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为确诊患有癌症的超重或肥胖拉丁裔女性开发并实施一项具有文化特色的西班牙语瑜伽项目:单臂试点研究。

Development and Implementation of a Culturally Informed Spanish Language Yoga Program for Latiné Women With Overweight or Obesity Diagnosed With Cancer: A Single Arm Pilot Study.

作者信息

Victorson David, Guitleman Judy, Maletich Carly, Horowitz Bruriah, Sauer Christina, Arechiga Cailin, Parra Diana

机构信息

Department of Medical Social Sciences, Northwestern University Feinberg School of Medicine, Evanston, IL, USA.

Alas Wings Latina Breast Cancer Alliance, Chicago, IL, USA.

出版信息

Glob Adv Integr Med Health. 2024 Mar 29;13:27536130241245432. doi: 10.1177/27536130241245432. eCollection 2024 Jan-Dec.

Abstract

BACKGROUND

Given limited yoga research in health disparities populations, we developed and evaluated a 12-week Spanish language yoga program for Latiné women with overweight or obesity affected by cancer. The program aimed to empower participants through culturally tailored yoga practice and opportunities for social connection and support.

METHODS

Partnering with a community-based organization, the program was co-created by bilingual (English and Spanish-speaking) yoga instructors, Latiné cancer survivor support professionals, and integrative medicine researchers. The single arm intervention consisted of 12 separate, 60-minute Hatha yoga classes, including physical postures, breathing exercises, culturally relevant poetry, and post-practice socialization opportunities. Measures were administered at baseline, 12-week, and 24-week.

RESULTS

Thirty-five eligible participants enrolled in the program, demonstrating high feasibility and relevance as well as high levels of engagement in home practice. Some participants faced barriers to regular home practice, including family responsibilities and concerns about proper pose execution. Preliminary outcome analyses indicated improvements in sleep disturbance, pain interference, depression, and blood pressure post-intervention, with sustained improvements in depression, anxiety, and blood pressure at 24-week. No significant changes were observed in fatigue, physical function, positive affect, satisfaction with social roles and activities, and weight. Structured post-practice social snack time with yoga instructors (compared with unstructured time with peers) was associated with self-reported improvements in satisfaction with social roles and activities and weight loss.

CONCLUSION

This yoga program successfully engaged female Latiné cancer survivors with overweight and obesity and serves as a foundational step in empowering this population to improve their health and well-being through culturally tailored yoga practice. Future research should utilize controlled study designs and engage participants from different geographical regions to study the efficacy and sustainability of findings.

摘要

背景

鉴于针对健康差异人群的瑜伽研究有限,我们为受癌症影响的超重或肥胖拉丁裔女性开发并评估了一个为期12周的西班牙语瑜伽项目。该项目旨在通过文化定制的瑜伽练习以及社交联系和支持机会,增强参与者的能力。

方法

该项目与一个社区组织合作,由双语(英语和西班牙语)瑜伽教练、拉丁裔癌症幸存者支持专业人员和综合医学研究人员共同创建。单臂干预包括12节单独的、时长60分钟的哈他瑜伽课程,包括体式、呼吸练习、与文化相关的诗歌以及课后社交机会。在基线、12周和24周时进行测量。

结果

35名符合条件的参与者报名参加了该项目,显示出高度的可行性和相关性,以及在家练习中的高参与度。一些参与者在定期在家练习方面面临障碍,包括家庭责任以及对正确姿势执行的担忧。初步结果分析表明,干预后睡眠障碍、疼痛干扰、抑郁和血压有所改善,24周时抑郁、焦虑和血压持续改善。在疲劳、身体功能、积极情绪、对社会角色和活动的满意度以及体重方面未观察到显著变化。与瑜伽教练进行结构化的课后社交零食时间(与与同龄人进行的非结构化时间相比)与自我报告的对社会角色和活动的满意度提高以及体重减轻相关。

结论

这个瑜伽项目成功地吸引了超重和肥胖的拉丁裔女性癌症幸存者,是通过文化定制的瑜伽练习增强这一人群改善其健康和福祉能力的基础步骤。未来的研究应采用对照研究设计,并让来自不同地理区域的参与者参与,以研究结果的有效性和可持续性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/28ec/10981276/552695244cc3/10.1177_27536130241245432-fig1.jpg

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