1 2738 189 YOGA POSTURE RECOGNITION AND QUANTITATIVE EVALUATION WITH WEARABLE SENSORS BASED ON TWO-STAGE CLASSIFIER AND PRIOR BAYESIAN NETWORK. CURRENTLY, WITH THE SATISFACTION OF PEOPLE'S MATERIAL LIFE, SPORTS, LIKE YOGA AND TAI CHI, HAVE BECOME ESSENTIAL ACTIVITIES IN PEOPLE'S DAILY LIFE. FOR MOST YOGA AMATEURS, THEY COULD ONLY LEARN YOGA BY SELF-STUDY, LIKE MECHANICALLY IMITATING FROM YOGA VIDEO. THEY COULD NOT KNOW WHETHER THEY PERFORMED STANDARDLY WITHOUT FEEDBACK AND GUIDANCE. IN THIS PAPER, WE PROPOSED A FULL-BODY POSTURE MODELING AND QUANTITATIVE EVALUATION METHOD TO RECOGNIZE AND EVALUATE YOGA POSTURES TO PROVIDE GUIDANCE TO THE LEARNER. BACK PROPAGATION ARTIFICIAL NEURAL NETWORK (BP-ANN) WAS ADOPTED AS THE FIRST CLASSIFIER TO DIVIDE YOGA POSTURES INTO DIFFERENT CATEGORIES, AND FUZZY C-MEANS (FCM) WAS UTILIZED AS THE SECOND CLASSIFIER TO CLASSIFY THE POSTURES IN A CATEGORY. THE POSTURE DATA ON EACH BODY PART WAS REGARDED AS A MULTIDIMENSIONAL GAUSSIAN VARIABLE TO BUILD A BAYESIAN NETWORK. THE CONDITIONAL PROBABILITY OF THE GAUSSIAN VARIABLE CORRESPONDING TO EACH BODY PART RELATIVE TO THE GAUSSIAN VARIABLE CORRESPONDING TO THE CONNECTED BODY PART WAS USED AS CRITERION TO QUANTITATIVELY EVALUATE THE STANDARD DEGREE OF BODY PARTS. THE ANGULAR DIFFERENCES BETWEEN NONSTANDARD PARTS AND THE STANDARD MODEL COULD BE CALCULATED TO PROVIDE GUIDANCE WITH AN EASILY-ACCEPTED LANGUAGE, SUCH AS "LIFT UP YOUR LEFT ARM", "STRAIGHTEN YOUR RIGHT FOREARM". TO EVALUATE OUR METHOD, A WEARABLE DEVICE WITH 11 INERTIAL MEASUREMENT UNITS (IMUS) FIXED ONTO THE BODY WAS DESIGNED TO MEASURE YOGA POSTURE DATA WITH QUATERNION FORMAT, AND THE POSTURE DATABASE WITH A TOTAL OF 211,643 DATA FRAMES AND 1831 POSTURE INSTANCES WAS COLLECTED FROM 11 SUBJECTS. BOTH THE POSTURE RECOGNITION TEST AND EVALUATION TEST WERE CONDUCTED. IN THE RECOGNITION TEST, 30% DATA WAS RANDOMLY PICKED FROM THE DATABASE TO TRAIN BP-ANN AND FCM CLASSIFIERS, AND THE RECOGNITION ACCURACY OF THE REMAINING 70% DATA WAS 95.39%, WHICH IS HIGHLY COMPETITIVE WITH PREVIOUS POSTURE RECOGNITION APPROACHES. IN THE EVALUATION TEST, 30% DATA WERE PICKED RANDOMLY FROM SUBJECT THREE, SUBJECT FOUR, AND SUBJECT SIX, TO TRAIN THE BAYESIAN NETWORK. THE PROBABILITIES OF NONSTANDARD PARTS WERE ALMOST ALL SMALLER THAN 0.3, WHILE THE PROBABILITIES OF STANDARD PARTS WERE ALMOST ALL GREATER THAN 0.5, AND THUS THE NONSTANDARD PARTS OF BODY POSTURE COULD BE EFFECTIVELY SEPARATED AND PICKED FOR GUIDANCE. WE ALSO TESTED SEPARATELY THE TRAINERS' YOGA POSTURE PERFORMANCE IN THE CONDITION OF WITHOUT AND WITH GUIDANCE PROVIDED BY OUR PROPOSED METHOD. THE RESULTS SHOWED THAT WITH GUIDANCE, THE JOINT ANGLE ERRORS SIGNIFICANTLY DECREASED. 2019 2 1567 47 MAGNETIC-FREE EXTENDED KALMAN FILTER FOR UPPER LIMB KINEMATIC ASSESSMENT IN YOGA. HUMAN MOTION ANALYSIS IS GAINING INCREASED IMPORTANCE IN SEVERAL FIELDS, FROM MOVEMENT ASSESSMENT IN REHABILITATION TO RECREATIONAL APPLICATIONS SUCH AS VIRTUAL COACHING. AMONG ALL THE TECHNOLOGIES INVOLVED IN MOTION CAPTURE, MAGNETO-INERTIAL MEASUREMENTS UNITS (MIMUS) IS ONE OF THE MOST PROMISING DUE TO THEIR SMALL DIMENSIONS AND LOW COSTS. NEVERTHELESS, THEIR USAGE IS STRONGLY LIMITED BY DIFFERENT ERROR SOURCES, AMONG WHICH MAGNETIC DISTURBANCES, WHICH ARE PARTICULARLY PROBLEMATIC IN INDOOR ENVIRONMENTS. INERTIAL MEASUREMENT UNITS (IMUS) COULD, THUS, BE CONSIDERED AS ALTERNATIVE SOLUTION. INDEED, RELYING EXCLUSIVELY ON ACCELEROMETERS AND GYROSCOPES, THEY ARE INSENSITIVE TO MAGNETIC DISTURBANCES. EVEN IF THE LITERATURE HAS STARTED TO PROPOSE FEW ALGORITHMS THAT DO NOT TAKE INTO ACCOUNT MAGNETOMETER INPUT, THEIR APPLICATION IS LIMITED TO ROBOTICS AND AVIATION. THE AIM OF THE PRESENT WORK IS TO INTRODUCE A MAGNETIC-FREE QUATERNION BASED EXTENDED KALMAN FILTER FOR UPPER LIMB KINEMATIC ASSESSMENT IN HUMAN MOTION (I.E., YOGA). THE ALGORITHM WAS TESTED ON FIVE EXPERT YOGA TRAINERS DURING THE EXECUTION OF THE SUN SALUTATION SEQUENCE. JOINT ANGLE ESTIMATIONS WERE COMPARED WITH THE ONES OBTAINED FROM AN OPTOELECTRONIC REFERENCE SYSTEM BY EVALUATING THE MEAN ABSOLUTE ERRORS (MAES) AND PEARSON'S CORRELATION COEFFICIENTS. THE ACHIEVED WORST-CASE WAS 6.17 DEGREES , WHILE THE BEST ONE WAS 2.65 DEGREES FOR MAES MEAN VALUES. THE ACCURACY OF THE ALGORITHM WAS FURTHER CONFIRMED BY THE HIGH VALUES OF THE PEARSON'S CORRELATION COEFFICIENTS (LOWEST MEAN VALUE OF 0.86).CLINICAL RELEVANCE- THE PROPOSED WORK VALIDATED A MAGNETIC FREE ALGORITHM FOR KINEMATIC RECONSTRUCTION WITH INERTIAL UNITS. IT COULD BE USED AS A WEARABLE SOLUTION TO TRACK HUMAN MOVEMENTS IN INDOOR ENVIRONMENTS BEING INSENSITIVE TO MAGNETIC DISTURBANCES, AND THUS COULD BE POTENTIALLY USED ALSO FOR REHABILITATION PURPOSES. 2021 3 1978 35 SLEEP AMONG OBSTETRICS AND GYNECOLOGY TRAINEES: RESULTS FROM A YOGA-BASED WELLNESS INITIATIVE. OBJECTIVE: THIS STUDY AIMED TO DETERMINE THE FEASIBILITY OF USING A WRIST-BASED FITNESS TRACKING DEVICE TO ASSESS SLEEP AMONG OBSTETRICS AND GYNECOLOGY (OBGYN) TRAINEES WHO ENGAGED IN A YOGA-BASED WELLNESS PROGRAM. WE ALSO SOUGHT TO EVALUATE THE EFFECTS OF YOGA ON SLEEP. STUDY DESIGN: A QUALITY IMPROVEMENT INITIATIVE CONSISTING OF AN 8-WEEK WELLNESS PROGRAM OF WEEKLY YOGA CLASSES, NUTRITION, AND PHYSICAL CHALLENGES WAS IMPLEMENTED FOR OBGYN RESIDENTS AND MATERNAL-FETAL MEDICINE FELLOWS. THE POLAR A370 FITNESS TRACKER DEVICE WAS PROVIDED AND SYNCED TO THE POLAR FLOW FOR COACH PROGRAM FOR INCLUSION. DATA OBTAINED INCLUDED TOTAL AND RESTFUL SLEEP FROM EACH NIGHT THE DEVICE WERE WORN. PRE- AND POST-ASSESSMENT OF THE PITTSBURG SLEEP QUALITY INDEX (PSQI) WERE COMPARED. LINEAR MIXED MODELS WERE USED TO ESTIMATE AND TEST THE EFFECT OF YOGA ON SLEEP WHILE CONTROLLING FOR ON-CALL SHIFTS. RESULTS: OF THE 15 PARTICIPANTS WHO SYNCED THEIR DEVICE, 13 (87%) WERE INCLUDED FOR ANALYSIS. SLEEP DATA FROM 572 NIGHTS WERE ANALYZED. THE MEAN (SD) TOTAL SLEEP WAS 434.28 (110.03) MINUTES OVER THE 8 WEEKS. A MINIMUM OF 7 HOURS (420 MINUTES) OF TOTAL SLEEP OCCURRED 59.3% OF THE TIME. AFTER CONTROLLING FOR FRIDAY OR SATURDAY NIGHT ON-CALL, THOSE WHO ATTENDED YOGA CLASS HAD A SIGNIFICANTLY GREATER TOTAL SLEEP (YOGA: 425.14 MINUTES [41.89], NO YOGA: 357.33 [43.04] MINUTES; P = 0.04). THERE WAS NO SIGNIFICANT CHANGE IN THE MEAN GLOBAL PSQI SCORE AFTER THE PROGRAM (PRE: 5.0 [1.6], POST: 5.1 [2.5], P = 0.35). CONCLUSION: WEARABLE FITNESS MONITORS PROVIDE INSIGHT INTO SLEEP PATTERNS DISPLAYED DURING TRAINING AND CAN SERVE AS A TOOL TO IDENTIFY THOSE WHO ARE SLEEP DEPRIVED AND ASSIST IN THE EVALUATION OF TRAINEE WELLNESS. TRAINING PROGRAMS ARE ENCOURAGED TO PROVIDE ACCESS TO YOGA AND MINDFULNESS INTERVENTIONS TO IMPROVE SLEEP AND POSSIBLY CLINICAL PERFORMANCE. KEY POINTS: . YOGA IMPROVES TRAINEE SLEEP BY APPROXIMATELY 60 MINUTES.. . TOTAL AND RESTFUL SLEEP ARE REDUCED DURING NIGHT FLOAT ROTATION.. . TRAINEES OBTAINED 7 HOURS OF SLEEP APPROXIMATELY 60% OF THE TIME.. 2021 4 2158 21 THE EFFECTS OF VIDEO SELF-EVALUATION ON SKILL ACQUISITION WITH YOGA POSTURES. THIS STUDY EVALUATED THE USE OF VIDEO SELF-EVALUATION AND VIDEO FEEDBACK TO INCREASE THE ACCURACY OF YOGA POSES. THE INTERVENTIONS WERE ASSESSED IN A MULTIPLE BASELINE DESIGN ACROSS BEHAVIORS WITH 2 ADULTS. RESULTS SHOWED THAT VIDEO SELF-EVALUATION INCREASED THE ACCURACY OF ALL POSES, AND VIDEO FEEDBACK FURTHER INCREASED THE ACCURACY OF 1 POSE FOR 1 PARTICIPANT. 2015 5 1987 38 SPATIAL-TEMPORAL GRAPH CONVOLUTIONAL FRAMEWORK FOR YOGA ACTION RECOGNITION AND GRADING. THE RAPID DEVELOPMENT OF THE INTERNET HAS CHANGED OUR LIVES. MANY PEOPLE GRADUALLY LIKE ONLINE VIDEO YOGA TEACHING. HOWEVER, YOGA BEGINNERS CANNOT MASTER THE STANDARD YOGA POSES JUST BY LEARNING THROUGH VIDEOS, AND HIGH YOGA POSES CAN BRING GREAT DAMAGE OR EVEN DISABILITY TO THE BODY IF THEY ARE NOT STANDARD. TO ADDRESS THIS PROBLEM, WE PROPOSE A YOGA ACTION RECOGNITION AND GRADING SYSTEM BASED ON SPATIAL-TEMPORAL GRAPH CONVOLUTIONAL NEURAL NETWORK. FIRSTLY, WE CAPTURE YOGA MOVEMENT DATA USING A DEPTH CAMERA. THEN WE LABEL THE YOGA EXERCISE VIDEOS FRAME BY FRAME USING LONG SHORT-TERM MEMORY NETWORK; THEN WE EXTRACT THE SKELETAL JOINT POINT FEATURES SEQUENTIALLY USING GRAPH CONVOLUTION; THEN WE ARRANGE EACH VIDEO FRAME FROM SPATIAL-TEMPORAL DIMENSION AND CORRELATE THE JOINT POINTS IN EACH FRAME AND NEIGHBORING FRAMES WITH SPATIAL-TEMPORAL INFORMATION TO OBTAIN THE CONNECTION BETWEEN JOINTS. FINALLY, THE IDENTIFIED YOGA MOVEMENTS ARE PREDICTED AND GRADED. EXPERIMENT PROVES THAT OUR METHOD CAN ACCURATELY IDENTIFY AND CLASSIFY YOGA POSES; IT ALSO CAN IDENTIFY WHETHER YOGA POSES ARE STANDARD OR NOT AND GIVE FEEDBACK TO YOGIS IN TIME TO PREVENT BODY DAMAGE CAUSED BY NONSTANDARD POSES. 2022 6 2346 32 USING REALIST EVALUATION TO UNDERSTAND PROCESS OUTCOMES IN A COVID-19-IMPACTED YOGA INTERVENTION TRIAL: A WORKED EXAMPLE. REALIST EVALUATION OFFERS A VALUABLE WAY TO UNDERSTAND HOW INTERVENTIONS FUNCTION AND THUS HOW THEY CAN BE IMPROVED AND LOCALLY ADAPTED. CONSEQUENTLY, REALIST EVALUATION IS INCREASINGLY CONDUCTED IN PARALLEL WITH INTERVENTION TRIALS. IT COMPRISES A CLEAR PHILOSOPHICAL FOUNDATION AND VIEW OF CAUSALITY, PRAGMATIC MIXED DATA COLLECTION METHODS, AND A THEORY-DRIVEN APPROACH IN WHICH HYPOTHESISED PROGRAM THEORIES ARE TESTED AND REFINED. HOWEVER, DETAILED METHODS FOR DATA ANALYSIS ARE SELDOM WELL-DESCRIBED IN REALIST STUDIES AND NO CLEAR METHOD FOR ANALYSING AND PRESENTING REALIST EVALUATION DATA HAS YET EMERGED. IN THIS METHODOLOGICAL PAPER WE USE THE WORKED EXAMPLE OF OUR REALIST PROCESS EVALUATION OF THE SAGE YOGA TRIAL TO ILLUSTRATE AN APPLIED PROCESS OF DATA ANALYSIS AND PRESENTATION OF FINDINGS. WE SHOW HOW WE DREW ON OTHER REALIST STUDIES FOR IDEAS, PROVIDE EXAMPLES OF SIX KEY TASKS INVOLVED IN CONDUCTING A REALIST PROCESS EVALUATION (INCLUDING CODING DATA AND STRUCTURING RESULTS) AND DESCRIBE STRATEGIES THAT DID NOT WORK AND OUR RATIONALE FOR REJECTING THEM. THIS DETAILED ACCOUNT OF THE DECISIONS AND METHODS THAT WORKED FOR US IS INTENDED TO PROVIDE A PRACTICAL AND INFORMED POINT OF DEPARTURE FOR RESEARCHERS CONDUCTING A REALIST EVALUATION. 2021 7 1741 35 PHYSICAL DEMAND PROFILES OF HATHA YOGA POSTURES PERFORMED BY OLDER ADULTS. UNDERSTANDING THE PHYSICAL DEMANDS PLACED UPON THE MUSCULOSKELETAL SYSTEM BY INDIVIDUAL POSTURES MAY ALLOW EXPERIENCED INSTRUCTORS AND THERAPISTS TO DEVELOP SAFE AND EFFECTIVE YOGA PROGRAMS WHICH REDUCE UNDESIRABLE SIDE EFFECTS. THUS, WE USED BIOMECHANICAL METHODS TO QUANTIFY THE LOWER EXTREMITY JOINT ANGLES, JOINT MOMENTS OF FORCE, AND MUSCLE ACTIVITIES OF 21 HATHA YOGA POSTURES, COMMONLY USED IN SENIOR YOGA PROGRAMS. TWENTY OLDER ADULTS, 70.7 YEARS +/- 3.8 YEARS, PARTICIPATED IN A 32-WK YOGA CLASS (2 D/WK) WHERE THEY LEARNED INTRODUCTORY AND INTERMEDIATE POSTURES (ASANAS). THEY THEN PERFORMED THE ASANAS IN A MOTION ANALYSIS LABORATORY. KINEMATIC, KINETIC, AND ELECTROMYOGRAPHIC DATA WAS COLLECTED OVER THREE SECONDS WHILE THE PARTICIPANTS HELD THE POSES STATICALLY. PROFILES ILLUSTRATING THE POSTURES AND INCLUDING THE BIOMECHANICAL DATA WERE THEN GENERATED FOR EACH ASANA. OUR FINDINGS DEMONSTRATED THAT HATHA YOGA POSTURES ENGENDERED A RANGE OF APPRECIABLE JOINT ANGLES, JMOFS, AND MUSCLE ACTIVITIES ABOUT THE ANKLE, KNEE, AND HIP, AND THAT DEMANDS ASSOCIATED WITH SOME POSTURES AND POSTURE MODIFICATIONS WERE NOT ALWAYS INTUITIVE. THEY ALSO DEMONSTRATED THAT ALL OF THE POSTURES ELICITED APPRECIABLE RECTUS ABDOMINIS ACTIVITY, WHICH WAS UP TO 70% OF THAT INDUCED DURING WALKING. 2013 8 614 35 DEVELOPMENT OF A YOGA-BASED CARDIAC REHABILITATION (YOGA-CARE) PROGRAMME FOR SECONDARY PREVENTION OF MYOCARDIAL INFARCTION. CARDIAC REHABILITATION (CR) AFTER MYOCARDIAL INFARCTION IS HIGHLY EFFECTIVE. IT IS UNAVAILABLE IN PUBLIC HOSPITALS IN INDIA DUE TO LIMITED RESOURCES. OUR OBJECTIVE WAS TO DEVELOP A SCALABLE MODEL OF CR FOR INDIA BASED ON YOGA, WHICH COULD ALSO APPEAL TO SOME GROUPS WITH LOW UPTAKE OF CR (E.G., ETHNIC MINORITIES, WOMEN, AND OLDER PEOPLE) GLOBALLY. THE INTERVENTION WAS DEVELOPED USING A STRUCTURED PROCESS. A LITERATURE REVIEW AND CONSULTATIONS WITH YOGA EXPERTS, CR EXPERTS, AND POSTMYOCARDIAL INFARCTION PATIENTS WERE CONDUCTED TO SYSTEMATICALLY IDENTIFY AND SHORTLIST APPROPRIATE YOGA EXERCISES AND POSTURES, BREATHING EXERCISES, MEDITATION AND RELAXATION PRACTICES, AND LIFESTYLE CHANGES, WHICH WERE INCORPORATED INTO A CONVENTIONAL CR FRAMEWORK. THE DRAFT INTERVENTION WAS FURTHER REFINED BASED ON THE FEEDBACK FROM AN INTERNAL STAKEHOLDER GROUP AND AN EXTERNAL PANEL OF INTERNATIONAL EXPERTS, BEFORE BEING PILOTED WITH YOGA INSTRUCTORS AND PATIENTS WITH MYOCARDIAL INFARCTION. A FOUR-PHASE YOGA-BASED CR (YOGA-CARE) PROGRAMME WAS DEVELOPED FOR DELIVERY BY A SINGLE YOGA INSTRUCTOR WITH BASIC TRAINING. THE PROGRAMME CONSISTS OF A TOTAL OF 13 INSTRUCTOR-LED SESSIONS (2 INDIVIDUAL AND 11 GROUP) OVER A 3-MONTH PERIOD. GROUP SESSIONS INCLUDE GUIDED PRACTICE OF YOGA EXERCISES AND POSTURES, BREATHING EXERCISES, AND MEDITATION AND RELAXATION PRACTICES, AND SUPPORT FOR THE LIFESTYLE CHANGE AND COPING THROUGH A MODERATED DISCUSSION. PATIENTS ARE ENCOURAGED TO SELF-PRACTICE DAILY AT HOME AND CONTINUE LONG-TERM WITH THE HELP OF A BOOKLET AND DIGITAL VIDEO DISC (DVD). FAMILY MEMBERS/CARERS ARE ENCOURAGED TO JOIN THROUGHOUT. IN CONCLUSION, A NOVEL YOGA-BASED CR PROGRAMME HAS BEEN DEVELOPED, WHICH PROMISES TO PROVIDE A SCALABLE CR SOLUTION FOR INDIA AND AN ALTERNATIVE CHOICE FOR CR GLOBALLY. IT IS CURRENTLY BEING EVALUATED IN A LARGE MULTICENTRE RANDOMISED CONTROLLED TRIAL ACROSS INDIA. 2019 9 303 30 AN EMPIRICAL COMPARISON OF MACHINE LEARNING ALGORITHMS FOR THE CLASSIFICATION OF BRAIN SIGNALS TO ASSESS THE IMPACT OF COMBINED YOGA AND SUDARSHAN KRIYA. TODAY'S FAST PACED LIFE REPORTS SO MUCH STRESS AMONG PEOPLE THAT IT MAY LEAD TO VARIOUS PSYCHOLOGICAL AND PHYSICAL ILLNESSES. YOGA AND MEDITATION ARE THE BEST STRATEGIES TO REDUCE THE EFFECT OF STRESS ON PHYSICAL AND MENTAL LEVEL WITHOUT ANY SIDE-EFFECTS. IN THIS STUDY, COMBINED YOGA AND SUDARSHAN KRIYA (SK) HAS BEEN USED AS AN ALTERNATIVE AND COMPLEMENTARY THERAPY FOR THE MANAGEMENT OF STRESS. THE AIM OF THE STUDY IS TO FIND A METHOD TO CLASSIFY THE MEDITATOR AND NON-MEDITATOR STATES WITH THE BEST ACCURACY. THE 50 SUBJECTS HAVE BEEN PARTICIPATING IN THIS STUDY AND DIVIDED INTO TWO GROUPS, I.E. STUDY AND CONTROL GROUP. THE SUBJECTS WITH REGULAR PRACTICE OF YOGA AND SK ARE KNOWN AS MEDITATORS AND THE ONES WITHOUT ANY PRACTICE OF YOGA AND MEDITATION WERE KNOWN AS NON-MEDITATORS. ELECTROENCEPHALOGRAM (EEG) SIGNALS WERE ACQUIRED FROM THESE BOTH GROUPS BEFORE AND AFTER 3 MONTHS. THE STATISTICAL PARAMETERS WERE COMPUTED FROM THESE ACQUIRED EEG SIGNALS USING DISCRETE WAVELET TRANSFORM (DWT). THESE EXTRACTED STATISTICAL PARAMETERS WERE GIVEN AS INPUT TO THE CLASSIFIERS. THE DECISION TREE, DISCRIMINANT ANALYSIS, LOGISTIC REGRESSION, SUPPORT VECTOR MACHINE (SVM), WEIGHTED K- NEAREST NEIGHBOUR (KNN) AND ENSEMBLE CLASSIFIERS WERE USED FOR CLASSIFICATION OF MEDITATOR AND NON- MEDITATOR STATES FROM THE ACQUIRED EEG SIGNALS. THE RESULTS HAVE DEMONSTRATED THAT THE SVM METHOD GIVES THE HIGHEST CLASSIFICATION ACCURACY AS COMPARED TO OTHER CLASSIFIERS. THE PROPOSED METHOD CAN BE USED AS A DIAGNOSIS SYSTEM IN CLINICAL PRACTICES. 2022 10 1294 24 GUIDELINES FOR DEVELOPING YOGA INTERVENTIONS FOR RANDOMIZED TRIALS. LITTLE GUIDANCE IS AVAILABLE TO ASSIST RESEARCHERS IN DEVELOPING TREATMENT PROTOCOLS FOR RESEARCH ON YOGA FOR HEALTH CONCERNS. BECAUSE YOGA IS A COMPLEX MULTIFACTORIAL MIND-BODY DISCIPLINE HISTORICALLY DEVELOPED FOR NONMEDICAL PURPOSES, NUMEROUS DECISIONS MUST BE MADE IN ORDER TO THOUGHTFULLY DEVELOP SUCH PROTOCOLS. IN THIS PAPER, A SYSTEMATIC APPROACH IS PROPOSED TO ASSIST RESEARCHERS IN SELECTING AN INTERVENTION THAT IS APPROPRIATE FOR THE CONDITION UNDER CONSIDERATION AND EXPLICITLY DEVELOPED. RESEARCHERS NEED TO CONSIDER THE TYPE OR "STYLE" OF YOGA, THE COMPONENTS TO INCLUDE (E.G., BREATHING EXERCISES, POSTURES) AS WELL AS THE SPECIFIC PROTOCOL FOR EACH COMPONENT, THE DOSE TO BE DELIVERED (FREQUENCY, DURATION OF PRACTICE, AND THE TOTAL DURATION OF PRACTICE), AND ISSUES RELATED TO SELECTION OF INSTRUCTORS AND MONITORING THE FIDELITY TO THE INTERVENTION. EACH OF THESE DOMAINS AND THE KEY ISSUES FOR THE DEVELOPMENT OF PROTOCOLS IS DISCUSSED. FINALLY, SOME AREAS FOR FURTHER RESEARCH RELATED TO PROTOCOL DEVELOPMENT ARE RECOMMENDED. 2012 11 2372 37 WHAT HELPS OLDER PEOPLE PERSEVERE WITH YOGA CLASSES? A REALIST PROCESS EVALUATION OF A COVID-19-AFFECTED YOGA PROGRAM FOR FALL PREVENTION. BACKGROUND: FALLS AMONG OLDER PEOPLE ARE A MAJOR GLOBAL HEALTH CONCERN. THIS PROCESS EVALUATION INVESTIGATES THE EXPERIENCE OF PARTICIPANTS AGED 60+ IN A YOGA PROGRAM AIMED AT PREVENTING FALLS WHICH TRANSITIONED FROM STUDIO-BASED CLASSES TO ONLINE CLASSES IN RESPONSE TO COVID-19 RESTRICTIONS. WE SOUGHT TO UNDERSTAND HOW THE SUCCESSFUL AGEING (SAGE) YOGA PROGRAM FUNCTIONED IN BOTH SETTINGS AND AS A HYBRID PROGRAM, AND TO EXPLAIN WHY IT WORKED WELL FOR MOST PARTICIPANTS. METHODS: REALIST PROCESS EVALUATION WAS USED TO EXPLORE THE FACTORS THAT FACILITATED A SUCCESSFUL TRANSITION FOR MOST PARTICIPANTS, AND TO CONSIDER WHY IT DID NOT WORK FOR A MINORITY. THIS APPROACH DEVELOPS PROGRAM THEORIES THAT DESCRIBE WHICH MECHANISMS AN INTERVENTION IS (OR IS NOT) ACTIVATING, AND HOW THIS IS MEDIATED BY CONTEXT TO GENERATE PROCESS OUTCOMES. DATA INCLUDED INTERVIEWS WITH PARTICIPANTS (N = 21) AND YOGA INSTRUCTORS (N = 3), SELF-REPORT FEEDBACK FORMS (N = 46), OBSERVATION OF CLASSES AND ROUTINE PROCESS MEASURES. RESULTS: FACTORS THAT FACILITATED A SUCCESSFUL TRANSITION FOR MOST PARTICIPANTS INCLUDED THE QUALITY OF YOGA INSTRUCTION, THE PROGRAM FORMAT AND INHERENT CHARACTERISTICS OF YOGA. GAINS IN TRANSITIONING ONLINE INCLUDED CONTINUITY AND GREATER CONVENIENCE. LOSSES INCLUDED PERCEIVED REDUCTION IN THE EFFECTIVENESS OF YOGA INSTRUCTION. THERE WERE GREATER CHALLENGES FOR PEOPLE STRUGGLING WITH PAIN AND IN DISADVANTAGEOUS HOME ENVIRONMENTS. WE IDENTIFIED SIX PROGRAM THEORIES CONFIGURED AROUND 16 MECHANISMS: 1. IT'S WORTH THE EFFORT AND 2. IN EXPERT HANDS (THESE HAD THE SAME MECHANISMS: VALUE EXPECTANCY, THERAPEUTIC ALLIANCE AND ACHIEVEMENT/MASTERY), 3. A COMMUNAL EXPERIENCE (THESE MECHANISMS WERE SHARED EXPERIENCE, SOCIAL CONNECTION, SOCIAL COMPARISON AND PEER CHECKING), 4. PUTTING YOGA WITHIN REACH (ACCESSIBILITY, CONVENIENCE, GRATITUDE), 5. BUILDING YOGA HABITS (PURPOSEFUL STRUCTURE, MOMENTUM, ACCOUNTABILITY AND CONTINUITY), AND 6. YOGA'S SPECIAL PROPERTIES (EMBODIMENT AND MINDFULNESS). CONCLUSIONS: THIS STUDY SHOWED THAT ONLINE DELIVERY OF A YOGA PROGRAM FOR PEOPLE AGED 60+ RETAINED MUCH OF THE VALUE OF A FACE-TO-FACE PROGRAM FOR THE MAJORITY OF PARTICIPANTS, AND INCREASED THE VALUE FOR SOME. THE STRUCTURED, COMMUNAL NATURE OF AN ORGANISED GROUP PROGRAM DELIVERED BY A SKILLED INSTRUCTOR, TOGETHER WITH YOGA'S INTRINSIC FOCUS ON MINDFULNESS, FACILITATED CONTINUED ENGAGEMENT AND PERCEIVED HEALTH BENEFITS, DESPITE THE CHANGE IN DELIVERY MODE. 2022 12 1145 31 ELEMENTARY STUDENT AND TEACHER PERCEPTIONS OF A MINDFULNESS AND YOGA-BASED PROGRAM IN SCHOOL: A QUALITATIVE EVALUATION. RESEARCH QUESTION: WHAT ARE THE QUALITATIVE INSIGHTS AND PERSPECTIVES ABOUT THE IMPLEMENTATION OF A MINDFULNESS AND YOGA-BASED PROGRAM FROM ELEMENTARY YOUTH AND TEACHERS? CONTEXT: A MINDFULNESS AND YOGA-BASED CURRICULUM WAS IMPLEMENTED IN 15 SCHOOLS. THE CURRICULUM WAS TAUGHT TO STUDENTS DURING A PHYSICAL EDUCATION OR DANCE CLASS BY INSTRUCTORS WHO WERE WITHIN EACH SCHOOL AND RECEIVED TRAINING ON THE CURRICULUM. SAMPLE SELECTION: VOLUNTEER FOCUS GROUP ELEMENTARY STUDENTS WHO PARTICIPATED FOR ONE YEAR AND TEACHERS WHO DID NOT IMPLEMENT THE PROGRAM WERE QUALITATIVELY INTERVIEWED, BY THREE TRAINED UNIVERSITY RESEARCHERS. DATA COLLECTION: NINE FOCUS GROUPS WERE COMPLETED WITHIN THREE DIFFERENT ELEMENTARY SCHOOLS. SIX FOCUS GROUPS WERE COMPLETED WITH 3RD AND 5TH GRADE STUDENTS. THREE FOCUS GROUPS WERE CONDUCTED WITH TEACHERS WITHIN EACH SCHOOL WHICH RECEIVED THE PROGRAM, EXCLUDING INSTRUCTORS. ANALYSIS: FOCUS GROUP DATA WERE CODED AND A THEMATIC ANALYSIS WAS COMPLETED AMONG THE 40 STUDENTS AND 23 TEACHERS. INTERPRETATION AND MAIN RESULTS: TEACHERS HAD VARYING DEGREES OF INVOLVEMENT WITH THE PROGRAM AND COMMUNICATION EMERGED AS A CRITICAL THEME FOR BUY-IN AS COMMUNICATION REPRESENTS THE UNDERPINNINGS OF CREATING AND RETAINING STAKEHOLDERS. MOST STUDENTS TALKED ABOUT PERCEIVED IMPROVEMENTS IN FOCUS, EMOTIONAL REGULATION, FLEXIBILITY, BREATHING, AND SCHOOL WORK. A COMMON THEME TO DESCRIBE BENEFITS OF THE PROGRAM EMERGED WITH THE IDEA OF "INCREASED FOCUS". CONCEPTUALLY, IT MAY BE THAT INCREASING MINDFULNESS INCREASES "FOCUS" THUS INCREASING POSITIVE OUTCOMES. MORE RESEARCH IS NEEDED TO UNDERSTAND IF "FOCUS" MAY SERVE AS A MEDIATING VARIABLE ON EMOTIONAL REGULATION, COGNITIVE IMPROVEMENTS, AND OTHER HEALTH OUTCOMES. 2020 13 2821 59 YOGA TREATMENT FOR CHRONIC NON-SPECIFIC LOW BACK PAIN. BACKGROUND: NON-SPECIFIC LOW BACK PAIN IS A COMMON, POTENTIALLY DISABLING CONDITION USUALLY TREATED WITH SELF-CARE AND NON-PRESCRIPTION MEDICATION. FOR CHRONIC LOW BACK PAIN, CURRENT GUIDELINES STATE THAT EXERCISE THERAPY MAY BE BENEFICIAL. YOGA IS A MIND-BODY EXERCISE SOMETIMES USED FOR NON-SPECIFIC LOW BACK PAIN. OBJECTIVES: TO ASSESS THE EFFECTS OF YOGA FOR TREATING CHRONIC NON-SPECIFIC LOW BACK PAIN, COMPARED TO NO SPECIFIC TREATMENT, A MINIMAL INTERVENTION (E.G. EDUCATION), OR ANOTHER ACTIVE TREATMENT, WITH A FOCUS ON PAIN, FUNCTION, AND ADVERSE EVENTS. SEARCH METHODS: WE SEARCHED CENTRAL, MEDLINE, EMBASE, FIVE OTHER DATABASES AND FOUR TRIALS REGISTERS TO 11 MARCH 2016 WITHOUT RESTRICTION OF LANGUAGE OR PUBLICATION STATUS. WE SCREENED REFERENCE LISTS AND CONTACTED EXPERTS IN THE FIELD TO IDENTIFY ADDITIONAL STUDIES. SELECTION CRITERIA: WE INCLUDED RANDOMIZED CONTROLLED TRIALS OF YOGA TREATMENT IN PEOPLE WITH CHRONIC NON-SPECIFIC LOW BACK PAIN. WE INCLUDED STUDIES COMPARING YOGA TO ANY OTHER INTERVENTION OR TO NO INTERVENTION. WE ALSO INCLUDED STUDIES COMPARING YOGA AS AN ADJUNCT TO OTHER THERAPIES, VERSUS THOSE OTHER THERAPIES ALONE. DATA COLLECTION AND ANALYSIS: TWO AUTHORS INDEPENDENTLY SCREENED AND SELECTED STUDIES, EXTRACTED OUTCOME DATA, AND ASSESSED RISK OF BIAS. WE CONTACTED STUDY AUTHORS TO OBTAIN MISSING OR UNCLEAR INFORMATION. WE EVALUATED THE OVERALL CERTAINTY OF EVIDENCE USING THE GRADE APPROACH. MAIN RESULTS: WE INCLUDED 12 TRIALS (1080 PARTICIPANTS) CARRIED OUT IN THE USA (SEVEN TRIALS), INDIA (THREE TRIALS), AND THE UK (TWO TRIALS). STUDIES WERE UNFUNDED (ONE TRIAL), FUNDED BY A YOGA INSTITUTION (ONE TRIAL), FUNDED BY NON-PROFIT OR GOVERNMENT SOURCES (SEVEN TRIALS), OR DID NOT REPORT ON FUNDING (THREE TRIALS). MOST TRIALS USED IYENGAR, HATHA, OR VINIYOGA FORMS OF YOGA. THE TRIALS COMPARED YOGA TO NO INTERVENTION OR A NON-EXERCISE INTERVENTION SUCH AS EDUCATION (SEVEN TRIALS), AN EXERCISE INTERVENTION (THREE TRIALS), OR BOTH EXERCISE AND NON-EXERCISE INTERVENTIONS (TWO TRIALS). ALL TRIALS WERE AT HIGH RISK OF PERFORMANCE AND DETECTION BIAS BECAUSE PARTICIPANTS AND PROVIDERS WERE NOT BLINDED TO TREATMENT ASSIGNMENT, AND OUTCOMES WERE SELF-ASSESSED. THEREFORE, WE DOWNGRADED ALL OUTCOMES TO 'MODERATE' CERTAINTY EVIDENCE BECAUSE OF RISK OF BIAS, AND WHEN THERE WAS ADDITIONAL SERIOUS RISK OF BIAS, UNEXPLAINED HETEROGENEITY BETWEEN STUDIES, OR THE ANALYSES WERE IMPRECISE, WE DOWNGRADED THE CERTAINTY OF THE EVIDENCE FURTHER.FOR YOGA COMPARED TO NON-EXERCISE CONTROLS (9 TRIALS; 810 PARTICIPANTS), THERE WAS LOW-CERTAINTY EVIDENCE THAT YOGA PRODUCED SMALL TO MODERATE IMPROVEMENTS IN BACK-RELATED FUNCTION AT THREE TO FOUR MONTHS (STANDARDIZED MEAN DIFFERENCE (SMD) -0.40, 95% CONFIDENCE INTERVAL (CI) -0.66 TO -0.14; CORRESPONDING TO A CHANGE IN THE ROLAND-MORRIS DISABILITY QUESTIONNAIRE OF MEAN DIFFERENCE (MD) -2.18, 95% -3.60 TO -0.76), MODERATE-CERTAINTY EVIDENCE FOR SMALL TO MODERATE IMPROVEMENTS AT SIX MONTHS (SMD -0.44, 95% CI -0.66 TO -0.22; CORRESPONDING TO A CHANGE IN THE ROLAND-MORRIS DISABILITY QUESTIONNAIRE OF MD -2.15, 95% -3.23 TO -1.08), AND LOW-CERTAINTY EVIDENCE FOR SMALL IMPROVEMENTS AT 12 MONTHS (SMD -0.26, 95% CI -0.46 TO -0.05; CORRESPONDING TO A CHANGE IN THE ROLAND-MORRIS DISABILITY QUESTIONNAIRE OF MD -1.36, 95% -2.41 TO -0.26). ON A 0-100 SCALE THERE WAS VERY LOW- TO MODERATE-CERTAINTY EVIDENCE THAT YOGA WAS SLIGHTLY BETTER FOR PAIN AT THREE TO FOUR MONTHS (MD -4.55, 95% CI -7.04 TO -2.06), SIX MONTHS (MD -7.81, 95% CI -13.37 TO -2.25), AND 12 MONTHS (MD -5.40, 95% CI -14.50 TO -3.70), HOWEVER WE PRE-DEFINED CLINICALLY SIGNIFICANT CHANGES IN PAIN AS 15 POINTS OR GREATER AND THIS THRESHOLD WAS NOT MET. BASED ON INFORMATION FROM SIX TRIALS, THERE WAS MODERATE-CERTAINTY EVIDENCE THAT THE RISK OF ADVERSE EVENTS, PRIMARILY INCREASED BACK PAIN, WAS HIGHER IN YOGA THAN IN NON-EXERCISE CONTROLS (RISK DIFFERENCE (RD) 5%, 95% CI 2% TO 8%).FOR YOGA COMPARED TO NON-YOGA EXERCISE CONTROLS (4 TRIALS; 394 PARTICIPANTS), THERE WAS VERY-LOW-CERTAINTY EVIDENCE FOR LITTLE OR NO DIFFERENCE IN BACK-RELATED FUNCTION AT THREE MONTHS (SMD -0.22, 95% CI -0.65 TO 0.20; CORRESPONDING TO A CHANGE IN THE ROLAND-MORRIS DISABILITY QUESTIONNAIRE OF MD -0.99, 95% -2.87 TO 0.90) AND SIX MONTHS (SMD -0.20, 95% CI -0.59 TO 0.19; CORRESPONDING TO A CHANGE IN THE ROLAND-MORRIS DISABILITY QUESTIONNAIRE OF MD -0.90, 95% -2.61 TO 0.81), AND NO INFORMATION ON BACK-RELATED FUNCTION AFTER SIX MONTHS. THERE WAS VERY LOW-CERTAINTY EVIDENCE FOR LOWER PAIN ON A 0-100 SCALE AT SEVEN MONTHS (MD -20.40, 95% CI -25.48 TO -15.32), AND NO INFORMATION ON PAIN AT THREE MONTHS OR AFTER SEVEN MONTHS. BASED ON INFORMATION FROM THREE TRIALS, THERE WAS LOW-CERTAINTY EVIDENCE FOR NO DIFFERENCE IN THE RISK OF ADVERSE EVENTS BETWEEN YOGA AND NON-YOGA EXERCISE CONTROLS (RD 1%, 95% CI -4% TO 6%).FOR YOGA ADDED TO EXERCISE COMPARED TO EXERCISE ALONE (1 TRIAL; 24 PARTICIPANTS), THERE WAS VERY-LOW-CERTAINTY EVIDENCE FOR LITTLE OR NO DIFFERENCE AT 10 WEEKS IN BACK-RELATED FUNCTION (SMD -0.60, 95% CI -1.42 TO 0.22; CORRESPONDING TO A CHANGE IN THE OSWESTRY DISABILITY INDEX OF MD -17.05, 95% -22.96 TO 11.14) OR PAIN ON A 0-100 SCALE (MD -3.20, 95% CI -13.76 TO 7.36). THERE WAS NO INFORMATION ON OUTCOMES AT OTHER TIME POINTS. THERE WAS NO INFORMATION ON ADVERSE EVENTS.STUDIES PROVIDED LIMITED EVIDENCE ON RISK OF CLINICAL IMPROVEMENT, MEASURES OF QUALITY OF LIFE, AND DEPRESSION. THERE WAS NO EVIDENCE ON WORK-RELATED DISABILITY. AUTHORS' CONCLUSIONS: THERE IS LOW- TO MODERATE-CERTAINTY EVIDENCE THAT YOGA COMPARED TO NON-EXERCISE CONTROLS RESULTS IN SMALL TO MODERATE IMPROVEMENTS IN BACK-RELATED FUNCTION AT THREE AND SIX MONTHS. YOGA MAY ALSO BE SLIGHTLY MORE EFFECTIVE FOR PAIN AT THREE AND SIX MONTHS, HOWEVER THE EFFECT SIZE DID NOT MEET PREDEFINED LEVELS OF MINIMUM CLINICAL IMPORTANCE. IT IS UNCERTAIN WHETHER THERE IS ANY DIFFERENCE BETWEEN YOGA AND OTHER EXERCISE FOR BACK-RELATED FUNCTION OR PAIN, OR WHETHER YOGA ADDED TO EXERCISE IS MORE EFFECTIVE THAN EXERCISE ALONE. YOGA IS ASSOCIATED WITH MORE ADVERSE EVENTS THAN NON-EXERCISE CONTROLS, BUT MAY HAVE THE SAME RISK OF ADVERSE EVENTS AS OTHER BACK-FOCUSED EXERCISE. YOGA IS NOT ASSOCIATED WITH SERIOUS ADVERSE EVENTS. THERE IS A NEED FOR ADDITIONAL HIGH-QUALITY RESEARCH TO IMPROVE CONFIDENCE IN ESTIMATES OF EFFECT, TO EVALUATE LONG-TERM OUTCOMES, AND TO PROVIDE ADDITIONAL INFORMATION ON COMPARISONS BETWEEN YOGA AND OTHER EXERCISE FOR CHRONIC NON-SPECIFIC LOW BACK PAIN. 2017 14 491 26 CO-DESIGNING A NEW YOGA-BASED MINDFULNESS INTERVENTION FOR SURVIVORS OF STROKE: A FORMATIVE EVALUATION. MOVEMENT-BASED MINDFULNESS INTERVENTIONS (MBI) ARE COMPLEX, MULTI-COMPONENT INTERVENTIONS FOR WHICH THE DESIGN PROCESS IS RARELY REPORTED. FOR PEOPLE WITH STROKE, EMERGING EVIDENCE SUGGESTS BENEFITS, BUT MAINSTREAM PROGRAMS ARE GENERALLY UNSUITABLE. WE AIMED TO DESCRIBE THE PROCESSES INVOLVED AND TO CONDUCT A FORMATIVE EVALUATION OF THE DEVELOPMENT OF A NOVEL YOGA-BASED MBI DESIGNED FOR SURVIVORS OF STROKE. WE USED THE MEDICAL RESEARCH COUNCIL COMPLEX INTERVENTIONS FRAMEWORK AND PRINCIPLES OF CO-DESIGN. WE PURPOSEFULLY APPROACHED HEALTH PROFESSIONALS AND CONSUMERS TO ESTABLISH AN ADVISORY COMMITTEE FOR DEVELOPING THE INTERVENTION. MEMBERS COLLABORATED AND ITERATIVELY REVIEWED THE DESIGN AND CONTENT OF THE PROGRAM, FORMATTED INTO A TRAINING MANUAL. FOUR EXTERNAL YOGA TEACHERS INDEPENDENTLY REVIEWED THE PROGRAM. FORMATIVE EVALUATION INCLUDED REVIEW OF MULTIPLE DATA SOURCES AND DOCUMENTATION (E.G., FORMAL MEETING MINUTES, FOCUS GROUP DISCUSSIONS, RESEARCHER OBSERVATIONS). THE DATA WERE SYNTHESIZED USING INDUCTIVE THEMATIC ANALYSIS. THREE BROAD THEMES EMERGED: (A) MBI CONTENT AND TERMINOLOGY; (B) MANUAL DESIGN AND READABILITY; AND (C) BARRIERS AND ENABLERS TO DELIVER THE INTERVENTION. VARIOUS PERSPECTIVES AND FEEDBACK ON ESSENTIAL COMPONENTS GUIDED FINALIZING THE PROGRAM. THE DESIGN PHASE OF A NOVEL YOGA-BASED MBI WAS STRENGTHENED BY INTERDISCIPLINARY, CONSUMER CONTRIBUTIONS AND PEER REVIEW. THE 12-WEEK INTERVENTION IS READY FOR TESTING AMONG SURVIVORS OF STROKE. 2021 15 322 25 ANKLE MOTION IN COMMON YOGA POSES. BACKGROUND: MOTION OF THE ANKLE IS ESSENTIAL FOR MANY YOGA POSES. AN UNDERSTANDING OF RANGE OF ANKLE MOTION DURING TYPICAL YOGA POSES MAY HELP THE CLINICIAN TO UNDERSTAND EXPECTED OUTCOMES OF PATIENTS WHEN RETURNING FROM ANKLE SURGERY OR INJURY TO YOGA. METHODS: THE BIOMECHANICS OF TWENTY HEALTHY ACTIVE YOGIS WERE COLLECTED DURING SEVEN YOGA POSES THAT ARE COMMON WITHIN THEIR PRACTICES. MOTION CAPTURE AND FORCE PLATES WERE USED TO ASSESS THE RANGE OF MOTION AND JOINT MOMENTS OF THE ANKLE FOR EACH POSE. RESULTS: ALL POSES RESULTED IN PLANTARFLEXION AND EXTERNAL ROTATION MOMENTS AT THE ANKLE JOINTS. JOINT LOADING WAS HIGHEST IN SINGLE LEG POSES. THE ARC OF MOTION USED BY THE STUDY PARTICIPANTS IN THE POSES WAS 29 DEGREES OF SAGITTAL MOTION, 20 DEGREES OF FRONTAL MOTION AND 35 DEGREES OF TRANSVERSE MOTION. DISCUSSION: ANKLE MOTION WAS EVALUATED WHEN HEALTHY YOGIS PERFORM STANDARD POSES. THESE RESULTS MAY HELP IN DISCUSSION WITH PATIENTS REGARDING EXPECTED OUTCOMES AFTER ANKLE INJURY OR SURGERY. 2019 16 587 33 DETERMINING PHYSICAL THERAPISTS' READINESS FOR INTEGRATING YOGA THERAPEUTICS INTO REHABILITATION. THE POSITIVE HEALTH EFFECTS OF YOGA HAVE LED PHYSICAL THERAPISTS (PTS) TO INTEGRATE ELEMENTS OF THE DISCIPLINE INTO THEIR TREATMENTS IN SOME SETTINGS. FORMAL PT EDUCATION INCLUDES LIMITED, IF ANY, TRAINING IN YOGA, AND THERE IS NO SYSTEM IN PLACE TO PROVIDE EDUCATION ON SAFELY IMPLEMENTING THERAPEUTIC YOGA (TY) AS AN ADJUNCTIVE TREATMENT APPROACH. THE PURPOSES OF THIS STUDY WERE TO: (1) ASSESS THE READINESS OF PTS (THOSE WHO DO NOT CURRENTLY PRESCRIBE TY TO PATIENTS) TO INTEGRATE TY INTO TREATMENT, AND (2) DETERMINE THE FEASIBILITY OF A 5-WEEK ONLINE TY TRAINING TO IMPROVE THE READINESS OF PTS TO UTILIZE TY IN THEIR PRACTICES. LICENSED PTS (N = 103) WERE RECRUITED NATIONALLY THROUGH SOCIAL MEDIA AND EMAIL. ELIGIBLE AND CONSENTED PTS REGISTERED FOR A 5-WEEK ONLINE TY TRAINING COURSE. PTS' PERCEPTIONS OF TY AND THE ROLE OF SAFETY AND CONFIDENCE IN PRESCRIBING TY TO PATIENTS WERE MEASURED AT BASELINE AND POSTINTERVENTION. FEASIBILITY OUTCOMES WERE MEASURED AFTER COMPLETION OF THE COURSE. BENCHMARKS INCLUDED: (1) > 70% OF PTS WOULD FIND THE COURSE ACCEPTABLE; (2) > 60% WOULD FINISH THE COURSE; AND (3) THERE WOULD BE SIGNIFICANT IMPROVEMENTS IN PTS' PERCEPTIONS OF TY. A TOTAL OF 95 ELIGIBLE PTS CONSENTED AND REGISTERED FOR THE COURSE, WITH 60 (63.1%) COMPLETING THE INTERVENTION. PRIOR TO THE TRAINING, MOST PTS FELT THEY WERE NOT READY (N = 19/60, 31.7%) OR SOMEWHAT READY (N = 25/60, 41.7%) TO INTEGRATE TY. MORE THAN HALF THOUGHT THE ONLINE TRAINING WAS ACCEPTABLE (N = 50/60, 83.3%) AND FINISHED THE COURSE (N = 60/95, 63.1%). THERE WERE SIGNIFICANT IMPROVEMENTS IN PERSONAL READINESS AND CONFIDENCE TO SAFELY PRESCRIBE TY, CURRENT UNDERSTANDING/KNOWLEDGE OF TY, AND FEELING ADEQUATELY TRAINED TO USE SOME FORM OF TY WITH PATIENTS. A 5-WEEK ONLINE TY TRAINING COURSE IS FEASIBLE TO DELIVER FOR IMPROVING PTS' READINESS TO PRESCRIBE TY. FUTURE STUDIES ARE PROPOSED TO TEST THE EFFECTIVENESS OF TY TRAINING AND EDUCATION WITH PTS. 2020 17 2037 32 TELE-YOGA THERAPY FOR COMMON MENTAL HEALTH DISORDERS: NEED FOR ASSESSMENT TOOL AND GUIDELINES. INTRODUCTION: TELE-YOGA IS A COST-EFFECTIVE METHOD OF TEACHING YOGA USING CLOUD TECHNOLOGY TO RELAY FROM ONE SOURCE (TRAINER'S VENUE) TO MULTI-POINT VIDEO CONFERENCING CENTERS (PARTICIPANTS' HOMES). HOWEVER, THERE IS A NEED TO ASSESS THE TELE-YOGA TRAINER AND THE TRAINING ITSELF TO ENSURE SAFETY AND EFFECTIVENESS. MATERIALS AND METHODS: THE TELE-YOGA TRAINERS ASSESSMENT (TYTA) TOOL WAS DEVELOPED THROUGH (A) REVIEW OF EXISTING TOOLS, (B) KEY INFORMANT INTERVIEWS, AND (C) VALIDATION BY EXPERTS. IT WAS TESTED FOR ITS FEASIBILITY IN SIX PERSONS WITH COMMON MENTAL DISORDERS. A TRAINED YOGA THERAPIST CONDUCTED TELE-YOGA THERAPY SESSIONS WHICH WAS WEBCAST FROM NIMHANS INTEGRATED CENTER FOR YOGA TO NIMHANS CENTER FOR WELL-BEING FOR THE FIRST 15 DAYS AND TO THE RESPECTIVE HOMES OF THE PARTICIPANTS USING "SKYPE" IN THE REMAINING 15 DAYS. PARTICIPANTS WERE ASSESSED ON (A) MENTAL WELL-BEING, (B) SATISFACTION WITH OVERALL HEALTH AND WERE ADMINISTERED THE (C) TYTA TOOL ON THE 1(ST), 15(TH), AND 30(TH) DAY. RESULTS: THE TYTA WAS EASY TO ADMINISTER FOR ASSESSING THE PERFORMANCE OF THE YOGA TRAINER. THE QUALITATIVE CASE REPORTS OF INDIVIDUAL PARTICIPANTS DEPICTED THAT OVER 30 DAYS, MENTAL WELL-BEING AND SATISFACTION WITH OVERALL HEALTH IMPROVED TRAINER'S PERFORMANCE. CONCLUSION: TELE-YOGA THERAPY IS FEASIBLE WITH MINIMUM TECHNOLOGY AND AVAILABILITY OF GOOD INTERNET ACCESS AT THE RELAY AND RECEPTION SITE. THE TRAINER MUST BE ASSESSED FOR HIS/HER SUITABILITY AND BE PROVIDED GUIDELINES FOR ACHIEVING DESIRED OUTCOMES. 2021 18 593 27 DEVELOPMENT AND EVALUATION OF A YOGA INTERVENTION PROGRAM FOR PARKINSON'S DISEASE. PRELIMINARY RESEARCH INDICATES THAT YOGA COULD BE A VALUABLE TOOL FOR PEOPLE SUFFERING FROM PARKINSON'S DISEASE (PD). HOWEVER, LITTLE HAS BEEN PUBLISHED ABOUT THE PROCESS BY WHICH THE YOGA INTERVENTIONS WERE DESIGNED AND EVALUATED. THIS STUDY ELABORATES ON THE PROCESS OF DEVELOPING AND TESTING A BI-WEEKLY, 12-WEEK YOGA PROGRAM TO DETERMINE ITS SAFETY AND FEASIBILITY FOR PEOPLE WITH PD. THE LEAD YOGA TEACHER USED INPUT FROM A FOCUSED LITERATURE REVIEW TO DESIGN AN INITIAL DRAFT OF THE INTERVENTION PROGRAM. THIS DRAFT WAS REVIEWED BY A GROUP OF YOGA EXPERTS ( N = 6) TO DEVELOP THE FINAL INTERVENTION PROGRAM. THIS 12-WEEK INTERVENTION WAS IMPLEMENTED IN 19 PARTICIPANTS WITH PD (MEAN AGE 63 +/- 8, RANGE 49-75) VIA TWICE-WEEKLY YOGA CLASSES. THROUGH THIS COMPREHENSIVE DEVELOPMENT PROCESS, A SERIES OF 24 INDIVIDUAL 1-HOUR YOGA SEQUENCES WAS CREATED. THESE SEQUENCES INCLUDED YOGA POSTURES (ASANA), BREATHING TECHNIQUES (PRANAYAMA), AND MINDFULNESS MEDITATION PRINCIPLES SPECIFICALLY CHOSEN TO ADDRESS CONCERNS UNIQUE TO THE PD POPULATION. THE FEASIBILITY OF THE PROGRAM WAS SUPPORTED WITH EXCELLENT ATTENDANCE: 90% OF PARTICIPANTS ATTENDED > 75% OF THE CLASSES, WITH FOUR PARTICIPANTS ATTENDING 100%. NO ADVERSE EVENTS WERE REPORTED. THIS DEVELOPMENT PROCESS PRODUCED A SAFE AND ENJOYABLE YOGA PROGRAM SPECIFIC FOR THE NEEDS OF PEOPLE WITH PD. HOWEVER, THIS METHODOLOGY COULD SERVE AS A TEMPLATE FOR FUTURE STUDIES ON HOW TO DEVELOP SAFE AND EFFECTIVE YOGA INTERVENTIONS FOR OTHER POPULATIONS. 2018 19 145 31 A QUALITATIVE EVALUATION OF STUDENT LEARNING AND SKILLS USE IN A SCHOOL-BASED MINDFULNESS AND YOGA PROGRAM. PREVIOUS STUDIES ON SCHOOL-BASED MINDFULNESS AND YOGA PROGRAMS HAVE FOCUSED PRIMARILY ON QUANTITATIVE MEASUREMENT OF PROGRAM OUTCOMES. THIS STUDY USED QUALITATIVE DATA TO INVESTIGATE PROGRAM CONTENT AND SKILLS THAT STUDENTS REMEMBERED AND APPLIED IN THEIR DAILY LIVES. DATA WERE GATHERED FOLLOWING A 16-WEEK MINDFULNESS AND YOGA INTERVENTION DELIVERED AT THREE URBAN SCHOOLS BY A COMMUNITY NON-PROFIT ORGANIZATION. WE CONDUCTED FOCUS GROUPS AND INTERVIEWS WITH NINE CLASSROOM TEACHERS WHO DID NOT PARTICIPATE IN THE PROGRAM AND HELD SIX FOCUS GROUPS WITH 22 FIFTH AND SIXTH GRADE PROGRAM PARTICIPANTS. THIS STUDY ADDRESSES TWO PRIMARY RESEARCH QUESTIONS: (1) WHAT SKILLS DID STUDENTS LEARN, RETAIN, AND UTILIZE OUTSIDE THE PROGRAM? AND (2) WHAT CHANGES DID CLASSROOM TEACHERS EXPECT AND OBSERVE AMONG PROGRAM RECIPIENTS? FOUR MAJOR THEMES RELATED TO SKILL LEARNING AND APPLICATION EMERGED AS FOLLOWS: (1) YOUTHS RETAINED AND UTILIZED PROGRAM SKILLS INVOLVING BREATH WORK AND POSES; (2) KNOWLEDGE ABOUT HEALTH BENEFITS OF THESE TECHNIQUES PROMOTED SELF-UTILIZATION AND SHARING OF SKILLS; (3) YOUTHS DEVELOPED KEENER EMOTIONAL APPRAISAL THAT, COUPLED WITH NEW AND IMPROVED EMOTIONAL REGULATION SKILLS, HELPED DE-ESCALATE NEGATIVE EMOTIONS, PROMOTE CALM, AND REDUCE STRESS; AND (4) YOUTHS AND TEACHERS REPORTED REALISTIC AND OPTIMISTIC EXPECTATIONS FOR FUTURE IMPACT OF ACQUIRED PROGRAM SKILLS. WE DISCUSS IMPLICATIONS OF THESE FINDINGS FOR GUIDING FUTURE RESEARCH AND PRACTICE. 2016 20 148 21 A QUALITATIVE EXPLORATION OF IMPLEMENTATION FACTORS IN A SCHOOL-BASED MINDFULNESS AND YOGA PROGRAM: LESSONS LEARNED FROM STUDENTS AND TEACHERS. IDENTIFYING FACTORS RELEVANT FOR SUCCESSFUL IMPLEMENTATION OF SCHOOL-BASED INTERVENTIONS IS ESSENTIAL TO ENSURE THAT PROGRAMS ARE PROVIDED IN AN EFFECTIVE AND ENGAGING MANNER. THE PERSPECTIVES OF TWO KEY STAKEHOLDERS CRITICAL FOR IDENTIFYING IMPLEMENTATION BARRIERS AND FACILITATORS - STUDENTS AND THEIR CLASSROOM TEACHERS - MERIT ATTENTION IN THIS CONTEXT AND HAVE RARELY BEEN EXPLORED USING QUALITATIVE METHODS. THIS STUDY REPORTS QUALITATIVE PERSPECTIVES OF FIFTH AND SIXTH GRADE PARTICIPANTS AND THEIR TEACHERS OF A 16-WEEK SCHOOL-BASED MINDFULNESS AND YOGA PROGRAM IN THREE PUBLIC SCHOOLS SERVING LOW-INCOME URBAN COMMUNITIES. FOUR THEMES RELATED TO PROGRAM IMPLEMENTATION BARRIERS AND FACILITATORS EMERGED: PROGRAM DELIVERY FACTORS, PROGRAM BUY-IN, IMPLEMENTER COMMUNICATION WITH TEACHERS, AND INSTRUCTOR QUALITIES. FEEDBACK FROM STUDENTS AND TEACHERS IS DISCUSSED IN THE CONTEXT OF INFORMING IMPLEMENTATION, ADAPTATION, AND FUTURE DEVELOPMENT OF SCHOOL-BASED MINDFULNESS AND YOGA PROGRAMMING IN URBAN SETTINGS. 2017