Journal of Integrative and Complementary Medicine最新文献

{"title":"Reaching Veterans with Cooccurring Mental Health Conditions Through the VA Whole Health System of Care.","authors":"David E Reed, Charles C Engel, Bella Etingen, Justeen Hyde, Barbara G Bokhour, Steven B Zeliadt","doi":"10.1089/jicm.2024.0766","DOIUrl":"10.1089/jicm.2024.0766","url":null,"abstract":"<p><p><b><i>Objective:</i></b> To examine the extent to which the Veterans Health Administration Whole Health System of Care (VA Whole Health) has reached Veterans with multiple mental health diagnoses. <b><i>Methods:</i></b> As part of a large-scale evaluation of VA Whole Health, Veterans were recruited from the 18 VA Whole Health pilot sites. In this cross-sectional evaluation, electronic health record data were used to examine the reach of core Whole Health educational and coaching activities and complementary and integrative health (CIH) use among Veterans across four mental health diagnostic groups: zero, one, two, or three diagnoses (i.e., anxiety, depression, post-traumatic stress disorder) in the past year. Logistic regression was used to determine the likelihood of core Whole Health and CIH use in each group, compared with each of the other diagnostic groups, adjusting for covariates. <b><i>Results:</i></b> Veterans (<i>n</i> = 9689; age = 64.1 years) were mostly men (86.8%) and White (75.3%). Veterans with more mental health diagnoses had higher odds of core Whole Health use, with adjusted odds ratios ranging from 1.19 (95% confidence interval [CI]: 1.02-1.38; two vs. one mental health diagnoses) to 2.36 (95% CI: 1.90-2.92; three vs. zero mental health diagnoses). Veterans with more mental health diagnoses also had higher odds of CIH use, with significant adjusted odds ratios ranging from 1.30 (95% CI: 1.05-1.62; three vs. two mental health diagnoses) to 2.29 (95% CI: 1.85-2.82; three vs. zero mental health diagnoses). <b><i>Conclusions:</i></b> VA Whole Health is designed to reach all Veterans, including those with complex health care needs, and this evaluation indicates promise that it is reaching this goal among Veterans with mental health concerns.</p>","PeriodicalId":29734,"journal":{"name":"Journal of Integrative and Complementary Medicine","volume":" ","pages":"463-470"},"PeriodicalIF":1.3,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143392095","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":"Prevalence of Traditional, Complementary, and Integrative Medicine Training, Its Different Practices, and Associated Sociodemographic Factors: A Study with Brazilian Nurses.","authors":"Diéssica Roggia Piexak, Daniela Dallegrave, Karine Alves da Silva, Ana Marcela Sarria, Yanmei Gu, Tereza Maria Mendes Diniz de Andrade Barroso","doi":"10.1089/jicm.2024.0398","DOIUrl":"10.1089/jicm.2024.0398","url":null,"abstract":"<p><p><b><i>Objective:</i></b> To analyze the prevalence of nurses trained in traditional, complementary, and integrative medicine (TCIM), the different practices, and associated sociodemographic factors. <b><i>Methods:</i></b> This quantitative, cross-sectional study was implemented online in Brazil from June 2021 to January 2022 among 1,154 nurses using a questionnaire comprising open- and closed-ended questions. The Stata IC software, version 16.0, was used in the statistical analysis. The dependent variable was training in TCIM, and the prevalence of different TCIM practices was also investigated. The independent variables included sociodemographic information. Descriptive and inferential statistical tests were performed. This study was approved by the Institutional Review Board at the Federal University of Rio Grande do Sul and was developed according to the STrengthening the Reporting of OBservational studies in Epidemiology (STROBE) initiative. <b><i>Results:</i></b> The prevalence of TCIM training was 43.50%. Most participants were women (89.49%), Brazilian (99.65%), aged 39.71 on average (SD = 10.37), and had an income of up to four times the minimum wage (52.43%). The prevalence of professionals implementing TCIM in their practice among those with training was 64.60%. They reported working up to 2 h a week (36.96%) in primary health care settings (33.40%) and providing individual consultations (78.0%). After the adjusted analysis, TCIM training appeared significantly associated with age (<i>p</i> < 0.001), the region where the workplace is located (<i>p</i> < 0.001), and income (<i>p</i> < 0.001). Auriculotherapy (59.96%) stood out among the TCIM practices in which nurses were trained. <b><i>Conclusions:</i></b> Almost half of the nurses working in Brazil have training in TCIM and sociodemographic factors such as age, region of work, and income are significantly associated with this training.</p>","PeriodicalId":29734,"journal":{"name":"Journal of Integrative and Complementary Medicine","volume":" ","pages":"454-462"},"PeriodicalIF":1.3,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143371208","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 Multisite Randomized Feasibility Trial of a Remotely Delivered Pelvic Yoga Program for Women with Chronic Pelvic Pain Syndrome.","authors":"Alison J Huang, Leslee L Subak, Tami S Rowen, Michael Schembri, Harini Raghunathan, Carolyn Gibson, Sarah Pawlowsky, Jing Cheng, Maria T Chao","doi":"10.1089/jicm.2024.0682","DOIUrl":"10.1089/jicm.2024.0682","url":null,"abstract":"<p><p><b><i>Objective:</i></b> Yoga has been recommended as a complementary management strategy for women with chronic pelvic pain (CPP), but many women lack access to specialized yoga instruction for this indication, and few data are available to evaluate changes in CPP with yoga. This feasibility trial evaluated the acceptability and tolerability of a remotely delivered yoga program for CPP in women and examined data quality and interpretability for measures of pelvic pain intensity and impact with yoga instruction. <b><i>Methods:</i></b> Ambulatory women with CPP were recruited from northern California in 2020-2022 and randomly assigned to a 2-month program involving twice weekly group classes delivered by videoconference supplemented by individual practice of pelvic yoga techniques versus a control program involving equivalent-time instruction and practice of nonspecific skeletal muscle stretching-strengthening exercises. Diaries, questionnaires, and in-class observations assessed intervention adherence and self-efficacy as well as CPP intensity and impact. <b><i>Results:</i></b> Among the 36 participants randomized (aged 27-77 years), the average (±standard deviation) baseline pelvic pain intensity was 4.2 (±2.0) (0-10 scale). Thirty-one (86%) completed the 2-month intervention programs, and 27 (75%) attended more than 85% of intervention classes. Among participants completing the yoga program (<i>N</i> = 16), 14 (87%) reported being at least moderately confident about performing all yoga postures after 2 months. Thirty (83%) provided pain intensity data at 2 months. Average pelvic pain intensity \"at its worst\" and \"on average\" were 1.9 (±1.6) and 1.1 (±1.4) points lower, respectively, after 2 months in this yoga group. Yoga participants also reported improvements in scores in the emotional, occupational, and psychological domains of the Impact of Female Chronic Pelvic Pain Questionnaire. <b><i>Conclusions:</i></b> Findings demonstrate the feasibility and acceptability of a videoconference-based yoga program and collection of pain-related data among women with CPP, paving the way for future research to rigorously evaluate its specific efficacy in representative samples of women. <b>Clinicaltrials.gov identifier:</b> NCT04615247.</p>","PeriodicalId":29734,"journal":{"name":"Journal of Integrative and Complementary Medicine","volume":" ","pages":"483-492"},"PeriodicalIF":1.3,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12136143/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142898666","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":"Is Acupuncture an Effective Treatment for Radiation-Induced Xerostomia of Patients with Head and Neck Cancer? A Systematic Review and Meta-Analysis.","authors":"Wenzhe Gu, Hongjun Dong, Yuan Yuan, Zijiang Yuan, Xiaoting Jiang, Yuhan Qian, Zhengjie Shen","doi":"10.1089/jicm.2023.0781","DOIUrl":"10.1089/jicm.2023.0781","url":null,"abstract":"<p><p><b><i>Background:</i></b> Radiation-induced xerostomia (RIX) stands out as one of the most severe side effects among patients with head and neck cancer (HNC). Given the varied conclusions in previous studies concerning the association between acupuncture, sham acupuncture, or acupuncture combined with standard oral care and therapeutic effects, our aim is to conduct a systematic review to assess the effectiveness and safety of acupuncture in managing RIX in patients with HNC. <b><i>Methods:</i></b> Six databases (Cochrane Library, PubMed, EMBASE, China National Knowledge Infrastructure, Chongqing VIP, and WanFang Database) were electronically searched, following the Cochrane manual and adhering to reported Preferred Reporting Item for Systematic Reviews and Meta-Analyses guidelines, from their inception dates to July 1, 2024. Primary randomized clinical trials included in systematic reviews or meta-analyses were identified, with the Xerostomia Questionnaire and Xerostomia Inventory designated as the primary outcomes. Salivary flow rates (unstimulated or stimulated) were defined as secondary outcomes. <b><i>Results:</i></b> Eight clinical trials involving 1273 participants were analyzed, with six studies included in the meta-analysis. The results indicate that acupuncture demonstrated a significant improvement in patient-reported xerostomia scores (standardized mean difference [SMD] = -0.20, 95% confidence interval [95% CI] [-0.38, -0.02], <i>I</i>² = 0%) in comparison to standard care, but did not significantly improve oral dryness symptoms compared with sham acupuncture (SMD = -0.06, 95% CI [-0.29, 0.16], <i>I</i>² = 25.8%). The merged total showed negative result (SMD = -0.13, 95% CI [-0.27, 0.01], <i>I</i>² = 8.2%). Additionally, there was no significant difference in stimulated salivary flow rate (SMD = -0.22, 95% CI [-0.58, 0.13], <i>I</i>² = 0%) and unstimulated salivary flow rate (SMD = -0.19, 95% CI [-0.11, 0.72], <i>I</i>² = 67.2%). In general, the acupuncture did not cause serious adverse effects. <b><i>Conclusion:</i></b> As far as current research is concerned, acupuncture treatment for RIX symptoms in patients with HNC still lacks strong and convincing evidence support. The more scientific research methods and more clinical trials are still needed.</p>","PeriodicalId":29734,"journal":{"name":"Journal of Integrative and Complementary Medicine","volume":" ","pages":"431-444"},"PeriodicalIF":1.3,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142732628","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":"Rosalind Franklin Society Proudly Announces the 2024 Award Recipient for <i>Journal of Integrative and Complementary Medicine</i>.","authors":"EunMee Yang","doi":"10.1089/jicm.2023.0204.rfs2024","DOIUrl":"https://doi.org/10.1089/jicm.2023.0204.rfs2024","url":null,"abstract":"","PeriodicalId":29734,"journal":{"name":"Journal of Integrative and Complementary Medicine","volume":"31 5","pages":"395"},"PeriodicalIF":1.3,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144031395","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 Association Between Complementary and Integrative Health Service Use and Completion of a Residential Rehabilitation Program for Veterans Experiencing Homelessness.","authors":"Kimberlee Flike, Thomas Byrne, Justeen Hyde","doi":"10.1089/jicm.2024.0757","DOIUrl":"10.1089/jicm.2024.0757","url":null,"abstract":"<p><p><b><i>Objective:</i></b> To explore the association between complementary and integrative health (CIH) service use and completion of a Domiciliary Care for Homeless Veterans (DCHV) program. <b><i>Methods:</i></b> The sample included 227 veterans enrolled at one DCHV program between September 2021 and September 2023. Multivariable logistic regression analyses were conducted. <b><i>Results:</i></b> Veterans with 4-6 encounters and 7 or more encounters had 3.3 times and 4.8 times greater odds of program completion compared with veterans who did not have any CIH encounters, repectively. <b><i>Conclusion:</i></b> Study results indicated that increased use of CIH services was associated with an increased likelihood of DCVH program completion.</p>","PeriodicalId":29734,"journal":{"name":"Journal of Integrative and Complementary Medicine","volume":" ","pages":"493-496"},"PeriodicalIF":1.3,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143538008","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":"Healing STEM: Harnessing Compassion, Mindfulness, and Emotional Regulation to Overcome Burnout.","authors":"Gloria Y Yeh, Darshan H Mehta, Peter M Wayne","doi":"10.1089/jicm.2025.0168","DOIUrl":"https://doi.org/10.1089/jicm.2025.0168","url":null,"abstract":"","PeriodicalId":29734,"journal":{"name":"Journal of Integrative and Complementary Medicine","volume":"31 5","pages":"398-402"},"PeriodicalIF":1.3,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144049521","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":"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":"406-430"},"PeriodicalIF":1.3,"publicationDate":"2025-05-01","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":"Efficacy of Arogya Rakshak Panchatantra (Five Lifestyle Principles) on Heart Rate Variability and Menstrual Symptoms in Primary Dysmenorrhea: A Randomized Controlled Trial.","authors":"Karishma Silwal, Prakash Babu Kodali, Hemanshu Sharma, Peony Biswas, Jigyasha Menghani, Gulab Tewani, Pradeep M K Nair","doi":"10.1089/jicm.2024.0216","DOIUrl":"10.1089/jicm.2024.0216","url":null,"abstract":"<p><p><b><i>Introduction:</i></b> Primary dysmenorrhea (PD) is associated with decreased performance and reduced quality of life in young adults. This study aims to evaluate the effectiveness of implementing Arogya Rakshak Panchatantra (ARP), a naturopathic lifestyle practice, among young female adults with PD. <b><i>Method:</i></b> This open-label, parallel-arm, randomized controlled trial included 52 young female adults with PD aged between 16 and 25 years. They were randomly assigned to the ARP group practicing the ARP module for 2 months or the control group maintaining their routine lifestyle. The primary outcome was changes in heart rate variability (HRV), while secondary outcomes included menstrual distress, quality of life, pain, and daytime sleepiness, all evaluated at baseline and during the first three menstrual cycles in both groups. To evaluate the feasibility, the study also monitored self-reported symptoms, emotions, adverse events, calorie intake, and adherence to the intervention. The effectiveness of ARP was evaluated using repeated measures analysis of variance and a generalized linear model. <b><i>Results:</i></b> In the intervention group, we observed significant improvements in the high frequency component of HRV (<i>p</i> = 0.007), as well as reductions in weight (<i>p</i> = 0.017), visual analog scale pain (<i>p</i> = 0.000), and retrospective symptom scale score (<i>p</i> < 0.011). There were no significant changes in other HRV metrics, quality of life, or daytime sleepiness. Participants reported mild symptoms such as headaches, colds, body pain, diarrhea, constipation, fever, and weakness, with no serious adverse events. <b><i>Discussion:</i></b> This trial is the first to examine the long-term impact of ARP on young females with PD, suggesting it could be an effective and feasible management option. Further research with larger sample sizes is needed to confirm these findings.</p>","PeriodicalId":29734,"journal":{"name":"Journal of Integrative and Complementary Medicine","volume":" ","pages":"471-482"},"PeriodicalIF":1.3,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142869701","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":"Synopses of Cochrane Reviews from Cochrane Library Issue 10 2024 Through Issue 1 2025.","authors":"L Susan Wieland","doi":"10.1089/jicm.2025.0142","DOIUrl":"https://doi.org/10.1089/jicm.2025.0142","url":null,"abstract":"","PeriodicalId":29734,"journal":{"name":"Journal of Integrative and Complementary Medicine","volume":"31 5","pages":"403-405"},"PeriodicalIF":1.3,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144017798","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}