{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T06:44:58Z","timestamp":1787726698606,"version":"build-2784847793"},"reference-count":75,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2025,1,1]],"date-time":"2025-01-01T00:00:00Z","timestamp":1735689600000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"funder":[{"DOI":"10.13039\/100006380","name":"VA Rehabilitation Research and Development","doi-asserted-by":"crossref","award":["RX000474"],"award-info":[{"award-number":["RX000474"]}],"id":[{"id":"10.13039\/100006380","id-type":"DOI","asserted-by":"crossref"}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Global Advances in Integrative Medicine and Health"],"published-print":{"date-parts":[[2025,1]]},"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Research demonstrates that yoga can be effective for improving chronic low back pain (cLBP) among military veterans and non-veterans. Attendance of yoga interventions is necessary to obtain benefits, yet yoga class attendance can be a challenge both within and outside of research, especially for persons who lack resources.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>Our objective was to describe efforts to boost attendance within a randomized trial of yoga for cLBP, and to examine factors related to attendance.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A previous trial of yoga for cLBP among military veterans randomly assigned participants to 2x weekly yoga for 12 weeks, or delayed treatment. After the second of 6 intervention cohorts, efforts were made to improve participant attendance. Attendance and reasons for missing yoga sessions were tracked using sign-in logs and phone calls. Regression analysis was used to examine factors related to attendance.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>After efforts to boost attendance, mean attendance increased from 10.2\/24 sessions, (42% attending at least half of sessions), to 13.3\/24 sessions, (df (1,74), t = \u22121.44; P = 0.15) (59% attending half of the sessions). The most common reasons for non-attendance were transportation, financial problems, other health issues, and work or school conflicts. Living status and back pain-related disability at baseline were significantly associated with attendance ( P= &lt; .001 and P = .038 respectively). When including all participants, yoga session attendance was significantly associated with reduced pain severity ( P = 0.01).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Efforts to boost attendance appeared meaningful but the changes were not statistically significant. Attendance rate in later cohorts were comparable to those in other studies. Reasons provided for non-attendance by participants, and the regression results suggest that resources such as transportation, a stable living situation, and disability levels at baseline were related to attendance rates for this in-person intervention. Remotely delivered yoga may address some of these barriers but hybrid interventions that bring in-person yoga closer to participants may be the best option.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/27536130251323247","type":"journal-article","created":{"date-parts":[[2025,2,22]],"date-time":"2025-02-22T02:52:46Z","timestamp":1740192766000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":3,"title":["Promoting Adherence to a Yoga Intervention for Veterans With Chronic Low Back Pain"],"prefix":"10.1177","volume":"14","author":[{"ORCID":"https:\/\/orcid.org\/0009-0009-1158-3946","authenticated-orcid":false,"given":"Carol","family":"Gonzalez","sequence":"first","affiliation":[{"name":"VA San Diego Healthcare System, San Diego, CA, USA"},{"name":"Herbert Wertheim School of Public Health, University of California San Diego, La Jolla, CA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Douglas G.","family":"Chang","sequence":"additional","affiliation":[{"name":"VA San Diego Healthcare System, San Diego, CA, USA"},{"name":"Department of Orthopedic Surgery, University of California San Diego, La Jolla, CA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Thomas","family":"Rutledge","sequence":"additional","affiliation":[{"name":"VA San Diego Healthcare System, San Diego, CA, USA"},{"name":"Department of Psychiatry, University of California San Diego, La Jolla, CA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6239-1965","authenticated-orcid":false,"given":"Erik J.","family":"Groessl","sequence":"additional","affiliation":[{"name":"VA San Diego Healthcare System, San Diego, CA, USA"},{"name":"Herbert Wertheim School of Public Health, University of California San Diego, La Jolla, CA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2025,2,21]]},"reference":[{"key":"bibr1-27536130251323247","doi-asserted-by":"publisher","DOI":"10.1007\/s00586-010-1502-y"},{"key":"bibr2-27536130251323247","doi-asserted-by":"publisher","DOI":"10.1176\/appi.ps.201300059"},{"key":"bibr3-27536130251323247","doi-asserted-by":"publisher","DOI":"10.1016\/s1529-9430(03)00028-7"},{"key":"bibr4-27536130251323247","doi-asserted-by":"publisher","DOI":"10.3111\/13696998.2011.642090"},{"key":"bibr5-27536130251323247","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2013.13805"},{"key":"bibr6-27536130251323247","doi-asserted-by":"publisher","DOI":"10.7326\/M16-2459"},{"key":"bibr7-27536130251323247","unstructured":"Chou R, Deyo R, Friedly J, et al. 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