为被确诊患有癌症的拉美裔超重或肥胖妇女制定并实施一项符合文化背景的西班牙语瑜伽计划:单臂试点研究。

Global advances in integrative medicine and health Pub Date : 2024-03-29 eCollection Date: 2024-01-01 DOI:10.1177/27536130241245432
David Victorson, Judy Guitleman, Carly Maletich, Bruriah Horowitz, Christina Sauer, Cailin Arechiga, Diana Parra
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引用次数: 0

摘要

背景:鉴于针对健康不平等人群的瑜伽研究有限,我们为患有癌症的超重或肥胖症的拉美女性开发并评估了一项为期 12 周的西班牙语瑜伽计划。该计划旨在通过文化定制的瑜伽练习以及社会联系和支持的机会,增强参与者的能力:该计划与一个社区组织合作,由双语(英语和西班牙语)瑜伽导师、拉美癌症幸存者支持专业人士和综合医学研究人员共同创建。单臂干预包括 12 节独立的 60 分钟哈达瑜伽课程,包括体位法、呼吸练习、文化相关诗歌以及练习后的社交机会。分别在基线、12 周和 24 周进行了测量:结果:35 名符合条件的参与者参加了该计划,显示出较高的可行性和相关性,以及参与家庭练习的较高水平。一些参与者面临定期在家练习的障碍,包括家庭责任和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,抑郁、焦虑和血压在 24 周后持续改善。在疲劳、身体机能、积极情绪、对社会角色和活动的满意度以及体重方面没有观察到明显变化。练习后与瑜伽教练一起吃社交点心的结构化时间(与与同伴一起吃非结构化时间相比)与自我报告的社交角色和活动满意度改善及体重减轻有关:这项瑜伽计划成功地吸引了患有超重和肥胖症的拉美裔女性癌症幸存者,是通过文化定制的瑜伽练习增强这一人群改善健康和福祉的基础步骤。未来的研究应采用对照研究设计,并让来自不同地区的参与者参与进来,以研究研究结果的有效性和可持续性。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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.

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.

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