"We're all in this together": A qualitative study of predominantly low income minority participants in a yoga trial for chronic low back pain

"We're all in this together": A qualitative study of predominantly low income minority participants in a yoga trial for chronic low back pain
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DOI:
10.1016/j.ctim.2015.11.007
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发表时间:
2016-02-01
影响因子:
3.6
通讯作者:
Saper, Robert B.
Saper, Robert B.
中科院分区:
医学3区
文献类型:
--
作者:
Keosaian, Julia E.;Lemaster, Chelsey M.;Saper, Robert B.

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目的:探讨低收入少数民族成年人参加瑜伽给药试验治疗慢性腰痛的经验。设计:对19名参与者进行了单独的半结构化访谈,这些参与者来自一项随机瑜伽剂量试验,主要针对患有慢性腰痛的低收入少数族裔成年人。访谈讨论了瑜伽对腰痛和情绪的影响;干预措施的其他可感知的优点或缺点;以及练习瑜伽的促进者和障碍。采访录音和转录,用ATLAS编码。采用归纳和演绎的主题分析方法进行分析。地点:美国马萨诸塞州波士顿市波士顿医疗中心。结果:参与者将瑜伽视为一种缓解疼痛的方法,并将其归因于改善情绪、更强的压力管理能力和增强的放松。总的来说,参与者感到有能力自我管理他们的痛苦。有些人发现瑜伽有助于注意自己的情绪,接受自己的痛苦。对瑜伽教练的信任是促进瑜伽课出勤率的一个普遍因素。缺乏时间、动力;据报道,对受伤的恐惧是瑜伽练习的障碍。结论:瑜伽是一种治疗腰痛的多维疗法,对低收入少数人群的健康有潜在的积极影响。(C) 2015 Elsevier Ltd.版权所有。
Objective: To explore the experiences of low-income minority adults taking part in a yoga dosing trial for chronic low back pain.Design: Individual semi-structured interviews were conducted with nineteen participants recruited from a randomized yoga dosing trial for predominantly low-income minority adults with chronic low back pain. Interviews discussed the impact of yoga on low back pain and emotions; other perceived advantages or disadvantages of the intervention; and facilitators and barriers to practicing yoga. Interviews were audio taped and transcribed, coded using ATLAS.ti software, and analyzed with inductive and deductive thematic analysis methods. Setting: Boston Medical Center, Boston, MA, USA.Results: Participants viewed yoga as a means of pain relief and attributed improved mood, greater ability to manage stress, and enhanced relaxation to yoga. Overall, participants felt empowered to self-manage their pain. Some found yoga to be helpful in being mindful of their emotions and accepting of their pain. Trust in the yoga instructors was a commonly cited facilitator for yoga class attendance. Lack of time, motivation; and fear of injury were reported barriers to yoga practice.Conclusions: Yoga is a multidimensional treatment for low back pain that has the potential to favorably impact health in a predominantly low-income minority population. (C) 2015 Elsevier Ltd. All rights reserved.