BEE Mindful of this practice

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2 BEE Mindful of this practice

3 Contributing researchers: Chelsey Blake, Stephanie Hornston, Abby Johnson, Tatum Shilling, and Jessica Veith

4 The purpose of this study is to investigate about the impact of yoga on quality of life, pain, and sedentary behavior in the workplace.

5 Will a yoga intervention impact activity patterns, specifically, the number of hours sitting during the workday? How does a yoga intervention impact pain and quality of life in adults with sedentary behaviors during the workday?

6 Sedentary Behavior Those who sit a majority of the work day have increased musculoskeletal injuries and pain (Cheema et al., 2013). Individuals with sedentary occupations have an increased risk of morbidity and mortality (Mackey, 2013).

7 Mindfulness Helped individuals become more flexible with problem solving skills, more focused, and better able to cope with difficult situations (Thompson, 2009). Quality of Life Individuals who attended yoga for six months on a regular basis had significantly increased general vitality (Strijk, Proper, van Mechelen, & van der Beek, 2013).

8 Mixed methods study Recruitment Staff and faculty from a small Midwestern university Initial Screen Informed Consent

9 Measurement instruments Visual analog pain scale Activity log Life Balance Inventory (LBI) Qualitative questionnaire Yoga intervention 6 weeks 2 times a week 1 hour classes

10 51 participants 45 females 6 males Ages: Average attendance: 8 classes

11 Differences in median scores for: Pain Sitting Percentage Life Balance Stress Calculated using Wilcoxon signed-rank test on Statistical Package for Social Sciences (SPSS)

12 10 9 Pain p= Sitting % p= Before After Before After Significant at p<0.05

13 Total LBI Stress p= p= Before After Before After Significant at p<0.05

14 Spearman s Correlation Greater attendance - decreased stress Greater attendance - decreased pain p=0.044 p=0.057 Note. Significant at p<0.05

15 Themes Mind Body Behavior Categories Focus Positivity Stress Flexibility Strength Energy Pain Sleep Self-care Awareness (self & surroundings)

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17 Summer intervention Not reflective of typical day during school year Moving naturally due to weather Self-report bias Study located at researchers university Yoga instructors were primary researchers

18 Participants became more mindful of posture/discomfort during workday Yoga may be used as an intervention to: Increase quality of life Decrease stress Increase life balance Decrease pain Decrease sedentary behaviors

19 Integrate yoga and mindfulness into practice Breath to guide movement Integration into home exercise program Occupational therapists can impact society s diminishing health through yoga Yoga as preventative exercise Specialized knowledge of holistic healthcare Reduce utilization of healthcare resources Positive impact on daily occupational patterns and choices

20 SUN SALUTATION PARTNER tree and hug-asana

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22 Statistics Before we move on...how do you feel about yoga and how will your clients feel about yoga? How do we approach this intervention in a way that will be accessible? ALL people barriers to participation = gender, flexibility and fitness, age, relationship to spirituality (Harvard Medical Blog 2016) AND financial barriers> Why yoga? Why not yoga? Statistics you are not going to hell! Methodology VS. Theology

23 Workforce Survey (2010) Long term care Hospitals Schools RESOURCES

24 Primary and Prevention Services Community-based Wellness Programs Lifestyle Medicine Clinics Worksite Wellness Initiatives OT as coach: Role for NOW! Empowerment practice! Resources: Bucher, A. & O Day, R. (2014). The Triple Aims missing link: Meaningful engagement for patients with chronic conditions. Managed Care Outlook, (27)15: 1-5. Spence, G., B. (2015). Workplace wellbeing programs: If you build it they may NOT come because it s not what they really need! International Journal of Wellbeing, 5(2), doi: /ijw.v5i2.7 Muir, S. (2012). Occupational therapy in primary health care: We should be there. American Journal of Occupational Therapy, 66, Hildenbrand, W. & Lamb, A. (2013). Occupational therapy in prevention and wellness: Retaining relevance in a new health care world. American Journal of Occupational Therapy, 67, Lamb, A., & Metzler, C. (2014). Defining the value of occupational therapy: A health policy lens on research and practice. American Journal of Occupational Therapy, 68, 9-14.

25 Knowing yourself better will help in your practice you can t give away what you don t have.

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28 Cheema, B. S., Houridis, A., Busch, L., Raschke-Cheema, V., Melville, G. W., Marshal, P. W., & Colagiuri, B. (2013). Effect of an office worksite-based yoga program on heart rate variability: Outcomes of a randomized controlled trial. BMC Complementary And Alternative Medicine, 13(82). doi: / Mackey, M. (2013). Promoting healthy working life in an ageing and increasingly sedentary society. Physical Therapy Reviews, 18(5), doi: / x13y Strijk, J.E., Proper, K.I., van Mechelen, W., & van der Beek, A.J. (2013). Effectiveness of a worksite lifestyle intervention on vitality, work engagement, productivity, and sick leave: Results of a randomized controlled trial. Scandinavian Journal of Work, Environment, and Health, 39(1), doi: /sjweh.3311 Thompson, B. (2009). Mindfulness-based stress reduction for people with chronic conditions. British Journal Of Occupational Therapy, 72(9),