Complementary Therapies in Clinical Practice最新文献

{"title":"Healthcare professionals’ attitudes to animal assisted activity with dogs in paediatric care","authors":"M. Lindstrom Nilsson,&nbsp;K. Enskar,&nbsp;G. Engvall,&nbsp;A. Edner,&nbsp;E.-L. Funkquist","doi":"10.1016/j.ctcp.2025.101952","DOIUrl":"10.1016/j.ctcp.2025.101952","url":null,"abstract":"<div><h3>Background</h3><div>Hospitalization for children often involves stress induced by fear and pain. Complementary therapies, such as Animal Assisted Activities (AAA) with dogs, can alleviate the hospital experience.</div></div><div><h3>Purpose</h3><div>The first aim of this study was to initiate the development of an instrument that measures healthcare professionals’ attitudes toward complementary therapy, specifically dogs in AAA. The second aim was to elucidate the emerging effects of introducing dogs to children in healthcare settings, as reported by healthcare professionals.</div></div><div><h3>Materials and methods</h3><div>A questionnaire covering demographics, rating attitudes, and allergy and hygiene risks, followed by open-ended questions, was completed by 61 healthcare professionals (HCPs). Quantitative data were analysed statistically, while qualitative data underwent content analysis.</div></div><div><h3>Results</h3><div>The Attitude Instrument of Complementary Therapy (AICT) included 7 items and was evaluated using exploratory factor analysis. Healthcare professionals had a median score of 25 (range 18–28), high scores indicating a more positive attitude. However, 36 % of the HCPs perceived a risk of allergies, and this group had a significantly lower median score, 22 versus 26. Open-ended answers were analysed into four categories: “<em>Dogs could positively affect children in hospital”, “Dogs may pose a risk of allergies in children”, “Dogs might be frightening for children”</em> and <em>“Dogs can affect healthcare professionals’ working situation”.</em></div></div><div><h3>Conclusion</h3><div>The AICT can serve as a valuable tool for investigating HCPs’ attitudes to dogs in AAA as complementary therapies. Professionals view dogs as beneficial for hospitalized children, but attitudes toward dogs working in paediatric care can be influenced by concerns about risks such as allergies.</div></div>","PeriodicalId":48752,"journal":{"name":"Complementary Therapies in Clinical Practice","volume":"59 ","pages":"Article 101952"},"PeriodicalIF":2.2,"publicationDate":"2025-01-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143060965","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":"Efficacy and safety of olive leaf extract (Olea europaea L.) for glycaemic control in adults with type 2 diabetes mellitus (ESOLED): A pilot randomised controlled trial","authors":"Matthew J. Leach ,&nbsp;Ian Breakspear","doi":"10.1016/j.ctcp.2025.101949","DOIUrl":"10.1016/j.ctcp.2025.101949","url":null,"abstract":"<div><h3>Background</h3><div>Maintaining optimum glycaemic control is essential to reducing comorbidity and mortality in diabetes. However, research indicates that &lt;50 % of patients achieve their target HbA1c ranges. Laboratory studies suggest that olive leaf extract (OLE) may improve glycaemic control, however clinical studies in persons with diabetes are lacking.</div></div><div><h3>Methods</h3><div>ESOLED is a pilot, randomised, placebo-controlled trial. Adults with a diagnosis of type 2 diabetes of ≥12 months duration, and not receiving insulin therapy, were eligible to participate. Participants were randomised to receive OLE or placebo capsules for 24 weeks. The primary outcome was change in HbA1c. Secondary outcomes included changes in the homeostasis model assessment of insulin resistance, diabetes-related stress, health-related quality of life, and safety.</div></div><div><h3>Results</h3><div>Thirty-one participants were randomly assigned to the OLE (n = 16) and placebo (n = 15) groups. Analyses found no statistically significant time-group interactions for HbA1c, diabetes-related distress or health-related quality of life. Although participants receiving OLE demonstrated greater improvements in insulin sensitivity than those on placebo, there was no significant difference between groups over time. OLE and placebo were found to be well-tolerated, with no severe or serious adverse events reported in either group.</div></div><div><h3>Conclusion</h3><div>The ESOLED trial has provided preliminary evidence on the tolerability of OLE in adults with type 2 diabetes, but was inconclusive in determining whether OLE is effective at improving glycaemic control, insulin sensitivity, diabetes-related distress and quality of life. Larger trials and further exploration of the bioavailability of OLE are needed to fully assess the therapeutic potential of OLE in diabetes.</div></div><div><h3>Trial registration</h3><div>Australian New Zealand Clinical Trials Registry (ACTRN12622000616774).</div></div>","PeriodicalId":48752,"journal":{"name":"Complementary Therapies in Clinical Practice","volume":"59 ","pages":"Article 101949"},"PeriodicalIF":2.2,"publicationDate":"2025-01-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143017866","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":"Music-based interventions for anxiety and depression in older adults with dementia: A systematic review of randomized controlled trials","authors":"Zhengyang Mei ,&nbsp;Yuanzhuo Zhang ,&nbsp;Wen Zhao ,&nbsp;Chifong Lam ,&nbsp;Shulai Luo ,&nbsp;Shaojie Wang ,&nbsp;Shi Luo","doi":"10.1016/j.ctcp.2025.101951","DOIUrl":"10.1016/j.ctcp.2025.101951","url":null,"abstract":"<div><h3>Objective</h3><div>The objective of this systematic review was to synthesize evidence from randomized controlled trials (RCTs) regarding the efficacy of music-based interventions (MBIs) in improving anxiety and depression in older adults with dementia.</div></div><div><h3>Methods</h3><div>Relevant RCTs were identified through searches in electronic databases, including PubMed, Embase, EBSCOhost, Scopus, Web of Science, APA PsycINFO, and Google. The Revised Cochrane risk-of-bias tool for randomized trials (RoB 2) was used to evaluate the risk of bias in the included trials. A narrative synthesis of the included trials was conducted.</div></div><div><h3>Results</h3><div>Nine RCTs involving 496 patients met the inclusion criteria; five trials evaluated the efficacy of MBIs for anxiety, and six trials evaluated their efficacy for depression in older adults with dementia. Of the nine trials, two reported significant improvements in anxiety in older adults with dementia following MBIs (Cohen's d = −1.71 to −2.48), while one trial reported significant improvements in depression (Cohen's d = −0.66).</div></div><div><h3>Conclusions</h3><div>Only a few trials support the efficacy of MBIs in alleviating negative emotions in older adults with dementia, as evidenced by three out of the nine trials. However, due to the small sample sizes and heterogeneity in dementia types, stages, and interventions, quantitative results were not pooled, making it challenging to draw reliable conclusions. Further validation and examination of the findings presented in this study are warranted to strengthen the evidence base for integrating MBIs into dementia care and treatment protocols.</div></div>","PeriodicalId":48752,"journal":{"name":"Complementary Therapies in Clinical Practice","volume":"59 ","pages":"Article 101951"},"PeriodicalIF":2.2,"publicationDate":"2025-01-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143017906","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":"Exploring the associations of perceived physical literacy with depression, anxiety, and stress among Spanish adolescents","authors":"Raquel Pastor-Cisneros ,&nbsp;José Francisco López-Gil ,&nbsp;Johannes Carl ,&nbsp;José Carmelo Adsuar ,&nbsp;María Mendoza-Muñoz","doi":"10.1016/j.ctcp.2025.101948","DOIUrl":"10.1016/j.ctcp.2025.101948","url":null,"abstract":"<div><h3>Background and purpose</h3><div>The concept of physical literacy has gained prominence in the context of adolescent health, with increasing evidence suggesting its potential as a pivotal factor in promoting adolescent well-being and physical activity. The objective of the current study was to examine the relationships between perceived physical literacy (PPL) and symptoms of depression, anxiety, and stress in Spanish adolescents.</div></div><div><h3>Materials and methods</h3><div>A cross-sectional study including 714 adolescents was conducted. The Spanish Perceived Physical Literacy Instrument for Adolescents (S-PPLI) and Depression Anxiety Stress Scale 21 (DASS-21) were used. To determine the relationship between the PPL and DASS-21 score, robust linear regression models were constructed.</div></div><div><h3>Results</h3><div>After adjusting for several covariates, an inverse relationship was found between the S-PPLI score and the domains of the DASS-21 (symptoms of depression: unstandardized beta coefficient [<em>B</em>] = −0.14; 95 % confidence interval [CI] −0.20 to −0.08; <em>p</em> &lt; 0.001; anxiety: <em>B</em> = −0.09; 95 % CI −0.15 to −0.04; <em>p</em> = 0.002; and stress: <em>B</em> = −0.09; 95 % CI −0.16 to −0.03; <em>p</em> = 0.006). Furthermore, adolescents with high PPL status presented significantly lower symptoms of depression, anxiety and stress than adolescents with low PPL status did.</div></div><div><h3>Conclusion</h3><div>PPL could be considered a key factor in preventing the development of symptoms of depression, anxiety, and stress in the adolescent population. Physical literacy might play a decisive role in the potential of physical activity in promoting mental health in adolescents.</div></div>","PeriodicalId":48752,"journal":{"name":"Complementary Therapies in Clinical Practice","volume":"59 ","pages":"Article 101948"},"PeriodicalIF":2.2,"publicationDate":"2025-01-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143017897","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":"Heart rate and salivary cortisol as indicators of arousal and synchrony in clients, therapy horses and therapist in equine-assisted therapy","authors":"A. Naber ,&nbsp;L. Kreuzer ,&nbsp;R. Zink ,&nbsp;E. Millesi ,&nbsp;R. Palme ,&nbsp;K. Hediger ,&nbsp;L.M. Glenk","doi":"10.1016/j.ctcp.2025.101937","DOIUrl":"10.1016/j.ctcp.2025.101937","url":null,"abstract":"<div><h3>Background</h3><div>This exploratory study aimed to analyse physiological interaction processes in equine-assisted-therapy (EAT) between client, therapy horse and therapist.</div></div><div><h3>Methods</h3><div>We measured heart rate (HR), heart rate variability (HRV) and cortisol levels before, during and after a standardized therapy session and a control condition in one therapist, four therapy horses and ten female clients in emerging adulthood (Mn = 21.8 years, SD = 3.39). The clients were diagnosed with mild (N = 5) to moderate (N = 5) intellectual disability (ID).</div></div><div><h3>Results</h3><div>There was no significant change in the client's HR, HRV and cortisol levels during an EAT session. No difference was observed between therapy sessions with or without a therapy horse, except during the challenge phase of the EAT protocol, where clients had a significantly lower HR when interacting with the therapy horse. HR between therapist and client correlated significantly, as well as between therapist and horse. This effect was greater when therapists interacted with a familiar horse. Clients' and horses' HRs also correlated, but only when the horse was the clients' familiar and preferred horse.</div></div><div><h3>Conclusions</h3><div>These results indicate that relationship intensity is an important factor for the synchronization process. Moreover, the inclusion of horses in a therapeutic setting can lead to a decreased HR in young adults with intellectual disability while mastering a challenge. Future research should investigate this potential benefit of EAT, considering the reciprocal influences and the relationship between client, therapist and horse.</div></div>","PeriodicalId":48752,"journal":{"name":"Complementary Therapies in Clinical Practice","volume":"59 ","pages":"Article 101937"},"PeriodicalIF":2.2,"publicationDate":"2025-01-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143017899","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":"Effectiveness of different traditional Chinese medicine injections in patients with diabetic lower extremity arterial disease: A Bayesian network meta-analysis","authors":"Rong Zhu ,&nbsp;Shuxun Yan ,&nbsp;Ruixia Zhao ,&nbsp;Rongrong Zhang ,&nbsp;Mingyi Shao ,&nbsp;Haibin Yu ,&nbsp;Yu Fu","doi":"10.1016/j.ctcp.2025.101936","DOIUrl":"10.1016/j.ctcp.2025.101936","url":null,"abstract":"<div><h3>Background and purpose</h3><div>Numerous studies have demonstrated the effectiveness of Chinese medicine injections (CMIs) in treating diabetic lower extremity arterial disease (Dia-LEAD). However, with the variety of CMIs available, it has become challenging to determine the optimal choice for Dia-LEAD patients. This study aims to compare and rank the efficacy of CMIs for Dia-LEAD to provide references and evidence for clinicians in optimising drug selection.</div></div><div><h3>Methods</h3><div>We conducted a comprehensive search for randomised controlled trials (RCTs) of CMIs for treating Dia-LEAD, which included the China National Knowledge Infrastructure (CNKI), Wanfang, China Weipu Science and Technology Journal Database (VIP), Chinese Biomedical Literature Database (CBM), PubMed, the Cochrane Library, Embase, and Web of Science, covering inception to 15 October 2023. We used the Cochrane Risk of Bias Tool 2.0 to assess bias risk, and RevMan 5.4.1, GeMTC, STATA 13.0, and R 4.2.1 for statistical analysis and visualization of the network meta-analysis.</div></div><div><h3>Results</h3><div>We analysed 38 studies with 12 CMIs. Compared with other interventions, Shuxuening injection (SXN) + conventional treatment (CT) was superior in terms of the total effective rate (surface under the cumulative ranking (SUCRA) 86.2 %). Danshen injection (DS) + CT ranked first in improving the ankle-brachial index (ABI) (SUCRA 95.1 %) and dorsalis pedis artery blood flow (DPABF) (SUCRA 88.8 %). Danhong injection (DH) + CT showed the highest probability of effectiveness in improving the plasma viscosity (SUCRA 91.6 %). Chuanxiongqin injection (CXQ) + CT yielded favourable results in regulating fibrinogen levels (SUCRA 77.1 %). Furthermore, no significant differences in adverse reactions were detected between the treatment and control groups.</div></div><div><h3>Conclusion</h3><div>The study demonstrated that CMIs have potential as a complementary therapy for treating Dia-LEAD, and it supports the positive effects of combining CMIs with <span>CT</span> on a number of outcome indicators. Especially when it comes to improving the haemodynamics indices and the haemorheology indices, DS in combination with CT may be a more effective intervention. However, further confirmation in more rigorous, high-quality, and multicentre RCTs is needed to strengthen the validity and generalisability of the results.</div></div>","PeriodicalId":48752,"journal":{"name":"Complementary Therapies in Clinical Practice","volume":"59 ","pages":"Article 101936"},"PeriodicalIF":2.2,"publicationDate":"2025-01-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142981007","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":"Associations of physical activity, screen time, sleep duration with optimal eating habits among adolescents","authors":"Xing Xiang ,&nbsp;Han Jiang","doi":"10.1016/j.ctcp.2024.101933","DOIUrl":"10.1016/j.ctcp.2024.101933","url":null,"abstract":"<div><h3>Objective</h3><div>The aim of this study was to explore the associations of physical activity, screen time and sleep duration with various eating habits among children.</div></div><div><h3>Methods</h3><div>The data were collected from six surveys of the Youth Risk Behaviour Survey conducted in 2011, 2013, 2015, 2017, 2019, and 2021, with a total of 78, 697 participants with complete information. Information on demographic characteristics (e.g., sex, age), physical activity, screen time, sleep duration, and eating habits was collected via a self-reported questionnaire. A series of logistic regressions were used to assess the association between independents and outcomes. Results were presented as odds ratio (OR) with 95 % confidence interval (CI).</div></div><div><h3>Results</h3><div>A dose-response relationship was observed between the number of guidelines (i.e., physical activity, screen time, sleep) achieved by adolescents and improved eating habits compared to those not meeting any guidelines. For example, meeting any one (OR = 1.28, 95 % CI = 1.17–1.41), any two (OR = 1.47, 95 % CI = 1.33–1.62), and all three (OR = 2.13, 95 % CI = 1.73–2.61) guidelines were associated with more fruit consumption. Moreover, meeting all three guidelines was associated with a higher likelihood of meeting guidelines for fruit juice (OR = 1.41, 95 % CI = 1.23–1.60), fruit (OR = 2.13, 95 % CI = 1.74–2.62), other vegetables (OR = 1.56, 95 % CI = 1.33–1.84), milk (OR = 1.46, 95 % CI = 1.28–1.66), breakfast (OR = 2.80, 95 % CI = 2.41–3.25), and soda or pop (OR = 1.16, 95 % CI = 1.04–1.30) compared to not meeting any guidelines.</div></div><div><h3>Conclusions</h3><div>Findings from this population-based study indicate that meeting the combination of physical activity, screen time, sleep guidelines is associated with better eating habits. Notably, meeting the physical activity guidelines or its combination shows the strongest associations with favourable dietary habits among adolescents. Future research should further explore effective strategies to promote entire 24-h movement behaviours, especially physical activity, which can be useful to optimize eating habits in adolescents.</div></div>","PeriodicalId":48752,"journal":{"name":"Complementary Therapies in Clinical Practice","volume":"58 ","pages":"Article 101933"},"PeriodicalIF":2.2,"publicationDate":"2024-11-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142759716","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":"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":"2024-11-22","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":"Effectiveness of neuromuscular electrical stimulation on venous thromboprophylaxis in surgical patients: A systematic review and meta-analysis","authors":"Jin Yang ,&nbsp;Haiou Qi ,&nbsp;Jingying Huang ,&nbsp;Miaomiao Xu ,&nbsp;Zihao Xue ,&nbsp;Yina Wang","doi":"10.1016/j.ctcp.2024.101932","DOIUrl":"10.1016/j.ctcp.2024.101932","url":null,"abstract":"<div><h3>Background and purpose</h3><div>The effectiveness of neuromuscular electrical stimulation (NMES) for venous thromboprophylaxis is still debatable. This systematic review and meta-analysis evaluated the effectiveness and safety of NMES among surgical patients undergoing elective surgery.</div></div><div><h3>Methods</h3><div>Randomized controlled trials (RCTs) and quasi-experimental studies were retrieved from PubMed, Embase, Cochrane Central Register of Controlled Trials, Web of Science, CINAHL, Wanfang, China National Knowledge Infrastructure and Chinese Biomedical Database from their inception to February 1st, 2024. Two reviewers independently assessed, extracted, and appraised the included studies. The meta-analyses incorporated two primary comparisons: NMES versus basic thromboprophylaxis and NMES versus other mechanical thromboprophylaxis. The Grading of Recommendations, Assessment, Development, and Evaluation (GRADE) approach was used to assess the certainty of evidence.</div></div><div><h3>Results</h3><div>Sixteen studies involving 1685 participants were analysed, with all outcomes being assessed within 14 days postoperatively. Compared with basic thromboprophylaxis and graduated compression stockings, NMES significantly reduced the incidence of postoperative deep venous thrombosis (all <em>p</em> &lt; 0.05). Compared with basic thromboprophylaxis and other mechanical basic thromboprophylaxis, NMES significantly improved postoperative D-dimer level and femoral venous peak velocity (all <em>p</em> &lt; 0.05). No studies reported NMES device-related adverse events. The GRADE results showed low to very low certainty levels of evidence.</div></div><div><h3>Conclusion</h3><div>NMES is a promising mechanical strategy for venous thromboprophylaxis in surgical patients. High-quality RCTs are required to elucidate the therapeutic benefits of NMES compared to other mechanical prevention methods and to standardize its clinical application.</div></div>","PeriodicalId":48752,"journal":{"name":"Complementary Therapies in Clinical Practice","volume":"58 ","pages":"Article 101932"},"PeriodicalIF":2.2,"publicationDate":"2024-11-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142688761","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":"“There is a way to work together”: A qualitative study on complementary medicine therapists' perceptions of their role in the Swiss healthcare system","authors":"Julie Dubois ,&nbsp;Pierre-Yves Rodondi ,&nbsp;Christina Akre","doi":"10.1016/j.ctcp.2024.101919","DOIUrl":"10.1016/j.ctcp.2024.101919","url":null,"abstract":"<div><h3>Background and purpose</h3><div>Complementary medicine has been undergoing a process of regulation and professionalization in many countries where the biomedical model is dominant. However, little is known about therapists' opinions regarding these changes. The aim of the study was thus to explore therapists’ views on the regulation of their practice and on collaboration between CM and biomedicine.</div></div><div><h3>Materials and methods</h3><div>We conducted this qualitative descriptive study by means of focus groups consisting of non-physician acupuncturists, naturopaths, and osteopaths in two cantons of Switzerland. A qualitative content analysis was carried out on the verbatim transcripts of the focus groups.</div></div><div><h3>Results</h3><div>Four main themes were identified: contributions to the healthcare system, collaboration with biomedicine, pathways to recognition, and integrative medicine. Therapists defined their role in the healthcare system in comparison to biomedicine, allowing them to highlight how they could complement it. They also noted an improved relationship with biomedicine, while highlighting the remaining barriers to optimal collaboration. Different ways were mentioned to achieve a higher level of recognition: better educating and informing physicians about CM, structured training of therapists that is federally recognized, state regulation, and development of scientific research on CM. Finally, although unfamiliar with the concept, therapists defined integrative medicine as horizontal collaboration between CM and biomedicine.</div></div><div><h3>Conclusion</h3><div>Despite the differences between the three CM practiced by the therapists, they produced fairly similar discourse regarding aspirations and concerns in the face of integration. This discourse should be considered in order to facilitate the integration of CM in the Swiss healthcare system.</div></div>","PeriodicalId":48752,"journal":{"name":"Complementary Therapies in Clinical Practice","volume":"58 ","pages":"Article 101919"},"PeriodicalIF":2.2,"publicationDate":"2024-11-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142683889","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}