PURPOSE: THERE IS INCREASING EVIDENCE TO SUGGEST YOGA CAN BE BENEFICIAL TO HEALTH AND WELLBEING AFTER STROKE. THE PURPOSE OF THIS STUDY WAS TO IDENTIFY PERCEIVED BENEFITS AND BARRIERS TO YOGA PARTICIPATION AMONG ADULTS WITH CHRONIC STROKE. MATERIALS AND METHODS: TWENTY-SIX COMMUNITY DWELLING ADULTS (14 FEMALE, 12 MALE) WHO WERE AT LEAST 6-MONTHS POST-STROKE PARTICIPATED IN FOUR FOCUS GROUPS HELD AT LOCAL STROKE RECOVERY MEETINGS. DATA WAS RECORDED AND TRANSCRIPTS WERE ANALYSED THEMATICALLY. RESULTS: PARTICIPANTS IDENTIFIED WHOLE BODY BENEFITS, THE RETURN OF CONNECTION AND FEELING HEALTH IN MIND AS THE PRIMARY BENEFITS OF YOGA. PERCEIVED BARRIERS INCLUDED PHYSICAL BARRIERS TO PARTICIPATION, COGNITIVE CHALLENGES, ENVIRONMENTAL ACCESS, AND FINANCIAL LIMITATIONS. CONCLUSION: STROKE SURVIVORS PERCEIVE YOGA PRACTICE PROVIDES BENEFITS IN 'CONNECTEDNESS'. FUTURE INTERVENTIONS SHOULD RECOGNIZE THE IMPORTANCE OF YOGA INSTRUCTOR TRAINING, FOCUS ON THE MIND-BODY CONNECTION ASPECTS OF YOGA, AND MODIFYING ACTIVITIES TO SAFELY ACCOMMODATE THE PHYSICAL ABILITIES OF THE PARTICIPANTS.	2019	
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
7 1903  31 RESULTS FROM A CLINICAL YOGA PROGRAM FOR VETERANS: YOGA VIA TELEHEALTH PROVIDES COMPARABLE SATISFACTION AND HEALTH IMPROVEMENTS TO IN-PERSON YOGA. BACKGROUND: YOGA IS INCREASINGLY POPULAR, THOUGH LITTLE DATA REGARDING ITS IMPLEMENTATION IN HEALTHCARE SETTINGS IS AVAILABLE. SIMILARLY, TELEHEALTH IS BEING UTILIZED MORE FREQUENTLY TO INCREASE ACCESS TO HEALTHCARE; HOWEVER WE KNOW OF NO RESEARCH ON THE ACCEPTABILITY OR EFFECTIVENESS OF YOGA DELIVERED THROUGH TELEHEALTH. THEREFORE, WE EVALUATED THE FEASIBILITY, ACCEPTABILITY, AND PATIENT-REPORTED EFFECTIVENESS OF A CLINICAL YOGA PROGRAM AT A VETERANS AFFAIRS MEDICAL CENTER AND ASSESSED WHETHER THESE OUTCOMES DIFFERED BETWEEN THOSE PARTICIPATING IN-PERSON AND THOSE PARTICIPATING VIA TELEHEALTH. METHODS: VETERANS WHO ATTENDED A YOGA CLASS AT THE VA PALO ALTO HEALTH CARE SYSTEM WERE INVITED TO COMPLETE AN ANONYMOUS PROGRAM EVALUATION SURVEY. RESULTS: 64 VETERANS COMPLETED THE SURVEY. PARTICIPANTS REPORTED HIGH SATISFACTION WITH THE CLASSES AND THE INSTRUCTORS. MORE THAN 80% OF PARTICIPANTS WHO ENDORSED A PROBLEM WITH PAIN, ENERGY LEVEL, DEPRESSION, OR ANXIETY REPORTED IMPROVEMENT IN THESE SYMPTOMS. THOSE WHO PARTICIPATED VIA TELEHEALTH DID NOT DIFFER FROM THOSE WHO PARTICIPATED IN-PERSON IN ANY MEASURE OF SATISFACTION, OVERALL IMPROVEMENT (P = .40), OR IMPROVEMENT IN ANY OF 16 SPECIFIC HEALTH PROBLEMS. CONCLUSIONS: DELIVERING YOGA TO A WIDE RANGE OF PATIENTS WITHIN A HEALTHCARE SETTING APPEARS TO BE FEASIBLE AND ACCEPTABLE, BOTH WHEN DELIVERED IN-PERSON AND VIA TELEHEALTH. PATIENTS IN THIS CLINICAL YOGA PROGRAM REPORTED HIGH LEVELS OF SATISFACTION AND IMPROVEMENT IN MULTIPLE PROBLEM AREAS. THIS PRELIMINARY EVIDENCE FOR THE EFFECTIVENESS OF A CLINICAL YOGA PROGRAM COMPLEMENTS PRIOR EVIDENCE FOR THE EFFICACY OF YOGA AND SUPPORTS THE USE OF YOGA IN HEALTHCARE SETTINGS.	2017	
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
8   12  31 "MERGING YOGA AND OCCUPATIONAL THERAPY (MY-OT): A FEASIBILITY AND PILOT STUDY". OBJECTIVE: TO EXAMINE THE FEASIBILITY AND BENEFITS OF THE MERGING YOGA AND OCCUPATIONAL THERAPY (MY-OT) INTERVENTION. DESIGN: THIS IS THE PRIMARY ANALYSIS OF A NON-CONTROLLED PRETEST-POSTTEST PILOT STUDY TO UNDERSTAND THE FEASIBILITY AND IMPACT OF MY-OT ON BALANCE, BALANCE SELF-EFFICACY, AND FALL RISK FACTOR MANAGEMENT IN PEOPLE WITH CHRONIC STROKE. SETTING: UNIVERSITY RESEARCH LABORATORY. PARTICIPANTS: PEOPLE WITH CHRONIC STROKE WERE INCLUDED IN THE STUDY IF THEY: HAD SUSTAINED A FALL OR HAD FEAR OF FALLING, WERE ABLE TO STAND, AND HAND IMPAIRED BALANCE AND WERE AT RISK FOR FALLS (</=46 ON THE BERG BALANCE SCALE (BBS)). INTERVENTIONS: INDIVIDUALS COMPLETED AN 8 WEEK INTERVENTION THAT INCLUDED 16 SESSIONS OF BOTH YOGA AND GROUP OCCUPATIONAL THERAPY (OT). YOGA INCLUDED PHYSICAL POSTURES, BREATHING EXERCISES, AND MEDITATION. OT FOCUSED ON POST-STROKE FALL RISK FACTOR MANAGEMENT. MAIN OUTCOME MEASURES: THE BBS WAS USED TO ASSESS BALANCE, THE ACTIVITIES-SPECIFIC BALANCE CONFIDENCE SCALE (ABC) WAS USED TO MEASURE BALANCE SELF-EFFICACY. FIVE FALL RISK FACTOR MANAGEMENT SCALES WERE USED. RESULTS: OVERALL, THE INTERVENTION WAS CONSIDERED FEASIBLE, AS INDIVIDUALS WERE ABLE TO SAFELY COMPLETE THE INTERVENTION WITH LITTLE ATTRITION AND HIGH ATTENDANCE. BALANCE IMPROVED BY 30% (P=0.002). BALANCE SELF-EFFICACY IMPROVED BY 15% (P=0.034). EACH OF THE FIVE FALL RISK FACTOR MANAGEMENT SCALES IMPROVED, BUT ONLY TWO SIGNIFICANTLY IMPROVED (FALL PREVENTION AND MANAGEMENT QUESTIONNAIRE, 29%, P=0.004 AND FALL PREVENTION STRATEGY SURVEY, 42%, P=0.032). CONCLUSION: THE RESULTS DEMONSTRATE THAT MY-OT IS A POTENTIAL INTERVENTION TO IMPROVE MULTIPLE FALL RELATED OUTCOMES FOR PEOPLE WITH STROKE. THERAPISTS MAY CONSIDER THESE INTERVENTIONS FOR PEOPLE WITH STROKE, BUT ADDITIONAL RESEARCH IS WARRANTED.	2016	
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
9 1872  20 RAPID CONVERSION OF A GROUP-BASED YOGA TRIAL FOR DIVERSE OLDER WOMEN TO HOME-BASED TELEHEALTH: LESSONS LEARNED USING ZOOM TO DELIVER MOVEMENT-BASED INTERVENTIONS. THIS BRIEF REPORT DESCRIBES THE RAPID CONVERSION OF A RANDOMIZED TRIAL OF A HATHA-BASED YOGA PROGRAM FOR OLDER WOMEN WITH URINARY INCONTINENCE TO A TELEHEALTH VIDEOCONFERENCE PLATFORM DURING THE CORONAVIRUS DISEASE 2019 (COVID-19) PANDEMIC. INTERIM RESULTS DEMONSTRATE THE FEASIBILITY OF RECRUITING AND RETAINING PARTICIPANTS ACROSS A WIDE RANGE OF AGES AND ETHNIC BACKGROUNDS, BUT ALSO POINT TO POTENTIAL OBSTACLES AND SAFETY CONCERNS ARISING FROM TELEHEALTH-BASED INSTRUCTION. THE INVESTIGATORS PRESENT LESSONS LEARNED ABOUT THE BENEFITS AND CHALLENGES OF USING TELEHEALTH PLATFORMS TO DELIVER MOVEMENT-BASED INTERVENTIONS AND CONSIDER STRATEGIES TO PROMOTE ACCESSIBLE AND WELL-TOLERATED TELEHEALTH-BASED YOGA PROGRAMS FOR OLDER AND DIVERSE POPULATIONS. CLINICAL TRIAL REGISTRATION NUMBER: NCT03672461.	2022	
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
10 2360  32 VIDEOCONFERENCED YOGA INTERVENTIONS FOR CANCER PATIENTS AND THEIR CAREGIVERS DURING THE COVID-19 PANDEMIC: A REPORT FROM A CLINICIAN'S PERSPECTIVE. BACKGROUND: THE ACCEPTABILITY OF VIDEOCONFERENCING DELIVERY OF YOGA INTERVENTIONS IN THE ADVANCED CANCER SETTING IS RELATIVELY UNEXPLORED. THE CURRENT REPORT SUMMARIZES THE CHALLENGES AND SOLUTIONS OF THE TRANSITION FROM AN IN-PERSON (IE, FACE-TO-FACE) TO A VIDEOCONFERENCE INTERVENTION DELIVERY APPROACH IN RESPONSE TO THE CORONAVIRUS DISEASE PANDEMIC. METHOD: PARTICIPANTS INCLUDED PATIENT-FAMILY CAREGIVER DYADS WHO WERE ENROLLED IN ONGOING YOGA TRIALS AND 2 CERTIFIED YOGA THERAPISTS WHO DELIVERED THE YOGA SESSIONS. WE SUMMARIZED THEIR EXPERIENCES USING RECORDINGS OF THE YOGA SESSIONS AND INTERVENTIONISTS' PROGRESS NOTES. RESULTS: OUT OF 7 DYADS PARTICIPATING IN THE PARENT TRIAL, 1 DECLINED THE VIDEOCONFERENCED SESSIONS. PARTICIPANTS WERE BETWEEN THE AGES OF 55 AND 76 AND MOSTLY NON-HISPANIC WHITE (83%). PATIENTS WERE MAINLY MALE (83%), ALL HAD STAGE III OR IV CANCER AND WERE UNDERGOING RADIOTHERAPY. CAREGIVERS WERE ALL FEMALE. DESPITE CHALLENGES IN THE AREAS OF TECHNOLOGY, LOCATION, AND SETTING, INSTRUCTION AND PERSONAL CONNECTION, THE OVERALL ACCEPTABILITY WAS HIGH AMONG PATIENTS, CAREGIVERS, AND INSTRUCTORS. THROUGH THIS TRANSITION PROCESS, SOLUTIONS TO THESE CHALLENGES WERE FOUND, WHICH ARE DESCRIBED HERE. CONCLUSION: ALTHOUGH IN-PERSON INTERVENTIONS ARE FAVORED BY BOTH THE STUDY PARTICIPANTS AND THE INTERVENTIONISTS, VIDEOCONFERENCE SESSIONS WERE DEEMED ACCEPTABLE. ALL PARTICIPANTS HAD THE BENEFIT OF A PREVIOUS IN-PERSON EXPERIENCE, WHICH WAS HELPFUL AND PERHAPS NECESSARY FOR OLDER AND ADVANCED CANCER PATIENTS REQUIRING PRACTICE MODIFICATIONS. IN A REMOTE SETTING, THE ASSISTANCE OF CAREGIVERS SEEMS PARTICULARLY BENEFICIAL TO ENSURE PRACTICE SAFETY. CLINICALTRIALS.GOV: NCT03948100; NCT02481349.	2021	
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
11 2638  28 YOGA FOR VETERANS WITH CHRONIC LOW BACK PAIN: DESIGN AND METHODS OF A RANDOMIZED CLINICAL TRIAL. CHRONIC LOW BACK PAIN (CLBP) AFFLICTS MILLIONS OF PEOPLE WORLDWIDE, WITH PARTICULARLY HIGH PREVALENCE IN MILITARY VETERANS. MANY TREATMENT OPTIONS EXIST FOR CLBP, BUT MOST HAVE LIMITED EFFECTIVENESS AND SOME HAVE SIGNIFICANT SIDE EFFECTS. IN GENERAL POPULATIONS WITH CLBP, YOGA HAS BEEN SHOWN TO IMPROVE HEALTH OUTCOMES WITH FEW SIDE EFFECTS. HOWEVER, YOGA HAS NOT BEEN ADEQUATELY STUDIED IN MILITARY VETERAN POPULATIONS. IN THE CURRENT PAPER WE WILL DESCRIBE THE DESIGN AND METHODS OF A RANDOMIZED CLINICAL TRIAL AIMED AT EXAMINING WHETHER YOGA CAN EFFECTIVELY REDUCE DISABILITY AND PAIN IN US MILITARY VETERANS WITH CLBP. A TOTAL OF 144 US MILITARY VETERANS WITH CLBP WILL BE RANDOMIZED TO EITHER YOGA OR A DELAYED TREATMENT COMPARISON GROUP. THE YOGA INTERVENTION WILL CONSIST OF 2X WEEKLY YOGA CLASSES FOR 12WEEKS, COMPLEMENTED BY REGULAR HOME PRACTICE GUIDED BY A MANUAL. THE DELAYED TREATMENT GROUP WILL RECEIVE THE SAME INTERVENTION AFTER SIX MONTHS. THE PRIMARY OUTCOME IS THE CHANGE IN BACK PAIN-RELATED DISABILITY MEASURED WITH THE ROLAND-MORRIS DISABILITY QUESTIONNAIRE AT BASELINE AND 12-WEEKS. SECONDARY OUTCOMES INCLUDE PAIN INTENSITY, PAIN INTERFERENCE, DEPRESSION, ANXIETY, FATIGUE/ENERGY, QUALITY OF LIFE, SELF-EFFICACY, SLEEP QUALITY, AND MEDICATION USAGE. ADDITIONAL PROCESS AND/OR MEDIATIONAL FACTORS WILL BE MEASURED TO EXAMINE DOSE RESPONSE AND EFFECT MECHANISMS. ASSESSMENTS WILL BE CONDUCTED AT BASELINE, 6-WEEKS, 12-WEEKS, AND 6-MONTHS. ALL RANDOMIZED PARTICIPANTS WILL BE INCLUDED IN INTENTION-TO-TREAT ANALYSES. STUDY RESULTS WILL PROVIDE MUCH NEEDED EVIDENCE ON THE FEASIBILITY AND EFFECTIVENESS OF YOGA AS A THERAPEUTIC MODALITY FOR THE TREATMENT OF CLBP IN US MILITARY VETERANS.	2016	
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
12 2639  37 YOGA FOR VETERANS WITH CHRONIC LOW-BACK PAIN. OBJECTIVES: CHRONIC BACK PAIN AFFECTS A LARGE PROPORTION OF BOTH THE GENERAL POPULATION AND OF MILITARY VETERANS. ALTHOUGH NUMEROUS THERAPIES EXIST FOR TREATING CHRONIC BACK PAIN, THEY CAN BE COSTLY AND TEND TO HAVE LIMITED EFFECTIVENESS. THUS, DEMONSTRATING THE EFFICACY AND COST-EFFECTIVENESS OF ADDITIONAL TREATMENT ALTERNATIVES IS IMPORTANT. THE PURPOSE OF OUR STUDY WAS TO EXAMINE THE BENEFITS OF A YOGA INTERVENTION FOR VETERANS ADMINISTRATION (VA) PATIENTS. SUBJECTS/INTERVENTION: VA PATIENTS WITH CHRONIC BACK PAIN WERE REFERRED BY THEIR PRIMARY CARE PROVIDERS TO A YOGA PROGRAM AS PART OF CLINICAL CARE. BEFORE STARTING YOGA, A VA PHYSICIAN TRAINED IN YOGA EVALUATED EACH PATIENT TO ENSURE THAT THEY COULD PARTICIPATE SAFELY. DESIGN: THE RESEARCH STUDY CONSISTED OF COMPLETING A SHORT BATTERY OF QUESTIONNAIRES AT BASELINE AND AGAIN 10 WEEKS LATER. OUTCOME MEASURES: QUESTIONNAIRES INCLUDED MEASURES OF PAIN, DEPRESSION, ENERGY/FATIGUE, HEALTH-RELATED QUALITY OF LIFE, AND PROGRAM SATISFACTION. PAIRED T-TESTS WERE USED TO COMPARE BASELINE SCORES TO THOSE AT THE 10-WEEK FOLLOW-UP FOR THE SINGLE GROUP, PRE-POST DESIGN. CORRELATIONS WERE USED TO EXAMINE WHETHER YOGA ATTENDANCE AND HOME PRACTICE WERE ASSOCIATED WITH BETTER OUTCOMES. RESULTS: BASELINE AND FOLLOW-UP DATA WERE AVAILABLE FOR 33 PARTICIPANTS. PARTICIPANTS WERE VA PATIENTS WITH A MEAN AGE OF 55 YEARS. THEY WERE 21% FEMALE, 70% WHITE, 52% MARRIED, 68% COLLEGE GRADUATES, AND 44% WERE RETIRED. SIGNIFICANT IMPROVEMENTS WERE FOUND FOR PAIN, DEPRESSION, ENERGY/FATIGUE, AND THE SHORT FORM-12 MENTAL HEALTH SCALE. THE NUMBER OF YOGA SESSIONS ATTENDED AND THE FREQUENCY OF HOME PRACTICE WERE ASSOCIATED WITH IMPROVED OUTCOMES. PARTICIPANTS APPEARED HIGHLY SATISFIED WITH THE YOGA INSTRUCTOR AND MODERATELY SATISFIED WITH THE EASE OF PARTICIPATION AND HEALTH BENEFITS OF THE YOGA PROGRAM. CONCLUSIONS: PRELIMINARY DATA SUGGEST THAT A YOGA INTERVENTION FOR VA PATIENTS WITH CHRONIC BACK PAIN MAY IMPROVE THE HEALTH OF VETERANS. HOWEVER, THE LIMITATIONS OF A PRE-POST STUDY DESIGN MAKE CONCLUSIONS TENTATIVE. A LARGER RANDOMIZED, CONTROLLED TRIAL OF THE YOGA PROGRAM IS PLANNED.	2008	
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
13 1291  25 GROUP ACUPUNCTURE THERAPY WITH YOGA THERAPY FOR CHRONIC NECK, LOW BACK, AND OSTEOARTHRITIS PAIN IN SAFETY NET SETTING FOR AN UNDERSERVED POPULATION: DESIGN AND RATIONALE FOR A FEASIBILITY PILOT. CHRONIC PAIN IS PREVALENT IN THE UNITED STATES, WITH IMPACT ON PHYSICAL AND PSYCHOLOGICAL FUNCTIONING AS WELL AS LOST WORK PRODUCTIVITY. MINORITY AND LOWER SOCIOECONOMIC POPULATIONS HAVE INCREASED PREVALENCE OF CHRONIC PAIN WITH LESS ACCESS TO PAIN CARE, POORER OUTCOMES, AND HIGHER RISK OF FATAL OPIOID OVERDOSE. ACUPUNCTURE THERAPY IS EFFECTIVE IN TREATING CHRONIC PAIN CONDITIONS INCLUDING CHRONIC LOW BACK PAIN, NECK PAIN, SHOULDER PAIN, AND KNEE PAIN FROM OSTEOARTHRITIS. ACUPUNCTURE THERAPY, INCLUDING GROUP ACUPUNCTURE, IS FEASIBLE AND EFFECTIVE, AND SPECIFICALLY SO FOR UNDERSERVED AND DIVERSE POPULATIONS AT RISK FOR HEALTH OUTCOME DISPARITIES. ACUPUNCTURE THERAPY ALSO ENCOURAGES PATIENT ENGAGEMENT AND ACTIVATION. AS CHRONIC PAIN IMPROVES, THERE IS A NATURAL PROGRESSION TO WANT AND NEED TO INCREASE ACTIVITY AND MOVEMENT RECOVERY. DIVERSE MOVEMENT APPROACHES ARE IMPORTANT FOR IMPROVING RANGE OF MOTION, MAINTAINING GAINS, STRENGTHENING, AND PROMOTING PATIENT ENGAGEMENT AND ACTIVATION. YOGA THERAPY IS AN ACTIVE THERAPY WITH PROVEN BENEFIT IN MUSCULOSKELETAL PAIN DISORDERS AND PAIN ASSOCIATED DISABILITY. THE AIM OF THIS QUASI-EXPERIMENTAL PILOT FEASIBILITY TRIAL IS TO TEST THE BUNDLING OF THESE 2 EFFECTIVE CARE OPTIONS FOR CHRONIC PAIN, TO INFORM BOTH THE DESIGN FOR A LARGER RANDOMIZED PRAGMATIC EFFECTIVENESS TRIAL AS WELL AS IMPLEMENTATION STRATEGIES ACROSS UNDERSERVED SETTINGS.	2020	
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
14 2795  24 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	
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
15  336  70 APPROPRIATENESS AND ACCEPTABILITY OF A TELE-YOGA INTERVENTION FOR PEOPLE WITH HEART FAILURE AND CHRONIC OBSTRUCTIVE PULMONARY DISEASE: QUALITATIVE FINDINGS FROM A CONTROLLED PILOT STUDY. BACKGROUND: HEART FAILURE (HF) AND CHRONIC OBSTRUCTIVE PULMONARY DISEASE (COPD) ARE HIGHLY PREVALENT AND ASSOCIATED WITH A LARGE SYMPTOM BURDEN, THAT IS COMPOUNDED IN A DUAL HF-COPD DIAGNOSIS. YOGA HAS POTENTIAL BENEFIT FOR SYMPTOM RELIEF; HOWEVER FUNCTIONAL IMPAIRMENT HINDERS ACCESS TO USUAL YOGA CLASSES. WE DEVELOPED A TELE-YOGA INTERVENTION AND EVALUATED IT IN A CONTROLLED PILOT TRIAL. THIS PAPER REPORTS ON THE APPROPRIATENESS AND ACCEPTABILITY OF THE INTERVENTION AND THE EVALUATION DESIGN. METHODS: A CONTROLLED, NON-RANDOMISED TRIAL WAS CONDUCTED OF AN 8-WEEK TELE-YOGA INTERVENTION VERSUS AN EDUCATIONAL CONTROL (INFORMATION LEAFLETS MAILED TO PARTICIPANTS WITH ONE PHONE CALL A WEEK). BIWEEKLY ONE-HOUR TELE-YOGA CLASSES WERE IMPLEMENTED VIA MULTIPOINT VIDEOCONFERENCING THAT CONNECTED PARTICIPANTS TO LIVE CLASSES VIA AN INTERNET CONNECTION TO THEIR TELEVISIONS. SEMI-STRUCTURED QUALITATIVE INTERVIEWS WERE CONDUCTED WITH PARTICIPANTS POST STUDY EXIT TO EXPLORE REASONS FOR AND EXPERIENCES OF PARTICIPATING, INCLUDING VIEWS OF STUDY OUTCOME MEASURES AND PHYSIOLOGICAL TESTS. TRANSCRIBED INTERVIEWS WERE ANALYSED USING THEMATIC CONTENT ANALYSIS. RESULTS: FIFTEEN PEOPLE PARTICIPATED IN THE PILOT STUDY (7 IN THE INTERVENTION GROUP, 8 IN THE CONTROL). OF THESE, 12 PARTICIPANTS WERE INTERVIEWED, 6 IN EACH GROUP, MEAN AGE 71.2 YEARS (SD 10.09); 3 WERE MALE. THEMES ARE REPORTED IN THE FOLLOWING CATEGORIES: ACCEPTABILITY AND APPROPRIATENESS OF THE INTERVENTION, POTENTIAL ACTIVE INGREDIENTS OF THE INTERVENTION, ACCEPTABILITY AND APPROPRIATENESS OF THE CONTROL, PARTICIPATION IN THE RESEARCH, AND ACCEPTABILITY OF THE TESTING PROCEDURES. THE INTERVENTION WAS ACCEPTABLE AND APPROPRIATE: THE INTERVENTION GROUP REPORTED ENJOYING YOGA AND VALUING THE HOME-BASED ASPECT AND PARTICIPANTS DESCRIBED A HIGH SYMPTOM BURDEN AND SOCIAL ISOLATION. HOWEVER, TECHNOLOGICAL PROBLEMS RESULTED IN POOR VIDEO-STREAMING QUALITY FOR SOME PARTICIPANTS. POTENTIAL ACTIVE INGREDIENTS INCLUDED PHYSICAL POSTURES, BREATHING EXERCISES AND GUIDANCE IN RELAXATION AND MEDITATION. THE EDUCATIONAL CONTROL INTERVENTION WAS ACCEPTABLE AND APPROPRIATE, WITH PARTICIPANTS REPORTING LITTLE EFFECT ON THEIR WELL-BEING AND NO IMPACT ON MECHANISMS HYPOTHESISED TO EXPLAIN YOGA'S EFFECTIVENESS. THE QUESTIONNAIRES AND HOME PHYSIOLOGICAL TESTING WERE ACCEPTABLE TO PARTICIPANTS. CONCLUSIONS: TELE-YOGA IS AN ACCEPTABLE AND APPROPRIATE INTERVENTION IN PEOPLE WITH HF AND COPD AND FURTHER RESEARCH IS WARRANTED TO REFINE THE TECHNOLOGY USED IN ITS DELIVERY. FINDINGS PROVIDE GUIDANCE FOR RESEARCHERS WORKING IN TELE-INTERVENTIONS, YOGA, AND SIMILAR POPULATIONS. TRIAL REGISTRATION: CLINICALTRIALS.GOV IDENTIFIER: NCT02078739 (4 MARCH 2014).	2015	

16 2763  31 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	
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
17  122  33 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	
                                                                                                                                                                                                       
18 2574  20 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	
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
19  151  26 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	
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
20 2446  23 YOGA AND TAI CHI: A MIND-BODY APPROACH IN MANAGING RESPIRATORY SYMPTOMS IN OBSTRUCTIVE LUNG DISEASES. PURPOSE OF REVIEW: CHRONIC OBSTRUCTIVE PULMONARY DISEASE (COPD) IS CHARACTERIZED BY AIRFLOW LIMITATION BECAUSE OF AIRWAY AND/OR ALVEOLAR ABNORMALITIES. SYMPTOMS INCLUDE DYSPNEA, COUGH, CHRONIC SPUTUM PRODUCTION. AS THE THIRD-RANKED CAUSE OF DEATH AS WELL AS DISABILITY-ADJUSTED LIFE YEARS (DALYS), IT POSES A SIGNIFICANT BURDEN ON PATIENTS, FAMILIES, HEALTHCARE SYSTEM AND SOCIETY. REGULAR PHYSICAL ACTIVITY IS LINKED TO DECREASE IN MORBIDITY AND MORTALITY ASSOCIATED WITH COPD, BUT IMPLEMENTATION REMAINS CHALLENGING. THERE IS A NEED FOR COMMUNITY-BASED INTERVENTIONS THAT PROMOTE PHYSICAL ACTIVITY. YOGA AND TAI CHI ARE WIDELY AVAILABLE IN THE COMMUNITY AND HAVE BEEN SHOWN TO BE BENEFICIAL IN PATIENTS WITH COPD AS WELL AS MANY OF THE CO-MORBID CONDITIONS ASSOCIATED WITH COPD. RECENT FINDINGS: YOGA AND TAI CHI HAVE BEEN FOUND TO BE MORE EFFECTIVE THAN USUAL CARE IN COPD WITH CLINICALLY MEANINGFUL IMPROVEMENTS IN 6-MIN WALK DISTANCE (6MWD), FORCED EXPIRATORY VOLUME IN 1 S (FEV1), AND HEALTH-RELATED QUALITY OF LIFE (HRQOL). THEY HAVE ALSO BEEN FOUND TO BE COMPARABLE TO PULMONARY REHABILITATION INTERVENTIONS. SUMMARY: YOGA AND TAI CHI PROVIDE COMMUNITY-BASED OPTIONS FOR PATIENTS WITH COPD TO IMPROVE THEIR PHYSICAL ACTIVITY, QUALITY OF LIFE, AND PULMONARY FUNCTION.	2020