Promoting engagement, assessing barriers, and evaluating self-efficacy in yoga research among women from underrepresented racial and ethnic backgrounds

项目总结 瑜伽是一种补充的身心练习，用于预防和管理一系列日益增长的健康状况 会影响到女性。然而，少数族裔女性对瑜伽的使用仍然不足 尽管这些群体需要有效和安全的补充行为健康干预措施。少数族裔 在涉及瑜伽的临床研究中，女性的代表性也严重不足，因此限制了对 为这些背景的女性克服瑜伽教学挑战的策略。这 行政补充旨在促进参与度、评估障碍和评估自我效能 在参加一项随机对照试验的未充分代表的种族和少数民族妇女中 以团体为基础的瑜伽干预对尿失禁女性的干预包括面对面和 基于视频会议的瑜伽教学浪潮。我们会动用追加拨款，加强招聘 通过有针对性地向加利福尼亚州北部地区的社区宣传，代表人数不足的少数族裔妇女 拉丁裔和非裔美国人的居民密度更高。对于即将到来的研究浪潮，涉及 基于视频会议的瑜伽教学，我们将借出设备，提供指导，并增强 向以前在数字技术方面经验有限的少数群体妇女提供视频会议支持。我们还将 进行新的分析以探索参与者在练习中的期望、参与度和自我效能感 瑜伽因种族/民族、教育程度、身体机能状态和以前使用数码产品的经验而不同 技术，使用纳入母公司临床试验的结构化措施。我们还将深入开展 对多个种族/民族背景的试验参与者进行了定性采访，以 探索他们学习和练习瑜伽的障碍和促进者。最后，我们将进行三角测量 来自定性和定量数据的发现，以探索参与差异的潜在中介因素， 不同背景的女性在瑜伽练习中的坚持性和自我效能感。这项研究将 对影响代表人数不足的种族/少数民族妇女参与度的因素提供新的见解 对瑜伽的研究，并帮助指导未来的战略，以发展、完善和实施补充思维- 为不同背景的妇女提供身体干预。

PROJECT SUMMARY Yoga is a complementary mind-body practice used to prevent and manage a growing array of health conditions that affect women. However, yoga continues to be underutilized by women from racial and ethnic minority groups despite their need for effective and safe complementary behavioral health interventions. Minority women are also dramatically underrepresented in clinical research involving yoga, thus limiting insight into strategies for overcoming challenges to yoga instruction for women from these backgrounds. This administrative supplement is designed to promote engagement, assess barriers, and evaluate self-efficacy among under-represented racial and ethnic minority women participating in a randomized controlled trial of a group-based yoga intervention for women with urinary incontinence that has involved both in-person and videoconference-based waves of yoga instruction. We will use supplemental funds to enhance recruitment of underrepresented minority women through targeted outreach to communities in the northern California area with a higher density of Latina and African-American residents. For upcoming study waves involving videoconference-based yoga instruction, we will loan equipment, provide coaching, and enhance videoconference support to minority women with limited prior experience with digital technology. We will also conduct new analyses to explore whether participant expectations, engagement, and self-efficacy in practicing yoga differ by race/ethnicity, educational attainment, physical function status, and prior experience with digital technology, using structured measures incorporated into the parent clinical trial. We will also conduct in-depth qualitative interviews with a subset of trial participants sampled across multiple racial/ethnic backgrounds to explore barriers and facilitators of their experience of learning and practicing yoga. Finally, we will triangulate findings from qualitative and quantitative data to explore potential mediators of differences in engagement, adherence, and self-efficacy in yoga practice among women from diverse backgrounds. This research will provide new insight into factors influencing engagement of underrepresented racial/ethnic minority women in research on yoga and help guide future strategies to develop, refine, and implement complementary mind- body interventions for women of diverse backgrounds.