• P-ISSN 0974-6846 E-ISSN 0974-5645

Indian Journal of Science and Technology

Article

Indian Journal of Science and Technology

Year: 2024, Volume: 17, Issue: 3, Pages: 204-214

Original Article

Knowledge, Attitude and Practice of Physicians Towards Yoga: A Self Determination Theory Approach

Received Date:19 June 2022, Accepted Date:03 June 2023, Published Date:12 January 2024

Abstract

Objectives: To study the perceptions of practicing physicians towards yoga through knowledge, attitude and practice (KAP) survey, integrated with autonomy, competence, and relatedness domains of Self Determination Theory (SDT). Method: Online KAP survey based on SDT was designed and administered to 187 physicians (103 allopathy and 84 AYUSH). Purposive snowball sampling was followed by contacting participants through social media. Findings: The KAP survey tool had high reliability of Cronbach’s alpha 0.95. While competence of yogic knowledge was considerably higher in AYUSH doctors owing to the curriculum prescribed, it was found that allopathic doctors exhibited more inclination towards preventive and rehabilitative treatment from yoga. A large number of allopathic practitioners advocated yoga’s long-term psychological and physiological effects, which may have influenced their attitude toward developing competence and motivation to integrate yoga into the mainstream public health program. AYUSH doctors exhibited higher implementation of yoga in their practice due to increased relatedness in comparison to allopathic practitioners. Passivity in implementation through prescription in allopathy may be attributed to stereotypical regulations of medical bodies governing the autonomy of doctors, and a lack of awareness of the empiricism and scientific principles of yoga. Novelty: This study provides insights into the knowledge, attitude, and practice towards yoga of allopathy and AYUSH physicians, and also enables us to understand the intrinsic motivation factors that shape physicians’ inclinations to involve yoga in their clinical practices.

Keywords: Self­determination theory, Public health policy, AYUSH, Motivation, KAP survey

References

  1. Wang Y, Wang J. Modelling and prediction of global non-communicable diseases. BMC Public Health. 2020;20(1):1–13. Available from: https://doi.org/10.1186/s12889-020-08890-4
  2. Sivaramakrishnan D, Fitzsimons C, Kelly P, Ludwig K, Mutrie N, Saunders DH, et al. The effects of yoga compared to active and inactive controls on physical function and health related quality of life in older adults- systematic review and meta-analysis of randomised controlled trials. International Journal of Behavioral Nutrition and Physical Activity. 2019;16(1):1–22. Available from: https://doi.org/10.1186/s12966-019-0789-2
  3. Bhargav H, Holla B, Ramakrishna KK, Shivakumar V, Gokulakrishnan K, Varambally S, et al. Yoga and integrative healthcare: Lessons from the national institute of mental health and neurosciences (NIMHANS) in India. Int J Yoga. 2022;15(2):150–157. Available from: https://journals.lww.com/ijoy/fulltext/2022/15020/yoga_and_integrative_healthcare__lessons_from_the.10.aspx
  4. Karan A, Negandhi H, Hussain S, Zapata T, Mairembam D, Graeve HD, et al. Size, composition and distribution of health workforce in India: why, and where to invest? Human Resources for Health. 2021;19(1):1–14. Available from: https://doi.org/10.1186/s12960-021-00575-2
  5. Thiagarajan K. How to fix India’s depleted rural workforce. BMJ. 2021;373:1–2. Available from: https://doi.org/10.1136/bmj.n1564
  6. Patwardhan AR. Aligning Yoga With Its Evolving Role in Health Care: Comments on Yoga Practice, Policy, Research. Journal of Primary Care & Community Health. 2017;8(3):176–179. Available from: https://doi.org/10.1177/2150131917690092
  7. Liu L, Tang Y, Baxter GD, Yin H, Tumilty S. Complementary and alternative medicine - practice, attitudes, and knowledge among healthcare professionals in New Zealand: an integrative review. BMC Complementary Medicine and Therapies. 2021;21(1):1–11. Available from: https://doi.org/10.1186/s12906-021-03235-z
  8. Galbraith N, Boyda D, Mcfeeters D, Hassan T. The mental health of doctors during the COVID-19 pandemic. BJPsych Bulletin. 2021;45(2):93–97. Available from: https://doi.org/10.1192/bjb.2020.44
  9. Gulati G, Kelly BD. Physician suicide and the COVID-19 pandemic. Occupational Medicine. 2020;70(7):514. Available from: https://doi.org/10.1093/occmed/kqaa104
  10. Orsini C, Binnie VI, Wilson SL. Determinants and outcomes of motivation in health professions education: a systematic review based on self-determination theory. Journal of Educational Evaluation for Health Professions. 2016;13:1–14. Available from: https://doi.org/10.3352/jeehp.2016.13.19
  11. Sharma G, Gujral JS, Agarwal A, Jat M, Mohanty S, Pandey RM. Exploring knowledge, attitude and practice regarding yoga among patients attending cardiology and neurology clinics in a tertiary care hospital in northern India. The National Medical Journal of India. 2021;34(4):201–205. Available from: https://doi.org/10.25259/nmji_11_20
  12. Fernandez ME, Ruiter R, Markham CM, Kok G. Intervention Mapping: Theory- and Evidence-Based Health Promotion Program Planning: Perspective and Examples. Frontiers in Public Health. 2019;7:1–8. Available from: https://doi.org/10.3389/fpubh.2019.00209
  13. Nutbeam D, Corbin JH, Lin V. The continuing evolution of health promotion. Health Promotion International. 2021;36(Supplement_1):i1–i3. Available from: https://doi.org/10.1093/heapro/daab150
  14. Mühlbacher AC, Juhnke C. Patient Preferences Versus Physicians’ Judgement: Does it Make a Difference in Healthcare Decision Making? Applied Health Economics and Health Policy. 2013;11(3):163–180. Available from: https://doi.org/10.1007/s40258-013-0023-3
  15. Sacca L, Shegog R, Hernandez B, Peskin M, Rushing SC, Jessen C, et al. Barriers, frameworks, and mitigating strategies influencing the dissemination and implementation of health promotion interventions in indigenous communities: a scoping review. Implementation Science. 2022;17(1):1–29. Available from: https://doi.org/10.1186/s13012-022-01190-y

Copyright

© 2024 Srikanteshwara & Ilavarasu.  This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. Published By Indian Society for Education and Environment (iSee)

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