Gilchrist Heidi, Haynes Abby, Oliveira Juliana S, Sherrington Catherine, Clementson Lana, Glenn Janetta, Jones June, Sesto Romina, Tiedemann Anne
The University of Sydney, Sydney Musculoskeletal Health, Sydney, Gadigal Country, NSW, Australia.
Institute for Musculoskeletal Health, The University of Sydney and Sydney Local Health District, Sydney, Gadigal Country, NSW, Australia.
Digit Health. 2023 Jul 6;9:20552076231185273. doi: 10.1177/20552076231185273. eCollection 2023 Jan-Dec.
This research identifies practical lessons regarding the delivery of teleyoga. Our objectives are to (1) describe challenges and opportunities experienced by yoga instructors when moving the Successful AGEing (SAGE) yoga programme online, and (2) describe how yoga instructors adapted to manage the challenges and leverage opportunities presented by teleyoga.
This study is a secondary analysis of the data from a previous realist process evaluation of the SAGE yoga trial. The SAGE yoga trial is testing the effect of a yoga-based exercise programme on falls among 700 community-dwelling people aged 60+ years. We draw on focus groups and interviews with four SAGE yoga instructors which we analysed using previously developed programme theories combined with inductive coding and an analytical workshop.
The concerns of the yoga instructors about teleyoga can be characterised into four broad issues: threats to safety, altered interpersonal dynamics, facilitating mind-body connection and difficulties with technology. The SAGE instructors identified eight modifications they used to manage these challenges: a 1:1 participant interview prior to programme commencement, more descriptive verbal instructions, increased focus on interoception, increased attention and support, slower more structured class flow, simplifying poses, adapting the studio environment and IT support.
We have created a typology of strategies for addressing challenges in the delivery of teleyoga for older people. As well as maximising engagement with teleyoga, these manageable strategies could be applied by other instructors to a wide range of telehealth classes, improving the uptake and adherence of beneficial online programmes and services.
本研究确定了有关远程瑜伽教学的实用经验教训。我们的目标是：（1）描述瑜伽教练将“成功老龄化”（SAGE）瑜伽项目转为线上教学时所经历的挑战和机遇，以及（2）描述瑜伽教练如何调整以应对远程瑜伽带来的挑战并利用机遇。
本研究是对之前SAGE瑜伽试验的现实主义过程评估数据的二次分析。SAGE瑜伽试验正在测试一项基于瑜伽的锻炼项目对700名60岁及以上社区居民跌倒情况的影响。我们利用了对四名SAGE瑜伽教练的焦点小组讨论和访谈，运用先前制定的项目理论结合归纳编码和分析研讨会对其进行分析。
瑜伽教练对远程瑜伽的担忧可归纳为四个主要问题：安全威胁、人际关系动态变化、促进身心联系以及技术困难。SAGE教练确定了他们用来应对这些挑战的八项调整措施：在课程开始前对参与者进行一对一访谈、更具描述性的口头指导、增加对本体感觉的关注、增加注意力和支持、放慢课程流程并使其更具结构性、简化体式、调整工作室环境以及提供信息技术支持。
我们创建了一种类型学，用于应对为老年人提供远程瑜伽时遇到的挑战。除了最大限度地提高对远程瑜伽的参与度外，这些易于管理的策略还可被其他教练应用于广泛的远程健康课程，提高有益在线项目和服务的接受度和依从性。
