Problem. Type 2 diabetes mellitus has become a worldwide epidemic largely due to lifestyle-related factors. Lifestyle changes are an important part of effective diabetes self-management. Clinical studies suggest yoga practice may promote more effective diabetes self-management. However, little is known about how and why people with type 2 diabetes choose to practice yoga. Yoga instructors' understandings of diabetes and beliefs about the therapeutic benefits of practicing yoga have also not been explored.
Purpose. To explore the relation of diabetes self-management and yoga practice from the perspective of adults living with type 2 diabetes. The study aims were to: (a) describe the experience and perceived therapeutic effect of practicing yoga on diabetes self-management, (b) identify perceived facilitators and barriers to regular yoga practice in the context of diabetes self-management, and (c) explore yoga instructors' understanding of diabetes and beliefs about the therapeutic benefits of practicing yoga.
Design. Qualitative descriptive study using ethnographic methods.
Methods. Interviews were conducted using a semi-structured interview guide, then audio-taped and transcribed verbatim. Transcripts were analyzed using qualitative content analysis.
Results. Twenty-six adult yoga students with type 2 diabetes and ten yoga instructors were recruited and enrolled. Students perceived improvement in the following outcomes: physical fitness, physical and mental relaxation, stress tolerance, self-awareness, coping skills, social support, and sense of well-being. Factors that effected yoga practice were cost, convenience, time, responsibilities, health status, and instructor's attitude. Instructors integrated concepts from biomedicine and yoga philosophy to understand diabetes. Instructors believed that yoga promoted physical and mental balance, an attitude of nonjudgmental self-awareness, increased self-efficacy and better health-related choices.
Conclusion. These findings support the perceived benefit of yoga as a complementary therapy in diabetes self-management. Further study of the effects of self-awareness on health behavior change and the mechanisms by which yoga promotes diabetes self-management is warranted.
|School:||University of Washington|
|School Location:||United States -- Washington|
|Source:||DAI-B 70/08, Dissertation Abstracts International|
|Keywords:||Diabetes, Perceived benefits, Qualitative, Self-management, Yoga|
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