King Katherine, Gosian Jeffrey, Doherty Kelly, Chapman Jnani, Walsh Christina, Azar Jill Pokaski, Danhauer Suzanne C, Moye Jennifer
VA Boston Healthcare System and Harvard Medical School, Boston, Massachusetts.
VA Boston Healthcare System, Boston, Massachusetts.
Int J Yoga Therap. 2014;24:87-96.
This goal of this paper is to describe the reach, application, and effectiveness of an 8-week yoga therapy protocol with older cancer survivors within a Veterans Health Administration setting.
To document the reach of this intervention, recruitment efforts, attendance, and practice rates were tracked. To explore the application of the protocol to this population, physical therapy pre-assessment and observations by the yoga therapist were recorded to ascertain necessary pose modifications. Effectiveness was measured through pre- and post-course structured interviews, tracking self-reported symptoms of combat-related posttraumatic stress disorder, depression, anxiety, fatigue, insomnia, and pain.
Regarding reach, 15% of eligible veterans ( = 14) enrolled, participated in 3-16 classes (± = 11.64±3.39), and practiced at home for 0-56 days (± = 26.36±17.87). Participants were primarily Caucasian ( = 13), male ( = 13), ranged in age from 55 to 78 years (± = 65.64±5.15), and had multiple medical problems. During application, substantial individualized modifications to the yoga therapy protocol were necessary. Effectiveness of the intervention was mixed. During post-course interviews, participants reported a variety of qualitative benefits. Notably, the majority of participants reported that breathing and relaxation techniques were the most useful to learn. Group comparisons of mean pre- and post-course scores on standardized measures showed no significant differences.
A minority of older veterans express an interest in yoga, but those who do have high rates of class attendance and home practice. Careful physical pre-assessment and attentive therapists are required to undertake the adaptations required by participants with multiple comorbidities. The effectiveness of yoga in this setting requires additional study.
本文的目的是描述在退伍军人健康管理局环境中，针对老年癌症幸存者的为期8周的瑜伽治疗方案的覆盖范围、应用情况和有效性。
为记录该干预措施的覆盖范围，跟踪了招募工作、出勤情况和练习率。为探索该方案在这一人群中的应用，记录了物理治疗预评估和瑜伽治疗师的观察结果，以确定必要的体式调整。通过课程前后的结构化访谈来衡量有效性，跟踪自我报告的与战斗相关的创伤后应激障碍、抑郁、焦虑、疲劳、失眠和疼痛症状。
关于覆盖范围，15%符合条件的退伍军人（n = 14）报名参加，参加了3 - 至16节课程（平均 = 11.64±3.39），在家练习了0至56天（平均 = 26.36±17.87）。参与者主要是白人（n = 13）、男性（n = 13），年龄在55至78岁之间（平均 = 65.64±5.15），且有多种医疗问题。在应用过程中，对瑜伽治疗方案进行大量个性化调整是必要的。干预的效果参差不齐。在课程后的访谈中，参与者报告了各种质性益处。值得注意的是，大多数参与者报告说呼吸和放松技巧是最有用的学习内容。标准化测量的课程前后平均分数的组间比较没有显著差异。
少数老年退伍军人对瑜伽感兴趣，但那些感兴趣的人上课出勤率和在家练习率都很高。需要仔细的身体预评估和细心的治疗师来进行患有多种合并症的参与者所需的调整。瑜伽在这种情况下的有效性需要进一步研究。
