A qualitative approach exploring the acceptability of yoga for minorities living with arthritis: 'Where are the people who look like me?'

Kimberly R Middleton, Miriam Magaña López, Steffany Haaz Moonaz, Gladys Tataw-Ayuketah, Michael M Ward, Gwenyth R Wallen, Kimberly R Middleton, Miriam Magaña López, Steffany Haaz Moonaz, Gladys Tataw-Ayuketah, Michael M Ward, Gwenyth R Wallen

Abstract

Objectives: To examine the acceptability of yoga research tailored to recruit and retain a minority population (both English and Spanish speaking) with arthritis. Yoga research for arthritis often underrepresents minorities and acceptability for this population has not previously been investigated.

Design: Acceptability was evaluated using retention, adherence, journals, and semi-structured exit interviews from twelve participants with osteoarthritis or rheumatoid arthritis undergoing an 8-week yoga intervention. Journal quotes were analyzed using content analysis techniques. NVivo software was used to organize transcripts and assemble themes. Two methods of triangulation (data and investigator) were used to overcome potential bias from a single-perspective interpretation. Exit interview comments were content analyzed using a card sort method. The study was designed with a cultural infrastructure including a multicultural research team, translators, and bilingual materials and classes, to facilitate trust and acceptability for primarily Hispanic and Black/African-American adults.

Setting: Washington, D.C. metropolitan area, USA.

Results: On average participants attended 10 of 16 classes, with home practice 2-3days a week. All who completed were still practicing yoga three-months later. Qualitative narrative analysis identified major themes related to facilitating factors and barriers for yoga practice, self-efficacy, and support. Participant comments indicated that offering an arthritis-based yoga intervention and using a culturally congruent research design was found to be acceptable.

Conclusions: As yoga research grows, there is a need to understand and promote acceptability for typically under-represented populations. This study attempts to inform the expansion of multicultural research designed to recruit and retain those from diverse backgrounds.

Keywords: Bilingual; Journals; Minority; Narratives; Osteoarthritis; Qualitative; Rheumatoid arthritis; Yoga.

Conflict of interest statement

Declaration of conflicting interests

Steffany Haaz Moonaz reports consulting fees from NIH during the conduct of the study and provides arthritis-related continuing education for yoga professionals. All remaining authors declare that there is no conflict of interest.

Published by Elsevier Ltd.

Figures

Fig. 1
Fig. 1
Sample Journal Instructions.
Fig. 2
Fig. 2
Matrix of Themes by Source of Data Collection.
Fig. 3
Fig. 3
Journal Themes and Subthemes Related to Acceptability.

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