Journal of Integrative and Complementary Medicine最新文献

{"title":"Pilot Randomized Controlled Trial of a Yoga-Based Intervention Targeting Anger Management for People Who Are Incarcerated.","authors":"Lisa A Uebelacker, Lindsey Stevens, Hannah Graves, Tosca D Braun, Rebecca Foster, Jennifer E Johnson, Geoffrey Tremont, Lauren M Weinstock","doi":"10.1089/jicm.2024.0308","DOIUrl":"10.1089/jicm.2024.0308","url":null,"abstract":"<p><p><b><i>Introduction:</i></b> Incarceration represents an opportune moment to improve self-management of anger and aggression. A hatha yoga-based intervention (YBI) could serve as a useful adjunctive intervention for anger within prisons. <b><i>Methods:</i></b> We enrolled 40 people with elevated levels of anger who were incarcerated (20 in a women's facility, and 20 in a men's facility) in a 10-week pilot randomized controlled trial of a YBI versus. a health education (HE) control group. Participants attended their respective groups once per week. We examined indices of feasibility and acceptability, including intervention credibility, expectancy the intervention would be helpful, intervention satisfaction, class attendance, engagement in personal practice, instructor fidelity, intervention safety, and study recruitment and retention rates. We also examined changes in clinical outcomes including anger, depression, anxiety, and behavioral infractions over time. <b><i>Results:</i></b> We met targets for several outcomes: credibility of the YBI and HE interventions, expectancy that they would be helpful, and satisfaction with the programs. Instructors demonstrated fidelity to both manuals. There were no serious adverse events related to study participation. Class attendance did not meet our target outcome in either facility and rates of personal practice met our target outcome in the men's but not the women's facility. For people enrolled in the YBI, anger, depression, and anxiety tended to decrease over time. Qualitative interviews with participants pointed to overall high satisfaction with the YBI and provided information on facility-related barriers to class attendance. <b><i>Conclusion:</i></b> Although we did not meet all our feasibility targets in this study, we note high participant enthusiasm. Thus, we believe this line of research is worth pursuing, with further attention to ways to decrease facility-related barriers to class attendance and personal practice. <b>Clinical trials registration:</b> NCT05336123.</p>","PeriodicalId":29734,"journal":{"name":"Journal of Integrative and Complementary Medicine","volume":" ","pages":"183-195"},"PeriodicalIF":1.3,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142381772","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":"Manual Acupuncture for Postoperative Pain and Recovery after Abdominal Surgeries: A Systematic Review.","authors":"Sophie Staff, Cui Yang, Johannes Greten, Volker Braun, Christoph Reissfelder, Florian Herrle, Erfan Ghanad","doi":"10.1089/jicm.2023.0750","DOIUrl":"10.1089/jicm.2023.0750","url":null,"abstract":"<p><p><b><i>Introduction:</i></b> Acupuncture's role in surgical and postoperative contexts is gaining traction. However, the evidence remains patchy and is often of low-grade quality, particularly in the context of postintestinal surgery. <b><i>Purpose:</i></b> To assess acupuncture's efficacy in pain relief and functional recovery after abdominal surgery. <b><i>Methods:</i></b> We searched PubMed, Cochrane, Web of Science, and Google Scholar for randomized trials using manual acupuncture as the main intervention. Outcomes included postoperative pain, analgesic use, nausea, gastrointestinal (GI) regeneration, and length of hospital stay. For risk of bias assessment Cochrane risk of bias tool 2 was employed. Registered with PROSPERO: CRD42022311718. <b><i>Results:</i></b> Of 700 records till May 2023, 8 trials (551 patients; 16-200/trial) were included. Due to factors such as varying experimental settings and unpublished protocols, there was high risk of bias and heterogeneity, making meta-analysis unfeasible. Safety data were documented sufficiently by two trials. However, acupuncture showed marked benefits in pain relief, less analgesic use, fewer nausea cases, and improved GI recovery. One study reported reduced hospitalization time. <b><i>Conclusion:</i></b> Due to the varied methodologies and potential biases in existing studies, the definitive effectiveness of acupuncture remains unclear. To confirm the potential benefits of acupuncture as suggested by the reviewed studies, it's imperative to have more standardized study protocols, well-defined interventions and controls, and objective measures of efficacy.</p>","PeriodicalId":29734,"journal":{"name":"Journal of Integrative and Complementary Medicine","volume":" ","pages":"112-121"},"PeriodicalIF":1.3,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142476356","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":"Research in Integrative and Complementary Medicine: Particularities, Challenges, Obstacles, and Misunderstandings. Part 2: Things Can also Work Differently when the Context is Different.","authors":"Holger Cramer","doi":"10.1089/jicm.2024.1054","DOIUrl":"10.1089/jicm.2024.1054","url":null,"abstract":"","PeriodicalId":29734,"journal":{"name":"Journal of Integrative and Complementary Medicine","volume":" ","pages":"109-111"},"PeriodicalIF":1.3,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143012985","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":"https://doi.org/10.1089/jicm.2024.1051","url":null,"abstract":"","PeriodicalId":29734,"journal":{"name":"Journal of Integrative and Complementary Medicine","volume":" ","pages":""},"PeriodicalIF":1.3,"publicationDate":"2025-01-28","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":"Biofield Therapies Clinical Research Landscape: A Scoping Review and Interactive Evidence Map.","authors":"Meredith L Sprengel, Lynn Teo, Samantha Allen, Noortje Ijssennagger, Richard Hammerschlag, Natalie L Dyer, Cindy Crawford","doi":"10.1089/jicm.2024.0773","DOIUrl":"https://doi.org/10.1089/jicm.2024.0773","url":null,"abstract":"&lt;p&gt;&lt;p&gt;&lt;b&gt;&lt;i&gt;Background:&lt;/i&gt;&lt;/b&gt; Biofield Therapies, with a historical lineage spanning millennia and continuing relevance in contemporary practices, have been used to address various health conditions and promote wellbeing. The scientific study and adoption of these therapies have been hindered by cultural challenges and institutional barriers. In addition, the current research landscape for Biofield Therapies is insufficiently documented. &lt;b&gt;&lt;i&gt;Objectives:&lt;/i&gt;&lt;/b&gt; This scoping review aims to comprehensively document the peer-reviewed research landscape of Biofield Therapies. Furthermore, an online searchable and dynamic Evidence Map was created to serve as a publicly accessible tool for querying the evidence base, pinpointing research gaps, and identifying areas requiring further exploration. &lt;b&gt;&lt;i&gt;Methods:&lt;/i&gt;&lt;/b&gt; A systematic search of PubMed, Embase, CINAHL, and PsycInfo databases was conducted from inception through January 2024. Peer-reviewed interventional studies in English involving human participants receiving Biofield Therapy were included. Data on study design, population, intervention, comparator, outcomes, citation details, and direction of results reported were extracted and synthesized into two summary tables and three data tables. &lt;b&gt;&lt;i&gt;Results:&lt;/i&gt;&lt;/b&gt; In total, 353 studies in 352 published reports were included: 255 randomized controlled trials, 36 controlled clinical trials, and 62 pre-post study designs. Named biofield interventions included Reiki (&lt;i&gt;n&lt;/i&gt; = 88), Therapeutic Touch (&lt;i&gt;n&lt;/i&gt; = 71), Healing Touch (&lt;i&gt;n&lt;/i&gt; = 31), intercessory prayer (&lt;i&gt;n&lt;/i&gt; = 21), External Qigong (&lt;i&gt;n&lt;/i&gt; = 16), Spiritual Healing/Spiritual Passé/Laying-on-of-hands (&lt;i&gt;n&lt;/i&gt; = 14), \"distant or remote healing\" (&lt;i&gt;n&lt;/i&gt; = 10), and Gentle Human Touch/Yakson Therapeutic Touch (&lt;i&gt;n&lt;/i&gt; = 9). Also included were 56 studies in 55 reports involving bespoke, unknown, or other interventions, 20 studies involving multimodal interventions, and 17 studies involving multiple biofield interventions. Studies encompassed a wide variety of populations, most commonly healthy volunteers (&lt;i&gt;n&lt;/i&gt; = 67), pain (&lt;i&gt;n&lt;/i&gt; = 55), and cancer (&lt;i&gt;n&lt;/i&gt; = 46). As reported in the Abstracts, nearly half of the studies (&lt;i&gt;n&lt;/i&gt; = 172) reported positive results in favor of the Biofield Therapy for all outcomes being investigated, 95 reported mixed results, 71 reported nonsignificant results, 3 reported negative results, and 12 studies did not report the direction of results. &lt;b&gt;&lt;i&gt;Conclusions:&lt;/i&gt;&lt;/b&gt; Despite rising interest in Biofield Therapies among researchers, practitioners, and patients, the integration of these interventions into allopathic medical systems is hindered by challenges in researching these therapies and inconsistent reporting. These issues contribute to inconclusive findings, which limit our understanding of the efficacy of Biofield Therapies for specific conditions. The resulting scoping review and interactive Evidence Map aim to empower stakeholders","PeriodicalId":29734,"journal":{"name":"Journal of Integrative and Complementary Medicine","volume":" ","pages":""},"PeriodicalIF":1.3,"publicationDate":"2025-01-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143033006","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":""},"PeriodicalIF":1.3,"publicationDate":"2025-01-17","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":"Instruments for Evaluating Undergraduate Medical Education in Complementary and Integrative Medicine: A Systematic Review.","authors":"Angelika Homberg, Gabriele Rotter, Miriam Thye, Kristina Flägel, Beate Stock-Schröer","doi":"10.1089/jicm.2024.0614","DOIUrl":"https://doi.org/10.1089/jicm.2024.0614","url":null,"abstract":"<p><p><b><i>Objectives:</i></b> The provision of courses in complementary and integrative medicine (CIM) varies widely between medical schools. To effectively improve CIM education, it is essential to use robust evaluation instruments that measure the impact of different educational interventions. This review aimed to identify and critically appraise qualitative and quantitative instruments used to evaluate CIM courses in undergraduate medical education. <b><i>Methods:</i></b> A systematic review was conducted in PubMed/MEDLINE, LIVIVO, CINAHL/EBSCO, Scopus, Web of Science, and Ovid/Embase in January 2023. Eligible studies included complete evaluation instruments for medical students and reported learning outcomes. Data extraction included information on the study design, the educational intervention, the evaluation instrument, and the outcome measure (e.g., Kirkpatrick levels: 1 reaction, 2a attitudes, 2b knowledge/skills, 3 behavioral change, 4 results). Instruments were categorized as validated, nonvalidated, or qualitative and analyzed using descriptive statistics. Validated instruments were assessed for quality using standardized criteria. <b><i>Results:</i></b> Of the 1909 records identified, 263 were subjected to a full-text review and 100 studies met the inclusion criteria. Twenty-seven studies reported on 14 validated instruments, 7 studies reported on qualitative, and 66 reported on nonvalidated instruments. Most were conducted in the United States (31) and Europe (28), 51 were cross-sectional studies, and 42 were intervention studies. Most of the instruments were self-administered (50), addressed general aspects of CIM (53), and assessed student attitudes (74). None of the validated instruments covered Kirkpatrick level 1, one covered level 3. Measurement of levels 2b and 3 was usually based on subjective self-assessment. Qualitative instruments covered the widest range of outcomes overall. Validated instruments often had good content validity and internal consistency, but lacked reliability and responsiveness. Revalidation of translated or modified instruments was mostly inadequate. <b><i>Discussion:</i></b> This structured and comprehensive set of existing instruments provides a starting point for the further development of CIM course evaluation in undergraduate medical education. Future studies should prioritize the measurement of higher-level learning outcomes, such as behavioral change and impact on patient care. Comparative intervention studies between medical schools or with pre-post designs and follow-up evaluations are needed to assess the effectiveness of different teaching approaches. Regular revalidation of both existing and newly developed instruments is essential to ensure their applicability to different audiences and settings. Their structured and standardized use would promote evidence-based CIM training and understanding of its impact on student competencies and patient outcomes.</p>","PeriodicalId":29734,"journal":{"name":"Journal of Integrative and Complementary Medicine","volume":" ","pages":""},"PeriodicalIF":1.3,"publicationDate":"2025-01-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143012979","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":"Populational Uses of Complementary Therapies via a Digital Platform in France: Motivations and Needs.","authors":"Alain Toledano, Solange Arnaud, Marc Bollet, Hanah Lamallem, Olivier Bauduceau, Ilan Darmon, Hanene Boudabous, Nathaniel Scher","doi":"10.1089/jicm.2024.0519","DOIUrl":"https://doi.org/10.1089/jicm.2024.0519","url":null,"abstract":"<p><p><b><i>Background:</i></b> Complementary and integrative medicine (CIM) encompasses over 400 modalities, according to the World Health Organization (WHO). In 2011, 70% of the European Union's population reported having used CIM at least once, with 25% using it annually. This study examines the engagement, motivations, and satisfaction of users in the French health care system through data from Medoucine, France's largest online platform for complementary therapies. <b><i>Methods:</i></b> A cross-sectional descriptive analysis was conducted using Medoucine's database from 2017 to 2023, adhering to the Strengthening the Reporting of Observational Studies in Epidemiology guidelines. Data were sourced from practitioner profiles, appointment logs, and patient comments collected at baseline (day 0, J0) and follow-up (day 30, J30). Survey questions, including \"What type of complementary therapy are you seeking?\" provided clarity on how CIM therapies were introduced. The study included a \"recommendation question\" at baseline to evaluate satisfaction: \"Would you recommend this practitioner to your friends and family?\". Response rates varied between 10% and 67%, depending on the question. Categorical variables were analyzed as percentages. <b><i>Results:</i></b> Among 225,251 platform users, 67.7% (152,464) responded to the recommendation question at J0, 15% (33,823) reported health improvements at J30, and 10% (22,596) discovered sustainable health strategies. Most users were women (68.6%). Key motivations included well-being and personal development (17.4%), stress, anxiety, and phobias (17.1%), and sleep disorders (7%). Hypnosis (15%), traditional Chinese medicine (8.4%), and reflexology (6.7%) were the most commonly selected modalities. At J30, 74.8% reported health improvements, with notable benefits for well-being (80.7%) and stress (76.3%). <b><i>Conclusion:</i></b> This study underscores the growing demand for CIM therapies in France, driven by a need for stress relief, personal development, and physical and psychological health management. High satisfaction rates and perceived health benefits highlight the potential of CIM to complement conventional care. Integrating evidence-based CIM into mainstream health care systems, as recommended by the WHO, offers an opportunity to address patient needs and enhance health care delivery.</p>","PeriodicalId":29734,"journal":{"name":"Journal of Integrative and Complementary Medicine","volume":" ","pages":""},"PeriodicalIF":1.3,"publicationDate":"2025-01-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142956041","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":"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":"https://doi.org/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":""},"PeriodicalIF":1.3,"publicationDate":"2025-01-10","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":"Advancing the Effectiveness of Holistic Care in the United States: Integrating Religion and Spirituality.","authors":"Katherine C Britt, Augustine C O Boateng, Benjamin R Doolittle","doi":"10.1089/jicm.2024.0301","DOIUrl":"10.1089/jicm.2024.0301","url":null,"abstract":"","PeriodicalId":29734,"journal":{"name":"Journal of Integrative and Complementary Medicine","volume":" ","pages":"100-104"},"PeriodicalIF":1.3,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142355417","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}