Journal of Integrative and Complementary Medicine最新文献

{"title":"Impact of Probiotics on Children with Acute Gastroenteritis: Results from an Umbrella Meta-Analysis.","authors":"Sen Fan, Xianchun Mao, Ranran Li","doi":"10.1177/27683605261441039","DOIUrl":"https://doi.org/10.1177/27683605261441039","url":null,"abstract":"<p><strong>Background: </strong>Probiotics have been suggested as therapeutic agents for acute gastroenteritis (AG) in children. However, the optimal probiotic strains, doses, and durations of supplementation remain unclear.</p><p><strong>Objective: </strong>This umbrella meta-analysis was conducted to assess the clinical efficacy of different strains of probiotics on AG.</p><p><strong>Methods: </strong>To gather pertinent evidence, a search was conducted on PubMed and Scopus from their inception up to October 12, 2025. Standardized mean difference and relative risk with their 95% confidence interval were used as the metrics for assessing treatment effects on continuous and binary outcomes, respectively.</p><p><strong>Results: </strong>A total of 36 eligible meta-analyses (MAs), including 107,541 participants, were included. The analysis showed that probiotics may help prevent the incidence of AG and decrease the duration of diarrhea, vomiting, fever, length of hospital stays, as well as the frequency of stool and the presence of diarrhea on specific days post-treatment. However, the effects were found to be strain-specific and, for certain outcomes, were influenced by the dose (colony-forming units) and duration of treatment. Overall, the most effective probiotics in terms of efficacy on AG symptoms were <i>Saccharomyces boulardii CNCM I-745, Lacticaseibacillus rhamnosus GG</i> (formerly <i>Lactobacillus rhamnosus GG; ATCC 53103), Limosilactobacillus reuteri DSM 17938</i> (formerly <i>Lactobacillus reuteri), Lactiplantibacillus acidophilus, Bacillus clausii O/C, Bifidobacterium animalis subsp. lactis BB-12</i> (formerly <i>Bifidobacterium lactis</i>), <i>and</i> a combination of <i>Lactobacillus acidophilus spp.+ Bifidobacterium spp.</i> Probiotics were effective in both viral and bacterial acute AG in inpatient and outpatient settings. The effects of probiotics on certain outcomes were dose- and duration-dependent, although these effects varied across strains and clinical settings.</p><p><strong>Conclusions: </strong>This study indicates that probiotics have the potential to prevent AG and reduce associated symptoms in children.</p>","PeriodicalId":29734,"journal":{"name":"Journal of Integrative and Complementary Medicine","volume":" ","pages":"27683605261441039"},"PeriodicalIF":1.7,"publicationDate":"2026-05-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147821579","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Defining Traditional Medicine in German-Speaking Countries: A Framework Based on the World Health Organization's Traditional Medicine Strategy.","authors":"Sebastian Wenger","doi":"10.1177/27683605261448755","DOIUrl":"https://doi.org/10.1177/27683605261448755","url":null,"abstract":"","PeriodicalId":29734,"journal":{"name":"Journal of Integrative and Complementary Medicine","volume":" ","pages":"27683605261448755"},"PeriodicalIF":1.7,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147821543","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Prioritizing Barriers and Facilitators of Traditional, Complementary, and Integrative Medicine Service Use: A Delphi and Analytical Hierarchy Process Study in Iran.","authors":"Seyede Maryam Najibi, Faride Sadat Jalali, Yaser Sarikhani, Mahdie Hajimonfarednejad, Seyed Hosein Seyedi, Mohammad Hashem Hashempur","doi":"10.1177/27683605261435775","DOIUrl":"https://doi.org/10.1177/27683605261435775","url":null,"abstract":"<p><strong>Introduction: </strong>Recognizing and prioritizing the factors that influence the selection of treatment options is essential for effective health service planning and an appropriate health care delivery system. This study aimed to identify and prioritize the barriers and facilitators to the use of Traditional, Complementary, and Integrative Medicine (TCIM) in Iran.</p><p><strong>Materials and methods: </strong>A two-phase, mixed-methods study was conducted. First, a two-round Delphi survey was conducted with a panel of 32 experts, including specialists in Persian medicine (PM) and health policymakers, to acheive consensus on a list of barriers and facilitators within the Iranian context. Subsequently, the Analytical Hierarchy Process (AHP) was applied with a 12-expert panel to determine the relative weight and priority of the agreed-upon criteria.</p><p><strong>Results: </strong>The Delphi process yielded consensus on 18 facilitators and nine barriers. The facilitators were categorized into two main dimensions (Cultural and social facilitators, and Systemic facilitators) and six sub-dimensions. In comparison, the barriers formed four main dimensions (service delivery barriers, policy challenges, financial barriers, and knowledge and attitudinal barriers). Quantitative AHP results revealed that among facilitators, \"effects of health professionals\" (Final Weight: 0.29) was the most critical dimension, with \"Recommendation and referral by conventional physicians (CPs)\" (Final Weight: 0.18) as its top factor. Conversely, among barriers, \"Policy Challenges\" (Final Weight: 0.50) was the most significant dimension, substantially outweighing others.</p><p><strong>Conclusion: </strong>The findings highlight that the recommendation of TCIM by CPs are the strongest facilitator; yet, overarching policy challenges critically hamper its implementation. Addressing this disconnect requires integrated policy reforms and interdisciplinary collaboration to leverage TCIM within Iran's health care system effectively.</p>","PeriodicalId":29734,"journal":{"name":"Journal of Integrative and Complementary Medicine","volume":" ","pages":"27683605261435775"},"PeriodicalIF":1.7,"publicationDate":"2026-04-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147783054","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Learning Under Uncertainty: A Bayesian Agenda for Traditional, Complementary, and Integrative Medicine Research.","authors":"Dennis Anheyer, Holger Cramer","doi":"10.1177/27683605261447142","DOIUrl":"https://doi.org/10.1177/27683605261447142","url":null,"abstract":"","PeriodicalId":29734,"journal":{"name":"Journal of Integrative and Complementary Medicine","volume":" ","pages":"27683605261447142"},"PeriodicalIF":1.7,"publicationDate":"2026-04-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147783079","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A Qualitative Examination of Self-Care and Ideal Health Care Among Rural Female Veterans.","authors":"Caitlin L McLean, Jenny K Cohen, Mariam Jacob, Tara Stacker, Kara A Zamora-Rogoski","doi":"10.1177/27683605261444642","DOIUrl":"https://doi.org/10.1177/27683605261444642","url":null,"abstract":"<p><strong>Purpose: </strong>Veteran's Affairs Whole Health system of care emphasizes a person-centered and proactive approach to self-care and well-being. Since personal values and locally available resources may affect these motivations among rural-dwelling female Veterans, we examined perceptions of self-care practices, views about what ideal health care entails, and recommendations for support among rural-dwelling female Veterans.</p><p><strong>Method: </strong>This study is part of a larger quality improvement project that evaluated a clinician-delivered telehealth outreach program. Twenty-one female Veterans (age range 22-85 years) participated in qualitative interviews.</p><p><strong>Results: </strong>Veterans reported engaging in a variety of self-care practices. Notably, being physically active outdoors was important, and many choose to live in rural communities to access outdoor activities. Veterans also found importance in community-based connection (e.g., participating in faith communities). Some Veterans noted challenges with accessing activities and having smaller social networks due to their rurality; thus, Veterans also saw a need for groups or events focused on community building to help foster community among women Veterans. When asked about ideal health care, multiple Veterans wished for less emphasis and reliance on medications, instead desiring more emphasis on holistic care and increased access to complementary and integrative health (CIH) approaches.</p><p><strong>Conclusions: </strong>These findings indicate that rural-dwelling female Veterans engage in myriad self-care practices and see their ideal health care as including more CIH approaches. These data support continued investment in CIH as part of the broader VA Whole Health initiative and the importance of health care teams helping facilitate nonpharmacologic interventions.</p>","PeriodicalId":29734,"journal":{"name":"Journal of Integrative and Complementary Medicine","volume":" ","pages":"27683605261444642"},"PeriodicalIF":1.7,"publicationDate":"2026-04-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147782967","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Associations Between Social and Religious Characteristics and the Use of Religion-Based and Complementary Healing Practices Among Muslim Women in Chicago: A Cross-Sectional Community Survey.","authors":"Ummesalmah Abdulbaseer, Raudah M Yunus, Aasim I Padela","doi":"10.1177/27683605261445326","DOIUrl":"https://doi.org/10.1177/27683605261445326","url":null,"abstract":"<p><strong>Introduction: </strong>Traditional and complementary medicine (T&CM) is used by many populations for healing purposes. For Muslims, these methods include religiously sourced and spiritually based practices, such as consuming herbs and foods mentioned by Prophet Muhammad and performing specific worship activities believed to hasten healing. This paper examined the use of T&CM among American Muslim women and the associations between sociodemographic and religious characteristics and such use.</p><p><strong>Materials and methods: </strong>This was an exploratory, cross-sectional survey among English-speaking, adult Muslim women recruited from Chicago mosques and community centers. Participants completed a self-administered survey with items assessing sociodemographic and religious characteristics, as well as usage of traditional complementary and alternative treatments. Descriptive statistics were tabulated, ANOVA and Pearson's chi-squared tests were used to assess bivariate relationships, and multivariate linear and ordered logistic regression models were used to determine associations between outcome variables-religious and nonreligiously sourced complementary and alternative modalities-and independent variables.</p><p><strong>Results: </strong>A total of 254 participants completed the survey. Approximately 70% of participants employed Prophetic medicine, and 50% consulted an alternative healer when facing a health problem. Several sociodemographic and religious factors were associated with the use of complementary/alternative modalities. Notably, immigrants had higher odds of using treatments sourced in sayings of the Prophet Muhammad than those who were born in the U.S. (odds ratio [OR] = 2.41, <i>p</i> < 0.039), whereas those who had lived longer in the U.S. had lower odds of using complementary/alternative modalities than individuals whose duration of stay was shorter (OR = 0.33, <i>p</i> < 0.031). With regard to religiosity, participants with negative religious coping had lower odds of using folk methods (OR = 1.16, <i>p</i> < 0.001) but had higher odds of using nonreligious T&CM (OR = 1.15, <i>p</i> < 0.002).</p><p><strong>Conclusion: </strong>Many American Muslim women utilize T&CM for healing, with the most prevalent modalities being Prophetic medicine and worship activities. T&CM use appears to be associated with demographic features. Further research to unpack the surrounding behavioral and decisional contexts of T&CM, specifically whether it is used integratively or in lieu of allopathic methods, and by whom, is needed.</p>","PeriodicalId":29734,"journal":{"name":"Journal of Integrative and Complementary Medicine","volume":" ","pages":"27683605261445326"},"PeriodicalIF":1.7,"publicationDate":"2026-04-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147783052","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effectiveness of Music Therapy on Utilization Outcomes among Surgical Patients with Mental Health Conditions: A Propensity-Score Matched Cohort Study.","authors":"Samuel N Rodgers-Melnick, Thomas E Love, Siran M Koroukian, Douglas Gunzler, Mark Beno, Rab Razzak, Jeffery A Dusek, Johnie Rose","doi":"10.1177/27683605261444109","DOIUrl":"10.1177/27683605261444109","url":null,"abstract":"<p><strong>Background: </strong>Music interventions can be beneficial for reducing post-operative pain and opioid exposure, but few studies have investigated music therapy (MT)'s real-world effects on utilization outcomes. This study examined characteristics associated with receiving MT and its impacts on length of stay (LOS) and opioid utilization among surgical patients with mental health and/or substance use disorders (MSUD).</p><p><strong>Methods: </strong>A retrospective cohort study was conducted of 4239 inpatients (267 MT, 3972 usual care) with MSUD who underwent surgery between August 2020 and July 2023. A propensity score for receiving MT accounting for sociodemographics, pain, hospital services, and multiple comorbidities was used to create a matched cohort. The effects of MT on log-transformed LOS and mean morphine milligram equivalents (MME)/day were estimated.</p><p><strong>Results: </strong>Among patients receiving MT, the median (IQR) time to MT referral was 80.43 (39.27-179.31) hours (h). Patients received 3 (2-4) MT interventions, representing exposure on 18.18% (11.32%-29.81%) of admitted days. Covariates associated with receiving MT (adjusted odds ratio [95% CI]) included receiving palliative care (3.57 [2.02, 6.25]) and having a trauma/stress disorder (2.93 [2.00, 4.24]), anxiety (1.51 [1.11, 2.06]), heart failure (1.63 [1.05, 2.51]), a more resource-intensive admission (1.55 [1.08, 2.23]), and more opioids administered by 48 h (1.19 [1.04, 1.37]). In the analysis of 251 matched pairs, MT's estimated effect on log-transformed outcomes was 1.42 [1.27, 1.58] for LOS and 0.95 [0.75, 1.19] for MME/day.</p><p><strong>Conclusion: </strong>Patients with MSUD who undergo surgery and receive MT are more medically complex and thus may have prolonged LOS compared with those receiving usual care. Receiving MT on 18.18% of admitted days does not meaningfully impact opioid utilization within this population. Findings inform factors that may influence the decision to refer MT. LOS effects should be interpreted with caution given the inability to account for some factors that influence LOS.</p>","PeriodicalId":29734,"journal":{"name":"Journal of Integrative and Complementary Medicine","volume":" ","pages":"27683605261444109"},"PeriodicalIF":1.7,"publicationDate":"2026-04-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147730297","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Integrating Chiropractic Care into Federally Qualified Health Centers: Policy, Payment, and Pathways for Sustainable Spine and Musculoskeletal Care.","authors":"Logan Benjamin, Patrick Battaglia, Morgan Young, Victoria Bensel","doi":"10.1177/27683605261444627","DOIUrl":"https://doi.org/10.1177/27683605261444627","url":null,"abstract":"<p><strong>Background: </strong>Federally Qualified Health Centers (FQHCs) deliver comprehensive primary care and supportive services to underserved populations. However, current care models have been unable to meet demand for spinal and musculoskeletal (MSK) care, a leading cause of disability and driver of opioid prescribing.</p><p><strong>Purpose: </strong>Chiropractors are well positioned to help FQHCs manage the burden of acute and chronic spinal and MSK pain, supporting primary care providers while expanding access to nonpharmacologic treatment. Yet integration of chiropractic services into FQHCs remains limited.</p><p><strong>Discussion: </strong>Although chiropractors are eligible to provide qualifying Medicare Prospective Payment System visits in FQHCs, chiropractic adoption appears to be enabled primarily by Medicaid coverage, with integration concentrated in states that reimburse chiropractic services and where approximately 50% of chiropractic FQHC patients have Medicaid coverage. This article examines the financing and policy environment shaping chiropractic integration in FQHCs, compares fee-for-service and value-based payment models, and explores alternative pathways, including shared savings, capitation, and grant funding. Drawing on parallels to successful integration from dentistry, podiatry, and optometry, we describe how chiropractors can function as embedded spinal and MSK specialists contributing to quality and cost outcomes.</p><p><strong>Conclusion: </strong>We argue that with supportive Medicaid and Medicare policies, chiropractic services can improve pain outcomes for spinal and MSK disorders while reducing downstream health care utilization in safety-net settings.</p>","PeriodicalId":29734,"journal":{"name":"Journal of Integrative and Complementary Medicine","volume":" ","pages":"27683605261444627"},"PeriodicalIF":1.7,"publicationDate":"2026-04-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147729371","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Published Databases Resources for Traditional, Complementary, and Integrative Medicine: Update of a Systematic Review.","authors":"Christa K Raak, David D Martin, Katja Boehm, Daniela Hacke, Sebastian Unger, Thomas Ostermann","doi":"10.1177/27683605261441386","DOIUrl":"https://doi.org/10.1177/27683605261441386","url":null,"abstract":"<p><strong>Background: </strong>Traditional, Complementary, and Integrative Medicine (TCIM) has been established in the academic context of universities. In recent years, strategies have been developed worldwide to strengthen the role of TCIM in supporting the health of the population. Online databases are a common way for obtaining evidence-based information. This article is an update of a former systematic review from 2010 on published databases resources for TCIM.</p><p><strong>Methods: </strong>The databases CINAHL, CAMbase, Web of Science, MEDLINE/PubMed, and Google Scholar search engine were searched for databases related to TCIM published in peer-reviewed journals between 2010 and November 2024. All included databases were visited online, and information on the origin, content, and scope of the database was extracted.</p><p><strong>Results: </strong>A total of 6579 articles were identified through the literature search. After exclusion of irrelevant articles, full-text screening of 127 articles yielded 37 new databases. Together with 16 still available old databases, these mainly contained information on herbal therapies (<i>n</i> = 15) and Traditional Chinese Medicine (<i>n</i> = 11) from 18 different countries. Newly identified medicinal plant databases offer various scientific resources such as crude drugs, indigenous plants, and structures for natural and phytochemical components with molecular biological content.</p><p><strong>Conclusions: </strong>This literature review illustrates the dynamic development in the database landscape over the last 15 years. While the number of bibliographic databases is shrinking, databases in the field of medical plants/herbal therapy content are on the rise, which might be due to advances in plant genomics and molecular biology.</p>","PeriodicalId":29734,"journal":{"name":"Journal of Integrative and Complementary Medicine","volume":" ","pages":"27683605261441386"},"PeriodicalIF":1.7,"publicationDate":"2026-04-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147699924","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Beyond the Debate: Reframing Homeopathy in Integrative Oncology.","authors":"Moshe Frenkel, Jean Lionel Bagot","doi":"10.1177/27683605261435873","DOIUrl":"https://doi.org/10.1177/27683605261435873","url":null,"abstract":"","PeriodicalId":29734,"journal":{"name":"Journal of Integrative and Complementary Medicine","volume":" ","pages":"27683605261435873"},"PeriodicalIF":1.7,"publicationDate":"2026-04-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147699945","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}