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Sexual Minority Men Living with HIV’s Interest in Yoga vs. MBSR as an Adjunct to an App-Based Positive Affect Intervention: A Focus Group Study

LWH Sexual Minority Men (smm) Living With HIV Experience Significant Mental Health Disparities. Studies Show Positive Psychological Interventions (ppi) And Mindfulness-Based Interventions (mbi) Can Have A Positive Impact On People, PPI Limited Research Has Explored This Among SMM LWH. The Current Study Explores Two MBIs (mbsr And Yoga) As Potential Adjuncts To An App-Based, LWH. Which Was Designed To Reduce Stress For SMM, LWH These Data Are From A Sub-Study Of A Proof-Of-Concept Pilot. The Pilot Enrolled 22 SMM, Who Used An App-Based PPI For 90 Days. Following Completion Of This Initial Study, Participants Were Invited To Participate In A Focus Group Discussion, PPI. Which Explored SMM LWH’s Interest In Mbsr Vs. Restorative Yoga As Adjunct Programs To The App-Based, A Third Of Participants From The Initial Study Attended The Focus Group (n=7). All Focus Group Participants Were Racial Minorities (71.4% Black, 14.3% Hispanic/Latino, 14.3% Multiracial), With An Average Age Of 32.14yrs (, =4.87). When Asked About Initial Interest, Most Participants Said They Would Prefer Restorative Yoga Over Mbsr. In The Discussion That Followed, Three Main Themes And Eleven Subthemes Emerged, MBI Which Elucidated SMM LWH’s Attitudes Toward, As Well As Their Perceived Barriers And Facilitators For Both Yoga And Mbsr., The Study Provides Insight Into Racial Minority SMM LWH’s Comparative Interest In Two MBIs And Suggests That Yoga May Be A Feasible Adjunct To The App-Based PPI. However, Inequities Regarding Access To Yoga Remain An Important Issue For SMM LWH And Must Be Addressed.

Current Research in Complementary & Alternative Medicine June 12, 2025 DOI: 10.29011/2577-2201.100270 (opens in new tab)

Study at a glance

AI-extracted from the abstract
Characteristics Qualitative study Peer reviewed
Sample size 22
Population Sexual minority men living with HIV, described as predominantly racial minority
Intervention restorative yoga
Duration 90 days of app-based PPI use; focus group discussions followed
Topics Meditation
Key findings Most participants said they would prefer restorative yoga over MBSR as an adjunct to the app-based positive psychological intervention. The authors argue that yoga may be a feasible adjunct, while contending that inequities in access to yoga remain an important issue for sexual minority men living with HIV.

Abstract

Purpose: Sexual minority men (SMM) living with HIV experience significant mental health disparities. Studies show positive psychological interventions (PPI) and mindfulness-based interventions (MBI) can have a positive impact on people LWH, however, limited research has explored this among SMM LWH. The current study explores two MBIs (MBSR and yoga) as potential adjuncts to an app-based PPI, which was designed to reduce stress for SMM LWH.

Methods: These data are from a sub-study of a proof-of-concept pilot. The pilot enrolled 22 SMM LWH, who used an app-based PPI for 90 days. Following completion of this initial study, participants were invited to participate in a focus group discussion, which explored SMM LWH's interest in MBSR vs. restorative yoga as adjunct programs to the app-based PPI.

Results: =4.87). When asked about initial interest, most participants said they would prefer restorative yoga over MBSR. In the discussion that followed, three main themes and eleven subthemes emerged, which elucidated SMM LWH's attitudes toward MBI, as well as their perceived barriers and facilitators for both yoga and MBSR.

Conclusions: The study provides insight into racial minority SMM LWH's comparative interest in two MBIs and suggests that yoga may be a feasible adjunct to the app-based PPI. However, inequities regarding access to yoga remain an important issue for SMM LWH and must be addressed.

Comparable studies

Other qualitative studies on meditation, most cited first.

Study Year Design Participants
The varieties of contemplative experience: A mixed-methods study of meditation-related challenges in Western Buddhists Western Buddhist meditation practitioners and experts in Theravāda, Zen, and Tibetan... 2017 Qualitative study with mixed-methods
The Effects of Mindfulness-based Stress Reduction on Nurse Stress and Burnout Nurses in a hospital system 2004 Implementation study with mixed methods
An exploratory mixed methods study of the acceptability and effectiveness of mindfulness -based cognitive therapy for patients with active depression and anxiety in primary care Primary care patients with recurrent depression or recurrent depression and anxiety 2006 Exploratory mixed methods study n = 13
A qualitative study of mindfulness‐based cognitive therapy for depression Participants in mindfulness-based cognitive therapy in a mental-health context 2001 Qualitative study n = 7
Effortless awareness: using real time neurofeedback to investigate correlates of posterior cingulate cortex activity in meditators' self-report Meditators 2013 Qualitative study using grounded theory methodology

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