Co-creation of an evidence-based toolkit to facilitate communication on complementary medicine between conventional and complementary healthcare practitioners in the Netherlands

IF 1.7 4区医学 Q3 INTEGRATIVE & COMPLEMENTARY MEDICINE

European Journal of Integrative Medicine Pub Date : 2025-09-01 DOI:10.1016/j.eujim.2025.102550

Louise TC Mulder , Martine Busch , Armelle Demmers , Herman A van Wietmarschen

{"title":"Co-creation of an evidence-based toolkit to facilitate communication on complementary medicine between conventional and complementary healthcare practitioners in the Netherlands","authors":"Louise TC Mulder , Martine Busch , Armelle Demmers , Herman A van Wietmarschen","doi":"10.1016/j.eujim.2025.102550","DOIUrl":null,"url":null,"abstract":"<div><h3>Introduction</h3><div>The Dutch health care system needs guidance and implementation of complementary care, of which shared decision making, communication and referral between conventional and complementary care practitioners are major components. A Dutch quality register for complementary healthcare practitioners (RBCZ) was interested in adopting and implementing an improved version of a communication toolkit developed in an earlier project. Therefore, the aim was to further develop a communication toolkit to improve the communication and collaboration between member practitioners of RBCZ and conventional healthcare practitioners.</div></div><div><h3>Methods</h3><div>Focus group discussions were conducted as part of a co-creation process with conventional and complementary healthcare practitioners to define content and implementation of the toolkit, in three field labs; Utrecht, Amsterdam and the north of the Netherlands. A pragmatic evidence-based decision aid for the respective complementary care modalities was developed based on a literature assessment and Strength Of Recommendation Taxonomy (SORT) criteria.</div></div><div><h3>Results</h3><div>The final toolkit included seven communication tools: (1) getting acquainted; (2) communication; (3) frame letters; (4) decision aid with evidence-based recommendations for 13 complementary therapies and 6 indications: chronic low back pain, depressive symptoms, medically unexplained physical symptoms, irritable bowel syndrome, burnout, and chronic fatigue syndrome; (5) grading evidence; (6) support for communication of the RBCZ members/professional associations and (7) implementation.</div></div><div><h3>Conclusions</h3><div>The evidence-based toolkit will be made available to 23 professional associations covering over 9.500 complementary healthcare practitioners in the Netherlands (RBCZ). The regional collaboration amongst complementary healthcare practitioners was strengthened as well as between complementary and conventional healthcare practitioners.</div></div>","PeriodicalId":11932,"journal":{"name":"European Journal of Integrative Medicine","volume":"78 ","pages":"Article 102550"},"PeriodicalIF":1.7000,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"European Journal of Integrative Medicine","FirstCategoryId":"3","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S187638202500099X","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"INTEGRATIVE & COMPLEMENTARY MEDICINE","Score":null,"Total":0}

引用次数: 0

Abstract

Introduction

The Dutch health care system needs guidance and implementation of complementary care, of which shared decision making, communication and referral between conventional and complementary care practitioners are major components. A Dutch quality register for complementary healthcare practitioners (RBCZ) was interested in adopting and implementing an improved version of a communication toolkit developed in an earlier project. Therefore, the aim was to further develop a communication toolkit to improve the communication and collaboration between member practitioners of RBCZ and conventional healthcare practitioners.

Methods

Focus group discussions were conducted as part of a co-creation process with conventional and complementary healthcare practitioners to define content and implementation of the toolkit, in three field labs; Utrecht, Amsterdam and the north of the Netherlands. A pragmatic evidence-based decision aid for the respective complementary care modalities was developed based on a literature assessment and Strength Of Recommendation Taxonomy (SORT) criteria.

Results

The final toolkit included seven communication tools: (1) getting acquainted; (2) communication; (3) frame letters; (4) decision aid with evidence-based recommendations for 13 complementary therapies and 6 indications: chronic low back pain, depressive symptoms, medically unexplained physical symptoms, irritable bowel syndrome, burnout, and chronic fatigue syndrome; (5) grading evidence; (6) support for communication of the RBCZ members/professional associations and (7) implementation.

Conclusions

The evidence-based toolkit will be made available to 23 professional associations covering over 9.500 complementary healthcare practitioners in the Netherlands (RBCZ). The regional collaboration amongst complementary healthcare practitioners was strengthened as well as between complementary and conventional healthcare practitioners.

查看原文本刊更多论文

共同创建一个以证据为基础的工具包，以促进荷兰传统和补充保健从业人员之间关于补充医学的交流

荷兰卫生保健系统需要指导和实施补充护理，其中共享决策，沟通和转诊之间的传统和补充护理从业人员是主要组成部分。荷兰补充医疗保健从业人员质量登记处（RBCZ）有兴趣采用和实施在早期项目中开发的通信工具包的改进版本。因此，目标是进一步开发一个沟通工具包，以改善RBCZ成员从业者与传统医疗保健从业者之间的沟通和协作。方法：在三个现场实验室中，作为与传统和补充医疗从业人员共同创建过程的一部分，进行焦点小组讨论，以定义工具包的内容和实施；乌得勒支，阿姆斯特丹和荷兰北部。基于文献评估和推荐强度分类法（SORT）标准，为各自的补充护理模式开发了实用的循证决策辅助工具。结果最终工具包包括7种沟通工具：(1)结识；(2)沟通;(3)框架字母；(4)辅助决策，提供13种辅助疗法和6种适应症的循证建议：慢性腰痛、抑郁症状、医学上无法解释的身体症状、肠易激综合征、倦怠和慢性疲劳综合征；（五）分级证据；(6)支持RBCZ成员/专业协会的沟通；(7)实施。结论基于证据的工具包将提供给23个专业协会，覆盖荷兰（RBCZ）的9500多名补充保健从业人员。补充保健从业人员之间以及补充保健从业人员与传统保健从业人员之间的区域合作得到加强。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

求助全文

约1分钟内获得全文求助全文

来源期刊

European Journal of Integrative Medicine INTEGRATIVE & COMPLEMENTARY MEDICINE-

CiteScore

4.70

自引率

4.00%

发文量

102

审稿时长

33 days

期刊介绍： The European Journal of Integrative Medicine (EuJIM) considers manuscripts from a wide range of complementary and integrative health care disciplines, with a particular focus on whole systems approaches, public health, self management and traditional medical systems. The journal strives to connect conventional medicine and evidence based complementary medicine. We encourage submissions reporting research with relevance for integrative clinical practice and interprofessional education. EuJIM aims to be of interest to both conventional and integrative audiences, including healthcare practitioners, researchers, health care organisations, educationalists, and all those who seek objective and critical information on integrative medicine. To achieve this aim EuJIM provides an innovative international and interdisciplinary platform linking researchers and clinicians. The journal focuses primarily on original research articles including systematic reviews, randomized controlled trials, other clinical studies, qualitative, observational and epidemiological studies. In addition we welcome short reviews, opinion articles and contributions relating to health services and policy, health economics and psychology.