1 217 187 A STUDY PROTOCOL OF A THREE-GROUP RANDOMIZED FEASIBILITY TRIAL OF AN ONLINE YOGA INTERVENTION FOR MOTHERS AFTER STILLBIRTH (THE MINDFUL HEALTH STUDY). BACKGROUND: IN THE USA, STILLBIRTH (IN UTERO FETAL DEATH >/=20 WEEKS GESTATION) IS A MAJOR PUBLIC HEALTH ISSUE. WOMEN WHO EXPERIENCE STILLBIRTH, COMPARED TO WOMEN WITH LIVE BIRTH, HAVE A NEARLY SEVENFOLD INCREASED RISK OF A POSITIVE SCREEN FOR POST-TRAUMATIC STRESS DISORDER (PTSD) AND A FOURFOLD INCREASED RISK OF DEPRESSIVE SYMPTOMS. BECAUSE THE MAJORITY OF WOMEN WHO HAVE EXPERIENCED THE DEATH OF THEIR BABY BECOME PREGNANT WITHIN 12-18 MONTHS AND THE LACK OF INTERVENTION STUDIES CONDUCTED WITHIN THIS POPULATION, NOVEL APPROACHES TARGETING PHYSICAL AND MENTAL HEALTH, SPECIFIC TO THE NEEDS OF THIS POPULATION, ARE CRITICAL. EVIDENCE SUGGESTS THAT YOGA IS EFFICACIOUS, SAFE, ACCEPTABLE, AND COST-EFFECTIVE FOR IMPROVING MENTAL HEALTH IN A VARIETY OF POPULATIONS, INCLUDING PREGNANT AND POSTPARTUM WOMEN. TO DATE, THERE ARE NO KNOWN STUDIES EXAMINING ONLINE-STREAMING YOGA AS A STRATEGY TO HELP MOTHERS COPE WITH PTSD SYMPTOMS AFTER STILLBIRTH. METHODS: THE PRESENT STUDY IS A TWO-PHASE RANDOMIZED CONTROLLED TRIAL. PHASE 1 WILL INVOLVE (1) AN ITERATIVE DESIGN PROCESS TO DEVELOP THE ONLINE YOGA PRESCRIPTION FOR PHASE 2 AND (2) QUALITATIVE INTERVIEWS TO IDENTIFY CULTURAL BARRIERS TO RECRUITMENT IN NON-CAUCASIAN WOMEN (I.E., PREDOMINATELY HISPANIC AND/OR AFRICAN AMERICAN) WHO HAVE EXPERIENCED STILLBIRTH (N = 5). PHASE 2 IS A THREE-GROUP RANDOMIZED FEASIBILITY TRIAL WITH ASSESSMENTS AT BASELINE, AND AT 12 AND 20 WEEKS POST-INTERVENTION. NINETY WOMEN WHO HAVE EXPERIENCED A STILLBIRTH WITHIN 6 WEEKS TO 24 MONTHS WILL BE RANDOMIZED INTO ONE OF THE FOLLOWING THREE ARMS FOR 12 WEEKS: (1) INTERVENTION LOW DOSE (LD) = 60 MIN/WEEK ONLINE-STREAMING YOGA (N = 30), (2) INTERVENTION MODERATE DOSE (MD) = 150 MIN/WEEK ONLINE-STREAMING YOGA (N = 30), OR (3) STRETCH AND TONE CONTROL (STC) GROUP = 60 MIN/WEEK OF STRETCHING/TONING EXERCISES (N = 30). DISCUSSION: THIS STUDY WILL EXPLORE THE FEASIBILITY AND ACCEPTABILITY OF A 12-WEEK, HOME-BASED, ONLINE-STREAMED YOGA INTERVENTION, WITH VARYING DOSES AMONG MOTHERS AFTER A STILLBIRTH. IF FEASIBLE, THE FINDINGS FROM THIS STUDY WILL INFORM A FULL-SCALE TRIAL TO DETERMINE THE EFFECTIVENESS OF HOME-BASED ONLINE-STREAMED YOGA TO IMPROVE PTSD. LONG-TERM, HEALTH CARE PROVIDERS COULD USE ONLINE YOGA AS A NON-PHARMACEUTICAL, INEXPENSIVE RESOURCE FOR STILLBIRTH AFTERCARE. TRIAL REGISTRATION: NCT02925481. 2018 2 1795 46 PRENATAL YOGA FOR YOUNG WOMEN A MIXED METHODS STUDY OF ACCEPTABILITY AND BENEFITS. BACKGROUND: HIGH RATES OF PSYCHOLOGICAL-DISTRESS, TRAUMA AND SOCIAL COMPLEXITY ARE REPORTED AMONG YOUNG PREGNANT WOMEN. AT THE ROYAL WOMEN'S HOSPITAL, AUSTRALIA, YOUNG PREGNANT WOMEN ACKNOWLEDGE WANTING TOOLS TO IMPROVE MATERNAL WELLBEING YET REMAIN CHALLENGING TO ENGAGE IN ANTENATAL EDUCATION AND SUPPORT. WHILE YOGA IS A WIDELY ACCEPTED AND PARTICIPATED ACTIVITY IN PREGNANCY, WITH DEMONSTRATED BENEFITS FOR ADULT PREGNANT WOMEN, ADOLESCENT WOMEN ARE OFTEN EXCLUDED FROM BOTH THESE YOGA INTERVENTIONS AND RELATED PREGNANCY STUDIES. METHODS: THIS MIXED METHODS STUDY EXAMINED THE ACCEPTABILITY AND BENEFITS OF YOGA FOR YOUNG WOMEN. WE RECRUITED 30 PARTICIPANTS AGED UNDER 24 YEARS, WHO WERE OFFERED TWICE A WEEK, ONE-HOUR VOLUNTARY PRENATAL YOGA SESSIONS THROUGHOUT THEIR PREGNANCY. A MEDICAL FILE AUDIT GATHERED BASELINE DEMOGRAPHICS, PRE AND POST YOGA SESSION SURVEYS WERE ADMINISTERED AND BRIEF INDIVIDUAL INTERVIEW WERE CONDUCTED WITH STUDY PARTICIPANTS. RESULTS: WHILE 26 STUDY PARTICIPANTS WERE POSITIVE ABOUT THE AVAILABILITY OF A YOGA PROGRAM, ONLY 15 COULD ATTEND YOGA SESSIONS (MEAN = 8 SESSIONS, RANGE 1-27). NO DIFFERENCES WERE FOUND IN THE DEMOGRAPHIC OR PSYCHOSOCIAL FACTORS BETWEEN THOSE WHO DID AND DID NOT ATTEND THE YOGA SESSIONS. THE MEDICAL FILE AUDIT FOUND THAT 60% OF ALL THE STUDY PARTICIPANTS HAD A DOCUMENTED HISTORY OF PSYCHOLOGICAL DISTRESS. BARRIERS TO PARTICIPATION WERE PRAGMATIC, NOT ATTITUDINAL, BASED ON THE TIMING OF THE GROUP SESSIONS, TRANSPORT AVAILABILITY AND THEIR OWN HEALTH. ALL STUDY PARTICIPANTS IDENTIFIED PERCEIVED BENEFITS, AND THE YOGA PARTICIPANTS IDENTIFIED THESE AS IMPROVED RELAXATION AND REDUCTION OF PSYCHOLOGICAL DISTRESS; LABOUR PREPARATION; BONDING WITH THEIR BABY IN UTERO; AND SOCIAL CONNECTEDNESS WITH THE YOGA GROUP PEERS. CONCLUSIONS: THIS STUDY DEMONSTRATED YOGA WAS ACCEPTABLE TO YOUNG PREGNANT WOMEN. FOR THOSE WHO DID PARTICIPATE IN THE SESSIONS, YOGA WAS FOUND TO DECREASE SELF-REPORTED DISTRESS AND INCREASE PERCEIVED SKILLS TO ASSIST WITH THEIR LABOUR AND THE BIRTH OF THEIR BABY. THE PROVISION OF ACCESSIBLE YOGA PROGRAMS FOR PREGNANT YOUNG WOMEN IS RECOMMENDED. 2019 3 1683 70 ONLINE YOGA TO REDUCE POST TRAUMATIC STRESS IN WOMEN WHO HAVE EXPERIENCED STILLBIRTH: A RANDOMIZED CONTROL FEASIBILITY TRIAL. BACKGROUND: ABOUT 1 IN EVERY 150 PREGNANCIES END IN STILLBIRTH. CONSEQUENCES INCLUDE SYMPTOMS OF POST TRAUMATIC STRESS DISORDER (PTSD), DEPRESSION, AND ANXIETY. YOGA HAS BEEN USED TO TREAT PTSD IN OTHER POPULATIONS AND MAY IMPROVE HEALTH OUTCOMES FOR STILLBIRTH MOTHERS. THE PURPOSE OF THIS STUDY WAS TO DETERMINE: (A) FEASIBILITY OF A 12-WEEK HOME-BASED, ONLINE YOGA INTERVENTION WITH VARYING DOSES; (B) ACCEPTABILITY OF A "STRETCH AND TONE" CONTROL GROUP; AND (C) PRELIMINARY EFFICACY OF THE INTERVENTION ON REDUCING SYMPTOMS OF PTSD, ANXIETY, DEPRESSION, PERINATAL GRIEF, SELF-COMPASSION, EMOTIONAL REGULATION, MINDFULNESS, SLEEP QUALITY, AND SUBJECTIVE HEALTH. METHODS: PARTICIPANTS (N = 90) WERE RECRUITED NATIONALLY AND RANDOMIZED INTO ONE OF THREE GROUPS FOR YOGA OR EXERCISE (LOW DOSE (LD), 60 MIN PER WEEK; MODERATE DOSE (MD), 150 MIN PER WEEK; AND STRETCH-AND-TONE CONTROL GROUP (STC)). BASELINE AND POST-INTERVENTION SURVEYS MEASURED MAIN OUTCOMES (LISTED ABOVE). FREQUENCY ANALYSES WERE USED TO DETERMINE FEASIBILITY. REPEATED MEASURES ANCOVA WERE USED TO DETERMINE PRELIMINARY EFFICACY. MULTIPLE REGRESSION ANALYSES WERE USED TO DETERMINE A DOSE-RESPONSE RELATIONSHIP BETWEEN MINUTES OF YOGA AND EACH OUTCOME VARIABLE. RESULTS: OVER HALF OF PARTICIPANTS COMPLETED THE INTERVENTION (N = 48/90). BENCHMARKS (>/=70% REPORTED > 75% SATISFACTION) WERE MET IN EACH GROUP FOR SATISFACTION AND ENJOYMENT. PARTICIPANTS MEETING BENCHMARKS (COMPLETING > 90% OF PRESCRIBED MINUTES 9/12 WEEKS) FOR LD AND MD GROUPS WERE 44% (N = 8/18) AND 6% (N = 1/16), RESPECTIVELY. LD AND MD GROUPS AVERAGED 44.0 AND 77.3 MIN PER WEEK OF YOGA, RESPECTIVELY. THE MD GROUP REPORTED THAT 150 PRESCRIBED MINUTES PER WEEK OF YOGA WAS TOO MUCH. THERE WERE SIGNIFICANT DECREASES IN PTSD AND DEPRESSION, AND IMPROVEMENTS IN SELF-RATED HEALTH AT POST-INTERVENTION FOR BOTH INTERVENTION GROUPS. THERE WAS A SIGNIFICANT DIFFERENCE IN DEPRESSION SCORES (P = .036) AND GRIEF INTENSITY (P = .009) BETWEEN THE MD AND STC GROUPS. PTSD SHOWED NON-SIGNIFICANT DECREASES OF 43% AND 56% AT POST-INTERVENTION IN LD AND MD GROUPS, RESPECTIVELY (22% DECREASE IN CONTROL). CONCLUSIONS: THIS WAS THE FIRST STUDY TO DETERMINE THE FEASIBILITY AND PRELIMINARY EFFICACY OF AN ONLINE YOGA INTERVENTION FOR WOMEN AFTER STILLBIRTH. FUTURE RESEARCH WARRANTS A RANDOMIZED CONTROLLED TRIAL. TRIAL REGISTRATION: CLINICALTRIALS.GOV. NCT02925481. REGISTERED 10-04-16. 2020 4 1207 48 EXPERIENCES OF WOMEN WHO PARTICIPATED IN A BETA-TEST FOR AN ONLINE-STREAMED YOGA INTERVENTION AFTER A STILLBIRTH. BACKGROUND: LITTLE IS KNOWN ABOUT HOW TO BEST CARE FOR MOTHERS AFTER STILLBIRTH. AS SUCH, THIS PAPER WILL REPORT THE SATISFACTION AND PERCEPTIONS OF AN ONLINE YOGA INTERVENTION (12-WEEK BETA TEST) IN WOMEN AFTER STILLBIRTH. METHODS: PARTICIPANTS (N=74) HAD A STILLBIRTH WITHIN THE LAST 24-MONTHS (M TIME SINCE LOSS 9.65 +/- 6.9 MONTHS). POST-INTERVENTION SATISFACTION SURVEYS AND INTERVIEWS AND DROPOUT SURVEYS WERE CONDUCTED. DESCRIPTIVE STATISTICS WERE USED TO ANALYZE SURVEY RESPONSES AND DEMOGRAPHIC INFORMATION. A PHENOMENOLOGICAL APPROACH WAS USED TO EXPLORE AND UNDERSTAND UNIQUE EXPERIENCES OF PARTICIPANT INTERVIEWS. DATA WERE ANALYZED USING NVIVO10. RESULTS: TWENTY-SIX WOMEN (M AGE 33.73 +/- 4.38) WERE COMPLETERS (> 3 WKS OF YOGA), 26 (M AGE 31.82 +/- 4.13) WERE NON-COMPLETERS (< 3 WKS OF YOGA), AND 22 (M AGE 32.94 +/- 2.93) DROPPED OUT. TWENTY COMPLETERS PARTICIPATED IN A POST-INTERVENTION SATISFACTION SURVEY WITH 75% (N=15) REPORTING BEING VERY SATISFIED OR SATISFIED WITH THE ONLINE YOGA INTERVENTION, FOUND IT TO BE VERY ENJOYABLE OR ENJOYABLE, AND VERY HELPFUL OR HELPFUL TO COPE WITH GRIEF. SATISFACTION AND PERCEPTIONS OF THE INTERVENTION IN THOSE WHO COMPLETED AN INTERVIEW (N=12) WERE CLUSTERED AROUND THE FOLLOWING THEMES: BENEFITS, BARRIERS, DISLIKES, SATISFACTION, AND PREFERENCES. OF THE 22 DROPOUTS, 14 COMPLETED A DROPOUT SURVEY. WOMEN WITHDREW FROM THE STUDY DUE TO PREGNANCY (N=3, 21%), BURDEN (N=3, 21%), STRESS (N=2, 14%), LACK OF TIME (N=2, 14%), DID NOT ENJOY (N=1, 7%), AND OTHER (N=3, 21%). CONCLUSION: FINDINGS HERE MAY BE USED TO HELP DESIGN FUTURE RESEARCH. 2017 5 153 33 A QUALITATIVE STUDY EXPLORING HOW THE AIMS, LANGUAGE AND ACTIONS OF YOGA FOR PREGNANCY TEACHERS MAY IMPACT UPON WOMEN'S SELF-EFFICACY FOR LABOUR AND BIRTH. BACKGROUND: AS WOMEN'S ANXIETY AND THE RATE OF MEDICAL INTERVENTION IN LABOUR AND BIRTH CONTINUE TO INCREASE, IT IS IMPORTANT TO IDENTIFY HOW ANTENATAL EDUCATION CAN INCREASE WOMEN'S CONFIDENCE AND THEIR ABILITY TO MANAGE THE INTENSE SENSATIONS OF LABOUR. AIM: TO REPORT A GROUNDED THEORY STUDY OF HOW THE AIMS, LANGUAGE AND ACTIONS OF YOGA FOR PREGNANCY TEACHERS MAY IMPACT UPON WOMEN'S SELF-EFFICACY FOR LABOUR AND BIRTH. METHODS: YOGA FOR PREGNANCY CLASSES IN THREE LOCATIONS WERE FILMED. SEMI-STRUCTURED INTERVIEWS WERE UNDERTAKEN WITH THE TEACHERS TO EXPLORE WHAT THEY WERE TRYING TO ACHIEVE IN THEIR CLASSES, AND HOW. INTERVIEWS AND CLASSES WERE TRANSCRIBED AND ANALYSED USING GROUNDED THEORY. FINDINGS: THERE WAS CONSIDERABLE CONSISTENCY IN THE TEACHERS' AIMS, THE LANGUAGE THEY USED IN CLASSES AND IN THEIR THINKING ABOUT CLASS STRUCTURE. FOUR MAIN THEMES EMERGED: CREATING A SISTERHOOD, MODELLING LABOUR, BUILDING CONFIDENCE AND ENHANCING LEARNING. TEACHERS SEE YOGA FOR PREGNANCY AS A MULTI-FACETED, NON-PRESCRIPTIVE INTERVENTION THAT ENHANCES WOMEN'S PHYSICAL, EMOTIONAL AND SOCIAL READINESS FOR LABOUR AND BIRTH, AND SUPPORTS WOMEN TO MAKE THEIR OWN DECISIONS ACROSS THE TRANSITION TO PARENTHOOD. CONCLUSION: WOMEN'S SELF-EFFICACY FOR LABOUR IS COMPLEX AND MULTI-FACTORIAL. THIS STUDY OFFERS INSIGHTS INTO THE FACTORS WHICH MAY BE INVOLVED IN INCREASING IT. THESE INCLUDE NOT ONLY TRADITIONAL ELEMENTS OF YOGA SUCH AS POSTURES, BREATHING AND MEDITATION, BUT ALSO THE CREATION OF SAFE, WOMEN-ONLY GROUPS WHERE ANXIETIES, EXPERIENCES AND STORIES CAN BE SHARED, AND PAIN-COPING TECHNIQUES FOR LABOUR LEARNED AND PRACTISED. 2016 6 2380 37 WOMEN'S EXPERIENCES OF PARTICIPATION IN A PREGNANCY AND POSTNATAL GROUP INCORPORATING YOGA AND FACILITATED GROUP DISCUSSION: A QUALITATIVE EVALUATION. BACKGROUND: THIS PAPER REPORTS ON A SMALL QUALITATIVE RESEARCH STUDY WHICH EXPLORED WOMEN'S EXPERIENCES OF PARTICIPATION IN A PREGNANCY AND POSTNATAL GROUP THAT INCORPORATED YOGA AND FACILITATED DISCUSSION. THE GROUP IS OFFERED THROUGH A COMMUNITY BASED FEMINIST NON-GOVERNMENT WOMEN'S HEALTH CENTRE IN NORTHERN NSW AUSTRALIA. QUESTION: THE PURPOSE OF THE RESEARCH WAS TO EXPLORE WOMEN'S EXPERIENCES OF ATTENDING THIS PREGNANCY AND POSTNATAL GROUP. METHODS: AN EXPLORATORY QUALITATIVE APPROACH WAS USED TO EXPLORE WOMEN'S EXPERIENCES OF ATTENDING THE GROUP. FIFTEEN WOMEN PARTICIPATED IN INDIVIDUAL, IN-DEPTH FACE-TO-FACE INTERVIEWS. INTERVIEWS WERE RECORDED AND TRANSCRIBED VERBATIM. THEMATIC ANALYSIS WAS UNDERTAKEN TO ANALYSE THE QUALITATIVE DATA. FINDINGS: SIX THEMES WERE DEVELOPED, ONE WITH 3 SUBTHEMES. ONE THEME WAS LABELLED AS: 'THE PREGNANCY AND MOTHERHOOD JOURNEY' AND INCLUDED 3 SUB-THEMES WHICH WERE LABELLED: 'PREPARATION FOR BIRTH', 'CONNECTING WITH THE BABY' AND 'SHARING BIRTH STORIES.' THE OTHER FIVE THEMES WERE: 'FEMININE NURTURING SAFE SPACE', 'WATCHING AND LEARNING THE MOTHERING', 'BUILDING MENTAL HEALTH, WELL-BEING AND CONNECTIONS', THE "GROUP LIKE A ROCK AND A SEED' AND 'DIFFERENT FROM MAINSTREAM'. CONCLUSION: THIS RESEARCH ADDS TO THE OVERALL BODY OF KNOWLEDGE ABOUT THE VALUE OF YOGA IN PRE AND POSTNATAL CARE. IT DEMONSTRATES THE VALUE OF SHARING BIRTH STORIES AND THE STRONG CAPACITY WOMEN HAVE TO SUPPORT ONE ANOTHER, BRINGING BENEFITS OF EMOTIONAL AND SOCIAL WELL-BEING, INFORMATION, RESOURCES AND SUPPORT DERIVED FROM GROUP BASED MODELS OF CARE. 2013 7 273 52 ADDING A FACEBOOK SUPPORT GROUP TO AN ONLINE YOGA RANDOMIZED TRIAL FOR WOMEN WHO HAVE EXPERIENCED STILLBIRTH: A FEASIBILITY STUDY. OBJECTIVES: WOMEN WHO EXPERIENCE STILLBIRTH ARE MORE LIKELY TO DEVELOP POST-TRAUMATIC STRESS DISORDER (PTSD), AND ANXIOUS AND DEPRESSIVE SYMPTOMS THAN THOSE WHO DELIVER LIVE HEALTHY BABIES. PARTICIPANTS IN A RECENT STUDY OF ONLINE YOGA (OY) REPORTED A DESIRE FOR MORE SOCIAL SUPPORT, WHICH MAY HELP REDUCE PTSD RELATED TO GRIEF AND AID IN COPING. FACEBOOK (FB) HAS BEEN USED SUCCESSFULLY TO DELIVER SUPPORT FOR ONLINE INTERVENTIONS, BUT LITTLE IS KNOWN ABOUT ITS USE IN CONJUNCTION WITH OY. THE PURPOSE OF THIS STUDY WAS TO EXAMINE THE FEASIBILITY OF A FB SUPPORT GROUP IN CONJUNCTION WITH AN 8-WEEK OY INTERVENTION. DESIGN: RANDOMIZED PARALLEL FEASIBILITY TRIAL WITH A 1:1 STUDY GROUP ALLOCATION RATIO. SETTING/LOCATION: ONLINE. SUBJECTS: WOMEN (N = 60) WHO EXPERIENCED STILLBIRTH WITHIN THE PAST 3 YEARS. INTERVENTIONS: PARTICIPANTS WERE RECRUITED NATIONALLY TO PARTICIPATE AND RANDOMIZED INTO ONE OF TWO GROUPS: OY ONLY (N = 30) OR ONLINE YOGA WITH FACEBOOK (OYFB) (N = 30). BOTH GROUPS WERE ASKED TO COMPLETE 60 MIN OF OY PER WEEK. WOMEN IN THE OY GROUP WERE ASKED TO LOG ON TO A FB PAGE AT LEAST ONCE PER WEEK. OUTCOME MEASURES: ACCEPTABILITY (I.E., SATISFACTION) AND DEMAND (I.E., ATTENDANCE), PTSD, ANXIETY, DEPRESSIVE SYMPTOMS, SOCIAL SUPPORT. RESULTS: PARTICIPANTS WERE SATISFIED WITH AND ENJOYED OY, AND 8/13 FB ACCEPTABILITY BENCHMARKS WERE MET. THERE WERE NO SIGNIFICANT DIFFERENCES BETWEEN GROUPS IN MINUTES OF YOGA PER WEEK. CONCLUSIONS: THE ADDITION OF A FB GROUP TO AN OY INTERVENTION FOR WOMEN WHO HAVE EXPERIENCED STILLBIRTH IS FEASIBLE, ALTHOUGH MORE RESEARCH IS NEEDED TO INCREASE ITS EFFICACY. TRIAL REGISTRATION: NCT04077476. REGISTERED SEPTEMBER 4, 2019. RETROSPECTIVELY REGISTERED (HTTPS://CLINICALTRIALS.GOV/CT2/SHOW/NCT04077476). 2022 8 2389 58 YOGA AND AEROBIC DANCE FOR PAIN MANAGEMENT IN JUVENILE IDIOPATHIC ARTHRITIS: PROTOCOL FOR A PILOT RANDOMIZED CONTROLLED TRIAL. BACKGROUND: JUVENILE IDIOPATHIC ARTHRITIS (JIA) IS ONE OF THE MOST COMMON TYPES OF ARTHRITIS AMONG CHILDREN. ACCORDING TO JIA GUIDELINES FOR PHYSICAL ACTIVITY (PA), STRUCTURED PA INTERVENTIONS LED TO IMPROVED HEALTH OUTCOMES. HOWEVER, MANY PA PROGRAMS, SUCH AS YOGA AND AEROBIC DANCE, HAVE NOT BEEN STUDIED IN THIS POPULATION DESPITE BEING POPULAR AMONG YOUTH. WEB-BASED PA PROGRAMS COULD PROVIDE PATIENTS WITH ACCESSIBLE AND AFFORDABLE INTERVENTIONS. OBJECTIVE: THE PRIMARY AIMS OF THE PROPOSED PILOT RANDOMIZED CONTROLLED TRIAL (RCT) ARE TO EXAMINE (1) THE FEASIBILITY OF CONDUCTING A FULL-SCALE RCT TO EVALUATE THE EFFECTIVENESS OF TWO POPULAR TYPES OF PA: A YOGA TRAINING PROGRAM AND AN AEROBIC DANCE TRAINING PROGRAM, IN FEMALE ADOLESCENTS (AGED 13-18 YEARS) WITH JIA COMPARED WITH AN ELECTRONIC PAMPHLET CONTROL GROUP; AND (2) THE ACCEPTABILITY OF THESE INTERVENTIONS. METHODS: A THREE-ARM PROSPECTIVE RANDOMIZED OPEN-LABEL STUDY WITH A PARALLEL GROUP DESIGN WILL BE USED. A TOTAL OF 25 FEMALE ADOLESCENTS WITH JIA WHO HAVE PAIN WILL BE RANDOMIZED IN A RATIO OF 2:2:1 TO ONE OF THE 3 GROUPS: (1) ONLINE YOGA TRAINING PROGRAM (GROUP A: N=10); (2) ONLINE AEROBIC DANCE TRAINING PROGRAM (GROUP B: N=10); AND (3) ELECTRONIC PAMPHLET CONTROL GROUP (GROUP C: N=5). PARTICIPANTS IN GROUPS A AND B WILL COMPLETE 3 INDIVIDUAL 1-HOUR SESSIONS PER WEEK USING ONLINE EXERCISE VIDEOS, AS WELL AS A 1-HOUR VIRTUAL GROUP SESSION PER WEEK USING A VIDEOCONFERENCING PLATFORM FOR 12 WEEKS. PARTICIPANTS FROM ALL GROUPS WILL HAVE ACCESS TO AN ELECTRONIC EDUCATIONAL PAMPHLET ON PA FOR ARTHRITIS DEVELOPED BY THE ARTHRITIS SOCIETY. ALL PARTICIPANTS WILL ALSO TAKE PART IN WEEKLY ONLINE CONSULTATIONS WITH A RESEARCH COORDINATOR AND DISCUSSIONS ON FACEBOOK WITH PARTICIPANTS FROM THEIR OWN GROUP. FEASIBILITY (IE, RECRUITMENT RATE, SELF-REPORTED ADHERENCE TO THE INTERVENTIONS, DROPOUT RATES, AND PERCENTAGE OF MISSING DATA), ACCEPTABILITY, AND USABILITY OF FACEBOOK AND THE VIDEOCONFERENCING PLATFORM WILL BE ASSESSED AT THE END OF THE PROGRAM. PAIN INTENSITY, PARTICIPATION IN GENERAL PA, MORNING STIFFNESS, FUNCTIONAL STATUS, FATIGUE, SELF-EFFICACY, PATIENT GLOBAL ASSESSMENT, DISEASE ACTIVITY, AND ADVERSE EVENTS WILL BE ASSESSED USING SELF-ADMINISTERED ELECTRONIC SURVEYS AT BASELINE AND THEN WEEKLY UNTIL THE END OF THE 12-WEEK PROGRAM. RESULTS: THIS PILOT RCT HAS BEEN FUNDED BY THE ARTHRITIS HEALTH PROFESSIONS ASSOCIATION. THIS PROTOCOL WAS APPROVED BY THE CHILDREN'S HOSPITAL OF EASTERN ONTARIO RESEARCH ETHICS BOARD (#17/08X). AS OF MAY 11, 2020, RECRUITMENT AND DATA COLLECTION HAVE NOT STARTED. CONCLUSIONS: TO OUR KNOWLEDGE, THIS IS THE FIRST STUDY TO EVALUATE THE EFFECTIVENESS OF YOGA AND AEROBIC DANCE AS PAIN MANAGEMENT INTERVENTIONS FOR FEMALE ADOLESCENTS WITH JIA. THE USE OF ONLINE PROGRAMS TO DISSEMINATE THESE 2 PA INTERVENTIONS MAY FACILITATE ACCESS TO ALTERNATIVE METHODS OF PAIN MANAGEMENT. THIS STUDY CAN LEAD TO A FULL-SCALE RCT. INTERNATIONAL REGISTERED REPORT IDENTIFIER (IRRID): PRR1-10.2196/12823. 2020 9 27 31 'IT DEFINITELY MADE A DIFFERENCE': A GROUNDED THEORY STUDY OF YOGA FOR PREGNANCY AND WOMEN'S SELF-EFFICACY FOR LABOUR. OBJECTIVE: TO EXPLORE WOMEN'S EXPERIENCE OF ATTENDING YOGA FOR PREGNANCY CLASSES IN ORDER TO GENERATE A THEORY ABOUT WHICH ASPECTS, IF ANY, ARE EFFECTIVE IN ENHANCING SELF-EFFICACY FOR LABOUR AND BIRTH. DESIGN: A LONGITUDINAL GROUNDED THEORY STUDY. METHODS: SEMI-STRUCTURED INTERVIEWS WERE UNDERTAKEN WITH WOMEN BEFORE THEY STARTED YOGA FOR PREGNANCY CLASSES, AFTER THEY HAD ATTENDED AT LEAST SIX CLASSES, AND FINALLY, POSTNATALLY. INTERVIEW TRANSCRIPTS WERE ANALYSED USING CONSTRUCTIVE GROUNDED THEORY AND A SELF-EFFICACY FRAMEWORK. SETTING: THREE YOGA FOR PREGNANCY TEACHERS' CLASSES IN ENGLAND. PARTICIPANTS: TWENTY TWO WOMEN ATTENDING YOGA FOR PREGNANCY CLASSES. FINDINGS: ANALYSIS OF INTERVIEWS WITH WOMEN AT THREE TIME POINTS LED TO A PROPOSITIONAL THEORY THAT YOGA FOR PREGNANCY ENHANCES WOMEN'S SELF-EFFICACY FOR LABOUR BY BUILDING THEIR CONFIDENCE AND COMPETENCE THROUGH A COMBINATION OF TECHNIQUES. THESE INCLUDE REPEATED PRACTICE OF A VARIETY OF PAIN MANAGEMENT STRATEGIES, USE OF AFFIRMING LANGUAGE AND THE TELLING OF POSITIVE LABOUR STORIES, UNDERPINNED BY YOGA PRACTICE TO LOWER SOMATIC RESPONSE TO STRESS. 2019 10 1769 39 POTENTIAL FOR PRENATAL YOGA TO SERVE AS AN INTERVENTION TO TREAT DEPRESSION DURING PREGNANCY. BACKGROUND: WHEN LEFT UNTREATED, ANTENATAL DEPRESSION CAN HAVE A SERIOUS NEGATIVE IMPACT ON MATERNAL, AND INFANT OUTCOMES. MANY AFFECTED WOMEN DO NOT OBTAIN TREATMENT FOR DEPRESSION OWING TO DIFFICULTIES ACCESSING CARE OR BECAUSE THEY DO NOT FIND STANDARD ANTIDEPRESSANT TREATMENTS TO BE ACCEPTABLE DURING PREGNANCY. THIS STUDY EXAMINED THE ACCEPTABILITY AND FEASIBILITY OF A GENTLE PRENATAL YOGA INTERVENTION, AS A STRATEGY FOR TREATING DEPRESSION DURING PREGNANCY. METHODS: WE DEVELOPED A 10-WEEK PRENATAL YOGA PROGRAM FOR ANTENATAL DEPRESSION AND AN ACCOMPANYING YOGA INSTRUCTORS' MANUAL, AND ENROLLED 34 DEPRESSED PREGNANT WOMEN FROM THE COMMUNITY INTO AN OPEN PILOT TRIAL. WE MEASURED CHANGE IN MATERNAL DEPRESSION SEVERITY FROM BEFORE TO AFTER THE INTERVENTION. RESULTS: RESULTS SUGGESTED THAT THE PRENATAL YOGA INTERVENTION WAS FEASIBLE TO ADMINISTER AND ACCEPTABLE TO THE WOMEN ENROLLED. NO STUDY-RELATED INJURIES OR OTHER SAFETY ISSUES WERE OBSERVED DURING THE TRIAL. ON AVERAGE, PARTICIPANTS' DEPRESSION SEVERITY DECREASED SIGNIFICANTLY BY THE END OF THE INTERVENTION BASED ON BOTH OBSERVED-RATED AND SELF-REPORT DEPRESSION ASSESSMENT MEASURES. CONCLUSION: THE CURRENT STUDY SUGGESTS THAT PRENATAL YOGA MAY BE A VIABLE APPROACH TO ADDRESSING ANTENATAL DEPRESSION, ONE THAT MAY HAVE ADVANTAGES IN TERMS OF GREATER ACCEPTABILITY THAN STANDARD DEPRESSION TREATMENTS. RESEARCH AND POLICY IMPLICATIONS ARE DISCUSSED. 2015 11 2767 39 YOGA PROVISION FOR INDIVIDUALS LIVING WITH MULTIPLE SCLEROSIS: IS THE FUTURE ONLINE? BACKGROUND: YOGA HAS MULTIPLE BENEFITS FOR INDIVIDUALS LIVING WITH MULTIPLE SCLEROSIS (MS), INCLUDING REDUCED PAIN, DEPRESSION, FATIGUE, STRENGTH, AND IMPROVED QUALITY OF LIFE. DURING THE COVID-19 PANDEMIC, HOME-BASED DELIVERY OF YOGA INCREASED. HOWEVER, NO STUDIES TO DATE HAVE EXPLORED ONLINE HOME-BASED YOGA FOR INDIVIDUALS LIVING WITH MS, MORE SPECIFICALLY THE MOTIVATIONS, EXPERIENCES, OR THE SUSTAINABILITY OF HOME-BASED YOGA PRACTICE FOR INDIVIDUALS LIVING WITH MS. AIM: THIS STUDY AIMED TO EXPLORE THE FACILITATORS AND BARRIERS OF ONLINE YOGA PROVISION FOR INDIVIDUALS LIVING WITH MS. METHODS: ONE FOCUS GROUP AND THREE SEMI-STRUCTURED INTERVIEWS WERE CARRIED OUT ONLINE VIA ZOOM WITH ONE YOGA INSTRUCTOR AND SEVEN YOGA PARTICIPANTS LIVING WITH MS. THEMATIC ANALYSIS WAS USED TO ANALYSE THIS DATA. FINDINGS: TWO THEMES WERE GENERATED FROM THE INTERVIEWS, THE ENVIRONMENT AND FUTURE PROVISION, EACH WITH THEIR OWN SUB-THEMES. THE THEMES REFLECT VARIOUS FACILITATORS AND BARRIERS OF HOME-BASED YOGA PROVISION WHICH DIFFERED DEPENDING UPON THE INDIVIDUALS HOME ENVIRONMENT, SOCIAL CONNECTIONS, PHYSICAL ABILITY, AND CONFIDENCE PRACTISING YOGA. FURTHERMORE, PREFERENCES OF HOME PROVISION FLUCTUATED OVER TIME DEPENDING UPON SYMPTOMS OF MS. CONCLUSIONS: HOME-BASED YOGA PRACTICE IS A VIABLE AND ENJOYABLE OPTION FOR INDIVIDUALS LIVING WITH MS. IT IS RECOMMENDED THAT YOGA STUDIOS OFFERING HOME-BASED YOGA PROVISION CONSIDER INDIVIDUAL DIFFERENCES IN PREFERENCE, AS WELL AS FLUCTUATIONS IN SYMPTOMS THAT MAY CREATE INEQUITABLE ACCESS TO SERVICES AND MAY PREVENT PARTICIPATION FOR SOME. 2022 12 2763 45 YOGA PROGRAM FOR TYPE 2 DIABETES PREVENTION (YOGA-DP) AMONG HIGH-RISK PEOPLE: QUALITATIVE STUDY TO EXPLORE REASONS FOR NON-PARTICIPATION IN A FEASIBILITY RANDOMIZED CONTROLLED TRIAL IN INDIA. BACKGROUND: YOGA-BASED INTERVENTIONS CAN BE EFFECTIVE IN PREVENTING TYPE 2 DIABETES MELLITUS (T2DM). WE DEVELOPED A YOGA PROGRAM FOR T2DM PREVENTION (YOGA-DP) AMONG HIGH-RISK PEOPLE AND CONDUCTED A FEASIBILITY RANDOMIZED CONTROLLED TRIAL (RCT) IN INDIA. THE OBJECTIVE OF THIS STUDY WAS TO IDENTIFY AND EXPLORE WHY POTENTIAL PARTICIPANTS DECLINED TO PARTICIPATE IN THE FEASIBILITY RCT. METHODS: AN EXPLORATORY QUALITATIVE STUDY, USING SEMI-STRUCTURED INTERVIEWS, WAS CONDUCTED AT A YOGA CENTER IN NEW DELHI, INDIA. FOURTEEN PEOPLE (10 WOMEN AND FOUR MEN) WHO DECLINED TO PARTICIPATE IN THE FEASIBILITY RCT WERE INTERVIEWED, AND 13 OF THEM COMPLETED THE NON-PARTICIPANT QUESTIONNAIRE, WHICH CAPTURED THEIR SOCIO-DEMOGRAPHICS, DIETS, PHYSICAL ACTIVITIES, AND REASONS FOR DECLINING. RESULTS: THREE TYPES OF BARRIERS WERE IDENTIFIED AND EXPLORED WHICH PREVENTED PARTICIPATION IN THE FEASIBILITY RCT: (1) PERSONAL BARRIERS, SUCH AS LACK OF TIME, PERCEIVED SUFFICIENCY OF KNOWLEDGE, PREFERENCES ABOUT SELF-MANAGEMENT OF HEALTH, AND TRUST IN OTHER TRADITIONAL AND ALTERNATIVE THERAPIES; (2) CONTEXTUAL BARRIERS, SUCH AS SOCIAL INFLUENCES AND LACK OF AWARENESS ABOUT PREVENTIVE CARE; AND (3) STUDY-RELATED BARRIERS, SUCH AS LACK OF STUDY INFORMATION, POOR ACCESSIBILITY TO THE YOGA SITE, AND LACK OF TRUST IN THE STUDY METHODS AND INTERVENTION. CONCLUSIONS: WE IDENTIFIED AND EXPLORED PERSONAL, CONTEXTUAL, AND STUDY-RELATED BARRIERS TO PARTICIPATION IN A FEASIBILITY RCT IN INDIA. THE FINDINGS WILL HELP TO ADDRESS RECRUITMENT CHALLENGES IN FUTURE YOGA AND OTHER RCTS. CLINICAL TRIAL REGISTRATION:WWW.CLINICALTRIALS.GOV, IDENTIFIER: CTRI/2019/05/018893. 2021 13 1791 34 PRENATAL YOGA AND EXCESSIVE GESTATIONAL WEIGHT GAIN: A REVIEW OF EVIDENCE AND POTENTIAL MECHANISMS. PURPOSE: TO REVIEW THE EVIDENCE OF THE POTENTIAL MECHANISMS (BEHAVIORAL, PSYCHOLOGICAL/EMOTIONAL, AND PHYSICAL FACTORS) OF PRENATAL YOGA FOR PREVENTING EXCESSIVE GESTATIONAL WEIGHT GAIN (GWG) IN PREGNANT WOMEN TO GUIDE FUTURE RESEARCH. MAIN BODY: PRENATAL YOGA IS A COMMON FORM OF PHYSICAL ACTIVITY DURING PREGNANCY AND INCLUDES A COMBINATION OF PHYSICAL POSTURES, BREATH CONTROL AND MEDITATION. THIS REVIEW THEORIZES HOW COMBINING PHYSICAL ACTIVITY (I.E., PRENATAL YOGA POSTURES) WITH THE ADD-ONS BROUGHT BY PRENATAL YOGA (E.G., BREATH CONTROL, MEDITATION), MIGHT PROVIDE A MORE COMPREHENSIVE AND EFFECTIVE STRATEGY TO PREVENT EXCESSIVE GWG THAN PHYSICAL ACTIVITY ALONE. THIS ARTICLE A) SUMMARIZES THE LITERATURE ON POTENTIAL MECHANISMS OF PRENATAL YOGA TO PREVENT EXCESSIVE GWG SPECIFICALLY FOCUSING ON BEHAVIORAL (DIET, PHYSICAL ACTIVITY, AND SLEEP), PSYCHOLOGICAL/EMOTIONAL (SELF-AWARENESS, EMOTION REGULATION, STRESS, MOOD, MINDFULNESS) AND PHYSICAL FACTORS (PREGNANCY DISCOMFORTS), B) HIGHLIGHTS LIMITATIONS OF CURRENT STUDIES, AND C) PROVIDES SUGGESTIONS FOR FUTURE RESEARCH. THE FINDINGS DEMONSTRATE THERE IS INSUFFICIENT EVIDENCE THAT PRENATAL YOGA IMPROVES BEHAVIORAL, PSYCHOLOGICAL/EMOTIONAL AND PHYSICAL FACTORS IN PREGNANT WOMEN AND MORE RESEARCH IS NEEDED. THOUGH THESE FACTORS HAVE BEEN MORE STRONGLY LINKED TO IMPROVED WEIGHT OUTCOMES IN NON-PREGNANT POPULATIONS, FURTHER TESTING IN PREGNANT WOMEN IS NECESSARY TO DRAW DEFINITIVE CONCLUSIONS FOR THE EFFICACY OF PRENATAL YOGA TO PREVENT EXCESSIVE GWG. CONCLUSION: EFFECTIVE STRATEGIES ARE NEEDED TO PREVENT EXCESSIVE GWG TO ENCOURAGE OPTIMAL MATERNAL AND CHILD HEALTH OUTCOMES. MORE RESEARCH IS WARRANTED TO EVALUATE THE IMPACT OF PRENATAL YOGA ON WEIGHT OUTCOMES DURING PREGNANCY AND DESIGN STUDIES TO TEST THE PROPOSED MECHANISMS DISCUSSED IN THIS REVIEW. 2022 14 1872 21 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 15 22 43 "YOGA WAS MY SAVING GRACE": THE EXPERIENCE OF WOMEN WHO PRACTICE PRENATAL YOGA. BACKGROUND: APPROXIMATELY 20% OF WOMEN IN THE UNITED STATES PRACTICE PRENATAL YOGA, BUT THERE IS A PAUCITY OF INFORMATION ABOUT THE EXPERIENCE OF THESE WOMEN. OBJECTIVE: THIS STUDY EXAMINES WOMEN'S EXPERIENCES PARTICIPATING IN COMMUNITY-BASED PRENATAL YOGA. METHOD: A QUALITATIVE DESCRIPTIVE EXPLORATORY DESIGN USED FOCUS GROUPS WITH A CONVENIENCE SAMPLE OF PREGNANT AND POSTPARTUM WOMEN (N = 14) WHO ENGAGED IN PRENATAL YOGA WITHIN THE PREVIOUS 6 MONTHS. CONTENT ANALYSIS WAS EMPLOYED TO IDENTIFY KEY THEMES AND SUBTHEMES. RESULTS: THREE THEMES AROSE: (A) STRESS AND DEPRESSIVE SYMPTOMS COMMONLY INSTIGATE WOMEN'S INTEREST IN PRENATAL YOGA, (B) PRENATAL YOGA IS PERCEIVED TO BE PSYCHOLOGICALLY AND PHYSICALLY BENEFICIAL, AND (C) PRENATAL YOGA IS PERCEIVED AS MORE BENEFICIAL THAN OTHER GROUP CLASSES. CONCLUSIONS: PREGNANT WOMEN WITH STRESS AND DEPRESSIVE SYMPTOMS MAY BE DRAWN TO PRENATAL YOGA FOR THE PSYCHOLOGICAL AND PHYSICAL BENEFITS. IT IS IMPERATIVE THAT HEALTH CARE PROVIDERS AND RESEARCHERS FOCUS ON THESE NEEDS, PARTICULARLY WHEN DESIGNING PREVENTION AND INTERVENTION STRATEGIES WITH THIS POPULATION. 2015 16 1206 43 EXPERIENCES OF PREGNANT WOMEN PARTICIPATING IN ANTENATAL YOGA: A QUALITATIVE STUDY. CONTEXT: PREGNANCY YOGA IS A MODIFIED VERSION OF YOGA FOR PREGNANT WOMEN, AND IT AIMS TO REDUCE PREGNANCY-RELATED SYMPTOMS, SUCH AS INSOMNIA, LOW BACK PAIN, TIREDNESS, CONSTIPATION, LEG CRAMPS, AND SHORTNESS OF BREATH. OBJECTIVE: THE STUDY AIMED TO IDENTIFY THE EXPERIENCES AND EXPECTATIONS OF PREGNANT WOMEN RELATED TO THE PRACTICE OF YOGA. METHOD: THE RESEARCH TEAM CONDUCTED A QUALITATIVE STUDY. SETTING: THE STUDY TOOK PLACE AT THE ANTENATAL CLINIC OF A PUBLIC HOSPITAL IN THE CENTRAL ANATOLIA REGION OF TURKEY. PARTICIPANTS: THE PARTICIPANTS WERE 24 PREGNANT WOMEN AT THE CLINIC. INTERVENTION: THE STUDY INCLUDED AN INTERVENTION GROUP THAT PERFORMED YOGA AND RECEIVED ROUTINE ANTENATAL CARE; HOWEVER, NO CONTROL GROUPS WERE USED. EACH YOGA INTERVENTION WAS HELD FOR APPROXIMATELY 40-45 MINUTES, WITH YOGA ASANA PERIODS LASTING 30 MINUTES. THE PREGNANT WOMEN WERE EXPECTED TO PARTICIPATE IN YOGA PRACTICE TWICE A WEEK ON A REGULAR BASIS FOR 8 WEEKS. OUTCOME MEASURES: DATA WERE COLLECTED THROUGH SEMI-STRUCTURED INTERVIEWS. THE INTERVIEWS WERE RECORDED AND TRANSCRIBED VERBATIM AND THEMATIC ANALYSIS WAS PERFORMED. RESULTS: FOUR MAJOR THEMES EMERGED: (1) PERCEPTIONS ABOUT PREGNANCY, (2) MANAGEMENT OF PREGNANCY SYMPTOMS, (3) PRENATAL ATTACHMENT, AND (4) BIRTH PERCEPTIONS. ACCORDING TO PARTICIPANTS, THE BENEFITS OF YOGA PRACTICE WERE MANAGEMENT OF PREGNANCY SYMPTOMS, INCREASED PRENATAL ATTACHMENT, A POSITIVE PERCEPTION OF THE BIRTH, NATURAL-BIRTH BELIEFS, AND MANAGEMENT OF FEAR AND PAIN DURING BIRTH. CONCLUSIONS: THE PARTICIPANTS REPORTED BARRIERS TO PERFORMING YOGA; HOWEVER, THEY ALSO SAID THAT THEY WOULD TRY PREGNANCY YOGA IF THEY WERE ENCOURAGED BY HEALTHCARE PROFESSIONALS. ALSO, THE PARTICIPANTS STATED THAT PREGNANCY YOGA PRACTICE SHOULD BE MADE A PART OF ANTENATAL EDUCATION TO FACILITATE PARTICIPATION. 2021 17 6 47 "I JUST START CRYING FOR NO REASON": THE EXPERIENCE OF STRESS AND DEPRESSION IN PREGNANT, URBAN, AFRICAN-AMERICAN ADOLESCENTS AND THEIR PERCEPTION OF YOGA AS A MANAGEMENT STRATEGY. PURPOSE: PERINATAL HEALTH DISPARITIES ARE OF PARTICULAR CONCERN WITH PREGNANT, URBAN, AFRICAN-AMERICAN (AA) ADOLESCENTS, WHO HAVE HIGH RATES OF STRESS AND DEPRESSION DURING PREGNANCY, HIGHER RATES OF ADVERSE PREGNANCY AND NEONATAL OUTCOMES, AND MANY BARRIERS TO EFFECTIVE TREATMENT. THE PURPOSE OF THIS STUDY WAS TO EXPLORE PREGNANT, URBAN, AA TEENAGERS' EXPERIENCE OF STRESS AND DEPRESSION AND EXAMINE THEIR PERCEPTIONS OF ADJUNCTIVE NONPHARMACOLOGIC MANAGEMENT STRATEGIES, SUCH AS YOGA. METHODS: THIS COMMUNITY-BASED, QUALITATIVE STUDY USED NONTHERAPEUTIC FOCUS GROUPS TO ALLOW FOR EXPLORATION OF ATTITUDES, CONCERNS, BELIEFS, AND VALUES REGARDING STRESS AND DEPRESSION IN PREGNANCY AND NONPHARMACOLOGIC MANAGEMENT APPROACHES, SUCH AS MIND-BODY THERAPIES AND OTHER PRENATAL ACTIVITIES. FINDINGS: THE SAMPLE CONSISTED OF PREGNANT, AA, LOW-INCOME ADOLESCENTS (N=17) WHO RESIDED IN A LARGE URBAN AREA IN THE UNITED STATES. THE THEMES THAT AROSE IN THE FOCUS GROUP DISCUSSIONS WERE THAT 1) STRESS AND DEPRESSION SYMPTOMS ARE PERVASIVE IN DAILY LIFE, 2) PARTICIPANTS FELT A GENERALIZED SENSE OF ISOLATION, 3) STRESS/DEPRESSION MANAGEMENT TECHNIQUES SHOULD BE GROUP BASED, INTERACTIVE, AND FOCUSED ON THE SPECIFIC NEEDS OF TEENAGERS, AND 4) YOGA IS AN APPEALING STRESS MANAGEMENT TECHNIQUE TO THIS POPULATION. CONCLUSIONS: FINDINGS FROM THIS STUDY SUGGEST THAT PREGNANT, URBAN, ADOLESCENTS ARE HIGHLY STRESSED; THEY INTERPRET DEPRESSION-LIKE SYMPTOMS TO BE SIGNS OF STRESS; THEY DESIRE GROUP-BASED, INTERACTIVE ACTIVITIES; AND THEY ARE INTERESTED IN YOGA CLASSES FOR STRESS/DEPRESSION MANAGEMENT AND RELATIONSHIP BUILDING. IT IS IMPERATIVE THAT HEALTH CARE PROVIDERS AND RESEARCHERS FOCUS ON THESE NEEDS, PARTICULARLY WHEN DESIGNING PREVENTION AND INTERVENTION STRATEGIES. 2015 18 1724 46 PERCEPTIONS OF MYELOPROLIFERATIVE NEOPLASM PATIENTS PARTICIPATING IN AN ONLINE YOGA INTERVENTION: A QUALITATIVE STUDY. MYELOPROLIFERATIVE NEOPLASMS (MPNS) ARE RARE HEMATOLOGICAL MALIGNANCIES WITH A SIGNIFICANT SYMPTOM BURDEN OFTEN LEFT UNRESOLVED DESPITE RECENT ADVANCES IN PHARMACOLOGICAL THERAPY. YOGA IS A NONPHARMACOLOGICAL STRATEGY THAT HAS BEEN SHOWN TO IMPROVE SYMPTOMS IN OTHER CANCERS AND MAY BE EFFECTIVE FOR IMPROVING SYMPTOMS IN MPN PATIENTS. ONLINE YOGA HELPS ADDRESS MANY OF THE COMMONLY REPORTED BARRIERS OF CANCER PATIENTS TO IN-PERSON INTERVENTIONS AND MAY MAKE YOGA MORE ACCESSIBLE TO MPNS. AN EXPLORATION OF MPN PATIENT PERCEPTIONS OF PARTICIPATION IN ONLINE YOGA IS NEEDED TO TAILOR INTERVENTIONS TO PATIENT NEEDS AND INFORM FUTURE STUDIES. THE PURPOSE OF THIS STUDY WAS TO EXPLORE THE PERCEPTIONS OF MPN PATIENTS PARTICIPATING IN A 12-WEEK ONLINE YOGA INTERVENTION. THIS ARTICLE REPRESENTS THE COMBINED QUALITATIVE INTERVIEW DATA FROM TWO STUDIES. PARTICIPANTS WERE ASKED TO COMPLETE 60 MIN/WK OF ONLINE, HOME-BASED YOGA AND WERE ASKED TO PARTICIPATE IN A 15- TO 20-MINUTE PHONE INTERVIEW POSTINTERVENTION. THE QUALITATIVE DATA WAS CODED IN NVIVO 11 FOR CONTENT ANALYSIS. THE TOTAL SAMPLE INCLUDED 39 MPN PATIENTS. ONLINE YOGA WAS WELL ACCEPTED AND LIKED AMONG THESE PATIENTS. THEY REPORTED PHYSICAL (EG, IMPROVED SLEEP, REDUCED FATIGUE) AND MENTAL (EG, REDUCED STRESS) HEALTH BENEFITS AND LIKED THE CONVENIENCE OF BEING ABLE TO DO YOGA AT HOME. ONLINE YOGA PROVIDES A FEASIBLE AND ATTRACTIVE FORMAT THROUGH WHICH TO DELIVER A NONPHARMACOLOGICAL INTERVENTION AMONG MPN PATIENTS. RANDOMIZED CONTROLLED TRIALS ARE NEEDED TO CONFIRM THE EFFECTS OF ONLINE YOGA ON MPN PATIENT SYMPTOMS. THE QUALITATIVE FINDINGS PRESENTED HERE HELP INFORM THE DEVELOPMENT OF THESE FUTURE TRIALS. 2018 19 1219 34 EXPOSURE TO ADVERSE EVENTS AND ASSOCIATIONS WITH STRESS LEVELS AND THE PRACTICE OF YOGA: SURVEY FINDINGS FROM A POPULATION-BASED STUDY OF DIVERSE EMERGING YOUNG ADULTS. OBJECTIVES: THIS STUDY EXAMINES THE PREVALENCE OF EXPOSURE TO ADVERSE EVENTS AND ASSOCIATIONS WITH STRESS LEVELS AMONG A DIVERSE POPULATION-BASED SAMPLE OF YOUNG PEOPLE. THE STUDY FURTHER EXPLORES WHETHER THESE VULNERABLE POPULATIONS, WHO HAVE THE POTENTIAL TO BENEFIT FROM THE MIND-BODY PRACTICE OF YOGA, ENGAGE IN A REGULAR YOGA PRACTICE. DESIGN: EAT 2018 (EATING AND ACTIVITY OVER TIME) IS A POPULATION-BASED STUDY IN WHICH SURVEY DATA WERE COLLECTED FROM 1568 ETHNICALLY/RACIALLY DIVERSE (81.2% NONWHITE) EMERGING YOUNG ADULTS (MEAN AGE: 22.0 +/- 2.0 YEARS). RESULTS: EXPOSURE TO ADVERSE EVENTS WAS HIGHLY PREVALENT. FOR EXAMPLE, 43.9% REPORTED AT LEAST ONE ADVERSE CHILDHOOD EXPERIENCE (ACE) (E.G., PHYSICAL, EMOTIONAL, OR SEXUAL ABUSE BEFORE AGE 18), WHEREAS 40.1% REPORTED EXPERIENCING DISCRIMINATION. EXPOSURE TO ADVERSE EVENTS WAS ASSOCIATED WITH HIGHER STRESS LEVELS. PRACTICING YOGA AT LEAST 30 MIN/WEEK WAS REPORTED BY 12.7% OF THE POPULATION, WITH VARIATION ACROSS SOCIODEMOGRAPHIC CHARACTERISTICS. YOUNG ADULTS EXPOSED TO ADVERSE EVENTS WERE EITHER MORE OR SIMILARLY LIKELY TO PRACTICE YOGA THAN YOUNG ADULTS NOT REPORTING ADVERSE EVENTS. CONCLUSIONS: THE HIGH PREVALENCE OF EXPOSURE TO ADVERSE EVENTS AND ASSOCIATIONS WITH HIGHER LEVELS OF STRESS POINTS TO A NEED FOR PUBLIC HEALTH INTERVENTIONS. THUS, IT WAS PROMISING TO FIND THAT YOUNG PEOPLE EXPOSED TO ADVERSE EVENTS, WHO MAY HAVE GREATER EMOTIONAL BURDENS, PRACTICE YOGA AT EQUAL OR GREATER PROPORTIONS TO THOSE WITHOUT THESE EXPOSURES. GIVEN THE POTENTIAL BENEFITS OF YOGA FOR POPULATIONS LIVING WITH HIGH STRESS, IT IS IMPORTANT TO DEVELOP FURTHER OUTREACH EFFORTS AND PROVIDE ACCESSIBLE, ACCEPTABLE, AND AFFORDABLE OPPORTUNITIES FOR PRACTICING YOGA. 2020 20 2035 29 TELE-YOGA FOR CHRONIC PAIN: CURRENT STATUS AND FUTURE DIRECTIONS. PAIN IS A PERVASIVE, DEBILITATING DISORDER THAT IS RESISTANT TO LONG-TERM PHARMACOLOGICAL INTERVENTIONS. ALTHOUGH PSYCHOLOGICAL THERAPIES SUCH AS COGNITIVE BEHAVIOR THERAPY DEMONSTRATE MODERATE EFFICACY, MANY INDIVIDUALS CONTINUE TO HAVE ONGOING DIFFICULTIES FOLLOWING TREATMENT. THERE IS A CURRENT TREND TO ESTABLISH COMPLEMENTARY AND INTEGRATIVE HEALTH INTERVENTIONS FOR CHRONIC PAIN, FOR WHICH YOGA HAS BEEN FOUND TO HAVE EXCITING POTENTIAL. NEVERTHELESS, AN IMPORTANT CONSIDERATION WITHIN THE FIELD IS ACCESSIBILITY TO ADEQUATE CARE. TELEHEALTH CAN BE USED TO PROVIDE REAL-TIME INTERACTIVE VIDEO CONFERENCING LEADING TO INCREASED ACCESS TO HEALTH CARE FOR INDIVIDUALS LOCATED REMOTELY OR WHO OTHERWISE HAVE DIFFICULTY ACCESSING SERVICES, PERHAPS THROUGH ISSUES OF MOBILITY OR PROXIMITY OF ADEQUATE SERVICES. THIS ARTICLE ASSESSES THE CURRENT STATUS AND FEASIBILITY OF IMPLEMENTING TELE-YOGA FOR CHRONIC PAIN. METHODOLOGICAL LIMITATIONS AND RECOMMENDATIONS FOR FUTURE RESEARCH ARE DISCUSSED. 2018