Complementary Therapies in Clinical Practice最新文献

Associations of physical activity, screen time, sleep duration with optimal eating habits among adolescents 青少年身体活动、屏幕时间、睡眠时间与最佳饮食习惯的关系

IF 2.2 3区医学 Q2 INTEGRATIVE & COMPLEMENTARY MEDICINE

Complementary Therapies in Clinical Practice

Pub Date : 2024-11-28 DOI: 10.1016/j.ctcp.2024.101933

Xing Xiang , Han Jiang

Objective

The aim of this study was to explore the associations of physical activity, screen time and sleep duration with various eating habits among children.

Methods

The data were collected from six surveys of the Youth Risk Behaviour Survey conducted in 2011, 2013, 2015, 2017, 2019, and 2021, with a total of 78, 697 participants with complete information. Information on demographic characteristics (e.g., sex, age), physical activity, screen time, sleep duration, and eating habits was collected via a self-reported questionnaire. A series of logistic regressions were used to assess the association between independents and outcomes. Results were presented as odds ratio (OR) with 95 % confidence interval (CI).

Results

A dose-response relationship was observed between the number of guidelines (i.e., physical activity, screen time, sleep) achieved by adolescents and improved eating habits compared to those not meeting any guidelines. For example, meeting any one (OR = 1.28, 95 % CI = 1.17–1.41), any two (OR = 1.47, 95 % CI = 1.33–1.62), and all three (OR = 2.13, 95 % CI = 1.73–2.61) guidelines were associated with more fruit consumption. Moreover, meeting all three guidelines was associated with a higher likelihood of meeting guidelines for fruit juice (OR = 1.41, 95 % CI = 1.23–1.60), fruit (OR = 2.13, 95 % CI = 1.74–2.62), other vegetables (OR = 1.56, 95 % CI = 1.33–1.84), milk (OR = 1.46, 95 % CI = 1.28–1.66), breakfast (OR = 2.80, 95 % CI = 2.41–3.25), and soda or pop (OR = 1.16, 95 % CI = 1.04–1.30) compared to not meeting any guidelines.

Conclusions

Findings from this population-based study indicate that meeting the combination of physical activity, screen time, sleep guidelines is associated with better eating habits. Notably, meeting the physical activity guidelines or its combination shows the strongest associations with favourable dietary habits among adolescents. Future research should further explore effective strategies to promote entire 24-h movement behaviours, especially physical activity, which can be useful to optimize eating habits in adolescents.

目的探讨儿童体育活动、屏幕时间和睡眠时间与不同饮食习惯的关系。方法收集2011年、2013年、2015年、2017年、2019年和2021年《青少年危险行为调查》6次调查的数据，共计78,697名信息完整的参与者。通过自我报告问卷收集了人口统计学特征（如性别、年龄）、身体活动、屏幕时间、睡眠时间和饮食习惯等信息。使用一系列逻辑回归来评估独立患者与结果之间的关联。结果以95%置信区间（CI）的优势比（OR）表示。结果与未达到任何指导方针的青少年相比，青少年达到的指导方针（即体力活动、屏幕时间、睡眠）的数量与改善的饮食习惯之间存在剂量-反应关系。例如，满足任何一项（OR = 1.28, 95% CI = 1.17-1.41）、任何两项（OR = 1.47, 95% CI = 1.33-1.62）和所有三项（OR = 2.13, 95% CI = 1.73-2.61）指南都与食用更多水果有关。此外，与不符合任何指南相比，符合所有三项指南与符合以下指南的可能性更高相关：果汁（OR = 1.41, 95% CI = 1.23-1.60）、水果（OR = 2.13, 95% CI = 1.74-2.62）、其他蔬菜（OR = 1.56, 95% CI = 1.33-1.84）、牛奶（OR = 1.46, 95% CI = 1.28-1.66）、早餐（OR = 2.80, 95% CI = 2.41-3.25）、苏打水或汽水（OR = 1.16, 95% CI = 1.01 - 1.30）。这项基于人群的研究结果表明，结合体育锻炼、屏幕时间和睡眠指南与更好的饮食习惯有关。值得注意的是，符合体育活动指南或两者结合表明，青少年良好的饮食习惯具有很强的相关性。未来的研究应进一步探索促进全天24小时运动行为的有效策略，特别是身体活动，这可能有助于优化青少年的饮食习惯。

{"title":"Associations of physical activity, screen time, sleep duration with optimal eating habits among adolescents","authors":"Xing Xiang , Han Jiang","doi":"10.1016/j.ctcp.2024.101933","DOIUrl":"10.1016/j.ctcp.2024.101933","url":null,"abstract":"<div><h3>Objective</h3><div>The aim of this study was to explore the associations of physical activity, screen time and sleep duration with various eating habits among children.</div></div><div><h3>Methods</h3><div>The data were collected from six surveys of the Youth Risk Behaviour Survey conducted in 2011, 2013, 2015, 2017, 2019, and 2021, with a total of 78, 697 participants with complete information. Information on demographic characteristics (e.g., sex, age), physical activity, screen time, sleep duration, and eating habits was collected via a self-reported questionnaire. A series of logistic regressions were used to assess the association between independents and outcomes. Results were presented as odds ratio (OR) with 95 % confidence interval (CI).</div></div><div><h3>Results</h3><div>A dose-response relationship was observed between the number of guidelines (i.e., physical activity, screen time, sleep) achieved by adolescents and improved eating habits compared to those not meeting any guidelines. For example, meeting any one (OR = 1.28, 95 % CI = 1.17–1.41), any two (OR = 1.47, 95 % CI = 1.33–1.62), and all three (OR = 2.13, 95 % CI = 1.73–2.61) guidelines were associated with more fruit consumption. Moreover, meeting all three guidelines was associated with a higher likelihood of meeting guidelines for fruit juice (OR = 1.41, 95 % CI = 1.23–1.60), fruit (OR = 2.13, 95 % CI = 1.74–2.62), other vegetables (OR = 1.56, 95 % CI = 1.33–1.84), milk (OR = 1.46, 95 % CI = 1.28–1.66), breakfast (OR = 2.80, 95 % CI = 2.41–3.25), and soda or pop (OR = 1.16, 95 % CI = 1.04–1.30) compared to not meeting any guidelines.</div></div><div><h3>Conclusions</h3><div>Findings from this population-based study indicate that meeting the combination of physical activity, screen time, sleep guidelines is associated with better eating habits. Notably, meeting the physical activity guidelines or its combination shows the strongest associations with favourable dietary habits among adolescents. Future research should further explore effective strategies to promote entire 24-h movement behaviours, especially physical activity, which can be useful to optimize eating habits in adolescents.</div></div>","PeriodicalId":48752,"journal":{"name":"Complementary Therapies in Clinical Practice","volume":"58 ","pages":"Article 101933"},"PeriodicalIF":2.2,"publicationDate":"2024-11-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142759716","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Practitioner characteristics of osteopaths who treat pregnant women and children: An Australasian perspective from two practice-based research networks 治疗孕妇和儿童的骨科医生的从业特点：从两个以实践为基础的研究网络看澳大利亚的视角

IF 2.2 3区医学 Q2 INTEGRATIVE & COMPLEMENTARY MEDICINE

Complementary Therapies in Clinical Practice

Pub Date : 2024-11-22 DOI: 10.1016/j.ctcp.2024.101929

Amie Steel , Jerry Draper-Rodi , Michael Fleischmann , Chantal Morin , Ana Paula-Feriera , Brett Vaughan , Paul Orrock

Background

Although there is evidence supporting positive outcomes for osteopathic healthcare during pregnancy and post-natal phases, there is very little that describes the practice and management characteristics of osteopaths providing this healthcare. The aim of this study is to describe the specific characteristics of Australian and New Zealand osteopaths who often treat pregnant women and children.

Material and methods

The study is a secondary analysis of data from osteopathy practice-based research networks (PBRN) in Australia and New Zealand. Chi-square tests were used to explore associations between practitioner and practice characteristics among osteopaths who report often providing care to children (aged up to 3 years, or between 4 and 18 years) and pregnant women, and those who do not. Backward logistic regression was used to identify significant predictors of Australian osteopaths who report often providing care to children (aged up to 3 years, or between 4 and 18 years) and pregnant women.

Results

One third (33.4 %) of surveyed Australian and New Zealand osteopaths (n = 1269) indicated they treat pregnant patients often, while 18.3 % indicated they often treat children up to 3 years old, and 28.7 % indicated often treating children between 4 and 18 years old. Osteopaths who treated pregnant women and children were more likely to be female and to have 15 years or more of clinical experience. Osteopaths who treated pregnant women were more likely to often treat patients up three years old, compared to osteopaths who reported not often treating pregnant women.

Conclusion

These characteristics suggest osteopaths who provide care to pregnant women are more commonly female, and female osteopaths are more likely to treat children under 3 years old.

背景虽然有证据支持孕期和产后阶段的骨科医疗保健能带来积极的效果，但对提供此类医疗保健服务的骨科医生的实践和管理特点却鲜有描述。本研究旨在描述澳大利亚和新西兰经常为孕妇和儿童提供治疗的骨科医生的具体特点。材料与方法本研究是对澳大利亚和新西兰骨科实践研究网络（PBRN）数据的二次分析。研究采用卡方检验法来探讨经常为儿童（3 岁以下或 4 至 18 岁之间）和孕妇提供治疗的骨科医生与不经常提供治疗的骨科医生之间的从业人员和执业特征之间的关联。结果三分之一（33.4%）的受访澳大利亚和新西兰骨科医生（n = 1269）表示他们经常治疗孕妇患者，18.3%表示他们经常治疗3岁以下的儿童，28.7%表示他们经常治疗4至18岁的儿童。治疗孕妇和儿童的骨科医生多为女性，并拥有 15 年或以上的临床经验。与不经常治疗孕妇的骨科医生相比，治疗孕妇的骨科医生更有可能经常治疗 3 岁以下的患者。

{"title":"Practitioner characteristics of osteopaths who treat pregnant women and children: An Australasian perspective from two practice-based research networks","authors":"Amie Steel , Jerry Draper-Rodi , Michael Fleischmann , Chantal Morin , Ana Paula-Feriera , Brett Vaughan , Paul Orrock","doi":"10.1016/j.ctcp.2024.101929","DOIUrl":"10.1016/j.ctcp.2024.101929","url":null,"abstract":"<div><h3>Background</h3><div>Although there is evidence supporting positive outcomes for osteopathic healthcare during pregnancy and post-natal phases, there is very little that describes the practice and management characteristics of osteopaths providing this healthcare. The aim of this study is to describe the specific characteristics of Australian and New Zealand osteopaths who often treat pregnant women and children.</div></div><div><h3>Material and methods</h3><div>The study is a secondary analysis of data from osteopathy practice-based research networks (PBRN) in Australia and New Zealand. Chi-square tests were used to explore associations between practitioner and practice characteristics among osteopaths who report <em>often</em> providing care to children (aged up to 3 years, or between 4 and 18 years) and pregnant women, and those who do not. Backward logistic regression was used to identify significant predictors of Australian osteopaths who report <em>often</em> providing care to children (aged up to 3 years, or between 4 and 18 years) and pregnant women.</div></div><div><h3>Results</h3><div>One third (33.4 %) of surveyed Australian and New Zealand osteopaths (n = 1269) indicated they treat pregnant patients <em>often,</em> while 18.3 % indicated they <em>often</em> treat children up to 3 years old, and 28.7 % indicated <em>often</em> treating children between 4 and 18 years old. Osteopaths who treated pregnant women and children were more likely to be female and to have 15 years or more of clinical experience. Osteopaths who treated pregnant women were more likely to <em>often</em> treat patients up three years old, compared to osteopaths who reported <em>not often</em> treating pregnant women.</div></div><div><h3>Conclusion</h3><div>These characteristics suggest osteopaths who provide care to pregnant women are more commonly female, and female osteopaths are more likely to treat children under 3 years old.</div></div>","PeriodicalId":48752,"journal":{"name":"Complementary Therapies in Clinical Practice","volume":"58 ","pages":"Article 101929"},"PeriodicalIF":2.2,"publicationDate":"2024-11-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142720169","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Effectiveness of neuromuscular electrical stimulation on venous thromboprophylaxis in surgical patients: A systematic review and meta-analysis 神经肌肉电刺激对手术患者静脉血栓预防的效果：系统回顾和荟萃分析。

IF 2.2 3区医学 Q2 INTEGRATIVE & COMPLEMENTARY MEDICINE

Complementary Therapies in Clinical Practice

Pub Date : 2024-11-15 DOI: 10.1016/j.ctcp.2024.101932

Jin Yang , Haiou Qi , Jingying Huang , Miaomiao Xu , Zihao Xue , Yina Wang

Background and purpose

The effectiveness of neuromuscular electrical stimulation (NMES) for venous thromboprophylaxis is still debatable. This systematic review and meta-analysis evaluated the effectiveness and safety of NMES among surgical patients undergoing elective surgery.

Methods

Randomized controlled trials (RCTs) and quasi-experimental studies were retrieved from PubMed, Embase, Cochrane Central Register of Controlled Trials, Web of Science, CINAHL, Wanfang, China National Knowledge Infrastructure and Chinese Biomedical Database from their inception to February 1st, 2024. Two reviewers independently assessed, extracted, and appraised the included studies. The meta-analyses incorporated two primary comparisons: NMES versus basic thromboprophylaxis and NMES versus other mechanical thromboprophylaxis. The Grading of Recommendations, Assessment, Development, and Evaluation (GRADE) approach was used to assess the certainty of evidence.

Results

Sixteen studies involving 1685 participants were analysed, with all outcomes being assessed within 14 days postoperatively. Compared with basic thromboprophylaxis and graduated compression stockings, NMES significantly reduced the incidence of postoperative deep venous thrombosis (all p < 0.05). Compared with basic thromboprophylaxis and other mechanical basic thromboprophylaxis, NMES significantly improved postoperative D-dimer level and femoral venous peak velocity (all p < 0.05). No studies reported NMES device-related adverse events. The GRADE results showed low to very low certainty levels of evidence.

Conclusion

NMES is a promising mechanical strategy for venous thromboprophylaxis in surgical patients. High-quality RCTs are required to elucidate the therapeutic benefits of NMES compared to other mechanical prevention methods and to standardize its clinical application.

背景和目的：神经肌肉电刺激（NMES）用于静脉血栓预防的有效性仍存在争议。本系统综述和荟萃分析评估了神经肌肉电刺激在择期手术患者中的有效性和安全性：方法：从 PubMed、Embase、Cochrane Central Register of Controlled Trials、Web of Science、CINAHL、万方数据库、中国国家知识基础设施和中国生物医学数据库中检索了从开始到 2024 年 2 月 1 日的随机对照试验（RCT）和准实验研究。两位审稿人对纳入的研究进行了独立评估、提取和鉴定。荟萃分析包括两项主要比较：NMES 与基本血栓预防疗法的比较，以及 NMES 与其他机械血栓预防疗法的比较。采用建议、评估、发展和评价分级法（GRADE）评估证据的确定性：对涉及 1685 名参与者的 16 项研究进行了分析，所有结果均在术后 14 天内进行评估。与基本的血栓预防措施和渐进式弹力袜相比，NMES能显著降低术后深静脉血栓的发生率（均为P 结论：NMES是一种很有前景的机械性血栓预防措施：NMES 是一种很有前景的外科手术患者静脉血栓预防机械策略。要阐明 NMES 与其他机械预防方法相比的治疗效果，并规范其临床应用，还需要进行高质量的 RCT 研究。

{"title":"Effectiveness of neuromuscular electrical stimulation on venous thromboprophylaxis in surgical patients: A systematic review and meta-analysis","authors":"Jin Yang , Haiou Qi , Jingying Huang , Miaomiao Xu , Zihao Xue , Yina Wang","doi":"10.1016/j.ctcp.2024.101932","DOIUrl":"10.1016/j.ctcp.2024.101932","url":null,"abstract":"<div><h3>Background and purpose</h3><div>The effectiveness of neuromuscular electrical stimulation (NMES) for venous thromboprophylaxis is still debatable. This systematic review and meta-analysis evaluated the effectiveness and safety of NMES among surgical patients undergoing elective surgery.</div></div><div><h3>Methods</h3><div>Randomized controlled trials (RCTs) and quasi-experimental studies were retrieved from PubMed, Embase, Cochrane Central Register of Controlled Trials, Web of Science, CINAHL, Wanfang, China National Knowledge Infrastructure and Chinese Biomedical Database from their inception to February 1st, 2024. Two reviewers independently assessed, extracted, and appraised the included studies. The meta-analyses incorporated two primary comparisons: NMES versus basic thromboprophylaxis and NMES versus other mechanical thromboprophylaxis. The Grading of Recommendations, Assessment, Development, and Evaluation (GRADE) approach was used to assess the certainty of evidence.</div></div><div><h3>Results</h3><div>Sixteen studies involving 1685 participants were analysed, with all outcomes being assessed within 14 days postoperatively. Compared with basic thromboprophylaxis and graduated compression stockings, NMES significantly reduced the incidence of postoperative deep venous thrombosis (all <em>p</em> < 0.05). Compared with basic thromboprophylaxis and other mechanical basic thromboprophylaxis, NMES significantly improved postoperative D-dimer level and femoral venous peak velocity (all <em>p</em> < 0.05). No studies reported NMES device-related adverse events. The GRADE results showed low to very low certainty levels of evidence.</div></div><div><h3>Conclusion</h3><div>NMES is a promising mechanical strategy for venous thromboprophylaxis in surgical patients. High-quality RCTs are required to elucidate the therapeutic benefits of NMES compared to other mechanical prevention methods and to standardize its clinical application.</div></div>","PeriodicalId":48752,"journal":{"name":"Complementary Therapies in Clinical Practice","volume":"58 ","pages":"Article 101932"},"PeriodicalIF":2.2,"publicationDate":"2024-11-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142688761","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

“There is a way to work together”: A qualitative study on complementary medicine therapists' perceptions of their role in the Swiss healthcare system "有一种合作方式"：补充医学治疗师对其在瑞士医疗保健系统中的作用的定性研究。

IF 2.2 3区医学 Q2 INTEGRATIVE & COMPLEMENTARY MEDICINE

Complementary Therapies in Clinical Practice

Pub Date : 2024-11-09 DOI: 10.1016/j.ctcp.2024.101919

Julie Dubois , Pierre-Yves Rodondi , Christina Akre

Background and purpose

Complementary medicine has been undergoing a process of regulation and professionalization in many countries where the biomedical model is dominant. However, little is known about therapists' opinions regarding these changes. The aim of the study was thus to explore therapists’ views on the regulation of their practice and on collaboration between CM and biomedicine.

Materials and methods

We conducted this qualitative descriptive study by means of focus groups consisting of non-physician acupuncturists, naturopaths, and osteopaths in two cantons of Switzerland. A qualitative content analysis was carried out on the verbatim transcripts of the focus groups.

Results

Four main themes were identified: contributions to the healthcare system, collaboration with biomedicine, pathways to recognition, and integrative medicine. Therapists defined their role in the healthcare system in comparison to biomedicine, allowing them to highlight how they could complement it. They also noted an improved relationship with biomedicine, while highlighting the remaining barriers to optimal collaboration. Different ways were mentioned to achieve a higher level of recognition: better educating and informing physicians about CM, structured training of therapists that is federally recognized, state regulation, and development of scientific research on CM. Finally, although unfamiliar with the concept, therapists defined integrative medicine as horizontal collaboration between CM and biomedicine.

Conclusion

Despite the differences between the three CM practiced by the therapists, they produced fairly similar discourse regarding aspirations and concerns in the face of integration. This discourse should be considered in order to facilitate the integration of CM in the Swiss healthcare system.

背景和目的：在生物医学模式占主导地位的许多国家，辅助医疗一直在经历监管和专业化的过程。然而，治疗师对这些变化的看法却鲜为人知。因此，本研究旨在探讨治疗师对其执业监管以及中医与生物医学之间合作的看法：我们通过焦点小组的方式开展了这项定性描述性研究，小组成员包括瑞士两个州的非医师针灸师、自然疗法师和整骨疗法师。我们对焦点小组的逐字记录进行了定性内容分析：结果发现了四大主题：对医疗保健系统的贡献、与生物医学的合作、获得认可的途径以及综合医学。与生物医学相比，治疗师定义了他们在医疗保健系统中的角色，使他们能够强调如何对其进行补充。他们还注意到与生物医学的关系有所改善，同时强调了最佳合作的其余障碍。他们提到了实现更高水平认可的不同方法：更好地教育和告知医生有关中药的知识、对治疗师进行联邦认可的结构化培训、国家监管以及发展有关中药的科学研究。最后，尽管治疗师对这一概念并不熟悉，但他们将整合医学定义为中医与生物医学之间的横向合作：尽管治疗师所从事的三种中医学之间存在差异，但他们在面对整合时所表达的愿望和担忧却相当相似。为了促进中医学与瑞士医疗保健系统的融合，应该考虑到这些论述。

{"title":"“There is a way to work together”: A qualitative study on complementary medicine therapists' perceptions of their role in the Swiss healthcare system","authors":"Julie Dubois , Pierre-Yves Rodondi , Christina Akre","doi":"10.1016/j.ctcp.2024.101919","DOIUrl":"10.1016/j.ctcp.2024.101919","url":null,"abstract":"<div><h3>Background and purpose</h3><div>Complementary medicine has been undergoing a process of regulation and professionalization in many countries where the biomedical model is dominant. However, little is known about therapists' opinions regarding these changes. The aim of the study was thus to explore therapists’ views on the regulation of their practice and on collaboration between CM and biomedicine.</div></div><div><h3>Materials and methods</h3><div>We conducted this qualitative descriptive study by means of focus groups consisting of non-physician acupuncturists, naturopaths, and osteopaths in two cantons of Switzerland. A qualitative content analysis was carried out on the verbatim transcripts of the focus groups.</div></div><div><h3>Results</h3><div>Four main themes were identified: contributions to the healthcare system, collaboration with biomedicine, pathways to recognition, and integrative medicine. Therapists defined their role in the healthcare system in comparison to biomedicine, allowing them to highlight how they could complement it. They also noted an improved relationship with biomedicine, while highlighting the remaining barriers to optimal collaboration. Different ways were mentioned to achieve a higher level of recognition: better educating and informing physicians about CM, structured training of therapists that is federally recognized, state regulation, and development of scientific research on CM. Finally, although unfamiliar with the concept, therapists defined integrative medicine as horizontal collaboration between CM and biomedicine.</div></div><div><h3>Conclusion</h3><div>Despite the differences between the three CM practiced by the therapists, they produced fairly similar discourse regarding aspirations and concerns in the face of integration. This discourse should be considered in order to facilitate the integration of CM in the Swiss healthcare system.</div></div>","PeriodicalId":48752,"journal":{"name":"Complementary Therapies in Clinical Practice","volume":"58 ","pages":"Article 101919"},"PeriodicalIF":2.2,"publicationDate":"2024-11-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142683889","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Effects of mind-body exercise in children with cerebral palsy—A systematic review and meta-analysis 身心锻炼对脑瘫儿童的影响--系统回顾和荟萃分析。

IF 2.2 3区医学 Q2 INTEGRATIVE & COMPLEMENTARY MEDICINE

Complementary Therapies in Clinical Practice

Pub Date : 2024-11-08 DOI: 10.1016/j.ctcp.2024.101930

Ye Long , Xinping Jiang , Juan Li , Bingxue Liu

Background and purpose

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.

Materials and methods

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.

Results

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, P = 0.006). There was no significant difference in the effect of mind-body exercise on walking function in children with CP (SMD = −0.23, P = 0.58).

Conclusion

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.

Prospero registration number

CRD42024534257.

背景和目的：越来越多的研究调查了身心锻炼在治疗脑瘫（CP）儿童方面的疗效。然而，这些研究的结果并不一致。本研究的目的是评估身心锻炼对脑瘫儿童的影响，以提供更确凿的结果：从开始到 2024 年 5 月，在 PubMed、Cochrane、Embase、Web of Science 和 Ovid 数据库中进行了全面检索。一名研究人员提取数据，包括第一作者、研究类型、国家、发表年份、人群、年龄、样本大小、干预细节和结果，并由另一名研究人员核实数据的准确性。使用Review Manager 5.4（RevMan 5.4）和StataNow/MP 18.5软件对纳入的研究进行分析，使用漏斗图检查发表偏倚，并通过敏感性分析评估结果的稳定性：荟萃分析共纳入了 6 项符合条件的研究，包括 173 名患者。荟萃分析结果表明，心身锻炼可改善CP患儿的平衡功能（SMD = 0.48，P = 0.006）。心身锻炼对CP患儿行走功能的影响无明显差异（SMD = -0.23，P = 0.58）：结论：与常规护理和康复训练相比，心身锻炼可为改善CP患儿的平衡功能提供一种安全、便捷的方法，但对CP患儿的行走功能没有统计学意义上的明显有益影响：CRD42024534257。

{"title":"Effects of mind-body exercise in children with cerebral palsy—A systematic review and meta-analysis","authors":"Ye Long , Xinping Jiang , Juan Li , 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}

引用次数: 0

The effects of virtual reality on pain, anxiety, and comfort during the chest tube removal procedure: A randomized clinical trial 虚拟现实对拔除胸管过程中疼痛、焦虑和舒适度的影响：随机临床试验。

IF 2.2 3区医学 Q2 INTEGRATIVE & COMPLEMENTARY MEDICINE

Complementary Therapies in Clinical Practice

Pub Date : 2024-11-08 DOI: 10.1016/j.ctcp.2024.101931

Hale Seçer , Ayşegül Yayla

Purpose

The purpose of the current study is to determine the effects of virtual reality on pain, anxiety, and comfort during chest tube removal.

Materials and methods

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 t-test, independent sample t-test, Mann-Whitney U 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.”

Results

The groups had similar descriptive characteristics (p > 0.05). The pre-procedural mean pain, anxiety, and comfort scores were similar in the two groups (p > 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 < 0.05).

Conclusion

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.

目的：本研究旨在确定虚拟现实技术对胸管拔除过程中的疼痛、焦虑和舒适度的影响：研究于 2023 年 1 月至 2024 年 4 月在阿塔图尔克大学健康实践与研究医院心血管外科进行。研究以随机对照实验的形式进行，采用前测-后测对照组。82名患者（干预组和对照组各41名）参与了研究。干预组患者在拔除胸管时佩戴虚拟现实眼镜观看视频。研究采用 "描述性信息表"、"视觉模拟量表"、"口头疼痛量表"、"状态焦虑量表 "和 "舒适度量表 "收集数据。数据评估采用了数量、百分比、平均值、标准差、卡方检验、配对样本 t 检验、独立样本 t 检验、曼-惠特尼 U 检验、威尔科克森检验和线性回归分析等方法。我们的研究已录入临床试验数据库，方案编号为 "NCT06550323"：两组具有相似的描述性特征（P > 0.05）。两组患者术前平均疼痛、焦虑和舒适度评分相似（P > 0.05）。与对照组相比，干预组的术后平均 VAS 和口头疼痛评分、平均焦虑评分和舒适度评分均较低（P 结论：干预组和对照组的术后平均疼痛评分、平均焦虑评分和舒适度评分均较高（P > 0.05）：研究结果表明，虚拟现实技术大大减轻了胸管拔除过程中的疼痛和焦虑，同时提高了舒适度。因此，建议在拔除胸管时使用虚拟现实技术。

{"title":"The effects of virtual reality on pain, anxiety, and comfort during the chest tube removal procedure: A randomized clinical trial","authors":"Hale Seçer , 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 > 0.05). The pre-procedural mean pain, anxiety, and comfort scores were similar in the two groups (p > 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 < 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}

引用次数: 0

Optimizing lifestyle behaviors to support healthy body-mind 优化生活方式，促进身心健康。

IF 2.2 3区医学 Q2 INTEGRATIVE & COMPLEMENTARY MEDICINE

Complementary Therapies in Clinical Practice

Pub Date : 2024-11-01 DOI: 10.1016/j.ctcp.2024.101912

Yanping Gao, Qian Yu, Yu-Bu Wang, Zhihao Zhang, Yanxia Chen, Jin Kuang, Meijun Hou, Zijun Liu, Kaiqi Guan, Jinming Li, Alyx Taylor, Liye Zou

引用次数: 0

‘Excellent for mind, body and spirit’: Participant, facilitator, and community stakeholder experiences of Music and Movement for Health 对心智、身体和精神都有极好的帮助"：音乐和运动促进健康的参与者、促进者和社区利益相关者的经验。

IF 2.2 3区医学 Q2 INTEGRATIVE & COMPLEMENTARY MEDICINE

Complementary Therapies in Clinical Practice

Pub Date : 2024-10-12 DOI: 10.1016/j.ctcp.2024.101917

Nicola O'Malley , Siobhán O'Reilly , Steven Byrne , Pui-Sze Cheung , Caroline Fitzell , Orfhlaith NiBhriain , Hilary Moss , Rosemary Joan Gowran , Quinette Louw , Catherine Woods , Desmond O'Neill , Liam Glynn , Mary Cavanagh , Catherine Maher , Jon Salsberg , Lehana Thabane , Amanda M. Clifford

Background and purpose

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.

Materials and methods

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.

Results

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.

Conclusion

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.

Trial registration

ISRCTN35313497.

背景和目的：以艺术为基础的干预措施是老年人健康研究的一个新兴领域。音乐和运动促进健康（MMH）就是这样一种系统开发的跨学科艺术干预措施，旨在增强老年人的健康和福祉。本定性研究的目的是探索音乐与运动促进健康干预的参与者、促进者和社区利益相关者的意见和经验：这项嵌入式定性研究是对 MMH 干预措施进行更广泛评估的一部分。参与本研究的样本包括完成 MMH 的老年人（n = 71）、促进者（n = 8）和社区利益相关者（n = 4）。通过焦点小组和电话/虚拟访谈相结合的方式收集数据。采用归纳式主题分析法对数据进行了分析：数据分析产生了 "就地积极养老 "这一总主题，其中包括两个主题：（1）"运动与艺术的交汇 "和（2）"培养归属感"，以及五个次主题。MMH "被视为一种独特的以艺术为基础的干预措施，它结合了参与者对音乐和舞蹈的兴趣，并具有许多可感知的生理和心理益处。此外，MMH 还为老年人提供了例行活动和社交机会，这在 COVID-19 大流行之后尤为重要：结论：通过艺术来锻炼身体让许多老年人感到愉悦，并因此产生了积极的身体和心理效果。因此，利用艺术干预来促进老年人的健康和社交机会值得进一步研究：试验注册：ISRCTN35313497。

{"title":"‘Excellent for mind, body and spirit’: Participant, facilitator, and community stakeholder experiences of Music and Movement for Health","authors":"Nicola O'Malley , Siobhán O'Reilly , Steven Byrne , Pui-Sze Cheung , Caroline Fitzell , Orfhlaith NiBhriain , Hilary Moss , Rosemary Joan Gowran , Quinette Louw , Catherine Woods , Desmond O'Neill , Liam Glynn , Mary Cavanagh , Catherine Maher , Jon Salsberg , Lehana Thabane , 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}

引用次数: 0

Recent trends and disparities in screen-based sedentary behavior and physical activity among U.S. overweight youth, 2018–2022 2018-2022 年美国超重青少年基于屏幕的久坐行为和体育活动的最新趋势和差异

IF 2.2 3区医学 Q2 INTEGRATIVE & COMPLEMENTARY MEDICINE

Complementary Therapies in Clinical Practice

Pub Date : 2024-10-11 DOI: 10.1016/j.ctcp.2024.101910

Yongsheng Sun , Ding Yuan

Background

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.

Methods

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.

Results

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 (p = 0.07). The estimated prevalence of overweight youth meeting the ≤2 h/day ST guideline decreased from 44.6 % to 30.0 % (p = 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 (p = 0.6).

Discussion

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.

背景久坐行为（SB）和体力活动（PA）是影响超重儿童和青少年健康结果的关键因素。然而，近期美国超重青少年SB和PA趋势的变化并没有得到很好的描述，这限制了循证临床和公共卫生干预措施的发展。方法利用美国全国儿童健康调查（NSCH）中关于美国6-17岁超重青少年的数据进行序列横断面分析，时间跨度为2018年至2022年。采用线性回归模型来分析时间趋势，以调查年份作为接触时间，以娱乐性屏幕时间（ST）、≤2 小时/天 ST 准则遵守情况和≥1 小时/天 PA 准则遵守情况作为结果。结果分析了 11865 人（平均年龄 12.3 岁 [SD 2.9]；6417 [52.3 %] 女孩）的数据。从 2018 年到 2022 年，超重青少年的平均 ST 持续时间从每天 3.7 小时增加到 4.1 小时，增长具有统计学意义（p = 0.07）。符合≤2 小时/天 ST 准则的超重青少年的估计患病率从 44.6% 降至 30.0%（p = 0.007）。讨论在这个具有全国代表性的美国超重青少年样本中，ST 在五年观察期内增加了近 0.4 小时/天，而遵守 ST 指南≤2 小时/天的比例则有所下降。每天运动时间≥1 小时的标准遵守率一直很低。这些模式在不同的社会人口亚群（年龄组、性别、种族和家庭收入）中是一致的。这些发现强调了加强针对美国青少年的公共卫生措施的必要性，以减少娱乐屏幕时间并促进积极的体育生活方式。

{"title":"Recent trends and disparities in screen-based sedentary behavior and physical activity among U.S. overweight youth, 2018–2022","authors":"Yongsheng Sun , 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}

引用次数: 0

The use of respiratory patient reported outcome measures (PROMs) in the management of COPD: Perceptions of Australian osteopaths 在慢性阻塞性肺病（COPD）管理中使用呼吸系统患者报告结果测量法（PROMs）：澳大利亚骨科医生的看法

IF 2.2 3区医学 Q2 INTEGRATIVE & COMPLEMENTARY MEDICINE

Complementary Therapies in Clinical Practice

Pub Date : 2024-10-11 DOI: 10.1016/j.ctcp.2024.101918

Roger Engel , Danielle Baxter , Lee Muddle , Brett Vaughan , Sandra Grace

Background

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.

Methods

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.

Results

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).

Conclusion

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.

背景患者报告结果测量法（PROMs）被广泛用于收集患者对其健康状况和治疗结果的看法，并使从业人员能够评估干预措施的有效性。本研究旨在探讨澳大利亚骨科医生对在慢性肺部疾病管理中使用呼吸系统 PROMS 的看法。方法本研究借鉴了社会生态模型（SEM），该模型强调了环境结构和过程的相互依存性。最初参与一项大型混合方法研究的骨科医生应邀参加了半结构化访谈。结果在最初的研究中，有七位骨科医生接受了访谈。当遇到同时患有呼吸系统疾病的患者时，他们将注意力集中在该疾病的肌肉骨骼方面（个人内部因素）。据参与者描述，他们在实践中很少使用肌肉骨骼和生活质量的 PROMs，而很少使用呼吸系统的 PROMs（个人内部和组织因素）。结论个人和环境因素是导致参与者很少使用呼吸系统 PROMs 的主要原因。为促进多学科患者护理，需要进一步开展有关骨科医生在慢性肺部疾病管理和呼吸道PROMS使用方面的范围和贡献的教育。

{"title":"The use of respiratory patient reported outcome measures (PROMs) in the management of COPD: Perceptions of Australian osteopaths","authors":"Roger Engel , Danielle Baxter , Lee Muddle , Brett Vaughan , 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}

引用次数: 0