title: Improving access to yoga: barriers to and motivators for practice among health professions students.
abstract: BACKGROUND
  Yoga is gaining momentum as a popular and evidence-based, integrative health care and self-care practice. The characteristics of yoga practitioners are not proportional to the demographics of the general population, especially with respect to gender and ethnicity. Several access barriers have been implicated (eg, time, cost, and access to teachers). No studies have explored the barriers to practice among health professions students. Their participation in yoga is deemed important because they are future health professionals who will make referrals to other services. Research has shown that providers who practice yoga refer more patients to yoga.
  
  
  OBJECTIVE
  To increase yoga practice among health professions students, an understanding must be developed of factors that interfere with or facilitate a regular yoga practice. The current study intended to identify such barriers and motivators.
  
  
  METHODS
  This study was a small population survey.
  
  
  METHODS
  The setting was a private university in the northwestern United States, including students in 3 of its colleges and 10 professional programs.
  
  
  METHODS
  All students (N = 1585) in the programs of the 10 health professions received e-mail requests for participation.
  
  
  METHODS
  The Acceptability of Yoga Survey was developed for purposes of a larger yoga perceptions study and implemented with health professions students. Participants were solicited via e-mail; the survey was administered online. The current study used data from that survey.
  
  
  RESULTS
  Of the 498 usable, completed surveys (ie, a response rate of approximately 30%), 478 were relevant to the current study. The sample's demographics--78% women and 79% white--did not differ significantly from the population's demographics. The findings revealed the existence of common barriers that were related to (1) time; (2) cost; (3) lack of pragmatic information about access to yoga classes and teachers; and (4) stereotypes related to flexibility, athleticism, and typical yoga practitioners. Motivators included athleticism, health promotion, and emotional well-being as well as the seeking of pain relief and a sense of community. A referral by health care providers was the least-frequently cited motivator.
  
  
  CONCLUSIONS
  The findings have implications for strategies that may help motivate health professionals toward a yoga practice, because having done yoga personally may be related to a willingness to perceive the benefits of and to refer patients to yoga as a viable integrative treatment for patients. Improved access can be developed in 3 ways: (1) integration of yoga research into health curricula to acquaint care providers with yoga's benefits to patients and care givers; (2) have yoga available as close to the workplace as possible to obviate some of the larger access barriers; and (3) societally, project yoga as a healing art and science, not simply as a weight loss strategy or athletic endeavor.
authors.forename: Christiane
authors.initials: C
authors.lastname: Brems
authors.forename: Lauren
authors.initials: L
authors.lastname: Justice
authors.forename: Kari
authors.initials: K
authors.lastname: Sulenes
authors.forename: Lisa
authors.initials: L
authors.lastname: Girasa
authors.forename: Julia
authors.initials: J
authors.lastname: Ray
authors.forename: Madison
authors.initials: M
authors.lastname: Davis
authors.forename: Jillian
authors.initials: J
authors.lastname: Freitas
authors.forename: Margaret
authors.initials: M
authors.lastname: Shean
authors.forename: Dharmakaya
authors.initials: D
authors.lastname: Colgan
mesh_terms: D000328:Adult; D003430:Cross-Sectional Studies; D005260:Female; D007722:Health Knowledge, Attitudes, Practice; D006282:Health Personnel / Q000193:education / Q000706:statistics & numerical data*; D006297:Health Services Accessibility / Q000706:statistics & numerical data*; D006801:Humans; D008297:Male; D026441:Mind-Body Therapies / Q000706:statistics & numerical data; D013334:Students / Q000523:psychology / Q000706:statistics & numerical data*; D015013:Yoga