Effectiveness of Remote Yoga for the Global Population and Implications for Healthcare Integration: A Mixed-Method Global Cross-Sectional Study

Authors

  • Sanjay Gupta Division of Yoga & Management, SVYASA University (Swami Vivekananda Yoga Anusandhana Samsthana), Prashanti Kutiram, Vivekananda Road, Kalluballu Post, Jigani, Anekal, Bengaluru – 560105, India https://orcid.org/0009-0009-4863-4508
  • Sony Kumari Division of Yoga & Management, SVYASA University (Swami Vivekananda Yoga Anusandhana Samsthana), Prashanti Kutiram, Vivekananda Road, Kalluballu Post, Jigani, Anekal, Bengaluru – 560105, India https://orcid.org/0000-0001-6265-8498
  • Nick Vyas University of Southern California, USC Marshall School of Business, 3670 Trousdale Pkwy, Los Angeles, CA 90089, USA https://orcid.org/0009-0002-8693-077X
  • Anjum Padyal California State University, Northridge, Department of Kinesiology, 18111 Nordhoff St, Northridge, CA 91330, USA https://orcid.org/0009-0000-9033-5995

DOI:

https://doi.org/10.52756/ijerr.2024.v45spl.018

Keywords:

Alternative medicine, comparative study, complementary medicine, cross-sectional study, remote yoga, teleyoga

Abstract

Research on the effectiveness and implications of remote yoga for wellness and healthcare across global demographics remains insufficient, limiting its reliability for integration into healthcare interventions. This study explored the effectiveness and implications of remote yoga (teleyoga) delivery modalities compared to traditional in-person practices in the global population. Identifying gaps between traditional and contemporary practices is critical for gaining insights for optimising the integration of remote yoga delivery in healthcare. The study utilised a mixed-methods approach, combining qualitative data from expert interviews with quantitative data from a cross-sectional survey. The qualitative segment focused on identifying gaps in the real-world implications of remote yoga delivery, and the quantitative segment used the Telehealth Usability Questionnaire to measure the participants’ experiences and impact. A survey of 1,767 participants, 801 from India and 966 from the United States revealed a positive overall experience with remote yoga. The reliability subscale exhibited a lower positive experience, whereas the other five subscales consistently indicated positive responses. However, significant demographic differences were observed between participants from India and the United States, with significantly higher scores in India. This indicates that the usability and effectiveness of remote yoga require further improvement. This study uniquely addresses several key gaps related to remote yoga delivery using a large sample, mixed-methods approach, and comparing Eastern and Western perspectives to comprehensively assess its usability, satisfaction, and adaptability across diverse demographics. The comparative analysis conducted in this study is essential for enhancing remote yoga's design, usability, and effectiveness and supporting its reliability and validity for integration into mainstream healthcare. Moreover, this study proposes an original framework, Knowledge, Acceptance, Practices, Experiences, and Results (KAPER) designed to introduce systematic delivery and assessment of remote yoga.

References

Basak, S. (2019). The Relationship between Core Muscle Stability and Balance in Yoga. Int. J. Exp. Res. Rev., 19, 49-52.

https://doi.org/10.52756/ijerr.2019.v19.006 DOI: https://doi.org/10.52756/ijerr.2019.v19.006

Bhagat, O. L., & Lata, O. (2018). Yogic concepts of holistic health and wellness. Journal of Advanced Research in Ayurveda, Yoga, Unani, Siddha & Homeopathy, 5(1), 15-18. https://doi.org/10.24321/2394.6547.201805 DOI: https://doi.org/10.24321/2394.6547.201805

Birdee, G. S., Legedza, A. T., Saper, R. B., Bertisch, S. M., Eisenberg, D. M., & Phillips, R. S. (2008). Characteristics of yoga users: Results of a national survey. Journal of General Internal Medicine, 23(10), 1653-1658. https://doi.org/10.1007/s11606-008-0735-5 DOI: https://doi.org/10.1007/s11606-008-0735-5

Birdee, G. S., Ayala, S. G., & Wallston, K. A. (2017). Cross-sectional analysis of health-related quality of life and elements of yoga practice. BMC Complementary and Alternative Medicine, 17(1), Article 83. https://doi.org/10.1186/s12906-017-1599-1 DOI: https://doi.org/10.1186/s12906-017-1599-1

Bridges, L., & Sharma, M. (2017). The efficacy of yoga as a form of treatment for depression. Journal of Evidence-Based Complementary & Alternative Medicine, 22(4), 1017-1028. https://doi.org/10.1177/2156587217715927 DOI: https://doi.org/10.1177/2156587217715927

Brinsley, J., Smout, M., & Davison, K. (2021). Satisfaction with online versus in-person yoga during COVID-19. Journal of Alternative and Complementary Medicine, 27(10), 893-896. https://doi.org/10.1089/acm.2021.0062

Brinsley, J., Smout, M., & Davison, K. (2021). Satisfaction with online versus in-person yoga during COVID-19. Journal of Alternative and Complementary Medicine, 27(10), 893-896. https://doi.org/10.1089/acm.2021.0062 DOI: https://doi.org/10.1089/acm.2021.0062

Castro, M. D. B., & Tumibay, G. M. (2021). A literature review: Efficacy of online learning courses for higher education institution using meta-analysis. Education and Information Technologies, 26(2), 1367-1385. https://doi.org/10.1007/s10639-019-10027-z DOI: https://doi.org/10.1007/s10639-019-10027-z

Cramer, H., Lauche, R., Haller, H., Dobos, G., & Michalsen, A. (2015). A systematic review of yoga for heart disease. European Journal of Preventive Cardiology, 22(3), 284-295. https://doi.org/10.1177/2047487314523132 DOI: https://doi.org/10.1177/2047487314523132

Cramer, H., Lauche, R., Langhorst, J., & Dobos, G. (2016). Is one yoga style better than another? A systematic review of associations of yoga style and conclusions in randomized yoga trials. Complementary Therapies in Medicine, 25, 178-187. https://doi.org/10.1016/j.ctim.2016.02.015 DOI: https://doi.org/10.1016/j.ctim.2016.02.015

Cramer, H., Quinker, D., Pilkington, K., Mason, H., Adams, J., & Dobos, G. (2019). Associations of yoga practice, health status, and health behavior among yoga practitioners in Germany—Results of a national cross-sectional survey. Complementary Therapies in Medicine, 42, 19-26. https://doi.org/10.1016/j.ctim.2018.10.026 DOI: https://doi.org/10.1016/j.ctim.2018.10.026

De Michelis, E. (2007). A preliminary survey of modern yoga studies. Asian Medicine, 3(1), 1-19. https://doi.org/10.1163/157342107x207182 DOI: https://doi.org/10.1163/157342107x207182

Eysenbach, G. (2004). Improving the quality of web surveys: The Checklist for Reporting Results of Internet E-Surveys (CHERRIES). Journal of Medical Internet Research, 6(3), e34. https://doi.org/10.2196/jmir.6.3.e34 DOI: https://doi.org/10.2196/jmir.6.3.e34

Falkenberg, R. I., Eising, C., & Peters, M. L. (2018). Yoga and immune system functioning: A systematic review of randomized controlled trials. Journal of Behavioral Medicine, 41(4), 467-482. https://doi.org/10.1007/s10865-018-9914-y DOI: https://doi.org/10.1007/s10865-018-9914-y

Field, T. (2016). Yoga research review. Complementary Therapies in Clinical Practice, 24, 145-161. https://doi.org/10.1016/j.ctcp.2016.06.005 DOI: https://doi.org/10.1016/j.ctcp.2016.06.005

Graham, L. C. (2014). Ancient, spiritual, and Indian: Exploring narratives of authenticity in modern yoga. In R. Cobb (Ed.), The paradox of authenticity in a globalized world (pp. 85-100). Palgrave Macmillan.

https://doi.org/10.1057/9781137353832_7 DOI: https://doi.org/10.1057/9781137353832_7

Hofmann, S. G., Andreoli, G., Carpenter, J. K., & Curtiss, J. (2016). Effect of Hatha yoga on anxiety: A meta-analysis. Journal of Evidence-Based Medicine, 9(3), 116-124. https://doi.org/10.1111/jebm.12204 DOI: https://doi.org/10.1111/jebm.12204

Hsueh, E.-J., Loh, E.-W., Lin, J. J.-A., & Tam, K.-W. (2021). Effects of yoga on improving quality of life in patients with breast cancer: A meta-analysis of randomized controlled trials. Breast Cancer, 28(2), 264-276. https://doi.org/10.1007/s12282-020-01209-6 DOI: https://doi.org/10.1007/s12282-020-01209-6

Innes, K. E., & Selfe, T. K. (2016). Yoga for adults with type 2 diabetes: A systematic review of controlled trials. Journal of Diabetes Research, 2016, Article 6979370. https://doi.org/10.1155/2016/6979370 DOI: https://doi.org/10.1155/2016/6979370

James-Palmer, A., Anderson, E. Z., & Daneault, J. F. (2022). Remote delivery of yoga interventions through technology: Scoping review. Journal of Medical Internet Research, 24(6), e29092. https://doi.org/10.2196/29092 DOI: https://doi.org/10.2196/29092

Jasti, N., Bhargav, H., George, S., Varambally, S., & Gangadhar, B. N. (2020). Tele-yoga for stress management: Need of the hour during the COVID-19 pandemic and beyond? Asian Journal of Psychiatry, 54, 102334. https://doi.org/10.1016/j.ajp.2020.102334 DOI: https://doi.org/10.1016/j.ajp.2020.102334

Miller, C., Kaltman, R. D., Leon, A., Gesteira, A., Duffy, S., & Burgess, P. B. (2020). Telemedicine usability for cancer care during the COVID-19 pandemic. Journal of Clinical Oncology, 38(29_suppl), 265. https://doi.org/10.1200/JCO.2020.38.29_suppl.265 DOI: https://doi.org/10.1200/JCO.2020.38.29_suppl.265

Mishra, A. S., Sk, R., Hs, V., Nagarathna, R., Anand, A., Bhutani, H., Sivapuram, M. S., Singh, A., & Nagendra, H. R. (2020). Knowledge, attitude, and practice of yoga in rural and urban India, KAPY 2017: A nationwide cluster sample survey. Medicines, 7(2), 8. https://doi.org/10.3390/medicines7020008 DOI: https://doi.org/10.3390/medicines7020008

Nadiyah, R. S., & Faaizah, S. (2015). The development of online project based collaborative learning using ADDIE model. Procedia - Social and Behavioral Sciences, 195, 1803-1812. https://doi.org/10.1016/j.sbspro.2015.06.392 DOI: https://doi.org/10.1016/j.sbspro.2015.06.392

Pandurangi, A. K., Keshavan, M. S., Ganapathy, V., & Gangadhar, B. N. (2017). Yoga: Past and present. American Journal of Psychiatry, 174(1), 16-17. https://doi.org/10.1176/appi.ajp.2016.16080853 DOI: https://doi.org/10.1176/appi.ajp.2016.16080853

Park, C. L., Braun, T., & Siegel, T. (2015). Who practices yoga? A systematic review of demographic, health-related, and psychosocial factors associated with yoga practice. Journal of Behavioral Medicine, 38(3), 460-471. https://doi.org/10.1007/s10865-015-9618-5 DOI: https://doi.org/10.1007/s10865-015-9618-5

Park, C. L., Quinker, D., Dobos, G., & Cramer, H. (2019). Motivations for adopting and maintaining a yoga practice: A national cross-sectional survey. Journal of Alternative and Complementary Medicine, 25(10), 1009-1014. https://doi.org/10.1089/acm.2019.0232 DOI: https://doi.org/10.1089/acm.2019.0232

Parmanto, B., Lewis, A. N., Jr., Graham, K. M., & Bertolet, M. H. (2016). Development of the Telehealth Usability Questionnaire (TUQ). International Journal of Telerehabilitation, 8(1), 3-10. https://doi.org/10.5195/ijt.2016.6196 DOI: https://doi.org/10.5195/ijt.2016.6196

Ross, A., & Thomas, S. (2010). The health benefits of yoga and exercise: A review of comparison studies. Journal of Alternative and Complementary Medicine, 16(1), 3-12. https://doi.org/10.1089/acm.2009.0044 DOI: https://doi.org/10.1089/acm.2009.0044

Samuel, G. (2008). The origins of yoga and Tantra: Indic religions to the thirteenth century. Cambridge University Press. DOI: https://doi.org/10.1017/CBO9780511818820

Saper, R. B., & Lemaster, C. (2017). Yoga, physical therapy, or education for chronic low back pain. Annals of Internal Medicine, 167(2), I-20. https://doi.org/10.7326/P17-9039 DOI: https://doi.org/10.7326/P17-9039

Satpathy, B. (2018). Pancha Kosha theory of personality. International Journal of Indian Psychology, 6(2). https://doi.org/10.25215/0602.105 DOI: https://doi.org/10.25215/0602.105

Sherman, S. A., Quinn, T. D., Bock, B. C., Braun, T. D., & Unick, J. L. (2024). Perceived delivery of essential yoga properties within in-person and remote weight loss maintenance interventions. PLoS ONE, 19(3), e0300105. https://doi.org/10.1371/journal.pone.0300105 DOI: https://doi.org/10.1371/journal.pone.0300105

Shriya, S., & Dave, N. (2023). The concept of Bahiranga and Antaranga yoga according to Patanjali Yoga Sutra and Vasishtha Samhita: A comparative study. VIDYA Journal of Gujarat University, 2(1), 148-161. https://doi.org/10.47413/vidya.v2i1.166 DOI: https://doi.org/10.47413/vidya.v2i1.166

Thimmapuram, J., Patel, K., Madhusudhan, D. K., Deshpande, S., Bouderlique, E., Nicolai, V., & Rao, R. (2022). Health-related quality of life outcomes with regular yoga and heartfulness meditation practice: Results from a multinational, cross-sectional study. JMIR Formative Research, 6(5), e37876. https://doi.org/10.2196/37876 DOI: https://doi.org/10.2196/37876

Tolahunase, M., Sagar, R., & Dada, R. (2017). Impact of yoga and meditation on cellular aging in apparently healthy individuals: A prospective, open-label single-arm exploratory study. Oxidative Medicine and Cellular Longevity, 2017, 7928981. https://doi.org/10.1155/2017/7928981 DOI: https://doi.org/10.1155/2017/2784153

Von Elm, E., Altman, D. G., Egger, M., Pocock, S. J., Gøtzsche, P. C., & Vandenbroucke, J. P., STROBE Initiative. (2007). The Strengthening the Reporting of Observational Studies in Epidemiology (STROBE) Statement: Guidelines for reporting observational studies. Preventive Medicine, 45(4), 247-251. https://doi.org/10.1016/j.ypmed.2007.08.012 DOI: https://doi.org/10.1016/j.ypmed.2007.08.012

Wadhen, V., & Cartwright, T. (2021). Feasibility and outcome of an online streamed yoga intervention on stress and wellbeing of people working from home during COVID-19. Work, 69(2), 331-349. https://doi.org/10.3233/WOR-205325 DOI: https://doi.org/10.3233/WOR-205325

Waqar-Cowles, L. N., Chuo, J., Weiss, P. F., Gmuca, S., LaNoue, M., & Burnham, J. M. (2021). Evaluation of pediatric rheumatology telehealth satisfaction during the COVID-19 pandemic. Pediatric Rheumatology Online Journal, 19(1), 170. https://doi.org/10.1186/s12969-021-00649-4 DOI: https://doi.org/10.1186/s12969-021-00649-4

Woodyard, C. (2011). Exploring the therapeutic effects of yoga and its ability to increase quality of life. International Journal of Yoga, 4(2), 49-54. https://doi.org/10.4103/0973-6131.85485 DOI: https://doi.org/10.4103/0973-6131.85485

Published

2024-11-30

How to Cite

Gupta, S., Kumari, S., Vyas, N., & Padyal, A. (2024). Effectiveness of Remote Yoga for the Global Population and Implications for Healthcare Integration: A Mixed-Method Global Cross-Sectional Study. International Journal of Experimental Research and Review, 45(Spl Vol), 221–236. https://doi.org/10.52756/ijerr.2024.v45spl.018