Feasibility, qualitative findings and satisfaction of a brief Tai Chi mind–body programme for veterans with post-traumatic stress symptoms
ObjectiveTo examine feasibility, qualitative feedback and satisfaction associated with a 4-session introduction to Tai Chi for veterans with post-traumatic stress symptoms.DesignWe observed and reported recruitment and retention rates, participant characteristics, adherence, and satisfaction across...
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| Veröffentlicht in: | BMJ open 2016-11, Vol.6 (11), p.e012464-e012464 |
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| creator | Niles, Barbara L Mori, DeAnna L Polizzi, Craig P Pless Kaiser, Anica Ledoux, Annie M Wang, Chenchen |
| description | ObjectiveTo examine feasibility, qualitative feedback and satisfaction associated with a 4-session introduction to Tai Chi for veterans with post-traumatic stress symptoms.DesignWe observed and reported recruitment and retention rates, participant characteristics, adherence, and satisfaction across 2 cohorts. We also examined qualitative feedback provided by questionnaires, focus groups and individual interviews.Main outcome measuresRates of recruitment and retention, focus group and individual feedback interviews, self-reported satisfaction.Participants17 veterans with post-traumatic stress symptoms.ResultsAlmost 90% (17/19) of those eligible following the telephone screen enrolled in the programme. Three-quarters (76.4%) of the participants attended at least 3 of the 4 Tai Chi sessions. Qualitative data analysis revealed themes indicating favourable impressions of the Tai Chi sessions. In addition, participants reported feeling very engaged during the sessions, and found Tai Chi to be helpful for managing distressing symptoms (ie, intrusive thoughts, concentration difficulties, physiological arousal). Participants also reported high satisfaction: 93.8% endorsed being very or mostly satisfied with the programme. All participants (100%) indicated that they would like to participate in future Tai Chi programmes and would recommend it to a friend.ConclusionsTai Chi appears to be feasible and safe for veterans with symptoms of post-traumatic stress disorder (PTSD), is perceived to be beneficial and is associated with high rates of satisfaction. This study highlights the need for future investigation of Tai Chi as a novel intervention to address symptoms of PTSD. |
| doi_str_mv | 10.1136/bmjopen-2016-012464 |
| format | Article |
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We also examined qualitative feedback provided by questionnaires, focus groups and individual interviews.Main outcome measuresRates of recruitment and retention, focus group and individual feedback interviews, self-reported satisfaction.Participants17 veterans with post-traumatic stress symptoms.ResultsAlmost 90% (17/19) of those eligible following the telephone screen enrolled in the programme. Three-quarters (76.4%) of the participants attended at least 3 of the 4 Tai Chi sessions. Qualitative data analysis revealed themes indicating favourable impressions of the Tai Chi sessions. In addition, participants reported feeling very engaged during the sessions, and found Tai Chi to be helpful for managing distressing symptoms (ie, intrusive thoughts, concentration difficulties, physiological arousal). Participants also reported high satisfaction: 93.8% endorsed being very or mostly satisfied with the programme. All participants (100%) indicated that they would like to participate in future Tai Chi programmes and would recommend it to a friend.ConclusionsTai Chi appears to be feasible and safe for veterans with symptoms of post-traumatic stress disorder (PTSD), is perceived to be beneficial and is associated with high rates of satisfaction. This study highlights the need for future investigation of Tai Chi as a novel intervention to address symptoms of PTSD.</description><identifier>ISSN: 2044-6055</identifier><identifier>EISSN: 2044-6055</identifier><identifier>DOI: 10.1136/bmjopen-2016-012464</identifier><identifier>PMID: 27899398</identifier><language>eng</language><publisher>England: BMJ Publishing Group LTD</publisher><subject>Adult ; Aged ; Chronic illnesses ; Complementary Medicine ; Electronic health records ; Exercise ; Feasibility Studies ; Feedback ; Female ; Focus groups ; Hispanic Americans ; Humans ; Intervention ; Male ; Medical records ; Meditation ; Mental depression ; Mental disorders ; Mental health ; Middle Aged ; Mindfulness ; Pain ; Patient Compliance ; Patient Satisfaction ; Physical fitness ; Physiology ; Post traumatic stress disorder ; Quality of Life ; Questionnaires ; Self Report ; Stress Disorders, Post-Traumatic - therapy ; Tai Ji - methods ; Treatment Outcome ; United States ; Veterans ; Veterans - psychology</subject><ispartof>BMJ open, 2016-11, Vol.6 (11), p.e012464-e012464</ispartof><rights>Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://www.bmj.com/company/products-services/rights-and-licensing</rights><rights>Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://www.bmj.com/company/products-services/rights-and-licensing/.</rights><rights>Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://www.bmj.com/company/products-services/rights-and-licensing/ 2016 This is an Open Access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/ Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><rights>Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://www.bmj.com/company/products-services/rights-and-licensing/ 2016</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-b505t-737847e9611b58cad51c6c2f4c9aa55142eaca0cc17c88892d371578c16a44233</citedby><cites>FETCH-LOGICAL-b505t-737847e9611b58cad51c6c2f4c9aa55142eaca0cc17c88892d371578c16a44233</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttp://bmjopen.bmj.com/content/6/11/e012464.full.pdf$$EPDF$$P50$$Gbmj$$Hfree_for_read</linktopdf><linktohtml>$$Uhttp://bmjopen.bmj.com/content/6/11/e012464.full$$EHTML$$P50$$Gbmj$$Hfree_for_read</linktohtml><link.rule.ids>230,314,723,776,780,860,881,27526,27527,27901,27902,53766,53768,77344,77375</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/27899398$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Niles, Barbara L</creatorcontrib><creatorcontrib>Mori, DeAnna L</creatorcontrib><creatorcontrib>Polizzi, Craig P</creatorcontrib><creatorcontrib>Pless Kaiser, Anica</creatorcontrib><creatorcontrib>Ledoux, Annie M</creatorcontrib><creatorcontrib>Wang, Chenchen</creatorcontrib><title>Feasibility, qualitative findings and satisfaction of a brief Tai Chi mind–body programme for veterans with post-traumatic stress symptoms</title><title>BMJ open</title><addtitle>BMJ Open</addtitle><description>ObjectiveTo examine feasibility, qualitative feedback and satisfaction associated with a 4-session introduction to Tai Chi for veterans with post-traumatic stress symptoms.DesignWe observed and reported recruitment and retention rates, participant characteristics, adherence, and satisfaction across 2 cohorts. We also examined qualitative feedback provided by questionnaires, focus groups and individual interviews.Main outcome measuresRates of recruitment and retention, focus group and individual feedback interviews, self-reported satisfaction.Participants17 veterans with post-traumatic stress symptoms.ResultsAlmost 90% (17/19) of those eligible following the telephone screen enrolled in the programme. Three-quarters (76.4%) of the participants attended at least 3 of the 4 Tai Chi sessions. Qualitative data analysis revealed themes indicating favourable impressions of the Tai Chi sessions. In addition, participants reported feeling very engaged during the sessions, and found Tai Chi to be helpful for managing distressing symptoms (ie, intrusive thoughts, concentration difficulties, physiological arousal). Participants also reported high satisfaction: 93.8% endorsed being very or mostly satisfied with the programme. All participants (100%) indicated that they would like to participate in future Tai Chi programmes and would recommend it to a friend.ConclusionsTai Chi appears to be feasible and safe for veterans with symptoms of post-traumatic stress disorder (PTSD), is perceived to be beneficial and is associated with high rates of satisfaction. This study highlights the need for future investigation of Tai Chi as a novel intervention to address symptoms of PTSD.</description><subject>Adult</subject><subject>Aged</subject><subject>Chronic illnesses</subject><subject>Complementary Medicine</subject><subject>Electronic health records</subject><subject>Exercise</subject><subject>Feasibility Studies</subject><subject>Feedback</subject><subject>Female</subject><subject>Focus groups</subject><subject>Hispanic Americans</subject><subject>Humans</subject><subject>Intervention</subject><subject>Male</subject><subject>Medical records</subject><subject>Meditation</subject><subject>Mental depression</subject><subject>Mental disorders</subject><subject>Mental health</subject><subject>Middle Aged</subject><subject>Mindfulness</subject><subject>Pain</subject><subject>Patient Compliance</subject><subject>Patient Satisfaction</subject><subject>Physical fitness</subject><subject>Physiology</subject><subject>Post traumatic stress disorder</subject><subject>Quality of Life</subject><subject>Questionnaires</subject><subject>Self Report</subject><subject>Stress Disorders, Post-Traumatic - therapy</subject><subject>Tai Ji - methods</subject><subject>Treatment Outcome</subject><subject>United States</subject><subject>Veterans</subject><subject>Veterans - psychology</subject><issn>2044-6055</issn><issn>2044-6055</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2016</creationdate><recordtype>article</recordtype><sourceid>9YT</sourceid><sourceid>ACMMV</sourceid><sourceid>EIF</sourceid><sourceid>BENPR</sourceid><recordid>eNqNkcFu1DAQhiMEolXpEyAhS1w4kBI7duJckNCKAlIlLuVsTRxn16vYTj3Oor3xANx4Q54EL7tUhRO-2LK_-TTjvyie0-qK0rp507ttmI0vWUWbsqKMN_xRcc4qzsumEuLxg_NZcYm4rfLiohOCPS3OWCu7ru7kefH92gDa3k427V-TuwXyAZLdGTJaP1i_RgJ-IJjvcASdbPAkjARIH60ZyS1YstpY4jL889uPPgx7MsewjuBcVoRIdiaZCB7JV5s2ZA6YyhRhcVmoCaZoEAnu3ZyCw2fFkxEmNJen_aL4cv3-dvWxvPn84dPq3U3Zi0qksq1byVvTNZT2QmoYBNWNZiPXHYAQlDMDGiqtaaullB0b6paKVmraAOesri-Kt0fvvPTODNr43NKk5mgdxL0KYNXfL95u1DrslKCNFKzNglcnQQx3i8GknEVtpgm8CQsqKrlg4vDjGX35D7oNS_R5vAPFZdO1v4X1kdIxIEYz3jdDK3UIXJ0CV4fA1THwXPXi4Rz3NX_izcDVEcjV_2X8BRNLuy4</recordid><startdate>20161129</startdate><enddate>20161129</enddate><creator>Niles, Barbara L</creator><creator>Mori, DeAnna L</creator><creator>Polizzi, Craig P</creator><creator>Pless Kaiser, Anica</creator><creator>Ledoux, Annie M</creator><creator>Wang, Chenchen</creator><general>BMJ Publishing Group LTD</general><general>BMJ Publishing Group</general><scope>9YT</scope><scope>ACMMV</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7RV</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>88G</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>BTHHO</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>K9-</scope><scope>K9.</scope><scope>KB0</scope><scope>M0R</scope><scope>M0S</scope><scope>M1P</scope><scope>M2M</scope><scope>NAPCQ</scope><scope>PIMPY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>PSYQQ</scope><scope>Q9U</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>20161129</creationdate><title>Feasibility, qualitative findings and satisfaction of a brief Tai Chi mind–body programme for veterans with post-traumatic stress symptoms</title><author>Niles, Barbara L ; Mori, DeAnna L ; Polizzi, Craig P ; Pless Kaiser, Anica ; Ledoux, Annie M ; Wang, Chenchen</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-b505t-737847e9611b58cad51c6c2f4c9aa55142eaca0cc17c88892d371578c16a44233</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2016</creationdate><topic>Adult</topic><topic>Aged</topic><topic>Chronic illnesses</topic><topic>Complementary Medicine</topic><topic>Electronic health records</topic><topic>Exercise</topic><topic>Feasibility Studies</topic><topic>Feedback</topic><topic>Female</topic><topic>Focus groups</topic><topic>Hispanic Americans</topic><topic>Humans</topic><topic>Intervention</topic><topic>Male</topic><topic>Medical records</topic><topic>Meditation</topic><topic>Mental depression</topic><topic>Mental disorders</topic><topic>Mental health</topic><topic>Middle Aged</topic><topic>Mindfulness</topic><topic>Pain</topic><topic>Patient Compliance</topic><topic>Patient Satisfaction</topic><topic>Physical fitness</topic><topic>Physiology</topic><topic>Post traumatic stress disorder</topic><topic>Quality of Life</topic><topic>Questionnaires</topic><topic>Self Report</topic><topic>Stress Disorders, Post-Traumatic - therapy</topic><topic>Tai Ji - methods</topic><topic>Treatment Outcome</topic><topic>United States</topic><topic>Veterans</topic><topic>Veterans - psychology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Niles, Barbara L</creatorcontrib><creatorcontrib>Mori, DeAnna L</creatorcontrib><creatorcontrib>Polizzi, Craig P</creatorcontrib><creatorcontrib>Pless Kaiser, Anica</creatorcontrib><creatorcontrib>Ledoux, Annie M</creatorcontrib><creatorcontrib>Wang, Chenchen</creatorcontrib><collection>BMJ Open Access Journals</collection><collection>BMJ Journals:Open Access</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Nursing & Allied Health Database</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Psychology Database (Alumni)</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>BMJ Journals</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>Consumer Health Database (Alumni Edition)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Consumer Health Database</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>ProQuest Psychology</collection><collection>Nursing & Allied Health Premium</collection><collection>Publicly Available Content Database</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>ProQuest One Psychology</collection><collection>ProQuest Central Basic</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>BMJ open</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Niles, Barbara L</au><au>Mori, DeAnna L</au><au>Polizzi, Craig P</au><au>Pless Kaiser, Anica</au><au>Ledoux, Annie M</au><au>Wang, Chenchen</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Feasibility, qualitative findings and satisfaction of a brief Tai Chi mind–body programme for veterans with post-traumatic stress symptoms</atitle><jtitle>BMJ open</jtitle><addtitle>BMJ Open</addtitle><date>2016-11-29</date><risdate>2016</risdate><volume>6</volume><issue>11</issue><spage>e012464</spage><epage>e012464</epage><pages>e012464-e012464</pages><issn>2044-6055</issn><eissn>2044-6055</eissn><abstract>ObjectiveTo examine feasibility, qualitative feedback and satisfaction associated with a 4-session introduction to Tai Chi for veterans with post-traumatic stress symptoms.DesignWe observed and reported recruitment and retention rates, participant characteristics, adherence, and satisfaction across 2 cohorts. We also examined qualitative feedback provided by questionnaires, focus groups and individual interviews.Main outcome measuresRates of recruitment and retention, focus group and individual feedback interviews, self-reported satisfaction.Participants17 veterans with post-traumatic stress symptoms.ResultsAlmost 90% (17/19) of those eligible following the telephone screen enrolled in the programme. Three-quarters (76.4%) of the participants attended at least 3 of the 4 Tai Chi sessions. Qualitative data analysis revealed themes indicating favourable impressions of the Tai Chi sessions. In addition, participants reported feeling very engaged during the sessions, and found Tai Chi to be helpful for managing distressing symptoms (ie, intrusive thoughts, concentration difficulties, physiological arousal). Participants also reported high satisfaction: 93.8% endorsed being very or mostly satisfied with the programme. All participants (100%) indicated that they would like to participate in future Tai Chi programmes and would recommend it to a friend.ConclusionsTai Chi appears to be feasible and safe for veterans with symptoms of post-traumatic stress disorder (PTSD), is perceived to be beneficial and is associated with high rates of satisfaction. This study highlights the need for future investigation of Tai Chi as a novel intervention to address symptoms of PTSD.</abstract><cop>England</cop><pub>BMJ Publishing Group LTD</pub><pmid>27899398</pmid><doi>10.1136/bmjopen-2016-012464</doi><oa>free_for_read</oa></addata></record> |
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| subjects | Adult Aged Chronic illnesses Complementary Medicine Electronic health records Exercise Feasibility Studies Feedback Female Focus groups Hispanic Americans Humans Intervention Male Medical records Meditation Mental depression Mental disorders Mental health Middle Aged Mindfulness Pain Patient Compliance Patient Satisfaction Physical fitness Physiology Post traumatic stress disorder Quality of Life Questionnaires Self Report Stress Disorders, Post-Traumatic - therapy Tai Ji - methods Treatment Outcome United States Veterans Veterans - psychology |
| title | Feasibility, qualitative findings and satisfaction of a brief Tai Chi mind–body programme for veterans with post-traumatic stress symptoms |
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