1 258 192 ACCEPTABILITY AND FEASIBILITY OF A 12-WEEK YOGA VS. EDUCATIONAL FILM PROGRAM FOR THE MANAGEMENT OF RESTLESS LEGS SYNDROME (RLS): STUDY PROTOCOL FOR A RANDOMIZED CONTROLLED TRIAL. BACKGROUND: RESTLESS LEGS SYNDROME (RLS) IS A COMMON AND BURDENSOME SLEEP DISORDER ASSOCIATED WITH PROFOUND IMPAIRMENT OF HEALTH, WELL-BEING, AND QUALITY OF LIFE. UNFORTUNATELY, THE MEDICATIONS USED FOR RLS MANAGEMENT CARRY RISK OF SERIOUS SIDE EFFECTS, INCLUDING AUGMENTATION OF SYMPTOMS. YOGA, AN ANCIENT MIND-BODY DISCIPLINE DESIGNED TO PROMOTE PHYSICAL, EMOTIONAL, AND MENTAL WELL-BEING, MAY OFFER A VIABLE, LOW-RISK NEW TREATMENT. THE PRIMARY OBJECTIVES OF THIS PILOT, PARALLEL-ARM, RANDOMIZED CONTROLLED TRIAL (RCT) ARE TO ASSESS THE ACCEPTABILITY AND FEASIBILITY OF A 12-WEEK YOGA VS. EDUCATIONAL FILM PROGRAM FOR THE MANAGEMENT OF RLS. METHODS: FORTY-FOUR ADULTS WITH CONFIRMED MODERATE TO SEVERE RLS WILL BE RECRUITED AND RANDOMIZED TO A 12-WEEK YOGA (N = 22) OR STANDARDIZED EDUCATIONAL FILM PROGRAM (N = 22). YOGA GROUP PARTICIPANTS WILL ATTEND TWO 75-MIN IYENGAR YOGA CLASSES PER WEEK FOR THE FIRST 4 WEEKS, THEN ONE 75-MIN CLASS PER WEEK FOR THE REMAINING 8 WEEKS, AND WILL COMPLETE A 30-MIN HOMEWORK ROUTINE ON NON-CLASS DAYS. EDUCATIONAL FILM GROUP PARTICIPANTS WILL ATTEND ONE 75-MIN CLASS PER WEEK FOR 12 WEEKS AND COMPLETE A DAILY RLS TREATMENT LOG; CLASSES WILL INCLUDE INFORMATION ON: RLS MANAGEMENT, INCLUDING SLEEP HYGIENE PRACTICES; OTHER SLEEP DISORDERS; AND COMPLEMENTARY THERAPIES LIKELY TO BE OF INTEREST TO THOSE PARTICIPATING IN A YOGA AND SLEEP EDUCATION STUDY. YOGA AND TREATMENT LOGS WILL BE COLLECTED WEEKLY. FEASIBILITY OUTCOMES WILL INCLUDE RECRUITMENT, ENROLLMENT, AND RANDOMIZATION RATES, RETENTION, ADHERENCE, AND PROGRAM SATISFACTION. PROGRAM EVALUATION AND YOGA-DOSING QUESTIONNAIRES WILL BE COLLECTED AT WEEK 12; DATA ON EXPLORATORY OUTCOMES (E.G., RLS SYMPTOM SEVERITY (IRLS), SLEEP QUALITY (PSQI), MOOD (POMS, PSS), AND HEALTH-RELATED QUALITY OF LIFE (SF-36)) WILL BE GATHERED AT BASELINE AND WEEK 12. DISCUSSION: THIS STUDY WILL LAY THE ESSENTIAL GROUNDWORK FOR A PLANNED LARGER RCT TO DETERMINE THE EFFICACY OF A YOGA PROGRAM FOR REDUCING SYMPTOMS AND ASSOCIATED BURDEN OF RLS. IF THE FINDINGS OF THE CURRENT TRIAL AND THE SUBSEQUENT LARGER RCTS ARE POSITIVE, THIS STUDY WILL ALSO HELP SUPPORT A NEW APPROACH TO CLINICAL TREATMENT OF THIS CHALLENGING DISORDER, HELP FOSTER IMPROVED UNDERSTANDING OF RLS ETIOLOGY, AND ULTIMATELY CONTRIBUTE TO REDUCING THE INDIVIDUAL, SOCIETAL, AND ECONOMIC BURDEN ASSOCIATED WITH THIS CONDITION. TRIAL REGISTRATION: CLINICALTRIALS.GOV, ID: NCT03570515 . RETROSPECTIVELY REGISTERED ON 1 FEBRUARY 2017. 2019 2 122 59 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 3 2337 40 UNDERUSE OF YOGA AS A REFERRAL RESOURCE BY HEALTH PROFESSIONS STUDENTS. OBJECTIVE: NEARLY 38% OF U.S. ADULTS USE COMPLEMENTARY AND ALTERNATIVE MEDICINE APPROACHES TO MANAGE PHYSICAL CONDITIONS (E.G., CHRONIC PAIN, ARTHRITIS, CANCER, HEART DISEASE, AND HIGH BLOOD PRESSURE) AND PSYCHOLOGICAL OR EMOTIONAL HEALTH CONCERNS (E.G., POST-TRAUMATIC STRESS DISORDER, ANXIETY, AND DEPRESSION). RESEARCH EVIDENCE HAS ACCUMULATED FOR YOGA AS AN EFFECTIVE TREATMENT APPROACH FOR THESE CONDITIONS. FURTHER, YOGA HAS INCREASED IN POPULARITY AMONG HEALTHCARE PROVIDERS AND THE GENERAL POPULATION. GIVEN THESE TRENDS, THIS STUDY EXPLORED PERCEPTIONS ABOUT YOGA AS A VIABLE COMPLEMENTARY TREATMENT TO WHICH HEALTH PROFESSIONS STUDENTS WOULD REFER PATIENTS. PARTICIPANTS: MORE THAN 1500 STUDENTS ENROLLED IN HEALTH PROFESSIONS PROGRAMS AT A PACIFIC NORTHWEST SCHOOL WERE ENROLLED; DATA WERE OBTAINED FROM 478 RESPONDENTS. DESIGN: THE STUDY ASSESSED WILLINGNESS TO REFER PATIENTS TO YOGA AS A COMPLEMENTARY AND ALTERNATIVE MEDICINE FOR 27 SYMPTOMS (IDENTIFIED IN THE LITERATURE AS HAVING EVIDENCE FOR YOGA'S UTILITY), WHICH WERE SUBSEQUENTLY GROUPED INTO SKELETAL, PHYSICAL, AND PSYCHOLOGICAL ON THE BASIS OF FACTOR ANALYSIS. RESPONSES WERE ASSESSED USING A MIXED-MODEL ANALYSIS OF VARIANCE WITH HEALTH PROFESSION AND YOGA PRACTITIONER AS BETWEEN-SUBJECTS VARIABLES AND SYMPTOMS AS A WITHIN-SUBJECTS FACTOR. RESULTS: IN DESCENDING ORDER OF LIKELIHOOD TO REFER PATIENTS TO YOGA WERE STUDENTS IN OCCUPATIONAL THERAPY, PHYSICIAN ASSISTANT PROGRAM, PSYCHOLOGY, PHYSICAL THERAPY, PHARMACY, DENTAL HYGIENE, SPEECH AND AUDIOLOGY, AND OPTOMETRY. ALL GROUPS PERCEIVED YOGA'S GREATEST UTILITY FOR SKELETAL SYMPTOMS, FOLLOWED BY PSYCHOLOGICAL AND PHYSICAL SYMPTOMS. FINDINGS ALSO REVEALED A SIGNIFICANT POSITIVE RELATIONSHIP BETWEEN LEVEL OF PERSONAL YOGA PRACTICE AND WILLINGNESS TO REFER PATIENTS TO YOGA. CONCLUSIONS: ALTHOUGH STUDENTS EXPRESSED SOME OPENNESS TO REFERRING PATIENTS TO YOGA, RATINGS OF APPROPRIATENESS WERE NOT ACCURATELY ALIGNED WITH EXTANT EVIDENCE BASE. PERSONAL EXPERIENCE SEEMED TO BE A SALIENT FACTOR FOR ACCEPTING YOGA AS A REFERRAL TARGET. THESE FINDINGS SUGGEST THE IMPORTANCE OF DEVELOPING STRATEGIES TO MAKE HEALTH PROFESSIONALS MORE AWARE OF THE MERITS OF YOGA, REGARDLESS OF WHETHER THEY THEMSELVES ARE YOGA PRACTITIONERS. 2015 4 144 39 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 5 2767 33 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 6 503 42 COMMUNITY-BASED YOGA FOR WOMEN UNDERGOING SUBSTANCE USE DISORDER TREATMENT: A DESCRIPTIVE STUDY. BACKGROUND: WOMEN WITH SUBSTANCE USE DISORDERS (SUD) RECEIVE MEDICATION-ASSISTED TREATMENT (MAT) WITH BEHAVIORAL INTERVENTIONS AND COUNSELING FOR RECOVERY. EVIDENCE SUPPORTS THE USE OF YOGA FOR SUD; HOWEVER FEW STUDIES SPECIFICALLY FEATURE WOMEN. OBJECTIVES: COMMUNITY-BASED YOGA MAY ADD TO HEALTH PROMOTION THROUGH PREFERABLE PHYSICAL ACTIVITY FOR WOMEN IN RECOVERY. THE AIMS OF THIS STUDY ARE TO EXPLORE DEMOGRAPHICS AND QUANTITATIVE MEASURES RELEVANT TO RECOVERY AND CAPTURE AND UNDERSTAND THE SUBJECTIVE EXPERIENCE OF ONE SESSION OF YOGA. STUDY DESIGN: THE STUDY DESIGN INVOLVES DESCRIPTIVE/CROSS-SECTIONAL. METHODOLOGY: WOMEN IN AN INPATIENT SUD CENTER ATTENDING WEEKLY OPTIONAL OFF-SITE YOGA FOR RECOVERY WERE RECRUITED TO CAPTURE FIRST-TIME ATTENDANCE. SURVEY DATA INCLUDED MEDICAL OUTCOMES SURVEY 12-ITEM SHORT-FORM (SF-12), TORONTO MINDFULNESS SCALE (TMS), AND BRIEF RESILIENCE SCALE (BRS), DEMOGRAPHICS, AND NARRATIVE REFLECTIONS. RECRUITMENT OPPORTUNITIES OCCURRED WEEKLY DURING ONGOING HOUR-LONG CLASSES. RESULTS: TWENTY-NINE WOMEN (AVERAGE AGE 36.6) WITH PRIMARILY OPIATE-BASED ADDICTIONS COMPLETED SURVEYS. SF-12 WAS BELOW THE NORMATIVE VALUE OF 50 FOR BOTH SUBSCALES. BRS SCORES SHOWED AVERAGES ON THE LOW END OF NORMAL RESILIENCY. THE FREQUENCY OF RESPONSES TO WRITING PROMPTS CONFIRMED PHYSICAL AND MENTAL WELL-BEING THROUGH YOGA INTERVENTION. WOMEN SHARED POTENTIAL RELAPSE PREVENTION SPECIFICALLY ATTRIBUTED TO THE MINDFULNESS COMPONENT OF THE INTERVENTION. CONCLUSION: THE SF-12, BRS, AND TMS ARE BRIEF, VALID, AND RELIABLE AND CAN BE EASILY INCORPORATED IN CLINICAL PRACTICE OR FUTURE RESEARCH. SUBOPTIMAL SF-12 SCORES WERE FOUND IN WOMEN WITH SUD AND, THEREFORE IMPORTANT TO NOTE IN THE CONTEXT OF RECOVERY TO OPTIMIZE TREATMENT. SUBJECTIVE REPORTS FROM THE PARTICIPANTS FIND COMMUNITY-BASED YOGA AN ENJOYABLE AND BENEFICIAL TYPE OF PHYSICAL ACTIVITY. YOGA MAY BE A VIABLE OPTION FOR COMPREHENSIVE MIND-BODY INTERVENTION FOR THIS POPULATION. 2021 7 151 43 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 1903 36 RESULTS FROM A CLINICAL YOGA PROGRAM FOR VETERANS: YOGA VIA TELEHEALTH PROVIDES COMPARABLE SATISFACTION AND HEALTH IMPROVEMENTS TO IN-PERSON YOGA. BACKGROUND: YOGA IS INCREASINGLY POPULAR, THOUGH LITTLE DATA REGARDING ITS IMPLEMENTATION IN HEALTHCARE SETTINGS IS AVAILABLE. SIMILARLY, TELEHEALTH IS BEING UTILIZED MORE FREQUENTLY TO INCREASE ACCESS TO HEALTHCARE; HOWEVER WE KNOW OF NO RESEARCH ON THE ACCEPTABILITY OR EFFECTIVENESS OF YOGA DELIVERED THROUGH TELEHEALTH. THEREFORE, WE EVALUATED THE FEASIBILITY, ACCEPTABILITY, AND PATIENT-REPORTED EFFECTIVENESS OF A CLINICAL YOGA PROGRAM AT A VETERANS AFFAIRS MEDICAL CENTER AND ASSESSED WHETHER THESE OUTCOMES DIFFERED BETWEEN THOSE PARTICIPATING IN-PERSON AND THOSE PARTICIPATING VIA TELEHEALTH. METHODS: VETERANS WHO ATTENDED A YOGA CLASS AT THE VA PALO ALTO HEALTH CARE SYSTEM WERE INVITED TO COMPLETE AN ANONYMOUS PROGRAM EVALUATION SURVEY. RESULTS: 64 VETERANS COMPLETED THE SURVEY. PARTICIPANTS REPORTED HIGH SATISFACTION WITH THE CLASSES AND THE INSTRUCTORS. MORE THAN 80% OF PARTICIPANTS WHO ENDORSED A PROBLEM WITH PAIN, ENERGY LEVEL, DEPRESSION, OR ANXIETY REPORTED IMPROVEMENT IN THESE SYMPTOMS. THOSE WHO PARTICIPATED VIA TELEHEALTH DID NOT DIFFER FROM THOSE WHO PARTICIPATED IN-PERSON IN ANY MEASURE OF SATISFACTION, OVERALL IMPROVEMENT (P = .40), OR IMPROVEMENT IN ANY OF 16 SPECIFIC HEALTH PROBLEMS. CONCLUSIONS: DELIVERING YOGA TO A WIDE RANGE OF PATIENTS WITHIN A HEALTHCARE SETTING APPEARS TO BE FEASIBLE AND ACCEPTABLE, BOTH WHEN DELIVERED IN-PERSON AND VIA TELEHEALTH. PATIENTS IN THIS CLINICAL YOGA PROGRAM REPORTED HIGH LEVELS OF SATISFACTION AND IMPROVEMENT IN MULTIPLE PROBLEM AREAS. THIS PRELIMINARY EVIDENCE FOR THE EFFECTIVENESS OF A CLINICAL YOGA PROGRAM COMPLEMENTS PRIOR EVIDENCE FOR THE EFFICACY OF YOGA AND SUPPORTS THE USE OF YOGA IN HEALTHCARE SETTINGS. 2017 9 1224 47 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 10 2035 25 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 11 1431 47 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 12 259 38 ACCEPTABILITY AND FEASIBILITY OF THE ONLINE DELIVERY OF HATHA YOGA: A SYSTEMATIC REVIEW OF THE LITERATURE. OBJECTIVES: HATHA YOGA HAS DRAMATICALLY INCREASED IN POPULARITY IN THE UNITED STATES AND A GROWING BODY OF EVIDENCE POINTS TO YOGA'S ABILITY TO SUCCESSFULLY MANAGE BOTH PHYSICAL AND MENTAL HEALTH CONDITIONS. CONCURRENTLY, THE DELIVERY OF TELEHEALTH INTERVENTIONS ALSO CONTINUES TO RISE. THE ONLINE-DELIVERY OF YOGA LIES AT THIS INTERSECTION, AND TO DATE, NO STUDY HAS SYSTEMATICALLY REVIEWED THE EXISTING LITERATURE OF EMPIRICAL STUDIES INVOLVING THE ONLINE DELIVERY OF YOGA. DESIGN: THIS STUDY SYSTEMATICALLY REVIEWS THE LITERATURE FOR EVIDENCE ON THE FEASIBILITY AND ACCEPTABILITY OF ONLINE YOGA INTERVENTIONS AND PROVIDES A QUALITATIVE SYNTHESIS. A TOTAL OF 10 ARTICLES WHICH REPRESENT EIGHT UNIQUE EMPIRICAL STUDIES WERE INCLUDED IN THE FINAL REVIEW. RESULTS: ACROSS THE EIGHT STUDIES, PARTICIPANTS EXPRESSED OVERALL SATISFACTION WITH AN ONLINE YOGA INTERVENTION. ONLINE YOGA WAS FOUND TO BE FEASIBLE, BASED ON ATTENDANCE AND PRACTICE RATES, AND ACCEPTABLE. ALTHOUGH GROUPS VARY IN DEGREE OF INITIAL ENGAGEMENT. RESULTS ALSO FOUND PRELIMINARY EVIDENCE THAT ONLINE YOGA CAN HELP MANAGE SYMPTOMS ASSOCIATED WITH A RANGE OF DISORDERS. CONCLUSIONS: UNDERSTANDING THIS INNOVATIVE APPROACH TO DELIVERING YOGA INTERVENTIONS WILL ALLOW FUTURE RESEARCH TO INCLUDE ONLINE YOGA AS A LOWER-COST, NON-INVASIVE INTERVENTION FOR A WIDE VARIETY OF PHYSICAL AND MENTAL HEALTH DISORDERS, AS WELL AS PROVIDE PRELIMINARY EVIDENCE TO SUPPORT THE INTEGRATION OF ONLINE YOGA INTERVENTIONS INTO ROUTINE CLINICAL CARE. 2021 13 2451 35 YOGA AS A COMPLEMENTARY APPROACH TO HEALING FOR ADULT VICTIMS AND SURVIVORS OF INTERPERSONAL VIOLENCE. PURPOSE: YOGA IS INCREASINGLY ACCEPTED TO IMPROVE OVERALL HEALTH AND WELLNESS AND IS CONSIDERED A MEANINGFUL ADJUNCT TREATMENT FOR MENTAL AND PHYSICAL HEALTH AILMENTS ASSOCIATED WITH INTERPERSONAL VIOLENCE (IV). THIS REVIEW PROVIDES BACKGROUND INFORMATION ABOUT THE USE OF YOGA AMONG INDIVIDUALS WITH IV HISTORIES AND AIMS TO INFORM RESEARCHERS AND PRACTITIONERS ABOUT THE AVAILABLE EVIDENCE ON YOGA'S APPLICATION AND EFFECTIVENESS. METHODS: USING SIX DATABASES, WE SYSTEMATICALLY REVIEWED EMPIRICAL LITERATURE EXAMINING YOGA AMONG IV SURVIVORS. CRITERIA FOR STUDY INCLUSION: YOGA INCLUDED A PHYSICAL COMPONENT AND WAS THE PRIMARY INTERVENTION; PARTICIPANTS HAD AN IV HISTORY; PEER-REVIEWED; AND PARTICIPANTS WERE 17 YEARS AND OLDER. AFTER REVIEW, 10 ARTICLES REPORTING FINDINGS FROM SEVEN INDEPENDENT SAMPLES WERE INCLUDED. FINDINGS: YOGA DEMONSTRATED PRELIMINARY, POSITIVE IMPLICATIONS AS A COMPLEMENTARY TREATMENT FOR INDIVIDUALS WITH AN IV HISTORY. SYNTHESIZING ACROSS ARTICLES FOUR THEMES EMERGED: (1) ACCEPTABILITY AND FEASIBILITY, (2) ENHANCEMENT OF MENTAL AND PHYSICAL HEALTH, (3) PROMOTION OF PERSONAL GROWTH, AND (4) FACILITATORS AND BARRIERS TO PRACTICE. CONCLUSIONS: THE NASCENT LITERATURE INDICATES POTENTIAL BENEFITS OF INTEGRATING YOGA INTO INTERVENTIONS FOR IV SURVIVORS TO ENHANCE PHYSICAL AND PSYCHOLOGICAL FUNCTIONING. THE PRIMARY BARRIERS TO INTERVENTION WERE RESOURCES (E.G., ACCESS) AND INCOMPATIBILITY WITH SPIRITUAL BELIEFS FOR SELECT CLIENTS. DESPITE CONSISTENT BARRIERS, PRELIMINARY FINDINGS INDICATE YOGA HAS MANY POSITIVE IMPLICATIONS FOR INDIVIDUALS WITH AN IV HISTORY. GIVEN THE SMALL EVIDENCE BASE AND INSUFFICIENT METHODOLOGY, ADDITIONAL EMPIRICAL RESEARCH WITH DIVERSE SAMPLES AND SITES, AND ROBUST DESIGNS, COULD IMPROVE THE STATE OF KNOWLEDGE AND STRENGTHEN THE EFFICACY OF THIS PROMISING PRACTICE. 2021 14 2795 44 YOGA THERAPY FOR MILITARY PERSONNEL AND VETERANS: QUALITATIVE PERSPECTIVES OF YOGA STUDENTS AND INSTRUCTORS. OBJECTIVE: MILLIONS OF MILITARY PERSONNEL AND VETERANS LIVE WITH CHRONIC MENTAL AND PHYSICAL HEALTH CONDITIONS THAT OFTEN DO NOT RESPOND WELL TO PHARMACOLOGICAL TREATMENTS. SERIOUS SIDE EFFECTS AND LACK OF TREATMENT RESPONSE HAVE LED TO WIDESPREAD EFFORTS TO STUDY AND PROMOTE NON-PHARMACOLOGICAL AND BEHAVIORAL HEALTH TREATMENTS FOR MANY CHRONIC HEALTH CONDITIONS. YOGA IS AN INCREASINGLY POPULAR MIND-BODY INTERVENTION THAT HAS GROWING RESEARCH SUPPORT FOR ITS EFFICACY AND SAFETY. OUR OBJECTIVE WAS TO EXPLORE THE ATTITUDES, PERSPECTIVES, AND PREFERENCES OF MILITARY PERSONNEL AND VETERANS TOWARD YOGA AS A THERAPEUTIC MODALITY, THUS PROVIDING NEEDED INFORMATION FOR DESIGNING AND PROMOTING YOGA INTERVENTIONS FOR THIS POPULATION. METHODS: PARTICIPANTS INCLUDED 24 INDIVIDUALS WITH YOGA EXPERIENCE AND CURRENT OR PAST MILITARY SERVICE AND 12 INSTRUCTORS WHO HAVE TAUGHT YOGA FOR MILITARY PERSONNEL AND/OR VETERANS. A SEMI-STRUCTURED SET OF QUESTIONS GUIDED INTERVIEWS WITH EACH PARTICIPANT. RESULTS: FIVE THEMES EMERGED FROM THE INTERVIEWS: (1) MENTAL HEALTH BENEFITS EXPERIENCED FROM YOGA PRACTICE; (2) PHYSICAL HEALTH BENEFITS EXPERIENCED FROM YOGA PRACTICE; (3) IMPORTANT YOGA ELEMENTS AND CONDITIONS THAT SUPPORT EFFECTIVE PRACTICE; (4) FACILITATORS FOR ENGAGING MILITARY IN YOGA PRACTICE; AND (5) CHALLENGES AND BARRIERS TO YOGA PRACTICE FOR MILITARY. CONCLUSIONS: THE STUDY HIGHLIGHTS CONSISTENT REPORTS OF MENTAL AND PHYSICAL BENEFITS OF YOGA PRACTICE, ONGOING STIGMA RESULTING IN THE NEED FOR COMBATTING AND DEMYSTIFYING YOGA AND OTHER COMPLEMENTARY AND INTEGRATIVE HEALTH (CIH) PRACTICES, THE IMPORTANCE OF DESIGNING INTERVENTIONS TO ADDRESS THE UNIQUE MENTAL HEALTH ISSUES AND PERSPECTIVES OF THIS POPULATION, AND THE IMPORTANCE OF EFFORTS BY MILITARY LEADERSHIP TO BRING CIH TO MILITARY PERSONNEL AND VETERANS. RIGOROUS RESEARCH ADDRESSING THESE FINDINGS, ALONG WITH FURTHER RESEARCH ON THE EFFICACY AND EFFECTIVENESS OF YOGA INTERVENTIONS FOR TREATING VARIOUS CONDITIONS ARE NEEDED. 2018 15 156 28 A QUALITATIVE STUDY OF LOVEYOURBRAIN YOGA: A GROUP-BASED YOGA WITH PSYCHOEDUCATION INTERVENTION TO FACILITATE COMMUNITY INTEGRATION FOR PEOPLE WITH TRAUMATIC BRAIN INJURY AND THEIR CAREGIVERS. PURPOSE: TO EXPLORE PARTICIPANTS' EXPERIENCES IN A GROUP-BASED YOGA WITH PSYCHOEDUCATION INTERVENTION DESIGNED TO FACILITATE COMMUNITY INTEGRATION FOR PEOPLE WITH TRAUMATIC BRAIN INJURY AND THEIR CAREGIVERS.MATERIALS AND METHODS: WE CONDUCTED SEMI-STRUCTURED INTERVIEWS WITH 13 PEOPLE WITH TRAUMATIC BRAIN INJURY AND THREE CAREGIVERS WHO HAD COMPLETED LOVEYOURBRAIN YOGA, A 6-SESSION, MANUALIZED, GROUP-BASED YOGA INTERVENTION THAT INCORPORATES BREATHING EXERCISES, YOGA, MEDITATION, AND PSYCHOEDUCATION. INTERVIEWS WERE ANALYZED USING CONTENT ANALYSIS.RESULTS: WE IDENTIFIED SEVEN THEMES: EASE OF PARTICIPATION, BELONGING, SUSTAINING COMMUNITY CONNECTION, PHYSICAL HEALTH, SELF-REGULATION, SELF-EFFICACY, AND RESILIENCE. ALL PARTICIPANTS VALUED THE COMMUNITY-BASED YOGA STUDIO ENVIRONMENT AND MULTIFACETED STRUCTURE OF THE PROGRAM. PARTICIPANTS REPORTED IMPROVEMENTS IN STRENGTH, BALANCE, FLEXIBILITY, AND ATTENTION CONTROL, AND A GREATER SENSE OF BELONGING, COMMUNITY CONNECTION, AND ABILITY TO MOVE FORWARD WITH THEIR LIVES. PARTICIPANTS REPORTED ONGOING USE OF TOOLS (E.G., BREATHING EXERCISES) TO COPE WITH NEGATIVE EMOTIONS AND STRESS. ABOUT HALF OF PARTICIPANTS SUSTAINED RELATIONSHIPS BUILT DURING LOVEYOURBRAIN YOGA AND FELT MORE CAPABLE OF ACCESSING OTHER ACTIVITIES IN THEIR COMMUNITY.CONCLUSIONS: LOVEYOURBRAIN YOGA SUCCESSFULLY PROMOTED COMMUNITY INTEGRATION FOR PEOPLE WITH TRAUMATIC BRAIN INJURY. IT ALSO FACILITATED DIVERSE AND MEANINGFUL PHYSICAL, PSYCHOLOGICAL, AND SOCIAL HEALTH BENEFITS, WHICH SUGGEST THAT IT MAY BE AN EFFECTIVE MODE OF COMMUNITY-BASED REHABILITATION.IMPLICATIONS FOR REHABILITATIONTRAUMATIC BRAIN INJURY SURVIVORS OFTEN STRUGGLE TO PARTICIPATE IN THEIR COMMUNITY, THE ULTIMATE GOAL OF REHABILITATIONYOGA IS A HOLISTIC THERAPY WITH MANY BENEFITS, YET IS NOT ACCESSIBLE TO THE TRAUMATIC BRAIN INJURY POPULATION AT THE COMMUNITY LEVELPARTICIPANTS IN A COMMUNITY-BASED YOGA WITH PSYCHOEDUCATION INTERVENTION IN SIX STATES EXPERIENCED DIVERSE AND MEANINGFUL PHYSICAL, PSYCHOLOGICAL, AND SOCIAL HEALTH BENEFITSGROUP-BASED YOGA WITH PSYCHOEDUCATION MAY BE AN EFFECTIVE MODE OF COMMUNITY INTEGRATION AND COMMUNITY-BASED REHABILITATION FOR TRAUMATIC BRAIN INJURY SURVIVORS. 2020 16 2574 27 YOGA FOR EVERYONE: A QUALITATIVE STUDY OF A COMMUNITY YOGA CLASS FOR PEOPLE WITH DISABILITY. BACKGROUND AND OBJECTIVE: PEOPLE WITH MOBILITY IMPAIRMENTS FACE INCREASED BARRIERS TO PHYSICAL ACTIVITY. THE STUDY AIMED TO UNDERSTAND THE LIVED EXPERIENCES OF INDIVIDUALS WITH DISABILITY WHO ARE REGULAR PARTICIPANTS IN THE YOGA FOR EVERYONE CLASS TO INFORM FUTURE RESEARCH, INTERVENTION AND COMMUNITY PROGRAMS.METHODS: A PHENOMENOLOGICAL QUALITATIVE APPROACH UTILIZED SEMI-STRUCTURED INTERVIEWS AND CLASS OBSERVATIONS. DATA WAS ANALYZED THROUGH ITERATIVE INDUCTIVE THEMATIC ANALYSIS.RESULTS: SIX PEOPLE OF VARIED MOBILITY LIMITATIONS PARTICIPATED. THEMATIC ANALYSIS REVEALED THEMES ON INFLUENTIAL ENVIRONMENTAL AND PERSONAL FACTORS, A HOLISTIC-FOCUSED CLASS ENVIRONMENT, PHYSICAL IMPROVEMENTS, MENTAL/EMOTIONAL IMPACT, AND A SENSE OF BELONGING TO COMMUNITY.CONCLUSION: THE YOGA FOR EVERYONE CLASS FOSTERED MULTI-FACETED OUTCOMES FOR PEOPLE WITH DIVERSE MOVEMENT IMPAIRMENTS. FOCUSING ON COMMUNITY-CLINICAL PARTNERSHIPS, UTILIZING A CLASS STRUCTURE WITH VOLUNTEERS, AND FOSTERING AN ONGOING INCLUSIVE SOCIAL ENVIRONMENT ARE POTENTIAL STRATEGIES FOR SUCCESS IN OTHER COMMUNITY PROGRAMS FOR THOSE WITH DISABILITY. 2022 17 2678 29 YOGA IN SCHOOL SETTINGS: A RESEARCH REVIEW. RESEARCH ON THE EFFICACY OF YOGA FOR IMPROVING MENTAL, EMOTIONAL, PHYSICAL, AND BEHAVIORAL HEALTH CHARACTERISTICS IN SCHOOL SETTINGS IS A RECENT BUT GROWING FIELD OF INQUIRY. THIS SYSTEMATIC REVIEW OF RESEARCH ON SCHOOL-BASED YOGA INTERVENTIONS PUBLISHED IN PEER-REVIEWED JOURNALS OFFERS A BIBLIOMETRIC ANALYSIS THAT IDENTIFIED 47 PUBLICATIONS. THE STUDIES FROM THESE PUBLICATIONS HAVE BEEN CONDUCTED PRIMARILY IN THE UNITED STATES (N = 30) AND INDIA (N = 15) SINCE 2005, WITH THE MAJORITY OF STUDIES (N = 41) CONDUCTED FROM 2010 ONWARD. ABOUT HALF OF THE PUBLICATIONS WERE OF STUDIES AT ELEMENTARY SCHOOLS; MOST (85%) WERE CONDUCTED WITHIN THE SCHOOL CURRICULUM, AND MOST (62%) ALSO IMPLEMENTED A FORMAL SCHOOL-BASED YOGA PROGRAM. THERE WAS A HIGH DEGREE OF VARIABILITY IN YOGA INTERVENTION CHARACTERISTICS, INCLUDING OVERALL DURATION, AND THE NUMBER AND DURATION OF SESSIONS. MOST OF THESE PUBLISHED RESEARCH TRIALS ARE PRELIMINARY IN NATURE, WITH NUMEROUS STUDY DESIGN LIMITATIONS, INCLUDING LIMITED SAMPLE SIZES (MEDIAN = 74; RANGE = 20-660) AND RELATIVELY WEAK RESEARCH DESIGNS (57% RANDOMIZED CONTROLLED TRIALS, 19% UNCONTROLLED TRIALS), AS WOULD BE EXPECTED IN AN INFANT RESEARCH FIELD. NEVERTHELESS, THESE PUBLICATIONS SUGGEST THAT YOGA IN THE SCHOOL SETTING IS A VIABLE AND POTENTIALLY EFFICACIOUS STRATEGY FOR IMPROVING CHILD AND ADOLESCENT HEALTH AND THEREFORE WORTHY OF CONTINUED RESEARCH. 2016 18 1175 51 EVALUATION OF AN INTEGRATED YOGA PROGRAM IN PATIENTS WITH INFLAMMATORY BOWEL DISEASE: A PILOT STUDY. BACKGROUND: THE EFFECTS OF INTEGRATED YOGA PROGRAMS ON MENTAL HEALTH OUTCOMES IN INFLAMMATORY BOWEL DISEASE (IBD) HAVE NOT BEEN WELL EXPLORED. TO EXPLORE THE ACCEPTABILITY, IMPLEMENTATION AND EFFECTIVENESS OF AN INTEGRATED EIGHT-WEEK YOGA PROGRAM PLUS AROMATHERAPY MASSAGE IN PATIENTS WITH IBD. METHODS: NINE PARTICIPANTS WITH DOCUMENTED IBD WERE RECRUITED FROM A GASTROENTEROLOGY CLINIC IN CALGARY, ALBERTA, CANADA TO PARTICIPATE IN AN INTEGRATED YOGA PROGRAM WEEKLY FOR EIGHT WEEKS WITH OUTCOMES ASSESSED AT BASELINE AND WEEK 8. PRIMARY OUTCOMES WERE ASSESSED USING THEORY OF PLANNED BEHAVIOUR AS A GUIDING THEORY TO IDENTIFY SALIENT BELIEFS FROM QUALITATIVE ANALYSIS OF A SEMI-STRUCTURED INTERVIEW, SURVEY ITEMS MEASURING THE STRENGTH OF BELIEFS AND A DAILY LOG WAS USED TO CAPTURE ADHERENCE AND ADVERSE EVENTS. SECONDARY OUTCOMES WERE COLLECTED USING VALIDATED SURVEY TOOLS EXAMINING ANXIETY, DEPRESSION, STRESS, SLEEP QUALITY, AND PHYSICAL AND MENTAL QUALITY OF LIFE. RESULTS: ATTITUDE, SUBJECTIVE NORM AND PERCEIVED BEHAVIORAL CONTROL BELIEFS PERTINENT TO THE YOGA INTERVENTION AND DAILY PRACTICE WERE IDENTIFIED. PARTICIPANTS REPORTED FEELING THE INTERVENTION WAS VERY HELPFUL; HOWEVER, FELT GUILT ABOUT NOT COMPLETING DAILY PRACTICES WHICH DECREASED CONFIDENCE AND INTENTION TO CONTINUE WITH THE PRACTICE. AN AVERAGE OF 55.6% OF IN-PERSON SESSIONS WERE ATTENDED AND DECREASED OVER TIME. PARTICIPANTS PRACTICED ON AVERAGE OF 5.4 DAYS PER WEEK. DEPRESSION AND MENTAL HEALTH SCORES IMPROVED AT WEEK 8 FROM BASELINE. CONCLUSIONS: WE WERE ABLE TO IDENTIFY KEY SALIENT BELIEFS OF IBD PATIENTS IN REGARD TO AN INTEGRATED YOGA PLUS AROMATHERAPY MASSAGE INTERVENTION. THIS INTERVENTION APPEARS TO BE ACCEPTABLE AND FURTHER RESEARCH SHOULD EXPLORE ITS POTENTIAL TO IMPROVE MENTAL AND PHYSICAL HEALTH OUTCOMES INCLUDING IBD SYMPTOMS. 2022 19 2226 36 THE IMPACT OF YOGA IN MEDICALLY UNDERSERVED POPULATIONS: A MIXED-METHODS STUDY. OBJECTIVES: WE EVALUATED THE ACCEPTABILITY, ACCESS, AND IMPACT OF YOGA AMONG PARTICIPANTS IN YOGA CLASSES CO-LOCATED IN COMMUNITY HEALTH CENTERS. DESIGN: PARTICIPANTS WERE INVITED TO COMPLETE A MIXED-METHODS PROGRAM EVALUATION CONSISTING OF A PRE/POST SURVEY AT THEIR FIRST CLASS AND STRUCTURED INTERVIEWS AT 4 MONTHS. SETTING: THE STUDY TOOK PLACE AT TWO COMMUNITY HEALTH CENTERS ON THE SOUTH SIDE OF CHICAGO, IL, USA. INTERVENTIONS: FOUR WEEKLY 1-1.5 HOUR YOGA CLASSES WERE PROVIDED BY FOUR CERTIFIED YOGA INSTRUCTORS TRAINED TO TEACH TO ALL ABILITY LEVELS. MEASURES: OUR PRIMARY OUTCOME MEASURES WERE PAIN AND STRESS BEFORE AND AFTER THE FIRST CLASS, AND AT 4-MONTHS. WE GATHERED DATA ABOUT PARTICIPANT DEMOGRAPHICS, THEIR HEALTH PROBLEMS, HOW THEY ACCESSED THE CLASSES, AND MOTIVATIONS AND BARRIERS TO ATTENDING. WE ALSO EXTRACTED THEMES FROM PARTICIPANTS' QUALITATIVE FEEDBACK ABOUT THEIR EXPERIENCES. RESULTS: OVERALL, 70 PARTICIPANTS COMPLETED THE INITIAL SURVEYS; 44 COMPLETED THE 4-MONTH INTERVIEWS. A RACIALLY AND ETHNICALLY DIVERSE GROUP OF MIDDLE- AND LOW-INCOME ADULT PATIENTS AND COMMUNITY MEMBERS ATTENDED, WITH FLYERS AND WORD OF MOUTH THE MAJOR ROUTES TO THE CLASS. A SINGLE YOGA CLASS PROVIDED STATISTICALLY SIGNIFICANT DECREASES IN PAIN AND STRESS, BUT THESE BENEFITS WERE NOT DEMONSTRATED AT THE 4-MONTH FOLLOW-UP. THE PRIMARY MOTIVATORS FOR YOGA CLASS ATTENDANCE WERE STRESS RELIEF, EXERCISE, AND OVERALL HEALTH IMPROVEMENT. PRIMARY BARRIERS INCLUDED FAMILY ISSUES, SCHEDULE, ILLNESS, AND WORK CONFLICTS. PRIMARY BENEFITS INCLUDED PHYSICAL BENEFITS, RELAXATION, EMOTIONAL BENEFITS, AND COMMUNITY CONNECTEDNESS. CONCLUSIONS: CO-LOCATING YOGA CLASSES IN COMMUNITY HEALTH CENTERS PROVIDES A VARIETY OF BENEFITS AND IS A VIABLE PATHWAY TO ADDRESSING DISPARITIES IN YOGA ACCESS. 2019 20 155 32 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