1 1234 117 FEASIBILITY AND RESULTS OF A CASE STUDY OF YOGA TO IMPROVE PHYSICAL FUNCTIONING IN PEOPLE WITH CHRONIC TRAUMATIC BRAIN INJURY. PURPOSE: THE PURPOSE OF THIS MIXED-METHODS CASE STUDY WAS TO INVESTIGATE WHETHER AN 8-WEEK 1:1 YOGA PROGRAM WAS FEASIBLE AND BENEFICIAL TO PEOPLE WITH TRAUMATIC BRAIN INJURY (TBI). METHOD: THIS WAS A MIXED-METHODS CASE STUDY OF ONE-TO-ONE YOGA FOR PEOPLE WITH TBI INCLUDED THREE PEOPLE. WE COMPLETED ASSESSMENTS BEFORE AND AFTER THE 8-WEEK YOGA INTERVENTION AND INCLUDED MEASURES OF BALANCE, BALANCE CONFIDENCE, PAIN, RANGE OF MOTION, STRENGTH AND MOBILITY. QUALITATIVE INTERVIEWS WERE INCLUDED AT THE POST-ASSESSMENT. WE INCLUDE A PERCENT CHANGE CALCULATION AND SALIENT QUOTES THAT REPRESENT THE PERCEIVED IMPACT OF THE YOGA INTERVENTION. RESULTS: ALL PARTICIPANTS COMPLETED THE YOGA INTERVENTION AND ALL DEMONSTRATED IMPROVEMENTS IN PHYSICAL OUTCOME MEASURES. FOR THE GROUP, BALANCE INCREASED BY 36%, BALANCE CONFIDENCE BY 39%, LOWER EXTREMITY STRENGTH BY 100% AND ENDURANCE BY 105%. QUALITATIVE DATA SUPPORT THE USE OF YOGA TO IMPROVE MULTIPLE ASPECTS OF PHYSICAL FUNCTIONING, ONE PARTICIPANT STATED: "I MEAN IT'S ROCKED MY WORLD. IT'S CHANGED MY LIFE. I MEAN ALL THE DIFFERENT ASPECTS. I MEAN PHYSICALLY, EMOTIONALLY, MENTALLY, IT'S GIVEN ME YOU KNOW MY LIFE BACK...". CONCLUSIONS: YOGA, DELIVERED IN A ONE-TO-ONE SETTING, APPEARS TO BE FEASIBLE AND BENEFICIAL TO PEOPLE WITH CHRONIC TBI. IMPLICATIONS FOR REHABILITATION: CHRONIC TRAUMATIC BRAIN INJURY (TBI) LEADS TO MANY ASPECTS OF PHYSICAL FUNCTIONING IMPAIRMENT. YOGA DELIVERED IN A ONE-TO-ONE SETTING MAY BE FEASIBLE AND BENEFICIAL FOR PEOPLE WITH CHRONIC TBI. 2016 2 395 31 BEST PRACTICES FOR ADAPTING AND DELIVERING COMMUNITY-BASED YOGA FOR PEOPLE WITH TRAUMATIC BRAIN INJURY IN THE UNITED STATES AND CANADA. EMERGING BENEFITS OF YOGA FOR TRAUMATIC BRAIN INJURY (TBI) SUGGEST THAT BROADER ACCESSIBILITY TO COMMUNITY-BASED YOGA PROGRAMMING IS IMPORTANT. THIS CROSS-SECTIONAL, MIXED METHODS STUDY SOUGHT TO IDENTIFY BEST PRACTICES FOR ADAPTING AND DELIVERING COMMUNITY-BASED YOGA TO PEOPLE WITH TBI. AN ONLINE SURVEY WAS SENT TO 175 YOGA TEACHERS TRAINED TO TEACH LOVEYOURBRAIN YOGA, A COMMUNITY-BASED, 6-WEEK, MANUALIZED PROGRAM FOR PEOPLE WITH TBI AND THEIR CARE-GIVERS. THE SURVEY INSTRUMENT INCLUDED OPEN- AND CLOSED-TEXT QUESTIONS ASSESSING TEACHERS' PERSPECTIVES ON THE MOST AND LEAST HELPFUL ADAPTIONS FOR ASANA, MEDITATION, PRANAYAMA, AND GROUP DISCUSSION, AND ON THE LOVEYOURBRAIN YOGA TRAINING AND SUPPORT. RESPONSES WE RE ANALYZED USING D E S C R I P T I VE STATISTICS AND QUALITATIVE CONTENT ANALYSIS. EIGHTY-SIX TEACHERS (50%) RESPONDED. BEST PRACTICES FOR ADAPTING YOGA FOR TBI REVEALED SIX THEMES: (1) SIMPLE, SLOW, AND REPEATED; (2) CREATING A SAFE SPACE; (3) POSITION OF THE HEAD AND NECK; (4) DEMONSTRATION; (5) IMPORTANCE OF PROPS; AND (6) SPECIAL CONSIDERATIONS FOR YOGA STUDIOS. THREE THEMES EMERGED FOR YOGA PROGRAM DELIVERY: (1) STRUCTURED YET FLEXIBLE; (2) ACCEPTABILITY OF COMPENSATION; AND (3) TIME MANAGEMENT. EIGHTY-NINE PERCENT OF TEACHERS REPORTED THAT THE PROGRAM MANUAL WAS VERY/EXTREMELY HELPFUL, YET NEARLY HALF (49%) ADAPTED THE MANUAL CONTENT OFTEN/ALWAYS. TO DELIVER COMMUNITY-BASED YOGA SERVICES FOR TBI, WE RECOMMEND AN ENVIRONMENT WITH PROPS, LOW LIGHT AND NOISE, AND SUFFICIENT SPACE, ALONG WITH THE FACILITATION OF CONSISTENT INSTRUCTION WITH A MANUAL THAT ALLOWS FOR FLEXIBILITY. WE RECOMMEND THAT YOGA TEACHERS HAVE SKILLS IN PHYSICAL MODIFICATIONS FOR THE HEAD AND NECK; SLOW, SIMPLE, AND REPEATED CUEING TO FACILITATE COGNITIVE PROCESSING; MANAGING CHALLENGING BEHAVIORS THROUGH REDIRECTION TECHNIQUES; AND PROMOTING SAFETY THROUGH INCLUSIVITY, COMPASSION, AND PERSONAL AGENCY. 2020 3 156 38 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 4 1248 50 FEASIBILITY OF YOGA TO IMPROVE SYMPTOMS IN INDIVIDUALS WITH SEVERE, CHRONIC TRAUMATIC BRAIN INJURY: A MIXED-METHODS CASE SERIES. CONTEXT: PEOPLE WITH SEVERE TRAUMATIC BRAIN INJURY (TBI) EXPERIENCE LIFELONG SEQUELAE THAT AFFECT PHYSICAL, COGNITIVE, AND MENTAL HEALTH. IN OTHER POPULATIONS, YOGA HAS SHOWN POTENTIAL TO ALLEVIATE INSOMNIA, PAIN, AND DEPRESSION AND TO IMPROVE COGNITION. OBJECTIVE: THE STUDY INTENDED TO INVESTIGATE THE FEASIBILITY OF A SIX-WEEK, GROUP-YOGA INTERVENTION FOR ADULTS WITH SEVERE CHRONIC TBI, FOCUSING ON SLEEP, PAIN, MOOD, AND EXECUTIVE FUNCTION. DESIGN: THE RESEARCH TEAM PERFORMED A FEASIBILITY STUDY USING A MIXED-METHODS, CASE-SERIES DESIGN. SETTING: THE STUDY RECRUITED PARTICIPANTS BY DISTRIBUTING FLYERS TO LOCAL COMMUNITIES AND TBI SUPPORT GROUPS. PARTICIPANTS: PARTICIPANTS WERE TWO PEOPLE WITH SEVERE, CHRONIC, TBI. INTERVENTION: THE INTERVENTION WAS A SIX-WEEK COURSE OF GROUP YOGA, WITH 70-MINUTE CLASSES TWICE A WEEK. OUTCOME MEASURES: THE STUDY ASSESSED OUTCOMES AT BASELINE AND POSTINTERVENTION USING VALIDATED MEASURES TO ASSESS EXECUTIVE FUNCTION, MOOD, SLEEP, AND PAIN: THE BEHAVIOR RATING INVENTORY OF EXECUTIVE FUNCTION-ADULT VERSION (BRIEF-A), BECK DEPRESSION INVENTORY (BDI), PITTSBURGH SLEEP QUALITY INDEX (PSQI), AND NEUROPATHIC PAIN SCALE (NPS). A SEMISTRUCTURED INTERVIEW WAS CONDUCTED DURING THE WEEK POSTINTERVENTION TO OBTAIN QUALITATIVE DATA. RESULTS: THE STUDY HAD A 100% RETENTION RATE, A 91.67% ATTENDANCE RATE, AND HIGH SATISFACTION. ONE PARTICIPANT DEMONSTRATED IMPROVEMENT IN ALL OUTCOMES, WHILE THE OTHER SHOWED MIXED RESULTS. DEPRESSION SHOWED THE MOST CONSISTENT IMPROVEMENT, 47.2% ON AVERAGE. FOR INSOMNIA, ONE PARTICIPANT SHOWED IMPROVED SLEEP AT 14.29%. THE QUALITATIVE DATA DEMONSTRATED POSITIVE CHANGES IN COGNITION, MOOD, SLEEP, AND PAIN. CONCLUSIONS: A SIX-WEEK GROUP YOGA INTERVENTION IS FEASIBLE AND APPEARS TO BE BENEFICIAL IN ALLEVIATING SYMPTOMS, ESPECIALLY DEPRESSION AND INSOMNIA, IN PEOPLE WITH SEVERE CHRONIC TBI. A LONGER INTERVENTION PERIOD WAS SUGGESTED BY THE PARTICIPANTS. 2022 5 1896 34 RESPIRATORY, PHYSICAL, AND PSYCHOLOGICAL BENEFITS OF BREATH-FOCUSED YOGA FOR ADULTS WITH SEVERE TRAUMATIC BRAIN INJURY (TBI): A BRIEF PILOT STUDY REPORT. OBJECTIVE: THIS PILOT STUDY WAS DESIGNED TO IDENTIFY THE POTENTIAL BENEFITS OF BREATH-FOCUSED YOGA ON RESPIRATORY, PHYSICAL, AND PSYCHOLOGICAL FUNCTIONING FOR ADULTS WITH SEVERE TRAUMATIC BRAIN INJURY (TBI). PARTICIPANTS: TEN INDIVIDUALS WITH SEVERE TBI WHO SELF-SELECTED TO ATTEND WEEKLY YOGA CLASSES AND 4 NO-TREATMENT CONTROLS WERE EVALUATED. METHODS: PARTICIPANTS WERE ASSESSED AT PRETREATMENT BASELINE AND AT 3-MONTH INTERVALS FOR A TOTAL OF 4 TIME POINTS OVER 40 WEEKS. OUTCOMES OF INTEREST INCLUDED OBSERVED EXHALE STRENGTH, ABILITY TO HOLD A BREATH OR A TONE, BREATHING RATE, COUNTED BREATHS (INHALE AND EXHALE), AND HEART RATE, AS WELL AS SELF-REPORTED PHYSICAL AND PSYCHO-LOGICAL WELL-BEING. RESULTS: REPEATED WITHIN-GROUP ANALYSES OF VARIANCE REVEALED THAT THE YOGA GROUP DEMONSTRATED SIGNIFICANT LONGITUDINAL CHANGE ON SEVERAL MEASURES OF OBSERVED RESPIRATORY FUNCTIONING AND SELF-REPORTED PHYSICAL AND PSYCHOLOGICAL WELL-BEING OVER A 40-WEEK PERIOD. THOSE IN THE CONTROL GROUP SHOWED MARGINAL IMPROVEMENT ON 2 OF THE 6 MEASURES OF RESPIRATORY HEALTH, PHYSICAL AND SOCIAL FUNCTIONING, EMOTIONAL WELL-BEING, AND GENERAL HEALTH. THE SMALL SAMPLE SIZES PRECLUDED THE ANALYSIS OF BETWEEN GROUP DIFFERENCES. CONCLUSION: THIS STUDY PROVIDES PRELIMINARY EVIDENCE THAT BREATH-FOCUSED YOGA MAY IMPROVE RESPIRATORY FUNCTIONING AND SELF-PERCEIVED PHYSICAL AND PSYCHOLOGICAL WELL-BEING OF ADULTS WITH SEVERE TBI. 2012 6 1892 39 RELAX WHILE YOU REHABILITATE: A PILOT STUDY INTEGRATING A NOVEL, YOGA-BASED MINDFULNESS GROUP INTERVENTION INTO A RESIDENTIAL MILITARY BRAIN INJURY REHABILITATION PROGRAM. OBJECTIVE: THIS PRELIMINARY, PILOT STUDY ASSESSED THE EFFECTIVENESS OF A GROUP-BASED, MINDFULNESS INTERVENTION IN A RESIDENTIAL, REHABILITATION SETTING WITH SPECIFIC FOCUS ON ASSESSING PARTICIPANTS' SELF-REPORT OF PERCEIVED BENEFIT OF THE INTERVENTION ON OVERALL HEALTH, PAIN, SLEEP, MOOD/ANXIETY, ATTENTION, AND SELF-AWARENESS, AS WELL AS IMPLEMENTING MODIFICATIONS NEEDED FOR SUCCESSFUL INTERVENTION APPLICATION AMONG A DIVERSE, CLINICAL MILITARY POPULATION. METHOD/DESIGN: PARTICIPANTS WERE 19 VETERANS AND ACTIVE DUTY SERVICE MEMBERS WITH A HISTORY OF TRAUMATIC BRAIN INJURY (TBI; 63% SEVERE) WHO COMPLETED A MINDFULNESS-BASED GROUP INTERVENTION DURING INPATIENT ADMISSION AT A VETERANS AFFAIRS POLYTRAUMA TRANSITIONAL REHABILITATION PROGRAM (PTRP). MINDFULNESS AND YOGA SKILLS WERE TAUGHT IN A REQUIRED, WEEKLY GROUP INCORPORATED INTO PARTICIPANTS' REHABILITATION SCHEDULE. OPINIONS AND ATTITUDES ABOUT MINDFULNESS, AS WELL AS PERTINENT SELF-REPORT OUTCOME MEASURES, WERE OBTAINED PRE- AND POSTGROUP PARTICIPATION. RESULTS: RESULTS SUGGESTED THAT PARTICIPATION IN THE GROUP WAS POSITIVELY ASSOCIATED WITH INDIVIDUALS' SELF-REPORTED BELIEF ABOUT THE BENEFIT OF MINDFULNESS IN THE AREAS OF OVERALL HEALTH, PHYSICAL HEALTH, MOOD, FOCUS, AND SELF-AWARENESS. THE MORE GROUPS ATTENDED, THE MORE POSITIVE THE PARTICIPANTS' BELIEFS ABOUT POTENTIAL IMPACT ON OVERALL HEALTH AND MOOD BECAME, EVEN WHILE CONTROLLING FOR LENGTH OF REHABILITATION STAY. ADDITIONALLY, SEVERAL SPECIFIC GROUP MODIFICATIONS RELEVANT TO THIS POPULATION (E.G., PHYSICAL/ENVIRONMENTAL MODIFICATIONS, REPETITION, IGNORING/REORIENTING) WERE IMPLEMENTED TO SUPPORT SUCCESSFUL PARTICIPATION. CONCLUSIONS/IMPLICATIONS: THESE PRELIMINARY AND EXPLORATORY FINDINGS SUGGEST THAT IT MAY BE WORTHWHILE FOR PSYCHOLOGISTS, CLINICIANS, AND OTHER HEALTH CARE PROVIDERS WORKING WITH A MIXED TBI POPULATION, AND MORE SPECIFICALLY A MILITARY POPULATION WITH TBI, TO CONSIDER INTRODUCING MINDFULNESS SKILLS AS PART OF MULTIDISCIPLINARY REHABILITATION. (PSYCINFO DATABASE RECORD 2018 7 1998 41 STRENGTH AND AWARENESS IN ACTION: FEASIBILITY OF A YOGA-BASED INTERVENTION FOR POST-ACUTE MILD TBI HEADACHES AMONG VETERANS. BACKGROUND: MILD TRAUMATIC BRAIN INJURY (MTBI) IS A SIGNATURE INJURY SUSTAINED BY VETERANS DURING RECENT CONFLICTS. FOR SOME, MTBI/CONCUSSION IS ASSOCIATED WITH DISABLING SYMPTOMS, INCLUDING POST-CONCUSSIVE HEADACHES (PCH). HOWEVER, THERE ARE LIMITED EVIDENCE-BASED TREATMENTS FOR PERSISTENT PCH. OBJECTIVE: INVESTIGATORS ASSESSED THE FEASIBILITY OF DESIGN ELEMENTS OF A YOGA-BASED INTERVENTIONAL TRIAL FOR PCH AMONG VETERANS, AS WELL AS THE ACCEPTABILITY OF THE INTERVENTION. METHODS: THIS RANDOMIZED CONTROLLED ACCEPTABILITY AND FEASIBILITY TRIAL WAS IMPLEMENTED USING A WAITLIST-CONTROL DESIGN. DESIGN ELEMENTS OF INTEREST INCLUDED: AN EXERCISE RUN-IN CLASS; RECRUITMENT AND RETENTION STRATEGIES; AND, ECOLOGICAL MOMENTARY ASSESSMENT (EMA) MODALITIES TO TRACK HEADACHES AND YOGA PRACTICE. VETERAN SATISFACTION REGARDING THE INTERVENTION WAS ALSO EVALUATED. A DESCRIPTIVE ANALYSIS WAS CONDUCTED ON CANDIDATE OUTCOMES INCLUDING PCH, POST-CONCUSSIVE SYMPTOMS, PAIN, AND DAILY FUNCTIONING. RESULTS: TWENTY-SEVEN PARTICIPANTS (OUT OF 70 CONSENTED AND ELIGIBLE AFTER STUDY VISIT 1) COMPLETED EACH EVALUATION TIMEPOINT AND REGULARLY ATTENDED YOGA SESSIONS, WITH 89% OF THESE VETERANS REPORTING MODERATE TO HIGH LEVELS OF SATISFACTION WITH THE INTERVENTION AT STUDY COMPLETION. QUALITATIVELY, PARTICIPANTS ENDORSED IMPROVEMENTS IN HEADACHES, CHRONIC PAIN, AND MOOD. FEASIBILITY RESULTS WERE MIXED. INITIAL FEASIBILITY CRITERION REGARDING YOGA ATTENDANCE WAS NOT MET; HOWEVER, MODIFICATIONS, SUCH AS EXPANSION TO AN ADDITIONAL CLINIC SITE AND REDUCTION OF IN-PERSON YOGA SESSIONS WITH INCREASED ENCOURAGEMENT TO USE STUDY-CREATED ONLINE YOGA VIDEOS IMPROVED FEASIBILITY OF THE STUDY DESIGN. PARTICIPANTS MOST FREQUENTLY USED MOBILE AND WEB-BASED EMA MODALITIES TO TRACK YOGA PRACTICE. CONCLUSIONS: ALTHOUGH CHALLENGES WITH FEASIBILITY OF THE STUDY DESIGN ELEMENTS WERE NOTED, RESULTS SUGGESTED ACCEPTABILITY OF THE YOGA-BASED INTERVENTION FOR VETERANS WITH PERSISTENT PCH. ADDITIONAL EXPLORATION REGARDING THE FREQUENCY AND MODALITY OF YOGA DELIVERY (E.G., IN-PERSON, TELEHEALTH) IS WARRANTED. IMPACT: VETERANS FOUND THE YOGA-BASED INTERVENTION ACCEPTABLE, HOWEVER EXPLORATION OF NOVEL MODALITIES OF INTERVENTION DELIVERY WILL LIKELY BE NECESSARY TO ENHANCE THE FEASIBILITY OF INTERVENTION IMPLEMENTATION DURING FUTURE TRIALS. 2021 8 2218 36 THE IMPACT OF A YOGA-BASED PHYSICAL THERAPY GROUP FOR INDIVIDUALS WITH TRAUMATIC BRAIN INJURY: RESULTS FROM A PILOT STUDY. OBJECTIVE: TO COMPARE THE IMPACTS OF YOGA-BASED PHYSICAL THERAPY VERSUS A SEATED REST WITHIN THE CONTEXT OF STANDARD REHABILITATION PRACTICE ON SLEEP, HEART RATE VARIABILITY (HRV), ANXIETY, AND FATIGUE DURING ACUTE TRAUMATIC BRAIN INJURY (TBI) REHABILITATION. METHODS: ELEVEN INDIVIDUALS PARTICIPATED IN THIS CROSSOVER STUDY INVOLVING THE FOLLOWING INTERVENTIONS IN A RANDOMIZED ORDER: GROUP YOGA-BASED PHYSICAL THERAPY (YPT), CONVENTIONAL PHYSICAL THERAPY (CPT), AND GROUP SEATED REST IN A RELAXING ENVIRONMENT (SR). HRV AND SELF-REPORTED ANXIETY AND FATIGUE WERE MEASURED IMMEDIATELY BEFORE AND AFTER EACH GROUP, AND SLEEP AFTER EACH CONDITION AND AT BASELINE. DATA WAS ANALYZED USING GENERALIZED LINEAR MIXED MODELS WITH REPEATED MEASURES. RESULTS: THE INTERACTION BETWEEN TIME AND TREATMENT WAS STATISTICALLY SIGNIFICANT (P = .0203). FOR THE SR TREATMENT, WAKE AFTER SLEEP ONSET (WASO) RATE WAS REDUCED FROM 14.99 TO 10.60 (IRR = 0.71; P = .006). TIME AND TREATMENT WERE NOT FOUND TO BE STATISTICALLY SIGNIFICANTLY ASSOCIATED WITH ANY OF THE SECONDARY OUTCOMES. CONCLUSION: YOGA-BASED PHYSICAL THERAPY IS FEASIBLE AND SAFE IN THE INPATIENT REHABILITATION SETTING FOLLOWING TBI. SLEEP QUALITY IMPROVED FOLLOWING THE ADDITION OF A ONE-HOUR SEATED REST IN A RELAXING ENVIRONMENT TO A STANDARD REHABILITATION DAILY SCHEDULE, SUGGESTING THAT STRUCTURED REST TIME MAY BE BENEFICIAL TO SLEEP HYGIENE DURING INPATIENT REHABILITATION FOLLOWING TBI. CLINICALTRIALS.GOV REGISTRATION NUMBER: NCT03701594. 2020 9 2021 26 SYSTEMATIC REVIEW OF YOGA AND BALANCE: EFFECT ON ADULTS WITH NEUROMUSCULAR IMPAIRMENT. THIS SYSTEMATIC REVIEW EXAMINES THE EFFICACY OF YOGA AS A NEUROMUSCULAR INTERVENTION FOR COMMUNITY-DWELLING POPULATIONS AT RISK FOR FALLS TO DETERMINE ITS UTILITY FOR USE IN OCCUPATIONAL THERAPY INTERVENTION. POPULATIONS INCLUDED OLDER ADULTS AND ADULTS WITH TRAUMATIC BRAIN INJURY (TBI), CEREBROVASCULAR ACCIDENT (CVA), DEMENTIA AND ALZHEIMER'S DISEASE (AD)-TYPE DEMENTIA, MULTIPLE SCLEROSIS (MS), AND PARKINSON'S DISEASE (PD). BENEFITS OF YOGA INCLUDE IMPROVED POSTURE CONTROL, IMPROVED FLEXIBILITY OF MIND AND BODY, RELAXATION, AND DECREASED ANXIETY AND STRESS. A SYSTEMATIC REVIEW OF THE LITERATURE WAS CONDUCTED TO UNDERSTAND THE SALUTARY BENEFITS OF YOGA FOR CLIENTS WHO ARE AT RISK FOR FALLS BECAUSE OF NEUROMUSCULAR ISSUES. MODERATE EVIDENCE SUPPORTS THE USE OF YOGA TO DECREASE THE RISK FOR FALLS FOR COMMUNITY-DWELLING OLDER ADULTS AND PEOPLE WITH CVA, DEMENTIA AND AD-TYPE DEMENTIA, AND MS. STUDIES INVOLVING PEOPLE WITH TBI AND PD DID NOT INCLUDE STRONG ENOUGH EVIDENCE TO BE ABLE TO MAKE A CLEAR CLASSIFICATION. 2019 10 2574 24 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 1872 17 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 12 20 31 "WE'RE ALL IN THIS TOGETHER": A QUALITATIVE STUDY OF PREDOMINANTLY LOW INCOME MINORITY PARTICIPANTS IN A YOGA TRIAL FOR CHRONIC LOW BACK PAIN. OBJECTIVE: TO EXPLORE THE EXPERIENCES OF LOW-INCOME MINORITY ADULTS TAKING PART IN A YOGA DOSING TRIAL FOR CHRONIC LOW BACK PAIN. DESIGN: INDIVIDUAL SEMI-STRUCTURED INTERVIEWS WERE CONDUCTED WITH NINETEEN PARTICIPANTS RECRUITED FROM A RANDOMIZED YOGA DOSING TRIAL FOR PREDOMINANTLY LOW-INCOME MINORITY ADULTS WITH CHRONIC LOW BACK PAIN. INTERVIEWS DISCUSSED THE IMPACT OF YOGA ON LOW BACK PAIN AND EMOTIONS; OTHER PERCEIVED ADVANTAGES OR DISADVANTAGES OF THE INTERVENTION; AND FACILITATORS AND BARRIERS TO PRACTICING YOGA. INTERVIEWS WERE AUDIO TAPED AND TRANSCRIBED, CODED USING ATLAS.TI SOFTWARE, AND ANALYZED WITH INDUCTIVE AND DEDUCTIVE THEMATIC ANALYSIS METHODS. SETTING: BOSTON MEDICAL CENTER, BOSTON, MA, USA. RESULTS: PARTICIPANTS VIEWED YOGA AS A MEANS OF PAIN RELIEF AND ATTRIBUTED IMPROVED MOOD, GREATER ABILITY TO MANAGE STRESS, AND ENHANCED RELAXATION TO YOGA. OVERALL, PARTICIPANTS FELT EMPOWERED TO SELF-MANAGE THEIR PAIN. SOME FOUND YOGA TO BE HELPFUL IN BEING MINDFUL OF THEIR EMOTIONS AND ACCEPTING OF THEIR PAIN. TRUST IN THE YOGA INSTRUCTORS WAS A COMMONLY CITED FACILITATOR FOR YOGA CLASS ATTENDANCE. LACK OF TIME, MOTIVATION, AND FEAR OF INJURY WERE REPORTED BARRIERS TO YOGA PRACTICE. CONCLUSIONS: YOGA IS A MULTIDIMENSIONAL TREATMENT FOR LOW BACK PAIN THAT HAS THE POTENTIAL TO FAVORABLY IMPACT HEALTH IN A PREDOMINANTLY LOW-INCOME MINORITY POPULATION. 2016 13 202 38 A RETROSPECTIVE STUDY ON THE ACCEPTABILITY, FEASIBILITY, AND EFFECTIVENESS OF LOVEYOURBRAIN YOGA FOR PEOPLE WITH TRAUMATIC BRAIN INJURY AND CAREGIVERS. PURPOSE: TO CONDUCT A MIXED METHODS, PRE-POST, RETROSPECTIVE STUDY ON THE FEASIBILITY, ACCEPTABILITY, AND EFFECTIVENESS OF THE LOVEYOURBRAIN YOGA PROGRAM. MATERIALS AND METHODS: PEOPLE WERE ELIGIBLE IF THEY WERE A TRAUMATIC BRAIN INJURY SURVIVOR OR CAREGIVER, AGE 15-70, AMBULATORY, AND CAPABLE OF GENTLE EXERCISE AND GROUP DISCUSSION. WE ANALYZED ATTENDANCE, SATISFACTION, AND MEAN DIFFERENCES IN SCORES ON QUALITY OF LIFE AFTER BRAIN INJURY OVERALL SCALE (QOLIBRI-OS) AND FOUR TBI-QOL/NEURO-QOL SCALES. CONTENT ANALYSIS EXPLORED PERCEPTIONS OF BENEFITS AND AREAS OF IMPROVEMENT. RESULTS: 1563 PEOPLE (82.0%) PARTICIPATED >/=1 CLASS IN 156 PROGRAMS ACROSS 18 STATES AND 3 CANADIAN PROVINCES. MEAN SATISFACTION WAS 9.3 OUT OF 10 (SD 1.0). MIXED EFFECTS LINEAR REGRESSION FOUND SIGNIFICANT IMPROVEMENTS IN QOLIBRI-OS (B 9.70, 95% CI: 8.51, 10.90), RESILIENCE (B 1.30, 95% CI: 0.60, 2.06), POSITIVE AFFECT AND WELL-BEING (B 1.49, 95% CI: 1.14, 1.84), AND COGNITION (B 1.48, 95% CI: 0.78, 2.18) AMONG TRAUMATIC BRAIN INJURY SURVIVORS (N = 705). NO IMPROVEMENT WAS FOUND IN EMOTIONAL AND BEHAVIORAL DYSREGULATION, HOWEVER, CONTENT ANALYSIS REVEALED BETTER ABILITY TO REGULATE ANXIETY, ANGER, STRESS, AND IMPULSIVITY. CAREGIVERS PERCEIVED IMPROVEMENTS IN PHYSICAL AND PSYCHOLOGICAL HEALTH. CONCLUSIONS: LOVEYOURBRAIN YOGA IS FEASIBLE AND ACCEPTABLE AND MAY BE AN EFFECTIVE MODE OF COMMUNITY-BASED REHABILITATION.IMPLICATIONS FOR REHABILITATIONPEOPLE WITH TRAUMATIC BRAIN INJURY AND THEIR CAREGIVERS OFTEN EXPERIENCE POOR QUALITY OF LIFE AND DIFFICULTY ACCESSING COMMUNITY-BASED REHABILITATION SERVICES.YOGA IS A HOLISTIC, MIND-BODY THERAPY WITH MANY BENEFITS TO QUALITY OF LIFE, YET IS LARGELY INACCESSIBLE TO PEOPLE AFFECTED BY TRAUMATIC BRAIN INJURY IN COMMUNITY SETTINGS.PARTICIPANTS IN LOVEYOURBRAIN YOGA, A SIX-SESSION, COMMUNITY-BASED YOGA WITH PSYCHOEDUCATION PROGRAM IN 18 STATES AND 3 CANADIAN PROVINCES, EXPERIENCED SIGNIFICANT IMPROVEMENTS IN QUALITY OF LIFE, RESILIENCE, COGNITION, AND POSITIVE AFFECT.LOVEYOURBRAIN YOGA IS FEASIBLE AND ACCEPTABLE WHEN IMPLEMENTED ON A LARGE SCALE AND MAY BE AN EFFECTIVE MODE OF, OR ADJUNCT TO, COMMUNITY-BASED REHABILITATION. 2021 14 551 29 CONVENIENT AND LIVE MOVEMENT (CALM) FOR WOMEN UNDERGOING BREAST CANCER TREATMENT: CHALLENGES AND RECOMMENDATIONS FOR INTERNET-BASED YOGA RESEARCH. OBJECTIVE: TO CONDUCT A PILOT TRIAL OF INTERNET-BASED, CANCER-ADAPTED YOGA FOR WOMEN RECEIVING BREAST CANCER TREATMENT. DESIGN: WOMEN UNDERGOING RADIATION OR CHEMOTHERAPY FOR BREAST CANCER WERE RECRUITED FOR 12, 75-MIN, BIWEEKLY, CANCER-ADAPTED YOGA CLASSES DELIVERED VIA INTERNET-BASED, MULTIPOINT VIDEOCONFERENCING. DATA WERE COLLECTED ON FEASIBILITY AND ACCEPTABILITY, INCLUDING QUALITATIVE FEEDBACK FROM PARTICIPANTS AND THE YOGA INSTRUCTOR. RESULTS: AMONG 42 WOMEN APPROACHED, 13 DECLINED ELIGIBILITY SCREENING, AND 23 WERE INELIGIBLE. ALL 6 WOMEN WHO WERE ELIGIBLE PROVIDED CONSENT, BUT 2 WITHDREW PRIOR TO BEGINNING YOGA CLASSES. THE REMAINING 4 PARTICIPANTS ATTENDED 1-11 OF 12 ONLINE YOGA CLASSES. IN POST-INTERVENTION INTERVIEWS, PARTICIPANTS AND THE INSTRUCTOR AGREED THAT INTERNET-BASED YOGA CLASSES HOLD GREAT POTENTIAL FOR INCREASING ACCESS AND IMPROVING PSYCHOLOGICAL OUTCOMES IN ADULTS WITH CANCER. QUALITATIVE FEEDBACK FROM PARTICIPANTS REVEALED SUGGESTIONS FOR FUTURE TRIALS OF INTERNET-BASED, CANCER-ADAPTED YOGA CLASSES, INCLUDING: CONTINUED USE OF GROUP FORMAT; OFFERING MORE VARIED CLASS TIMES TO ACCOMMODATE PATIENTS' DEMANDING SCHEDULES AND FLUCTUATING SYMPTOMS; ENROLLING PATIENTS AFTER THEY HAVE ACCLIMATED TO OR COMPLETED CANCER TREATMENT; STREAMLINING THE TECHNOLOGY INTERFACE; AND CAREFUL ATTENTION TO PARTICIPANT BURDEN WHEN DESIGNING SURVEYS/FORMS. THE INSTRUCTOR RECOMMENDED CLOSED SESSION COURSES, AS OPPOSED TO ROLLING ENROLLMENT; TEACHING THE SAME MODIFIED POSES FOR ALL PARTICIPANTS, RATHER THAN INDIVIDUAL TAILORING; AND USING A LARGE SCREEN TO ALLOW CLOSER MONITORING OF STUDENTS' CLASS EXPERIENCE. CONCLUSIONS: INTERNET DELIVERY MAY INCREASE PATIENTS' ACCESS TO CANCER-ADAPTED YOGA CLASSES, BUT CANCER-RELATED AND TECHNOLOGICAL BARRIERS REMAIN. THIS STUDY INFORMS HOW TO OPTIMALLY DESIGN YOGA CLASSES, TECHNOLOGY, AND RESEARCH PROCEDURES TO MAXIMIZE FEASIBILITY AND ACCEPTABILITY IN FUTURE TRIALS. 2018 15 420 37 BRIDGING BODY AND MIND: CASE SERIES OF A 10-WEEK TRAUMA-INFORMED YOGA PROTOCOL FOR VETERANS. THIS CASE SERIES EXPLORED THE FEASIBILITY AND PRELIMINARY EFFICACY OF THERAPEUTIC YOGA AS A COMPLEMENTARY FORM OF TREATMENT FOR COMBAT-RELATED TRAUMA. THE SERIES RECRUITED FOR AND IMPLEMENTED A 10-WEEK TRAUMA-INFORMED YOGA PROTOCOL FOR VETERANS IN AN INTERPROFESSIONAL COMMUNITY HEALTH TREATMENT SETTING. PARTICIPANTS WERE ENROLLED IN A SERIES OF 90-MINUTE THERAPEUTIC YOGA CLASSES ADAPTED TO BE TRAUMA-INFORMED. FEASIBILITY WAS MEASURED BY RECRUITMENT, RETENTION, AND LEVEL OF PARTICIPATION IN THE STUDY. PRELIMINARY EFFICACY WAS EXPLORED VIA THE POSTTRAUMATIC STRESS DISORDER CHECKLIST, SCALE OF BODY CONNECTION, PROMIS-29, PROMIS ALCOHOL USE, PROMIS SUBSTANCE USE, DIFFICULTIES IN EMOTIONAL REGULATION SCALE, AND SELF-COMPASSION SCALE-SHORT FORM. ALL MEASURES WERE ADMINISTERED AT BASELINE, WEEK 5, WEEK 10, AND AT A 5-WEEK FOLLOW-UP. A QUALITATIVE FEASIBILITY QUESTIONNAIRE WAS ADMINISTERED WEEKLY AND AT THE 5-WEEK FOLLOW-UP TO ASSESS BARRIERS AND MOTIVATORS FOR HOME PRACTICE AND TO COLLECT FEEDBACK ABOUT SESSION CONTENT. RECRUITMENT CHALLENGES RESULTED IN ONLY SEVEN INTERESTED INDIVIDUALS. FOUR PARTICIPANTS (THREE MALES, ONE FEMALE) WERE SUCCESSFULLY ENROLLED IN THE STUDY AFTER SEVEN PHONE SCREENINGS AND FIVE IN-PERSON INTERVIEWS. THE FOUR ENROLLED CLIENTS HAD A 100% FOLLOW-UP RETENTION RATE, REPORTED NO ADVERSE EVENTS, AND ON AVERAGE PARTICIPATED IN 85% OF CLASSES. CLINICALLY SIGNIFICANT ENHANCEMENTS WERE OBSERVED ON TRAUMA- AND BODY CONNECTION-RELATED SCALES FOR THREE PARTICIPANTS FROM BASELINE TO FOLLOW-UP. QUALITATIVE DATA REVEALED THAT MOTIVATORS TO PRACTICE INCLUDE IN-SESSION PHILOSOPHICAL DISCUSSIONS BASED ON PSYCHOLOGICAL THEMES; BREATHWORK; MINDFULNESS; AND PHYSICAL, SOCIAL, WORK/ACADEMIC, AND MENTAL HEALTH IMPACT. BARRIERS INCLUDED MOTIVATION, TIME, AND LOCATION. IMPORTANT THEMES EMERGED RELATED TO CULTURAL CONSIDERATIONS FOR VETERANS. ALTHOUGH THIS 10-WEEK TRAUMA-INFORMED PROTOCOL FACED CHALLENGES TO RECRUITMENT, RETENTION AND PARTICIPATION WERE HIGH. EFFICACY MEASURES YIELDED PROMISING RESULTS FOR REDUCING TRAUMA-RELATED SYMPTOMS. 2019 16 151 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 17 2032 20 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 18 478 44 CLINICAL CASE REPORT: YOGA FOR FATIGUE IN FIVE YOUNG ADULT SURVIVORS OF CHILDHOOD CANCER. PURPOSE: CANCER-RELATED FATIGUE (CRF) IS A DISTRESSING CONSEQUENCE OF CANCER AND ITS TREATMENT. CRF IMPACTS MANY YOUNG ADULT (YA) SURVIVORS OF CHILDHOOD CANCER, COMPROMISING WORK, SOCIAL RELATIONSHIPS, AND DAILY ACTIVITIES. NO SATISFACTORY TREATMENT EXISTS. THIS PILOT STUDY AIMED TO ASSESS THE FEASIBILITY, SAFETY, AND PRELIMINARY EFFICACY OF AN 8-WEEK TWICE/WEEK IYENGAR YOGA (IY) INTERVENTION FOR TREATING PERSISTENT FATIGUE IN YA SURVIVORS OF CHILDHOOD CANCER. METHODS: USING A SINGLE-ARM MIXED-METHODS DESIGN, ADULT CHILDHOOD CANCER SURVIVORS AGED BETWEEN 18 AND 39 YEARS WERE RECRUITED FROM A SURVIVORSHIP CLINIC AT A SINGLE INSTITUTION. QUANTITATIVE: THE PRIMARY OUTCOME WAS FATIGUE AS MEASURED BY THE FUNCTIONAL ASSESSMENT OF CHRONIC ILLNESS THERAPY-FATIGUE. SECONDARY OUTCOMES INCLUDED VITALITY, SOCIAL FUNCTIONING, MULTIDIMENSIONAL FATIGUE, MOOD, AND SLEEP. WEEKLY SELF-REPORT MONITORING DATA WERE COLLECTED. QUALITATIVE: PARTICIPANTS ALSO COMPLETED A POST-INTERVENTION INTERVIEW, MAJOR THEMES EVALUATED. RESULTS: FIVE PARTICIPANTS ENROLLED INTO THE STUDY AND FOUR COMPLETED THE INTERVENTION. ATTENDANCE WAS 92% AND THERE WERE NO ADVERSE EVENTS. BASELINE MOBILITY WAS HIGHLY VARIED, WITH ONE YA HAVING HAD A HEMIPELVECTOMY. QUANTITATIVE DATA REVEALED SIGNIFICANTLY IMPROVED FATIGUE, SOCIAL FUNCTIONING, SOMATIZATION, AND GENERAL AND EMOTIONAL MANIFESTATIONS OF FATIGUE FOLLOWING YOGA. QUALITATIVE DATA CROSS VALIDATED, CLARIFIED, AND EXPANDED UPON THE QUANTITATIVE FINDINGS. CONCLUSIONS: THE STUDY SUGGESTS THAT A BRIEF IY INTERVENTION IS SAFE FOR YA SURVIVORS OF CHILDHOOD CANCER, EVEN FOR THOSE WITH PHYSICAL DISABILITIES. PRELIMINARY EFFICACY WAS DEMONSTRATED FOR THE PRIMARY OUTCOME OF FATIGUE. QUALITATIVE DATA ELUCIDATED ADDITIONAL IMPROVEMENTS, SUCH AS WORK-RELATED SOCIAL FUNCTIONING, AND A SENSE OF CALM AND RELAXATION. 2017 19 1529 40 IYENGAR YOGA FOR YOUNG ADULTS WITH RHEUMATOID ARTHRITIS: RESULTS FROM A MIXED-METHODS PILOT STUDY. CONTEXT: RHEUMATOID ARTHRITIS (RA) IS A CHRONIC DISEASE THAT OFTEN IMPACTS PATIENT'S QUALITY OF LIFE. FOR YOUNG PEOPLE WITH RA, THERE IS A NEED FOR REHABILITATIVE APPROACHES THAT HAVE BEEN SHOWN TO BE SAFE AND TO LEAD TO IMPROVED FUNCTIONING. OBJECTIVES: THIS PILOT STUDY INVESTIGATED THE FEASIBILITY OF A SINGLE-ARM, GROUP-ADMINISTERED, SIX-WEEK, BIWEEKLY IYENGAR YOGA (IY) PROGRAM FOR EIGHT YOUNG ADULTS WITH RA. METHODS: IY IS KNOWN FOR ITS USE OF PROPS, THERAPEUTIC SEQUENCES DESIGNED FOR PATIENT POPULATIONS, EMPHASIS ON ALIGNMENT, AND A RIGOROUS TEACHER TRAINING. TREATMENT OUTCOMES WERE EVALUATED USING A MIXED-METHODS APPROACH THAT COMBINED QUANTITATIVE RESULTS FROM STANDARDIZED QUESTIONNAIRES AND QUALITATIVE INTERVIEWS WITH PARTICIPANTS. RESULTS: INITIAL ATTRITION WAS 37% (N=3) AFTER THE FIRST WEEK BECAUSE OF SCHEDULING CONFLICTS AND A PRIOR NON-RA RELATED INJURY. HOWEVER, THE REMAINING PARTICIPANTS (N=5) COMPLETED BETWEEN 75% AND 100% OF TREATMENT SESSIONS (MEAN=95%). NO ADVERSE EVENTS WERE REPORTED. THE QUANTITATIVE RESULTS INDICATED SIGNIFICANT IMPROVEMENTS IN PAIN, PAIN DISABILITY, DEPRESSION, MENTAL HEALTH, VITALITY, AND SELF-EFFICACY. INTERVIEWS DEMONSTRATED IMPROVEMENT IN RA SYMPTOMS AND FUNCTIONING BUT UNCERTAINTY ABOUT WHETHER THE INTERVENTION AFFECTED PAIN. CONCLUSION: THESE PRELIMINARY FINDINGS INDICATE THAT IY IS A FEASIBLE COMPLEMENTARY APPROACH FOR YOUNG PEOPLE WITH RA, ALTHOUGH LARGER CLINICAL TRIALS ARE NEEDED TO DEMONSTRATE SAFETY AND EFFICACY. 2010 20 144 33 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