1 372 159 AWARENESS OF YOGA FOR SUPPORTIVE CARE IN CANCER: IMPLICATIONS FOR DISSEMINATION. OBJECTIVES: EVIDENCE INDICATES THERE ARE BENEFICIAL PHYSICAL AND PSYCHOSOCIAL EFFECTS FROM PRACTICING YOGA IN CANCER PATIENTS AND SURVIVORS. DESPITE YOGA HAVING BEEN INCORPORATED INTO NATIONAL COMPREHENSIVE CANCER NETWORK GUIDELINES FOR SYMPTOMS RANGING FROM FATIGUE TO PAIN, PATIENTS' USE OF YOGA FOR SUPPORTIVE CARE IS LOW, RANGING FROM 6% TO 12%. THIS STUDY AIMS TO EVALUATE THE AWARENESS OF YOGA AS THERAPY IN AN ACADEMIC CANCER CENTER AND THE PREFERENCES FOR INFORMATION DELIVERY IN THIS POPULATION. DESIGN: WE CONDUCTED A CROSS-SECTIONAL SURVEY STUDY AT AN URBAN ACADEMIC CANCER CENTER. RESPONSES REGARDING AWARENESS AND USE OF YOGA WERE EVALUATED; THOSE RESPONDING "NOT AWARE" WERE ANALYZED FOR PREFERENCES IN INFORMATION DELIVERY. UNIVARIATE ANALYSIS WAS USED TO FURTHER CHARACTERIZE AWARENESS OF YOGA FOR SUPPORTIVE CARE. RESULTS: OF 303 RESPONDENTS, 68% WERE FEMALE, 77% WERE WHITE, AND 75% WERE COLLEGE EDUCATED. DESPITE ACCESS TO YOGA AT THE CANCER CENTER, 171 (56%) PATIENTS EXPRESSED THEY WERE NOT AWARE OF THE AVAILABILITY OF YOGA. MALE PATIENTS WERE MORE LIKELY TO BE UNAWARE OF YOGA (72.4% VS. 48.8%, P = 0.045). AWARENESS DID NOT VARY BY AGE, RACE, EDUCATIONAL ATTAINMENT, MARITAL STATUS, CANCER TYPE, OR CANCER STAGE. OF THE 171 "NOT AWARE" PATIENTS, 87.6% EXPRESSED DESIRE FOR INFORMATION IN THE FORM OF PRINTED MATERIAL, FOLLOWED BY 80.4% FOR E-MAIL, 37.6% FOR SMARTPHONE APPLICATION, AND 27.6% FOR SOCIAL MEDIA. NON-WHITE RESPONDENTS WERE MORE LIKELY TO EXPRESS INTEREST IN RECEIVING INFORMATION BY SMARTPHONE. CONCLUSIONS: MORE THAN HALF OF CANCER PATIENTS WERE UNAWARE OF THE YOGA PROGRAM DESPITE ADVERTISING ACROSS THE INSTITUTION. PATIENTS PREFER VARYING METHODS FOR INFORMATION RECEIPT, WITH PREFERENCES DIFFERING BY SOCIODEMOGRAPHIC FACTORS. TARGETED EDUCATION AND OUTREACH USING APPROPRIATE ENGAGEMENT IS NEEDED TO IMPROVE THE AWARENESS OF YOGA FOR SYMPTOM CONTROL IN CANCER PATIENTS. 2019 2 1296 30 GUINNESS WORLD RECORD ATTEMPT AS A METHOD TO PIVOT THE ROLE OF YOGA IN DIABETES MANAGEMENT. BACKGROUND: ATTEMPTS FOR GUINNESS WORLD RECORD HAVE CONTINUED WORLDWIDE BUT THESE ATTEMPTS WERE RARELY AIMED TO PROMOTE PUBLIC HEALTH. DIABETES IS ONE OF THE RAPIDLY GROWING LIFESTYLE DISORDERS IN INDIA WHICH REQUIRES AWARENESS REINFORCEMENTS AMONG THE LOCAL POPULATION. IN RECENT STUDIES, YOGA HAS PROVED TO BE USEFUL IN LIFESTYLE MODIFICATION AND DIABETES MANAGEMENT. HOWEVER, MOST INDIVIDUALS FROM RURAL AND URBAN LOCALITIES IN THE COUNTRY ARE UNAWARE OF THIS FACT. PURPOSE: THE PURPOSE WAS TO ORGANIZING A NATIONWIDE ATTEMPT UNDER THE NIYANTRIT MADHUMEH BHARAT (NMB) PROGRAMME TO BREAK THE WORLD RECORD TO BE THE LARGEST DIABETES LESSON, TO SPREAD AWARENESS AMONG GENERAL POPULATION. METHODS: PRESENT ARTICLE REPRESENTS THE PERSPECTIVE OF THE CHANDIGARH CHAPTER OF NMB PROGRAMME AND ITS EXPERIENCE IN GUINNESS WORLD RECORD ATTEMPT. DIABETES AWARENESS LESSON WAS ORGANIZED IN THE CITY AS PER THE STANDARDS DEFINED BY THE GUINNESS BOOK AND OUTCOMES OF THE ENTIRE CAMPAIGN WERE ASSESSED AT THE END OF THE CAMPAIGN. RESULT: TOTAL 498 INDIVIDUALS PARTICIPATED IN THE CAMPAIGN. AMONG THEM, 268 PARTICIPANTS WERE QUESTIONED AT THE END OF THE CAMPAIGN ABOUT THE ROLE OF YOGA IN DIABETES. 247 PARTICIPANTS (92%) WERE AGREED THAT DIABETES CAN BE MODIFIED BY YOGA AND 9 PARTICIPANTS (3%) DISAGREED. THE REMAINING 12 PARTICIPANTS (5%) DID NOT GIVE ANY RESPONSE. CONCLUSION: WE NOTICED THAT MOST OF THE PARTICIPANTS BECAME AWARE OF THE ROLE OF YOGA IN DIABETES. 2019 3 1444 38 INCREASING PROVIDER AWARENESS OF AND RECOMMENDATIONS FOR YOGA AND MEDITATION CLASSES FOR CANCER PATIENTS. OBJECTIVE: THE PURPOSE OF THE CURRENT STUDY WAS TO (1) ASSESS HEALTHCARE PROVIDERS' BELIEFS ABOUT AND REFERRAL PATTERNS TO YOGA AND MEDITATION SERVICES, AND (2) EVALUATE THE EFFECTIVENESS OF A BRIEF YOGA/MEDITATION EDUCATIONAL PRESENTATION TO INCREASE PROVIDERS' INTENT TO RECOMMEND THESE PROGRAMS. METHOD: A BRIEF 5-MIN PRESENTATION REGARDING THE BENEFITS OF YOGA AND MEDITATION FOR CANCER PATIENTS AND INSTRUCTION ABOUT REFERRING AND ENROLLING PATIENTS WAS DELIVERED IN FOUR DIFFERENT ONCOLOGY SETTINGS: BREAST, GYNECOLOGIC, RADIATION, AND SURGICAL. HEALTHCARE PROVIDER PARTICIPANTS FILLED OUT PRE- AND POST-SURVEYS ASSESSING KNOWLEDGE AND ATTITUDES SURROUNDING YOGA AND MEDITATION CLASSES. RESULTS: A TOTAL OF 40 HEALTHCARE PROVIDERS WERE SURVEYED, CONSISTING OF 18 PHYSICIANS, 12 NURSES, SIX NURSE PRACTITIONERS, TWO PHYSICIAN ASSISTANTS, ONE PHARMACIST, AND ONE CLINICAL RESEARCHER. OF THESE 40 HEALTHCARE PROVIDERS, 43% WERE UNAWARE AT BASELINE THAT YOGA AND MEDITATION CLASSES WERE OFFERED THROUGH THE CANCER CENTER AND 55% RESPONDED THAT THEY RARELY OR NEVER RECOMMEND YOGA OR MEDITATION FOR PATIENTS. FOLLOWING A BRIEF PRESENTATION ABOUT THE BENEFITS OF YOGA AND MEDITATION FOR CANCER PATIENTS, 90% OF PROVIDERS STATED THEY WOULD BE MORE LIKELY TO RECOMMEND THESE SERVICES TO PATIENTS IN THE FUTURE. THERE WAS A SIGNIFICANT (P < 0.01) INCREASE IN PROVIDERS FROM PRE- TO POST-PRESENTATION (65 TO 85%) STATING THEY STRONGLY BELIEVE YOGA AND MEDITATION CAN PROVIDE PHYSICAL OR EMOTIONAL BENEFITS FOR THEIR PATIENTS. SIGNIFICANCE OF RESULTS: THESE DATA DEMONSTRATE THAT A BRIEF EDUCATIONAL INTERVENTION ABOUT YOGA AND MEDITATION FOR CANCER PATIENTS IS EFFECTIVE AT SIGNIFICANTLY INCREASING PROVIDER KNOWLEDGE ABOUT THE BENEFITS OF THESE THERAPEUTIC MODALITIES, WITH A MAJORITY INDICATING THEY ARE MORE LIKELY TO RECOMMEND THESE SERVICES IN THE FUTURE. INCREASING PROVIDER AWARENESS REGARDING THE HEALTH-PROMOTING BENEFITS OF SUCH SUPPORTIVE SERVICES FOR CANCER PATIENTS COULD RESULT IN GREATER SERVICE UTILIZATION AS WELL AS PHYSICAL AND EMOTIONAL BENEFITS FOR PATIENTS. 2018 4 1324 35 HERE AND NOW: YOGA IN ISRAELI SCHOOLS. CONTEXT: IN THE AFTERMATH OF THE SECOND LEBANON WAR, A PROJECT WAS INITIATED AND DESIGNED TO REDUCE TENSION IN THE CHILDREN LIVING IN THE AREA UNDER BOMBARDMENT. AIMS: TO ASSESS THE IMPACT OF YOGA INTERVENTION IN A GROUP OF ISRAELI SCHOOL CHILDREN RESIDING IN THE REGION AFFECTED BY THE SECOND LEBANON WAR. SETTINGS AND DESIGN: THE STUDY POPULATION INCLUDED 122 SCHOOL CHILDREN AGED 8-12 YEARS IN TWO ELEMENTARY SCHOOLS IN SAFED (N=55 AND N=67, RESPECTIVELY) AND THEIR TEACHERS (N=6). THE CHILDREN ATTENDED THE THIRD GRADE (N=28), FOURTH GRADE (N=42) AND SIXTH GRADE (N=52). INCLUSION IN THE STUDY WAS BASED ON THE SCHOOL PRINCIPAL'S CONSENT TO PARTICIPATE IN THE PROGRAM. MATERIALS AND METHODS: ASSESSMENT WAS CONDUCTED USING THREE QUESTIONNAIRES THAT HAVE BEEN PREVIOUSLY VALIDATED IN INTERNATIONAL STUDIES AND TRANSLATED TO HEBREW. STATISTICAL ANALYSIS USED: STATISTICAL ANALYSIS OF THE RESULTS INCLUDED WILCOXON SIGNED RANKED TESTS FOR PRE- AND POST-INTERVENTION COMPARISONS AND THE KRUSKALL-WALLIS TEST FOR TEACHER AND CHILD CROSS-COMPARISONS. RESULTS: BASED ON THE QUESTIONNAIRES COMPLETED BY THE CHILDREN AND THEIR TEACHERS, WE FOUND THAT THE TEACHERS REPORTED MANY STATISTICALLY SIGNIFICANT IMPROVEMENTS IN THE CHILDREN'S CONCENTRATION, MOOD AND ABILITY TO FUNCTION UNDER PRESSURE, ALTHOUGH THE CHILDREN THEMSELVES WERE UNAWARE OF ANY CHANGE IN THEIR BEHAVIOR. ENJOYMENT WAS REPORTED BY ALL PARTICIPANTS, AND ALMOST ALL EXPRESSED AN INTEREST IN CONTINUING TO PRACTICE YOGA DURING SCHOOL HOURS. WE CONCLUDE THAT PARTICIPATION IN YOGA CLASSES MAY BE BOTH ENJOYABLE AND BENEFICIAL TO CHILDREN LIVING IN STRESSFUL CONDITIONS. CONCLUSIONS: THE STUDY INDICATES THAT YOGA MAY BE BENEFICIAL AS AN INTERVENTION FOR CHILDREN IN POSTWAR STRESS SITUATIONS. 2010 5 2097 29 THE EFFECT OF YOGA IN STRESS REDUCTION FOR DENTAL STUDENTS PERFORMING THEIR FIRST PERIODONTAL SURGERY: A RANDOMIZED CONTROLLED STUDY. CONTEXT: THE DENTAL STUDENTS EXPERIENCE A LOT OF STRESS, WHICH INCREASE WHEN THEY PERFORM THEIR FIRST SURGICAL PROCEDURE. YOGA AS AN ANXIOLYTIC TOOL IN ANXIETY REDUCTION HAS BEEN PRACTICED OVER CENTURIES IN INDIA. AIM: TO ASSESS THE EFFICACY OF YOGA IN REDUCING THE STATE TRAIT ANXIETY OF DENTAL STUDENTS BEFORE THEIR FIRST PERIODONTAL SURGERY PERFORMANCE. SETTINGS AND DESIGN: A RANDOMIZED CONTROLLED STUDY USING A TWO-WAY SPLIT PLOT DESIGN (PRE-POST-TEST) WAS CONDUCTED IN THE DEPARTMENT OF PERIODONTICS, PACIFIC DENTAL COLLEGE, UDAIPUR, INDIA. MATERIALS AND METHODS: ONE HUNDRED CLINICAL DENTAL STUDENTS WHO WERE READY TO PERFORM THEIR FIRST PERIODONTAL SURGERY WERE SELECTED. STUDENTS WERE RANDOMLY ASSIGNED TO TWO GROUPS AND WERE GIVEN A 60-MIN SESSION ON STRESS REDUCTION. GROUP A, YOGIC INTERVENTION GROUP, WERE INSTRUCTED TO DO YOGA AND THEIR PERFORMANCES WERE MONITORED FOR A PERIOD OF ONE WEEK AND GROUP B, CONTROL GROUP, WERE GIVEN A LECTURE ON STRESS REDUCTION WITHOUT ANY YOGA INSTRUCTIONS. THE INVESTIGATOR WHO WAS UNAWARE OF THE GROUPS HAD TAKEN THE STATE TRAIT ANXIETY SCORE OF THE STUDENTS THREE TIMES A) BEFORE ASSIGNING THEM TO EACH GROUP, B) PRIOR TO THE SURGICAL PROCEDURE AND C) IMMEDIATELY AFTER THE PERFORMANCE OF SURGERY. STATISTICAL ANALYSIS USED: ANALYSES OF VARIANCE (ANOVA) BY SPSS V.16. RESULTS: THE STATISTICAL RESULTS SHOWED A SIGNIFICANT REDUCTION IN THE VAS AND STATE TRAIT ANXIETY OF GROUP A COMPARED TO GROUP B (ANOVA; P<0.001). CONCLUSIONS: THIS STUDY CONCLUDES THAT YOGIC BREATHING HAS A SIGNIFICANT EFFECT ON THE REDUCTION OF STATE TRAIT ANXIETY LEVEL OF DENTAL STUDENTS. 2012 6 193 35 A RANDOMIZED TRIAL COMPARING YOGA, STRETCHING, AND A SELF-CARE BOOK FOR CHRONIC LOW BACK PAIN. BACKGROUND: CHRONIC LOW BACK PAIN IS A COMMON PROBLEM LACKING HIGHLY EFFECTIVE TREATMENT OPTIONS. SMALL TRIALS SUGGEST THAT YOGA MAY HAVE BENEFITS FOR THIS CONDITION. THIS TRIAL WAS DESIGNED TO DETERMINE WHETHER YOGA IS MORE EFFECTIVE THAN CONVENTIONAL STRETCHING EXERCISES OR A SELF-CARE BOOK FOR PRIMARY CARE PATIENTS WITH CHRONIC LOW BACK PAIN. METHODS: A TOTAL OF 228 ADULTS WITH CHRONIC LOW BACK PAIN WERE RANDOMIZED TO 12 WEEKLY CLASSES OF YOGA (92 PATIENTS) OR CONVENTIONAL STRETCHING EXERCISES (91 PATIENTS) OR A SELF-CARE BOOK (45 PATIENTS). BACK-RELATED FUNCTIONAL STATUS (MODIFIED ROLAND DISABILITY QUESTIONNAIRE, A 23-POINT SCALE) AND BOTHERSOMENESS OF PAIN (AN 11-POINT NUMERICAL SCALE) AT 12 WEEKS WERE THE PRIMARY OUTCOMES. OUTCOMES WERE ASSESSED AT BASELINE, 6, 12, AND 26 WEEKS BY INTERVIEWERS UNAWARE OF TREATMENT GROUP. RESULTS: AFTER ADJUSTMENT FOR BASELINE VALUES, 12-WEEK OUTCOMES FOR THE YOGA GROUP WERE SUPERIOR TO THOSE FOR THE SELF-CARE GROUP (MEAN DIFFERENCE FOR FUNCTION, -2.5 [95% CI, -3.7 TO -1.3]; P < .001; MEAN DIFFERENCE FOR SYMPTOMS, -1.1 [95% CI, -1.7 TO -0.4]; P < .001). AT 26 WEEKS, FUNCTION FOR THE YOGA GROUP REMAINED SUPERIOR (MEAN DIFFERENCE, -1.8 [95% CI, -3.1 TO -0.5]; P < .001). YOGA WAS NOT SUPERIOR TO CONVENTIONAL STRETCHING EXERCISES AT ANY TIME POINT. CONCLUSION: YOGA CLASSES WERE MORE EFFECTIVE THAN A SELF-CARE BOOK, BUT NOT MORE EFFECTIVE THAN STRETCHING CLASSES, IN IMPROVING FUNCTION AND REDUCING SYMPTOMS DUE TO CHRONIC LOW BACK PAIN, WITH BENEFITS LASTING AT LEAST SEVERAL MONTHS. TRIAL REGISTRATION: CLINICALTRIALS.GOV IDENTIFIER: NCT00447668. 2011 7 2615 40 YOGA FOR SCHIZOPHRENIA: PATIENTS' PERSPECTIVE. CONTEXT: YOGA-BASED INTERVENTION IS EMERGING AS AN EFFECTIVE ADD-ON THERAPY IN THE MANAGEMENT OF SCHIZOPHRENIA. HOWEVER, MANY BARRIERS MAKE IT DIFFICULT FOR PATIENTS TO AVAIL YOGA THERAPY PROGRAMS. ONE OF THEM IS MOTIVATION FOR YOGA THERAPY. WAYS TO ADDRESS THE BARRIERS ARE CRITICAL TO EMPLOY YOGA AS A TREATMENT IN THIS POPULATION. AIM: THIS STUDY AIMS AT EXPLORING PATIENTS' WILLINGNESS TO PARTICIPATE IN ADD-ON YOGA THERAPY PROGRAMS ON OUT-PATIENT BASIS. SETTINGS AND DESIGN: THE STUDY WAS CONDUCTED ON 100 SCHIZOPHRENIA PATIENTS ATTENDING PSYCHIATRY OUT-PATIENT SERVICES OF A TERTIARY CARE HOSPITAL. MATERIALS AND METHODS: A TOTAL OF 100 SCHIZOPHRENIA PATIENTS (MALE: FEMALE = 57:43; AGE: 35.8 +/- 9.2 YEARS) ATTENDING THE PSYCHIATRY OUT-PATIENT SERVICES OF A TERTIARY NEUROPSYCHIATRY HOSPITAL WERE ADMINISTERED A SURVEY QUESTIONNAIRE. STATISTICAL ANALYSIS USED: CHI-SQUARE TEST WAS USED FOR TESTING THE SIGNIFICANCE OF PROPORTIONS. P < 0.05 WAS TAKEN TO BE SIGNIFICANT. RESULTS: ABOUT 46% WERE AWARE THAT YOGA IS ALSO ONE OF THE COMPLEMENTARY THERAPIES USEFUL IN SCHIZOPHRENIA. 32% HAD TRIED YOGA IN THE PAST FOR SOME REASONS, BUT ONLY 31% OF THEM WERE CONTINUING YOGA; COMMONEST REASONS FOR NOT CONTINUING BEING LACK OF MOTIVATION (31%) AND INABILITY TO SPARE TIME (27.6%). HOWEVER, THE MAJORITY (88.5%) OF THEM WERE WILLING TO TAKE UP ADD-ON YOGA THERAPY ON OUT-PATIENT BASIS ALONG WITH THEIR REGULAR MEDICAL FOLLOW-UP. CONCLUSIONS: IN SPITE OF THE LACK OF MOTIVATION TO PRACTICE YOGA, THE MAJORITY OF PATIENTS WERE WILLING TO PARTICIPATE IN ADD-ON YOGA THERAPY PROGRAMS IF GIVEN ON OUT-PATIENT BASIS ALONG WITH THEIR REGULAR CONVENTIONAL MEDICAL FOLLOW-UP. 2015 8 521 35 COMPARING YOGA, EXERCISE, AND A SELF-CARE BOOK FOR CHRONIC LOW BACK PAIN: A RANDOMIZED, CONTROLLED TRIAL. BACKGROUND: CHRONIC LOW BACK PAIN IS A COMMON PROBLEM THAT HAS ONLY MODESTLY EFFECTIVE TREATMENT OPTIONS. OBJECTIVE: TO DETERMINE WHETHER YOGA IS MORE EFFECTIVE THAN CONVENTIONAL THERAPEUTIC EXERCISE OR A SELF-CARE BOOK FOR PATIENTS WITH CHRONIC LOW BACK PAIN. DESIGN: RANDOMIZED, CONTROLLED TRIAL. SETTING: A NONPROFIT, INTEGRATED HEALTH CARE SYSTEM. PATIENTS: 101 ADULTS WITH CHRONIC LOW BACK PAIN. INTERVENTION: 12-WEEK SESSIONS OF YOGA OR CONVENTIONAL THERAPEUTIC EXERCISE CLASSES OR A SELF-CARE BOOK. MEASUREMENTS: PRIMARY OUTCOMES WERE BACK-RELATED FUNCTIONAL STATUS (MODIFIED 24-POINT ROLAND DISABILITY SCALE) AND "BOTHERSOMENESS" OF PAIN (11-POINT NUMERICAL SCALE). THE PRIMARY TIME POINT WAS 12 WEEKS. CLINICALLY SIGNIFICANT CHANGE WAS CONSIDERED TO BE 2.5 POINTS ON THE FUNCTIONAL STATUS SCALE AND 1.5 POINTS ON THE BOTHERSOMENESS SCALE. SECONDARY OUTCOMES WERE DAYS OF RESTRICTED ACTIVITY, GENERAL HEALTH STATUS, AND MEDICATION USE. RESULTS: AFTER ADJUSTMENT FOR BASELINE VALUES, BACK-RELATED FUNCTION IN THE YOGA GROUP WAS SUPERIOR TO THE BOOK AND EXERCISE GROUPS AT 12 WEEKS (YOGA VS. BOOK: MEAN DIFFERENCE, -3.4 [95% CI, -5.1 TO - 1.6] [P < 0.001]; YOGA VS. EXERCISE: MEAN DIFFERENCE, -1.8 [CI, -3.5 TO - 0.1] [P = 0.034]). NO SIGNIFICANT DIFFERENCES IN SYMPTOM BOTHERSOMENESS WERE FOUND BETWEEN ANY 2 GROUPS AT 12 WEEKS; AT 26 WEEKS, THE YOGA GROUP WAS SUPERIOR TO THE BOOK GROUP WITH RESPECT TO THIS MEASURE (MEAN DIFFERENCE, -2.2 [CI, -3.2 TO - 1.2]; P < 0.001). AT 26 WEEKS, BACK-RELATED FUNCTION IN THE YOGA GROUP WAS SUPERIOR TO THE BOOK GROUP (MEAN DIFFERENCE, -3.6 [CI, -5.4 TO - 1.8]; P < 0.001). LIMITATIONS: PARTICIPANTS IN THIS STUDY WERE FOLLOWED FOR ONLY 26 WEEKS AFTER RANDOMIZATION. ONLY 1 INSTRUCTOR DELIVERED EACH INTERVENTION. CONCLUSIONS: YOGA WAS MORE EFFECTIVE THAN A SELF-CARE BOOK FOR IMPROVING FUNCTION AND REDUCING CHRONIC LOW BACK PAIN, AND THE BENEFITS PERSISTED FOR AT LEAST SEVERAL MONTHS. 2005 9 2335 54 UNDERSTANDING INTEREST, BARRIERS, AND PREFERENCES RELATED TO YOGA PRACTICE AMONG CANCER SURVIVORS. PURPOSE: DESPITE GROWING EVIDENCE SUPPORTING THE BENEFITS OF YOGA FOR CANCER-RELATED SYMPTOM MANAGEMENT, YOGA USAGE AMONG CANCER SURVIVORS IS LOW. TO TRANSLATE THE EVIDENCE OF YOGA BENEFITS INTO COMMUNITY PRACTICE, IT IS CRITICAL TO UNDERSTAND INTEREST IN YOGA AS WELL AS BARRIERS AND PREFERENCES THAT INFLUENCE YOGA USAGE AMONG CANCER SURVIVORS. METHOD: WE CONDUCTED A CROSS-SECTIONAL SURVEY STUDY AMONG CANCER SURVIVORS, 18 YEARS OR OLDER, WITH A PRIMARY DIAGNOSIS OF CANCER, AND RECEIVING TREATMENT OR FOLLOW-UP CARE AT OUTPATIENT CLINICS AT FIVE REGIONAL ACADEMIC CANCER CENTER SITES. WE COLLECTED DATA AND PERFORMED BIVARIATE AND MULTIVARIABLE ANALYSES ON SELF-REPORTED YOGA USAGE AND INTEREST IN AND BARRIERS TO PRACTICING YOGA, AS WELL AS PREFERRED LOCATION AND TIME FOR YOGA PRACTICE. RESULTS: OF 857 PARTICIPANTS, 70.0% HAD NEVER PRACTICED YOGA AND 52.3% WERE INTERESTED IN PRACTICING YOGA. AMONG THOSE INTERESTED, 52.5% HAD NEVER PRACTICED YOGA. LOWER INTEREST WAS INDEPENDENTLY ASSOCIATED WITH BEING MALE (ODDS RATIO [OR] = 0.30, 95% CONFIDENCE INTERVAL [CI] = 0.20-0.44, P < 0.001), UNEMPLOYED (OR = 0.60, 95% CI = 0.39-0.91, P = 0.016), AND WHITE (OR = 0.42, 95% CI = 0.23-0.78, P = 0.005). COMMONLY CITED BARRIERS AMONG THOSE WHO WERE INTERESTED BUT HAD NEVER PRACTICED WERE NOT AWARE OF YOGA BENEFITS (36.3%), DIFFICULTY MOTIVATING (28.7%), EXPERIENCING SYMPTOMS (22.9%), AND NOT ENOUGH TIME (22.0%). PARTICIPANTS INDICATED "ON-SITE AND AT A STUDIO NEAR HOME" (41.5%) AS PREFERRED LOCATION AND EVENINGS (3-8 PM, 34.0%) AS PREFERRED TIME FOR YOGA PRACTICE. CONCLUSION: ALTHOUGH MORE THAN 50% OF PATIENTS INDICATED INTEREST IN PRACTICING YOGA, USE OF YOGA IS LOW AMONG CANCER SURVIVORS. BARRIERS AND PATIENT PREFERENCES FOR YOGA PRACTICE NEED TO BE ADDRESSED TO DESIGN EFFECTIVE YOGA PROGRAMS FOR THIS POPULATION. 2021 10 500 22 COMBINING GROUP PSYCHOTHERAPY AND YOGA EXERCISES IMPROVES QUALITY OF LIFE IN MENTAL HEALTH PROFESSIONALS: A CONTROLLED RANDOMIZED CLINICAL TRIAL. PURPOSE: THIS STUDY AIMS TO INVESTIGATE THE EFFECTS OF COMBINING 12-WEEK GROUP PSYCHOTHERAPY WITH YOGA EXERCISES ON STRESS PERCEPTION AND QUALITY OF LIFE IN MENTAL HEALTH PROFESSIONALS. DESIGN/METHODOLOGY/APPROACH: THIS STUDY WAS A PARALLEL-ARM RANDOMIZED CONTROLLED TRIAL, IN WHICH THE PARTICIPANTS WAS UNAWARE OF WHICH GROUP WAS THE EXPERIMENTAL ONE. PARTICIPANTS INVOLVED IN OUR RESEARCH WERE ASSIGNED TO TWO GROUPS OF SEPARATE TREATMENT THAT FOLLOWED FOR THREE MONTHS GROUP PSYCHOTHERAPY COMBINED WITH YOGA PROGRAM FOR STRESS MANAGEMENT OR USUAL STRESS COPING STRATEGIES. FINDINGS: THE FINDINGS DID NOT REVEAL A SIGNIFICANT DIFFERENCE IN STRESS PERCEPTION ASSESSED IN THE TWO GROUPS EITHER BEFORE OR AFTER INTERVENTION BUT REVEAL A SIGNIFICANT DIFFERENCE IN THE QUALITY OF LIFE IN THE TWO GROUPS BEFORE AND AFTER THE PSYCHO BEHAVIORAL INTERVENTIONS. ORIGINALITY/VALUE: THE FINDINGS DID NOT REVEAL A SIGNIFICANT DIFFERENCE IN STRESS PERCEPTION ASSESSED IN THE TWO GROUPS EITHER BEFORE OR AFTER INTERVENTION BUT REVEAL A SIGNIFICANT DIFFERENCE IN THE QUALITY OF LIFE IN THE TWO GROUPS BEFORE AND AFTER THE PSYCHO BEHAVIORAL INTERVENTIONS. 2019 11 1538 47 KNOWLEDGE AND ATTITUDES TOWARD PRENATAL YOGA AMONG WOMEN WITH HIGH-RISK PREGNANCIES. THIS STUDY SOUGHT TO EVALUATE ATTITUDES AND KNOWLEDGE ABOUT PRENATAL YOGA AND TO INVESTIGATE BARRIERS AND FACILITATORS TO YOGA PARTICIPATION IN HIGH-RISK PREGNANT WOMEN RECEIVING PRENATAL CARE IN AN ACADEMIC TERTIARY CARE CENTER. WE SURVEYED A CONVENIENCE SAMPLE OF WOMEN RECEIVING PRENATAL CARE THROUGH THE MATERNAL-FETAL MEDICINE PRACTICE AT BRIGHAM AND WOMEN'S HOSPITAL. WE CLASSIFIED PARTICIPANTS AS YOGA-EXPERIENCED OR YOGA-NAIVE DEPENDING ON SELF-REPORT. WE COMPARED DIFFERENCES BETWEEN THE TWO GROUPS USING THE APPROPRIATE NONPARAMETRIC TESTS AND COMPARED BIVARIATE ODDS RATIOS FOR SURVEY RESULTS USING LOGISTIC REGRESSION. OF THE 100 RESPONDENTS, 53% HAD PRACTICED YOGA PREVIOUSLY. WOMEN WITH YOGA EXPERIENCE WERE OLDER (AGE 34.9 +/- 5.6 VS. 31.0 +/- 6.0 YEARS, P = 0.004), MORE LIKELY TO BE COLLEGE GRADUATES (94% VS. 68%, P = 0.002), AND MORE LIKELY TO BE WHITE (77% VS. 47%, P = 0.002) THAN WOMEN WITHOUT PREVIOUS YOGA EXPERIENCE. PREVIOUS YOGA EXPERIENCE WAS ASSOCIATED WITH PARTICIPANT AGREEMENT THAT YOGA WAS SAFE DURING THEIR CURRENT PREGNANCY (ODDS RATIO 5.9, 95% CONFIDENCE INTERVAL 1.9-17.7). OF THE WOMEN SURVEYED, 56% AGREED THAT THEY WOULD LIKE TO ATTEND A PRENATAL YOGA CLASS. IN A MULTIVARIATE MODEL INCLUDING AGE, RACE, AND EDUCATION, PREVIOUS YOGA EXPERIENCE WAS THE ONLY SIGNIFICANT PREDICTOR ASSOCIATED WITH WILLINGNESS TO PARTICIPATE IN PRENATAL YOGA CLASSES DURING CURRENT PREGNANCY (ODDS RATIO 3.1, 95% CONFIDENCE INTERVAL 1.1-8.6). PRIOR YOGA EXPERIENCE WAS THE STRONGEST PREDICTOR OF WILLINGNESS TO ATTEND A PRENATAL YOGA CLASS IN OUR POPULATION. OUR RESULTS SUGGEST THAT WOMEN WITH HIGH-RISK PREGNANCIES WHO MAY BENEFIT FROM PRENATAL YOGA INTERVENTIONS BUT LACK PRIOR YOGA EXPERIENCE MAY NEED ADDITIONAL EDUCATION TO FACILITATE PARTICIPATION. 2020 12 2685 44 YOGA IN THE REAL WORLD: PERCEPTIONS, MOTIVATORS, BARRIERS, AND PATTERNS OF USE. BACKGROUND: YOGA IS A MIND-BODY EXERCISE PRACTICED BY NEARLY 16 MILLION US ADULTS. CLINICAL YOGA RESEARCH HAS YIELDED PROMISING FINDINGS IN PHYSICAL AND MENTAL HEALTH OUTCOMES. HOWEVER, RESEARCH IN NON-PATIENT POPULATIONS IS LIMITED. THE PURPOSE OF THIS STUDY IS TO SURVEY A NON-CLINICAL POPULATION TO BETTER UNDERSTAND YOGA USE IN A REAL-WORLD SETTING. METHODS: THIS STUDY USED A PRE-POST TEST DESIGN IN A CONVENIENCE SAMPLE OF ADULTS REGISTERED FOR A 4-WEEK BEGINNER YOGA PROGRAM WITHIN A NETWORK OF FIVE YOGA STUDIOS IN AUSTIN, TEXAS. STUDENTS WERE LINKED VIA E-MAIL TO BASELINE AND ENDPOINT SURVEYS. ANALYSES WERE DESCRIPTIVE. RESULTS: SIX HUNDRED FOUR STUDENTS COMPLETED THE BASELINE SURVEY, AND 290 (48%) COMPLETED THE 4-WEEK ENDPOINT SURVEY. BASELINE DEMOGRAPHICS WERE SIMILAR TO THOSE IN NATIONAL SURVEYS, WITH RESPONDENTS BEING PRIMARILY FEMALE (86%), WHITE (88%), AND COLLEGE EDUCATED (78%). THE PRIMARY BARRIER TO PRACTICE WAS TIME (55%). RESPONDENTS PERCEIVED YOGA PRIMARILY AS AN EXERCISE ACTIVITY (92%), SPIRITUAL ACTIVITY (73%), OR A WAY TO MANAGE OR TREAT A HEALTH CONDITION (50%). MAIN REASONS FOR TAKING YOGA WERE GENERAL WELLNESS (81%), PHYSICAL EXERCISE (80%), AND STRESS MANAGEMENT (73%). NINETY-EIGHT PERCENT BELIEVED YOGA WOULD IMPROVE THEIR HEALTH, WITH 28% TAKING YOGA TO ALLEVIATE A HEALTH CONDITION. ON AVERAGE, RESPONDENTS PRACTICED 3 TO 4 HOURS/ WEEK IN AND OUT OF CLASS. CONCLUSIONS: RESPONDENT DEMOGRAPHICS WERE CONSISTENT WITH NATIONAL SURVEY DATA. DATA SHOW THAT YOGA IS PERCEIVED SEVERAL WAYS. INFORMATION ON PRACTICE PATTERNS PROVIDES NEW INFORMATION, WHICH MAY IMPROVE UNDERSTANDING OF HOW NON-CLINICAL POPULATIONS INCORPORATE YOGA INTO DAILY LIFE FOR HEALTH MANAGEMENT. 2013 13 2337 50 UNDERUSE OF YOGA AS A REFERRAL RESOURCE BY HEALTH PROFESSIONS STUDENTS. OBJECTIVE: NEARLY 38% OF U.S. ADULTS USE COMPLEMENTARY AND ALTERNATIVE MEDICINE APPROACHES TO MANAGE PHYSICAL CONDITIONS (E.G., CHRONIC PAIN, ARTHRITIS, CANCER, HEART DISEASE, AND HIGH BLOOD PRESSURE) AND PSYCHOLOGICAL OR EMOTIONAL HEALTH CONCERNS (E.G., POST-TRAUMATIC STRESS DISORDER, ANXIETY, AND DEPRESSION). RESEARCH EVIDENCE HAS ACCUMULATED FOR YOGA AS AN EFFECTIVE TREATMENT APPROACH FOR THESE CONDITIONS. FURTHER, YOGA HAS INCREASED IN POPULARITY AMONG HEALTHCARE PROVIDERS AND THE GENERAL POPULATION. GIVEN THESE TRENDS, THIS STUDY EXPLORED PERCEPTIONS ABOUT YOGA AS A VIABLE COMPLEMENTARY TREATMENT TO WHICH HEALTH PROFESSIONS STUDENTS WOULD REFER PATIENTS. PARTICIPANTS: MORE THAN 1500 STUDENTS ENROLLED IN HEALTH PROFESSIONS PROGRAMS AT A PACIFIC NORTHWEST SCHOOL WERE ENROLLED; DATA WERE OBTAINED FROM 478 RESPONDENTS. DESIGN: THE STUDY ASSESSED WILLINGNESS TO REFER PATIENTS TO YOGA AS A COMPLEMENTARY AND ALTERNATIVE MEDICINE FOR 27 SYMPTOMS (IDENTIFIED IN THE LITERATURE AS HAVING EVIDENCE FOR YOGA'S UTILITY), WHICH WERE SUBSEQUENTLY GROUPED INTO SKELETAL, PHYSICAL, AND PSYCHOLOGICAL ON THE BASIS OF FACTOR ANALYSIS. RESPONSES WERE ASSESSED USING A MIXED-MODEL ANALYSIS OF VARIANCE WITH HEALTH PROFESSION AND YOGA PRACTITIONER AS BETWEEN-SUBJECTS VARIABLES AND SYMPTOMS AS A WITHIN-SUBJECTS FACTOR. RESULTS: IN DESCENDING ORDER OF LIKELIHOOD TO REFER PATIENTS TO YOGA WERE STUDENTS IN OCCUPATIONAL THERAPY, PHYSICIAN ASSISTANT PROGRAM, PSYCHOLOGY, PHYSICAL THERAPY, PHARMACY, DENTAL HYGIENE, SPEECH AND AUDIOLOGY, AND OPTOMETRY. ALL GROUPS PERCEIVED YOGA'S GREATEST UTILITY FOR SKELETAL SYMPTOMS, FOLLOWED BY PSYCHOLOGICAL AND PHYSICAL SYMPTOMS. FINDINGS ALSO REVEALED A SIGNIFICANT POSITIVE RELATIONSHIP BETWEEN LEVEL OF PERSONAL YOGA PRACTICE AND WILLINGNESS TO REFER PATIENTS TO YOGA. CONCLUSIONS: ALTHOUGH STUDENTS EXPRESSED SOME OPENNESS TO REFERRING PATIENTS TO YOGA, RATINGS OF APPROPRIATENESS WERE NOT ACCURATELY ALIGNED WITH EXTANT EVIDENCE BASE. PERSONAL EXPERIENCE SEEMED TO BE A SALIENT FACTOR FOR ACCEPTING YOGA AS A REFERRAL TARGET. THESE FINDINGS SUGGEST THE IMPORTANCE OF DEVELOPING STRATEGIES TO MAKE HEALTH PROFESSIONALS MORE AWARE OF THE MERITS OF YOGA, REGARDLESS OF WHETHER THEY THEMSELVES ARE YOGA PRACTITIONERS. 2015 14 2374 47 WHICH CHRONIC LOW BACK PAIN PATIENTS RESPOND FAVORABLY TO YOGA, PHYSICAL THERAPY, AND A SELF-CARE BOOK? RESPONDER ANALYSES FROM A RANDOMIZED CONTROLLED TRIAL. PURPOSE: TO IDENTIFY BASELINE CHARACTERISTICS OF ADULTS WITH CHRONIC LOW BACK PAIN (CLBP) THAT PREDICT RESPONSE (I.E., A CLINICALLY IMPORTANT IMPROVEMENT) AND/OR MODIFY TREATMENT EFFECT ACROSS THREE NONPHARMACOLOGIC INTERVENTIONS. DESIGN: SECONDARY ANALYSIS OF A RANDOMIZED CONTROLLED TRIAL. SETTING: ACADEMIC SAFETY NET HOSPITAL AND SEVEN FEDERALLY QUALIFIED COMMUNITY HEALTH CENTERS. SUBJECTS: ADULTS WITH CLBP (N = 299). METHODS: WE REPORT PATIENT CHARACTERISTICS THAT WERE PREDICTORS OF RESPONSE AND/OR MODIFIED TREATMENT EFFECT ACROSS THREE 12-WEEK TREATMENTS: YOGA, PHYSICAL THERAPY [PT], AND A SELF-CARE BOOK. USING PRESELECTED CHARACTERISTICS, WE USED LOGISTIC REGRESSION TO IDENTIFY PREDICTORS OF "RESPONSE," DEFINED AS A >/=30% IMPROVEMENT IN THE ROLAND MORRIS DISABILITY QUESTIONNAIRE. THEN, USING "RESPONSE" AS OUR OUTCOME, WE IDENTIFIED BASELINE CHARACTERISTICS THAT WERE TREATMENT EFFECT MODIFIERS BY TESTING FOR STATISTICAL INTERACTION (P < 0.05) ACROSS TWO COMPARISONS: 1) YOGA-OR-PT VS SELF-CARE AND 2) YOGA VS PT. RESULTS: OVERALL, 39% (116/299) OF PARTICIPANTS WERE RESPONDERS, WITH MORE RESPONDERS IN THE YOGA-OR-PT GROUP (42%) THAN THE SELF-CARE (23%) GROUP. THERE WAS NO DIFFERENCE IN PROPORTION RESPONDING TO YOGA (48%) VS PT (37%, ODDS RATIO [OR] = 1.5, 95% CONFIDENCE INTERVAL = 0.88 - 2.6). PREDICTORS OF RESPONSE INCLUDED HAVING MORE THAN A HIGH SCHOOL EDUCATION, A HIGHER INCOME, EMPLOYMENT, FEW DEPRESSIVE SYMPTOMS, LOWER PERCEIVED STRESS, FEW WORK-RELATED FEAR AVOIDANCE BELIEFS, HIGH PAIN SELF-EFFICACY, AND BEING A NONSMOKER. EFFECT MODIFIERS INCLUDED USE OF PAIN MEDICATION AND FEAR AVOIDANCE BELIEFS RELATED TO PHYSICAL ACTIVITY (BOTH P = 0.02 FOR INTERACTION). WHEN COMPARING YOGA OR PT WITH SELF-CARE, A GREATER PROPORTION WERE RESPONDERS AMONG THOSE USING PAIN MEDS (OR = 5.3), WHICH DIFFERED FROM THOSE NOT TAKING PAIN MEDS (OR = 0.94) AT BASELINE. WE ALSO FOUND GREATER TREATMENT RESPONSE AMONG THOSE WITH LOWER (OR = 7.0), BUT NOT HIGH (OR = 1.3), FEAR AVOIDANCE BELIEFS AROUND PHYSICAL ACTIVITY. CONCLUSIONS: OUR FINDINGS REVEALED IMPORTANT SUBGROUPS FOR WHOM REFERRAL TO YOGA OR PT MAY IMPROVE CLBP OUTCOMES. 2021 15 1540 31 KNOWLEDGE, ATTITUDE, AND PRACTICE OF YOGA IN RURAL AND URBAN INDIA, KAPY 2017: A NATIONWIDE CLUSTER SAMPLE SURVEY. : BACKGROUND: TO EXAMINE THE KNOWLEDGE, ATTITUDES, AND PRACTICE GAP OF YOGA ACROSS INDIA BASED ON IMPLICIT PERCEPTIONS. METHODS: THE PRESENT STUDY IS A NATIONWIDE DOOR-TO-DOOR SURVEY CONDUCTED USING A QUESTIONNAIRE/SCREENING FORM. THE DATA WERE COLLECTED FROM A NATIONAL SURVEY CONDUCTED UNDER THE NIYANTRIT MADHUMEH BHARAT (NMB) PROGRAM INITIATED BY THE MINISTRY OF AYURVEDA, YOGA, UNANI, SIDDHA, HOMEOPATHY (AYUSH), GOVERNMENT OF INDIA, FROM ALL MAJOR ZONES OF THE COUNTRY. A TOTAL OF 162,330 PARTICIPANTS WHO JOINED THE NMB PROGRAM WERE RECRUITED IN OUR STUDY. RESULTS: OUT OF THE TOTAL RESPONDENTS TO THE SURVEY, IT WAS OBSERVED THAT 11.8% [13,336/112,735] PRACTICE YOGA, WHICH WAS HIGHEST IN THE NORTH ZONE [4,567/112,735] AND LOWEST IN THE EAST ZONE [971/112,735]. OUT OF 101,643 RESPONDENTS, 94,135 OF THE INDIVIDUALS WHO PARTICIPATED IN THE SURVEY BELIEVED THAT YOGA IMPROVED THEIR LIFESTYLE, AND 90,102/98,518 BELIEVED THAT YOGA PREVENTED DIABETES, REVEALING A HUGE KNOWLEDGE-PRACTICE GAP. CONCLUSIONS: THE SCALE OF THE KNOWLEDGE-PRACTICE GAP COUPLED WITH THE GENERAL ACCEPTABILITY OF YOGA CALLS FOR A CHANGE IN THE CONVENTIONAL HEALTHCARE PROVISIONS BY ITS INTEGRATION WITH MODERN MEDICINE. THE POPULATION-WIDE POSITIVE PERCEPTIONS ABOUT YOGA AS A PREVENTIVE HEALTH TOOL CAN NOT ONLY CATALYZE CONSENSUS DISEASE-SPECIFIC YOGA MODULES BUT ALSO BRIDGE THE KNOWLEDGE-PRACTICE GAP THAT EXISTS BECAUSE OF LIMITED YOGA CENTERS AND PROFESSIONALS. 2020 16 131 25 A PRAGMATIC MULTI-CENTRED RANDOMISED CONTROLLED TRIAL OF YOGA FOR CHRONIC LOW BACK PAIN: TRIAL PROTOCOL. UNLABELLED: A SYSTEMATIC REVIEW REVEALED THREE SMALL RANDOMISED CONTROLLED TRIALS OF YOGA FOR LOW BACK PAIN, ALL OF WHICH SHOWED EFFECTS ON BACK PAIN THAT FAVOURED THE YOGA GROUP. TO BUILD ON THESE STUDIES A LARGER TRIAL, WITH LONGER TERM FOLLOW-UP, AND A NUMBER OF DIFFERENT YOGA TEACHERS DELIVERING THE INTERVENTION IS REQUIRED. THIS STUDY PROTOCOL DESCRIBES THE DETAILS OF A RANDOMISED CONTROLLED TRIAL (RCT) TO DETERMINE THE EFFECTIVENESS AND COST-EFFECTIVENESS OF YOGA FOR CHRONIC LOW BACK PAIN, WHICH IS FUNDED BY ARTHRITIS RESEARCH CAMPAIGN (ARC) AND IS BEING CONDUCTED BY THE UNIVERSITY OF YORK. 262 PATIENTS WILL BE RECRUITED FROM GP PRACTICES IN 5 CENTRES IN ENGLAND. PATIENTS WILL BE RANDOMISED TO RECEIVE USUAL CARE OR 12 WEEKLY CLASSES OF YOGA. A YOGA PROGRAMME WILL BE DEVISED THAT CAN BE DELIVERED BY YOGA TEACHERS OF THE TWO MAIN NATIONAL YOGA ORGANISATIONS IN THE UK (BRITISH WHEEL OF YOGA AND IYENGAR YOGA ASSOCIATION (UK)). TRIAL REGISTRATION: CURRENT CONTROLLED TRIALS REGISTRY ISRCTN81079604 (DATE REGISTERED 30/03/2007). 2010 17 1212 31 EXPLORING KNOWLEDGE, ATTITUDE AND PRACTICE REGARDING YOGA AMONG PATIENTS ATTENDING CARDIOLOGY AND NEUROLOGY CLINICS IN A TERTIARY CARE HOSPITAL IN NORTHERN INDIA. BACKGROUND THE USE OF COMPLEMENTARY AND ALTERNATIVE MEDICINE, PARTICULARLY YOGA IS INCREASING IN NON-COMMUNICABLE DISEASES (NCDS). WE ASSESSED THE OVERALL AWARENESS REGARDING YOGA AMONG PATIENTS AND THEIR OPINION ABOUT IT AS AN ADJUNCT THERAPY FOR NCDS. METHODS WE INCLUDED 384 PATIENTS ATTENDING THE CARDIOLOGY AND NEUROLOGY CLINICS AT A TERTIARY CARE CENTRE IN NORTHERN INDIA. A QUESTIONNAIRE WAS DEVELOPED TO ASSESS THE KNOWLEDGE, ATTITUDE AND PRACTICE OF YOGA AS A THERAPY. RESULTS NINETY PER CENT OF PATIENTS WERE AWARE OF YOGA, MAINLY THROUGH PRINT AND ELECTRONIC MEDIA. OF THE SURVEYED PATIENTS, 22% PRACTISED YOGA. LACK OF TIME AND KNOWLEDGE WERE CITED AS THE MAIN REASONS FOR NON-PRACTICE AMONG THE NON-PRACTISING PATIENTS (88%), OF WHICH 82% BELIEVED THAT YOGA COULD BE PRACTISED ALONG WITH MODERN MEDICINE. IN ADDITION, 61% WERE READY TO ACCEPT TREATMENT IF OFFERED AT THE SURVEYED TERTIARY CARE CENTRE. CONCLUSIONS ADEQUATE KNOWLEDGE, AWARENESS AND ATTITUDE TOWARDS YOGA APPEARS TO BE PRESENT IN CONTRAST TO THE LOW PRACTICE AMONG THE PATIENT POPULATION SURVEYED. IF IMPLEMENTED IN AN INTEGRATED FASHION, THE PATIENTS WERE WILLING TO ACCEPT YOGA AS AN ADJUNCT THERAPY FOR THEIR CARDIAC AND NEUROLOGICAL DISORDERS-AN ENCOURAGING SIGN GIVEN THE BURDEN OF NCDS IN INDIA. 2022 18 132 42 A PRAGMATIC MULTICENTERED RANDOMIZED CONTROLLED TRIAL OF YOGA FOR CHRONIC LOW BACK PAIN: ECONOMIC EVALUATION. STUDY DESIGN: MULTICENTERED RANDOMIZED CONTROLLED TRIAL WITH QUALITY OF LIFE AND RESOURCE USE DATA COLLECTED. OBJECTIVE: THE OBJECTIVE OF THIS STUDY WAS TO EVALUATE THE COST-EFFECTIVENESS OF YOGA INTERVENTION PLUS USUAL CARE COMPARED WITH USUAL CARE ALONE FOR CHRONIC OR RECURRENT LOW BACK PAIN. SUMMARY OF BACKGROUND DATA: YOGA HAS BEEN SHOWN AS AN EFFECTIVE INTERVENTION FOR TREATING CHRONIC OR RECURRENT LOW BACK PAIN. HOWEVER, THERE IS LITTLE EVIDENCE ON ITS COST-EFFECTIVENESS. THE DATA ARE EXTRACTED FROM A PRAGMATIC, MULTICENTERED, RANDOMIZED CONTROLLED TRIAL THAT HAS BEEN CONDUCTED TO EVALUATE THE EFFECTIVENESS AND COST-EFFECTIVENESS OF A 12-WEEK PROGRESSIVE PROGRAM OF YOGA PLUS USUAL CARE IN PATIENTS WITH CHRONIC OR RECURRENT LOW BACK PAIN. METHODS: WITH THIS TRIAL DATA, A COST-EFFECTIVENESS ANALYSIS DURING THE TIME PERIOD OF 12 MONTHS FROM BOTH PERSPECTIVES OF THE UK NATIONAL HEALTH SERVICE AND THE SOCIETAL IS PRESENTED. MAIN OUTCOME MEASURE IS AN INCREMENTAL COST PER QUALITY-ADJUSTED LIFE-YEAR (QALY). RESULTS: FROM THE PERSPECTIVE OF THE U.K. NATIONAL HEALTH SERVICE, YOGA INTERVENTION YIELDS AN INCREMENTAL COST-EFFECTIVENESS RATIO OF POUND13,606 PER QALY. GIVEN A WILLINGNESS TO PAY FOR AN ADDITIONAL QALY OF POUND20,000, THE PROBABILITY OF YOGA INTERVENTION BEING COST-EFFECTIVE IS 72%. FROM THE PERSPECTIVE OF THE SOCIETY, YOGA INTERVENTION IS A DOMINANT TREATMENT COMPARED WITH USUAL CARE ALONE. THIS RESULT IS SURROUNDED BY FEWER UNCERTAINTIES-THE PROBABILITY OF YOGA BEING COST-EFFECTIVE REACHES 95% AT A WILLINGNESS TO PAY FOR AN ADDITIONAL QALY OF POUND20,000. SENSITIVE ANALYSES SUGGEST THE SAME RESULTS THAT YOGA INTERVENTION IS LIKELY TO BE COST-EFFECTIVE IN BOTH PERSPECTIVES. CONCLUSION: ON THE BASIS OF THIS TRIAL, 12 WEEKLY GROUP CLASSES OF SPECIALIZED YOGA ARE LIKELY TO BE A COST-EFFECTIVE INTERVENTION FOR TREATING PATIENTS WITH CHRONIC OR RECURRENT LOW BACK PAIN. 2012 19 2404 37 YOGA AND EPILEPSY: WHAT DO PATIENTS PERCEIVE? CONTEXT: BENEFIT OF YOGA THERAPY IN THE MANAGEMENT OF EPILEPSY IS EMERGING. HOWEVER, THERE IS NO DATA AVAILABLE ABOUT THE KNOWLEDGE, ATTITUDE AND PRACTICE (KAP) OF YOGA AMONGST PEOPLE LIVING WITH EPILEPSY (PLWE). AIMS: THIS STUDY WAS DESIGNED TO EXPLORE THE KAP ABOUT YOGA AMONG PLWE. SETTINGS AND DESIGN: THE STUDY WAS CONDUCTED ON 300 PLWE ATTENDING THE NEUROLOGY OUT-PATIENT SERVICES OF A TERTIARY CARE HOSPITAL. METHODOLOGY: THREE HUNDRED PLWE (MALE:FEMALE=173:127; AGE: 31.6+/-12.4 YEARS) ATTENDING THE NEUROLOGY OUT-PATIENT SERVICES OF A NEUROPSYCHIATRY HOSPITAL WERE ADMINISTERED A PRE-TESTED KAP QUESTIONNAIRE. RESULTS: ABOUT 87.4% WERE ON REGULAR ANTI-EPILEPTIC DRUGS AND HALF (50.3%) ON MONOTHERAPY. USE OF COMPLEMENTARY AND ALTERNATIVE MEDICINE BY THE RESPONDENTS INCLUDED: AYURVEDA (26.7%), YOGA (25.6%) AND HOMEOPATHY (16.3%) OR FOLK MEDICINE (29.1%). NEARLY 33.7% OF THE RESPONDENTS REPORTED THAT YOGA IS BENEFICIAL IN MANAGING EPILEPSY. MORE THAN HALF THE RESPONDENTS (54.8%) WERE WILLING TO PRACTICE YOGA. THOSE WHO PRACTICED YOGA OPINED THAT REGULAR PRACTICE OF YOGA MIGHT REDUCE DOSAGE OF MEDICATION (62.8%), THEIR SIDE EFFECTS (51.3%) AND FREQUENCY OF SEIZURES (54.5%). MAJORITY OF THE PATIENTS WERE WILLING TO PRACTICE YOGA, IF YOGA SERVICES WERE OFFERED. CONCLUSION: THE GAPS IN KAP IDENTIFIED IN THIS STUDY POINT TO THE NEED FOR MORE SYSTEMATIC EFFORT TO BRING ABOUT AWARENESS OF YOGA IN PATIENTS WITH EPILEPSY. 2013 20 536 40 COMPARISON OF YOGA VERSUS STRETCHING FOR CHRONIC LOW BACK PAIN: PROTOCOL FOR THE YOGA EXERCISE SELF-CARE (YES) TRIAL. BACKGROUND: BACK PAIN, ONE OF THE MOST PREVALENT CONDITIONS AFFLICTING AMERICAN ADULTS, IS THE LEADING REASON FOR USING COMPLEMENTARY AND ALTERNATIVE MEDICINE (CAM) THERAPIES. YOGA IS AN INCREASINGLY POPULAR "MIND-BODY" CAM THERAPY OFTEN USED FOR RELIEVING BACK PAIN AND SEVERAL SMALL STUDIES HAVE FOUND YOGA EFFECTIVE FOR THIS CONDITION. THIS STUDY WILL ASSESS WHETHER YOGA IS EFFECTIVE FOR TREATING CHRONIC LOW BACK PAIN COMPARED WITH SELF CARE AND EXERCISE AND WILL EXPLORE THE MECHANISMS RESPONSIBLE FOR ANY OBSERVED BENEFITS. METHODS/DESIGN: A TOTAL OF 210 PARTICIPANTS WITH LOW BACK PAIN LASTING AT LEAST 3 MONTHS WILL BE RECRUITED FROM PRIMARY CARE CLINICS OF A LARGE HEALTHCARE SYSTEM BASED IN SEATTLE. THEY WILL BE RANDOMIZED IN A 2:2:1 RATIO TO RECEIVE 12 WEEKLY YOGA CLASSES, 12 WEEKLY CONVENTIONAL THERAPEUTIC EXERCISE CLASSES OF COMPARABLE PHYSICAL EXERTION, OR A SELF-CARE BOOK. INTERVIEWERS MASKED TO PARTICIPANTS' TREATMENT GROUP WILL ASSESS OUTCOMES AT BASELINE AND 6, 12 AND 26 WEEKS AFTER RANDOMIZATION. PRIMARY OUTCOMES WILL BE BACK-RELATED DYSFUNCTION AND SYMPTOM BOTHERSOMENESS. IN ADDITION, DATA WILL BE COLLECTED ON PHYSICAL MEASUREMENTS (E.G., FLEXION) AT BASELINE AND 12 WEEKS AND SALIVA SAMPLES WILL BE OBTAINED AT BASELINE, 6 AND 12 WEEKS. INFORMATION WILL BE COLLECTED ON SPECIFIC PHYSICAL, PSYCHOLOGICAL, AND PHYSIOLOGICAL FACTORS TO ALLOW EXPLORATION OF POSSIBLE MECHANISMS OF ACTION THROUGH WHICH YOGA COULD RELIEVE BACK PAIN AND DYSFUNCTION. THE EFFECTIVENESS OF YOGA WILL BE ASSESSED USING ANALYSIS OF COVARIANCE (USING GENERAL ESTIMATING EQUATIONS - GEE) WITHIN AN INTENTION-TO-TREAT CONTEXT. IF YOGA IS FOUND EFFECTIVE, FURTHER ANALYSES WILL EXPLORE WHETHER YOGA'S BENEFITS ARE ATTRIBUTABLE TO PHYSICAL, PSYCHOLOGICAL AND/OR PHYSIOLOGICAL FACTORS. CONCLUSIONS: THIS STUDY WILL PROVIDE THE CLEAREST EVIDENCE TO DATE ABOUT THE VALUE OF YOGA AS A THERAPEUTIC OPTION FOR TREATING CHRONIC BACK PAIN, AND IF THE RESULTS ARE POSITIVE, WILL HELP FOCUS FUTURE, MORE IN-DEPTH, RESEARCH ON THE MOST PROMISING POTENTIAL MECHANISMS OF ACTION IDENTIFIED BY THIS STUDY. 2010