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Munroe D, Moore MA, Bonnet JP, Rastorguieva K, Mascaro JS, Craighead LW, Haack CI, Quave CL, Bergquist SH. Development of Culinary and Self-Care Programs in Diverse Settings: Theoretical Considerations and Available Evidence. Am J Lifestyle Med 2022; 16:672-683. [PMID: 36389039 PMCID: PMC9644137 DOI: 10.1177/15598276211031493] [Citation(s) in RCA: 5] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/25/2021] [Revised: 05/20/2021] [Accepted: 06/23/2021] [Indexed: 09/15/2024] Open
Abstract
Culinary-based self-care programs are innovative and increasingly utilized models for catalyzing behavior change and improving health and well-being. The content, duration, and delivery of existing programs vary considerably. Between January and August 2019, we developed a teaching kitchen and self-care curriculum, which was administered as part of a year-long worksite well-being program to employees at an academic healthcare system. The curriculum domains included culinary skills, nutrition, physical activity, yoga, stress management, mindful eating, and ethnobotany. An informal systematic literature search was performed to assemble and evaluate key principles and practices related to self-care domains, learning methodologies, and programmatic design considerations. Here, we provide a qualitative summary of the evidence-informed development of the curriculum intervention.
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Affiliation(s)
- Dominique Munroe
- American University of Integrated
Sciences, St. Michael, Barbado (DM); Department of Family and Preventive
Medicine; Emory University, Atlanta, GA, USA (MAM, JPB, JSM); Emory Healthcare, Atlanta, GA, USA (KR); Department of Psychology (LWC); Department of
Surgery, Emory University, Atlanta, GA, USA (CIH); Department of Dermatology, Emory University (CLQ); and Department of Medicine, Emory University, Atlanta, GA, USA (SHB)
| | - Miranda A. Moore
- American University of Integrated
Sciences, St. Michael, Barbado (DM); Department of Family and Preventive
Medicine; Emory University, Atlanta, GA, USA (MAM, JPB, JSM); Emory Healthcare, Atlanta, GA, USA (KR); Department of Psychology (LWC); Department of
Surgery, Emory University, Atlanta, GA, USA (CIH); Department of Dermatology, Emory University (CLQ); and Department of Medicine, Emory University, Atlanta, GA, USA (SHB)
| | - Jonathan P. Bonnet
- American University of Integrated
Sciences, St. Michael, Barbado (DM); Department of Family and Preventive
Medicine; Emory University, Atlanta, GA, USA (MAM, JPB, JSM); Emory Healthcare, Atlanta, GA, USA (KR); Department of Psychology (LWC); Department of
Surgery, Emory University, Atlanta, GA, USA (CIH); Department of Dermatology, Emory University (CLQ); and Department of Medicine, Emory University, Atlanta, GA, USA (SHB)
| | - Krystyna Rastorguieva
- American University of Integrated
Sciences, St. Michael, Barbado (DM); Department of Family and Preventive
Medicine; Emory University, Atlanta, GA, USA (MAM, JPB, JSM); Emory Healthcare, Atlanta, GA, USA (KR); Department of Psychology (LWC); Department of
Surgery, Emory University, Atlanta, GA, USA (CIH); Department of Dermatology, Emory University (CLQ); and Department of Medicine, Emory University, Atlanta, GA, USA (SHB)
| | - Jennifer S. Mascaro
- American University of Integrated
Sciences, St. Michael, Barbado (DM); Department of Family and Preventive
Medicine; Emory University, Atlanta, GA, USA (MAM, JPB, JSM); Emory Healthcare, Atlanta, GA, USA (KR); Department of Psychology (LWC); Department of
Surgery, Emory University, Atlanta, GA, USA (CIH); Department of Dermatology, Emory University (CLQ); and Department of Medicine, Emory University, Atlanta, GA, USA (SHB)
| | - Linda W. Craighead
- American University of Integrated
Sciences, St. Michael, Barbado (DM); Department of Family and Preventive
Medicine; Emory University, Atlanta, GA, USA (MAM, JPB, JSM); Emory Healthcare, Atlanta, GA, USA (KR); Department of Psychology (LWC); Department of
Surgery, Emory University, Atlanta, GA, USA (CIH); Department of Dermatology, Emory University (CLQ); and Department of Medicine, Emory University, Atlanta, GA, USA (SHB)
| | - Carla I. Haack
- American University of Integrated
Sciences, St. Michael, Barbado (DM); Department of Family and Preventive
Medicine; Emory University, Atlanta, GA, USA (MAM, JPB, JSM); Emory Healthcare, Atlanta, GA, USA (KR); Department of Psychology (LWC); Department of
Surgery, Emory University, Atlanta, GA, USA (CIH); Department of Dermatology, Emory University (CLQ); and Department of Medicine, Emory University, Atlanta, GA, USA (SHB)
| | - Cassandra L. Quave
- American University of Integrated
Sciences, St. Michael, Barbado (DM); Department of Family and Preventive
Medicine; Emory University, Atlanta, GA, USA (MAM, JPB, JSM); Emory Healthcare, Atlanta, GA, USA (KR); Department of Psychology (LWC); Department of
Surgery, Emory University, Atlanta, GA, USA (CIH); Department of Dermatology, Emory University (CLQ); and Department of Medicine, Emory University, Atlanta, GA, USA (SHB)
| | - Sharon H. Bergquist
- American University of Integrated
Sciences, St. Michael, Barbado (DM); Department of Family and Preventive
Medicine; Emory University, Atlanta, GA, USA (MAM, JPB, JSM); Emory Healthcare, Atlanta, GA, USA (KR); Department of Psychology (LWC); Department of
Surgery, Emory University, Atlanta, GA, USA (CIH); Department of Dermatology, Emory University (CLQ); and Department of Medicine, Emory University, Atlanta, GA, USA (SHB)
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Moonaz S, Nault D, Cramer H, Ward L. CLARIFY 2021: explanation and elaboration of the Delphi-based guidelines for the reporting of yoga research. BMJ Open 2021; 11:e045812. [PMID: 34353794 PMCID: PMC8344321 DOI: 10.1136/bmjopen-2020-045812] [Citation(s) in RCA: 23] [Impact Index Per Article: 7.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/14/2020] [Accepted: 07/07/2021] [Indexed: 12/01/2022] Open
Abstract
BACKGROUND Reporting of yoga research often lacks the detail required for clinical application, study replication, summary research and comparative effectiveness studies. METHODS To improve the transparency of reporting yoga interventions, and building on the development of previous reporting guidelines, a group of international yoga research stakeholders developed the consensus-based CheckList stAndardising the Reporting of Interventions For Yoga (CLARIFY) guidelines. RESULTS The 21-item CLARIFY checklist outlines the minimum details considered necessary for high-quality reporting of yoga research. This paper provides a detailed explanation of each of the 21 items of the CLARIFY checklist, together with model examples of how to integrate each item into publications of yoga research. The CLARIFY guideline serves as an extension for existing research reporting guidelines, and is flexible for use across all study designs. CONCLUSION We strongly encourage the uptake of these reporting guidelines by researchers and journals, to facilitate improvements in the transparency and utility of yoga research.
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Affiliation(s)
- Steffany Moonaz
- Department of Integrative Health Research, Maryland University of Integrative Health, Laurel, Maryland, USA
| | - Daryl Nault
- Department of Integrative Health Research, Maryland University of Integrative Health, Laurel, Maryland, USA
| | - Holger Cramer
- Department of Internal and Integrative Medicine, Evang, Kliniken Essen-Mitte, Faculty of Medicine, University of Duisburg-Essen, Essen, Germany
| | - Lesley Ward
- Department of Sport, Exercise & Rehabilitation, Northumbria University, Newcastle Upon Tyne, Northumberland, UK
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Loewenthal J, Dyer NL, Lipsyc-Sharf M, Borden S, Mehta DH, Dusek JA, Khalsa SBS. Evaluation of a Yoga-Based Mind-Body Intervention for Resident Physicians: A Randomized Clinical Trial. Glob Adv Health Med 2021; 10:21649561211001038. [PMID: 33786209 PMCID: PMC7961714 DOI: 10.1177/21649561211001038] [Citation(s) in RCA: 6] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/03/2021] [Revised: 02/03/2021] [Accepted: 02/18/2021] [Indexed: 11/30/2022] Open
Abstract
Background and Objective Mind-body interventions (MBIs) have been shown to be effective individual-level interventions for mitigating physician burnout, but there are no controlled studies of yoga-based MBIs in resident physicians. We assessed the feasibility of a yoga-based MBI called RISE (resilience, integration, self-awareness, engagement) for residents among multiple specialties and academic medical centers. Methods We conducted a waitlist controlled randomized clinical trial of the RISE program with residents from multiple specialty departments at three academic medical centers. The RISE program consisted of six weekly sessions with suggested home practice. Feasibility was assessed across six domains: demand, implementation, practicality, acceptability, adaptation, and integration. Self-reported measures of psychological health were collected at baseline, post-program, and two-month follow-up. Results Among 2,000 residents contacted, 75 were assessed for eligibility and 56 were enrolled. Forty-four participants completed the study and were included in analysis. On average, participants attended two of six sessions. Feasibility of in-person attendance was rated as 28.9 (SD 25.6) on a 100-point visual analogue scale. Participants rated feasibility as 69.2 (SD 26.0) if the program was offered virtually. Those who received RISE reported improvements in mindfulness, stress, burnout, and physician well-being from baseline to post-program, which were sustained at two-month follow-up. Conclusion This is the first controlled study of a yoga-based MBI in residents. While the program was not feasible as delivered in this pilot study, initial analyses showed improvement in multiple measures of psychological health. Residents reported that virtual delivery would increase feasibility.
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Affiliation(s)
- Julia Loewenthal
- Department of Medicine, Brigham and Women's Hospital, Boston, Massachusetts.,Harvard Medical School, Boston, Massachusetts
| | - Natalie L Dyer
- Department of Research, Kripalu Center for Yoga & Health, Stockbridge, Massachusetts
| | - Marla Lipsyc-Sharf
- Department of Medicine, Brigham and Women's Hospital, Boston, Massachusetts.,Harvard Medical School, Boston, Massachusetts
| | - Sara Borden
- Department of Research, Kripalu Center for Yoga & Health, Stockbridge, Massachusetts
| | - Darshan H Mehta
- Harvard Medical School, Boston, Massachusetts.,Benson-Henry Institute for Mind-Body Medicine, Department of Medicine, Massachusetts General Hospital, Boston, Massachusetts.,Osher Center for Integrative Medicine, Brigham and Women's Hospital, Boston, Massachusetts
| | - Jeffery A Dusek
- Department of Research, Kripalu Center for Yoga & Health, Stockbridge, Massachusetts
| | - Sat Bir S Khalsa
- Department of Medicine, Brigham and Women's Hospital, Boston, Massachusetts.,Harvard Medical School, Boston, Massachusetts
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Dyer NL, Borden S, Dusek JA, Khalsa SBS. A Pragmatic Controlled Trial of a Brief Yoga and Mindfulness-Based Program for Psychological and Occupational Health in Education Professionals. Complement Ther Med 2020; 52:102470. [PMID: 32951720 DOI: 10.1016/j.ctim.2020.102470] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/17/2020] [Revised: 06/02/2020] [Accepted: 06/03/2020] [Indexed: 12/15/2022] Open
Abstract
OBJECTIVES To examine changes in psychological and occupational wellbeing in education professionals that attended a brief yoga and mindfulness-based program. DESIGN Pragmatic controlled trial comparing education professionals that attended a yoga mindfulness-based program (n = 9) to a waitlist control group (n = 22). SETTING The 3-day program was delivered at the Kripalu Center for Yoga & Health in Massachusetts. INTERVENTION The 3-day yoga mindfulness program included 5 hours per day of yoga, mindfulness exercises, formal meditation, didactic, and experiential activities. MAIN OUTCOME MEASURES Measures of psychological and occupational wellbeing were completed before (baseline), immediately after (post-program), and two months after the program (follow-up). RESULTS Relative to controls (n = 21), the RISE group (n = 9) showed significant improvements in positive affect (p = .033), negative affect (p = .044), mindfulness (p = .001), empowerment (p = .022), self-compassion (p = .001), and work engagement from baseline to post-program. From baseline to follow-up, the RISE group showed significant improvements in stress (p = .008), negative affect (p = .013), mindfulness (p = .001), empowerment (p = .007), and self-compassion (p = .001) compared to the control group. CONCLUSIONS The yoga mindfulness program was associated with improvements in educators' psychological and occupational wellbeing immediately following and 2-months following the program. Future research with a larger sample size is needed to confirm these results.
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Affiliation(s)
- Natalie L Dyer
- Kripalu Center for Yoga & Health, 57 Interlaken Rd, Stockbridge, MA, 01262, USA.
| | - Sara Borden
- Kripalu Center for Yoga & Health, 57 Interlaken Rd, Stockbridge, MA, 01262, USA
| | - Jeffery A Dusek
- Kripalu Center for Yoga & Health, 57 Interlaken Rd, Stockbridge, MA, 01262, USA
| | - Sat Bir S Khalsa
- Department of Medicine, Brigham and Women's Hospital, Harvard Medical School, 75 Francis St, Boston, MA, 02115, USA
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