Department of Health Behavior and Health Education, Fay W. Boozman College of Public Health, University of Arkansas for Medical Sciences, Little Rock, AR, USA.
Hubert Department of Global Health, Rollins School of Public Health, Emory University, Atlanta, GA, USA.
J Altern Complement Med. 2021 Mar;27(3):273-281. doi: 10.1089/acm.2020.0351. Epub 2020 Dec 29.
This qualitative study explored the acceptability and feasibility of yoga among women in substance use disorder (SUD) recovery. Seventeen women in SUD recovery for 2 weeks or longer were recruited from nine sites in the mid-South, including a Medication-Assisted Treatment clinic in a hospital setting, prison re-entry housing, community-based peer support organizations (e.g., Alcoholics Anonymous [AA], Narcotics Anonymous [NA]), a residential SUD treatment facility, a yoga teachers' online group, and through referrals. The median age of participants was 41.5, with ages ranging from 25 to 65. We used an interpretive description approach to explore both the perceptions of women without yoga experience and the experiences of women with yoga experience to collect formative data for intervention development and implementation. The interviews were recorded and transcribed verbatim. A hybrid analysis (i.e., inductive and deductive coding) was applied to the data. Women's narratives included a high prevalence of trauma exposure. Overall, women in this sample were interested in either beginning or continuing yoga. Barriers to participation included perceived lack of self-efficacy of yoga, weight, and physical injuries. Additional environmental barriers included balancing care of self with caring for others, including partners, children, and NA/AA sponsees; as well as prioritizing finances, housing, employment, and transportation. High prevalence of trauma exposure among women in SUD recovery necessitates careful consideration of co-occurring psychiatric disorders such as post-traumatic stress disorder, anxiety and depression and the necessary professional psychological support, as well as serious physical injuries that require modification in yoga classes. As transportation and balancing care needs were salient in these data, rural SUD populations could be served with telehealth interventions that provide SUD recovery support with integrative health practices such as adjunctive yoga interventions.
本定性研究探讨了瑜伽在物质使用障碍（SUD）康复女性中的可接受性和可行性。从美国中南部的九个地点招募了 17 名 SUD 康复期为 2 周或更长时间的女性，包括医院环境下的药物辅助治疗诊所、监狱重返住房、以社区为基础的同伴支持组织（如嗜酒者互诫协会[AA]、麻醉品匿名者[NA]）、住院 SUD 治疗设施、瑜伽教师在线小组以及通过转介。参与者的中位年龄为 41.5 岁，年龄范围为 25 至 65 岁。我们使用解释性描述方法来探索没有瑜伽经验的女性的看法和有瑜伽经验的女性的经验，以收集干预措施发展和实施的形成性数据。采访进行了录音和逐字记录。采用混合分析（即归纳和演绎编码）对数据进行分析。女性的叙述包括创伤暴露的高患病率。总体而言，该样本中的女性对开始或继续瑜伽都很感兴趣。参与的障碍包括感知到的瑜伽自我效能感不足、体重和身体受伤。其他环境障碍包括平衡自我护理和照顾他人，包括伴侣、孩子和 NA/AA 受助者；以及优先考虑财务、住房、就业和交通。SUD 康复女性中创伤暴露的高患病率需要仔细考虑同时存在的精神障碍，如创伤后应激障碍、焦虑和抑郁以及必要的专业心理支持，以及需要在瑜伽课上进行修改的严重身体受伤。由于在这些数据中，交通和平衡护理需求很突出，因此可以为农村 SUD 人群提供远程医疗干预措施，提供 SUD 康复支持以及整合健康实践，如辅助瑜伽干预措施。
