Yoga for hypertensive patients

A study on barriers and facilitators of its implementation in primary care

Bibliographic Data

ID19529652
AuthorsRaja Ram Dhungana (0000-0002-9610-6306, Victoria School of Management, corresponding author), Shiva Ram Khatiwoda (0000-0002-5915-7737, J. S. Ayurveda Mahavidyalaya and P.D. Patel Ayurveda Hospital), Yadav Gurung (0000-0002-0397-0489, Auckland University of Technology), Željko Pedišić (0000-0003-2886-3556, Victoria School of Management), Maximilian de Courten (0000-0001-9997-9359, Victoria School of Management)
Year2021
Volume14
Issue1
Pages1952753-1952753
Publication date2021-01-01
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueGlobal Health Action (JOURNAL)
Journal identifiersISSN: 1654-9716 • E-ISSN: 1654-9880
PublisherInforma UK Limited (PUBLISHER • GB)
DOI10.1080/16549716.2021.1952753
PMID34323666
OpenAlexW3184028065
LanguageEN
Citations received2
References cited32

BACKGROUND: International guidelines for hypertension treatment recommend the use of yoga, particularly among low-risk patients. However, evidence is lacking on the implementation potential of health-worker-led yoga interventions in low-resource, primary care settings. OBJECTIVE: To assess barriers to and facilitators of the implementation of a yoga intervention for hypertensive patients in primary care in Nepal. METHODS: The study was conducted using focus group discussions, in-depth interviews, key informant interviews, and telephone interviews. Data were collected from the 'Yoga and Hypertension' (YoH) trial participants, YoH intervention implementers, and officials from the Ministry of Health and Population in Nepal. RESULTS: Most YoH trial participants stated that: (1) it was easy to learn yoga during a five-day training period and practise it for three months at home; (2) practising yoga improved their health; and (3) group yoga sessions in a community centre would help them practise yoga more regularly. Most YoH intervention implementers stated that: (1) they were highly motivated to implement the intervention; (2) the cost of implementation was acceptable; (3) they did not need additional staff to effectively implement the intervention; (4) providing remuneration to the staff involved in the intervention would increase their motivation; and (5) the yoga programme was 'simple and easy to follow' and 'easily performed by participants of any age'. The government officials stated that: (1) yoga is considered as a key health promotional activity in Nepal; and (2) the integration of the yoga intervention into the existing health care programme would not be too challenging, because the existing personnel and other resources can be utilised. CONCLUSION: While there is a good potential that a yoga intervention can be implemented in primary care, capacity development for health workers and the involvement of community yoga centres in the delivery of the interventions may be required to facilitate this implementation

Environmental health · Family medicine · Focus group · Health care · Population · Psychological intervention · Qualitative research · Remuneration · Thematic analysis · Cardiac Health and Mental Health · Diabetes Management and Education · Medicine · Mindfulness and Compassion Interventions · Nursing

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