Journal of Integrative and Complementary Medicine最新文献

{"title":"Collaborative Learning to Examine the Feasibility and Uptake of Whole Health Coaching for Rural-Residing Veterans with Multiple Chronic Conditions.","authors":"David B Coultas, Leslie Tadei, Kristen Saxton, Mystery Wells, Chelsea Jacobson, Christopher Larsen, Thomas Lindsley, Elizabeth Hulen","doi":"10.1177/27683605251361621","DOIUrl":"10.1177/27683605251361621","url":null,"abstract":"<p><p><b><i>Introduction:</i></b> Among rural communities, there is a growing occurrence of persons with multiple chronic conditions (MCC) who have many unmet health care needs. Innovative interventions are needed to help address these needs. The purpose of this article is to describe the feasibility and uptake of a Whole Health System (WHS) health coaching support for rural-residing Veterans with MCC. <b><i>Methods:</i></b> This was a prospective qualitative case study of the development and early implementation of two types of health coaching support conducted at the VA Portland Health Care System. The two types of support offered were a health coach alone or a health coach plus remote patient monitoring-home telehealth (RPM-HT). Two clinical teams collaborated on the planning and implementation of the interventions using a collaborative learning process. The observations from this process were then used to conduct a formative evaluation using the Mobilizing Integrated Promoting Action on Research Implementation in Health Services (Mi-PARIHS) toolkit. <b><i>Results:</i></b> Of the 56 Veterans offered health coaching support, 6 (10.7%) engaged with the health coach. Among the 32 Veterans offered health coach plus RPM-HT support, 12 (37.5%) participated. Many factors contributed to the limited engagement of Veterans in the WHS coaching interventions including system-, clinician-, and patient-level concerns. <b><i>Discussion:</i></b> Our study examining the feasibility and uptake of providing WHS health coaching support highlights the complex care needs and numerous challenges of providing this type of support. Moreover, the formative evaluation using the Mi-PARIHS toolkit reinforced specific barriers that need to be addressed in future implementation efforts of providing person-centered care supported by health coaches. Finally, there is an urgent need for effective solutions given the health disparity gaps in rural communities, shortage of health care professionals, limited access to specialty care and closure of rural hospitals, and the estimated doubling prevalence of MCC over the next 25 years.</p>","PeriodicalId":29734,"journal":{"name":"Journal of Integrative and Complementary Medicine","volume":" ","pages":"914-920"},"PeriodicalIF":1.7,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144715196","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":"Being an Interceptor in Integrative Medicine-Some Thoughts about Regression Analysis and Young Academics.","authors":"Thomas Ostermann, Patrick Rebacz, Robbert van Haselen","doi":"10.1177/27683605251382511","DOIUrl":"10.1177/27683605251382511","url":null,"abstract":"","PeriodicalId":29734,"journal":{"name":"Journal of Integrative and Complementary Medicine","volume":" ","pages":"849-851"},"PeriodicalIF":1.7,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145092436","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":"Turning Down the Heat: Mind-Body Strategies Against Inflammaging.","authors":"Darshan H Mehta, Peter M Wayne, Gloria Y Yeh","doi":"10.1177/27683605251383711","DOIUrl":"https://doi.org/10.1177/27683605251383711","url":null,"abstract":"","PeriodicalId":29734,"journal":{"name":"Journal of Integrative and Complementary Medicine","volume":"31 10","pages":"852-856"},"PeriodicalIF":1.7,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145303692","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":"Amaranthus Extract Promotes Healthy Follicles and Anagen Hair Density-A Randomized Placebo-Controlled, Double-Blinded Study.","authors":"Revathi V, Deepa Suhag","doi":"10.1177/27683605251363174","DOIUrl":"10.1177/27683605251363174","url":null,"abstract":"<p><p><b><i>Background:</i></b> A contributing factor to male pattern hair loss (MPHL) is a compromised microcirculation and increased vasoconstriction in the scalp. Since endothelial nitric oxide (NO) was found to act as a vasodilator, our study looked at the efficacy of an amaranthus hair cream in delivering absorbable nitrates to the scalp that would convert to NO resulting in vasodilation and also deliver the nutrients to the scalp. <b><i>Methods:</i></b> This was a randomized, double-blinded, placebo-controlled parallel arm study of 50 males of 25-45 years. The study included clinically diagnosed MPHL having Norwood classification III vertex, IV, V, and hair density >100 as measured with Trichoscan. Individuals having a history of active hair loss due to alopecia areata, scarring alopecia, diffuse telogen effluvium or dermatological conditions other than androgenic alopecia were excluded from the study. Amaranthus or placebo cream ∼2 g was applied to the targeted area once daily at night for 90 days. The primary outcome was the mean change in terminal hair density and hair-shaft diameter of terminal hair. The secondary outcome was a mean change in the density of vellus, anagen, and telogen hairs, pilary index, terminal to vellus ratio, and anagen to telogen ratio. <b><i>Results:</i></b> The terminal hair density increased significantly (<i>p</i> < 0.0001) by 28% from baseline while placebo had 15% change. Anagen hair count and density increased significantly (<i>p</i> < 0.0001) by 54% from baseline while placebo had a 17.5% change. The pilary index was significantly increased (<i>p</i> < 0.0001) by 25% from baseline while placebo had 7.3% change. The anagen by telogen ratio showed significant increase (<i>p</i> < 0.0001) of 1.5 times whereas placebo showed only 21% change. <b><i>Conclusion:</i></b> Amaranthus extract cream significantly improved anagen hair density and follicular health. No adverse effects recorded from this suggest that the Amaranthus extract cream is potential as a safe, and effective supportive therapy for MPHL.</p>","PeriodicalId":29734,"journal":{"name":"Journal of Integrative and Complementary Medicine","volume":" ","pages":"921-931"},"PeriodicalIF":1.7,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144790224","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":"Concussion Outcomes 3 Months after an Intervention for Young Adults with Co-Occurring Anxiety: A Randomized Controlled Trial.","authors":"Nadine Levey, Jafar Bakhshaie, Ana-Maria Vranceanu, Jonathan Greenberg","doi":"10.1177/27683605251363177","DOIUrl":"10.1177/27683605251363177","url":null,"abstract":"<p><p><b><i>Background:</i></b> We recently developed and established the feasibility of the first mind-body program aiming to prevent persistent concussion symptoms among young adults with anxiety - the Toolkit for Optimal Recovery after Concussion (TOR-C) and an active health education control (HE-C). Both interventions demonstrated preliminary improvements between baseline and post-intervention in outcomes including post-concussion symptoms, physical function, and anxiety. Here, we report on these outcomes 3 months post-intervention. <b><i>Methods:</i></b> Fifty young adults (ages 18-35) with a recent concussion (3-10 weeks) and anxiety (≥5 on GAD-7) were randomized to TOR-C (<i>n</i> = 25) or HE-C (<i>n</i> = 25). Participants completed measures of concussion symptoms (PCSS), anxiety (GAD-7), and physical function (WHODAS 2.0) at baseline (pre-randomization), post-intervention, and 3 months post-intervention. We used mixed-model ANOVA with a shared baseline to adjust for baseline differences and assessed within-group changes in these outcomes from baseline to 3 months. <b><i>Results:</i></b> Preliminary improvements in concussion symptoms from baseline to 3 months post-intervention were statistically significant in both groups, but clinically meaningful (i.e., exceeding the Minimal Clinically Important Difference) only for TOR-C. Baseline versus 3-month follow-up improvements in physical function and anxiety were statistically significant and clinically meaningful for both groups. <b><i>Conclusions:</i></b> Findings provide preliminary evidence that TOR-C may help improve post-concussion recovery, and support a future fully-powered trial to establish the efficacy and sustained effects of TOR-C versus HE-C.</p>","PeriodicalId":29734,"journal":{"name":"Journal of Integrative and Complementary Medicine","volume":" ","pages":"932-934"},"PeriodicalIF":1.7,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144790225","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":"Participant Experiences in Using a Telehealth Mindful Exercise Program for Knee Osteoarthritis: A Qualitative Study.","authors":"Nirali Shah, Melanie Morris, Ellen S Cohn, Natalia E Morone, Terry D Ellis, Deepak Kumar","doi":"10.1177/27683605251364715","DOIUrl":"10.1177/27683605251364715","url":null,"abstract":"<p><p><b><i>Objective:</i></b> To explore the acceptability of an 8-week, telehealth, group-based, mindful exercise intervention in individuals with knee osteoarthritis (OA). <b><i>Methods:</i></b> This qualitative study was nested within a randomized controlled trial (<i>N</i> = 40) comparing a mindful exercise intervention to an exercise-only control group. Thirteen participants from the mindful exercise arm were individually interviewed remotely using HIPAA-compliant Zoom. Interviews were guided by the Theoretical Framework of Acceptability (TFA). The transcripts were analyzed using an inductive thematic approach, and the identified themes were mapped onto TFA constructs to determine factors related to the intervention's acceptability. <b><i>Results:</i></b> Eight key themes were identified as follows: (1) Openness to Alternative Treatments for Knee Pain, (2) Challenges with Exercise and Equipment, (3) Varied Perceptions of Mindfulness, (4) Mindfulness was Enjoyable but Challenging, (5) Integration of Mindfulness with Exercise Varied by Exercise Type, (6) Perceived Impact of Intervention was Physical and Psychological, (7) Group Telehealth Format Enhanced Intervention Acceptability, and (8) 2-H Time Commitment was Challenging. Mapping these themes onto the constructs of the TFA highlighted factors that influenced the acceptability of the mindful exercise intervention. These included enjoyment in practicing mindfulness especially when integrated with familiar exercises, the 8-week intervention length, and convenience of the group and telehealth aspects of the intervention. Participants encountered challenges with the 2-h weekly time, exercise equipment, learning and practicing mindfulness independently, and absence of alternative formats (e.g., hybrid or self-guided options). <b><i>Conclusion:</i></b> The mindful exercise intervention was generally acceptable to people with knee OA. However, to enhance acceptability, modifications may be needed, such as adjusting the exercise types and equipment, providing additional support for learning and practicing mindfulness, and offering greater flexibility in session format, timing, and duration. These insights are valuable for developing more effective, patient-centered, mindfulness-based exercise interventions for individuals with knee OA.</p>","PeriodicalId":29734,"journal":{"name":"Journal of Integrative and Complementary Medicine","volume":" ","pages":"904-913"},"PeriodicalIF":1.7,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144805005","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":"Impact of Active Versus Receptive Music Interventions on Psychosocial and Neurological Outcomes in People with Multiple Sclerosis: A Systematic Review.","authors":"Carolyn S Phillips, Jeeyeon Kim, Anjana Ganesh, Alexa M Stuifbergen","doi":"10.1089/jicm.2024.0588","DOIUrl":"10.1089/jicm.2024.0588","url":null,"abstract":"&lt;p&gt;&lt;p&gt;&lt;b&gt;&lt;i&gt;Introduction:&lt;/i&gt;&lt;/b&gt; Multiple sclerosis (MS) is a chronic inflammatory autoimmune disease that affects nearly 1 million people in the United States and 2.9 million people worldwide. The symptoms vary substantially but can include fatigue, lower extremity weakness, cognitive dysfunction, and mood impairment. The use of music to improve cognition, mood, and movement has been studied in numerous patient populations, yet the implementation for people with MS (PwMS) is understudied. This systematic review evaluates the effect of music-based interventions implemented with PwMS. &lt;b&gt;&lt;i&gt;Methods:&lt;/i&gt;&lt;/b&gt; The search used four electronic databases: PubMed/MEDLINE, CINAHL, PsycINFO, and Web of Science from January 1, 2002 to June 30, 2024. The inclusion criteria were (1) individuals diagnosed with MS, (2) music interventions, and (3) randomized controlled trials, quasi-experimental (nonrandomized controlled trials), and mixed methods studies. Outcomes included anxiety, depression, quality of life, and cognitive and functional (gait, balance, fatigue, dexterity) impairment. The risk of bias was evaluated with the National Institutes of Health Quality Assessment Tool. &lt;b&gt;&lt;i&gt;Results:&lt;/i&gt;&lt;/b&gt; A total of 15 studies were included, representing 623 participants. Most studies were conducted in Europe (&lt;i&gt;n&lt;/i&gt; = 9). Ten studies were randomized controlled trials, and the remaining studies were quasi-experimental (case and match controlled). Intervention lengths varied from 1 session (&lt;i&gt;n&lt;/i&gt; = 5) to 36 sessions. Most studies used receptive music engagement; the most common application was music listening while walking. Gait parameters and physical fatigue were the most common outcomes. These studies showed improved gait outcomes in music listening and active control groups. However, participants in the music interventions had less physical fatigue with activity. Four studies evaluated active music engagement interventions. Most active interventions were one session and evaluated memory through immediate and delayed recall of words sung to a melody compared with spoken words. In total, 73% of the studies evaluating motor neurological outcomes (gait, dexterity, and balance) had significant between-group improvements. Sixty-two percent of studies evaluating nonmotor neurological outcomes (cognitive functioning, fatigue, mood, and quality of life) showed significant between-group improvements. Methodological quality was assessed as fair or good for all the studies in the review. Safety and adverse event data were reported in 6/15 studies. &lt;b&gt;&lt;i&gt;Discussion:&lt;/i&gt;&lt;/b&gt; Music-based interventions show promise in improving motor and nonmotor outcomes in PwMS. However, the effectiveness of music-based interventions remains uncertain due to inconsistencies in methodologies and outcome measurements. Gaps in the research include active music engagement interventions, the impact of learning to play an instrument on cognition, and the delivery of interventions online and ","PeriodicalId":29734,"journal":{"name":"Journal of Integrative and Complementary Medicine","volume":" ","pages":"889-903"},"PeriodicalIF":1.7,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144226937","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":"Effects of Acupuncture on Labor Progression in Term Pregnancies with Prelabor Rupture of Membranes: A Randomized Controlled Trial.","authors":"Elisa Wang, Daniela Menichini, Riccardo Cuoghi Costantini, Antonio Lamarca, Isabella Neri","doi":"10.1177/27683605251382855","DOIUrl":"https://doi.org/10.1177/27683605251382855","url":null,"abstract":"<p><p><b><i>Introduction:</i></b> Prelabor rupture of membranes (PROM) at term increases the risk of maternal and neonatal complications. While expectant management aims to allow spontaneous labor, it can lead to infection, whereas active management may result in unnecessary interventions. Acupuncture (ACU) has been suggested as a nonpharmacological method to promote labor onset and reduce the need for induction. This randomized controlled trial aimed to assess the efficacy of ACU in women with PROM at ≥37 weeks' gestation. <b><i>Materials and Methods:</i></b> Eligible women with singleton pregnancies, negative Group B Streptococcus swab, and reassuring maternal-fetal conditions were randomly assigned to receive either ACU or observation after a 6-h latency period. A total of 138 women were analyzed (69 per group). ACU treatment involved point selection based on Traditional Chinese Medicine to stimulate uterine activity and reduce anxiety. The primary outcome was the rate of labor induction; secondary outcomes included labor duration, time from PROM to labor/delivery, and delivery outcomes. <b><i>Results:</i></b> The induction rate did not significantly differ between groups (49.2% in ACU versus 60.8% in controls; <i>p</i> = 0.172). However, ACU significantly reduced the time from PROM to labor onset and delivery and the time from induction to delivery. These differences, however, lost significance after adjustment for confounding variables. In a subgroup analysis of women undergoing labor induction, ACU significantly reduced the induction-to-delivery interval (<i>p</i> = 0.01). No differences were found in cesarean section rates, operative deliveries, epidural requests, or neonatal outcomes. No adverse events related to ACU were reported. <b><i>Conclusions:</i></b> This study suggests that ACU may not reduce the need for labor induction in PROM at term but could shorten labor duration in women undergoing induction. Further larger, powered trials are needed to confirm these findings and better define the role of ACU in obstetric care.</p>","PeriodicalId":29734,"journal":{"name":"Journal of Integrative and Complementary Medicine","volume":" ","pages":""},"PeriodicalIF":1.7,"publicationDate":"2025-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145201586","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":"Efficacy and Safety of Some Nonpharmacological Interventions for Pain Relief During Childbirth: A Network and Meta-Analysis.","authors":"Jiali Dong, Min Li","doi":"10.1177/27683605251371104","DOIUrl":"https://doi.org/10.1177/27683605251371104","url":null,"abstract":"<p><p><b><i>Objective:</i></b> Nonpharmacological (alternative) interventions (NPIs) for pain relief during vaginal delivery have gained popularity, as adjuncts to pharmacological interventions or as primary treatment. <b><i>Methods:</i></b> We searched PubMed/Medline, EMBASE, and Ovid Discovery for observational trials published through May 2024. This meta-analysis examined the effectiveness and safety of some NPIs for labor pain management using the Meta-Mar online software. NPIs, including massage, virtual reality, heat therapy, hydrotherapy, and aromatherapy, were compared with placebo or routine care (RC). The random-effects model was used for the meta-analysis due to significant variations in methodology among the included studies, including intervention duration, patient age, and intervention approaches. The quality of the included studies was assessed using the Cochrane risk of bias 2 (RoB 2). Network analysis was used to determine which NPIs were most associated with pain intensity and labor duration outcomes. <b><i>Results:</i></b> Of the 7,542 selected studies, 41 met the inclusion criteria. Compared with RC, heat therapy (standardized mean difference [SMD] = -1.26; 95% confidence interval [CI]: -1.84, -0.69; <i>p</i> < 0.001) and massage (SMD = -0.69; 95% CI: -1.14, -0.23; <i>p</i> = 0.017) reduced pain intensity during the first stage of labor. Compared with placebo, aromatherapy increased pain intensity during the first stage of labor (SMD = 0.23; 95% CI: 0.00, 0.45; <i>p</i> = 0.048). Compared with RC, heat therapy (SMD = -1.26; 95% CI: -1.84, -0.69; <i>p</i> < 0.001) and aromatherapy (SMD = -0.15; 95% CI: -0.18, -0.11; <i>p</i> < 0.01) reduced pain intensity during the first stage of labor in primiparous women. Compared with placebo, massage (SMD = -1.05; 95% CI: -3.19, -1.10; <i>p</i> < 0.01) reduced pain intensity during the first stage of labor in primiparous women. Compared with RC, NPIs were more effective in reducing pain intensity during the first stage of labor in both developing and developed countries. Virtual reality and heat therapy reduced the duration of the first stage of labor compared with RC. The current NPIs were more effective in reducing the duration of the second stage of labor in developing countries compared with RC. The incidence of emergency cesarean sections was higher in virtual reality (32%), massage (36%), and hydrotherapy (29%) and lower in aromatherapy (18%) than in RC. Most studies were of low quality with a high risk of bias. <b><i>Conclusions:</i></b> The present NPIs, such as heat therapy and massage, may reduce pain intensity and labor duration. However, the increased rate of emergency cesarean section and the high risk of bias indicated that caution should be exercised when interpreting these findings.</p>","PeriodicalId":29734,"journal":{"name":"Journal of Integrative and Complementary Medicine","volume":" ","pages":""},"PeriodicalIF":1.7,"publicationDate":"2025-09-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145139036","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":"Perceptions of the Important Characteristics of the \"Aboriginal Health in Aboriginal Hands\" Allied Health Service Program.","authors":"Sussen Stavridis, April Clarke, Franca Smarrelli, Dein Vindigni, Stephen R Bird","doi":"10.1177/27683605251379345","DOIUrl":"https://doi.org/10.1177/27683605251379345","url":null,"abstract":"<p><p><b><i>Introduction:</i></b> It is well established that there is a significant health gap between Indigenous and non-Indigenous Australians, with access to health care being a contributing factor. Aboriginal Health in Aboriginal Hands (AHAH) is an allied health service based at an Indigenous community center. Its objectives are to provide allied health services that are not commonly accessed by members of the Indigenous community. The aims of this study were to investigate stakeholders' perceptions of the service and alignment with the principles of delivering allied health services to Indigenous communities. <b><i>Methods:</i></b> Participants were recruited from two distinct groups: (1) Those who had developed, administered, and provided the services (<i>n</i> = 4); and (2) recipients of the services (<i>n</i> = 8). Perceptions of AHAH were collected via individual \"yarnings,\" which involved answering broad questions regarding the service. Data were analyzed using thematic inductive analysis. <b><i>Results:</i></b> Both groups perceived that the \"cultural appropriateness\" of the setting was essential for its success. This included: its location at an Indigenous community center; the central roles of Indigenous people within the service; being affordable; being welcoming; and being accessible. Another positive attribute was that it provided the opportunity for community members to attain related training and qualifications in areas such as \"sports therapy.\" Both groups perceived that the service could be expanded in terms of more weekly sessions and the inclusion of other allied health services. Staff were aware that while allied health students on placement at the center had undergone some \"cultural awareness training,\" more was needed. <b><i>Discussion:</i></b> Overall, the AHAH service was perceived to align with the five dimensions of accessibility, approachability, acceptability, availability, and affordability, and was being delivered in accordance with the principles of engaging with Aboriginal communities (lore, love, look, listen, learn, lead, and land), which were key attributes contributing to its popularity and success.</p>","PeriodicalId":29734,"journal":{"name":"Journal of Integrative and Complementary Medicine","volume":" ","pages":""},"PeriodicalIF":1.7,"publicationDate":"2025-09-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145114267","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}