Kimberly R Middleton1, Steffany Haaz Moonaz2, Sarfaraz A Hasni3, Miriam Magaña López4, Gladys Tataw-Ayuketah5, Nicole Farmer6, Gwenyth R Wallen7. 1. National Institutes of Health (NIH), Clinical Center, Nursing Research and Translational Science, 10 Center Drive, Room 2B-01, Bethesda, MD 20892, United States. Electronic address: middletonk@cc.nih.gov. 2. Maryland University of lntegrative Health, Laurel, MD 20723 United States. Electronic address: smoonaz@muih.edu. 3. National Institute of Arthritis and Musculoskeletal and Skin, Disease (NIAMS), Bethesda, MD 20892, United States. Electronic address: hasnisa@mail.nih.gov. 4. UC Berkeley School of Public Health, Berkeley, CA 94720, United States. Electronic address: miriam_magana@berkeley.edu. 5. NIH Clinical Center Nursing Department, United States. Electronic address: Tatawayuketahg@mail.nih.gov. 6. National Institutes of Health (NIH), Clinical Center, Nursing Research and Translational Science, 10 Center Drive, Room 2B-01, Bethesda, MD 20892, United States. Electronic address: nicole.farmer@nih.gov. 7. National Institutes of Health (NIH), Clinical Center, Nursing Research and Translational Science, 10 Center Drive, Room 2B-01, Bethesda, MD 20892, United States. Electronic address: gwallen@cc.nih.gov.
Abstract
Systemic lupus erythematosus (SLE) is an autoimmune disease associated with widespread inflammation and tissue damage. It is more common and severe among Blacks, Hispanics, and Asians; with higher incidence in women. While the goals of medical treatment are to prevent flares and reduce organ damage, up to 50% of patients perceive their health to be suboptimal with unaddressed needs including fatigue and pain. Recent SLE treatment guidelines focus on improving quality of life. Yoga has shown improvements in quality-of-life and fatigue in various diagnoses. While there is growing evidence that yoga therapy may help osteoarthritis and rheumatoid arthritis symptoms, there is only one reference in the literature related to SLE. METHODS/ SETTING: An adjunct study was undertaken to evaluate adapting the Yoga as Self Care for Arthritis in Minority Communities study for a bilingual population living with SLE in the Washington, DC area. Informants included 7 patients enrolled onto the study, and 3 yoga instructors living with SLE. Qualitative methods included journals and semi-structured interviews. RESULTS: Enrolling patients clarified revisions for intake questionnaires, and symptoms that may impact class participation. Participants demonstrated increased balance, body awareness, and tolerated a faster-paced yoga class when compared to those in the parent study. Yoga instructors' recommendations included modifying yoga based on energy levels and frequent changes in physical ability. CONCLUSION: This paper shares perspectives from various informants and affirms the feasibility of progressing to a larger study. It summarizes our findings and recommendations towards creating a randomized controlled trial, as there are currently none in the literature.
Systemic lupus erythematosus (SLE) is an autoimmune disease associated with widespread inflammation and tissue damage. It is more common and severe among Blacks, Hispanics, and Asians; with higher incidence in women. While the goals of medical treatment are to prevent flares and reduce organ damage, up to 50% of patients perceive their health to be suboptimal with unaddressed needs including fatigue and pain. Recent SLE treatment guidelines focus on improving quality of life. Yoga has shown improvements in quality-of-life and fatigue in various diagnoses. While there is growing evidence that yoga therapy may help osteoarthritis and rheumatoid arthritis symptoms, there is only one reference in the literature related to SLE. METHODS/ SETTING: An adjunct study was undertaken to evaluate adapting the Yoga as Self Care for Arthritis in Minority Communities study for a bilingual population living with SLE in the Washington, DC area. Informants included 7 patients enrolled onto the study, and 3 yoga instructors living with SLE. Qualitative methods included journals and semi-structured interviews. RESULTS: Enrolling patients clarified revisions for intake questionnaires, and symptoms that may impact class participation. Participants demonstrated increased balance, body awareness, and tolerated a faster-paced yoga class when compared to those in the parent study. Yoga instructors' recommendations included modifying yoga based on energy levels and frequent changes in physical ability. CONCLUSION: This paper shares perspectives from various informants and affirms the feasibility of progressing to a larger study. It summarizes our findings and recommendations towards creating a randomized controlled trial, as there are currently none in the literature.
Authors: Kerstin Khattab; Ahmed A Khattab; Jasmin Ortak; Gert Richardt; Hendrik Bonnemeier Journal: Evid Based Complement Alternat Med Date: 2007-12 Impact factor: 2.629