Journal of Integrative and Complementary Medicine最新文献

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Exploring the Perceptions of Individuals with Traumatic Brain Injury Participating in Animal-Assisted Therapy with Domesticated Ducks. 探索创伤性脑损伤个体参与动物辅助治疗的认知。
IF 1.7 4区 医学
Journal of Integrative and Complementary Medicine Pub Date : 2025-08-20 DOI: 10.1177/27683605251370146
Alex Sargsyan, Lora H Beebe, Frances Horn, Sandra Thomas
{"title":"Exploring the Perceptions of Individuals with Traumatic Brain Injury Participating in Animal-Assisted Therapy with Domesticated Ducks.","authors":"Alex Sargsyan, Lora H Beebe, Frances Horn, Sandra Thomas","doi":"10.1177/27683605251370146","DOIUrl":"https://doi.org/10.1177/27683605251370146","url":null,"abstract":"<p><p><b><i>Background:</i></b> Green Care therapies were developed in the late 20th century as nature-based interventions aimed at supporting recovery for individuals with mental and physical health challenges. Animal-assisted therapy with farm animals (AATF), a branch of Green Care, involves engaging individuals with farm animals in natural settings to promote healing. Previous studies have shown the benefits of animal-assisted therapies (AAT) for individuals with traumatic brain injury (TBI), suggesting AATF could offer similar advantages. This study aimed to examine the impact of an AATF program using domesticated ducks as therapeutic companions for individuals with TBI. <b><i>Objective:</i></b> The primary objective was to explore how individuals with TBI perceive their participation in an AATF-based therapeutic intervention. <b><i>Methods:</i></b> The study involved a 12-week AATF program, with semi-structured interviews conducted postintervention to capture participants' experiences. A qualitative descriptive approach with atheoretical thematic analysis was employed to identify key themes from the data. <b><i>Results:</i></b> Four key themes were developed from the analysis: Emotional Wellbeing, Attachment, Care, and Nature and Environment. These themes reflected participants' shared experiences and highlighted the perceived benefits of AATF in TBI rehabilitation. <b><i>Conclusion:</i></b> This study presents AATF, specifically involving domesticated ducks, as an innovative therapeutic intervention for individuals with TBI. The findings suggest that fostering meaningful connections with animals significantly enhances emotional well-being and provides a promising approach to improving rehabilitation outcomes for individuals living with TBI.</p>","PeriodicalId":29734,"journal":{"name":"Journal of Integrative and Complementary Medicine","volume":" ","pages":""},"PeriodicalIF":1.7,"publicationDate":"2025-08-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144972042","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}
引用次数: 0
Effects of Mindfulness-Based Interventions on Patients with Anxiety in Cancer: A Systematic Review and Meta-Analysis. 正念干预对癌症焦虑患者的影响:一项系统综述和荟萃分析。
IF 1.7 4区 医学
Journal of Integrative and Complementary Medicine Pub Date : 2025-08-06 DOI: 10.1089/jicm.2024.0943
Chuntana Reangsing, Sasinun Punsuwun, Sathit Wongsuraprakit
{"title":"Effects of Mindfulness-Based Interventions on Patients with Anxiety in Cancer: A Systematic Review and Meta-Analysis.","authors":"Chuntana Reangsing, Sasinun Punsuwun, Sathit Wongsuraprakit","doi":"10.1089/jicm.2024.0943","DOIUrl":"https://doi.org/10.1089/jicm.2024.0943","url":null,"abstract":"<p><p><b><i>Objective:</i></b> We synthesized the effects of mindfulness-based interventions (MBIs) on anxiety symptoms in adults with cancer. <b><i>Method:</i></b> We searched 11 electronic databases from inception to February 2024. We included studies comparing MBIs with usual care, waitlist controls, or no intervention for the improvement of patients with anxiety in cancer (CA). We only reviewed studies written in English. We used a random-effects model to compute the effect size. Funnel plot, <i>Q</i> statistics, and <i>I</i><sup>2</sup> were used to test the heterogeneity across studies. We examined moderators to explore sources of heterogeneity. <b><i>Results:</i></b> Across 26 included studies, 1431 adults with cancer participated in MBIs; 1289 served as controls. Mean age ranged from 42.8 to 70.7 years. Most patients were females (56%), and patients with breast cancer and mixed cancer (55.53% and 26.20%, respectively). Overall, MBIs reduced anxiety in the experimental groups compared to control groups (Hedges' <i>g</i> = 0.977, 95% confidence interval = 0.61, 1.34, <i>I</i><sup>2</sup> = 95%), but with substantial heterogeneity. In subgroup analysis, funding, setting, <i>a priori</i> power analysis, providing MBIs in adults with cancer and anxiety disorders, and measuring anxiety after postintervention were moderators affecting the pooled effect size. No other quality indicators moderated the effect sizes of MBIs on anxiety. <b><i>Conclusion:</i></b> MBIs appear efficacious in improving patients with CA, especially for those with mild-to-moderate anxiety symptoms. Clinicians and health providers might consider using MBIs as an alternative complementary treatment for improving or preventing anxiety disorders in adults living with cancer. With heterogeneity of studies, a large number of primary studies is needed to explore the source of heterogeneity.</p>","PeriodicalId":29734,"journal":{"name":"Journal of Integrative and Complementary Medicine","volume":" ","pages":""},"PeriodicalIF":1.7,"publicationDate":"2025-08-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144790135","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}
引用次数: 0
Understanding Nonenrolment in Add-on Yoga Trial Among Patients with Substance Use Disorders in a Tertiary Care Setting. 了解三级医疗机构中物质使用障碍患者不参加附加瑜伽试验的原因。
IF 1.7 4区 医学
Journal of Integrative and Complementary Medicine Pub Date : 2025-08-06 DOI: 10.1177/27683605251366983
Siddharth Sarkar, Pinki Sevda, Parvender Singh Negi, Amit Kumar, Meeteileima Khumukcham, Rizwana Quraishi, Anju Dhawan
{"title":"Understanding Nonenrolment in Add-on Yoga Trial Among Patients with Substance Use Disorders in a Tertiary Care Setting.","authors":"Siddharth Sarkar, Pinki Sevda, Parvender Singh Negi, Amit Kumar, Meeteileima Khumukcham, Rizwana Quraishi, Anju Dhawan","doi":"10.1177/27683605251366983","DOIUrl":"https://doi.org/10.1177/27683605251366983","url":null,"abstract":"<p><p><b><i>Background:</i></b> Yoga is increasingly recognized for its therapeutic benefits in managing chronic medical and psychiatric conditions, including substance use disorders. Despite its growing clinical acceptance, challenges remain regarding its real-world feasibility, particularly in medically oriented settings. <b><i>Objectives:</i></b> This analysis aimed to explore reasons for nonparticipation in a randomized controlled trial evaluating the efficacy of add-on yoga (dhyana meditation) in patients with opioid dependence who were stable on pharmacological treatment. <b><i>Design, Setting, Participants, and Interventions:</i></b> This sub-analysis was part of a larger randomized controlled trial of add-on yoga conducted at a tertiary care addiction treatment center in north India. Patients on stable doses of medications for opioid use disorder treatment were approached for participation in yoga that included 7 consecutive days of training followed by yoga practice or wait list control. <b><i>Main Outcome Measures:</i></b> The main outcome measures for the present analysis were the reasons for nonparticipation. <b><i>Results:</i></b> Only 24% (<i>n</i> = 120) of approached participants consented to join the trial. The most common reason for refusal was lack of time (73.2%), followed by logistical challenges and lack of familiarity with yoga. Education level was significantly associated with participation (<i>p</i> = 0.018). While 80.3% of nonparticipants believed yoga could be beneficial, few expressed interest in online formats or reduced-frequency visits, indicating limited practical feasibility. <b><i>Conclusion:</i></b> Despite a general belief in yoga's benefits, participation was limited by time and logistical constraints. Future interventions should consider hybrid or digital formats, flexible scheduling, and tailored recruitment strategies. Understanding nonparticipation reasons can enhance engagement and guide future yoga-based trials in clinical populations.</p>","PeriodicalId":29734,"journal":{"name":"Journal of Integrative and Complementary Medicine","volume":" ","pages":""},"PeriodicalIF":1.7,"publicationDate":"2025-08-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144790136","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}
引用次数: 0
A Systematic Review and Meta-Analysis of Laser Auriculotherapy for Musculoskeletal Pain Management: An Assessment of Its Efficacy. 激光听觉治疗肌肉骨骼疼痛的系统回顾和荟萃分析:评估其疗效。
IF 1.7 4区 医学
Journal of Integrative and Complementary Medicine Pub Date : 2025-08-06 DOI: 10.1177/27683605251360940
Hernán Andrés de la Barra Ortiz, Nivaldo Parizotto, Mauricio Meyer von Schauensee, Richard Liebano
{"title":"A Systematic Review and Meta-Analysis of Laser Auriculotherapy for Musculoskeletal Pain Management: An Assessment of Its Efficacy.","authors":"Hernán Andrés de la Barra Ortiz, Nivaldo Parizotto, Mauricio Meyer von Schauensee, Richard Liebano","doi":"10.1177/27683605251360940","DOIUrl":"https://doi.org/10.1177/27683605251360940","url":null,"abstract":"<p><p><b><i>Introduction:</i></b> Musculoskeletal pain (MSP) is prevalent and a major cause of disability, highlighting the need for nonpharmacologic treatments. Low-level laser therapy auriculotherapy (LLLT-AT) is emerging as a promising noninvasive approach for MSP management. <b><i>Objective:</i></b> This systematic review aimed to evaluate the effects of LLLT-AT on MSP patients. <b><i>Method:</i></b> A comprehensive electronic search of PubMed, Web of Science, Scopus, Cochrane Library, CINAHL, ScienceDirect, PEDro, and Google Scholar (updated on May 3, 2025) identified randomized clinical trials (RCTs) comparing LLLT-AT with sham, no intervention, or other therapies. Pain intensity was the primary outcome, and disability and pain pressure threshold were secondary. Methodological quality was assessed using the PEDro scale. The risk of bias among the included RCTs was assessed using the Cochrane Risk of Bias 2.0 (RoB 2) tool, and the meta-analysis was performed using the mean difference (MD) or standardized mean difference (SMD), as appropriate. The Grading of Recommendation, Assessment, Development, and Evaluation framework guided evidence certainty. <b><i>Results:</i></b> Five RCTs were included, with a mean PEDro score of 7 (standard deviation [SD] 0.7). According to Domain 6 of the RoB 2 tool, 80% of trials demonstrated a low overall risk of bias, with evaluators blinding being the primary concern. LLLT-AT significantly reduced pain intensity post-treatment compared with placebo (SMD = 1.31; 95% confidence interval [CI]: 0.40-2.30; <i>p</i> < 0.01) and no treatment (SMD = 1.12; 95% CI: 0.00-2.20; <i>p</i> < 0.01), reflecting a large effect size. An increase in the pressure pain threshold was also observed (MD = 0.64; 95% CI: 0.00-1.30; <i>p</i> < 0.01), although this result was limited by small sample sizes. However, the certainty of the evidence was judged as very low-deemed critical for pain intensity outcomes and not important for pressure pain threshold. No adverse events were reported. <b><i>Conclusion:</i></b> LLLT-AT shows potential for effectively managing MSP, reducing pain intensity, and improving pressure pain threshold. However, further research is needed to strengthen the evidence base due to the limited number of studies and to explore its applicability to other conditions. Dosage recommendations were provided to inform future research and clinical practice.</p>","PeriodicalId":29734,"journal":{"name":"Journal of Integrative and Complementary Medicine","volume":" ","pages":""},"PeriodicalIF":1.7,"publicationDate":"2025-08-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144790223","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}
引用次数: 0
Navigating Intentional and Attentional Practices for Healing Across Psychedelic and Biofield Settings: A Comparative Ethnographic Study. 在迷幻药和生物场环境中为治疗导航意图和注意力实践:一项比较民族志研究。
IF 1.7 4区 医学
Journal of Integrative and Complementary Medicine Pub Date : 2025-08-01 Epub Date: 2025-05-28 DOI: 10.1089/jicm.2024.0713
Nida Paracha
{"title":"Navigating Intentional and Attentional Practices for Healing Across Psychedelic and Biofield Settings: A Comparative Ethnographic Study.","authors":"Nida Paracha","doi":"10.1089/jicm.2024.0713","DOIUrl":"10.1089/jicm.2024.0713","url":null,"abstract":"<p><p><b><i>Objectives:</i></b> This study was conducted to bring psychedelic and biofield science into interdisciplinary dialogue and encourage scientific investigations of psychedelic therapy as a form of energy medicine. In thinking these two sites together, important resonances between both forms of therapy were highlighted which can help elucidate clearer therapeutic mechanisms across both therapies. <b><i>Methods/Design:</i></b> Comparative ethnographic methods and a repeated measures design were used to conduct this research over a period of 2 years. A total of 150 qualitative interviews with 135 participants present at psychedelic-assisted therapy retreats and 15 at biofield settings were conducted. All the participants belonged to different ethnic, racial, and religious backgrounds; age groups; and reported differing levels of illness and health. The data (ethnographer's field notes, audio and video archives, as well as background research conducted on each of the field sites) was then transcribed and collated, and resonant themes were highlighted. <b><i>Interventions:</i></b> The research was conducted at wellness retreat spaces in the Netherlands and in Mexico; across entheogenic substances such as ayahuasca/yage, psilocybin-containing mushrooms, as well as psilocybin-containing truffles; and in biofield settings in the United States and Europe that included practices such as Reiki. <b><i>Results/Findings:</i></b> Based on 2 years of ethnographic research at psychedelic-assisted therapy retreats and in biofield settings, this article proffers that interdisciplinary dialogue between both forms of therapy is vital in understanding intention and attention as temporally and conceptually distinct categories with divergent healing effects. The research also demonstrates intention and attention as embodied phenomenon as opposed to mental acts. <b><i>Conclusions:</i></b> Intention and attention are conceptually and temporally distinct embodied phenomenon, and these differences can be best understood through an interdisciplinary study across psychedelic and biofield therapies. Scientists studying these topics should take these distinctions into account to be able to more accurately understand healing mechanisms across both forms of therapy.</p>","PeriodicalId":29734,"journal":{"name":"Journal of Integrative and Complementary Medicine","volume":" ","pages":"748-753"},"PeriodicalIF":1.7,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144161842","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}
引用次数: 0
Beyond Traditional Metrics: The Role of Altmetrics and Social Media in Traditional, Complementary, and Integrative Medicine Research. 超越传统指标:另类指标和社交媒体在传统、补充和综合医学研究中的作用。
IF 1.7 4区 医学
Journal of Integrative and Complementary Medicine Pub Date : 2025-08-01 Epub Date: 2025-06-16 DOI: 10.1089/jicm.2025.0419
Jeremy Y Ng, Holger Cramer
{"title":"Beyond Traditional Metrics: The Role of Altmetrics and Social Media in Traditional, Complementary, and Integrative Medicine Research.","authors":"Jeremy Y Ng, Holger Cramer","doi":"10.1089/jicm.2025.0419","DOIUrl":"10.1089/jicm.2025.0419","url":null,"abstract":"","PeriodicalId":29734,"journal":{"name":"Journal of Integrative and Complementary Medicine","volume":" ","pages":"675-676"},"PeriodicalIF":1.7,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144310453","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}
引用次数: 0
The Effect of Yoga on Cancer-Related Fatigue and Quality of Life Among Racially and Ethnically Diverse Cancer Survivors: A Secondary Data Analysis. 瑜伽对不同种族和民族癌症幸存者癌症相关疲劳和生活质量的影响:一项次要数据分析。
IF 1.7 4区 医学
Journal of Integrative and Complementary Medicine Pub Date : 2025-08-01 Epub Date: 2025-06-04 DOI: 10.1089/jicm.2024.0660
Evelyn Arana-Chicas, Po-Ju Lin, Hongying Sun, Umang Gada, Alisha Chakrabarti, Lindsey Mattick, Marianne Melnik, Kim I Gococo, Janet Ruzich, Francisco Cartujano-Barrera, Charles Kamen, Ana P Cupertino, Brian Altman, Paula Vertino, Supriya G Mohile, Karen M Mustian
{"title":"The Effect of Yoga on Cancer-Related Fatigue and Quality of Life Among Racially and Ethnically Diverse Cancer Survivors: A Secondary Data Analysis.","authors":"Evelyn Arana-Chicas, Po-Ju Lin, Hongying Sun, Umang Gada, Alisha Chakrabarti, Lindsey Mattick, Marianne Melnik, Kim I Gococo, Janet Ruzich, Francisco Cartujano-Barrera, Charles Kamen, Ana P Cupertino, Brian Altman, Paula Vertino, Supriya G Mohile, Karen M Mustian","doi":"10.1089/jicm.2024.0660","DOIUrl":"10.1089/jicm.2024.0660","url":null,"abstract":"<p><p><b><i>Introduction:</i></b> Survivors from racially and ethnically diverse backgrounds tend to experience cancer-related fatigue (CRF) at higher rates than non-Hispanic Whites (NHWs), often leading to a decline in quality of life (QOL). It is crucial to consider the impact their marginalized identities have on cancer outcomes. Although yoga has shown promise as a supportive intervention for CRF and QOL, existing research has largely centered on NHW populations. This study seeks to evaluate the impact of yoga on CRF and QOL among racially and ethnically diverse survivors and compare outcomes with NHW survivors. <b><i>Methods:</i></b> This study used data from two randomized controlled trials (RCTs; <i>n</i> = 1,153) examining a 4-week Yoga for Cancer Survivors (YOCAS) intervention designed to address insomnia in survivors. YOCAS integrates elements of gentle Hatha and Restorative Yoga, featuring breathing techniques, mindful movement, and posture alignment, for 150 min each week for 4 weeks. Survivors were eligible if they (1) were age 21+, (2) were randomized to YOCAS<sup>©</sup>®, (3) identified as Hispanic or a non-Hispanic person of color, and (4) provided evaluable data on the Functional Assessment for Chronic Illness Therapy-Fatigue and Functional Assessment for Cancer Therapy-General at pre- and postintervention. <b><i>Results:</i></b> Forty-nine participants were eligible (mean age = 53; 96% female; 79% stage 0-II cancer; 74% breast cancer). Participants reported nonclinically meaningful improvements in overall CRF improvement (1.55, standard deviation [SD] = 14.67, <i>p</i> < 0.061), total QOL (3.04, SD = 0.055, <i>p</i> < 0.055), the emotional component of QOL (0.85, SD = 6.3, <i>p</i> < 0.061), and significant improvements in the physical component of QOL (1.32, SD = 7.0, <i>p</i> < 0.035). Session attendance averaged six out of eight sessions. Participants also engaged in an additional self-guided yoga practice at home each week. Most (86%) participants expressed that the program was beneficial in managing symptoms and indicated they would suggest it to survivors. <b><i>Discussion:</i></b> Findings suggest: (1) YOCAS<sup>©</sup>® has the potential to alleviate fatigue and enhance QOL in racially and ethnically diverse survivors; (2) while participation rates remain modest, there is openness to yoga; and (3) diverse survivors are capable of completing a 4-week yoga program, report it as useful for controlling symptoms, and are likely to suggest it to survivors. Future research should include well-powered RCTs to verify YOCAS<sup>©</sup>®'s effects on CRF and QOL in these populations.</p>","PeriodicalId":29734,"journal":{"name":"Journal of Integrative and Complementary Medicine","volume":" ","pages":"737-747"},"PeriodicalIF":1.7,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12411093/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144226939","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}
引用次数: 0
Dignity-Based Care: Lessons for Today from Two Turning Points in the Histories of Acupuncture. 以尊严为基础的护理:从针灸历史的两个转折点给今天的教训。
IF 1.7 4区 医学
Journal of Integrative and Complementary Medicine Pub Date : 2025-08-01 Epub Date: 2025-07-14 DOI: 10.1089/jicm.2025.0434
Eana X Meng, Maria T Chao, Peter Wayne
{"title":"Dignity-Based Care: Lessons for Today from Two Turning Points in the Histories of Acupuncture.","authors":"Eana X Meng, Maria T Chao, Peter Wayne","doi":"10.1089/jicm.2025.0434","DOIUrl":"10.1089/jicm.2025.0434","url":null,"abstract":"","PeriodicalId":29734,"journal":{"name":"Journal of Integrative and Complementary Medicine","volume":" ","pages":"677-683"},"PeriodicalIF":1.7,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144627299","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}
引用次数: 0
A Scoping Review on the Efficacy/Effectiveness and Utilization of Complementary and Integrative Health for Pain in the Military Health System. 军事卫生系统中疼痛的补充和综合健康的疗效和利用综述。
IF 1.7 4区 医学
Journal of Integrative and Complementary Medicine Pub Date : 2025-08-01 Epub Date: 2025-03-05 DOI: 10.1089/jicm.2024.1013
Abigail K Crosier, Erin Tracy, Austin G Bell, Kathryn M Eliasen, Thomas J Peterson, Rhonda J Allard, Tracy L Rupp
{"title":"A Scoping Review on the Efficacy/Effectiveness and Utilization of Complementary and Integrative Health for Pain in the Military Health System.","authors":"Abigail K Crosier, Erin Tracy, Austin G Bell, Kathryn M Eliasen, Thomas J Peterson, Rhonda J Allard, Tracy L Rupp","doi":"10.1089/jicm.2024.1013","DOIUrl":"10.1089/jicm.2024.1013","url":null,"abstract":"<p><p><b><i>Introduction:</i></b> This scoping review evaluated the efficacy/effectiveness and utilization of complementary and integrative health (CIH) therapies for pain management within the Military Health System (MHS). Specifically, it aimed to assess evidence-based modalities such as acupuncture, biofeedback, hypnosis, massage therapy, meditation, guided imagery, Tai Chi/Qi Gong, and yoga, which are part of the Veterans Administration's (VA) Whole Health program. The goal was to determine their effectiveness in military service members and understand their utilization in the MHS, as well as explore CIH research in the MHS to identify gaps. <b><i>Methods:</i></b> A comprehensive search of PubMed, Embase, and Ovid All EBM Reviews databases was conducted for studies published from January 1, 2014 to March 22, 2024. The search focused on CIH therapies related to pain management in military populations, yielding 433 studies. After screening for eligibility, 53 studies were included for detailed review. Studies included randomized controlled trials, case studies, large database analyses, and retrospective chart reviews. Exclusion criteria eliminated nonpeer-reviewed articles, not pain-related, not related to one of the prespecified CIH modalities (acupuncture, biofeedback, hypnosis, massage therapy, meditation, guided imagery, Tai Chi/Qi Gong, and yoga), and those not specific to the MHS. The review did not address bias due to the heterogeneity of study designs included. <b><i>Results:</i></b> The review identified significant evidence supporting the use of CIH modalities for pain management. Acupuncture, particularly Battlefield Acupuncture, showed immediate reduction in pain score for both acute and chronic pain. Studies of massage therapy and biofeedback demonstrated efficacy/effectiveness in reducing pain and improving functional outcomes in various musculoskeletal and stress-related disorders. Meditation and yoga were shown to be effective for chronic pain, stress management, and enhancing overall well-being. Utilization data indicated a steady increase in CIH therapy use across military facilities. <b><i>Discussion:</i></b> CIH therapies, particularly acupuncture, massage therapy, and yoga, appear to be effective nonpharmacologic interventions for pain management in military populations. Their growing utilization reflects the recognition of their benefits in managing chronic pain and improving quality of life among service members. Further research is needed to standardize practices and optimize utilization across the MHS. <b><i>Registration of Protocol:</i></b> PROSPERO 2024 CRD4202453685, 29 April 2024, https://www.crd.york.ac.uk/prospero/display_record.php?ID=CRD42024536853.</p>","PeriodicalId":29734,"journal":{"name":"Journal of Integrative and Complementary Medicine","volume":" ","pages":"705-725"},"PeriodicalIF":1.7,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143558227","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}
引用次数: 0
Measuring Whole Person Health: A Scoping Review. 测量整个人的健康:一个范围审查。
IF 1.7 4区 医学
Journal of Integrative and Complementary Medicine Pub Date : 2025-08-01 Epub Date: 2025-04-03 DOI: 10.1089/jicm.2024.0817
Graham DiGuiseppi, Anthony Rodriguez, Nabeel Qureshi, Chengbo Zeng, Ian D Coulter, Ron D Hays, Patricia M Herman, Maria Orlando Edelen
{"title":"Measuring Whole Person Health: A Scoping Review.","authors":"Graham DiGuiseppi, Anthony Rodriguez, Nabeel Qureshi, Chengbo Zeng, Ian D Coulter, Ron D Hays, Patricia M Herman, Maria Orlando Edelen","doi":"10.1089/jicm.2024.0817","DOIUrl":"10.1089/jicm.2024.0817","url":null,"abstract":"<p><p><b><i>Objective:</i></b> To review proposed Whole Person Health (WPH) domains and existing WPH measurement instruments. <b><i>Introduction:</i></b> WPH clearly involves multiple domains (e.g., physical, mental, spiritual). To date, however, there is little consensus on which domains should be included in WPH, and WPH as an outcome is often conflated with WPH determinants (i.e., whole-person care). We conducted a scoping review of conceptual domains and existing WPH measurement instruments. <b><i>Eligibility Criteria:</i></b> Peer-reviewed articles and gray literature published from January 2014 to December 2023 that included a theoretical model or empirical measure of self-reported \"whole person health\" were reviewed. Theoretical/conceptual sources and empirical studies with observational or intervention study designs, including adults 18 or older, were eligible for inclusion. Studies focusing on pediatric populations, educational and personality constructs, and whole health systems of care without mentioning WPH were excluded. <b><i>Methods:</i></b> We searched five databases (PubMed, CINAHL, PsycINFO, ERIC, and Web of Science) and Google Scholar for peer-reviewed articles and gray literature published in English. Two research team members screened articles and extracted study characteristics. Results describe WPH conceptual domains, published self-report measures, and their psychometric properties. <b><i>Results:</i></b> Our search identified 1143 unique sources, with 29 deemed eligible for review. Eleven conceptual articles mentioned four to six of seven total WPH domains each: biological/physical, behavioral/mental, social, environmental, spiritual, socioeconomic, and individual/other. Our search identified six WPH measures. All six WPH measures included assessments of the biological/physical, behavioral/mental, social, and spiritual domains, and all the conceptual WPH domains were assessed by at least one self-report measure. The self-report measures had a stronger emphasis on the assessment of spirituality and individual domains relative to the conceptual models and were less likely to include assessments of environmental and socioeconomic domains. <b><i>Conclusions:</i></b> The results of this scoping review provide a greater understanding of the domains involved in WPH as a multidimensional construct. Although no existing WPH measures are suitable for broad use, their structural commonalities imply that WPH measure development efforts should consider the assessment of physical, mental, social, spiritual, and individual domains.</p>","PeriodicalId":29734,"journal":{"name":"Journal of Integrative and Complementary Medicine","volume":" ","pages":"684-704"},"PeriodicalIF":1.7,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12489739/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143781515","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}
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