Journal of alternative and complementary medicine (New York, N.Y.)最新文献

{"title":"Australian Naturopaths' Approach to Caring for People with Cardiovascular Disease and Associated Risk Factors: A Qualitative Study of the Providers' Perspective.","authors":"Amie Steel,&nbsp;Catherine Rickwood,&nbsp;Ryan Bradley,&nbsp;Hope Foley,&nbsp;Joanna E Harnett","doi":"10.1089/acm.2020.0095","DOIUrl":"https://doi.org/10.1089/acm.2020.0095","url":null,"abstract":"<p><p><b><i>Objectives:</i></b> To date, no formal research has evaluated how naturopathic practitioners approach the care of people living with CVD and associated CVD risk factors. The primary aim of this research was to collect qualitative data from Australian Naturopathic practitioners about their clinical practices for CVD. <b><i>Design:</i></b> Semi-structured interviews were conducted, recorded, transcribed, and ultimately coded by three independent researchers using the Framework Approach. <b><i>Subjects:</i></b> 10 Australian Naturopathic practitioners. <b><i>Results:</i></b> The key emergent themes from the responses of naturopathic practitioners embodied the elements of patient-centered care (PCC). Numerous factors, including regulation, barriers to service access, and interprofessional communication, were cited as hurdles to additional effectiveness as PCC practitioners. <b><i>Conclusion:</i></b> Future research should assess whether the principles of PCC are reported directly from the patients who utilize naturopathy for CVD to determine if their experience mirrors the reports by practitioners.</p>","PeriodicalId":520659,"journal":{"name":"Journal of alternative and complementary medicine (New York, N.Y.)","volume":" ","pages":"902-910"},"PeriodicalIF":2.6,"publicationDate":"2020-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1089/acm.2020.0095","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38199761","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A Mindfulness-Based Intervention for Low-Income African American Women with Depressive Symptoms Delivered by an Experienced Instructor Versus a Novice Instructor.","authors":"Inger Burnett-Zeigler,&nbsp;Sunghyun Hong,&nbsp;Elizabeth M Waldron,&nbsp;Carly Maletich,&nbsp;Amy Yang,&nbsp;Judith Moskowitz","doi":"10.1089/acm.2018.0393","DOIUrl":"https://doi.org/10.1089/acm.2018.0393","url":null,"abstract":"INTRODUCTION\u0000In the present study, the authors pilot a streamlined mindfulness teacher training protocol for Federally Qualified Health Center (FQHC) staff and examine the distribution and variability of psychologic outcomes for participants in groups led by an experienced instructor compared to a FQHC staff instructor who received the streamlined training.\u0000\u0000\u0000METHODS\u0000Seventy-four adult women aged 18-65 with depressive symptoms enrolled to participate in the 8-week group mindfulness intervention led by an experienced instructor (N = 33) or a novice instructor (N = 41). The effect of instructor on the outcomes depression, stress, mindfulness, functioning, well-being, and depression stigma was assessed at baseline, 8, and 16 weeks.\u0000\u0000\u0000RESULTS\u0000Depressive symptoms and stress significantly decreased, and mindfulness significantly increased in the experienced and novice instructor groups. In the novice instructor group, there was also a significant increase in well-being and functioning. The change in depressive symptoms, stress, functioning, and well-being was significantly greater in the novice instructor group than the experienced instructor groups.\u0000\u0000\u0000CONCLUSIONS\u0000Preliminary data suggest that health care staff who receive streamlined training to deliver mindfulness-based interventions have comparable outcomes as experienced instructors.","PeriodicalId":520659,"journal":{"name":"Journal of alternative and complementary medicine (New York, N.Y.)","volume":" ","pages":"699-708"},"PeriodicalIF":2.6,"publicationDate":"2019-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1089/acm.2018.0393","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37091406","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"\"You Snooze, You Win!\"-Minding Our Sleep.","authors":"Peter M Wayne,&nbsp;Darshan H Mehta,&nbsp;Gloria Y Yeh","doi":"10.1089/acm.2019.29069.pwa","DOIUrl":"https://doi.org/10.1089/acm.2019.29069.pwa","url":null,"abstract":"","PeriodicalId":520659,"journal":{"name":"Journal of alternative and complementary medicine (New York, N.Y.)","volume":" ","pages":"563-566"},"PeriodicalIF":2.6,"publicationDate":"2019-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1089/acm.2019.29069.pwa","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40549252","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Cooking Up Health: A Novel Culinary Medicine and Service Learning Elective for Health Professional Students.","authors":"Melinda Ring,&nbsp;Elaine Cheung,&nbsp;Rupa Mahadevan,&nbsp;Stephanie Folkens,&nbsp;Neilé Edens","doi":"10.1089/acm.2018.0313","DOIUrl":"https://doi.org/10.1089/acm.2018.0313","url":null,"abstract":"<p><strong>Purpose: </strong>The current investigation assessed the feasibility, acceptability, and efficacy of the Cooking Up Health (CUH) culinary medicine elective that was offered to medical students at Northwestern University's Feinberg School of Medicine. The elective included a combination of didactics, plant-based culinary sessions, and service learning, in which students translated nutrition and health connections to elementary school children in at-risk communities.</p><p><strong>Method: </strong>Nine medical students enrolled in cohort 1 and 12 in cohort 2. Students completed assessments before and after the course measuring confidence in nutrition and obesity counseling, attitudes toward nutrition counseling, personal dietary intake, and cooking confidence and behaviors.</p><p><strong>Results: </strong>The elective showed high feasibility and acceptability with strong class attendance (96%-99%) and retention (89%-100%). Over the course of the elective, students across both cohorts showed increased confidence in nutrition and obesity counseling (ps < 0.001), cooking abilities (ps < 0.01), and food preparation practices (ps < 0.04). Cohort 1 reported decreased meat consumption (p = 0.045), and cohort 2 showed increased fruit and vegetable intake (p = 0.04). Finally, cohort 2 showed increased knowledge and confidence regarding consuming a plant-based diet (ps < 0.002). Students reported an increased appreciation for the role of nutrition in health promotion and disease prevention and an intention to incorporate nutrition into patient care.</p><p><strong>Conclusion: </strong>This study provided preliminary evidence demonstrating feasibility, acceptability, and efficacy of the CUH culinary medicine elective for increasing medical students' confidence in nutrition and obesity counseling of patients and in their ability to use nutrition and cooking for personal self-care. Ultimately, this program of research may provide evidence to support widespread integration of CUH into medical education and has the potential to prepare medical students to properly advise patients on nutrition to combat the rising rates of obesity, diabetes, and preventable diseases related to nutrition.</p>","PeriodicalId":520659,"journal":{"name":"Journal of alternative and complementary medicine (New York, N.Y.)","volume":" ","pages":"61-72"},"PeriodicalIF":2.6,"publicationDate":"2019-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1089/acm.2018.0313","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40444829","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Lifestyle Medicine-Focused Shared Medical Appointments to Improve Risk Factors for Chronic Diseases and Quality of Life in Breast Cancer Survivors.","authors":"Dana Schneeberger,&nbsp;Mladen Golubíc,&nbsp;Halle C F Moore,&nbsp;Kenneth Weiss,&nbsp;Jame Abraham,&nbsp;Alberto Montero,&nbsp;Jonathan Doyle,&nbsp;Marianne Sumego,&nbsp;Michael Roizen","doi":"10.1089/acm.2018.0154","DOIUrl":"https://doi.org/10.1089/acm.2018.0154","url":null,"abstract":"<p><strong>Objectives: </strong>Poor lifestyle choices play a significant role in the development and progression of preventable chronic diseases, including cancer. In this study, we evaluate the effectiveness of a comprehensive lifestyle medicine intervention on chronic disease risk factors and quality of life in breast cancer survivors.</p><p><strong>Design: </strong>This is a retrospective review of a clinical program from January 2016 to July 2017.</p><p><strong>Settings/location: </strong>It includes seven 2-h group medical visits held every other week at an outpatient wellness facility.</p><p><strong>Subjects: </strong>Eligible participants are breast cancer survivors who have completed treatment, including those who remain on hormonal therapy.</p><p><strong>Intervention: </strong>Patients receive education and experience in nutrition, culinary medicine, physical activity, and stress relief practices.</p><p><strong>Outcome measures: </strong>Participants' weight, body mass index (BMI), body fat mass, lean body mass, and percent body fat were measured at visit 1 and visit 7. Standard validated questionnaires were used to measure perceived stress, depression, patient activation, physical and mental quality of life, dietary fat consumption, and dietary fruit, vegetable, and fiber consumption.</p><p><strong>Results: </strong>A total of 31 patients participated in the group visits. Pre-post comparison data were not available for 10 patients. More than three-quarters of the 21 breast cancer survivors who attended 5 or more of the 7 group visits and provided data at the first and the last group visit decreased their body weight. On average, patients lost 4.9 pounds (-2.6%, p < 0.01), and their BMI decreased by 0.8 kg/m² (-2.5%, p < 0.01). Changes in psychosocial variables of perceived stress, depression, patient activation, and quality of life trended in a positive direction, but did not reach statistical significance. Patients reported a significant decrease in average weekly fat consumption (-31.5%, p < 0.01). Most patients found the program educational and enjoyable, and nearly half of them described it as life changing.</p><p><strong>Conclusions: </strong>Breast cancer survivors could employ the prescribed lifestyle modifications to produce clinically relevant health benefits. Interdisciplinary teams of health care professionals may help breast cancer survivors with chronic diseases implement evidence-based, individualized, and effective lifestyle prescription through group medical visits.</p>","PeriodicalId":520659,"journal":{"name":"Journal of alternative and complementary medicine (New York, N.Y.)","volume":" ","pages":"40-47"},"PeriodicalIF":2.6,"publicationDate":"2019-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1089/acm.2018.0154","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40444952","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Dog Ownership and Training Reduces Post-Traumatic Stress Symptoms and Increases Self-Compassion Among Veterans: Results of a Longitudinal Control Study.","authors":"Dessa Bergen-Cico,&nbsp;Yvonne Smith,&nbsp;Karen Wolford,&nbsp;Collin Gooley,&nbsp;Kathleen Hannon,&nbsp;Ryan Woodruff,&nbsp;Melissa Spicer,&nbsp;Brooks Gump","doi":"10.1089/acm.2018.0179","DOIUrl":"https://doi.org/10.1089/acm.2018.0179","url":null,"abstract":"<p><p><b><i>Objectives:</i></b> The aims of this study were to measure the potential impact of a therapeutic dog ownership and training program for Veterans with symptoms of post-traumatic stress. <b><i>Design:</i></b> The study used a quasi-experimental design with two cohorts of Veterans-a dog owner-trainer intervention and a wait list control group. Participants completed baseline and 12-month follow-up assessments. <b><i>Setting:</i></b> Clear Path for Veterans, a nonclinical, open recreation facility whose mission is to support Veterans and their families in the reintegration process after military service. <b><i>Subjects:</i></b> Participants (<i>n</i> = 48) were either enrolled in the veterans therapeutic dog owner-trainer program (Dogs2Vets) or were placed in the wait list control group. <b><i>Intervention:</i></b> Veterans were enrolled in the Dogs2Vets program, a 12-month structured dog owner-trainer program that engages veterans in the training and care of a dog that they ultimately adopt. The Dogs2Vets Program focuses on the healing aspects of the human-animal bond. <b><i>Outcome measures:</i></b> PTSD Checklist, Military Version (PCL-M), perceived stress scale, self-compassion scale (SCS) composite, and SCS subscales for isolation and self-judgment. <b><i>Results:</i></b> Veterans participating in the Dogs2Vets owner-trainer program experienced significant reductions in symptoms of post-traumatic stress, perceived stress, isolation, and self-judgment accompanied by significant increases in self-compassion. In contrast there were no significant improvements in these measures among veterans in the wait list control group. Qualitative data reinforced the statistical findings with themes of decreased isolation, unconditional acceptance and companionship, and a renewed sense of safety and purpose from their relationships with their dogs. <b><i>Conclusion:</i></b> Veterans benefit significantly from dog ownership in combination with a structured dog training program. Not only do they experience significant decreases in stress and post-traumatic stress symptoms but also they experience less isolation and self-judgment while also experiencing significant improvements in self-compassion.</p>","PeriodicalId":520659,"journal":{"name":"Journal of alternative and complementary medicine (New York, N.Y.)","volume":" ","pages":"1166-1175"},"PeriodicalIF":2.6,"publicationDate":"2018-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1089/acm.2018.0179","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40556297","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Current Evidence on Heart Rate Variability Biofeedback as a Complementary Anticraving Intervention.","authors":"Nour Alayan,&nbsp;Lucille Eller,&nbsp;Marsha E Bates,&nbsp;Dennis P Carmody","doi":"10.1089/acm.2018.0019","DOIUrl":"https://doi.org/10.1089/acm.2018.0019","url":null,"abstract":"<p><strong>Background: </strong>The limited success of conventional anticraving interventions encourages research into new treatment strategies. Heart rate variability biofeedback (HRVB), which is based on slowed breathing, was shown to improve symptom severity in various disorders. HRVB, and certain rates of controlled breathing (CB), may offer therapeutic potential as a complementary drug-free treatment option to help control substance craving.</p><p><strong>Methods: </strong>This review evaluated current evidence on the effectiveness of HRVB and CB training as a complementary anticraving intervention, based on guidelines from the Preferred Reporting Items for Systematic Review and Meta-Analysis Protocols. Studies that assessed a cardiorespiratory feedback or CB intervention with substance craving as an outcome were selected. Effect sizes were calculated for each study. The Scale for Assessing Scientific Quality of Investigations in Complementary and Alternative Medicine was used to evaluate the quality of each study reviewed.</p><p><strong>Results: </strong>A total of eight articles remained for final review, including controlled studies with or without randomization, as well as noncontrolled trials. Most studies showed positive results with a variety of methodological quality levels and effect size. Current HRVB studies rated moderately on methodological rigor and showed inconsistent magnitudes of calculated effect size (0.074-0.727) across populations. The largest effect size was found in a nonclinical college population of high food cravers utilizing the most intensive HRVB training time of 240 min.</p><p><strong>Conclusions: </strong>Despite the limitations of this review, there is beginning evidence that HRVB and CB training can be of significant therapeutic potential. Larger clinical trials are needed with methodological improvements such as longer treatment duration, adequate control conditions, measures of adherence and compliance, longitudinal examination of craving changes, and more comprehensive methods of craving measurement.</p>","PeriodicalId":520659,"journal":{"name":"Journal of alternative and complementary medicine (New York, N.Y.)","volume":" ","pages":"1039-1050"},"PeriodicalIF":2.6,"publicationDate":"2018-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1089/acm.2018.0019","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40537977","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effect of Cabbage Wraps on the Reduction of Post-Traumatic Knee Exudates in Men.","authors":"Jacek Dygut,&nbsp;Monika Piwowar,&nbsp;Kinga Fijałkowska,&nbsp;Ibeth Guevara,&nbsp;Robert Jakubas,&nbsp;Gustaw Gonzales,&nbsp;Krzysztof Popławski,&nbsp;Anna Strokowska,&nbsp;Hanna Wikariak,&nbsp;Wiktor Jurkowski","doi":"10.1089/acm.2017.0304","DOIUrl":"https://doi.org/10.1089/acm.2017.0304","url":null,"abstract":"<p><strong>Objectives: </strong>The study investigates measurable effects of cabbage leaf wraps on post-traumatic knee injury exudate absorption in men.</p><p><strong>Design: </strong>Case-control experiment on the same group of patients (before and after treatment).</p><p><strong>Settings/location: </strong>One academic center and two hospitals.</p><p><strong>Subjects: </strong>The study was carried out on a group of patients with different degrees of injury severity in the acute stage of the knee injury who were divided into three groups based on the width of suprapatellar recess gap (3-5 mm in group 1, 6-10 mm in group 2, and 11 mm or more in group 3) as assessed by ultrasonography.</p><p><strong>Interventions: </strong>Each group of patients was divided into two subgroups, one of which comprised patients whose knees were treated with wraps containing cabbage leaves with ice (cases) and the others comprised patients treated with wraps without cabbage leaves, with cooling dressing only (controls).</p><p><strong>Results: </strong>Significant progression in knee fluid uptake was observed in the acute stage of the knee injuries treated with cabbage wraps compared with control groups (p < 0.05). It was shown that the time, type of wraps, and a degree of severity of post-traumatic exudative knee inflammation affect the process of knee recovery (Friedman test for repeated measures p < 0.05). The most significant results were observed within first 24 h after the injury. Further decrease in the width of the recess gap after 5 days was observed.</p><p><strong>Conclusions: </strong>Application of cabbage wraps with ice to the knee in men may promote a reduction of swelling (by accelerating absorption of knee exudates) if applied during the acute stage of the knee injury.</p>","PeriodicalId":520659,"journal":{"name":"Journal of alternative and complementary medicine (New York, N.Y.)","volume":" ","pages":"1113-1119"},"PeriodicalIF":2.6,"publicationDate":"2018-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1089/acm.2017.0304","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40529632","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Rx: Walk in the Forest: Shinrin'Yoku's Holistic Healing Effects.","authors":"Margaret M Hansen","doi":"10.1089/acm.2018.0173","DOIUrl":"https://doi.org/10.1089/acm.2018.0173","url":null,"abstract":"","PeriodicalId":520659,"journal":{"name":"Journal of alternative and complementary medicine (New York, N.Y.)","volume":" ","pages":"745-747"},"PeriodicalIF":2.6,"publicationDate":"2018-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1089/acm.2018.0173","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40554751","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A Multidisciplinary Integrative Medicine Team in the Treatment of Chronic Low-Back Pain: An Observational Comparative Effectiveness Study.","authors":"Peter M Wayne,&nbsp;David M Eisenberg,&nbsp;Kamila Osypiuk,&nbsp;Brian J Gow,&nbsp;Claudia M Witt,&nbsp;Roger B Davis,&nbsp;Julie E Buring","doi":"10.1089/acm.2018.0002","DOIUrl":"https://doi.org/10.1089/acm.2018.0002","url":null,"abstract":"<p><strong>Objectives: </strong>Chronic low-back pain (CLBP) is burdensome and costly, and a common condition for which adults use integrative therapies. The effectiveness of multidisciplinary integrative approaches has not been well studied. The purpose of this observational study was to compare characteristics and outcomes of CLBP patients treated at the Osher Clinical Center (OCC) versus other clinics at Brigham and Women's Hospital.</p><p><strong>Design: </strong>Observational comparative effectiveness study.</p><p><strong>Setting: </strong>Tertiary care hospital.</p><p><strong>Subjects: </strong>Patients ≥21 years with 3+ months of CLBP or 6+ months of intermittent low-back pain.</p><p><strong>Intervention: </strong>All patients were observed for 12 months. OCC patients received care at the integrative clinic (7.3 visits on average over 13 weeks); non-OCC patients received usual care at other clinics of the same hospital.</p><p><strong>Outcome measures: </strong>Primary outcomes: change from baseline to 6 months in functional status (Roland Disability Questionnaire [RDQ]) and bothersomeness of pain (BOP).</p><p><strong>Secondary outcomes: </strong>change in RDQ and BOP at 3 and 12 months, percentages of patients with clinically meaningful (≥30%) improvements.</p><p><strong>Results: </strong>One hundred fifty-six OCC and 153 non-OCC participants were enrolled; follow-up was 90.4 and 98.0%, respectively, at 12 months. There were substantial differences in baseline characteristics between groups. For RDQ, the adjusted mean group difference was nonsignificant at 6 months; for BOP, the differences were significant, but clinically small. At 12 months, the observed benefit on RDQ was significant and clinically meaningful; for BOP, there were significant, but clinically small differences. Percentages of patients with ≥30% improvements in RDQ were significantly greater in the OCC group only at 12 months, and both 6 and 12 months for BOP.</p><p><strong>Conclusions: </strong>Baseline characteristics can differ between those who select different sources of healthcare for CLBP. While benefits seen in the OCC versus non-OCC clinics were not large, further evaluation through randomized trials might be warranted to provide a more definitive evaluation.</p>","PeriodicalId":520659,"journal":{"name":"Journal of alternative and complementary medicine (New York, N.Y.)","volume":" ","pages":"781-791"},"PeriodicalIF":2.6,"publicationDate":"2018-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1089/acm.2018.0002","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40438848","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}