Journal of Integrative and Complementary Medicine最新文献

{"title":"Australian Naturopaths Approach to the Clinical Management of Patients Presenting with Sleep Disorders.","authors":"Vibha Malhotra, Joanna E Harnett, Keith Wong, Bandana Saini","doi":"10.1089/jicm.2024.0422","DOIUrl":"10.1089/jicm.2024.0422","url":null,"abstract":"<p><p><b><i>Objective:</i></b> Naturopathic practitioners consult an estimated 6.2% of Australian adults, equating to 1,550,000 people receiving their care each year. Sleep is now recognized as a key pillar of health; however, nearly half of all Australian adults report inadequate sleep. Evidence suggests that many Australians consult naturopaths (NPs) for sleep-related problems and use complementary medicines (CMs) to manage these. However, NPs' clinical approach to caring for people living with sleep disorders has not been reported. Therefore, the aim of this study was to describe and understand the clinical assessment and treatment approaches used by NPs in their care of people living with sleep disorders. <b><i>Materials and Methods:</i></b> A cross-sectional online survey with a purposively sought sample. NPs were recruited via the practitioner research-based network. The participants received an email invitation containing a link to the survey along with a Participant Information Sheet. The online survey (Research Electronic Data Capture-see Supplementary Data S1) comprised multiple-choice, binary (yes/no) questions, or 5-point Likert scale-type questions structured across four sections related to: clinical assessment of patients, treatments used, interprofessional communication with conventional doctors, and demographics. <b><i>Results:</i></b> Sixty-seven complete data sets were analyzed. Most survey participants treated-one to three patients with sleep disorders weekly, being consulted primarily for insomnia (82%) and its treatment (98.5%). Comprehensive sleep health histories were commonly assessed. Additionally, 69% of participants reported that patients sought their services to complement conventional care. The most frequently used complementary medicine (CM) approaches included sleep hygiene counseling (75%) and meditation (64.7%). Vitamins, minerals, herbal medicines, and nutritional supplements were the most recommended CM medicines (92.6%). Referrals to conventional medicine professionals were minimal. <b><i>Conclusion:</i></b> Australian NPs are frequently consulted by people living with sleep disorders who are also using conventional medicines. Our study highlights the need for integrated models of health care tailored to patient needs that maximize potential benefits and reduce any harms associated with drug-CMs interactions. The provision of training to the Australian health care workforce of NPs that focuses on evidence-based behavioral treatments can improve access to these treatments for patients.</p>","PeriodicalId":29734,"journal":{"name":"Journal of Integrative and Complementary Medicine","volume":" ","pages":"445-453"},"PeriodicalIF":1.3,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142956029","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":"The Fire that Burns Within: On Burnout in Health Care and Health Science.","authors":"Holger Cramer","doi":"10.1089/jicm.2025.0248","DOIUrl":"https://doi.org/10.1089/jicm.2025.0248","url":null,"abstract":"","PeriodicalId":29734,"journal":{"name":"Journal of Integrative and Complementary Medicine","volume":"31 5","pages":"396-397"},"PeriodicalIF":1.3,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143987951","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 Review of Key Research and Engagement in 2023-2024.","authors":"John McDonald, Jonquil W Pinto, Lin Ang, Sandro Graca","doi":"10.1089/jicm.2024.1051","DOIUrl":"10.1089/jicm.2024.1051","url":null,"abstract":"","PeriodicalId":29734,"journal":{"name":"Journal of Integrative and Complementary Medicine","volume":" ","pages":"313-316"},"PeriodicalIF":1.3,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143060889","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":"More Than a Walk in the Woods: The Science of Forest Bathing.","authors":"Holger Cramer","doi":"10.1089/jicm.2025.0171","DOIUrl":"10.1089/jicm.2025.0171","url":null,"abstract":"","PeriodicalId":29734,"journal":{"name":"Journal of Integrative and Complementary Medicine","volume":" ","pages":"311-312"},"PeriodicalIF":1.3,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143674131","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":"Integration of Traditional, Complementary, and Integrative Medicine in the Institutionalization of Evidence-Informed Decision-Making: The World Health Organization Meeting Report.","authors":"Amie Steel, Daniel F Gallego-Perez, Nadine Ijaz, Alana Gall, Mukdarut Bangpan, Laura Dos Santos Boeira, Mariana Cabral Schveitzer, Anchalee Chutaputti, Laurenz Mahlanza-Langer, Geetha Krishnan G Pillai, Tipicha Posayanonda, Kim Sungchol, Darshan Shankar, Tanja Kuchenmüller","doi":"10.1089/jicm.2024.0837","DOIUrl":"10.1089/jicm.2024.0837","url":null,"abstract":"","PeriodicalId":29734,"journal":{"name":"Journal of Integrative and Complementary Medicine","volume":" ","pages":"388-394"},"PeriodicalIF":1.3,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7617372/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143012982","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"To Move or Not to Move: Factors of Mind-Body Practice Engagement in a Population-Based Study.","authors":"My Ngoc To, Nicole Nicotera, Kaipeng Wang","doi":"10.1089/jicm.2024.0288","DOIUrl":"10.1089/jicm.2024.0288","url":null,"abstract":"<p><p><b><i>Background:</i></b> Mind-body practices (MBPs), which include seated- (meditation) and movement-based practices (yoga, Tai Chi, <i>qigong</i>), have grown increasingly popular in the United States for improving mental and physical wellness. While literature has identified socioeconomic and health-related factors related to seated- and movement-MBP engagement separately, no studies have explored the factors associated with combined-MBP use. This study accordingly used Anderson's behavioral model of health service utilization to explore sociodemographic and health-related factors associated with seated-, movement-, and combined-MBP engagement among a representative adult sample in the 2017 National Health Interview Survey. <b><i>Methods:</i></b> Descriptive statistics were used to summarize sample characteristics. Multinomial logistic regression using survey weights examined associations between predisposing (<i>race-ethnicity</i>, <i>age</i>, <i>geographic region</i>, <i>sex</i>, <i>sexual minority status</i>, and <i>marital status</i>), enabling (<i>educational attainment</i>, <i>income</i>, <i>having continuous health insurance coverage</i>, and <i>having flexible spending accounts</i>), and needs factors (<i>psychological distress</i>, <i>self-reported health</i>, <i>and chronic pain</i>) with type of MBP engagement. <b><i>Results:</i></b> Nearly 6% (5.8%) of the U.S. adult population practiced combined-MBPs. Results also showed that educational attainment was associated with increasingly higher odds of utilizing all forms of MBPs and revealed racial-ethnic disparities in movement- and combined-MBP engagement. Combined-MBP engagement was roughly two times higher among those with moderate psychological distress (relative risk ratio [RRR] = 1.92; 95% confidence interval [CI]: 1.58-2.32; <i>p</i> < 0.001), severe psychological distress (RRR = 1.96; 95% CI: 1.35-2.85; <i>p</i> < 0.001), and chronic pain. <b><i>Conclusions and Implications:</i></b> Findings suggest that combined-MBPs are utilized by a significant portion of the U.S. population and that engagement has varied distribution across sociodemographic and health factors. Considering the association of combined-MBP usage with mental and physical health needs, the authors recommend that health care providers suggest combined-MBPs as an additional resource for patients with psychological distress or mild chronic pain. Future practice and research can focus on increasing accessibility to MBPs in education settings to reduce racial-ethnic disparities.</p>","PeriodicalId":29734,"journal":{"name":"Journal of Integrative and Complementary Medicine","volume":" ","pages":"358-366"},"PeriodicalIF":1.3,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142772882","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":"Survey of Oncology Patients' Perceptions on Integrative Medicine and Awareness of Resources at an Academic Cancer Center.","authors":"Hui Chen, Tali Pomerantz, Matthew Ponzini, Machelle Wilson, Brian Stuepfert, Silvia C Molina, Michelle L Dossett","doi":"10.1089/jicm.2024.0185","DOIUrl":"10.1089/jicm.2024.0185","url":null,"abstract":"<p><p><b><i>Background:</i></b> More cancer centers are offering integrative medicine (IM) therapies. However, it is unclear how many patients are aware of, and are utilizing, these therapies to help manage their symptoms. <b><i>Objectives:</i></b> This survey study examines patients' knowledge, satisfaction with, and perceptions of available IM resources at an academic cancer center. <b><i>Methods:</i></b> An online, anonymous survey was sent to 7,807 patients of the University of California Davis Health Comprehensive Cancer Center using the electronic health record. The survey consisted of 11 primary questions with follow-up questions. <b><i>Results:</i></b> One thousand and sixteen respondents initiated the survey (response rate of 13%). Eight hundred and fifty-five respondents (10.9%) completed the survey. Mean age was 65.4 years; 67.3% of respondents were female, 84.9% were Caucasian/White, and 86.8% reported being non-Hispanic. The largest group of responders were patients with breast cancer (25.7%). 78.7% reported no IM use, and 18.9% reported using IM. Although 53.7% of respondents were satisfied with the resources, 42.1% reported not being aware of any IM resources. Those who were unaware of resources were more likely to be female than male (47.8% vs. 30.5%) and non-Hispanic (42.3% vs. 31.2%). 48.7% wanted additional IM resources. Of those who wanted additional resources, 54.7% wanted nutritional counseling, 49.3% wanted manipulative and body-based methods, 44.4% wanted alternative medical systems, and 43.4% wanted counseling on herbs, dietary supplements, and cannabis. <b><i>Discussion:</i></b> Forty-two percent of participants were unaware of any IM resources at the institution and an even greater number, 48.7%, voiced a desire for additional IM resources. <b><i>Conclusion:</i></b> This is the first study in the United States at an academic comprehensive cancer center to examine patients' perceptions of available IM resources. Although some cancer centers offer a variety of IM resources, many patients may be missing out on potential symptom or quality-of-life benefits due to a lack of awareness of these resources.</p>","PeriodicalId":29734,"journal":{"name":"Journal of Integrative and Complementary Medicine","volume":" ","pages":"350-357"},"PeriodicalIF":1.7,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12332385/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142796203","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Effects of Acupressure and Massage on Pain, Menstrual Symptoms, and Quality of Life in Primary Dysmenorrhea: A Randomized Controlled Trial.","authors":"Seda Eryılmaz, Tuba Uçar","doi":"10.1089/jicm.2023.0721","DOIUrl":"10.1089/jicm.2023.0721","url":null,"abstract":"<p><p><b><i>Objective:</i></b> The study was carried out to determine the effects of acupressure and massage on pain severity, menstrual symptoms, and quality of life in patients with primary dysmenorrhea. <b><i>Materials and Methods:</i></b> This randomized controlled trial was conducted between January 2021 and May 2021. The study initially enrolled 309 female students with primary dysmenorrhea studying at a university in the Central Anatolia Region of Türkiye. After exclusions (due to secondary dysmenorrhea diagnosis, study discontinuation, or drug use), the study was completed with a total of 267 students. The students were divided into three groups as follows: (1) the acupressure+massage group, (2) the massage-only group, and (3) the control group. Acupressure + massage and massage-only groups were timed for the first 3 days of three consecutive menstrual cycles. The primary outcome of the study was the mean pain score for primary dysmenorrhea. Data were collected with the Visual Analog Scale, Daily Menstrual Symptom Rating Scale, and Short Form 12 Health Survey. <b><i>Results:</i></b> In the first cycle and first day of preintervention measurement, the physical and mental health levels, which are the subscales of pain severity, menstrual symptom intensity, and quality of life, were similar in the three groups (<i>p</i> > 0.05). In other measurements during the three cycles, it was determined that the pain severity and menstrual symptom intensity in the acupressure + massage and massage-only group were lower than the control group (<i>p</i> < 0.05). After the intervention, it was determined that there was no significant difference in all subscales of the Quality of Life Scale (<i>p</i> > 0.05). In the acupressure + massage group, three participants reported having adverse reactions, including pain at the acupoints (<i>n</i> = 1) and shift in menstruation cycle (<i>n</i> = 2); in the massage-only group, four participants reported having adverse reactions, including redness (<i>n</i> = 3) and tingling in a finger (<i>n</i> = 1). <b><i>Conclusion:</i></b> It was determined that acupressure and massage applied to those with primary dysmenorrhea were effective methods to reduce the pain level and menstrual symptom intensity, but did not affect their quality of life. <b><i>Clinical Trials Number:</i></b> A Clinical trials number was received from ClinicalTrials.gov (NCT04942288).</p>","PeriodicalId":29734,"journal":{"name":"Journal of Integrative and Complementary Medicine","volume":" ","pages":"378-387"},"PeriodicalIF":1.3,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142869703","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":"Acupuncture in Pediatrics: A Scoping Review.","authors":"Annabelle Snow, Jaime Ralston-Wilson, Ryan Milley","doi":"10.1089/jicm.2024.0150","DOIUrl":"10.1089/jicm.2024.0150","url":null,"abstract":"<p><p><b><i>Background:</i></b> The use of acupuncture for common pediatric conditions continues to grow in the United States. Six previous reviews have summarized the research; however, approximately 8 years have accumulated adding to this growing body of literature. <b><i>Objectives:</i></b> The aim of this article is to provide a scoping review of acupuncture research in pediatric conditions and a summary of the effectiveness of acupuncture in the pediatric population. <b><i>Methods:</i></b> A systematic search was performed to identify clinical trials and reviews published between August 2015 and October 2023. Trials and reviews were excluded if they were not: (1) acupuncture specific, (2) data limited to pediatric patients, and (3) published in English. The literature was assessed and synthesized into a scoping review and commentary. <b><i>Results:</i></b> Seventy-one publications were identified (42 clinical trials and 29 reviews) that represented 17 conditions and 10 countries; the top 2 were China and the United States. The top five areas of new research (based on numbers of clinical trials) are pain, cerebral palsy (CP), attention-deficit hyperactivity disorder, autism spectrum disorder, and nausea and vomiting. <b><i>Conclusions:</i></b> Clinical trials in pediatric acupuncture represent a small but important subset of acupuncture literature. Data are positive for postoperative nausea and vomiting and promising for CP, nocturnal enuresis, perioperative pain, procedural pain, and tic disorders. Several factors preclude additional firm conclusions from being drawn, including a limited number of trials, small sample size (<i>n</i> < 100) of the majority of randomized controlled trials (78.6%), and heterogeneity of treatment approaches. Continued research on the use of acupuncture for pediatric conditions is warranted, particularly in conditions demonstrating recent promising evidence.</p>","PeriodicalId":29734,"journal":{"name":"Journal of Integrative and Complementary Medicine","volume":" ","pages":"335-349"},"PeriodicalIF":1.3,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143256921","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":"Barriers and Facilitators to the Inclusion of Naturopaths in Interprofessional Health Care Teams: A Scoping Review.","authors":"Isabelle Taye, Sandra Grace, Joanne Bradbury","doi":"10.1089/jicm.2024.0569","DOIUrl":"10.1089/jicm.2024.0569","url":null,"abstract":"<p><p><b><i>Objective:</i></b> The growing population of individuals with chronic pain presents a challenge to a globally overburdened health care workforce. Naturopaths are trained as primary health care providers who manage patients with chronic pain and, yet, are often overlooked in health care teams. This scoping review aims to identify barriers and facilitators affecting naturopathic inclusion into interprofessional health care teams managing patients with chronic pain. <b><i>Methods:</i></b> This study protocol was registered <i>a priori</i> through Open Science (https://doi.org/10.17605/OSF.IO/2G3JT). A search was conducted using databases AMED, CINAHL, MEDLINE, SCOPUS, Web of Science, APA PsycInfo, and Health Business Elite. Search limits included English language from 2012 to 2023. Included publications were from academic and gray literature. Search terms used included the following: \"Naturopath*\" OR \"Integrative medicine\" AND \"Health care system*\" OR \"Health system*\" OR \"Models of health care\" OR \"Professional autonomy\" OR \"Professional regulation\" OR \"Professional govern*\" OR \"Interprofessional practice (IPP)\" OR \"Multidisciplinary communication.\" The scoping review utilized Covidence software and was analyzed using thematic analysis. Themes were identified following Arksey and O'Malley's (2005) framework to inform a narrative approach. <b><i>Results:</i></b> Five themes emerged that relate to the inclusion of naturopaths in health care teams as follows: (1) perceptions of naturopathy, (2) practice standards, (3) legitimacy, (4) resources, and (5) shifting power dynamics and cooperation. <b><i>Conclusions:</i></b> Barriers for naturopathic inclusion into health care teams are influenced by perceptions of naturopathy, naturopathic education standards, regulations, research, and patient equity and access. Facilitators for inclusion include the growing shift toward person-centered care, greater interprofessional education, and shared assets, including colocation.</p>","PeriodicalId":29734,"journal":{"name":"Journal of Integrative and Complementary Medicine","volume":" ","pages":"317-334"},"PeriodicalIF":1.3,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142732397","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}