Strength and awareness in action: Feasibility of a yoga-based intervention for post-acute mild TBI headaches among veterans.
Strength and awareness in action: Feasibility of a yoga-based intervention for post-acute mild TBI headaches among veterans.
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DOI：
10.1016/j.conctc.2021.100762
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发表时间：
2021-06
影响因子：
1.5
通讯作者：
Brenner LA
中科院分区：
文献类型：
--
作者：
Betthauser LM;Forster JE;Bortz A;Penzenik M;Hernández TD;Bahraini N;Brenner LA
轻度创伤性脑损伤（mTBI）是退伍军人在最近的冲突中遭受的标志性损伤。对于一些人来说，mTBI/脑震荡与致残症状有关，包括脑震荡后头痛（PCH）。然而，持续性PCH的循证治疗方法有限。研究人员评估了在退伍军人中进行基于瑜伽的PCH干预试验的设计要素的可行性以及干预的可接受性。本随机对照可接受性和可行性试验采用等待列表对照设计。感兴趣的设计元素包括：运动运行类;招聘和保留策略;和，生态瞬时评估（EMA）模式，以跟踪头痛和瑜伽练习。还评估了退伍军人对干预的满意度。对候选结果进行描述性分析，包括PCH、脑震荡后症状、疼痛和日常功能。27名参与者（研究访视1后70名知情同意且合格的参与者）完成了每个评价时间点，并定期参加瑜伽课程，其中89%的退伍军人报告在研究完成时对干预措施的满意度为中度至高度。定性，参与者赞同头痛，慢性疼痛和情绪的改善。可行性结果好坏参半。不符合瑜伽参与的初始可行性标准;然而，修改，例如扩展到额外的诊所地点和减少面对面瑜伽课程，增加鼓励使用研究创建的在线瑜伽视频，改善了研究设计的可行性。参与者最常使用移动的和基于网络的EMA模式来跟踪瑜伽练习。尽管注意到研究设计元素的可行性存在挑战，但结果表明，对于患有持续性PCH的退伍军人，基于瑜伽的干预是可接受的。关于瑜伽传递的频率和方式的额外探索（例如，面对面，远程保健）是必要的。退伍军人发现基于瑜伽的干预是可以接受的，然而，探索新的干预方式可能是必要的，以提高在未来试验中实施干预的可行性。
Mild traumatic brain injury (mTBI) is a signature injury sustained by Veterans during recent conflicts. For some, mTBI/concussion is associated with disabling symptoms, including post-concussive headaches (PCH). However, there are limited evidence-based treatments for persistent PCH. Investigators assessed the feasibility of design elements of a yoga-based interventional trial for PCH among Veterans, as well as the acceptability of the intervention. This randomized controlled acceptability and feasibility trial was implemented using a waitlist-control design. Design elements of interest included: an exercise run-in class; recruitment and retention strategies; and, ecological momentary assessment (EMA) modalities to track headaches and yoga practice. Veteran satisfaction regarding the intervention was also evaluated. A descriptive analysis was conducted on candidate outcomes including PCH, post-concussive symptoms, pain, and daily functioning. Twenty-seven participants (out of 70 consented and eligible after Study Visit 1) completed each evaluation timepoint and regularly attended yoga sessions, with 89% of these Veterans reporting moderate to high levels of satisfaction with the intervention at study completion. Qualitatively, participants endorsed improvements in headaches, chronic pain, and mood. Feasibility results were mixed. Initial feasibility criterion regarding yoga attendance was not met; however, modifications, such as expansion to an additional clinic site and reduction of in-person yoga sessions with increased encouragement to use study-created online yoga videos improved feasibility of the study design. Participants most frequently used mobile and web-based EMA modalities to track yoga practice. Although challenges with feasibility of the study design elements were noted, results suggested acceptability of the yoga-based intervention for Veterans with persistent PCH. Additional exploration regarding the frequency and modality of yoga delivery (e.g., in-person, telehealth) is warranted. Veterans found the yoga-based intervention acceptable, however exploration of novel modalities of intervention delivery will likely be necessary to enhance the feasibility of intervention implementation during future trials.
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DOI：
10.1155/2013/658030
发表时间：
2013
期刊：
Evidence-based complementary and alternative medicine : eCAM
影响因子：
--
作者：
Saper RB;Boah AR;Keosaian J;Cerrada C;Weinberg J;Sherman KJ
通讯作者：
Sherman KJ
影响因子：
2.4
作者：
Corrigan, John D.;Bogner, Jennifer
通讯作者：
Bogner, Jennifer
影响因子：
3.5
作者：
Kosinski, M;Bayliss, MS;Tepper, S
通讯作者：
Tepper, S
影响因子：
4.7
作者：
Miller, Christopher J.;McInnes, D. Keith;Bauer, Mark S.
通讯作者：
Bauer, Mark S.
影响因子：
7.4
作者：
Proudfoot J;Parker G;Hadzi Pavlovic D;Manicavasagar V;Adler E;Whitton A
通讯作者：
Whitton A