Global advances in integrative medicine and health最新文献

{"title":"\"Doing My Part in My Healing\": A Qualitative Study Exploring Integrative Oncology Practices Among African Americans with Cancer.","authors":"Chanda L Williams, Adrienne Yang, Serena Gilmore, Dalila Stanfield, Paige Steiding, Chloe E Atreya, Sorbarikor Piawah","doi":"10.1177/27536130261468343","DOIUrl":"10.1177/27536130261468343","url":null,"abstract":"<p><strong>Background: </strong>African Americans in the United States continue to experience disproportionate cancer mortality and lower survival across cancer types. Integrative oncology (IO) may help address symptom burden, treatment-related toxicities, and quality of life. However, African Americans remain underrepresented in IO research and may face barriers to access.</p><p><strong>Objectives: </strong>To explore experiences with and attitudes toward IO among African American adults with cancer and to assess interest in participating in IO research.</p><p><strong>Methods: </strong>We conducted a qualitative cross-sectional descriptive study with African American adults receiving cancer care in the San Francisco Bay Area. Data sources included 17 individual semi-structured interviews, one patient focus group (n=5), and one Community Advisory Board focus group (n=3). The patient focus group participants had previously completed interviews. Study participants had a median age of 53 years (range 32-66), 71% were women, and represented a range of cancer diagnoses, treatment experiences, educational backgrounds, and employment statuses. Data were analyzed using a grounded theory-informed thematic approach, with interviews and focus groups coded by source and integrated during thematic development.</p><p><strong>Results: </strong>Four themes were identified: (1) participants described cancer care within the context of interpersonal and structural racism; (2) participants used a broad range of integrative and complementary approaches; (3) despite high interest in IO, access was limited by lack of awareness, scheduling constraints, and cost; and (4) participants expressed strong interest in IO research, while emphasizing the importance of trust, transparency, and community benefit.</p><p><strong>Conclusion: </strong>African American adults with cancer expressed a strong interest in IO and IO research but described substantial barriers to access and participation. These findings underscore the need for more accessible, trustworthy, and culturally responsive approaches to IO delivery and research.</p>","PeriodicalId":73159,"journal":{"name":"Global advances in integrative medicine and health","volume":"15 ","pages":"27536130261468343"},"PeriodicalIF":2.1,"publicationDate":"2026-07-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13392338/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148581343","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":"Initial Development of a Brief Mind-Body Sexual Well-Being Program for Female Colorectal and Anal Cancer Survivors: A Two-Phase Study of Survivor Needs and Treatment Preferences.","authors":"Lucy Finkelstein-Fox, Isabelle L Miranda, Lorraine C Drapek, Annika Toivonen, Sharon L Bober, Areej R El-Jawahri, Christina Psaros, Maria Lopes, Jenna Flaherty, Maleah Fekete, Elyse R Park","doi":"10.1177/27536130261465421","DOIUrl":"10.1177/27536130261465421","url":null,"abstract":"<p><strong>Background: </strong>Many female colorectal and anal cancer survivors experience distressing changes to sexual well-being (e.g., dyspareunia, low libido) after treatment. Though mind-body programming has previously shown benefit for women's sexual well-being, no existing program is available to address women's sexual well-being specifically following colorectal and anal cancer treatment.</p><p><strong>Objective: </strong>This two-phase study describes initial development of a group mind-body program for women's sexual well-being in colorectal and anal cancer survivorship.</p><p><strong>Methods: </strong>Phase 1 includes individual interviews with 18 female colorectal and anal cancer survivors and 8 clinicians at an academic comprehensive cancer center, focusing on intervention priorities and session content. In Phase 2, female colorectal and anal cancer survivors from the same cancer center participated in an open pilot trial of the group sexual well-being program (6 weeks; 2 groups with 6 participants in total). Qualitative and quantitative feedback regarding preliminary feasibility and acceptability were interpreted holistically to inform next steps for intervention refinement.</p><p><strong>Results: </strong>In Phase 1, patients identified priorities for intervention, clarified interest in mind-body practices, and highlighted key program modifications (e.g., addressing ostomy use, prioritizing patient privacy in groups). Clinicians expressed positive feedback on the proposed intervention and noted key areas of unmet need for the patients they serve. In Phase 2, preliminary program feasibility (100% of those enrolled attending at least 4 of 6 sessions) and acceptability (83.3% rating their comfort level in groups ≥ 4 on a 5-point scale) were supported. Average group cohesiveness across 6 valid items was high (<i>M</i> = 4.6, range 3.8-5.0).</p><p><strong>Conclusion: </strong>There is clear need for specialized sexual well-being programming for female colorectal and anal cancer survivors. The initial iteration of this mind-body group program was well-received by participants with several key areas for improvement identified that will inform iterative refinement of this novel group intervention.</p>","PeriodicalId":73159,"journal":{"name":"Global advances in integrative medicine and health","volume":"15 ","pages":"27536130261465421"},"PeriodicalIF":2.1,"publicationDate":"2026-07-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13392339/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148581364","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":"From Case-Making to Implementation: Reflections Across Silos on the Path Forward for Whole-Person Health.","authors":"Leigh A Frame","doi":"10.1177/27536130261472805","DOIUrl":"10.1177/27536130261472805","url":null,"abstract":"","PeriodicalId":73159,"journal":{"name":"Global advances in integrative medicine and health","volume":"15 ","pages":"27536130261472805"},"PeriodicalIF":2.1,"publicationDate":"2026-07-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13392332/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148581348","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":"Development and Validation of a Headache Health Education Program to Serve as a Control Intervention for Non-Pharmacological Studies in Migraine.","authors":"Kristina Twaalfhoven, Ruth Q Wolever, Meredith Beaton-Starr, Carolyn Bernstein, Karen Kilgore, Anthony J Lisi, Matthew H Kowalski, Cynthia R Long, Dennis Muñoz-Vergara, Kena McDermott, Viviane Nguyen, Macy Randolph, Robert Vining, Jason J Sico, Peter M Wayne, Pamela M Rist","doi":"10.1177/27536130261458807","DOIUrl":"10.1177/27536130261458807","url":null,"abstract":"<p><strong>Background: </strong>As interest in non-pharmacologic treatments for migraine prevention increases, there is an urgent need to evaluate these treatments in well-designed randomized trials. However, designing a \"control\" for non-pharmacologic treatments is complex. One possible solution is to design credible educational programs to use as comparators which partially control for natural history, patient engagement, attention and positive expectancy.</p><p><strong>Objective: </strong>To develop and validate through a modified Delphi process a \"Headache Health Education\" (HHE) program to be used as the control arm in a pilot study of multimodal chiropractic care for episodic migraine.</p><p><strong>Methods: </strong>Leveraging existing patient educational materials, we drafted an initial HHE program with 14 modules, each covering a different migraine-related topic. Designed to be delivered by research personnel in a one-on-one video conference, each module provides education using a slide deck and guided conversation that is grounded in adult learning theory. Furthermore, to engage participants, the script-based sessions are informed by the psychological implications of polyvagal theory and motivational interviewing. The program was validated using a modified Delphi process. Modifications were made to the program based on the ratings and feedback, and a second round of review was then performed.</p><p><strong>Results: </strong>Initial endorsement of the HHE program was generally supportive but included considerable variability. After program refinement, endorsement improved with much lower score variability. Key improvements included the addition of 2 topics, selection of new videos, and training for research assistants/associates in how to use conversational style and specific prompts to engage participants.</p><p><strong>Conclusion: </strong>Initial development and validation of an HHE program to use as a comparator in trials of a non-pharmacological treatment for migraine has been completed. Future analysis will examine the fidelity and acceptability of the HHE program when used as a comparator in a randomized controlled trial of multimodal care for migraine.</p>","PeriodicalId":73159,"journal":{"name":"Global advances in integrative medicine and health","volume":"15 ","pages":"27536130261458807"},"PeriodicalIF":2.1,"publicationDate":"2026-07-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13346738/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148426970","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":"Healthcare Providers' Perspectives on Psychedelic-Assisted Therapies Across Clinical Contexts: \"I Can Offer Medical Assistance in Dying, but I Can't Prescribe Psychedelics\".","authors":"Haley D M Schuman, Raèf Mina, Sofia Barkova, Tina Nguyen, Julie M Deleemans, Linda E Carlson","doi":"10.1177/27536130261459354","DOIUrl":"10.1177/27536130261459354","url":null,"abstract":"<p><strong>Background: </strong>Healthcare providers' (HCPs) perspectives on psychedelic-assisted therapy (PAT) are critical to clinical integration but remain underexplored in Canadian palliative and oncology contexts. This study examines HCP attitudes toward ketamine, psilocybin, and MDMA, and the systemic and ethical factors influencing implementation.</p><p><strong>Methods: </strong>An exploratory qualitative study using semi-structured interviews was conducted with 12 HCPs across Canada. Interviews explored attitudes, perceived barriers, and implementation considerations. Data were analyzed using thematic analysis and interpreted through the Theory of Planned Behaviour (TPB) to examine how attitudes, subjective norms, and perceived behavioural control shape clinical integration.</p><p><strong>Results: </strong>Attitudes toward PAT ranged from caution to advocacy, with neutral-to-cautious positions predominating. Ketamine was pragmatically accepted for rapid efficacy but raised concerns regarding commercialization and misuse. Psilocybin elicited mixed views, particularly in relation to end-of-life existential distress. MDMA was considered promising for trauma-related indications but was constrained by neurotoxicity concerns and regulatory barriers. Subjective norms were shaped by stigma, media narratives, and institutional culture, while perceived behavioural control was limited by restrictive policies, infrastructure gaps, and funding inequities. An ethical tension emerged between access to medical assistance in dying (MAiD) and restrictions on PAT in end-of-life care, highlighting perceived policy inconsistencies.</p><p><strong>Conclusion: </strong>Participants expressed a range of attitudes toward PAT, from caution to advocacy, alongside substantial ethical, regulatory, and systemic constraints to clinical integration. A notable ethical tension emerged between MAiD accessibility and PAT restrictions in end-of-life contexts, reflecting broader questions about Canadian health policy. Participants emphasized the need for substance-specific guidelines, interdisciplinary education, and evidence-informed regulatory reform to guide future clinical consideration of PAT.</p>","PeriodicalId":73159,"journal":{"name":"Global advances in integrative medicine and health","volume":"15 ","pages":"27536130261459354"},"PeriodicalIF":2.1,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13323658/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148378491","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":"The Role of the Pharmacist on an Integrative Medicine Healthcare Team.","authors":"Lauren M Hynicka, Meera Embran, Sarah B Vincent, Shannon W Finks","doi":"10.1177/27536130261457408","DOIUrl":"10.1177/27536130261457408","url":null,"abstract":"<p><p>Pharmacists are among the most accessible and trusted healthcare professionals and are uniquely positioned to serve as medication experts within integrative medicine teams. This narrative review synthesizes the literature describing pharmacist contributions to integrative medicine, with a focus on chronic disease management. Evidence highlights pharmacist involvement in diverse practice settings-including community pharmacy, oncology, and cardiometabolic disease-where they provide critical expertise in medication optimization, identification of supplement-drug interactions, and patient counseling. These published findings likely reflect only a fraction of the pharmacist's unique contributions to integrative medicine teams. Future research should further characterize and evaluate the full scope of pharmacists' roles in integrative medicine, including their impact on patient outcomes, safety, and interprofessional collaboration.</p>","PeriodicalId":73159,"journal":{"name":"Global advances in integrative medicine and health","volume":"15 ","pages":"27536130261457408"},"PeriodicalIF":2.1,"publicationDate":"2026-06-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13305406/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148347616","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":"Feasibility and Acceptability of a Virtual Single-Session Biofeedback Intervention Targeting Circulation, Heart Rate, and Anxiety for Rural Patients With Chronic Pain.","authors":"Lindsay G Flegge, Jill C Penman, Crystal Tracy, Michael A Bushey","doi":"10.1177/27536130261456244","DOIUrl":"10.1177/27536130261456244","url":null,"abstract":"<p><strong>Background: </strong>Chronic pain affects one in five Americans, yet rural patients face significant barriers to evidence-based interventions like biofeedback due to geographic isolation and provider shortages.</p><p><strong>Objective: </strong>This pilot study evaluates the feasibility, acceptability, and preliminary effectiveness of Mind Meter, a virtual neuroscience-based biofeedback group intervention, for rural adults with chronic pain.</p><p><strong>Methods: </strong>Twenty-nine rural-dwelling adults (mean age 44.9, SD 11.8) with chronic pain (≥3 months) were recruited from a pain management program and twenty-one participants completed a single-session virtual Mind Meter group, integrating pain neuroscience education and biofeedback via affordable equipment (pulse oximeters, skin thermometers). Feasibility was assessed by enrollment (target ≥50%), adherence (≥80%), and completion rates (≥75%); acceptability via a 10-item questionnaire (target ≥80% rating ≥4/5); and preliminary effectiveness via pre-post changes in heart rate, temperature, pain, and anxiety, analyzed with paired t-tests (adjusted <i>P</i> < 0.05).</p><p><strong>Results: </strong>Enrollment was 22% (29/132 eligible), below target, while adherence reached 100%, exceeding goals. Acceptability was high, with 90.5% rating the intervention ≥4/5 (mean 4.3, SD 0.9), particularly for clarity of directions (95.2% ≥ 4). Statistically significant pre-post improvements occurred in anxiety (mean change -2.2, SD 2.4, <i>P</i> < 0.001, Hedge's g = -0.886) and temperature (mean increase 4.6°F, SD 6.1, <i>P</i> = 0.003, g = 0.726); pain decreased (mean -0.8, SD 1.5, <i>P</i> = 0.025) but lost statistical significance after correction for multiple comparisons. Heart rate showed no change (<i>P</i> = 0.615).</p><p><strong>Conclusion: </strong>Virtual Mind Meter is feasible and highly acceptable for rural patients with chronic pain, with promising reductions in anxiety and temperature. Lower than hypothesized enrollment warrants recruitment strategy-adjustments, while preliminary outcomes support further development.</p>","PeriodicalId":73159,"journal":{"name":"Global advances in integrative medicine and health","volume":"15 ","pages":"27536130261456244"},"PeriodicalIF":2.1,"publicationDate":"2026-06-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13305914/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148347595","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":"From the Page to the Plate: Designing an Accessible Nutrition Resource Through Community-Engaged Research.","authors":"Patrick G Corr, Aleandra Andrews, Robert Andrews, Leigh A Frame","doi":"10.1177/27536130261457409","DOIUrl":"10.1177/27536130261457409","url":null,"abstract":"<p><strong>Objective: </strong>To assess the clarity, acceptability, and relevance of a digital \"Nutrition Guide\" designed to communicate principles of healthy eating in an accessible and engaging format for lay audiences.</p><p><strong>Design: </strong>This mixed-methods study employed survey data collection through the General Nutrition Knowledge Questionnaire (GNKQ-R) and individual qualitative interviews with community members to inform revisions to the Nutrition Guide.</p><p><strong>Setting: </strong>The study was conducted in the Washington, DC metropolitan area and focused on community engagement through community-engaged research methods.</p><p><strong>Participants: </strong>A total of 36 adult participants without formal nutritional of medical training participated in the study. Twenty-six completed the GNKQ-R, and ten participated in qualitative interviews. Thematic saturation was reached with interview participants.</p><p><strong>Results: </strong>Survey results demonstrated foundational nutrition knowledge, notable gaps existed, including food labels and added sugar. Interviews revealed widespread appreciation for the Guide's visual layout, cultural inclusivity, and whole foods focus, and highlighted a desire for deeper content on gut health, supplements, and practical meal planning. Participants frequently sought more technical information than the Guide was designed to provide, raising important questions about scope, depth, and audience segmentation.</p><p><strong>Conclusions: </strong>This study highlights the value of community-engaged design in creating accessible and appropriate nutrition educational resources. It also underscores the tension between simple content and nuanced scientific information in public resources, raising further considerations for opportunities in nutrition communication.</p>","PeriodicalId":73159,"journal":{"name":"Global advances in integrative medicine and health","volume":"15 ","pages":"27536130261457409"},"PeriodicalIF":2.1,"publicationDate":"2026-06-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13305787/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148347535","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":"Impacts of a Culinary Nutrition Education Program for Youth on Caregiver-Reported Home Food Environment and Household Food Security.","authors":"Amy Saxe-Custack, Diana Haggerty, Sarah Egan","doi":"10.1177/27536130261461498","DOIUrl":"10.1177/27536130261461498","url":null,"abstract":"<p><strong>Background: </strong>Impacts of youth-focused culinary nutrition programs on home food environment and food security are not well known.</p><p><strong>Objective: </strong>Objectives were: (1) assess the influence of a culinary nutrition program on home food environment and food security; and (2) determine whether program format influenced outcomes.</p><p><strong>Methods: </strong>This descriptive study of a longitudinal observational cohort included survey data from caregivers whose children participated in a youth-focused or family-focused culinary nutrition program. To evaluate ordinal outcome changes, means were calculated at baseline and program exit for the entire sample and stratified by program design.</p><p><strong>Results: </strong>191 caregivers participated. Caregivers reported improvements in thinking about healthy food choices (<i>P</i> = .03), using \"Nutrition Facts\" labels (<i>P</i> < .001), and using MyPlate (<i>P</i> < .001) to choose foods. Household food security also improved (<i>P</i> = .03). Differences by program format were observed.</p><p><strong>Conclusions: </strong>This study identifies important associations between participation in youth-focused culinary nutrition programs and the home food environment as well as household food security.</p>","PeriodicalId":73159,"journal":{"name":"Global advances in integrative medicine and health","volume":"15 ","pages":"27536130261461498"},"PeriodicalIF":2.1,"publicationDate":"2026-06-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13287410/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148321018","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":"Increasing Physical, Emotional, and Social Wellbeing in Adolescents Following a Multi-Week Indian Classical Dance Program: Results From a Single-Arm Pilot Study.","authors":"Shruti Parthasarathy, Christina Sauer, Bruriah Horowitz, David Victorson","doi":"10.1177/27536130261459352","DOIUrl":"10.1177/27536130261459352","url":null,"abstract":"<p><strong>Background: </strong>The physical, emotional, and social wellbeing of U.S. high school-aged adolescents is a growing public health concern.</p><p><strong>Objective: </strong>To describe the development and initial effects of an 8-week Bharatanatyam (Indian Classical Dance) intervention on wellbeing indicators in Midwestern high school students.</p><p><strong>Methods: </strong>Using a single arm design, freshmen at a Midwestern high school completed an ethics-approved 8-week Bharatanatyam program teaching movements rooted in social cognitive theory and cultural foundations. At baseline, four, and 8 weeks, participants completed PROMIS Pediatric Profile-25 (Physical Function Mobility, Anxiety, Depressive Symptoms, Fatigue, Peer Relations, Pain Interference, and Pain Intensity), Body Appreciation Scale, Anti-Bias Behavior Scale (PSABBS), State Mindfulness Scale, and an 8-item acceptability questionnaire. Analyses included descriptive statistics, paired t-tests, Cohen's <i>d</i> effect sizes, Pearson's correlations, and linear regressions.</p><p><strong>Results: </strong>Forty-six students provided assent and parental consent and completed the intervention. Most were female (62%) and Caucasian (80%). Feasibility and retention indicators were high (83-89%). Fifty-nine percent reported independent exercise 2-5 times weekly. Controlling for exercise frequency, significant decreases (<i>P</i> < 0.05) were observed between baseline and 8 weeks in PROMIS Anxiety (d = .80), Depressive Symptoms (d = .51), Fatigue (d = .61), and Pain Intensity (d = .77), with significant increases in Peer Relations (d = .80) and Body Appreciation (d = .97). Positive associations were found between anti-bias attitudes and lower anxiety (r = .485, <i>P</i> < .05), depressive symptoms (r = .510, <i>P</i> < .01), fatigue (r = .395, <i>P</i> < .05), and pain intensity (r = .567, <i>P</i> < .05). Anti-bias attitudes had significant associations with pain intensity, depression, and anxiety, and mindfulness was significantly associated with (<i>P</i> < .05) body appreciation.</p><p><strong>Conclusion: </strong>This study provides initial evidence that an 8-week Bharatanatyam program improved emotional health and physical symptoms (ie, fatigue and pain) among adolescents, with mindfulness and anti-bias attitudes associated with overall wellbeing. Further testing with more rigorous study designs is warranted.</p>","PeriodicalId":73159,"journal":{"name":"Global advances in integrative medicine and health","volume":"15 ","pages":"27536130261459352"},"PeriodicalIF":2.1,"publicationDate":"2026-06-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13272864/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148280306","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}