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一种探索瑜伽对患有关节炎的少数群体可接受性的定性研究方法:“那些看起来像我的人在哪里?”

A qualitative approach exploring the acceptability of yoga for minorities living with arthritis: 'Where are the people who look like me?'.

作者信息

Middleton Kimberly R, Magaña López Miriam, Haaz Moonaz Steffany, Tataw-Ayuketah Gladys, Ward Michael M, Wallen Gwenyth R

机构信息

National Institutes of Health, Clinical Center, Bethesda, MD, USA.

Maryland University of Integrative Health, Laurel, MD, USA.

出版信息

Complement Ther Med. 2017 Apr;31:82-89. doi: 10.1016/j.ctim.2017.02.006. Epub 2017 Mar 1.

DOI:10.1016/j.ctim.2017.02.006
PMID:28434476
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5583513/
Abstract

OBJECTIVES

To examine the acceptability of yoga research tailored to recruit and retain a minority population (both English and Spanish speaking) with arthritis. Yoga research for arthritis often underrepresents minorities and acceptability for this population has not previously been investigated.

DESIGN

Acceptability was evaluated using retention, adherence, journals, and semi-structured exit interviews from twelve participants with osteoarthritis or rheumatoid arthritis undergoing an 8-week yoga intervention. Journal quotes were analyzed using content analysis techniques. NVivo software was used to organize transcripts and assemble themes. Two methods of triangulation (data and investigator) were used to overcome potential bias from a single-perspective interpretation. Exit interview comments were content analyzed using a card sort method. The study was designed with a cultural infrastructure including a multicultural research team, translators, and bilingual materials and classes, to facilitate trust and acceptability for primarily Hispanic and Black/African-American adults.

SETTING

Washington, D.C. metropolitan area, USA.

RESULTS

On average participants attended 10 of 16 classes, with home practice 2-3days a week. All who completed were still practicing yoga three-months later. Qualitative narrative analysis identified major themes related to facilitating factors and barriers for yoga practice, self-efficacy, and support. Participant comments indicated that offering an arthritis-based yoga intervention and using a culturally congruent research design was found to be acceptable.

CONCLUSIONS

As yoga research grows, there is a need to understand and promote acceptability for typically under-represented populations. This study attempts to inform the expansion of multicultural research designed to recruit and retain those from diverse backgrounds.

摘要

目的

研究为招募和留住患有关节炎的少数族裔人群(包括说英语和西班牙语的人群)而量身定制的瑜伽研究的可接受性。针对关节炎的瑜伽研究中,少数族裔的代表性往往不足,此前尚未对该人群的可接受性进行过调查。

设计

通过留存率、依从性、日志以及对12名骨关节炎或类风湿关节炎患者进行为期8周瑜伽干预后的半结构化退出访谈来评估可接受性。使用内容分析技术对日志引用进行分析。使用NVivo软件整理转录本并归纳主题。采用两种三角验证法(数据和研究者)来克服单一视角解释可能产生的偏差。使用卡片分类法对退出访谈评论进行内容分析。该研究设计了一种文化基础设施,包括多元文化研究团队、翻译人员以及双语材料和课程,以促进主要为西班牙裔和黑人/非裔美国成年人的信任和可接受性。

地点

美国华盛顿特区都会区。

结果

参与者平均参加了16节课中的10节,每周在家练习2 - 3天。所有完成课程的人在三个月后仍在练习瑜伽。定性叙事分析确定了与瑜伽练习的促进因素和障碍、自我效能感及支持相关的主要主题。参与者的评论表明,提供基于关节炎的瑜伽干预并采用符合文化背景的研究设计是可接受的。

结论

随着瑜伽研究的发展,有必要了解并提高典型代表性不足人群的可接受性。本研究旨在为多元文化研究的扩展提供信息,以招募和留住来自不同背景的人群。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c7ff/5583513/2f403c58678d/nihms898756f3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c7ff/5583513/5ed58cad1da2/nihms898756f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c7ff/5583513/9727488cca80/nihms898756f2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c7ff/5583513/2f403c58678d/nihms898756f3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c7ff/5583513/5ed58cad1da2/nihms898756f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c7ff/5583513/9727488cca80/nihms898756f2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c7ff/5583513/2f403c58678d/nihms898756f3.jpg

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