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为心理健康消费者开发瑜伽干预措施的实用性与相关性:一项定性研究。

The practicability and relevance of developing a yoga intervention for mental health consumers: A qualitative study.

作者信息

Snaith Nicole, Rasmussen Philippa, Schultz Tim, Proeve Michael

机构信息

Adelaide Nursing School, University of Adelaide, Adelaide, South Australia, Australia.

School of Psychology, University of Adelaide, Adelaide, South Australia, Australia.

出版信息

Int J Ment Health Nurs. 2020 Aug;29(4):622-631. doi: 10.1111/inm.12694. Epub 2020 Jan 28.

Abstract

The aim of the study was to understand the perspectives of mental health consumers, staff, and yoga teachers on the characteristics of a yoga-based intervention to be developed for consumers with a long-term mental health condition, in addition to anxiety and/or depression. Two focus groups were held with mental health consumers (n = 8), two focus groups with mental health staff (n = 13) from a metropolitan community mental health setting, and five one-on-one interviews with yoga teachers. Participants were asked about the feasibility and appropriateness of a range of yoga practice features to be tested as a newly developed yoga-based intervention. Thematic analysis was used to identify themes. Findings included the following consumer themes: Mental health understanding and experience of teachers and participants is important, Creating a safe space and Yoga practice elements. Staff themes included Mental health understanding and experience of teachers is important, Environmental design, and Yoga practice elements. Yoga teacher themes included Environmental design and Yoga practice elements. Mental health understanding and experience of the yoga teacher, and trauma-informed care were consistently emphasized by consumers and staff. Teachers focused less on specific mental health considerations, which may be reflective of a broader knowledge gap. Recommendations regarding yoga practice elements, including pre-information, regular and consistent practice, modifications, breathwork, mindfulness and guided practice, and environmental design features, were consistent with current trauma-informed yoga research. Findings will be used to guide the development of a yoga-based intervention for consumers with a long-term mental health condition, in addition to anxiety and/or depression.

摘要

该研究的目的是了解心理健康服务使用者、工作人员以及瑜伽教师对于为患有长期心理健康问题以及焦虑和/或抑郁的服务使用者开发的基于瑜伽的干预措施特点的看法。与心理健康服务使用者进行了两个焦点小组访谈(n = 8),与来自大都市社区心理健康机构的心理健康工作人员进行了两个焦点小组访谈(n = 13),并与瑜伽教师进行了五次一对一访谈。参与者被问及一系列瑜伽练习特点作为新开发的基于瑜伽的干预措施进行测试的可行性和适宜性。采用主题分析法来确定主题。研究结果包括以下服务使用者主题:教师和参与者对心理健康的理解和体验很重要、营造安全空间以及瑜伽练习元素。工作人员主题包括教师对心理健康的理解和体验很重要、环境设计以及瑜伽练习元素。瑜伽教师主题包括环境设计和瑜伽练习元素。服务使用者和工作人员一致强调瑜伽教师对心理健康的理解和体验以及创伤知情护理。教师较少关注特定的心理健康考量,这可能反映出更广泛的知识差距。关于瑜伽练习元素的建议,包括预先信息、定期且持续的练习、调整、呼吸练习、正念和引导练习以及环境设计特点,与当前创伤知情瑜伽研究一致。研究结果将用于指导为患有长期心理健康问题以及焦虑和/或抑郁的服务使用者开发基于瑜伽的干预措施。

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