Attitudes and barriers of cancer patients towards participation in yoga intervention: exploring racial differences

Desai Krupali, Thomas Jefferson University


The goal of this grant proposal is to comprehensively evaluate the attitudes and barriers of cancer patients towards willingness to participate (WTP) in yoga intervention for cancer-related symptom management, with specific examination of differences between white and African American (AA) cancer patients. We will conduct a crosssectional survey among 450 cancer patients, including 30% AAs, who are receiving non-palliative radiation therapy, at the Hospital of University of Pennsylvania. Self-reported WTP will be used as the main outcome variable. Self-reported race will be used as main independent variable. Attitudes and barriers towards yoga trial participation will be measured using a questionnaire designed based on the Theory of Planned Behavior (TPB). T-test and chi-square tests will be performed to evaluate whether TPB constructs and WTP, respectively, differ by race. Multivariate logistic regression will be used to identify factors associated with WTP. The findings of this study will provide a better understanding of the attitudes and barriers of cancer patients, especially AAs, towards yoga trial participation. This may help develop culturally tailored educational interventions and recruitment messages as well as culturally sensitive yoga interventions to enhance representation of AA in yoga studies. The data collected from this research will allow Krupali Desai to effectively apply for an NIH career development award during which she plans to test the efficacy of yoga for cancer symptom management in minority cancer patients. These training experiences will enable her to become an independent researcher focusing on evaluating the use of yoga to address important health issues among minority cancer patients.