Pub Date : 2006-04-01DOI: 10.1177/1533210106293407
S. Gaylord
Assessing the effectiveness, safety, and mechanisms of action of complementary and alternative therapies through well-designed research is often not a simple matter. Although for some complementary treatments, such as nutritional supplement preparations, the conventional double-blind, placebo-controlled experimental trial may be adequate for measuring efficacy, the treatments and healing techniques of many complementary and alternative medicine (CAM) therapies may not easily fit the methods and vocabulary used to evaluate conventional medical treatments (e.g., Richardson, 2002). Answering questions about CAM may demand rethinking traditional research strategies. Lewith, Jonas, and Walach (2002) remind us that any area of medical inquiry requires a balanced research strategy combining multiple approaches to gathering evidence, each with different strengths, limits, costs, and usefulness. Research designs and methods include outcome studies, clinical and other observational methods, laboratory techniques, randomized controlled trials, qualitative research methods, health services research, and reviews, including metanalyses. Although demanding no less rigor than conventional clinical research, research on CAM therapies may require new, more skillful, and more varied techniques and strategies to successfully answer questions about efficacy, effectiveness, and mechanism. Complementary Health Practice Review is planning an upcoming issue devoted to identifying and finding creative solutions for research challenges in complementary health care techniques and practices. We are encouraging the submission of manuscripts in the areas of experimental design, mixed quantitative and qualitative designs, translational research strategies, questionnaire development, biostatistical methods, and innovative techniques for measuring the mechanism of action. Complementary Health Practice Review’s overall mission is to publish scholarly research on complementary and integrative practices, promoting discussion across disciplinary, organizational, and specialty boundaries. We hope that this special issue on
{"title":"Methodological Challenges in Research on Complementary Therapies","authors":"S. Gaylord","doi":"10.1177/1533210106293407","DOIUrl":"https://doi.org/10.1177/1533210106293407","url":null,"abstract":"Assessing the effectiveness, safety, and mechanisms of action of complementary and alternative therapies through well-designed research is often not a simple matter. Although for some complementary treatments, such as nutritional supplement preparations, the conventional double-blind, placebo-controlled experimental trial may be adequate for measuring efficacy, the treatments and healing techniques of many complementary and alternative medicine (CAM) therapies may not easily fit the methods and vocabulary used to evaluate conventional medical treatments (e.g., Richardson, 2002). Answering questions about CAM may demand rethinking traditional research strategies. Lewith, Jonas, and Walach (2002) remind us that any area of medical inquiry requires a balanced research strategy combining multiple approaches to gathering evidence, each with different strengths, limits, costs, and usefulness. Research designs and methods include outcome studies, clinical and other observational methods, laboratory techniques, randomized controlled trials, qualitative research methods, health services research, and reviews, including metanalyses. Although demanding no less rigor than conventional clinical research, research on CAM therapies may require new, more skillful, and more varied techniques and strategies to successfully answer questions about efficacy, effectiveness, and mechanism. Complementary Health Practice Review is planning an upcoming issue devoted to identifying and finding creative solutions for research challenges in complementary health care techniques and practices. We are encouraging the submission of manuscripts in the areas of experimental design, mixed quantitative and qualitative designs, translational research strategies, questionnaire development, biostatistical methods, and innovative techniques for measuring the mechanism of action. Complementary Health Practice Review’s overall mission is to publish scholarly research on complementary and integrative practices, promoting discussion across disciplinary, organizational, and specialty boundaries. We hope that this special issue on","PeriodicalId":10611,"journal":{"name":"Complementary Health Practice Review","volume":"27 1","pages":"75 - 76"},"PeriodicalIF":0.0,"publicationDate":"2006-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"74102448","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}
Pub Date : 2006-04-01DOI: 10.1177/1533210106292748
D. Albert, Daniel A. Martínez
{"title":"The Supply of Naturopathic Physicians in the United States and Canada Continues to Increase","authors":"D. Albert, Daniel A. Martínez","doi":"10.1177/1533210106292748","DOIUrl":"https://doi.org/10.1177/1533210106292748","url":null,"abstract":"","PeriodicalId":10611,"journal":{"name":"Complementary Health Practice Review","volume":"63 1","pages":"120 - 122"},"PeriodicalIF":0.0,"publicationDate":"2006-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87060500","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}
Pub Date : 2006-04-01DOI: 10.1177/1533210106291988
Brian M. Shelley
This review provides an in-depth examination of traditional, complementary, and alternative medicine (TCAM) and/or integrative medicine (IM) research in New Mexico, where many unique cultural and traditional healing systems are still commonly used. A comprehensive search for all recent research studies relating to TCAM/IM in New Mexico was carried out by the author. The survey identified 14 research studies, both quantitative and qualitative, published from 1990 to 2004 that included subjects and data on New Mexico. The studies were grouped into the areas of traditional systems and beliefs, mind-body medicine, natural health products, and conventional providers and complementary and alternative medicine, and individual studies were summarized, with the author's commentary. The review confirms that patients in New Mexico from diverse cultures extensively use various forms of TCAM/IM, yet communication about this topic with conventional health care providers is not optimal. The results of this review will inform future education, research, and health care policy in New Mexico.
{"title":"Integrative Medicine Research in New Mexico: Lessons From the Published Literature","authors":"Brian M. Shelley","doi":"10.1177/1533210106291988","DOIUrl":"https://doi.org/10.1177/1533210106291988","url":null,"abstract":"This review provides an in-depth examination of traditional, complementary, and alternative medicine (TCAM) and/or integrative medicine (IM) research in New Mexico, where many unique cultural and traditional healing systems are still commonly used. A comprehensive search for all recent research studies relating to TCAM/IM in New Mexico was carried out by the author. The survey identified 14 research studies, both quantitative and qualitative, published from 1990 to 2004 that included subjects and data on New Mexico. The studies were grouped into the areas of traditional systems and beliefs, mind-body medicine, natural health products, and conventional providers and complementary and alternative medicine, and individual studies were summarized, with the author's commentary. The review confirms that patients in New Mexico from diverse cultures extensively use various forms of TCAM/IM, yet communication about this topic with conventional health care providers is not optimal. The results of this review will inform future education, research, and health care policy in New Mexico.","PeriodicalId":10611,"journal":{"name":"Complementary Health Practice Review","volume":"17 1","pages":"107 - 119"},"PeriodicalIF":0.0,"publicationDate":"2006-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78680678","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}
Pub Date : 2006-01-01DOI: 10.1177/1533210106296293
L. Gordon
{"title":"A Tribute to the Founding Editor of Complementary Health Practice Review: Rena Joyce Gordon, PhD","authors":"L. Gordon","doi":"10.1177/1533210106296293","DOIUrl":"https://doi.org/10.1177/1533210106296293","url":null,"abstract":"","PeriodicalId":10611,"journal":{"name":"Complementary Health Practice Review","volume":"29 1","pages":"193 - 194"},"PeriodicalIF":0.0,"publicationDate":"2006-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"77727852","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}
Pub Date : 2006-01-01DOI: 10.1177/1533210106288080
Darren Hendrickson, B. Zollinger, R. McCleary
The purpose of this research is to assess the social and health determinants of the use of four separate and distinct categories of complementary and alternative medical therapies: biologically based, mind-body, manipulative, and whole CAM medical systems. The behavioral model of health services use, which holds that health service use is a function of predisposing, enabling, and need characteristics, is used as the theoretical framework for linking specific determinants with the four categories of CAM use. Data are taken from a statewide interview survey of Kansas adults (N = 2,166) conducted in 2001. Results from multivariate analyses demonstrate that there is variation in the determinants of the use of different categories of CAM therapies. Overall, the results indicate that future research on the determinants of CAM must delineate between various CAM therapies to gain an accurate portrayal of the factors contributing to CAM use.
{"title":"Determinants of the Use of Four Categories of Complementary and Alternative Medicine","authors":"Darren Hendrickson, B. Zollinger, R. McCleary","doi":"10.1177/1533210106288080","DOIUrl":"https://doi.org/10.1177/1533210106288080","url":null,"abstract":"The purpose of this research is to assess the social and health determinants of the use of four separate and distinct categories of complementary and alternative medical therapies: biologically based, mind-body, manipulative, and whole CAM medical systems. The behavioral model of health services use, which holds that health service use is a function of predisposing, enabling, and need characteristics, is used as the theoretical framework for linking specific determinants with the four categories of CAM use. Data are taken from a statewide interview survey of Kansas adults (N = 2,166) conducted in 2001. Results from multivariate analyses demonstrate that there is variation in the determinants of the use of different categories of CAM therapies. Overall, the results indicate that future research on the determinants of CAM must delineate between various CAM therapies to gain an accurate portrayal of the factors contributing to CAM use.","PeriodicalId":10611,"journal":{"name":"Complementary Health Practice Review","volume":"33 1","pages":"26 - 3"},"PeriodicalIF":0.0,"publicationDate":"2006-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82435870","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}
Pub Date : 2006-01-01DOI: 10.1177/1533210106288823
Catherine P. Montalto, Vibha Bhargava, Gong-Soog Hong
Determinants of complementary and alternative medicine (CAM) use and characteristics of users are examined using a sample of 848 adults aged 50 and older from the 2000 Health and Retirement Survey. Logistic regression is used to identify the factors associated with the likelihood of using CAM. Nearly 70% of the respondents use at least one CAM modality, with 44% reporting use of curative CAM and 58% reporting use of preventive/curative CAM. Whites, relative to Blacks, were more likely to use curative and less likely to use preventive/curative CAM. Widowed older adults were more likely to use preventive/curative CAM. Number of limitations in activities of daily living was positively associated with use of both types of CAM. Recommendations are made for improving research on alternative health care utilization, for educating CAM users, and for qualitative studies to gain further insight into factors affecting the use of specific CAM modalities.
{"title":"Use of Complementary and Alternative Medicine by Older Adults: An Exploratory Study","authors":"Catherine P. Montalto, Vibha Bhargava, Gong-Soog Hong","doi":"10.1177/1533210106288823","DOIUrl":"https://doi.org/10.1177/1533210106288823","url":null,"abstract":"Determinants of complementary and alternative medicine (CAM) use and characteristics of users are examined using a sample of 848 adults aged 50 and older from the 2000 Health and Retirement Survey. Logistic regression is used to identify the factors associated with the likelihood of using CAM. Nearly 70% of the respondents use at least one CAM modality, with 44% reporting use of curative CAM and 58% reporting use of preventive/curative CAM. Whites, relative to Blacks, were more likely to use curative and less likely to use preventive/curative CAM. Widowed older adults were more likely to use preventive/curative CAM. Number of limitations in activities of daily living was positively associated with use of both types of CAM. Recommendations are made for improving research on alternative health care utilization, for educating CAM users, and for qualitative studies to gain further insight into factors affecting the use of specific CAM modalities.","PeriodicalId":10611,"journal":{"name":"Complementary Health Practice Review","volume":"1 1","pages":"27 - 46"},"PeriodicalIF":0.0,"publicationDate":"2006-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83032910","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}
Pub Date : 2006-01-01DOI: 10.1177/1533210106297989
David Berceli, Maria Napoli
The pervasiveness of traumatic events and the increasing awareness of their persistent and sometimes devastating effects on individuals and populations has repositioned trauma from a peripheral topic of interest for social workers to a mainstream subject of study. This article explores the personal and professional challenges that mass trauma presents to social workers and provides a rationale for, and description of, a proposed mindfulness-based trauma prevention program. This program is designed to guide social workers and other health professionals in learning effective self-directed techniques to maintain equanimity in the face of danger and human suffering, thereby reducing the incidence of secondary trauma and posttraumatic stress disorder. Components of the program include mindfulness of breathing, body scan, and trauma-releasing exercises.
{"title":"A Proposal for a Mindfulness-Based Trauma Prevention Program for Social Work Professionals","authors":"David Berceli, Maria Napoli","doi":"10.1177/1533210106297989","DOIUrl":"https://doi.org/10.1177/1533210106297989","url":null,"abstract":"The pervasiveness of traumatic events and the increasing awareness of their persistent and sometimes devastating effects on individuals and populations has repositioned trauma from a peripheral topic of interest for social workers to a mainstream subject of study. This article explores the personal and professional challenges that mass trauma presents to social workers and provides a rationale for, and description of, a proposed mindfulness-based trauma prevention program. This program is designed to guide social workers and other health professionals in learning effective self-directed techniques to maintain equanimity in the face of danger and human suffering, thereby reducing the incidence of secondary trauma and posttraumatic stress disorder. Components of the program include mindfulness of breathing, body scan, and trauma-releasing exercises.","PeriodicalId":10611,"journal":{"name":"Complementary Health Practice Review","volume":"7 1","pages":"153 - 165"},"PeriodicalIF":0.0,"publicationDate":"2006-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87405310","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}
Pub Date : 2006-01-01DOI: 10.1177/1533210106298060
P. Curtis, R. Coeytaux, Patrice Hapke
Acupuncture has become an accepted and validated part of Western mainstream medicine and is increasingly used by clinicians, midwives, and acupuncturists for reproductive care, induction of labor, and analgesia. Most studies of the effects of obstetrical acupuncture are descriptive, many in foreign languages. Only a few have evaluated efficacy. Results suggest that acupuncture ripens the cervix, initiates labor, reduces labor pain, and shortens the first stage of labor. There is some evidence suggesting that certain acupuncture points have very specific effects on the fetus and uterus, which may be mediated through the hypopituitary-thalamic axis or by local neurovascular stimulation. The substantial maternal hormonal changes occurring just before and during labor offer a unique opportunity to clarify the mechanisms of action of acupuncture. Using a conceptual model based on possible mechanisms of action of the use of acupuncture in obstetrics, the authors propose specific research questions into the physiology of acupuncture administered before and at parturition.
{"title":"Acupuncture for Birth Preparation and Delivery: How Investigating Mechanisms of Action Can Generate Research","authors":"P. Curtis, R. Coeytaux, Patrice Hapke","doi":"10.1177/1533210106298060","DOIUrl":"https://doi.org/10.1177/1533210106298060","url":null,"abstract":"Acupuncture has become an accepted and validated part of Western mainstream medicine and is increasingly used by clinicians, midwives, and acupuncturists for reproductive care, induction of labor, and analgesia. Most studies of the effects of obstetrical acupuncture are descriptive, many in foreign languages. Only a few have evaluated efficacy. Results suggest that acupuncture ripens the cervix, initiates labor, reduces labor pain, and shortens the first stage of labor. There is some evidence suggesting that certain acupuncture points have very specific effects on the fetus and uterus, which may be mediated through the hypopituitary-thalamic axis or by local neurovascular stimulation. The substantial maternal hormonal changes occurring just before and during labor offer a unique opportunity to clarify the mechanisms of action of acupuncture. Using a conceptual model based on possible mechanisms of action of the use of acupuncture in obstetrics, the authors propose specific research questions into the physiology of acupuncture administered before and at parturition.","PeriodicalId":10611,"journal":{"name":"Complementary Health Practice Review","volume":"26 1","pages":"176 - 192"},"PeriodicalIF":0.0,"publicationDate":"2006-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84525618","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}
Pub Date : 2006-01-01DOI: 10.1177/1533210106288291
K. Kemper, Deborah Larrimore, Jean Dozier, Charles R. Woods
This study assessed the impact of an elective for second-year students on cultivating compassion through complementary and alternative medicine practices including therapeutic touch and healing touch. Course participants completed demographic questions, precourse and postcourse questions about confidence and practice in compassion, and the Maslach Burnout Inventory. Those who completed the elective reported significant improvements in confidence, practice, and sense of personal achievement. For example, for the statement, “I am confident in being calm, peaceful and focused (centered) before and during patient encounters,” scores improved from 1.7 to 8.0 on a 10-point scale (p < .01). Optimism about future practice improved from 5.5 before to 7.9 after the course (p < .05). Scores significantly improved for confidence and practice of compassion and optimism about future practice. Such electives may improve desired skills and help reduce burnout. Additional research is needed to determine the impact of such electives on quality of care.
{"title":"Impact of a Medical School Elective in Cultivating Compassion Through Touch Therapies","authors":"K. Kemper, Deborah Larrimore, Jean Dozier, Charles R. Woods","doi":"10.1177/1533210106288291","DOIUrl":"https://doi.org/10.1177/1533210106288291","url":null,"abstract":"This study assessed the impact of an elective for second-year students on cultivating compassion through complementary and alternative medicine practices including therapeutic touch and healing touch. Course participants completed demographic questions, precourse and postcourse questions about confidence and practice in compassion, and the Maslach Burnout Inventory. Those who completed the elective reported significant improvements in confidence, practice, and sense of personal achievement. For example, for the statement, “I am confident in being calm, peaceful and focused (centered) before and during patient encounters,” scores improved from 1.7 to 8.0 on a 10-point scale (p < .01). Optimism about future practice improved from 5.5 before to 7.9 after the course (p < .05). Scores significantly improved for confidence and practice of compassion and optimism about future practice. Such electives may improve desired skills and help reduce burnout. Additional research is needed to determine the impact of such electives on quality of care.","PeriodicalId":10611,"journal":{"name":"Complementary Health Practice Review","volume":"20 1","pages":"47 - 56"},"PeriodicalIF":0.0,"publicationDate":"2006-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81203584","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}
Pub Date : 2006-01-01DOI: 10.1177/1533210106297033
Anna Schenström, S. Rönnberg, O. Bodlund
This pilot study explores feasibility and outcomes of a newly developed mindfulness-based cognitive attitude training program for health care personnel. The program was designed as an intervention to reduce the negative effects of stress on health care personnel, on both a personal and professional level, as well as to encourage personal well-being and improved management of the caregiver-patient relationship. The study group (n = 52) consisted of individuals from various categories of caregivers within a primary care setting. The study includes pre- and postintervention assessments and a 3-month follow-up assessment of levels of mindfulness (Mindfulness Attention Awareness Scale), quality of life (the WHO-5 Well-Being Questionnaire), and perceived stress (two VAS scales). As a group, course participants demonstrated significant positive changes reflected in all assessment scales after completing the course. These positive changes persisted at a 3-month follow-up assessment. The study results indicate the feasibility of this program and a need for continued research with a more powerful study design, possibly supplemented with a qualitative survey.
{"title":"Mindfulness-Based Cognitive Attitude Training for Primary Care Staff: A Pilot Study","authors":"Anna Schenström, S. Rönnberg, O. Bodlund","doi":"10.1177/1533210106297033","DOIUrl":"https://doi.org/10.1177/1533210106297033","url":null,"abstract":"This pilot study explores feasibility and outcomes of a newly developed mindfulness-based cognitive attitude training program for health care personnel. The program was designed as an intervention to reduce the negative effects of stress on health care personnel, on both a personal and professional level, as well as to encourage personal well-being and improved management of the caregiver-patient relationship. The study group (n = 52) consisted of individuals from various categories of caregivers within a primary care setting. The study includes pre- and postintervention assessments and a 3-month follow-up assessment of levels of mindfulness (Mindfulness Attention Awareness Scale), quality of life (the WHO-5 Well-Being Questionnaire), and perceived stress (two VAS scales). As a group, course participants demonstrated significant positive changes reflected in all assessment scales after completing the course. These positive changes persisted at a 3-month follow-up assessment. The study results indicate the feasibility of this program and a need for continued research with a more powerful study design, possibly supplemented with a qualitative survey.","PeriodicalId":10611,"journal":{"name":"Complementary Health Practice Review","volume":"75 1","pages":"144 - 152"},"PeriodicalIF":0.0,"publicationDate":"2006-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"88847587","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}
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