1 2253 150 THE NORTH AMERICAN YOGA THERAPY WORKFORCE SURVEY. OBJECTIVE: TO DESCRIBE THE PERSONAL, PROFESSIONAL, PRACTICE, SERVICE AND CONSUMER CHARACTERISTICS OF THE NORTH AMERICAN YOGA THERAPY WORKFORCE. DESIGN: CROSS-SECTIONAL, DESCRIPTIVE SURVEY DEVELOPED AND INFORMED BY THE CONTEMPORARY WORKFORCE LITERATURE. A LINK TO THE E-SURVEY WAS DISTRIBUTED TO MEMBERS OF THE INTERNATIONAL ASSOCIATION OF YOGA THERAPISTS. RESULTS: 367 MEMBERS RESPONDED ( APPROXIMATELY 20% OF ELIGIBLE PARTICIPANTS). MOST WERE AGED 40-69 YEARS (88%) AND FEMALE (91%). ALMOST HALF (42%) IDENTIFIED AS A "SEASONED YOGA THERAPIST" AND FEW (9%) GRADUATED FROM AN ACCREDITED 800-H YOGA THERAPY PROGRAM. AN AVERAGE OF 8H/WEEK WAS SPENT IN CLINICAL PRACTICE WITH MANY (41%) EARNING AN ANNUAL INCOME OF <US$10,000 FROM YOGA THERAPY. PRACTICE WAS INFORMED BY TWENTY DIFFERENT STYLES OF YOGA. URBAN (39%) AND SUBURBAN (38.1%) REGIONS WERE THE MOST COMMON LOCATIONS OF PRACTICE. MOST THERAPISTS CONDUCTED THERAPEUTIC YOGA CLASSES (91%) AND 1:1 SESSIONS (94%), WITH MORE THAN HALF DELIVERING 1-10 THERAPEUTIC CLASSES/MONTH (53%) AND 1-10 1:1 SESSIONS/MONTH (52%). CONDITIONS SEEN MOST FREQUENTLY WERE ANXIETY (77%), BACK/NECK PAIN (77%) AND JOINT PAIN/STIFFNESS (67%). CONCLUSION: WHILE YOGA THERAPISTS SHARED DEMOGRAPHIC CHARACTERISTICS WITH OTHER COMPLEMENTARY AND INTEGRATIVE HEALTH (CIH) PROVIDERS, THEY TENDED TO WORK LESS AND EARN LESS THAN THEIR CIH COUNTERPARTS. YOGA THERAPISTS WERE LESS LIKELY TO WORK IN RURAL SETTINGS, POSSIBLY CONTRIBUTING TO THE UNDERUTILIZATION OF YOGA IN UNDERSERVED POPULATIONS. IMPROVING ACCESS TO YOGA THERAPY SERVICES, IDENTIFYING COMMON CORE COMPONENTS ACROSS THE VARIOUS STYLES OF YOGA, AND BUILDING A STRONGER EVIDENCE-BASE FOR KEY HEALTH INDICATIONS MAY INCREASE ACCEPTANCE OF, AND DEMAND FOR, YOGA THERAPY.	2017	
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
2 1613  34 MILITARY-TAILORED YOGA FOR VETERANS WITH POST-TRAUMATIC STRESS DISORDER. INTRODUCTION: AMONG VETERANS OF POST-9/11 CONFLICTS, ESTIMATES OF POST-TRAUMATIC STRESS DISORDER (PTSD) RANGE FROM 9% SHORTLY AFTER RETURNING FROM DEPLOYMENT TO 31% A YEAR AFTER DEPLOYMENT. CLINICAL AND PHARMACEUTICALLY BASED TREATMENTS ARE UNDERUTILIZED. THIS COULD BE DUE TO CONCERNS RELATED TO LOST DUTY DAYS, AS WELL AS PTSD PATIENTS' FEARS OF STIGMA OF HAVING A MENTAL HEALTH CONDITION. YOGA HAS BEEN SHOWN TO REDUCE PTSD SYMPTOMS IN THE CIVILIAN POPULATION, BUT FEW STUDIES HAVE TESTED THE IMPACT OF YOGA ON VETERANS OF POST-9/11 CONFLICTS. THE PURPOSE OF THIS STUDY IS TO TEST THE IMPACT OF YOGA ON POST-9/11 VETERANS DIAGNOSED WITH PTSD. MATERIALS AND METHODS: PARTICIPANTS WERE 18 YR OF AGE OR OLDER AND VETERANS OF POST-9/11 CONFLICTS. THEY HAD SUBTHRESHOLD OR DIAGNOSTIC-LEVEL PTSD RELATED TO THEIR COMBAT MILITARY SERVICE, AS DETERMINED BY A SCORE OF 30 OR HIGHER ON THE PTSD CHECKLIST-MILITARY VERSION (PCL-M). VETERANS PARTICIPATED IN 60-MIN WEEKLY YOGA SESSIONS FOR 6 WK TAUGHT BY A WARRIORS AT EASE-TRAINED YOGA INSTRUCTOR WHO IS A, POST-9/11 VETERAN. THE YOGA SESSIONS INCORPORATED VINYASA-STYLE YOGA AND A TRAUMA-SENSITIVE, MILITARY-CULTURE INFORMED APPROACH ADVOCATED BY TWO SEPARATE ORGANIZATIONS: WARRIORS AT EASE AND MEGHAN'S FOUNDATION. DATA WERE COLLECTED AT BASELINE AND AGAIN AFTER 7 WK. THE PRIMARY OUTCOME WAS PCL-M SCORE. PARTICIPANTS ALSO COMPLETED THE PATIENT HEALTH QUESTIONNAIRE, THE BECK ANXIETY INVENTORY, THE PITTSBURGH SLEEP QUALITY INDEX, AND THE MINDFUL ATTENTION AWARENESS SCALE AT BOTH TIME POINTS. RESULTS: EIGHTEEN OPERATION ENDURING FREEDOM, OPERATION IRAQI FREEDOM, AND OPERATION NEW DAWN VETERANS COMPLETED THE PRE- AND POST-INTERVENTION SELF-REPORT QUESTIONNAIRES. AGE RANGED FROM 26 TO 62 YR (MEDIAN = 43 YR), LENGTH OF SERVICE RANGED FROM 2 TO 34 YR (MEDIAN = 18.8 YR), AND 13 (72.2%) HAD COMPLETED COLLEGE. DECREASED PTSD SYMPTOMATOLOGY WAS DEMONSTRATED IN THE THREE-SYMPTOM CLUSTERS REPRESENTED IN THE PCL-M (I.E., HYPERAROUSAL, RE-EXPERIENCING, AND AVOIDANCE). IN ADDITION, THE TOTAL SCORE ON THE PCL-M DECREASED SIGNIFICANTLY, BY BOTH STATISTICAL AND CLINICAL MEASURES. THE PARTICIPANTS ALSO DEMONSTRATED IMPROVED MINDFULNESS SCORES AND REPORTED DECREASED INSOMNIA, DEPRESSION, AND ANXIETY SYMPTOMS. CONCLUSION: THIS STUDY DEMONSTRATES THAT A TRAUMA-SENSITIVE YOGA INTERVENTION MAY BE EFFECTIVE FOR VETERANS WITH PTSD SYMPTOMS, WHETHER AS STAND-ALONE OR ADJUNCTIVE THERAPY. THE IMPRESSIVE DECREASE IN PTSD SYMPTOMATOLOGY MAY BE DUE TO THE TAILORED MILITARY-SPECIFIC NATURE OF THIS INTERVENTION AND THE FACT THAT IT WAS LED BY A VETERAN OF POST-9/11 CONFLICTS. MORE RESEARCH IS NEEDED WITH A LARGER SAMPLE AND A MORE DIVERSE VETERAN POPULATION.	2018	
                                                                                                                                                                                                                                                                                                    
3 1155  28 ENHANCING YOGA PARTICIPATION: A QUALITATIVE INVESTIGATION OF BARRIERS AND FACILITATORS TO YOGA AMONG PREDOMINANTLY RACIAL/ETHNIC MINORITY, LOW-INCOME ADULTS. YOGA IS UNDERUTILIZED AMONG RACIAL/ETHNIC MINORITIES AND LOW-INCOME POPULATIONS. TO ENHANCE PARTICIPATION AMONG THESE DEMOGRAPHIC GROUPS AND TO INFORM A FUTURE CLINICAL TRIAL, WE CONDUCTED A QUALITATIVE FORMATIVE INVESTIGATION, INFORMED BY THE SOCIAL CONTEXTUAL MODEL OF HEALTH BEHAVIOR CHANGE, TO IDENTIFY BARRIERS AND FACILITATORS TO YOGA THAT COULD IMPACT STUDY PARTICIPATION. WE RECRUITED TWENTY-FOUR RACIALLY/ETHNICALLY DIVERSE ADULTS, WITH AND WITHOUT PRIOR YOGA EXPERIENCE, FROM A LOW-INCOME, URBAN HOUSING COMMUNITY TO PARTICIPATE IN EITHER AN INDIVIDUAL INTERVIEW OR FOCUS GROUP. A THEMATIC DATA ANALYSIS APPROACH WAS EMPLOYED. BARRIERS TO YOGA ENGAGEMENT INCLUDED THE PERCEPTION THAT YOGA LACKS PHYSICALITY AND WEIGHT LOSS BENEFITS, FEAR OF INJURY, LACK OF ABILITY/SELF-EFFICACY TO PERFORM THE PRACTICES, PREFERENCE FOR OTHER PHYSICAL ACTIVITIES, AND SCHEDULING DIFFICULTIES. FACILITATORS OF YOGA ENGAGEMENT INCLUDED A QUALITY YOGA INSTRUCTOR WHO PROVIDES INDIVIDUALIZED INSTRUCTION, BEGINNER LEVEL CLASSES, AND PROMOTIONAL MESSAGING THAT HIGHLIGHTS THE POTENTIAL BENEFITS OF YOGA, SUCH AS STRESS REDUCTION.	2017	
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
4  466  31 CHARACTERISTICS OF CLIENTS SEEKING YOGA THERAPY IN A UNIVERSITY-BASED STUDENT CLINIC. YOGA THERAPY IS AN EMERGING PROFESSION WITH RECENT DEVELOPMENT OF EDUCATIONAL COMPETENCIES, TRAINING PROGRAM ACCREDITATION, AND PRACTITIONER CERTIFICATION. IN THE UNITED STATES, MOST YOGA THERAPY TRAINING PROGRAMS ARE STUDIO-BASED AND DATA ON MENTORED CLINICAL ENCOUNTERS ARE LACKING. THIS STUDY AIMED TO CHARACTERIZE THE CLIENT POPULATION IN A UNIVERSITY-BASED MENTORED STUDENT CLINIC. AS PART OF A LARGER FEASIBILITY STUDY, DATA WERE COLLECTED AT ALL CLINIC VISITS FOR 70 CONSENTING CLIENTS. DATA COLLECTED INCLUDED DEMOGRAPHIC CHARACTERISTICS, REASONS FOR PURSUING CARE, USE OF OTHER HEALTHCARE APPROACHES, AND THE PATIENT-REPORTED OUTCOMES MEASUREMENT INFORMATION SYSTEM (PROMIS) FOR PHYSICAL AND MENTAL HEALTH. PARTICIPANTS WERE MOSTLY MIDDLE-AGED, WHITE, AND HIGHLY EDUCATED. COMMON REASONS FOR PURSUING CARE WERE PAIN AND MENTAL HEALTH. MOST USED MULTIPLE HEALTHCARE APPROACHES. AVERAGE SCORES FOR MOST PATIENT-REPORTED OUTCOMES FELL WITHIN NORMAL RANGE AT BASELINE. FUTURE STUDIES ARE NEEDED TO BETTER CHARACTERIZE YOGA THERAPY USERS AND TO EXPAND ACCESS FOR POPULATIONS IN WHOM THE MODALITY IS UNDERUTILIZED DESPITE EMERGING EVIDENCE OF RELEVANCE.	2021	
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
5 1349  37 IF WE OFFER, WILL THEY COME: PERCEPTIONS OF YOGA AMONG HISPANICS. OBJECTIVE: YOGA IS UNDERUTILIZED BY THE HISPANICS. THIS STUDY EXAMINED PERCEPTIONS OF BENEFITS AND BARRIERS TO YOGA AMONG HISPANIC ADULTS, TO PROVIDE INFORMATION THAT MAY INCREASE THEIR PARTICIPATION IN THIS PRACTICE. SETTING: PARTICIPANTS WERE RECRUITED FROM A COMMUNITY CENTER SERVING LOW-INCOME HISPANICS. DESIGN: SELF-ADMINISTERED CROSS-SECTIONAL QUESTIONNAIRES ASSESSING BENEFITS AND BARRIERS TO YOGA WERE CONDUCTED IN SPANISH AND ENGLISH. FISHER'S EXACT TEST WAS USED TO EXAMINE PERCEPTIONS OF YOGA BY GENDER, AGE, AND PRIOR EXPERIENCE. RESULTS: PARTICIPANTS (AGES 18-85, 65 % WOMEN, N = 121) REPORTED SEVERAL BENEFITS TO YOGA. HISPANIC WOMEN, INDIVIDUALS 65 Y OR OLDER, AND THOSE WITH PRIOR EXPERIENCE, PERCEIVED MORE BENEFITS. BARRIERS TO YOGA ALSO DIFFERED BY DEMOGRAPHICS. MEN REPORTED THAT TIME AND THE PERCEPTION THAT THEY WOULD HAVE TO DO UNREALISTIC PRETZEL-LIKE POSES AS DETERRENTS TO YOGA PRACTICE; YOUNGER INDIVIDUALS PERCEIVED YOGA TO BE BORING, AND THOSE WITH NO EXPERIENCE PERCEIVED LACK OF FLEXIBILITY AND FEELING LIKE AN OUTSIDER IN CLASS, AS BARRIERS TO YOGA. THE MOST COMMON BARRIER, ACROSS SUBGROUPS, WAS THE COST ASSOCIATED WITH YOGA PRACTICE. THE MAJORITY OF PARTICIPANTS REPORTED BEING WILLING TO ATTEND YOGA CLASSES IF OFFERED AT A LOW COST. CONCLUSION: PERCEIVED BARRIERS RELATED TO YOGA REFLECT A LACK OF KNOWLEDGE ABOUT YOGA AND WHAT IT ENTAILS AND THE COST OF CLASSES. DESPITE THESE BARRIERS, HISPANIC ADULTS FROM A LOW-INCOME POPULATION SAID THEY WOULD BE WILLING TO ATTEND YOGA CLASSES IF OFFERED AT A LOW COST. UNDERSTANDING AND ADDRESSING THESE BARRIERS CAN HELP RESEARCHERS AND HEALTH PRACTITIONERS IMPROVE DIVERSITY IN YOGA CLASSES AND RESEARCH.	2021	
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
6  230  34 A SYSTEMATIC REVIEW OF YOGA FOR BALANCE IN A HEALTHY POPULATION. OBJECTIVE: A SYSTEMATIC REVIEW WAS DONE OF THE EVIDENCE ON YOGA FOR IMPROVING BALANCE. DESIGN: RELEVANT ARTICLES AND REVIEWS WERE IDENTIFIED IN MAJOR DATABASES (PUBMED, MEDLINE((R)), INDMED, WEB OF KNOWLEDGE, EMBASE, EBSCO, SCIENCE DIRECT, AND GOOGLE SCHOLAR), AND THEIR REFERENCE LISTS SEARCHED. KEY SEARCH WORDS WERE YOGA, BALANCE, PROPRIOCEPTION, FALLING, FEAR OF FALLING, AND FALLS. INCLUDED STUDIES WERE PEER-REVIEWED ARTICLES PUBLISHED IN ENGLISH BEFORE JUNE 2012, USING HEALTHY POPULATIONS. ALL YOGA STYLES AND STUDY DESIGNS WERE INCLUDED. TWO (2) RATERS INDIVIDUALLY RATED STUDY QUALITY USING THE DOWNS & BLACK (DB) CHECKLIST. FINAL SCORES WERE ACHIEVED BY CONSENSUS. ACHIEVABLE SCORES RANGED FROM 0 TO 27. EFFECT SIZE (ES) WAS CALCULATED WHERE POSSIBLE. RESULTS: FIFTEEN (15) OF 152 STUDIES (AGE RANGE 10-93, N=688) MET THE INCLUSION CRITERIA: 5 RANDOMIZED CONTROLLED TRIALS (RCTS), 4 QUASI-EXPERIMENTAL, 2 CROSS-SECTIONAL, AND 4 SINGLE-GROUP DESIGNS. DB SCORES RANGED FROM 10 TO 24 (RCTS), 14-19 (QUASI-EXPERIMENTAL), 6-12 (CROSS-SECTIONAL), AND 11-20 (SINGLE GROUP). STUDIES VARIED BY YOGA STYLE, FREQUENCY OF PRACTICE, AND DURATION. ELEVEN (11) STUDIES FOUND POSITIVE RESULTS (P<0.05) ON AT LEAST ONE BALANCE OUTCOME. ES RANGED FROM -0.765 TO 2.71 (FOR 8 STUDIES) AND WAS NOT ASSOCIATED WITH DB SCORE. CONCLUSIONS: YOGA MAY HAVE A BENEFICIAL EFFECT ON BALANCE, BUT VARIABLE STUDY DESIGN AND POOR REPORTING QUALITY OBSCURE THE RESULTS. BALANCE AS AN OUTCOME IS UNDERUTILIZED, AND MORE PROBING MEASURES ARE NEEDED.	2014	
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
7  151  32 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	
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
8  144  24 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	
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
9 2032  32 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	
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
10 1224  32 FEASIBILITY AND ASSESSMENT OF OUTCOME MEASURES FOR YOGA AS SELF-CARE FOR MINORITIES WITH ARTHRITIS: A PILOT STUDY. BACKGROUND: WHILE THERE IS A GROWING INTEREST IN THE THERAPEUTIC BENEFITS OF YOGA, MINORITY POPULATIONS WITH ARTHRITIS TEND TO BE UNDER-REPRESENTED IN THE RESEARCH. ADDITIONALLY, THERE IS AN ABSENCE OF GUIDANCE IN THE LITERATURE REGARDING THE USE OF MULTICULTURAL TEAMS AND SOCIOCULTURAL HEALTH BELIEFS, WHEN DESIGNING YOGA STUDIES FOR A RACIALLY DIVERSE POPULATION WITH ARTHRITIS. THIS PILOT STUDY EXAMINED THE FEASIBILITY OF OFFERING YOGA AS A SELF-CARE MODALITY TO AN URBAN, BILINGUAL, MINORITY POPULATION WITH OSTEOARTHRITIS (OA) OR RHEUMATOID ARTHRITIS (RA), IN THE WASHINGTON, DC AREA. METHODS: THE PRIMARY OBJECTIVE OF THE STUDY WAS TO ASSESS THE FEASIBILITY OF OFFERING AN 8-WEEK, BILINGUAL YOGA INTERVENTION ADAPTED FOR ARTHRITIS TO A CONVENIENCE SAMPLE OF PRIMARILY HISPANIC AND BLACK/AFRICAN-AMERICAN ADULTS. A RACIALLY DIVERSE INTERDISCIPLINARY RESEARCH TEAM WAS ASSEMBLED TO DESIGN A STUDY TO FACILITATE RECRUITMENT AND RETENTION. THE SECOND OBJECTIVE IDENTIFIED OUTCOME MEASURES TO OPERATIONALIZE POTENTIAL FACILITATORS AND BARRIERS TO SELF-CARE AND SELF-EFFICACY. THE THIRD OBJECTIVE DETERMINED THE FEASIBILITY OF USING COMPUTER-ASSISTED SELF-INTERVIEW (CASI) FOR DATA COLLECTION. RESULTS: ENROLLED PARTICIPANTS (N = 30) WERE MOSTLY FEMALE (93%), SPANISH SPEAKING (69%), AND DIAGNOSED WITH RA (88.5%). FEASIBILITY WAS EVALUATED USING PRACTICALITY, ACCEPTABILITY, ADAPTATION, AND EXPANSION OF AN ARTHRITIS-ADAPTED YOGA INTERVENTION, MODIFIED FOR THIS POPULATION. RECRUITMENT (51%) AND PARTICIPATION (60%) RATES WERE SIMILAR TO PREVIOUS RESEARCH AND CLINICAL EXPERIENCE WITH THE STUDY POPULATION. OF THOSE ENROLLED, 18 STARTED THE INTERVENTION. FOR ADHERENCE, 12 OUT OF 18 (67%) PARTICIPANTS COMPLETED THE INTERVENTION. ALL (100%), WHO COMPLETED THE INTERVENTION, CONTINUED TO PRACTICE YOGA 3 MONTHS AFTER COMPLETING THE STUDY. USING NONPARAMETRIC TESTS, SELECTED OUTCOME MEASURES SHOWED A MEASURABLE CHANGE POST-INTERVENTION SUGGESTING APPROPRIATE USE IN FUTURE STUDIES. AN IN-PERSON COMPUTERIZED QUESTIONNAIRE WAS DETERMINED TO BE A FEASIBLE METHOD OF DATA COLLECTION. CONCLUSIONS: FINDINGS FROM THIS PILOT STUDY CONFIRM THE FEASIBILITY OF OFFERING YOGA TO THIS RACIALLY/ETHNICALLY DIVERSE POPULATION WITH ARTHRITIS. THIS ARTICLE PROVIDES RECRUITMENT/RETENTION RATES, OUTCOME MEASURES WITH ERROR RATES, AND DATA COLLECTION RECOMMENDATIONS FOR A PREVIOUSLY UNDER-REPRESENTED POPULATION. SUGGESTIONS INCLUDE ALLOCATING RESOURCES FOR TRANSLATION AND USING A MULTICULTURAL DESIGN TO FACILITATE RECRUITMENT AND RETENTION. TRIAL REGISTRATION: CLINICALTRIALS.GOV, NCT01617421.	2018	
                                                                                                                                                                                                                                                                                                                                                                         
11 2795  31 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	
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
12   20  27 "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 1872  16 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	
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
14   11  35 "MAYBE BLACK GIRLS DO YOGA": A FOCUS GROUP STUDY WITH PREDOMINANTLY LOW-INCOME AFRICAN-AMERICAN WOMEN. OBJECTIVE: TO EXPLORE AFRICAN AMERICAN (AA) WOMEN'S USE OF MIND-BODY THERAPIES, SUCH AS YOGA AND MINDFULNESS, AND FACTORS THAT IMPACT THEIR EXPERIENCES, OBSERVATIONS AND OPINIONS. DESIGN: FOCUS GROUPS WERE CONDUCTED TO BETTER UNDERSTAND HOW AA WOMEN PERCEIVE MIND-BODY THERAPIES AND HOW TO BEST BRING THESE INTERVENTIONS INTO THEIR COMMUNITY. INTERVIEWS WERE AUDIOTAPED AND TRANSCRIBED. SETTING: THE URBAN MIDWEST. OUTCOME MEASURES: IN ADDITION TO QUALITATIVE OUTCOMES, DESCRIPTIVE MEASURES INCLUDED THE PERCEIVED STRESSOR SCALE, BELIEFS ABOUT YOGA SCALE, AND DETERMINANTS OF MEDITATION PRACTICE INVENTORY (DOMPI). RESULTS: TWENTY-TWO, PREDOMINANTLY LOW-INCOME (75% REPORTED INCOME <$50,000) AND SINGLE (82%) WOMEN PARTICIPATED IN THREE AGE STRATIFIED FOCUS GROUPS (18-34 YEARS, 35-65 YEARS, 66 YEARS AND OLDER). PARTICIPANTS ACKNOWLEDGED LIFE STRESS AND SHARED COMMON COPING MECHANISMS. THEY RECOGNIZED THAT YOGA AND MINDFULNESS COULD BE BENEFICIAL AND DISCUSSED BARRIERS TO PRACTICE (INCLUDING PERSONAL AND STRUCTURAL). YOUNGER WOMEN REPORTED MORE TIME CONSTRAINTS AS BARRIERS, MIDDLE AGED WOMEN HAD MORE EXPERIENCE WITH YOGA, AND OLDER WOMEN IDENTIFIED THE SPIRITUAL COMPONENT TO YOGA/MINDFULNESS AS POTENTIALLY CONFLICTING WITH CURRENT COPING STRATEGIES. PARTICIPANTS SUGGESTED WAYS TO SHARE MIND-BODY THERAPIES WITHIN THE AA COMMUNITY ALONG WITH SOLUTIONS FOR ENGAGEMENT. CONCLUSIONS: AA WOMEN ACKNOWLEDGED STRESS IN THEIR LIVES AND RECOGNIZED THE NEED FOR ADDITIONAL COPING MEASURES. ALTHOUGH WOMEN REPORTED INTEREST IN YOGA/MINDFULNESS THEY IDENTIFIED BARRIERS, INCLUDING LIMITED ACCESS TO CONVENIENT CLASSES, AND OFFERED SUGGESTIONS FOR BRINGING YOGA AND MINDFULNESS TO THEIR COMMUNITIES.	2018	
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
15 2749  37 YOGA PRACTICE IN THE UK: A CROSS-SECTIONAL SURVEY OF MOTIVATION, HEALTH BENEFITS AND BEHAVIOURS. OBJECTIVES: DESPITE THE POPULARITY OF YOGA AND EVIDENCE OF ITS POSITIVE EFFECTS ON PHYSICAL AND MENTAL HEALTH, LITTLE IS KNOWN ABOUT YOGA PRACTICE IN THE UK. THIS STUDY INVESTIGATED THE CHARACTERISTICS OF PEOPLE WHO PRACTISE YOGA, REASONS FOR INITIATING AND MAINTAINING PRACTICE, AND PERCEIVED IMPACT OF YOGA ON HEALTH AND WELL-BEING. DESIGN, SETTING AND PARTICIPANTS: A CROSS-SECTIONAL ONLINE ANONYMOUS SURVEY DISTRIBUTED THROUGH UK-BASED YOGA ORGANISATIONS, STUDIOS AND EVENTS, THROUGH EMAIL INVITES AND FLYERS. 2434 YOGA PRACTITIONERS COMPLETED THE SURVEY, INCLUDING 903 YOGA TEACHERS: 87% WERE WOMEN, 91% WHITE AND 71% DEGREE EDUCATED; MEAN AGE WAS 48.7 YEARS. MAIN OUTCOME MEASURES: PERCEIVED IMPACT OF YOGA ON HEALTH CONDITIONS, HEALTH OUTCOMES AND INJURIES. RELATIONSHIPS BETWEEN YOGA PRACTICE AND MEASURES OF HEALTH, LIFESTYLE, STRESS AND WELL-BEING. RESULTS: IN COMPARISON WITH NATIONAL POPULATION NORMS, PARTICIPANTS REPORTED SIGNIFICANTLY HIGHER WELL-BEING BUT ALSO HIGHER ANXIETY; LOWER PERCEIVED STRESS, BODY MASS INDEX AND INCIDENCE OF OBESITY, AND HIGHER RATES OF POSITIVE HEALTH BEHAVIOURS. 47% REPORTED CHANGING THEIR MOTIVATIONS TO PRACTISE YOGA, WITH GENERAL WELLNESS AND FITNESS KEY TO INITIAL UPTAKE, AND STRESS MANAGEMENT AND SPIRITUALITY IMPORTANT TO CURRENT PRACTICE. 16% OF PARTICIPANTS REPORTED STARTING YOGA TO MANAGE A PHYSICAL OR MENTAL HEALTH CONDITION. RESPONDENTS REPORTED THE VALUE OF YOGA FOR A WIDE RANGE OF HEALTH CONDITIONS, MOST NOTABLY FOR MUSCULOSKELETAL AND MENTAL HEALTH CONDITIONS. 20.7% REPORTED AT LEAST ONE YOGA-RELATED INJURY OVER THEIR LIFETIME. CONTROLLING FOR DEMOGRAPHIC FACTORS, FREQUENCY OF YOGA PRACTICE ACCOUNTED FOR SMALL BUT SIGNIFICANT VARIANCE IN HEALTH-RELATED REGRESSION MODELS (P<0.001). CONCLUSION: THE FINDINGS OF THIS FIRST DETAILED UK SURVEY WERE CONSISTENT WITH SURVEYS IN OTHER WESTERN COUNTRIES. YOGA WAS PERCEIVED TO HAVE A POSITIVE IMPACT ON PHYSICAL AND MENTAL HEALTH CONDITIONS AND WAS LINKED TO POSITIVE HEALTH BEHAVIOURS. FURTHER INVESTIGATION OF YOGA'S ROLE IN SELF-CARE COULD INFORM HEALTH-RELATED CHALLENGES FACED BY MANY COUNTRIES.	2020	
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
16 2336  46 UNDERSTANDING NORTH AMERICAN YOGA THERAPISTS' ATTITUDES, SKILLS AND USE OF EVIDENCE-BASED PRACTICE: A CROSS-NATIONAL SURVEY. INTRODUCTION: LITTLE IS KNOWN ABOUT THE ADOPTION OF EVIDENCE-BASED PRACTICE (EBP) BY YOGA THERAPISTS (YTS). OBJECTIVE: TO DETERMINE THE ATTITUDES, SKILLS, TRAINING, USE, BARRIERS AND FACILITATORS TO THE USE OF EBP AMONGST NORTH AMERICAN YTS DESIGN: CROSS-SECTIONAL, DESCRIPTIVE SURVEY METHODS: SELF-IDENTIFIED YTS PRACTICING IN NORTH AMERICA WERE INVITED TO PARTICIPATE IN AN ONLINE SURVEY. YT ATTITUDES, SKILLS, TRAINING, UTILISATION, BARRIERS TO USE, AND FACILITATORS OF EBP USE WERE MEASURED USING THE 84-ITEM EVIDENCE-BASED PRACTICE ATTITUDE AND UTILIZATION SURVEY (EBASE). RESULTS: 367 MEMBERS RESPONDED ( APPROXIMATELY 20% OF ELIGIBLE PARTICIPANTS). ATTITUDES TOWARDS EBP WERE GENERALLY POSITIVE WITH 88% AGREEING THAT PROFESSIONAL LITERATURE AND RESEARCH FINDINGS WERE USEFUL FOR THE PRACTICE OF YOGA THERAPY. MOST (80%) WERE INTERESTED IN IMPROVING THEIR SKILLS AND THE MAJORITY AGREED THAT EBP IMPROVES THE QUALITY OF CARE (68%), ASSISTS IN MAKING DECISIONS (74%) AND TAKES INTO ACCOUNT THE YTS CLINICAL EXPERIENCE WHEN MAKING CLINICAL DECISIONS (59%). MODERATE TO MODERATELY-HIGH LEVELS OF PERCEIVED SKILL IN EBP WERE REPORTED MOSTLY UTILIZING ONLINE SEARCH ENGINES (51%). LACK OF CLINICAL EVIDENCE WAS THE ONLY NOTABLE BARRIER TO UPTAKE REPORTED BY YTS (48%). FACILITATORS TO EBP INCLUDED ACCESS TO ONLINE EBP EDUCATION MATERIALS (70.6%), ABILITY TO DOWNLOAD FULL-TEXT JOURNAL ARTICLES AND ACCESS TO FREE ONLINE DATABASES IN THE WORKPLACE (67.3%). CONCLUSION: NORTH AMERICAN YTS REPORT POSITIVE ATTITUDES, MODERATE TO MODERATELY-HIGH LEVELS OF PERCEIVED SKILL AND MODERATE UPTAKE OF EBP. THIS ALIGNS THEM WITH OTHER COMPLEMENTARY AND INTEGRATIVE HEALTH PRACTITIONERS. INITIATIVES TO SUPPORT THE ADOPTION OF EBP ARE PROPOSED AS A MEANS OF IMPROVING BEST PRACTICE IN YOGA THERAPY.	2017	
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
17  122  36 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 1946  20 SATISFACTION WITH ONLINE VERSUS IN-PERSON YOGA DURING COVID-19. INTRODUCTION: DURING COVID-19 RESTRICTIONS, YOGA CLASSES TRANSITIONED TO ONLINE DELIVERY. THIS REPORT COMPARES THE PERCEIVED BENEFITS AND BARRIERS TO ONLINE AND IN-PERSON YOGA AND DETERMINE THE PREFERRED FORMAT. A SECONDARY AIM WAS TO COMPARE HOW WELL EACH FORMAT WAS PERCEIVED TO PRODUCE COMMON BENEFITS OF YOGA PRACTICE. MATERIALS AND METHODS: A CROSS-SECTIONAL ONLINE SURVEY OF AUSTRALIAN PARTICIPANTS. RESULTS: IN-PERSON YOGA SCORED HIGHEST FOR PROVIDING MENTAL HEALTH/MOOD BENEFITS, PHYSICAL SATISFACTION, AND FEELING ENERGIZED. ONLINE YOGA SCORED HIGHEST FOR CONVENIENCE, MENTAL HEALTH/MOOD BENEFITS, AND AFFORDABILITY (INITIAL N = 156; FOLLOW-UP N = 55). CONCLUSION: ONLINE YOGA WAS ACCEPTABLE AND PERCEIVED TO PROVIDE IMPROVED MENTAL HEALTH AND MOOD.	2021	
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
19 1431  48 IMPROVING ACCESS TO YOGA: BARRIERS TO AND MOTIVATORS FOR PRACTICE AMONG HEALTH PROFESSIONS STUDENTS. BACKGROUND: YOGA IS GAINING MOMENTUM AS A POPULAR AND EVIDENCE-BASED, INTEGRATIVE HEALTH CARE AND SELF-CARE PRACTICE. THE CHARACTERISTICS OF YOGA PRACTITIONERS ARE NOT PROPORTIONAL TO THE DEMOGRAPHICS OF THE GENERAL POPULATION, ESPECIALLY WITH RESPECT TO GENDER AND ETHNICITY. SEVERAL ACCESS BARRIERS HAVE BEEN IMPLICATED (EG, TIME, COST, AND ACCESS TO TEACHERS). NO STUDIES HAVE EXPLORED THE BARRIERS TO PRACTICE AMONG HEALTH PROFESSIONS STUDENTS. THEIR PARTICIPATION IN YOGA IS DEEMED IMPORTANT BECAUSE THEY ARE FUTURE HEALTH PROFESSIONALS WHO WILL MAKE REFERRALS TO OTHER SERVICES. RESEARCH HAS SHOWN THAT PROVIDERS WHO PRACTICE YOGA REFER MORE PATIENTS TO YOGA. OBJECTIVE: TO INCREASE YOGA PRACTICE AMONG HEALTH PROFESSIONS STUDENTS, AN UNDERSTANDING MUST BE DEVELOPED OF FACTORS THAT INTERFERE WITH OR FACILITATE A REGULAR YOGA PRACTICE. THE CURRENT STUDY INTENDED TO IDENTIFY SUCH BARRIERS AND MOTIVATORS. DESIGN: THIS STUDY WAS A SMALL POPULATION SURVEY. SETTING: THE SETTING WAS A PRIVATE UNIVERSITY IN THE NORTHWESTERN UNITED STATES, INCLUDING STUDENTS IN 3 OF ITS COLLEGES AND 10 PROFESSIONAL PROGRAMS. PARTICIPANTS: ALL STUDENTS (N = 1585) IN THE PROGRAMS OF THE 10 HEALTH PROFESSIONS RECEIVED E-MAIL REQUESTS FOR PARTICIPATION. OUTCOME MEASURES: THE ACCEPTABILITY OF YOGA SURVEY WAS DEVELOPED FOR PURPOSES OF A LARGER YOGA PERCEPTIONS STUDY AND IMPLEMENTED WITH HEALTH PROFESSIONS STUDENTS. PARTICIPANTS WERE SOLICITED VIA E-MAIL; THE SURVEY WAS ADMINISTERED ONLINE. THE CURRENT STUDY USED DATA FROM THAT SURVEY. RESULTS: OF THE 498 USABLE, COMPLETED SURVEYS (IE, A RESPONSE RATE OF APPROXIMATELY 30%), 478 WERE RELEVANT TO THE CURRENT STUDY. THE SAMPLE'S DEMOGRAPHICS--78% WOMEN AND 79% WHITE--DID NOT DIFFER SIGNIFICANTLY FROM THE POPULATION'S DEMOGRAPHICS. THE FINDINGS REVEALED THE EXISTENCE OF COMMON BARRIERS THAT WERE RELATED TO (1) TIME; (2) COST; (3) LACK OF PRAGMATIC INFORMATION ABOUT ACCESS TO YOGA CLASSES AND TEACHERS; AND (4) STEREOTYPES RELATED TO FLEXIBILITY, ATHLETICISM, AND TYPICAL YOGA PRACTITIONERS. MOTIVATORS INCLUDED ATHLETICISM, HEALTH PROMOTION, AND EMOTIONAL WELL-BEING AS WELL AS THE SEEKING OF PAIN RELIEF AND A SENSE OF COMMUNITY. A REFERRAL BY HEALTH CARE PROVIDERS WAS THE LEAST-FREQUENTLY CITED MOTIVATOR. CONCLUSIONS: THE FINDINGS HAVE IMPLICATIONS FOR STRATEGIES THAT MAY HELP MOTIVATE HEALTH PROFESSIONALS TOWARD A YOGA PRACTICE, BECAUSE HAVING DONE YOGA PERSONALLY MAY BE RELATED TO A WILLINGNESS TO PERCEIVE THE BENEFITS OF AND TO REFER PATIENTS TO YOGA AS A VIABLE INTEGRATIVE TREATMENT FOR PATIENTS. IMPROVED ACCESS CAN BE DEVELOPED IN 3 WAYS: (1) INTEGRATION OF YOGA RESEARCH INTO HEALTH CURRICULA TO ACQUAINT CARE PROVIDERS WITH YOGA'S BENEFITS TO PATIENTS AND CARE GIVERS; (2) HAVE YOGA AVAILABLE AS CLOSE TO THE WORKPLACE AS POSSIBLE TO OBVIATE SOME OF THE LARGER ACCESS BARRIERS; AND (3) SOCIETALLY, PROJECT YOGA AS A HEALING ART AND SCIENCE, NOT SIMPLY AS A WEIGHT LOSS STRATEGY OR ATHLETIC ENDEAVOR.	2015	

20  155  26 A QUALITATIVE STUDY EXPLORING YOGA IN VETERANS WITH PTSD SYMPTOMS. QUANTITATIVE STUDIES OF YOGA HAVE REPORTED REDUCED POSTTRAUMATIC STRESS DISORDER (PTSD) SYMPTOMS IN VETERANS, BUT LITTLE IS KNOWN ABOUT HOW AND WHY VETERANS ARE ATTRACTED TO AND STICK WITH A YOGA PRACTICE. GUIDED BY THE HEALTH BELIEF MODEL, THIS STUDY EXAMINED VETERANS' PERCEPTIONS OF THE BENEFITS, BARRIERS, AND MOTIVATIONS TO CONTINUE PRACTICING TRAUMA-SENSITIVE YOGA. INTERVIEWS WERE CONDUCTED WITH NINE INDIVIDUALS, FIVE OF WHOM COMPLETED A 6-WEEK TRAUMA-SENSITIVE YOGA INTERVENTION DESIGNED FOR VETERANS AND FOUR WHO DID NOT COMPLETE THE INTERVENTION. TRANSCRIPTS WERE ANALYZED FOR THEMES. THE BENEFITS IDENTIFIED BY VETERANS WERE FINDING MENTAL STILLNESS, BODY AWARENESS, AND SOCIAL CONNECTION. THE BARRIERS WERE PERCEPTIONS THAT YOGA IS SOCIALLY UNACCEPTABLE, ESPECIALLY FOR MEN, AND PHYSICALLY UNCHALLENGING. UNDERSTANDING THESE BENEFITS AND BARRIERS CAN HELP TO MAKE YOGA MORE ATTRACTIVE TO SERVICE MEMBERS AND VETERANS. FOR EXAMPLE, MEDICAL PERSONNEL CAN REFER SERVICE MEMBERS AND VETERANS TO YOGA NOT ONLY FOR PTSD SYMPTOMS, BUT ALSO TO ADDRESS BACK PAIN AND TO REDUCE ISOLATION. ACCESS TO MALE YOGA INSTRUCTORS, ESPECIALLY THOSE WHO ARE THEMSELVES SERVICE MEMBERS OR VETERANS, COULD BE EXPANDED, AND CLASSES COULD BE INTEGRATED INTO PHYSICAL ACTIVITY ROUTINES REQUIRED OF ACTIVE-DUTY PERSONNEL. PROMOTIONAL MATERIALS CAN FEATURE MALE SERVICE MEMBERS AND VETERANS WITH CAPTIONS RELATED TO YOGA AS A WAY TO INCREASE RESILIENCY, SELF-SUFFICIENCY, AND PHYSICAL AND MENTAL MISSION READINESS. FINDINGS FROM THIS STUDY CAN HELP THE DEPARTMENT OF DEFENSE AND THE VETERANS HEALTH ADMINISTRATION IMPLEMENT YOGA AS AN ADJUNCT OR ALTERNATIVE TREATMENT FOR VETERANS WITH PTSD SYMPTOMS.	2018