Department of Medical Social Sciences, Northwestern University Feinberg School of Medicine, Chicago, IL, USA.
Vanderbilt University School of Nursing, Nashville, TN, USA.
Support Care Cancer. 2023 Feb 16;31(3):172. doi: 10.1007/s00520-023-07639-0.
This manuscript aims to compare and contrast acceptability and perceived benefits of yoga-skills training (YST) and an empathic listening attention control (AC) in the Pro-You study, a randomized pilot trial of YST vs. AC for adults receiving chemotherapy infusions for gastrointestinal cancer.
Participants were invited for a one-on-one interview at week 14 follow-up, after completing all intervention procedures and quantitative assessments. Staff used a semi-structured guide to elicit participants' views on study processes, the intervention they received, and its effects. Qualitative data analysis followed an inductive/deductive approach, inductively identifying themes and deductively guided by social cognitive theory.
Some barriers (e.g., competing demands, symptoms), facilitators (e.g., interventionist support, the convenience of clinic-based delivery), and benefits (e.g., decreased distress and rumination) were common across groups. YST participants uniquely described the importance of privacy, social support, and self-efficacy for increasing engagement in yoga. Benefits specific to YST included positive emotions and greater improvement in fatigue and other physical symptoms. Both groups described some self-regulatory processes, but through different mechanisms: self-monitoring in AC and the mind-body connection in YST.
This qualitative analysis demonstrates that participant experiences in a yoga-based intervention or an AC condition reflect social cognitive and mind-body frameworks of self-regulation. Findings can be used to develop yoga interventions that maximize acceptability and effectiveness and to design future research that elucidates the mechanisms by which yoga is efficacious.
本手稿旨在比较和对比瑜伽技能训练（YST）和同理心倾听注意力控制（AC）在 Pro-You 研究中的可接受性和感知益处，Pro-You 研究是一项针对接受胃肠道癌化疗输注的成年人的 YST 与 AC 的随机试点试验。
在完成所有干预程序和定量评估后，参与者在第 14 周随访时被邀请进行一对一访谈。工作人员使用半结构化指南来引出参与者对研究过程、他们接受的干预措施及其效果的看法。定性数据分析采用归纳/演绎方法，通过社会认知理论进行归纳式主题识别和演绎式引导。
一些障碍（例如，竞争需求、症状）、促进因素（例如，干预者的支持、基于诊所的交付的便利性）和益处（例如，减少痛苦和沉思）在两个组中都很常见。YST 参与者独特地描述了隐私、社会支持和自我效能感对于增加瑜伽参与的重要性。YST 特有的益处包括积极的情绪以及疲劳和其他身体症状的更大改善。两个组都描述了一些自我调节过程，但通过不同的机制：AC 中的自我监测和 YST 中的身心连接。
这项定性分析表明，基于瑜伽的干预或 AC 条件下的参与者体验反映了自我调节的社会认知和身心框架。研究结果可用于开发最大限度提高可接受性和有效性的瑜伽干预措施，并设计阐明瑜伽有效性机制的未来研究。
