1 1619 134 MINDFUL2WORK THE NEXT STEPS: EFFECTIVENESS OF A PROGRAM COMBINING PHYSICAL EXERCISE, YOGA AND MINDFULNESS, ADDING A WAIT-LIST PERIOD, MEASUREMENTS UP TO ONE YEAR LATER AND QUALITATIVE INTERVIEWS. BACKGROUND: MINDFUL2WORK IS A 6-WEEK PROGRAM COMBINING PHYSICAL ACTIVITY, YOGA AND MINDFULNESS MEDITATIONS, TARGETING (WORK-RELATED) STRESS COMPLAINTS FROM A BODY-MIND PERSPECTIVE. MATERIALS AND METHODS: WE COMBINED A TOP-DOWN APPROACH (RESEARCHER-DRIVEN OUTCOME MEASURES) WITH A BOTTOM-UP APPROACH (PERSONAL GOALS AND INTERVIEW DATA) TO INVESTIGATE THE EFFECTS ON 98 EMPLOYEES WITH AT LEAST MODERATE (WORK-RELATED) STRESS. EFFECTS ON PERSONAL GOALS, WELL-BEING (STRESS, ANXIETY, DEPRESSION, SLEEP, AFFECT, HAPPINESS), FUNCTIONING AT WORK (DROPOUT, MENTAL AND PHYSICAL WORKABILITY, WORK SATISFACTION), AND TRAINING-SPECIFIC ASPECTS (MINDFUL AWARENESS, SELF-COMPASSION, EMOTION REGULATION STRATEGIES) WERE ASSESSED. RESULTS: NEARLY ALL MEASURES SHOWED NO CHANGE DURING THE WAIT-LIST PERIOD, WITH ONLY NEGATIVE AFFECT AND PHYSICAL WORKABILITY SHOWING SMALL STATISTICALLY SIGNIFICANT IMPROVEMENTS. MEDIUM TO LARGE EFFECT SIZE IMPROVEMENTS DIRECTLY AFTER TRAINING AND AT ALL FOLLOW-UPS WERE FOUND ON PRIMARY OUTCOMES STRESS (0.62-1.17), AND RISK FOR DROPOUT FROM WORK (0.55-1.00), AND LARGEST EFFECTS OCCURRED ON PERSONAL GOALS (0.98-1.46). IMPROVEMENTS IN WELL-BEING AND FUNCTIONING AT WORK WERE MEDIUM DIRECTLY AFTER TRAINING, AND AT FOLLOW-UP 1 (SIX WEEKS LATER) AND 2 (SIX MONTHS LATER), AND LARGE AT FOLLOW-UP 3 (ONE YEAR LATER). THE TRAINING-SPECIFIC MEASURES SHOWED SMALL TO MEDIUM EFFECTS AFTER TRAINING AND AT FOLLOW-UP 1. FURTHER, FROM THE INTERVIEWS (N = 9), TWO MAIN CATEGORIES OF EFFECTS EMERGED: WELL-BEING AND ACQUIRED INSIGHTS. CONCLUSION: MINDFUL2WORK SHOWED SUBSTANTIAL AND LONG-LASTING IMPROVEMENTS ACCORDING TO RESEARCHER-DRIVEN MEASURES AS WELL AS PARTICIPANTS' OWN REPORTS.	2020	
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
2 1620  56 MINDFUL2WORK: EFFECTS OF COMBINED PHYSICAL EXERCISE, YOGA, AND MINDFULNESS MEDITATIONS FOR STRESS RELIEVE IN EMPLOYEES. A PROOF OF CONCEPT STUDY. WORK-RELATED STRESS AND ASSOCIATED ILLNESS AND BURNOUT IS RISING IN WESTERN SOCIETY, WITH NOW AS MUCH AS ALMOST A QUARTER OF EUROPEAN AND HALF OF USA'S EMPLOYEES ESTIMATED TO BE AT THE POINT OF BURNOUT. MINDFULNESS MEDITATION, YOGA, AND PHYSICAL EXERCISE HAVE ALL SHOWN BENEFICIAL EFFECTS FOR WORK-RELATED STRESS AND ILLNESS. THIS PROOF OF CONCEPT STUDY ASSESSED THE FEASIBILITY, ACCEPTABILITY, AND PRELIMINARY EFFECTS OF THE NEWLY DEVELOPED MINDFUL2WORK TRAINING, A COMBINATION OF PHYSICAL EXERCISE, RESTORATIVE YOGA, AND MINDFULNESS MEDITATIONS, DELIVERED IN SIX WEEKLY GROUP SESSIONS PLUS A FOLLOW-UP SESSION. PARTICIPANTS (N = 26, FOUR MALES), REFERRED BY COMPANY DOCTORS WITH (WORK-RELATED) STRESS AND BURNOUT COMPLAINTS, COMPLETED MEASUREMENTS PRE AND POST THE INTERVENTION, AS WELL AS AT 6-WEEK (FU1) AND 6-MONTH (FU2) FOLLOW-UP. RESULTS SHOWED VERY HIGH FEASIBILITY AND ACCEPTABILITY OF THE MINDFUL2WORK TRAINING. THE TRAINING AND TRAINERS WERE RATED WITH AN 8.1 AND 8.4 ON A 1-10 SCALE, RESPECTIVELY, AND TRAINING DROPOUT RATE WAS ZERO. SIGNIFICANT IMPROVEMENTS WITH (VERY) LARGE EFFECT SIZES WERE DEMONSTRATED FOR THE PRIMARY OUTCOME MEASURES OF PHYSICAL AND MENTAL WORKABILITY, AND FOR ANXIETY, DEPRESSION, STRESS, SLEEP QUALITY, POSITIVE AND NEGATIVE AFFECT, WHICH REMAINED (VERY) LARGE AND MOSTLY INCREASED FURTHER OVER TIME. RISK FOR LONG-TERM DROPOUT FROM WORK (CHECKLIST INDIVIDUAL STRENGTH [CIS]) WAS 92 % AT PRE-TEST, REDUCED TO 67 % AT POST-TEST, TO 44 % AT FU1, AND 35 % AT FU2, WHEREAS EMPLOYEES WORKED (RTWI) 65 % OF THEIR CONTRACT HOURS PER WEEK AT PRE-TEST, WHICH INCREASED TO 73 % AT POST-TEST, 81 % AT FU1 AND 93 % AT FU2. INTENSITY OF HOME PRACTICE OR NUMBER OF ATTENDED SESSIONS WERE NOT RELATED TO TRAINING EFFECTS. TO CONCLUDE, THE NEWLY DEVELOPED MINDFUL2WORK TRAINING SEEMS VERY FEASIBLE, AND ACCEPTABLE, AND ALTHOUGH NO CONTROL GROUP WAS INCLUDED, THE LARGE EFFECTS OF MINDFUL2WORK ARE HIGHLY PROMISING.	2017	
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
3  256  41 A YOGA-BASED PROGRAM DECREASES PHYSICIAN BURNOUT IN NEONATOLOGISTS AND OBSTETRICIANS AT AN ACADEMIC MEDICAL CENTER. BACKGROUND: NEARLY HALF OF U.S. PEDIATRICIANS HAVE SYMPTOMS OF BURNOUT. THIS PILOT STUDY EXAMINED THE FEASIBILITY OF A 6-WEEK YOGA-BASED PROGRAM (RISE) FOR NEONATOLOGISTS AND OBSTETRICIANS AT BRIGHAM AND WOMEN'S HOSPITAL AND STUDIED THE EFFECTS ON BURNOUT, PROFESSIONAL FULFILLMENT, AND PSYCHOLOGICAL HEALTH. METHODS: PARTICIPANTS WERE RECRUITED VIA EMAIL TO PARTICIPATE EITHER IN BOTH PROGRAM AND RESEARCH STUDY, OR EXCLUSIVELY THE PROGRAM. RISE WAS DELIVERED 1 HOUR/WEEK DURING THE WORKDAY FOR 6 CONSECUTIVE WEEKS EITHER IN-PERSON OR REMOTELY; 18 PHYSICIANS PARTICIPATED, 12 COMPLETED POST-PROGRAM, AND 11 COMPLETED 2-MONTH FOLLOW-UP. THE QUESTIONNAIRES ASSESSED BURNOUT AND MEASURES OF PSYCHOLOGICAL HEALTH, PROFESSIONAL FULFILLMENT, WORK EXHAUSTION, INTERPERSONAL DISENGAGEMENT/BURNOUT (PFI), MINDFULNESS (FFMQ), PERCEIVED STRESS (PSS), POSITIVE/NEGATIVE AFFECT (PANAS), RESILIENCE (RS), ANXIETY/DEPRESSION/SLEEP DISTURBANCES (PROMIS), AT BASELINE, POST-PROGRAM, AND 2 MONTHS AFTER RISE. FINDINGS: AVERAGE ATTENDANCE IN-PERSON WAS 2.8 SESSIONS AND REMOTELY 1.4 SESSIONS (4.2/6 SESSIONS). PARTICIPANTS DEMONSTRATING TOTAL BURNOUT REDUCED FROM 50.0% AT BASELINE TO 9.1% POST-PROGRAM. PARTICIPANTS DEMONSTRATING PROFESSIONAL FULFILLMENT WERE 8.3% AT BASELINE AND 27.3% POST-PROGRAM. PAIRED SAMPLES T-TESTS REVEALED STATISTICALLY SIGNIFICANT IMPROVEMENTS IN BURNOUT, PROFESSIONAL FULFILLMENT, INTERPERSONAL DISENGAGEMENT, STRESS, RESILIENCE, ANXIETY, AND DEPRESSION AT POST-PROGRAM COMPARED WITH BASELINE (N = 12, ALL PS < .05). AT 2-MONTH FOLLOW-UP, STATISTICALLY SIGNIFICANT IMPROVEMENTS IN INTERPERSONAL DISENGAGEMENT, RESILIENCE, AND MINDFULNESS (N = 11, ALL PS < .05) COMPARED WITH BASELINE WERE REPORTED. CONCLUSIONS/APPLICATION TO PRACTICE: RISE IS FEASIBLE WITHIN A WORKDAY AND MAY ADDRESS BURNOUT AND OTHER PSYCHOLOGICAL HEALTH MEASURES IN PHYSICIANS WITH EFFECTS POTENTIALLY SUSTAINABLE OVER 2 MONTHS. OCCUPATIONAL HEALTH PRACTITIONERS IN HEALTH CARE SHOULD CONSIDER THIS TYPE OF INTERVENTION FOR THEIR WORKERS.	2020	
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
4 1832  36 PSYCHOLOGICAL WELL-BEING, HEALTH BEHAVIORS, AND WEIGHT LOSS AMONG PARTICIPANTS IN A RESIDENTIAL, KRIPALU YOGA-BASED WEIGHT LOSS PROGRAM. UNLABELLED: THE INCREASING PREVALENCE OF OVERWEIGHT AND OBESITY IN HUMANS IS A GROWING PUBLIC HEALTH CONCERN IN THE UNITED STATES. CONCOMITANTS INCLUDE POOR HEALTH BEHAVIORS AND REDUCED PSYCHOLOGICAL WELL-BEING. PRELIMINARY EVIDENCE SUGGESTS YOGA AND TREATMENT PARADIGMS INCORPORATING MINDFULNESS, SELF-COMPASSION (SC), ACCEPTANCE, NON-DIETING, AND INTUITIVE EATING MAY IMPROVE THESE ANCILLARY CORRELATES, WHICH MAY PROMOTE LONG-TERM WEIGHT LOSS. METHODS: WE EXPLORED THE IMPACT OF A 5-DAY RESIDENTIAL WEIGHT LOSS PROGRAM, WHICH WAS MULTIFACETED AND BASED ON KRIPALU YOGA, ON HEALTH BEHAVIORS, WEIGHT LOSS, AND PSYCHOLOGICAL WELL-BEING IN OVERWEIGHT/OBESE INDIVIDUALS. THIRTY-SEVEN OVERWEIGHT/OBESE PROGRAM PARTICIPANTS (AGE 32-65, BMI<25) COMPLETED VALIDATED MIND-FULNESS, SC, LIFESTYLE BEHAVIOR, AND MOOD QUESTIONNAIRES AT BASELINE, POST-PROGRAM, AND 3-MONTH FOLLOW-UP AND REPORTED THEIR WEIGHT 1 YEAR AFTER PROGRAM COMPLETION. RESULTS: SIGNIFICANT IMPROVEMENTS IN NUTRITION BEHAVIORS, SC, MINDFULNESS, STRESS MANAGEMENT, AND SPIRITUAL GROWTH WERE OBSERVED IMMEDIATELY POST-PROGRAM (N = 31, 84% RETENTION), WITH MEDIUM TO LARGE EFFECT SIZES. AT 3-MONTH FOLLOW-UP (N = 18, 49% RETENTION), MOST CHANGES PERSISTED. PHYSICAL ACTIVITY AND MOOD DISTURBANCE HAD IMPROVED SIGNIFICANTLY POST-PROGRAM BUT FAILED TO REACH SIGNIFICANCE AT 3-MONTH FOLLOW-UP. SELF-REPORT WEIGHT LOSS AT 1 YEAR (N = 19, 51% RETENTION) WAS SIGNIFICANT. CONCLUSION: THESE FINDINGS SUGGEST A KRIPALU YOGA-BASED, RESIDENTIAL WEIGHT LOSS PROGRAM MAY FOSTER PSYCHOLOGICAL WELL-BEING, IMPROVED NUTRITION BEHAVIORS, AND WEIGHT LOSS. GIVEN THE EXPLORATORY NATURE OF THIS INVESTIGATION, MORE RIGOROUS WORK IN THIS AREA IS WARRANTED.	2012	
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
5  945  31 EFFECTS OF A 12-WEEK YOGA VERSUS A 12-WEEK EDUCATIONAL FILM INTERVENTION ON SYMPTOMS OF RESTLESS LEGS SYNDROME AND RELATED OUTCOMES: AN EXPLORATORY RANDOMIZED CONTROLLED TRIAL. STUDY OBJECTIVES: TO ASSESS THE EFFECTS OF A YOGA VERSUS EDUCATIONAL FILM (EF) PROGRAM ON RESTLESS LEGS SYNDROME (RLS) SYMPTOMS AND RELATED OUTCOMES IN ADULTS WITH RLS. METHODS: FORTY-ONE COMMUNITY-DWELLING, AMBULATORY NONPREGNANT ADULTS WITH MODERATE TO SEVERE RLS WERE RANDOMIZED TO A 12-WEEK YOGA (N = 19) OR EF PROGRAM (N = 22). IN ADDITION TO ATTENDING CLASSES, ALL PARTICIPANTS COMPLETED PRACTICE/TREATMENT LOGS. YOGA GROUP PARTICIPANTS WERE ASKED TO PRACTICE AT HOME 30 MINUTES PER DAY ON NONCLASS DAYS; EF PARTICIPANTS WERE INSTRUCTED TO RECORD ANY RLS TREATMENTS USED ON THEIR DAILY LOGS. CORE OUTCOMES ASSESSED PRETREATMENT AND POSTTREATMENT WERE RLS SYMPTOMS AND SYMPTOM SEVERITY (INTERNATIONAL RLS STUDY GROUP SCALE (IRLS) AND RLS ORDINAL SCALE), SLEEP QUALITY, MOOD, PERCEIVED STRESS, AND QUALITY OF LIFE (QOL). RESULTS: THIRTY ADULTS (13 YOGA, 17 EF), AGED 24 TO 73 (MEAN = 50.4 +/- 2.4 YEARS), COMPLETED THE 12-WEEK STUDY (78% FEMALE, 80.5% WHITE). POST-INTERVENTION, BOTH GROUPS SHOWED SIGNIFICANT IMPROVEMENT IN RLS SYMPTOMS AND SEVERITY, PERCEIVED STRESS, MOOD, AND QOL-MENTAL HEALTH (P </= .04). RELATIVE TO THE EF GROUP, YOGA PARTICIPANTS DEMONSTRATED SIGNIFICANTLY GREATER REDUCTIONS IN RLS SYMPTOMS AND SYMPTOM SEVERITY (P </= .01), AND GREATER IMPROVEMENTS IN PERCEIVED STRESS AND MOOD (P </= .04), AS WELL AS SLEEP QUALITY (P = .09); RLS SYMPTOMS DECREASED TO MINIMAL/MILD IN 77% OF YOGA GROUP PARTICIPANTS, WITH NONE SCORING IN THE SEVERE RANGE BY WEEK 12, VERSUS 24% AND 12%, RESPECTIVELY, IN EF PARTICIPANTS. IN THE YOGA GROUP, IRLS AND RLS SEVERITY SCORES DECLINED WITH INCREASING MINUTES OF HOMEWORK PRACTICE (R = .7, P = .009 AND R = .6, P = .03, RESPECTIVELY), SUGGESTING A POSSIBLE DOSE-RESPONSE RELATIONSHIP. CONCLUSIONS: FINDINGS OF THIS EXPLORATORY RCT SUGGEST THAT YOGA MAY BE EFFECTIVE IN REDUCING RLS SYMPTOMS AND SYMPTOM SEVERITY, DECREASING PERCEIVED STRESS, AND IMPROVING MOOD AND SLEEP IN ADULTS WITH RLS. CLINICAL TRIAL REGISTRATION: REGISTRY: CLINICALTRIALS.GOV; TITLE: YOGA VS. EDUCATION FOR RESTLESS LEGS: A FEASIBILITY STUDY; IDENTIFIER: NCT03570515; URL: HTTPS://CLINICALTRIALS.GOV/CT2/SHOW/NCT03570515.	2020	
                                                                                                                                                                                                                                                                                                                        
6 2132  32 THE EFFECTS OF A GENTLE YOGA PROGRAM ON SLEEP, MOOD, AND BLOOD PRESSURE IN OLDER WOMEN WITH RESTLESS LEGS SYNDROME (RLS): A PRELIMINARY RANDOMIZED CONTROLLED TRIAL. OBJECTIVE. TO EXAMINE THE EFFECTS OF YOGA VERSUS AN EDUCATIONAL FILM PROGRAM ON SLEEP, MOOD, PERCEIVED STRESS, AND SYMPATHETIC ACTIVATION IN OLDER WOMEN WITH RLS. METHODS. PARTICIPANTS WERE DRAWN FROM A LARGER TRIAL REGARDING THE EFFECTS OF YOGA ON CARDIOVASCULAR DISEASE RISK PROFILES IN OVERWEIGHT, SEDENTARY POSTMENOPAUSAL WOMEN. SEVENTY-FIVE WOMEN WERE RANDOMIZED TO RECEIVE EITHER AN 8-WEEK YOGA (N = 38) OR EDUCATIONAL FILM (N = 37) PROGRAM. ALL 75 PARTICIPANTS COMPLETED AN RLS SCREENING QUESTIONNAIRE. THE 20 WOMEN WHO MET ALL FOUR DIAGNOSTIC CRITERIA FOR RLS (N = 10 YOGA, 10 FILM GROUP) COMPRISED THE POPULATION FOR THIS NESTED STUDY. MAIN OUTCOMES ASSESSED PRE- AND POST-TREATMENT INCLUDED: SLEEP (PITTSBURGH SLEEP QUALITY INDEX), STRESS (PERCEIVED STRESS SCALE), MOOD (PROFILE OF MOOD STATES, STATE-TRAIT ANXIETY INVENTORY), BLOOD PRESSURE, AND HEART RATE. RESULTS. THE YOGA GROUP DEMONSTRATED SIGNIFICANTLY GREATER IMPROVEMENTS THAN CONTROLS IN MULTIPLE DOMAINS OF SLEEP QUALITY AND MOOD, AND SIGNIFICANTLY GREATER REDUCTIONS IN INSOMNIA PREVALENCE, ANXIETY, PERCEIVED STRESS, AND BLOOD PRESSURE (ALL P'S</=0.05). ADJUSTED INTERGROUP EFFECT SIZES FOR PSYCHOSOCIAL VARIABLES WERE LARGE, RANGING FROM 1.9 FOR STATE ANXIETY TO 2.6 FOR SLEEP QUALITY. CONCLUSIONS. THESE PRELIMINARY FINDINGS SUGGEST YOGA MAY OFFER AN EFFECTIVE INTERVENTION FOR IMPROVING SLEEP, MOOD, PERCEIVED STRESS, AND BLOOD PRESSURE IN OLDER WOMEN WITH RLS.	2012	
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
7  172  30 A RANDOMIZED CONTROLLED PILOT STUDY OF YOGA SKILLS TRAINING VERSUS AN ATTENTION CONTROL DELIVERED DURING CHEMOTHERAPY ADMINISTRATION. CONTEXT: IT IS IMPORTANT TO ADDRESS FATIGUE AND CO-OCCURRING SYMPTOMS DURING CHEMOTHERAPY TO PRESERVE QUALITY OF LIFE IN PATIENTS WITH GASTROINTESTINAL (GI) CANCER. OBJECTIVE: TO CONDUCT A RANDOMIZED CONTROLLED PILOT STUDY OF A YOGA SKILLS TRAINING (YST) INTERVENTION COMPARED TO AN ATTENTION CONTROL (AC) AMONG ADULTS DIAGNOSED WITH GI CANCER. METHODS: YST CONSISTED OF FOUR 30-MINUTE SESSIONS DELIVERED INDIVIDUALLY DURING CHEMOTHERAPY PLUS HOME PRACTICE. AC PROVIDED EMPATHIC ATTENTION PLUS HOME DIARIES. PATIENT-REPORTED (PROMIS T-SCORE) ASSESSMENTS OF FATIGUE, DEPRESSIVE SYMPTOMS, SLEEP DISTURBANCES, AND PSYCHOLOGICAL STRESS (PERCEIVED STRESS SCALE) WERE COLLECTED AT CHEMOTHERAPY VISITS: BASELINE, WEEK 8, WEEK 10 AND WEEK 14, AND ANALYZED USING A MIXED EFFECTS MODEL. INFLAMMATORY CYTOKINES WERE ASSESSED AT BASELINE AND WEEK 10. RESULTS: FORTY-FOUR OF 77 ADULTS APPROACHED AGREED TO PARTICIPATE (57%; YST N = 23; AC N = 21). PARTICIPANTS' MEAN AGE WAS 58 YEARS AND 48% WERE MEN. PARTICIPANTS RANDOMIZED TO YST REPORTED A LARGER DECLINE IN FATIGUE (-2.4 DIFFERENCE, D = 0.30) AND DEPRESSIVE SYMPTOMS (-2.5 DIFFERENCE, D = 0.30) THAN AC PARTICIPANTS FROM BASELINE TO WEEK 10 AND SLEEP DISTURBANCES AT WEEK 8 (-3.9 DIFFERENCE, D = 0.50). DIFFERENCES IN MAGNITUDE OF CHANGE IN SYMPTOMS WERE CONSISTENT WITH OR EXCEEDED A MINIMALLY IMPORTANT DIFFERENCE. PSYCHOLOGICAL STRESS DECREASED MORE IN THE AC AT WEEK 10 (D = 0.30). REDUCTIONS IN INFLAMMATORY CYTOKINES (IL-6, STNF R1) WERE LARGER IN THE YST GROUP THAN AC. CONCLUSION: YST SHOWED PROMISE FOR IMPROVING FATIGUE, DEPRESSIVE SYMPTOMS, SLEEP DISTURBANCES, AND INFLAMMATION. YST IS ALSO FEASIBLE AND REACHES PATIENTS UNDERREPRESENTED IN YOGA RESEARCH (I.E., GI CANCER, MEN), THUS WARRANTING FURTHER EXAMINATION.	2022	
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
8 1729  31 PERSONALISED YOGA FOR BURNOUT AND TRAUMATIC STRESS IN JUNIOR DOCTORS. OBJECTIVES: JUNIOR DOCTORS ARE FREQUENTLY EXPOSED TO OCCUPATIONAL AND TRAUMATIC STRESS, SOMETIMES WITH TRAGIC CONSEQUENCES. MINDFULNESS-BASED AND FITNESS INTERVENTIONS ARE INCREASINGLY USED TO MITIGATE THIS, BUT HAVE NOT BEEN COMPARED.WE CONDUCTED A RANDOMISED, CONTROLLED PILOT TRIAL TO ASSESS THE FEASIBILITY, ACCEPTABILITY AND EFFECTIVENESS OF THESE INTERVENTIONS IN JUNIOR DOCTORS. METHODS: WE RANDOMISED PARTICIPANTS (N=21) TO WEEKLY 1-HOUR SESSIONS OF PERSONALISED, TRAUMA-INFORMED YOGA (N=10), WITH A 4-HOUR WORKSHOP, AND EHEALTH HOMEWORK; OR GROUP-FORMAT FITNESS (N=8) IN AN EXISTING WELLNESS PROGRAMME, MDOK. BURNOUT, TRAUMATIC STRESS AND SUICIDALITY WERE MEASURED AT BASELINE AND 8 WEEKS. RESULTS: BOTH INTERVENTIONS REDUCED BURNOUT, AND YOGA INCREASED COMPASSION SATISFACTION WITHIN GROUP ON THE PROFESSIONAL QUALITY OF LIFE SCALE, WITHOUT DIFFERENCE BETWEEN GROUPS ON THIS MEASURE.PERSONALISED YOGA SIGNIFICANTLY REDUCED DEPERSONALISATION (Z=-1.99, P=0.05) COMPARED WITH GROUP FITNESS ON THE MASLACH BURNOUT INVENTORY (MBI-HSS (MP)) AND SHOWED GREATER FLEXIBILITY CHANGES. BOTH INTERVENTIONS INCREASED MBI PERSONAL ACCOMPLISHMENT, WITH NO CHANGES IN OTHER SELF-REPORT PSYCHOLOGICAL OR PHYSIOLOGICAL METRICS, INCLUDING BREATH-COUNTING.PARTICIPANTS DOING ONE-TO-ONE YOGA RATED IT MORE HIGHLY OVERALL (P=0.02) THAN GROUP FITNESS, AND REPORTED IT COMPARATIVELY MORE BENEFICIAL FOR MENTAL (P=0.01) AND PHYSICAL HEALTH (P=0.05). FACE-TO-FACE WEEKLY SESSIONS WERE 100% ATTENDED IN YOGA, BUT ONLY 45% IN FITNESS. CONCLUSION: IN THIS PILOT TRIAL, BOTH YOGA AND FITNESS IMPROVED BURNOUT, BUT TRAUMA-INFORMED YOGA REDUCED DEPERSONALISATION IN JUNIOR DOCTORS MORE THAN GROUP-FORMAT FITNESS. ONE-TO-ONE YOGA WAS BETTER ADHERED THAN FITNESS, BUT WAS MORE RESOURCE INTENSIVE. JUNIOR DOCTORS NEED LARGER-SCALE COMPARATIVE RESEARCH OF THE EFFECTIVENESS AND IMPLEMENTATION OF INDIVIDUAL, ORGANISATIONAL AND SYSTEMIC MENTAL HEALTH INTERVENTIONS. TRIAL REGISTRATION NUMBER: ANZCTR 12618001467224.	2020	
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
9 2553  27 YOGA FOR CHILDREN AND ADOLESCENTS AFTER COMPLETING CANCER TREATMENT. SURVIVORS OF CHILDHOOD CANCER MAY EXPERIENCE PERSISTENT SYMPTOMS, INCLUDING FATIGUE, SLEEP DISTURBANCE, AND BALANCE IMPAIRMENT. YOGA IS A COMPLEMENTARY THERAPY THAT IMPROVES FATIGUE, SLEEP, AND QUALITY OF LIFE IN ADULT CANCER SURVIVORS. USING A ONE GROUP, REPEATED MEASURES DESIGN, WE EVALUATED THE FEASIBILITY OF A YOGA PROGRAM AND ASSESSED IF CANCER SURVIVOR PARTICIPANTS AGES 10 TO 17 YEARS (N = 13) HAD SIGNIFICANTLY LESS FATIGUE AND ANXIETY, AND BETTER BALANCE AND SLEEP, AFTER A 6-WEEK YOGA INTERVENTION COMPARED WITH A 6-WEEK PRE-INTERVENTION WAIT PERIOD. STUDY RECRUITMENT WAS CHALLENGING WITH A 32% ENROLLMENT RATE; YOGA ATTENDANCE WAS 90%. NONE OF THE SCORES FOR ANXIETY, FATIGUE, SLEEP, AND BALANCE HAD SIGNIFICANT CHANGES DURING THE WAIT PERIOD. AFTER THE 6-WEEK YOGA PROGRAM, CHILDREN (N = 7) HAD A SIGNIFICANT DECREASE IN ANXIETY SCORE (P = .04) WHILE ADOLESCENT SCORES (N = 7) SHOWED A DECREASING TREND (P = .10). SCORES FOR FATIGUE, SLEEP, AND BALANCE REMAINED STABLE POST-INTERVENTION. FATIGUE AND BALANCE SCORES WERE BELOW NORMS FOR HEALTH CHILDREN/ADOLESCENTS WHILE SLEEP AND ANXIETY SCORES WERE SIMILAR TO HEALTHY PEERS.	2016	
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
10 1428  37 IMPROVEMENTS IN PSYCHOLOGICAL AND OCCUPATIONAL WELL-BEING FOLLOWING A BRIEF YOGA-BASED PROGRAM FOR EDUCATION PROFESSIONALS. OBJECTIVE: THE PURPOSE OF THIS STUDY WAS TO EXAMINE CHANGES IN PSYCHOLOGICAL AND OCCUPATIONAL WELL-BEING IN EDUCATION PROFESSIONALS WHO ATTENDED A YOGA-BASED PROGRAM. METHODS: EDUCATION PROFESSIONALS WHO ATTENDED A 3-DAY YOGA-BASED RISE (RESILIENCE, INTEGRATION, SELF-AWARENESS, ENGAGEMENT) PROGRAM WERE RECRUITED TO PARTICIPATE. RISE WAS ADMINISTERED AT THE KRIPALU CENTER FOR YOGA & HEALTH. MEASURES OF PSYCHOLOGICAL AND OCCUPATIONAL WELL-BEING, AND HEALTH-RELATED BEHAVIORS WERE COMPLETED BEFORE (BASELINE), AFTER (POST), AND 2 MONTHS AFTER RISE (FOLLOW-UP). FORTY-FOUR PARTICIPANTS COMPLETED BASELINE AND POST AND WERE INCLUDED IN THE ANALYSIS. OF THOSE, 33 PARTICIPANTS ALSO COMPLETED THE FOLLOW-UP. PAIRED SAMPLES T TESTS WERE USED TO COMPARE SCORES BETWEEN TIME POINTS. RESULTS: COMPARED TO BASELINE, AT POST, PARTICIPANTS SHOWED IMPROVEMENTS IN PERCEIVED STRESS, MINDFULNESS, EMPOWERMENT, POSITIVE AFFECT, NEGATIVE AFFECT, SELF-COMPASSION, TOTAL WORK ENGAGEMENT, VIGOR, SLEEP QUALITY (ALL P VALUES < .001), RESILIENCE, SATISFACTION WITH LIFE, AS WELL AS EXHAUSTION AND PROFESSIONAL EFFICACY WHICH ARE DIMENSIONS OF BURNOUT (ALL P VALUES < .01). AT THE FOLLOW-UP, SIGNIFICANT IMPROVEMENTS WERE MAINTAINED FOR MINDFULNESS, EMPOWERMENT, SELF-COMPASSION, SLEEP QUALITY (ALL P VALUES < .001), RESILIENCE, VIGOR, AND EXHAUSTION (ALL P VALUES < .01) AND POSITIVE AFFECT, SATISFACTION WITH LIFE, AND WORK ENGAGEMENT (ALL P VALUES < .05). CONCLUSIONS: THESE FINDINGS SUGGEST THAT THE YOGA-BASED RISE PROGRAM IMPROVES PSYCHOLOGICAL AND OCCUPATIONAL WELL-BEING IN EDUCATION PROFESSIONALS. IN ADDITION, PARTICIPANTS REPORTED THAT ATTENDING RISE WAS FEASIBLE, THEY COULD CONTINUE USING RISE PRACTICES LONG-TERM, SHARED THEM WITH WORK COLLEAGUES, AND REPORTED THAT RISE POSITIVELY IMPACTED BOTH THEIR DAILY LIVES AND WORKPLACE ENVIRONMENT. WITH THESE PROMISING RESULTS, ADDITIONAL CONTROLLED RESEARCH IS WARRANTED.	2019	
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
11 1505  31 IREST YOGA-NIDRA ON THE COLLEGE CAMPUS: CHANGES IN STRESS, DEPRESSION, WORRY, AND MINDFULNESS. OBJECTIVES: THERE IS EVIDENCE THAT YOGA PRACTICE IS ASSOCIATED WITH DECREASED STRESS, WORRY, AND DEPRESSION, AND WITH IMPROVED MINDFULNESS-BASED SKILLS. THESE FINDINGS HAD NOT BEEN PREVIOUSLY REPLICATED FOR A SAMPLE OF COLLEGE STUDENTS. THIS STUDY EVALUATED WHETHER IREST YOGA-NIDRA PRACTICE WAS ASSOCIATED WITH REDUCED PERCEIVED STRESS, WORRY, AND DEPRESSION, AND INCREASED MINDFULNESS IN A SAMPLE OF COLLEGE STUDENT S. METHODS: SIXTY-SIX STUDENTS AGE 18-56 COMPLETED AN 8-WEEK IREST YOGA-NIDRA INTERVENTION THAT WAS OFFERED FOR 8 SEMESTERS. ASSESSMENT OCCURRED 1 WEEK PRIOR TO INTERVENTION ONSET AND DURING THE CLASS PERIOD FOLLOWING THE INTERVENTION. QUALITATIVE DATA WERE COLLECTED AT WEEKS 4 AND 8. RESULTS: STATISTICALLY SIGNIFICANT PRE- TO POSTTEST IMPROVEMENTS IN PERCEIVED STRESS, WORRY, AND DEPRESSION WERE FOUND. PRE-EXISTING DEPRESSION ACCOUNTED FOR MOST OF THE CHANGE IN WORRY AND PERCEIVED STRESS SCORES. PRE- TO POST TEST IMPROVEMENTS IN MINDFULNESS-BASED SKILLS WERE ALSO DETECTED. CONCLUSIONS: IREST YOGA-NIDRA PRACTICE MAY REDUCE SYMPTOMS OF PERCEIVED STRESS, WORRY, AND DEPRESSION AND INCREASE MINDFULNESS-BASED SKILLS.	2013	
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
12  390  41 BENEFITS OF YOGA FOR PSYCHOSOCIAL WELL-BEING IN A US HIGH SCHOOL CURRICULUM: A PRELIMINARY RANDOMIZED CONTROLLED TRIAL. OBJECTIVE: TO TEST FEASIBILITY OF YOGA WITHIN A HIGH SCHOOL CURRICULUM AND EVALUATE PREVENTIVE EFFICACY FOR PSYCHOSOCIAL WELL-BEING. METHODS: GRADE 11 OR 12 STUDENTS (N = 51) WHO REGISTERED FOR PHYSICAL EDUCATION (PE) WERE CLUSTER-RANDOMIZED BY CLASS 2:1 YOGA:PE-AS-USUAL. A KRIPALU-BASED YOGA PROGRAM OF PHYSICAL POSTURES, BREATHING EXERCISES, RELAXATION, AND MEDITATION WAS TAUGHT 2 TO 3 TIMES A WEEK FOR 10 WEEKS. SELF-REPORT QUESTIONNAIRES WERE ADMINISTERED TO STUDENTS 1 WEEK BEFORE AND AFTER. PRIMARY OUTCOME MEASURES OF PSYCHOSOCIAL WELL-BEING WERE PROFILE OF MOOD STATES-SHORT FORM AND POSITIVE AND NEGATIVE AFFECT SCHEDULE FOR CHILDREN. ADDITIONAL MEASURES OF PSYCHOSOCIAL WELL-BEING INCLUDED PERCEIVED STRESS SCALE AND INVENTORY OF POSITIVE PSYCHOLOGICAL ATTITUDES. SECONDARY MEASURES OF SELF-REGULATORY SKILLS INCLUDED RESILIENCE SCALE, STATE TRAIT ANGER EXPRESSION INVENTORY-2, AND CHILD ACCEPTANCE MINDFULNESS MEASURE. TO ASSESS FEASIBILITY, YOGA STUDENTS COMPLETED A PROGRAM EVALUATION. ANALYSES OF COVARIANCE WERE CONDUCTED BETWEEN GROUPS WITH BASELINE AS THE COVARIATE. RESULTS: ALTHOUGH PE-AS-USUAL STUDENTS SHOWED DECREASES IN PRIMARY OUTCOMES, YOGA STUDENTS MAINTAINED OR IMPROVED. TOTAL MOOD DISTURBANCE IMPROVED IN YOGA STUDENTS AND WORSENED IN CONTROLS (P = .015), AS DID PROFILE OF MOOD STATES-SHORT FORM (POMS-SF) TENSION-ANXIETY SUBSCALE (P = .002). ALTHOUGH POSITIVE AFFECT REMAINED UNCHANGED IN BOTH, NEGATIVE AFFECT SIGNIFICANTLY WORSENED IN CONTROLS WHILE IMPROVING IN YOGA STUDENTS (P = .006). SECONDARY OUTCOMES WERE NOT SIGNIFICANT. STUDENTS RATED YOGA FAIRLY HIGH, DESPITE MODERATE ATTENDANCE. CONCLUSIONS: IMPLEMENTATION WAS FEASIBLE AND STUDENTS GENERALLY FOUND IT BENEFICIAL. ALTHOUGH NOT CAUSAL DUE TO SMALL, UNEVEN SAMPLE SIZE, THIS PRELIMINARY STUDY SUGGESTS PREVENTIVE BENEFITS IN PSYCHOSOCIAL WELL-BEING FROM KRIPALU YOGA DURING HIGH SCHOOL PE. THESE RESULTS ARE CONSISTENT WITH PREVIOUSLY PUBLISHED STUDIES OF YOGA IN SCHOOL SETTINGS.	2012	
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
13 1430  28 IMPROVEMENTS IN PSYCHOLOGICAL HEALTH FOLLOWING A RESIDENTIAL YOGA-BASED PROGRAM FOR FRONTLINE PROFESSIONALS. OBJECTIVE: THE PURPOSE OF THIS PILOT STUDY WAS TO EXAMINE THE EFFECTS OF A RESIDENTIAL YOGA-BASED PROGRAM ON PSYCHOLOGICAL HEALTH AND HEALTH BEHAVIORS IN FRONTLINE PROFESSIONALS. METHODS: FRONTLINE PROFESSIONALS FROM EDUCATION, HEALTH CARE, HUMAN SERVICES, AND CORRECTIONS PARTICIPATED IN THE RISE (RESILIENCE, INTEGRATION, SELF-AWARENESS, ENGAGEMENT) PROGRAM AND COMPLETED QUESTIONNAIRES AT BASELINE, POST-PROGRAM, AND 2 MONTHS FOLLOWING RISE. RESULTS: PAIRED SAMPLES T TESTS REVEALED IMPROVEMENTS IN MINDFULNESS, STRESS, RESILIENCE, AFFECT, AND SLEEP QUALITY FROM BASELINE TO POST-PROGRAM (ALL PS < 0.001, N = 55), WHICH WERE SUSTAINED AT THE 2-MONTH FOLLOW-UP (ALL PS < 0.01, N = 40). PARTICIPANTS ALSO REPORTED INCREASES IN EXERCISE, FRUIT, AND VEGETABLE CONSUMPTION POST-PROGRAM (ALL PS < 0.001), ALL OF WHICH PERSISTED AT THE 2-MONTH FOLLOW-UP (ALL PS < 0.01) EXCEPT EXERCISE. CONCLUSION: THESE FINDINGS SUGGEST THAT RISE IMPROVED INDICES OF PSYCHOLOGICAL HEALTH AND HEALTHY BEHAVIORS THAT REMAINED 2 MONTHS FOLLOWING RISE.	2018	
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
14   34  38 A 12-WEEK IYENGAR YOGA PROGRAM IMPROVED BALANCE AND MOBILITY IN OLDER COMMUNITY-DWELLING PEOPLE: A PILOT RANDOMIZED CONTROLLED TRIAL. BACKGROUND: EXERCISE THAT CHALLENGES BALANCE CAN IMPROVE MOBILITY AND PREVENT FALLS IN OLDER ADULTS. YOGA AS A PHYSICAL ACTIVITY OPTION FOR OLDER ADULTS IS NOT WELL STUDIED. THIS TRIAL EVALUATED THE FEASIBILITY AND EFFECT OF A 12-WEEK IYENGAR YOGA PROGRAM ON BALANCE AND MOBILITY IN OLDER PEOPLE. METHODS: WE CONDUCTED A BLINDED, PILOT RANDOMIZED CONTROLLED TRIAL WITH INTENTION-TO-TREAT ANALYSIS. PARTICIPANTS WERE 54 COMMUNITY DWELLERS (MEAN AGE 68 YEARS, SD 7.1) NOT CURRENTLY PARTICIPATING IN YOGA OR TAI CHI. THE INTERVENTION GROUP (N = 27) PARTICIPATED IN A 12-WEEK, TWICE-WEEKLY YOGA PROGRAM FOCUSED ON STANDING POSTURES AND RECEIVED A FALL PREVENTION EDUCATION BOOKLET. THE CONTROL GROUP (N = 27) RECEIVED THE EDUCATION BOOKLET ONLY. PRIMARY OUTCOME WAS STANDING BALANCE COMPONENT OF THE SHORT PHYSICAL PERFORMANCE BATTERY WITH ADDITION OF ONE-LEGGED STANCE TIME (STANDING BALANCE). SECONDARY OUTCOMES WERE THE TIMED SIT-TO-STAND TEST, TIMED 4-M WALK, ONE-LEGGED STAND WITH EYES CLOSED, AND SHORT FALLS EFFICACY SCALE-INTERNATIONAL. FEASIBILITY WAS MEASURED BY RECORDING CLASS ATTENDANCE AND ADVERSE EVENTS. RESULTS: FIFTY-TWO PARTICIPANTS COMPLETED FOLLOW-UP ASSESSMENTS. THE INTERVENTION GROUP SIGNIFICANTLY IMPROVED COMPARED WITH CONTROL GROUP ON STANDING BALANCE (MEAN DIFFERENCE = 1.52 SECONDS, 95% CI 0.10-2.96, P = .04), SIT-TO-STAND TEST (MEAN DIFFERENCE = -3.43 SECONDS, 95% CI -5.23 TO -1.64, P < .001), 4-M WALK (MEAN DIFFERENCE = -0.50 SECONDS, 95% CI -0.72 TO -0.28, P < .001), AND ONE-LEGGED STAND WITH EYES CLOSED (MEAN DIFFERENCE = 1.93 SECONDS, 95% CI 0.40-3.46, P = .02). AVERAGE CLASS ATTENDANCE WAS 20 OF 24 CLASSES (83%). NO SERIOUS ADVERSE EVENTS OCCURRED. CONCLUSIONS: THIS TRIAL DEMONSTRATES THE BALANCE AND MOBILITY-RELATED BENEFITS AND FEASIBILITY OF IYENGAR YOGA FOR OLDER PEOPLE. THE FALL PREVENTION EFFECT OF IYENGAR YOGA WARRANTS FURTHER INVESTIGATION.	2013	
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
15 1372  31 IMPACT OF A YOGA AND MEDITATION INTERVENTION ON STUDENTS' STRESS AND ANXIETY LEVELS. OBJECTIVE. TO EVALUATE THE IMPACT OF A SIX-WEEK YOGA AND MEDITATION INTERVENTION ON COLLEGE STUDENTS' STRESS PERCEPTION, ANXIETY LEVELS, AND MINDFULNESS SKILLS. METHODS. COLLEGE STUDENTS PARTICIPATED IN A SIX-WEEK PILOT PROGRAM THAT CONSISTED OF A 60-MINUTE VINYASA FLOW YOGA CLASS ONCE WEEKLY, FOLLOWED BY GUIDED MEDITATION DELIVERED BY TRAINED FACULTY MEMBERS AT THE UNIVERSITY OF RHODE ISLAND COLLEGE OF PHARMACY. STUDENTS COMPLETED PRE- AND POST-INTERVENTION QUESTIONNAIRES TO EVALUATE CHANGES IN THE FOLLOWING OUTCOMES: STRESS LEVELS, ANXIETY LEVELS, AND MINDFULNESS SKILLS. THE QUESTIONNAIRE CONSISTED OF THREE SELF-REPORTING TOOLS: THE BECK ANXIETY INVENTORY (BAI), THE PERCEIVED STRESS SCALE (PSS), AND THE FIVE FACET MINDFULNESS QUESTIONNAIRE (FFMQ). STUDENTS' SCORES ON EACH WERE ASSESSED TO DETECT ANY CHANGES FROM BASELINE USING THE NUMERICAL AND CATEGORICAL SCALES (LOW, MEDIUM, AND HIGH) FOR EACH INSTRUMENT. RESULTS. SEVENTEEN PARTICIPANTS, AGED 19 TO 23 YEARS, COMPLETED THE STUDY. THIRTEEN PARTICIPANTS WERE FEMALE AND FOUR WERE MALE. NINE OF THE STUDENTS WERE ENROLLED IN THE DOCTOR OF PHARMACY PROGRAM AND EIGHT WERE ENROLLED IN OTHER ACADEMIC PROGRAMS. STUDENTS' ANXIETY AND STRESS SCORES DECREASED SIGNIFICANTLY WHILE THEIR TOTAL MINDFULNESS INCREASED SIGNIFICANTLY. CHANGES IN CATEGORICAL DATA FROM PRE- TO POST-INTERVENTION ON THE BAI AND PSS WERE SIGNIFICANT, WITH NO STUDENTS SCORING IN THE "HIGH" CATEGORY FOR STRESS OR ANXIETY ON THE POST-INTERVENTION QUESTIONNAIRE. CONCLUSION. STUDENTS EXPERIENCED A REDUCTION IN STRESS AND ANXIETY LEVELS AFTER COMPLETING A SIX-WEEK YOGA AND MEDITATION PROGRAM PRECEDING FINAL EXAMINATIONS. RESULTS SUGGEST THAT ADOPTING A MINDFULNESS PRACTICE FOR AS LITTLE AS ONCE PER WEEK MAY REDUCE STRESS AND ANXIETY IN COLLEGE STUDENTS. ADMINISTRATORS SHOULD CONSIDER INCLUDING INSTRUCTION IN NONPHARMACOLOGIC STRESS AND ANXIETY REDUCTION METHODS, WITHIN CURRICULA IN ORDER TO SUPPORT STUDENT SELF-CARE.	2019	
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
16  121  37 A PILOT STUDY OF THE FEASIBILITY AND OUTCOMES OF YOGA FOR LUNG CANCER SURVIVORS. PURPOSE/OBJECTIVES: TO DETERMINE THE FEASIBILITY OF A STANDARDIZED YOGA INTERVENTION FOR SURVIVORS OF NON-SMALL CELL LUNG CANCER (NSCLC) AND, EFFECTS ON SLEEP, MOOD, SALIVARY CORTISOL LEVELS, AND QUALITY OF LIFE (QOL). DESIGN: THIS 14-WEEK, ONE-GROUP, REPEATED-MEASURES STUDY INCLUDED A THREE-WEEK PREINTERVENTION PHASE, EIGHT WEEKS OF YOGA CLASSES (40 MINUTES ONCE PER WEEK) AND HOME PRACTICE, AND A THREE-WEEK POSTINTERVENTION PHASE. FOLLOW-UP OCCURRED AT THREE AND SIX MONTHS POSTSTUDY. SETTING: A COMMUNITY-BASED CANCER SUPPORT CENTER IN THE MIDWESTERN UNITED STATES. SAMPLE: 7 ADULTS WHO HAD COMPLETED INITIAL TREATMENT FOR STAGES I-IIIA NSCLC. METHODS: A STANDARDIZED YOGA PROTOCOL WAS DEVELOPED PRIOR TO THE STUDY BY EXPERTS IN THE FIELD. BREATHING EASE WAS MONITORED BEFORE, DURING, AND AFTER CLASSES TO ASSESS FEASIBILITY OF MOVEMENT WITHOUT COMPROMISING RESPIRATORY STATUS WHILE DOING YOGA. DATA ANALYSIS INCLUDED DESCRIPTIVE STATISTICS, REPEATED-MEASURES ANALYSIS OF VARIANCE, AND SALIVARY CORTISOL ANALYSIS. MAIN RESEARCH VARIABLES: SLEEP QUALITY, MOOD, SALIVARY CORTISOL, AND QOL WERE ASSESSED USING THE PITTSBURGH SLEEP QUALITY INDEX, PROFILE OF MOOD STATES-BRIEF, A CORTISOL MEASUREMENT, AND THE MEDICAL OUTCOMES SURVEY SF-36(R), RESPECTIVELY. BREATHING EASE WAS ASSESSED USING A DYSPNEA NUMERIC RATING SCALE AS WELL AS OBSERVATION OF PARTICIPANTS. FINDINGS: PARTICIPANTS WITH VARYING STAGES OF DISEASE AND LENGTH OF SURVIVORSHIP WERE ABLE TO PERFORM YOGA WITHOUT RESPIRATORY DISTRESS. CLASS ATTENDANCE EXCEEDED 95%, AND ALL PRACTICED AT HOME. MOOD, SLEEP EFFICIENCY, AND QOL SIGNIFICANTLY IMPROVED; SALIVARY CORTISOL LEVELS DECREASED OVER TIME. CONCLUSIONS: YOGA WAS FEASIBLE FOR NSCLC SURVIVORS WITHOUT FURTHER COMPROMISING BREATHING WITH MOVEMENT. POTENTIAL BENEFITS WERE IDENTIFIED, SUPPORTING THE NEED FOR FUTURE CLINICAL TRIALS WITH LARGER SAMPLES STRATIFIED BY CANCER STAGE, TREATMENT, AND LENGTH OF SURVIVORSHIP. IMPLICATIONS FOR NURSING: NURSES AND HEALTHCARE PROVIDERS SHOULD CONSIDER YOGA AS A MIND-BODY PRACTICE TO MANAGE STRESS, IMPROVE MOOD AND SLEEP, AND POTENTIALLY ENHANCE QOL FOR NSCLC SURVIVORS.	2014	
                                                                                                                                                                                                                                                                                                                                                                                                                                             
17 1632  33 MIYOGA: A RANDOMISED CONTROLLED TRIAL OF A MINDFULNESS MOVEMENT PROGRAMME BASED ON HATHA YOGA PRINCIPLES FOR CHILDREN WITH CEREBRAL PALSY: A STUDY PROTOCOL. INTRODUCTION: CEREBRAL PALSY (CP) IS THE MOST COMMON CHILDHOOD PHYSICAL DISABILITY, WITH LIFE-LONG IMPACTS FOR 1.77 IN 1000 CHILDREN. ALTHOUGH CP IS PRIMARILY A PHYSICAL DISABILITY, CHILDREN WITH CP HAVE AN INCREASED RISK OF EXPERIENCING COGNITIVE DIFFICULTIES, PARTICULARLY ATTENTION AND EXECUTIVE FUNCTION DEFICITS. IMPAIRMENT IN COGNITIVE ABILITIES CAN LEAD TO SUBSEQUENT IMPAIRMENT IN INDEPENDENT FUNCTIONING, EDUCATION, EMPLOYMENT AND INTERPERSONAL RELATIONSHIPS. THIS PAPER REPORTS THE PROTOCOL OF A RANDOMISED CONTROLLED TRIAL OF A NOVEL FAMILY-CENTRED LIFESTYLE INTERVENTION BASED ON MINDFULNESS AND HATHA YOGA PRINCIPLES (MIYOGA). MIYOGA AIMS TO ENHANCE CHILD AND PARENT OUTCOMES FOR CHILDREN WITH CP. METHODS AND ANALYSIS: THE AIM IS TO RECRUIT 36 CHILD-PARENT DYADS (CHILDREN AGED 6-16 YEARS; BILATERAL OR UNILATERAL CP; GROSS MOTOR FUNCTION CLASSIFICATION SYSTEM I-III), WHO WILL BE RANDOMLY ASSIGNED TO TWO GROUPS: MIYOGA ANDWAITLISTT CONTROL. THE MIYOGA PROGRAMME WILL BE FACILITATED IN A GROUP FORMAT FOR 8 WEEKS. ASSESSMENTS WILL BE ADMINISTERED AT BASELINE, PRIOR TO MIYOGA, FOLLOWING COMPLETION OF MIYOGA, AND AT 6-MONTH FOLLOW-UP (RETENTION). THE PRIMARY OUTCOME WILL BE THE CHILD'S SUSTAINED ATTENTIONAL ABILITY AS MEASURED BY THE CONNER'S CONTINUOUS PERFORMANCE TEST II. OTHER OUTCOMES OF INTEREST FOR CHILDREN WITH CP CONSISTS OF ATTENTIONAL CONTROL, PHYSICAL FUNCTIONING, BEHAVIOURAL AND WELL-BEING. FOR PARENTS, THE OUTCOMES OF INTEREST ARE MINDFULNESS, PSYCHOLOGICAL FLEXIBILITY AND WELL-BEING. DATA WILL BE ANALYSED USING GENERAL LINEAR MODELS, SPECIFICALLY ANALYSIS OF COVARIANCE AND ANALYSIS OF VARIANCE. ETHICS AND DISSEMINATION: FULL ETHICAL APPROVAL FOR THIS STUDY HAS BEEN OBTAINED BY THE CHILDREN'S HEALTH QUEENSLAND HOSPITAL AND HEALTH SERVICE RESEARCH ETHICS COMMITTEE (HREC/12/QRCH/120) AND THE UNIVERSITY OF QUEENSLAND (2012000993). IF MIYOGA IS PROVEN EFFECTIVE, ITS DISSEMINATION WOULD ASSIST CHILDREN WITH CP AND COMPLEMENT THEIR ONGOING THERAPY BY IMPROVING THE ABILITY OF THE CHILD TO PAY ATTENTION AT SCHOOL AND IN THERAPY, AND ALLEVIATING ENVIRONMENTALSTRESSORSS FOR BOTH THE CHILD AND HIS/HER PARENTS. TRIAL REGISTRATION NUMBER: ACTRN12613000729729; PRE-RESULTS.HTTP://WWW.ANZCTR.ORG.AU/ACTRN12613000729729.ASPX DATE OF TRIAL REGISTRATION: PROSPECTIVELY REGISTERED ON 2 JULY 2013-PRESENT (ONGOING). FINDINGS TO DATE: RECRUITMENT IS COMPLETE. DATA ARE STILL BEING COLLECTED AT PRESENT. WE AIM TO COMPLETE DATA COLLECTION BY FEBRUARY 2017.	2017	

18  130  37 A PRAGMATIC CONTROLLED TRIAL OF A BRIEF YOGA AND MINDFULNESS-BASED PROGRAM FOR PSYCHOLOGICAL AND OCCUPATIONAL HEALTH IN EDUCATION PROFESSIONALS. OBJECTIVES: TO EXAMINE CHANGES IN PSYCHOLOGICAL AND OCCUPATIONAL WELLBEING IN EDUCATION PROFESSIONALS THAT ATTENDED A BRIEF YOGA AND MINDFULNESS-BASED PROGRAM. DESIGN: PRAGMATIC CONTROLLED TRIAL COMPARING EDUCATION PROFESSIONALS THAT ATTENDED A YOGA MINDFULNESS-BASED PROGRAM (N = 9) TO A WAITLIST CONTROL GROUP (N = 22). SETTING: THE 3-DAY PROGRAM WAS DELIVERED AT THE KRIPALU CENTER FOR YOGA & HEALTH IN MASSACHUSETTS. INTERVENTION: THE 3-DAY YOGA MINDFULNESS PROGRAM INCLUDED 5 HOURS PER DAY OF YOGA, MINDFULNESS EXERCISES, FORMAL MEDITATION, DIDACTIC, AND EXPERIENTIAL ACTIVITIES. MAIN OUTCOME MEASURES: MEASURES OF PSYCHOLOGICAL AND OCCUPATIONAL WELLBEING WERE COMPLETED BEFORE (BASELINE), IMMEDIATELY AFTER (POST-PROGRAM), AND TWO MONTHS AFTER THE PROGRAM (FOLLOW-UP). RESULTS: RELATIVE TO CONTROLS (N = 21), THE RISE GROUP (N = 9) SHOWED SIGNIFICANT IMPROVEMENTS IN POSITIVE AFFECT (P = .033), NEGATIVE AFFECT (P = .044), MINDFULNESS (P = .001), EMPOWERMENT (P = .022), SELF-COMPASSION (P = .001), AND WORK ENGAGEMENT FROM BASELINE TO POST-PROGRAM. FROM BASELINE TO FOLLOW-UP, THE RISE GROUP SHOWED SIGNIFICANT IMPROVEMENTS IN STRESS (P = .008), NEGATIVE AFFECT (P = .013), MINDFULNESS (P = .001), EMPOWERMENT (P = .007), AND SELF-COMPASSION (P = .001) COMPARED TO THE CONTROL GROUP. CONCLUSIONS: THE YOGA MINDFULNESS PROGRAM WAS ASSOCIATED WITH IMPROVEMENTS IN EDUCATORS' PSYCHOLOGICAL AND OCCUPATIONAL WELLBEING IMMEDIATELY FOLLOWING AND 2-MONTHS FOLLOWING THE PROGRAM. FUTURE RESEARCH WITH A LARGER SAMPLE SIZE IS NEEDED TO CONFIRM THESE RESULTS.	2020	
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
19  388  36 BENEFITS OF THE RESTORATIVE EXERCISE AND STRENGTH TRAINING FOR OPERATIONAL RESILIENCE AND EXCELLENCE YOGA PROGRAM FOR CHRONIC LOW BACK PAIN IN SERVICE MEMBERS: A PILOT RANDOMIZED CONTROLLED TRIAL. OBJECTIVE: TO EXAMINE THE FEASIBILITY AND PRELIMINARY EFFECTIVENESS OF AN INDIVIDUALIZED YOGA PROGRAM. DESIGN: PILOT RANDOMIZED CONTROLLED TRIAL. SETTING: MILITARY MEDICAL CENTER. PARTICIPANTS: PATIENTS (N=68) WITH CHRONIC LOW BACK PAIN. INTERVENTIONS: RESTORATIVE EXERCISE AND STRENGTH TRAINING FOR OPERATIONAL RESILIENCE AND EXCELLENCE (RESTORE) PROGRAM (9-12 INDIVIDUAL YOGA SESSIONS) OR TREATMENT AS USUAL (CONTROL) FOR AN 8-WEEK PERIOD. MAIN OUTCOME MEASURES: THE PRIMARY OUTCOME WAS PAST 24-HOUR PAIN (DEFENSE & VETERANS PAIN RATING SCALE 2.0). SECONDARY OUTCOMES INCLUDED DISABILITY (ROLAND-MORRIS DISABILITY QUESTIONNAIRE) AND PHYSICAL FUNCTIONING AND SYMPTOM BURDEN (PATIENT-REPORTED OUTCOMES MEASUREMENT INFORMATION SYSTEM-29 SUBSCALES). ASSESSMENT OCCURRED AT BASELINE, WEEK 4, WEEK 8, 3-MONTH FOLLOW-UP, AND 6-MONTH FOLLOW-UP. EXPLORATORY OUTCOMES INCLUDED THE PROPORTION OF PARTICIPANTS IN EACH GROUP REPORTING CLINICALLY MEANINGFUL CHANGES AT 3- AND 6-MONTH FOLLOW-UPS. RESULTS: GENERALIZED LINEAR MIXED MODELS WITH SEQUENTIAL BONFERRONI-ADJUSTED PAIRWISE SIGNIFICANCE TESTS AND CHI-SQUARE ANALYSES EXAMINED LONGITUDINAL OUTCOMES. SECONDARY OUTCOME SIGNIFICANCE TESTS WERE BONFERRONI ADJUSTED FOR MULTIPLE OUTCOMES. THE RESTORE GROUP REPORTED IMPROVED PAIN COMPARED WITH THE CONTROL GROUP. SECONDARY OUTCOMES DID NOT RETAIN SIGNIFICANCE AFTER BONFERRONI ADJUSTMENTS FOR MULTIPLE OUTCOMES, ALTHOUGH A HIGHER PROPORTION OF RESTORE PARTICIPANTS REPORTED CLINICALLY MEANINGFULLY CHANGES IN ALL OUTCOMES AT 3-MONTH FOLLOW-UP AND IN SYMPTOM BURDEN AT 6-MONTH FOLLOW-UP. CONCLUSIONS: RESTORE MAY BE A VIABLE NONPHARMACOLOGICAL TREATMENT FOR LOW BACK PAIN WITH MINIMAL SIDE EFFECTS, AND RESEARCH EFFORTS ARE NEEDED TO COMPARE THE EFFECTIVENESS OF RESTORE DELIVERY FORMATS (EG, GROUP VS INDIVIDUAL) WITH THAT OF OTHER TREATMENT MODALITIES.	2018	
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
20 1192  35 EXAMINING A THERAPEUTIC YOGA PROGRAM FOR PROSTATE CANCER SURVIVORS. BACKGROUND: IN THE EARLIER STAGES OF PROSTATE CANCER, EFFECTIVE TREATMENTS HAVE CREATED A NEED FOR RESEARCH TO FOCUS ON PRACTICES THAT MAY IMPROVE QUALITY OF LIFE THROUGHOUT SURVIVORSHIP. PHYSICAL ACTIVITY IS A SIGNIFICANT SUPPORTIVE CARE MANAGEMENT STRATEGY FOR PROSTATE CANCER SURVIVORS, THOUGH THE OPTIMAL MODALITY IS NOT YET UNDERSTOOD. HYPOTHESES: THE AUTHORS HYPOTHESIZED THAT YOGA WOULD BE A FEASIBLE PHYSICAL ACTIVITY OPTION FOR PROSTATE CANCER SURVIVORS AND THEIR SUPPORT PERSONS AND THAT THE INCORPORATION OF SOCIAL SUPPORT WOULD INCREASE PHYSICAL ACTIVITY ADHERENCE. METHODS: THIS 14-WEEK FEASIBILITY STUDY INVOLVED A 7-WEEK CLASS-BASED YOGA PROGRAM (ADHERENCE PHASE), FOLLOWED BY 7 WEEKS OF SELF-SELECTED PHYSICAL ACTIVITY (MAINTENANCE PHASE). DEMOGRAPHIC INFORMATION, PHYSICAL ACTIVITY BEHAVIOR, QUALITY OF LIFE, FATIGUE, STRESS, MOOD, AND FITNESS VARIABLES WERE ASSESSED AT 3 TIME POINTS. PROSTATE CANCER SURVIVORS' PERCEIVED SOCIAL SUPPORT WAS RATED DURING YOGA AND AFTER YOGA. RESULTS: CLASS ATTENDANCE WAS 6.1 AND 5.8 FOR PROSTATE CANCER SURVIVORS (N = 15) AND THEIR SUPPORT PERSONS (N = 10), RESPECTIVELY, FOR THE 7 CLASSES. LEVELS OF PERCEIVED SOCIAL SUPPORT WERE HIGHER FOR THOSE WHO BROUGHT A SUPPORT PERSON. SIGNIFICANT IMPROVEMENTS WITH REGARD TO STRESS, FATIGUE, AND MOOD BEFORE AND AFTER YOGA CLASS (ALL PS < .05) WERE REPORTED BY ALL PARTICIPANTS. NO CLINICALLY SIGNIFICANT CHANGES WERE NOTED ON PROSTATE CANCER SURVIVOR'S QUALITY OF LIFE OR FATIGUE OVER THE COURSE OF THE 14-WEEK STUDY. CONCLUSIONS: YOGA IS A FEASIBLE PHYSICAL ACTIVITY OPTION FOR PROSTATE CANCER SURVIVORS. THE PROGRAM HAD A PROMISING UPTAKE RATE, HIGH PROGRAM ADHERENCE RATE, AND THERE WERE ACUTE PROGRAM BENEFITS WITH REGARD TO STRESS, FATIGUE, AND MOOD FOR ALL PARTICIPANTS. FUTURE EXAMINATION IS WARRANTED WITH REGARD TO CHRONIC BENEFITS AND GROUP COHESION INFLUENCES ON LEVELS OF PERCEIVED SOCIAL SUPPORT.	2013