Complementary Therapies in Clinical Practice最新文献

{"title":"Effects of mind-body exercise in children with cerebral palsy—A systematic review and meta-analysis","authors":"Ye Long ,&nbsp;Xinping Jiang ,&nbsp;Juan Li ,&nbsp;Bingxue Liu","doi":"10.1016/j.ctcp.2024.101930","DOIUrl":"10.1016/j.ctcp.2024.101930","url":null,"abstract":"<div><h3>Background and purpose</h3><div>An increasing number of studies have investigated the efficacy of mind-body exercise in the treatment of children with cerebral palsy (CP). However, the findings of these researches have produced inconsistent results. The objective of this study was to evaluate the effects of mind-body exercise on children with CP in order to provide more conclusive results.</div></div><div><h3>Materials and methods</h3><div>A comprehensive search was conducted in PubMed, Cochrane, Embase, Web of Science, and Ovid databases from inception to May 2024. One researcher extracted the data, including first author, study type, country, year of publication, population, age, sample size, intervention details and outcomes, accuracy was verified by a second researcher. The included studies were analyzed using Review Manager 5.4 (RevMan 5.4) and StataNow/MP 18.5 software, with publication bias examined using funnel plots, and result stability assessed through sensitivity analysis.</div></div><div><h3>Results</h3><div>A total of six eligible studies, comprising 173 patients, were included in the meta-analysis. The results of the meta-analysis indicated that mind-body exercise can improve balance function in children with CP (SMD = 0.48, <em>P</em> = 0.006). There was no significant difference in the effect of mind-body exercise on walking function in children with CP (SMD = −0.23, <em>P</em> = 0.58).</div></div><div><h3>Conclusion</h3><div>Compared with routine care and rehabilitation, mind-body exercise may provide a safe and convenient approach to improving balance functions in children with CP, but showed no statistically significant beneficial effects on walking in children with CP.</div></div><div><h3>Prospero registration number</h3><div>CRD42024534257.</div></div>","PeriodicalId":48752,"journal":{"name":"Complementary Therapies in Clinical Practice","volume":"58 ","pages":"Article 101930"},"PeriodicalIF":2.2,"publicationDate":"2024-11-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142633284","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":"The effects of virtual reality on pain, anxiety, and comfort during the chest tube removal procedure: A randomized clinical trial","authors":"Hale Seçer ,&nbsp;Ayşegül Yayla","doi":"10.1016/j.ctcp.2024.101931","DOIUrl":"10.1016/j.ctcp.2024.101931","url":null,"abstract":"<div><h3>Purpose</h3><div>The purpose of the current study is to determine the effects of virtual reality on pain, anxiety, and comfort during chest tube removal.</div></div><div><h3>Materials and methods</h3><div>The research was conducted in the Cardiovascular Surgery Department of Atatürk University Health Practice and Research Hospital between January 2023 and April 2024. The study was performed as a randomized controlled experimental trial with a pretest-posttest control group. Eighty-two patients (41 in the intervention group and 41 in the control group) were included in the research. Patients in the intervention group watched a video with virtual reality glasses during chest tube removal. The “Descriptive Information Form,” “Visual Analog Scale,” “Verbal Pain Scale,” “State Anxiety Inventory,” and “Comfort Scale” were used to collect data. Number, percentage, mean, standard deviation, chi-square, paired sample <em>t</em>-test, independent sample <em>t</em>-test, Mann-Whitney <em>U</em> test, Wilcoxon test, and linear regression analysis were used in data evaluation. Our study was recorded in the Clinical Trials database with protocol number “NCT06550323.”</div></div><div><h3>Results</h3><div>The groups had similar descriptive characteristics (p &gt; 0.05). The pre-procedural mean pain, anxiety, and comfort scores were similar in the two groups (p &gt; 0.05). The post-procedural mean VAS and verbal pain scores, mean anxiety, and comfort scores of the intervention group were lower in comparison with the control group (p &lt; 0.05).</div></div><div><h3>Conclusion</h3><div>The research findings showed that virtual reality significantly reduced pain and anxiety while increasing comfort levels during chest tube removal. Therefore, it is recommended that virtual reality be used during chest tube removal.</div></div>","PeriodicalId":48752,"journal":{"name":"Complementary Therapies in Clinical Practice","volume":"58 ","pages":"Article 101931"},"PeriodicalIF":2.2,"publicationDate":"2024-11-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142633426","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":"Optimizing lifestyle behaviors to support healthy body-mind","authors":"Yanping Gao,&nbsp;Qian Yu,&nbsp;Yu-Bu Wang,&nbsp;Zhihao Zhang,&nbsp;Yanxia Chen,&nbsp;Jin Kuang,&nbsp;Meijun Hou,&nbsp;Zijun Liu,&nbsp;Kaiqi Guan,&nbsp;Jinming Li,&nbsp;Alyx Taylor,&nbsp;Liye Zou","doi":"10.1016/j.ctcp.2024.101912","DOIUrl":"10.1016/j.ctcp.2024.101912","url":null,"abstract":"","PeriodicalId":48752,"journal":{"name":"Complementary Therapies in Clinical Practice","volume":"57 ","pages":"Article 101912"},"PeriodicalIF":2.2,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142382777","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":"‘Excellent for mind, body and spirit’: Participant, facilitator, and community stakeholder experiences of Music and Movement for Health","authors":"Nicola O'Malley ,&nbsp;Siobhán O'Reilly ,&nbsp;Steven Byrne ,&nbsp;Pui-Sze Cheung ,&nbsp;Caroline Fitzell ,&nbsp;Orfhlaith NiBhriain ,&nbsp;Hilary Moss ,&nbsp;Rosemary Joan Gowran ,&nbsp;Quinette Louw ,&nbsp;Catherine Woods ,&nbsp;Desmond O'Neill ,&nbsp;Liam Glynn ,&nbsp;Mary Cavanagh ,&nbsp;Catherine Maher ,&nbsp;Jon Salsberg ,&nbsp;Lehana Thabane ,&nbsp;Amanda M. Clifford","doi":"10.1016/j.ctcp.2024.101917","DOIUrl":"10.1016/j.ctcp.2024.101917","url":null,"abstract":"<div><h3>Background and purpose</h3><div>Arts-based interventions are an emerging area of interest in health research for older adults. Music and Movement for Health (MMH) is one such systematically developed interdisciplinary arts-based intervention designed to enhance health and wellbeing of older adults. The objective of this qualitative study was to explore the opinions and experiences of participants, facilitators, and community stakeholders of the MMH intervention.</div></div><div><h3>Materials and methods</h3><div>This embedded qualitative study was completed as part of a wider evaluation of the MMH intervention. A purposive sample of older adults who had completed MMH (n = 71), facilitators (n = 8) and community stakeholders (n = 4) participated in this study. Data were collected through a combination of focus groups and telephone/virtual interviews. Data were analysed using inductive thematic analysis.</div></div><div><h3>Results</h3><div>Data analysis led to the generation of the overarching theme ‘Positive ageing in place’, which encompassed two themes: (1) ‘Intersection of exercise and arts’ and (2) ‘Fostering a sense of belonging’, and five subthemes. MMH was viewed as a unique arts-based intervention that combined participants' interest in music and dance and had many perceived physical and psychological benefits. Additionally, MMH provided routine and social opportunities to older adults, which were particularly valued in the aftermath of the COVID-19 pandemic.</div></div><div><h3>Conclusion</h3><div>The provision of exercise through the arts was enjoyable and, resultantly, desirable to many older adults, with perceived positive physical and psychosocial outcomes. Consequently, the use of arts-based interventions for health promotion and social opportunities among older adults warrants further investigation.</div></div><div><h3>Trial registration</h3><div>ISRCTN35313497.</div></div>","PeriodicalId":48752,"journal":{"name":"Complementary Therapies in Clinical Practice","volume":"57 ","pages":"Article 101917"},"PeriodicalIF":2.2,"publicationDate":"2024-10-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142514741","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":"Recent trends and disparities in screen-based sedentary behavior and physical activity among U.S. overweight youth, 2018–2022","authors":"Yongsheng Sun ,&nbsp;Ding Yuan","doi":"10.1016/j.ctcp.2024.101910","DOIUrl":"10.1016/j.ctcp.2024.101910","url":null,"abstract":"<div><h3>Background</h3><div>Sedentary behavior (SB) and physical activity (PA) are crucial factors influencing health outcomes in overweight children and adolescents. However, recent changes in SB and PA trends among U.S. overweight youth have not been well described, limiting the development of evidence-based clinical and public health interventions.</div></div><div><h3>Methods</h3><div>Serial, cross-sectional analyses were conducted using data from the National Survey of Children's Health (NSCH) on U.S. overweight youth aged 6–17 years, spanning from 2018 to 2022. Linear regression models were employed to analyze time trends, with survey year as the exposure and recreational screen time (ST), adherence to the ≤2 h/day ST guideline, and adherence to the ≥1 h/day PA guideline as the outcomes. Multivariable-adjusted logistic and linear regressions were used to evaluate trends, adjusting for age group, sex, race/ethnicity, household income, and the highest education level of primary caregivers.</div></div><div><h3>Results</h3><div>Data from 11,865 individuals (mean age 12.3 years [SD 2.9]; 6417 [52.3 %] girls) were analyzed. From 2018 to 2022, the average ST duration among overweight youth increased from 3.7 h to 4.1 h per day, a statistically significant increase (<em>p</em> = 0.07). The estimated prevalence of overweight youth meeting the ≤2 h/day ST guideline decreased from 44.6 % to 30.0 % (<em>p</em> = 0.007). Additionally, the prevalence of meeting the ≥1 h/day PA guideline remained low and stable, ranging from 8.4 % to 12.3 % during the analysis period (<em>p</em> = 0.6).</div></div><div><h3>Discussion</h3><div>In this nationally representative sample of U.S. overweight youth, ST increased by nearly 0.4 h/day over the five-year observation period, while adherence to the ≤2 h/day ST guideline decreased. Adherence to the ≥1 h/day PA guideline remained consistently low. These patterns were consistent across sociodemographic subgroups (age group, sex, ethnicity, and household income). These findings underscore the need for enhanced public health initiatives targeting U.S. youth to reduce recreational screen time and promote a physically active lifestyle.</div></div>","PeriodicalId":48752,"journal":{"name":"Complementary Therapies in Clinical Practice","volume":"57 ","pages":"Article 101910"},"PeriodicalIF":2.2,"publicationDate":"2024-10-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142434161","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":"The use of respiratory patient reported outcome measures (PROMs) in the management of COPD: Perceptions of Australian osteopaths","authors":"Roger Engel ,&nbsp;Danielle Baxter ,&nbsp;Lee Muddle ,&nbsp;Brett Vaughan ,&nbsp;Sandra Grace","doi":"10.1016/j.ctcp.2024.101918","DOIUrl":"10.1016/j.ctcp.2024.101918","url":null,"abstract":"<div><h3>Background</h3><div>Patient reported outcome measures (PROMs) are widely used to capture patients' perspectives of their health status and treatment outcomes and to enable practitioners to evaluate the effectiveness of interventions. The aim of this study was to explore Australian osteopaths’ perceptions of the use of respiratory PROMS in the management of chronic lung conditions.</div></div><div><h3>Methods</h3><div>This study drew on the social ecological model (SEM), which highlights the interdependence of contextual structures and processes. Osteopaths who were initially part of a larger mixed-methods study were invited to participate in semi-structured interviews. Transcripts were thematically analysed using the SEM.</div></div><div><h3>Results</h3><div>Seven of the original study osteopaths were interviewed. When presented with a patient who had a co-morbid respiratory condition, they focused on the musculoskeletal aspects of that condition (intrapersonal factors). Participants described sporadic use of musculoskeletal and quality of life PROMs in practice, and scarce use of respiratory PROMs (intrapersonal and organizational factors). Participants’ perceptions of their scope of practice strongly influenced their use of respiratory PROMs (environmental factors).</div></div><div><h3>Conclusion</h3><div>Intrapersonal and environmental factors were dominant drivers for participants’ scant use of respiratory PROMs. Further education on the scope and contribution of osteopaths to the management of chronic lung conditions and the use of respiratory PROMS is called for to promote multidisciplinary patient care.</div></div>","PeriodicalId":48752,"journal":{"name":"Complementary Therapies in Clinical Practice","volume":"57 ","pages":"Article 101918"},"PeriodicalIF":2.2,"publicationDate":"2024-10-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142434229","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":"Healthcare professionals' perceptions of hypnotherapy in cancer care: Development and validation of a survey","authors":"Malwina Szmaglinska ,&nbsp;Lesley Andrew ,&nbsp;Deborah Kirk ,&nbsp;Debbie Massey","doi":"10.1016/j.ctcp.2024.101915","DOIUrl":"10.1016/j.ctcp.2024.101915","url":null,"abstract":"&lt;div&gt;&lt;h3&gt;Background and purpose&lt;/h3&gt;&lt;div&gt;Hypnotherapy has shown promise in cancer care for alleviating pain, managing nausea, reducing anxiety and fatigue, and improving overall quality of life. Despite its potential benefits, there remains a significant gap between evidence and clinical practice. One way to bridge this gap is to assess healthcare professionals' perceptions and address them accordingly. While survey tools assessing perceptions in healthcare exist, they often are outdated, lack contemporary focus and specificity to complementary therapies like hypnotherapy, particularly in the context of cancer care. This study aimed to develop, psychometrically evaluate, and pilot a survey designed to assess Australian healthcare professionals' (psychologists, counselors, medical practitioners, and nurses) perceptions of hypnotherapy in cancer care.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Materials and methods&lt;/h3&gt;&lt;div&gt;A cross-sectional survey was developed to assess healthcare professionals' perceptions of hypnosis/hypnotherapy in cancer care. The survey, informed by a comprehensive literature review, consisted of three sections: (1) demographics, 2) interest, experience and knowledge of hypnosis, and (3) attitudes towards its integration in cancer care. Instrument validation involved an expert panel (n = 5) review for content validity and a pilot study with 89 healthcare professionals for reliability. Internal consistency was measured using Cronbach's alpha and factor analysis.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Results&lt;/h3&gt;&lt;div&gt;Psychometric analysis demonstrated high internal consistency with a Cronbach's alpha of 0.850. Factor analysis revealed two distinct factors: perceived benefits of hypnotherapy in cancer care (explaining 49.23 % of variance) and concerns/misconceptions about hypnosis (explaining 19.50 % of variance). These factors showed strong item loadings (0.692–0.889 and 0.529-0.850, respectively) and a moderate correlation (r = 0.464). The survey tool proved feasible and applicable with a high completion rate among participants. The survey pilot results highlighted significant knowledge gaps and varying levels of acceptance of hypnotherapy, underscoring the necessity for targeted education and training initiatives. Despite these gaps, there was a notable interest in learning more about hypnotherapy's potential benefits in cancer care. However, limitations to sample diversity and generalizability should be noted, as the vast majority of respondents were female nurses.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Conclusion&lt;/h3&gt;&lt;div&gt;A novel survey tool to evaluate healthcare professionals' perceptions of hypnotherapy in cancer care was developed and tested for its validity and reliability. Results of this study revealed significant knowledge gaps and varied acceptance levels by healthcare professionals to using hypnotherapy in cancer care. We identified respondents have a strong interest in hypnotherapy's potential benefits, highlighting the need for targeted education and suggesting a promis","PeriodicalId":48752,"journal":{"name":"Complementary Therapies in Clinical Practice","volume":"57 ","pages":"Article 101915"},"PeriodicalIF":2.2,"publicationDate":"2024-10-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142434160","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":"Communication and information about complementary medicine in a Dutch oncology setting: interviewing patients and providers on their experiences and needs","authors":"Marit Mentink ,&nbsp;Liesbeth van Vliet ,&nbsp;Martine Busch ,&nbsp;Anja Timmer-Bonte ,&nbsp;Janneke Noordman ,&nbsp;Sandra van Dulmen","doi":"10.1016/j.ctcp.2024.101916","DOIUrl":"10.1016/j.ctcp.2024.101916","url":null,"abstract":"<div><h3>Background</h3><div>and Purpose: Complementary medicine such as yoga, massage and art therapy has become increasingly popular among patients with cancer. However, the topic remains under-discussed during oncology consultations: patients seem hesitant to disclose complementary medicine use, and healthcare providers lack resources to discuss complementary medicine. This study aims to gain an understanding of how to improve communication and information provision in oncological settings about complementary medicine by assessing the experiences and needs of patients and healthcare providers.</div></div><div><h3>Materials and Methods</h3><div>Semi-structured interviews were conducted with 17 patients with cancer and 13 oncology healthcare providers recruited from two general hospitals and one breast cancer center in the Netherlands. Nine (former) patients with breast cancer collaborated with the research team as ‘co-researchers’. Reflexive thematic analysis was used.</div></div><div><h3>Results</h3><div>The main themes identified were barriers to patient-provider communication about complementary medicine (e.g. lack of time and knowledge among healthcare providers, negative attitudes toward complementary medicine), facilitators of communication (e.g. openness of healthcare providers, complementary medicine as a routine topic) and information provision needs (e.g. easy access to information, the hospital being involved in providing information).</div></div><div><h3>Conclusion</h3><div>Patients with cancer and healthcare providers report issues with the current approach to discussing complementary medicine and are of the opinion that complementary medicine should be a routine topic in oncology consultations. Future studies should focus on effective methods for standardizing complementary medicine discussions into oncology care and making reliable information available for patients and healthcare providers.</div></div>","PeriodicalId":48752,"journal":{"name":"Complementary Therapies in Clinical Practice","volume":"57 ","pages":"Article 101916"},"PeriodicalIF":2.2,"publicationDate":"2024-10-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142420894","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":"The effect of yoga on dyspnea, sleep, and quality of life in patients with bronchiectasis: A randomized controlled trial","authors":"M. Salih Tan ,&nbsp;Z. Candan Algun ,&nbsp;Mustafa Duger ,&nbsp;Yasemin Aslan Keles","doi":"10.1016/j.ctcp.2024.101914","DOIUrl":"10.1016/j.ctcp.2024.101914","url":null,"abstract":"<div><h3>Background and purpose</h3><div>Bronchiectasis is characterized by chronic cough, acute exacerbations, and excessive sputum production, along with symptoms such as shortness of breath and fatigue, which impair respiratory functions and quality of life. This study aims to investigate the effects of yoga on dyspnea, sleep quality, and overall quality of life in patients with bronchiectasis.</div></div><div><h3>Materials and methods</h3><div>Forty-eight participants with bronchiectasis were included in the study. The patients were randomly divided into two groups, the yoga group (n = 24) or control group (no placebo or sham intervention) (n = 24). The yoga group participated in a total of 24 sessions over 8 weeks, with three sessions per week. No intervention was performed on the patients in the control group. The Modified Medical Research Council (mMRC) questionnaire was used to assess patients' dyspnea level, and the Pittsburgh Sleep Quality Index (PSQI) and St. George's Respiratory Questionnaire (SGRQ) were used to assess sleep quality and health-related quality of life, respectively.</div></div><div><h3>Results</h3><div>It was observed that the yoga intervention affected the intergroup change in dyspnea severity score over time (p &lt; 0.05) (<span><math><mrow><mover><mi>x</mi><mo>̄</mo></mover></mrow></math></span>_yoga = 2.64-1.50 = <em>1.14</em>; <span><math><mrow><mover><mi>x</mi><mo>̄</mo></mover></mrow></math></span>_control2.24-1.95 = <em>0.29</em>). The decrease in the mean PSQI score of the yoga practice group (16.41-13.18 = 3.23) was significantly higher compared with the control group (14.90-14.57 = <em>0.33</em>). Post-practice SGRQ activity scores were significantly different from pre-practice SGRQ activity scores. Similar to the change in SGRQ activity and symptom scores, the impact score also changed significantly over time (<span><math><mrow><mover><mi>x</mi><mo>̄</mo></mover></mrow></math></span>_yoga12.55-9.09 = <em>3.46</em>; <span><math><mrow><mover><mi>x</mi><mo>̄</mo></mover></mrow></math></span>_control12–11.52 = <em>0.48</em>).</div></div><div><h3>Conclusion</h3><div>The results indicate that yoga may have a positive effect on dyspnea, sleep, and quality of life in patients with bronchiectasis.</div></div>","PeriodicalId":48752,"journal":{"name":"Complementary Therapies in Clinical Practice","volume":"57 ","pages":"Article 101914"},"PeriodicalIF":2.2,"publicationDate":"2024-10-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142402355","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":"Social determinants of health and youth chronic pain","authors":"Yanxia Chen ,&nbsp;Zhongting Liu ,&nbsp;André O. Werneck ,&nbsp;Tao Huang ,&nbsp;Tine Van Damme ,&nbsp;Arthur F. Kramer ,&nbsp;Paolo M. Cunha ,&nbsp;Liye Zou ,&nbsp;Kun Wang","doi":"10.1016/j.ctcp.2024.101911","DOIUrl":"10.1016/j.ctcp.2024.101911","url":null,"abstract":"<div><h3>Objectives</h3><div>To identify the relationships between social determinants of health (SDOH) and chronic pain among U.S. youth (referring to children and adolescents).</div></div><div><h3>Methods</h3><div>Data including a national sample of U.S. youth were retrieved from the 2022 National Survey of Children's Health. Twenty indicators within five SDOH-related domains (e.i., economic stability, social and community context, neighborhood and built environment, health care access and quality, and education access and quality) were included. The presence of chronic pain was assessed using a self-reported question, answered by the main caregiver. Associations of SDOH-related indicators and youth chronic pain were estimated using multi-variable logistic regression models, while adjusting for covariates (e.g., age, sex, ethnicity, weight status, and movement behaviors).</div></div><div><h3>Results</h3><div>Data from 30,287 U S. youth aged 6–17 years (median [SD] age, 11.59 [3.30] years; 14,582 girls [48.97 %]) were collected. In 7.5 % of the final sample size, caregivers reported that they had chronic pain. Youth grow up in conditions with diverse SDOH profiles, including food insufficiency (OR = 1.46, 95 % CI: 1.01 to 2.10) and parental unemployment (OR = 1.56, 95 % CI: 1.15 to 2.12); low school engagement (OR = 1.48, 95 % CI: 1.14 to 1.92) and low school safety (OR = 1.65, 95 % CI: 1.14 to 2.39); limited access to quality health care (OR = 2.56, 95 % CI: 2.12 to 3.09), a high frequency of hospital visits (OR = 4.76, 95 % CI: 1.82 to 12.44), and alternative health care (OR = 2.57, 95 % CI: 2.07 to 3.20); bullying victimization (OR = 1.37, 95 % CI: 1.11 to 1.68) and community-based adverse childhood experiences (OR = 1.64, 95 % CI: 1.32 to 2.05); and disadvantageous amenity characteristics (OR = 1.38, 95 % CI: 1.05 to 1.79); resulted in higher odds of presenting chronic pain.</div></div><div><h3>Conclusions</h3><div>Different indicators included in the SDOH domains were associated with a higher probability of presenting chronic pain in U.S youth. These findings have implied relationships between the SDOH and chronic pain in youth, requiring a comprehensive approach to addressing health equity to prevent and reduce the presence of youth chronic pain.</div></div>","PeriodicalId":48752,"journal":{"name":"Complementary Therapies in Clinical Practice","volume":"57 ","pages":"Article 101911"},"PeriodicalIF":2.2,"publicationDate":"2024-10-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142378702","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}