Medical Therapeutic Yoga for multiple sclerosis: examining self-efficacy for physical activity, motivation for physical activity, and quality of life outcomes

Fasczewski, Kimberly S.; Garner, LaVerene M; Clark, Lauren; Michels, Hannah S; Migliarese, Sara J

doi:10.1080/09638288.2020.1760364

Cited by 10 publications

(3 citation statements)

References 38 publications

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“…Over the recent years, the promotion of physical activity has become state of the art in inpatient rehabilitation treatment for chronic diseases or diseases with risk for chronicity [8][9][10][11][12][13][14]. However, any improvements in daily activity levels and physical fitness that may be achieved in a rehabilitation setting are typically challenging to maintain in daily life [15][16][17].…”

Section: Introductionmentioning

confidence: 99%

Implementation of Remote Activity Sensing to Support a Rehabilitation Aftercare Program: Observational Mixed Methods Study With Patients and Health Care Professionals

Lu,

Signer,

Sylvester

et al. 2023

JMIR Mhealth Uhealth

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Background Physical activity is central to maintaining the quality of life for patients with complex chronic conditions and is thus at the core of neurorehabilitation. However, maintaining activity improvements in daily life is challenging. The novel Stay With It program aims to promote physical activity after neurorehabilitation by cultivating self-monitoring skills and habits. Objective We examined the implementation of the Stay With It program at the Valens Rehabilitation Centre in Switzerland using the normalization process theory framework, focusing on 3 research aims. We aimed to examine the challenges and facilitators of program implementation from the perspectives of patients and health care professionals. We aimed to evaluate the potential of activity sensors to support program implementation and patient acceptance. Finally, we aimed to evaluate patients’ engagement in physical activity after rehabilitation, patients’ self-reported achievement of home activity goals, and factors influencing physical activity. Methods Patients were enrolled if they had a disease that was either chronic or at risk for chronicity and participated in the Stay With It program. Patients were assessed at baseline, the end of rehabilitation, and a 3-month follow-up. The health care professionals designated to deliver the program were surveyed before and after program implementation. We used a mixed methods approach combining standardized questionnaires, activity-sensing data (patients only), and free-text questions. Results This study included 23 patients and 13 health care professionals. The diverse needs of patients and organizational hurdles were major challenges to program implementation. Patients’ intrinsic motivation and health care professionals’ commitment to refining the program emerged as key facilitators. Both groups recognized the value of activity sensors in supporting program implementation and sustainability. Although patients appreciated the sensor’s ability to monitor, motivate, and quantify activity, health care professionals saw the sensor as a motivational tool but expressed concerns about technical difficulties and potential inaccuracies. Physical activity levels after patients returned home varied considerably, both within and between individuals. The self-reported achievement of activity goals at home also varied, in part because of vague definitions. Common barriers to maintaining activity at home were declining health and fatigue often resulting from heat and pain. At the 3-month follow-up, 35% (8/23) of the patients withdrew from the study, with most citing deteriorating physical health as the reason and that monitoring and discussing their low activity would negatively affect their mental health. Conclusions Integrating aftercare programs like Stay With It into routine care is vital for maintaining physical activity postrehabilitation. Although activity trackers show promise in promoting motivation through monitoring, they may lead to frustration during health declines. Their acceptability may also be influenced by an individual’s health status, habits, and technical skills. Our study highlights the importance of considering health care professionals’ perspectives when integrating new interventions into routine care.

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Section: Introductionmentioning

confidence: 99%

Implementation of Remote Activity Sensing to Support a Rehabilitation Aftercare Program: Observational Mixed Methods Study With Patients and Health Care Professionals

Lu,

Signer,

Sylvester

et al. 2023

JMIR Mhealth Uhealth

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“…Key for successful engagement in physical activity for pwMS is self-efficacy [ 21 ]. A recent mixed methods study for yoga with pwMS found increased self-efficacy for physical activity, in turn increasing confidence in engagement with physical activity [ 22 ]. An improved sense of wellbeing prevailed within the interviews and having a sense of control over symptoms such as fatigue, which can be a barrier to engagement in physical activity [ 8 , 23 ].…”

Section: Discussionmentioning

confidence: 99%

Yoga and Multiple Sclerosis: Maintaining engagement in physical activity

et al. 2023

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Background Physical activity is encouraged for people with Multiple Sclerosis. Yoga is a popular form of physical activity and is chosen by some people with Multiple Sclerosis. However, little is known about the impact of yoga for this population, alongside what influences ongoing engagement. Aim The aim of this study is to qualitatively explore the impact of online home-based yoga on people with Multiple Sclerosis and to explore factors that influence engagement. Methods A qualitative study using semi-structured interviews and focus groups with people with Multiple Sclerosis and a yoga teacher. Thematic analysis was used to analyse the data. Ethical Approval was gained from Northumbria University. Findings Three overarching themes emerged from the analysis. ‘Yoga as engagement in physical activity’ captured the reasoning for participating in yoga and how this method of physical activity was an alternative to physical activity done prior to diagnosis. Frustration was apparent within this theme that some individuals were unable to engage in the range of physical activity that they wished to. ‘Yoga is a personalised approach’ demonstrated the flexibility and inclusivity of yoga, for individuals with varying symptoms to be able to engage with. Finally, ‘yoga impacts individuals both physically and psychologically’ captured the focus on the psychological impact of yoga, improving wellbeing and control. Conclusions Yoga gives people with Multiple Sclerosis the feeling of control over their symptoms and a means to engage with meaningful physical activity. Prior involvement in physical activity influenced engagement in yoga and wanting to push themselves. There was reluctance among this group to engage with aerobic activity, which warrants future investigation and support from health and exercise professionals.

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“…Although the current findings highlight that climate change-related stressors disrupt equanimity and influence behavior, data also revealed that elemental to individuals' definition of "regular yoga practice" was their capacity to modify techniques or change tools based on self-awareness 68 and current needs and opportunities. Psychological flexibility cultivated through practice experience can enhance selfefficacy, 78,79 attitudes, relationships, and peace of mind. 80 The data thus convey the importance of spaciousness and the potential limitations of blanket interventions or definitions that equate regular practice with asana (physical postures) rather than with varied yoga techniques explored daily.…”

Section: Constriction and Expansionmentioning

confidence: 99%

Coping and Adapting to Climate Change in Australia: Yoga Perspectives

David

Buchan

Nalau

2022

International Journal of Yoga Therapy

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Scientists caution against ignoring human-induced climate change and related health repercussions, with a growing body of literature highlighting the mental health effects of climate change and the importance of understanding coping and adaptation strategies. Less is known, however, about sustainable personal practices fortifying mental health in the context of climate change. The present study sought to investigate how long-term yoga practitioners (yoga therapists or yoga teachers) in Australia with a lived experience of climate change–related events are coping and adapting. The aim was to better understand participants’ reports of climate change–related experiences and how yoga influences their mental health and choices in the face of climate change. Eleven in-depth telephone interviews were conducted and analyzed using an interpretive phenomenological methodology. Participants reported that their ongoing relationship with yoga influences how they cope with climate change-related stressors and their being-in-the-world, and how concern for all life bolsters their responses to climate change. The results illustrate the part yoga may play in supporting long-term practitioners to prepare for, cope with, and respond to climate change events and impacts. Offering inclusive, interdisciplinary yoga therapy and community-based networks fostering ethical living and response flexibility may prove beneficial not only for the mental health and coping ability of participants, but for the planet.

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Medical Therapeutic Yoga for multiple sclerosis: examining self-efficacy for physical activity, motivation for physical activity, and quality of life outcomes

Cited by 10 publications

References 38 publications

Implementation of Remote Activity Sensing to Support a Rehabilitation Aftercare Program: Observational Mixed Methods Study With Patients and Health Care Professionals

Implementation of Remote Activity Sensing to Support a Rehabilitation Aftercare Program: Observational Mixed Methods Study With Patients and Health Care Professionals

Yoga and Multiple Sclerosis: Maintaining engagement in physical activity

Coping and Adapting to Climate Change in Australia: Yoga Perspectives

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