Complementary Therapies in Clinical Practice最新文献

{"title":"Practitioner characteristics of osteopaths who treat pregnant women and children: An Australasian perspective from two practice-based research networks","authors":"Amie Steel ,&nbsp;Jerry Draper-Rodi ,&nbsp;Michael Fleischmann ,&nbsp;Chantal Morin ,&nbsp;Ana Paula-Feriera ,&nbsp;Brett Vaughan ,&nbsp;Paul Orrock","doi":"10.1016/j.ctcp.2024.101929","DOIUrl":"10.1016/j.ctcp.2024.101929","url":null,"abstract":"<div><h3>Background</h3><div>Although there is evidence supporting positive outcomes for osteopathic healthcare during pregnancy and post-natal phases, there is very little that describes the practice and management characteristics of osteopaths providing this healthcare. The aim of this study is to describe the specific characteristics of Australian and New Zealand osteopaths who often treat pregnant women and children.</div></div><div><h3>Material and methods</h3><div>The study is a secondary analysis of data from osteopathy practice-based research networks (PBRN) in Australia and New Zealand. Chi-square tests were used to explore associations between practitioner and practice characteristics among osteopaths who report <em>often</em> providing care to children (aged up to 3 years, or between 4 and 18 years) and pregnant women, and those who do not. Backward logistic regression was used to identify significant predictors of Australian osteopaths who report <em>often</em> providing care to children (aged up to 3 years, or between 4 and 18 years) and pregnant women.</div></div><div><h3>Results</h3><div>One third (33.4 %) of surveyed Australian and New Zealand osteopaths (n = 1269) indicated they treat pregnant patients <em>often,</em> while 18.3 % indicated they <em>often</em> treat children up to 3 years old, and 28.7 % indicated <em>often</em> treating children between 4 and 18 years old. Osteopaths who treated pregnant women and children were more likely to be female and to have 15 years or more of clinical experience. Osteopaths who treated pregnant women were more likely to <em>often</em> treat patients up three years old, compared to osteopaths who reported <em>not often</em> treating pregnant women.</div></div><div><h3>Conclusion</h3><div>These characteristics suggest osteopaths who provide care to pregnant women are more commonly female, and female osteopaths are more likely to treat children under 3 years old.</div></div>","PeriodicalId":48752,"journal":{"name":"Complementary Therapies in Clinical Practice","volume":"58 ","pages":"Article 101929"},"PeriodicalIF":2.2,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142720169","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"WATSU (Water-Shiatsu) increases body awareness and improves pain and mood: A randomised controlled study","authors":"Ursula Danner ,&nbsp;Alexander Avian ,&nbsp;Elvira Ilming ,&nbsp;Christian Mittermaier","doi":"10.1016/j.ctcp.2024.101884","DOIUrl":"10.1016/j.ctcp.2024.101884","url":null,"abstract":"<div><h3>Background and purpose</h3><p>WATSU (Water-Shiatsu) is a body-oriented therapy in warm-water pool with passive movements, massage and breathing techniques. The present study investigated the short-term effect of a single session of WATSU on body awareness.</p></div><div><h3>Materials and methods</h3><p>In a randomized-controlled study 60 volunteers (18–65 years) were assigned to a 20-min intervention of WATSU or to a 20-min lecture on WATSU. Immediately before and after the intervention they had to answer questionnaires. Primary endpoint of the investigation was the change of the total score of the non-verbal Awareness Body Chart (ABC). Secondary endpoints were the changes of the scores of the 14 single body parts of the ABC, of the Visual Analogue Pain Scale, of a German self-perception questionnaire (KEKS) and changes in mood scored with a German questionnaire on mood (Bf-SR). To compare groups, Mann-Whitney U tests were used.</p></div><div><h3>Results</h3><p>The WATSU group had a significantly higher increase in the ABC total score in comparison to the lecture group (WATSU: 0.3 (IQR 0 – 0.8), lecture: 0.1 (IQR -0.2 – 0.2), p = 0.014). In the KEKS no group differences were seen. In WATSU a significantly stronger improvement of pain (Visual Analogue Pain Scale: WATSU: −15 (IQR -29 to −8), lecture: −4 (IQR -9 – 2), p &lt; 0.001) and of mood (Bf-SR: WATSU: −6 (IQR -14 to −2), lecture: −1 (IQR -5 – 1), p = 0.003) could be observed.</p></div><div><h3>Conclusion</h3><p>This study showed that WATSU immediately increases body awareness and improves pain and mood.</p></div>","PeriodicalId":48752,"journal":{"name":"Complementary Therapies in Clinical Practice","volume":"57 ","pages":"Article 101884"},"PeriodicalIF":2.2,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141716815","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Impact of Taekwondo training on cognitive and physical function in elderly individuals: A comprehensive review of randomized controlled trials","authors":"Xinxing Li ,&nbsp;Jun-Hyun Bae ,&nbsp;Byunggul Lim ,&nbsp;Ji-won Seo ,&nbsp;Yunho Sung ,&nbsp;Shu Jiang ,&nbsp;Parivash Jamrasi ,&nbsp;SoYoung Ahn ,&nbsp;Chaeyoung Shin ,&nbsp;Mingzhu Pan ,&nbsp;Wook Song","doi":"10.1016/j.ctcp.2024.101878","DOIUrl":"10.1016/j.ctcp.2024.101878","url":null,"abstract":"<div><h3>Background</h3><p>Researchers have investigated the physical and psychosocial advantages of Taekwondo for older adults. However, prior studies of Taekwondo's impact on physical function and psychological well-being in this demographic have produced inconsistent findings. Thus, this systematic review aimed to assess how Taekwondo practice affects the physical function and psychological well-being of older adults.</p></div><div><h3>Methods</h3><p>We systematically searched PubMed, EMBASE, CINAHL, SPORTDiscus, Scopus, Korea Education and Research Information Service, Korean Studies Information Service System, Korean National Assembly Library, Research Information Sharing Service, National Digital Science Library, and China National Knowledge Infrastructure from their inception to December 2023. Two reviewers independently selected and extracted data from each study. We calculated effect sizes using a random-effects model with a 95 % confidence interval (CI) and evaluated study quality using the Physiotherapy Evidence Database scale.</p></div><div><h3>Results</h3><p>This review included ten studies with 227 participants aged 66.1–73.6 years. The meta-analysis revealed significant enhancements in cognitive function [Korean Version of Mini-Mental State Examination, standard mean difference (SMD) = 0.700, 95 % CI (0.364–1.037), I² = 0 %, <em>p</em> &lt; .001], blood indicators [β-amyloid, SMD = 0.613, 95 % CI (0.103–1.123), I² = 34.920 %, <em>p</em> &lt; .05; brain-derived neurotrophic factor, SMD = 0.566, 95 % CI (0.166–0.966), I² = 0 %, <em>p</em> &lt; .01; high-density lipoprotein cholesterol, SMD = 0.677, 95 % CI (0.357–0.966), I² = 0 %, <em>p</em> &lt; .001; low-density lipoprotein cholesterol, SMD = 0.809, 95 % CI (0.376–1.242), I² = 42.621 %, <em>p</em> &lt; .001; and total cholesterol, SMD = 0.979, 95 % CI (0.603–1.356), I² = 22.221 %, <em>p</em> &lt; .001], and physical function [lean body mass, SMD = 0.465, 95 % CI (0.109–0.821), I² = 0 %, <em>p</em> &lt; .05, and handgrip strength, SMD = 0.929, 95 % CI (0.194–1.663), I² = 48.217 %, <em>p</em> &lt; .05].</p></div><div><h3>Conclusions</h3><p>This meta-analysis indicates that Taekwondo training is a beneficial therapy with protective effects on cognitive function, physical function, and body composition in older adults. These findings highlight its potential significance in cognitive rehabilitation and physiological health promotion among this demographic population.</p></div>","PeriodicalId":48752,"journal":{"name":"Complementary Therapies in Clinical Practice","volume":"57 ","pages":"Article 101878"},"PeriodicalIF":2.2,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141499940","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Electroacupuncture for urinary retention after stroke: A systematic review and meta-analysis of randomized controlled trials","authors":"Wenqi Zhang ,&nbsp;Shizhen Song ,&nbsp;Tingting Zhang ,&nbsp;Xinyao Ju ,&nbsp;Shi Shu ,&nbsp;Shuang Zhou","doi":"10.1016/j.ctcp.2024.101877","DOIUrl":"https://doi.org/10.1016/j.ctcp.2024.101877","url":null,"abstract":"<div><h3>Background and purpose</h3><p>Electroacupuncture (EA) is one of the non-pharmacological therapies in traditional Chinese medicine to treat urinary retention. The objective of this meta-analysis is to assess the efficacy of electroacupuncture in the treatment of urinary retention after stroke.</p></div><div><h3>Methods</h3><p>Overall, seven electronic databases were searched until December 31, 2023, and randomized control trials about EA for urinary retention after stroke were reviewed. Two reviewers independently screened the literature, extracted the data, and assessed the risk of bias for included studies. The meta-analysis was conducted by RevMan 5.4 and Stata/MP 17.0 software.</p></div><div><h3>Results</h3><p>Eleven studies with a total of 856 participants were included in this meta-analysis. EA treatment yielded an improved reduction in the post-void residual (PVR) (mean difference [MD]: 37.85, 95 % confidence interval [CI]: 55.09 to −20.61 p &lt; 0.0001) and the weight of diaper pads (MD: 38.87, 95 % CI: 42.68 to −335.06). Further analysis indicated that EA improved the effectiveness ratio (risk ratio [RR]: 1.36, 95 % CI: 1.20 to 1.53, p &lt; 0.00001), the function of the bladder (MD: 0.45, 95 % CI: 0.61 to −0.30), and the quality of life (MD: 1.15, 95 %: CI: 2.10 to −0.20) in comparison to normal treatment and simple acupuncture.</p></div><div><h3>Conclusion</h3><p>EA may be an effective way and reasonable modality to incorporate into the multiple prevention and therapy for urinary retention after stroke. The wide application of EA could be associated with the improvement of bladder and life quality and decline in the PVR for patients after stroke with urinary retention.</p></div>","PeriodicalId":48752,"journal":{"name":"Complementary Therapies in Clinical Practice","volume":"57 ","pages":"Article 101877"},"PeriodicalIF":2.2,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141593043","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Assessment of acupuncture's effectiveness in mitigating fatigue among patients afflicted with multiple sclerosis: A systematic review and meta-analysis","authors":"Samna Haider ,&nbsp;Warda Fatmi ,&nbsp;Navaira Shoaib ,&nbsp;Mariam Sajjad ,&nbsp;Mariyam Zahid","doi":"10.1016/j.ctcp.2024.101902","DOIUrl":"10.1016/j.ctcp.2024.101902","url":null,"abstract":"<div><h3>Background and purpose</h3><p>Fatigue is a pervasive and debilitating symptom of multiple sclerosis (MS) that severely impairs quality of life and daily functioning. This emphasizes the essential need for complementary therapies that go beyond conventional therapies. Although acupuncture is gaining popularity in MS management, there is a critical lack of rigorous research on its effectiveness in alleviating symptoms.</p></div><div><h3>Methods</h3><p>A comprehensive literature search was conducted across multiple databases, focusing on studies evaluating acupuncture's effectiveness in alleviating fatigue in MS patients. Key outcomes measured in the analysis included fatigue, quality of life, and disability.</p></div><div><h3>Results</h3><p>Six studies were included in the analysis, consisting of two observational studies and four randomized controlled trials. The analysis focused on evaluating acupuncture's efficacy in alleviating fatigue induced by MS. Despite variations in acupuncture protocols, outcome metrics, and control conditions, our meta-analysis revealed that acupuncture significantly reduces fatigue (MD: −0.92, 95 % CI: −1.36 to −0.47, p &lt; 0.0001) and enhances quality of life (SMD: 0.91, 95 % CI: 0.07–1.74, p = 0.03), underscoring its potential as a therapeutic intervention in the management of MS.</p></div><div><h3>Conclusion</h3><p>The meta-analysis suggests a notable improvement in MS-related fatigue following acupuncture, both compared to controls and pre-treatment levels, positioning it as a potential adjunct therapy. However, the prevalent risk of bias in these studies necessitates further high-quality research, along with studies involving larger patient cohorts, to definitively ascertain acupuncture's efficacy and safety in this context.</p></div>","PeriodicalId":48752,"journal":{"name":"Complementary Therapies in Clinical Practice","volume":"57 ","pages":"Article 101902"},"PeriodicalIF":2.2,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142163158","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"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 ischemic stroke: A systematic review with meta-analyses and trial sequential analyses","authors":"Xiaoying Zhong ,&nbsp;Xiaochao Luo ,&nbsp;Ling Li ,&nbsp;Jiali Liu ,&nbsp;Xin Sun ,&nbsp;Honglai Zhang","doi":"10.1016/j.ctcp.2024.101905","DOIUrl":"10.1016/j.ctcp.2024.101905","url":null,"abstract":"<div><h3>Background</h3><p>Although acupuncture is widely used to treat ischemic stroke, its effects remain uncertain. This systematic review aims to synthesize current evidence on the effects of acupuncture for ischemic stroke and assess whether current randomized controlled trials (RCTs) have sufficient power to detect its effects.</p></div><div><h3>Methods</h3><p>Seven databases and two registry platforms were searched systematically from inception to June 13, 2023, to identify RCTs comparing the effects of acupuncture on ischemic stroke with control groups (placebo/blank). The Cochrane Risk of Bias 2 (RoB 2) tool was used to evaluate the risk of bias in the included trials. Random effects models through restricted maximum likelihood estimation were further used to estimate the pooled mean differences (MDs) and the corresponding 95 % confidence intervals (CIs). The primary outcome was neurological function (National Institutes of Health Stroke Scale, NIHSS), while secondary outcomes included global disability (modified Rankin Scale, mRS) and activities of daily living (ADLs) (Barthel Index, BI or Modified Barthel Index, MBI). The Grading of Recommendations, Assessment, Development, and Evaluations (GRADE) system was used to evaluate the certainty of the evidence. Trial sequential analysis (TSA) was further applied to control random errors and calculate the required information size (RIS).</p></div><div><h3>Results</h3><p>Forty RCTs involving 4485 patients were included. Acupuncture was found to significantly improve NIHSS (18 trials, 2658 patients; MD = −1.61, 95 % CI [-2.12, −1.09], low certainty evidence), mRS (3 trials, 298 patients; MD = −0.34, 95 % CI [-0.50, −0.19], moderate certainty evidence), and BI/MBI (26 trials, 2562 patients; MD = 8.98, 95 % CI [6.18, 11.77], low certainty evidence). Further, graphs of TSA indicated that the sample size of the trials was sufficient, and the results are robust.</p></div><div><h3>Conclusion</h3><p>Current evidence suggests that acupuncture can significantly improve neurological function, global disability, and ADLs in patients with ischemic stroke. The results were robust, as confirmed by TSA. However, the certainty of the evidence is moderate to low and should be further verified by more high-quality RCTs.</p></div>","PeriodicalId":48752,"journal":{"name":"Complementary Therapies in Clinical Practice","volume":"57 ","pages":"Article 101905"},"PeriodicalIF":2.2,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142230377","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A Fullerton Functional Fitness Test-based exercise intervention for older adults yields quick physical and psychological benefits","authors":"Eliza E. Toth ,&nbsp;Aleksandar Vujić ,&nbsp;Ferenc Ihász ,&nbsp;Roberto Ruíz-Barquín ,&nbsp;Attila Szabo","doi":"10.1016/j.ctcp.2024.101880","DOIUrl":"10.1016/j.ctcp.2024.101880","url":null,"abstract":"<div><h3>Objectives</h3><p>Functional fitness is essential for healthy living in older adults. Specially targeted fitness programs might be the most beneficial. This intervention study aimed to assess the efficacy of a specific 16-week exercise program in improving functions as measured by the Fullerton Functional Fitness Test (FFFT), also known as the Senior Test, in older adults.</p></div><div><h3>Participants</h3><p>Thirty-eight participants (66 % women, M_age = 80.15, SD = 7.21) were randomized into an exercise group (n = 24) and a waiting list control group (n = 14). The exercise group trained three times a week for 1 h.</p></div><div><h3>Methods</h3><p>Objective tests (FFFT and handgrip power) and subjective psychological measures (life satisfaction, resilience, happiness, perceived stress, and well-being) were obtained at baseline, after eight weeks, and after 16 weeks. The data were analyzed using mixed-effect regression models.</p></div><div><h3>Results</h3><p>The results yielded statistically significant group-by-time interactions in all models, indicating improvements in physical and psychological measures over time in the treatment group compared to the control group. Significant differences between the groups in the estimated marginal means (with adjusted 95 % confidence intervals) emerged after 16 weeks in happiness (−3.5 [-6.5, −0.4]), resilience (−5.5 [-9.9, −1.2]), perceived stress (2.2 [0.2, 4.2]), well-being (−5.8 [-7.9, −3.6]), upper limb strength (−5.7 [-9.0, −2.4]), upper body flexibility (−8.7 [-16.4, −1.0]), and agility and balance (4.6 [1.2, 8.1]). Except for happiness and resilience, these differences surfaced already after eight weeks.</p></div><div><h3>Conclusion</h3><p>The here-employed 16-week exercise program, targeting the test elements of the FFFT, efficiently induced physical and mental improvements in older adults.</p></div>","PeriodicalId":48752,"journal":{"name":"Complementary Therapies in Clinical Practice","volume":"57 ","pages":"Article 101880"},"PeriodicalIF":2.2,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1744388124000537/pdfft?md5=5dcde1065ce0a6467ddaea07a65093e5&pid=1-s2.0-S1744388124000537-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141539086","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effects of personalized music listening on post-stroke cognitive impairment: A randomized controlled trial","authors":"Li-ping Fan ,&nbsp;Alonso Quijano-Ruiz ,&nbsp;Chen Wang ,&nbsp;Hong-wei Zhao ,&nbsp;Dan-ni Wang ,&nbsp;Han-ming Wu ,&nbsp;Lin Liu ,&nbsp;Yi-hong Zhan ,&nbsp;Xian-bao Zhou","doi":"10.1016/j.ctcp.2024.101885","DOIUrl":"10.1016/j.ctcp.2024.101885","url":null,"abstract":"<div><h3>Background and purpose</h3><p>Previous studies have suggested that music listening has the potential to positively affect cognitive functions and mood in individuals with post-stroke cognitive impairment (PSCI), with a preference for self-selected music likely to yield better outcomes. However, there is insufficient clinical evidence to suggest the use of music listening in routine rehabilitation care to treat PSCI. This randomized control trial (RCT) aims to investigate the effects of personalized music listening on mood improvement, activities of daily living (ADLs), and cognitive functions in individuals with PSCI.</p></div><div><h3>Materials and methods</h3><p>A total of 34 patients with PSCI were randomly assigned to either the music group or the control group. Patients in the music group underwent a three-month personalized music-listening intervention. The intervention involved listening to a personalized playlist tailored to each individual's cultural, ethnic, and social background, life experiences, and personal music preferences. In contrast, the control group patients listened to white noise as a placebo. Cognitive function, neurological function, mood, and ADLs were assessed.</p></div><div><h3>Results</h3><p>After three months of treatment, the music group showed significantly higher Montreal Cognitive Assessment (MoCA) scores compared to the control group (<em>p=</em>0.027), particularly in the domains of delayed recall (<em>p=</em>0.019) and orientation (<em>p=</em>0.023). Moreover, the music group demonstrated significantly better scores in National Institutes of Health Stroke Scale (NIHSS) (<em>p=</em>0.008), Barthel Index (BI) (<em>p=</em>0.019), and Zarit Caregiver Burden Interview (ZBI) (<em>p=</em>0.008) compared to the control group. No effects were found on mood as measured by the Hamilton Anxiety Rating Scale (HAMA) and the Hamilton Depression Rating Scale (HAMD).</p></div><div><h3>Conclusion</h3><p>Personalized music listening promotes the recovery of cognitive and neurological functions, improves ADLs, and reduces caregiver burden in patients with PSCI.</p></div>","PeriodicalId":48752,"journal":{"name":"Complementary Therapies in Clinical Practice","volume":"57 ","pages":"Article 101885"},"PeriodicalIF":2.2,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1744388124000586/pdfft?md5=70620bd24cee891900e23e8062018a81&pid=1-s2.0-S1744388124000586-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141847504","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Clinical application of mindfulness in end-of-life care from the perspective of palliative care professionals: A phenomenological study","authors":"Wei-Ting Lai ,&nbsp;Hsun-Kuei Ko ,&nbsp;Wan-Ru Chou ,&nbsp;Pei-Yu Lee ,&nbsp;Min-Tao Hsu","doi":"10.1016/j.ctcp.2024.101891","DOIUrl":"10.1016/j.ctcp.2024.101891","url":null,"abstract":"<div><h3>Background</h3><p>and Purpose: With mindfulness being increasingly recognized for its potential to address psychological challenges related to advanced or terminal illnesses, palliative care professionals are incorporating mindfulness-based interventions into their practice. However, there is limited understanding of the practical applications of mindfulness in clinical settings, particularly for end-of-life patients. This study explored palliative care professionals’ experiences in delivering mindfulness-based therapy to end-of-life patients, thereby aiming to inform the development of effective interventions.</p></div><div><h3>Materials and methods</h3><p>Semi-structured interviews were conducted with 15 palliative care professionals. Participants were asked to describe their memorable experiences in applying mindfulness in a clinical setting. Data were analyzed following Moustakas's transcendental phenomenology approach.</p></div><div><h3>Results</h3><p>The interviews produced three themes: clinicians’ mindfulness experiences form the cornerstone of their clinical application of mindfulness; creating an optimal healing environment is essential for mindfulness practice; and patient-centric mindfulness guidance should be implemented.</p></div><div><h3>Conclusion</h3><p>This study underscores the critical role of mindfulness in end-of-life care, highlighting its integration into daily life by palliative care professionals. By drawing upon their own mindfulness experiences, palliative care professionals facilitated a therapeutic environment tailored to the unique needs of end-of-life patients. This patient-centered approach not only enhanced the quality of care but also fostered a healing connection rooted in compassion and empathy. The findings advocate for further education and development of mindfulness-based interventions, including group therapies, to support the holistic well-being of patients in collectivist cultures. Future research should further explore the practical applications and benefits of mindfulness in end-of-life care settings.</p></div>","PeriodicalId":48752,"journal":{"name":"Complementary Therapies in Clinical Practice","volume":"57 ","pages":"Article 101891"},"PeriodicalIF":2.2,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141918344","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Building an evidence base for osteopathy: Trials and tensions. A qualitative study of the experience of clinicians engaging in research","authors":"Sandra Grace ,&nbsp;Roger Engel ,&nbsp;Steven Vogel ,&nbsp;Gemma Ahrens ,&nbsp;Krystee Barclay ,&nbsp;Clara Guy ,&nbsp;Cerene Lowe ,&nbsp;Tess McCormack ,&nbsp;James Paranthoiene ,&nbsp;Dawn Carnes","doi":"10.1016/j.ctcp.2024.101883","DOIUrl":"10.1016/j.ctcp.2024.101883","url":null,"abstract":"<div><h3>Background</h3><p>Engaging in clinical research includes confronting challenges about the uncertainty around outcomes and ramifications the results may have on practice. This is pertinent for osteopathy where little is known about the experiences of osteopaths involved in clinical trials. The aim of this study was to explore the lived experience of osteopaths who participated in a randomised controlled trial for infantile colic. The study was informed by a principles-based approach to clinical ethics and their application to practice.</p></div><div><h3>Design</h3><p>Qualitative study using semi-structured interviews and reflexive thematic analysis.</p></div><div><h3>Setting</h3><p>An international two-arm pragmatic randomised controlled trial (the CUTIES trial) to evaluate the effectiveness of osteopathic care for infantile colic.</p></div><div><h3>Methods</h3><p>A principles-based approach to clinical ethics and their application to practice for osteopaths asked to make decisions about participating in a clinical trial was used. Osteopaths from the UK and Australia who completed the CUTIES trial training were invited to be interviewed about their experiences, regardless of whether they went on to recruit infants in the trial. Interviewees were asked about their reasons for wanting to participate in the CUTIES trial, why they decided to continue or not to continue in the trial and, for those who completed the trial, their personal experiences as participants in the trial. Data were analysed using reflexive thematic analysis.</p></div><div><h3>Results</h3><p>Nine osteopaths were interviewed. Three themes were identified from the data: Paradigm dilemma - observed clinical outcomes vs scientific evidence for mechanism of effects; trial-related ethical dilemmas; and trial outcome dilemmas.</p></div><div><h3>Conclusion</h3><p>Participating in the CUTIES trial required osteopaths to overcome clinical ethical dilemmas for the benefit of patients, the research, and the profession.</p></div>","PeriodicalId":48752,"journal":{"name":"Complementary Therapies in Clinical Practice","volume":"57 ","pages":"Article 101883"},"PeriodicalIF":2.2,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1744388124000562/pdfft?md5=aa9c4d596ffb6151233844494a972ad1&pid=1-s2.0-S1744388124000562-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141556216","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}