Feasibility and assessment of outcome measures for yoga as self-care for minorities with arthritis: a pilot study
Abstract 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 heal...
| Main Authors: | , , , , , , , , |
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| Format: | Article |
| Language: | English |
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BMC
2018-02-01
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| Series: | Pilot and Feasibility Studies |
| Subjects: | |
| Online Access: | http://link.springer.com/article/10.1186/s40814-018-0248-x |
| _version_ | 1811334315223547904 |
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| author | Kimberly R. Middleton Michael M. Ward Steffany Haaz Moonaz Miriam Magaña López Gladys Tataw-Ayuketah Li Yang Ana T. Acevedo Zavera Brandon Gwenyth R. Wallen |
| author_facet | Kimberly R. Middleton Michael M. Ward Steffany Haaz Moonaz Miriam Magaña López Gladys Tataw-Ayuketah Li Yang Ana T. Acevedo Zavera Brandon Gwenyth R. Wallen |
| author_sort | Kimberly R. Middleton |
| collection | DOAJ |
| description | Abstract 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 |
| first_indexed | 2024-04-13T17:06:00Z |
| format | Article |
| id | doaj.art-5bb77b4529944648aadff7b409cace40 |
| institution | Directory Open Access Journal |
| issn | 2055-5784 |
| language | English |
| last_indexed | 2024-04-13T17:06:00Z |
| publishDate | 2018-02-01 |
| publisher | BMC |
| record_format | Article |
| series | Pilot and Feasibility Studies |
| spelling | doaj.art-5bb77b4529944648aadff7b409cace402022-12-22T02:38:28ZengBMCPilot and Feasibility Studies2055-57842018-02-014111110.1186/s40814-018-0248-xFeasibility and assessment of outcome measures for yoga as self-care for minorities with arthritis: a pilot studyKimberly R. Middleton0Michael M. Ward1Steffany Haaz Moonaz2Miriam Magaña López3Gladys Tataw-Ayuketah4Li Yang5Ana T. Acevedo6Zavera Brandon7Gwenyth R. Wallen8National Institutes of Health, Clinical CenterNational Institute of Arthritis and Musculoskeletal and Skin DiseasesMaryland University of lntegrative HealthUniversity of California Berkeley School of Public HealthNational Institutes of Health, Clinical CenterNational Institutes of Health, Clinical CenterNIH/Rehabilitation Medicine DepartmentNIH/Rehabilitation Medicine DepartmentNational Institutes of Health, Clinical CenterAbstract 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, NCT01617421http://link.springer.com/article/10.1186/s40814-018-0248-xYogaMinorityOsteoarthritisRheumatoid arthritisFeasibility study |
| spellingShingle | Kimberly R. Middleton Michael M. Ward Steffany Haaz Moonaz Miriam Magaña López Gladys Tataw-Ayuketah Li Yang Ana T. Acevedo Zavera Brandon Gwenyth R. Wallen Feasibility and assessment of outcome measures for yoga as self-care for minorities with arthritis: a pilot study Pilot and Feasibility Studies Yoga Minority Osteoarthritis Rheumatoid arthritis Feasibility study |
| title | Feasibility and assessment of outcome measures for yoga as self-care for minorities with arthritis: a pilot study |
| title_full | Feasibility and assessment of outcome measures for yoga as self-care for minorities with arthritis: a pilot study |
| title_fullStr | Feasibility and assessment of outcome measures for yoga as self-care for minorities with arthritis: a pilot study |
| title_full_unstemmed | Feasibility and assessment of outcome measures for yoga as self-care for minorities with arthritis: a pilot study |
| title_short | Feasibility and assessment of outcome measures for yoga as self-care for minorities with arthritis: a pilot study |
| title_sort | feasibility and assessment of outcome measures for yoga as self care for minorities with arthritis a pilot study |
| topic | Yoga Minority Osteoarthritis Rheumatoid arthritis Feasibility study |
| url | http://link.springer.com/article/10.1186/s40814-018-0248-x |
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