Pub Date : 2023-07-20DOI: 10.21926/obm.icm.2303030
Tammy Lennox, A. Kennedy
The current article describes the application of the Compassion Focussed (CF) formulation to the interaction between individuals and their social context. The standard CF formulation [1] would see the person’s fears as inadvertently reinforced by their attempts to cope with the underlying issue. However, sometimes such attempts to cope can also reinforce the fears of another person or party. Interpersonal CF formulations could provide a compassionate, non-blaming way of enlightening people in their interactions to remove blame and focus intervention plans on what is helpful for each party, in the context of their difficulties. This article describes two examples of intersubjective Compassion Focussed formulation. The first application is to two individuals in a relationship. The second application is in understanding the hermeneutics between an individual and an organisation or system.
{"title":"Using Structured Compassion Focused Formulations Towards Change in Couples and Organisations","authors":"Tammy Lennox, A. Kennedy","doi":"10.21926/obm.icm.2303030","DOIUrl":"https://doi.org/10.21926/obm.icm.2303030","url":null,"abstract":"The current article describes the application of the Compassion Focussed (CF) formulation to the interaction between individuals and their social context. The standard CF formulation [1] would see the person’s fears as inadvertently reinforced by their attempts to cope with the underlying issue. However, sometimes such attempts to cope can also reinforce the fears of another person or party. Interpersonal CF formulations could provide a compassionate, non-blaming way of enlightening people in their interactions to remove blame and focus intervention plans on what is helpful for each party, in the context of their difficulties. This article describes two examples of intersubjective Compassion Focussed formulation. The first application is to two individuals in a relationship. The second application is in understanding the hermeneutics between an individual and an organisation or system.","PeriodicalId":74333,"journal":{"name":"OBM integrative and complimentary medicine","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-07-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45608300","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 : 2023-07-19DOI: 10.21926/obm.icm.2303029
Deborah Sharpe, Lisa Hinz
This study explored how the global COVID-19 pandemic changed the ways in which art therapists use art in their therapeutic practice. Art has repeatedly been linked to healing in a variety of settings, but generally art therapists have been accustomed to conducting therapy sessions in person. Prior to the pandemic most art therapists preferred in-person sessions for a variety of therapeutic reasons. Although there are clearly downsides to meeting remotely, there have been unforeseen advantages, as well. The present study surveyed 74 art therapists from around the world to understand the changes to art therapy practice that occurred during and after COVID-19. A selection of nine individuals participated in follow-up interviews to clarify and amplify survey findings. Changes to art therapeutic practices, as well as the challenges and benefits of conducting art remotely were highlighted in quantitative and qualitative data analyses. Qualitative data analysis highlighted art therapists’ creativity and resilience in adapting their practices to the new telehealth format. Telehealth practices initiated by the COVID-19 pandemic are here to stay. This study generated a list of practical suggestions for working effectively with art therapy clients at a distance. Future research should focus on creating best practice guidelines for art therapists who will continue to provide online therapy services.
{"title":"The Course of COVID: How the Pandemic Changed Art Therapy Practice","authors":"Deborah Sharpe, Lisa Hinz","doi":"10.21926/obm.icm.2303029","DOIUrl":"https://doi.org/10.21926/obm.icm.2303029","url":null,"abstract":"This study explored how the global COVID-19 pandemic changed the ways in which art therapists use art in their therapeutic practice. Art has repeatedly been linked to healing in a variety of settings, but generally art therapists have been accustomed to conducting therapy sessions in person. Prior to the pandemic most art therapists preferred in-person sessions for a variety of therapeutic reasons. Although there are clearly downsides to meeting remotely, there have been unforeseen advantages, as well. The present study surveyed 74 art therapists from around the world to understand the changes to art therapy practice that occurred during and after COVID-19. A selection of nine individuals participated in follow-up interviews to clarify and amplify survey findings. Changes to art therapeutic practices, as well as the challenges and benefits of conducting art remotely were highlighted in quantitative and qualitative data analyses. Qualitative data analysis highlighted art therapists’ creativity and resilience in adapting their practices to the new telehealth format. Telehealth practices initiated by the COVID-19 pandemic are here to stay. This study generated a list of practical suggestions for working effectively with art therapy clients at a distance. Future research should focus on creating best practice guidelines for art therapists who will continue to provide online therapy services.","PeriodicalId":74333,"journal":{"name":"OBM integrative and complimentary medicine","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-07-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46119650","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 : 2023-07-11DOI: 10.21926/obm.icm.2303027
Hofit Edna Mashiah, Susana Pendzik
This paper follows a preliminary study that examined how 6 (n = 6) creative arts therapists (3 art therapists and 3 drama therapists) coped with the transition to remote therapy in schools during the first lockdown in Israel due to the Coronavirus pandemic. The preliminary research explored the therapists’ experiences and views about working online upon returning to regular in-person meetings. The current paper adds a follow-up interview examining their perspective on this period, two years later. The 1st set of interviews was analyzed using the Six-Key Model, which shed light on the various aspects of the therapists’ clinical experience as creative arts therapists. The follow-up interviews were analyzed through thematic analysis and informed by Lakoff’s views on metaphor. The results suggest that, at the time, the therapists were preoccupied with the viability of the treatment, considering their little experience in remote therapy and the need to incorporate their specific art medium into the therapeutic setting. The results also highlight specific similarities and differences between art and drama therapists. The follow-up reinforces the preliminary findings, reiterating the framing of this period as a liminal space, from which the therapists emerged personally and professionally transformed, and more resilient.
{"title":"Revisiting the Experience of Art Therapists and Drama Therapists Working in Schools Two Years after the First Lockdown: A Qualitative Pilot","authors":"Hofit Edna Mashiah, Susana Pendzik","doi":"10.21926/obm.icm.2303027","DOIUrl":"https://doi.org/10.21926/obm.icm.2303027","url":null,"abstract":"This paper follows a preliminary study that examined how 6 (n = 6) creative arts therapists (3 art therapists and 3 drama therapists) coped with the transition to remote therapy in schools during the first lockdown in Israel due to the Coronavirus pandemic. The preliminary research explored the therapists’ experiences and views about working online upon returning to regular in-person meetings. The current paper adds a follow-up interview examining their perspective on this period, two years later. The 1st set of interviews was analyzed using the Six-Key Model, which shed light on the various aspects of the therapists’ clinical experience as creative arts therapists. The follow-up interviews were analyzed through thematic analysis and informed by Lakoff’s views on metaphor. The results suggest that, at the time, the therapists were preoccupied with the viability of the treatment, considering their little experience in remote therapy and the need to incorporate their specific art medium into the therapeutic setting. The results also highlight specific similarities and differences between art and drama therapists. The follow-up reinforces the preliminary findings, reiterating the framing of this period as a liminal space, from which the therapists emerged personally and professionally transformed, and more resilient.","PeriodicalId":74333,"journal":{"name":"OBM integrative and complimentary medicine","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-07-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43811959","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 : 2023-07-11DOI: 10.21926/obm.icm.2303028
Or Shalev
This case report explores the shifts in therapeutic power relations during the COVID-19 pandemic between an art therapist and her Deaf client diagnosed with schizophrenia. A therapeutic journey of two and a half years is described, accompanied by examples of the client's artwork. This case report demonstrates how a shared reality in times of global crisis enabled the rethinking of therapeutic power relations and the way art was used to shift these dynamics. The art therapist's ability to use her shared reality experience to reposition herself to facilitate the therapeutic relationship is discussed.
{"title":"Art Therapy during COVID-19 with a Deaf Client Diagnosed with Schizophrenia: A Case Report","authors":"Or Shalev","doi":"10.21926/obm.icm.2303028","DOIUrl":"https://doi.org/10.21926/obm.icm.2303028","url":null,"abstract":"This case report explores the shifts in therapeutic power relations during the COVID-19 pandemic between an art therapist and her Deaf client diagnosed with schizophrenia. A therapeutic journey of two and a half years is described, accompanied by examples of the client's artwork. This case report demonstrates how a shared reality in times of global crisis enabled the rethinking of therapeutic power relations and the way art was used to shift these dynamics. The art therapist's ability to use her shared reality experience to reposition herself to facilitate the therapeutic relationship is discussed.","PeriodicalId":74333,"journal":{"name":"OBM integrative and complimentary medicine","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-07-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44323290","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 : 2023-07-05DOI: 10.21926/obm.icm.2303026
Rebecca MacDonald, Carol Wiebe, G. Comeau
The arts offer many health benefits and can be especially impactful in hospital or continuing care facilities through group art interventions or personalized art activities. Arts can also be socially prescribed to fulfill social needs, improve emotional well-being, and have a positive impact of the social determinants of heath. This feasibility study explores the value of a pilot program that brought personalized virtual 1-on-1 art performances to residents in long-term care (LTC) during the Covid-19 pandemic which limited social activities and caused feelings of uncertainty and stress for many people. The purpose of this study was to document the process of developing and executing this pilot program, to evaluate its feasibility, and to provide a testimony to the benefits of art programs in LTC. This study qualifies as a feasibility study because it aimed to evaluate the quality, efficiency, and financial feasibility of the pilot project, making the primary objective of this research quality improvement. Online surveys were completed by the participating LTC residents, the Recreation Staff in the LTC facility, the hired artists, and the organizing team (Radical Connections). The results of the surveys strongly indicate that the pilot was successful and proved to be viable; the sessions were high quality, person-centered artistic care was made accessible to a vulnerable population at a sustainable cost, and most importantly, a demand for this type of program was revealed.
{"title":"Unmasked Connections: Piloting Virtual Interactive Artist Performances in Healthcare — A Feasibility Study","authors":"Rebecca MacDonald, Carol Wiebe, G. Comeau","doi":"10.21926/obm.icm.2303026","DOIUrl":"https://doi.org/10.21926/obm.icm.2303026","url":null,"abstract":"The arts offer many health benefits and can be especially impactful in hospital or continuing care facilities through group art interventions or personalized art activities. Arts can also be socially prescribed to fulfill social needs, improve emotional well-being, and have a positive impact of the social determinants of heath. This feasibility study explores the value of a pilot program that brought personalized virtual 1-on-1 art performances to residents in long-term care (LTC) during the Covid-19 pandemic which limited social activities and caused feelings of uncertainty and stress for many people. The purpose of this study was to document the process of developing and executing this pilot program, to evaluate its feasibility, and to provide a testimony to the benefits of art programs in LTC. This study qualifies as a feasibility study because it aimed to evaluate the quality, efficiency, and financial feasibility of the pilot project, making the primary objective of this research quality improvement. Online surveys were completed by the participating LTC residents, the Recreation Staff in the LTC facility, the hired artists, and the organizing team (Radical Connections). The results of the surveys strongly indicate that the pilot was successful and proved to be viable; the sessions were high quality, person-centered artistic care was made accessible to a vulnerable population at a sustainable cost, and most importantly, a demand for this type of program was revealed.","PeriodicalId":74333,"journal":{"name":"OBM integrative and complimentary medicine","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-07-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44757394","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 : 2023-06-28DOI: 10.21926/obm.icm.2302025
Deepti Singh, A. Khurana, M. Trivedi, Pinaken Trivedi, Sarita Gola, Parul Singh
This retrospective data analysis study aims to analyze the data collected during adjunctive homeopathy treatment of COVID-19 patients by the Homoeopathic medical officers (HMO) in Gujarat state-dedicated COVID-19 hospitals (DCH) during the first wave of the pandemic. The HMOs used the standard data collection forms/sheets to record each patient's demographic information, clinical symptoms, homoeopathic management, and outcome data. Data of all cases hospitalized with COVID-19 of any age, and both genders were included, and entries with missing values or incomplete/ incorrect information were excluded from the analysis. The outcome measure is the recovery duration, time to clinical improvement, worsening symptoms, and indicated homeopathic medicines. Data from 2581 cases analyzed showed clinical recovery time after adjunctive homeopathy as 05 days (IQR: 3-7); the Mean was 5.19 days (SD:4.62), with 80% of patients (2063 out of 2581) discharged between 0-7 days out of which more than 20.4% patients (419 out of 2063) having at least one of the comorbidities. Only 03 deaths of male patients above 50 years with comorbidities and 67 cases (2.6%) with worsening symptoms were reported. The homeopathic medicines used were Arsenic album in 73.0% and Bryonia alba in 17.6% of cases. Adjunctive Homoeopathy and standard care in COVID-19 patients had a promising role in the early relief of clinical symptoms and less progression into severity in the risk group of elderly patients with comorbidities. There were no reported adverse effects of taking the adjunctive Homoeopathy, making it a potential choice for integrated use in managing COVID-19 patients.
{"title":"Evaluation of Adjunctive Homoeopathy Treatment in COVID-19 Hospitalised Patients at the Gujarat State’s Dedicated COVID-19 Hospitals and Covid-Care Clinics During the First Wave of COVID-19 Pandemic: A Multicentric, Single-Arm Retrospective Data Analysis Study","authors":"Deepti Singh, A. Khurana, M. Trivedi, Pinaken Trivedi, Sarita Gola, Parul Singh","doi":"10.21926/obm.icm.2302025","DOIUrl":"https://doi.org/10.21926/obm.icm.2302025","url":null,"abstract":"This retrospective data analysis study aims to analyze the data collected during adjunctive homeopathy treatment of COVID-19 patients by the Homoeopathic medical officers (HMO) in Gujarat state-dedicated COVID-19 hospitals (DCH) during the first wave of the pandemic. The HMOs used the standard data collection forms/sheets to record each patient's demographic information, clinical symptoms, homoeopathic management, and outcome data. Data of all cases hospitalized with COVID-19 of any age, and both genders were included, and entries with missing values or incomplete/ incorrect information were excluded from the analysis. The outcome measure is the recovery duration, time to clinical improvement, worsening symptoms, and indicated homeopathic medicines. Data from 2581 cases analyzed showed clinical recovery time after adjunctive homeopathy as 05 days (IQR: 3-7); the Mean was 5.19 days (SD:4.62), with 80% of patients (2063 out of 2581) discharged between 0-7 days out of which more than 20.4% patients (419 out of 2063) having at least one of the comorbidities. Only 03 deaths of male patients above 50 years with comorbidities and 67 cases (2.6%) with worsening symptoms were reported. The homeopathic medicines used were Arsenic album in 73.0% and Bryonia alba in 17.6% of cases. Adjunctive Homoeopathy and standard care in COVID-19 patients had a promising role in the early relief of clinical symptoms and less progression into severity in the risk group of elderly patients with comorbidities. There were no reported adverse effects of taking the adjunctive Homoeopathy, making it a potential choice for integrated use in managing COVID-19 patients.","PeriodicalId":74333,"journal":{"name":"OBM integrative and complimentary medicine","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-06-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41572482","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 : 2023-06-13DOI: 10.21926/obm.icm.2302024
Rebecca MacDonald, A. Zumbansen
Group singing as a social musical activity can be used to improve the quality of life, well-being, and overall health of people with dementia and caregivers. Online choirs have gained awareness since the COVID-19 pandemic; however, singing in an online choir is an unsatisfying experience for most choir members in the general population. In order to report on the feasibility of creating an online choir for people with dementia, we studied a successful case of such a choir. This choir began and continued online for over a year, maintaining a group of about ten people. The objectives were to understand the participants' experience and explore factors contributing to its success. We surveyed 12 members using closed and open-ended questions (5 choristers with dementia, 5 caregivers, the choir director, and a volunteer). The thematic analysis of the responses revealed that (1) an online choir is better than no choir for participants with dementia, (2) participants sought and found in the online choir an accessible way to socialize and enjoy singing, and (3) obstacles to participate in an online choir (mostly technology-related) are not the same as those to participate in an in-person choir (mostly travel related). The success of this online choir may in part be attributed to the fact that it first started online (the members did not compare the experience to previous in-person rehearsals and had more flexible expectations); most participants with dementia had mild cognitive symptoms and had extensive previous choral singing experience.
{"title":"Successful Online Choir for People Living with Dementia: A Qualitative Case Study","authors":"Rebecca MacDonald, A. Zumbansen","doi":"10.21926/obm.icm.2302024","DOIUrl":"https://doi.org/10.21926/obm.icm.2302024","url":null,"abstract":"Group singing as a social musical activity can be used to improve the quality of life, well-being, and overall health of people with dementia and caregivers. Online choirs have gained awareness since the COVID-19 pandemic; however, singing in an online choir is an unsatisfying experience for most choir members in the general population. In order to report on the feasibility of creating an online choir for people with dementia, we studied a successful case of such a choir. This choir began and continued online for over a year, maintaining a group of about ten people. The objectives were to understand the participants' experience and explore factors contributing to its success. We surveyed 12 members using closed and open-ended questions (5 choristers with dementia, 5 caregivers, the choir director, and a volunteer). The thematic analysis of the responses revealed that (1) an online choir is better than no choir for participants with dementia, (2) participants sought and found in the online choir an accessible way to socialize and enjoy singing, and (3) obstacles to participate in an online choir (mostly technology-related) are not the same as those to participate in an in-person choir (mostly travel related). The success of this online choir may in part be attributed to the fact that it first started online (the members did not compare the experience to previous in-person rehearsals and had more flexible expectations); most participants with dementia had mild cognitive symptoms and had extensive previous choral singing experience.","PeriodicalId":74333,"journal":{"name":"OBM integrative and complimentary medicine","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-06-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"68396419","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 : 2023-05-31DOI: 10.21926/obm.icm.2302023
B. Foroutan
Aging is a stage of the natural life cycle. It is a set of natural and coordinated growth changes all organs and body systems undergo to burnout. It is impossible to determine the exact time of old age for two reasons. First, the aging process is different for humans due to individual, hereditary factors. Second, aging has a set of physiological, psychological and, social factors. This review aimed to gather appropriate clinical information and facts for clinicians when practicing heart medications in elderly patients, preventing potentially inappropriate practices. The absorption of heart medications decreases due to diminished bowel movements in the elderly. In the elderly, the blood flows to the entire gastrointestinal tract decreases and as a result, the entry of the medications into the general bloodstream decreases. Delayed absorption weakens the potency of the medication while prolonging its effects. These effects might be unsafe because most heart medications have a narrow therapeutic index. Factors influencing the selection of alpha & beta blockers, nitrates, CCCBs, ACE-Is, diuretics, and digoxin will be reviewed.
{"title":"A Review of Clinical Influencing Factors in the Selection of Cardiac Medications in the Elderly","authors":"B. Foroutan","doi":"10.21926/obm.icm.2302023","DOIUrl":"https://doi.org/10.21926/obm.icm.2302023","url":null,"abstract":"Aging is a stage of the natural life cycle. It is a set of natural and coordinated growth changes all organs and body systems undergo to burnout. It is impossible to determine the exact time of old age for two reasons. First, the aging process is different for humans due to individual, hereditary factors. Second, aging has a set of physiological, psychological and, social factors. This review aimed to gather appropriate clinical information and facts for clinicians when practicing heart medications in elderly patients, preventing potentially inappropriate practices. The absorption of heart medications decreases due to diminished bowel movements in the elderly. In the elderly, the blood flows to the entire gastrointestinal tract decreases and as a result, the entry of the medications into the general bloodstream decreases. Delayed absorption weakens the potency of the medication while prolonging its effects. These effects might be unsafe because most heart medications have a narrow therapeutic index. Factors influencing the selection of alpha & beta blockers, nitrates, CCCBs, ACE-Is, diuretics, and digoxin will be reviewed.","PeriodicalId":74333,"journal":{"name":"OBM integrative and complimentary medicine","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-05-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"68396256","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 : 2023-05-24DOI: 10.21926/obm.icm.2302022
Allison B. Ventura, Barbara Kissam, Kandise Chrestensen, Ian Tfirn, J. Brailsford, L. Dale
Mindful education (ME) in schools can address student well-being and stressors, as well as improve the overall school environment. Implementing a whole-school mindfulness curriculum can be challenging, especially when serving students in both general education and emotional behavioral disorder (EBD) settings. We investigated the feasibility, implementation, and benefits of a whole-school mindfulness curriculum (MindUP) in an urban elementary school. This study is unique in that it investigated how to implement mindfulness curriculum within both general education and EBD student populations. Participants included 55 staff and 436 students. This study used a concurrent mixed methods design. The qualitative data included interviews, informal focus groups, and participant feedback, and the quantitative data included participant satisfaction surveys and teacher assessment of student behaviors before/after the curriculum. While implementing MindUP, teacher feedback was incorporated to adapt the program (e.g., decrease lesson length, provide supplemental child-friendly breathing activities). Qualitative data indicated the adapted MindUP program improved school climate and aided teachers with teaching coping skills, especially breathing techniques, to help their students self-regulate when stressed. Data indicated students in regular education improved in their aggression/disruptive behaviors, concentration/attention, and social/emotional competence, whereas students in the EBD program only improved in their aggression/disruptiveness (effect sizes 0.15 to 0.51). An adapted MindUP curriculum was accepted, implemented, effective, and sustainable in both the general education and EBD settings. The program helped students learn mindfulness-based coping strategies with breathing being the most beneficial mindfulness intervention for managing and reducing student stress and for creating a calmer school climate.
{"title":"Implementation of a Whole-School Mindfulness Curriculum in an Urban Elementary School: Tier 1 through Tier 3","authors":"Allison B. Ventura, Barbara Kissam, Kandise Chrestensen, Ian Tfirn, J. Brailsford, L. Dale","doi":"10.21926/obm.icm.2302022","DOIUrl":"https://doi.org/10.21926/obm.icm.2302022","url":null,"abstract":"Mindful education (ME) in schools can address student well-being and stressors, as well as improve the overall school environment. Implementing a whole-school mindfulness curriculum can be challenging, especially when serving students in both general education and emotional behavioral disorder (EBD) settings. We investigated the feasibility, implementation, and benefits of a whole-school mindfulness curriculum (MindUP) in an urban elementary school. This study is unique in that it investigated how to implement mindfulness curriculum within both general education and EBD student populations. Participants included 55 staff and 436 students. This study used a concurrent mixed methods design. The qualitative data included interviews, informal focus groups, and participant feedback, and the quantitative data included participant satisfaction surveys and teacher assessment of student behaviors before/after the curriculum. While implementing MindUP, teacher feedback was incorporated to adapt the program (e.g., decrease lesson length, provide supplemental child-friendly breathing activities). Qualitative data indicated the adapted MindUP program improved school climate and aided teachers with teaching coping skills, especially breathing techniques, to help their students self-regulate when stressed. Data indicated students in regular education improved in their aggression/disruptive behaviors, concentration/attention, and social/emotional competence, whereas students in the EBD program only improved in their aggression/disruptiveness (effect sizes 0.15 to 0.51). An adapted MindUP curriculum was accepted, implemented, effective, and sustainable in both the general education and EBD settings. The program helped students learn mindfulness-based coping strategies with breathing being the most beneficial mindfulness intervention for managing and reducing student stress and for creating a calmer school climate.","PeriodicalId":74333,"journal":{"name":"OBM integrative and complimentary medicine","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-05-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44977443","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 : 2023-05-16DOI: 10.21926/obm.icm.2302021
C. Lamba, Praveen Oberai, B. Wadhwa, Suraia Parveen, A. Soren, R. Bhuvaneswari, P. Pradhan, V. Shinde, Jaya Gupta
The primary objective of this study was to evaluate the efficacy of homeopathic medicines in the reduction or resolution of breast fibroadenoma (FA) through ultrasound (US) assessment in intervention and control groups. The secondary objective was to compare the efficacy of the homeopathic intervention in single and multiple fibroadenomas. A single-blind, randomized, placebo-controlled pilot study was conducted from January 2014 to June 2018 at 4 research centers with 6 months of follow-up. Females in the age group 18 to 35 years, with a confirmed diagnosis of breast fibroadenoma measuring between 1 cm and 5 cm, measured by the US, with only one fibroadenoma per quadrant were randomized to either homeopathic intervention (HI) or identical placebo (P) (n = 85) in each group. All the patients were enrolled in the study with due consent from them. The Ethical Committee, Central Council for Research in Homoeopathy (CCRH), New Delhi, India, approved the study. The trial was registered with the Clinical Trial Registry-India (CTRI) vide no. CTRI/2013/11/004144 [Registered on: 14/11/2013]. Out of the 85 cases enrolled in each group, the ITT analysis was done for n = 73 participants with a mean area of FA (3.11 ± 3.00) in HI and n = 77 participants with a mean area of FA (3.65 ± 3.29) in the P group at baseline. US assessment of 12 cases in the intervention group and 8 cases in the placebo group exceeded the study duration. Therefore, was analyzed as a sub-group and was not considered under ITT analysis. FA was the unit of analysis. At 6 months, complete resolution occurred in 2 participants in the intervention group and none in the placebo group. Although there is a significant difference between the intervention and the placebo groups at 3rd and 6th months, the within-group difference is insignificant. No significant difference is observed between and within the single and multiple FAs groups. Out of the 85 cases in the medicine group, 78 received a single remedy throughout the study in centesimal potencies. The frequently prescribed medicines were Pulsatilla, Silicea, Phosphorus, Sepia, and Calcarea Carbonica. IIndividualized homeopathy has significantly reduced FAs compared to the placebo group. However, the difference within the groups is not statistically significant. Future studies should be conducted based on adequate samples with long-term follow-up for resolution and recurrence if any.
{"title":"A Multi-Centric Single-Blind Randomized Placebo-Controlled Trial to Evaluate the Efficacy of the Individualized Homeopathic Intervention in Breast Fibroadenoma","authors":"C. Lamba, Praveen Oberai, B. Wadhwa, Suraia Parveen, A. Soren, R. Bhuvaneswari, P. Pradhan, V. Shinde, Jaya Gupta","doi":"10.21926/obm.icm.2302021","DOIUrl":"https://doi.org/10.21926/obm.icm.2302021","url":null,"abstract":"The primary objective of this study was to evaluate the efficacy of homeopathic medicines in the reduction or resolution of breast fibroadenoma (FA) through ultrasound (US) assessment in intervention and control groups. The secondary objective was to compare the efficacy of the homeopathic intervention in single and multiple fibroadenomas. A single-blind, randomized, placebo-controlled pilot study was conducted from January 2014 to June 2018 at 4 research centers with 6 months of follow-up. Females in the age group 18 to 35 years, with a confirmed diagnosis of breast fibroadenoma measuring between 1 cm and 5 cm, measured by the US, with only one fibroadenoma per quadrant were randomized to either homeopathic intervention (HI) or identical placebo (P) (n = 85) in each group. All the patients were enrolled in the study with due consent from them. The Ethical Committee, Central Council for Research in Homoeopathy (CCRH), New Delhi, India, approved the study. The trial was registered with the Clinical Trial Registry-India (CTRI) vide no. CTRI/2013/11/004144 [Registered on: 14/11/2013]. Out of the 85 cases enrolled in each group, the ITT analysis was done for n = 73 participants with a mean area of FA (3.11 ± 3.00) in HI and n = 77 participants with a mean area of FA (3.65 ± 3.29) in the P group at baseline. US assessment of 12 cases in the intervention group and 8 cases in the placebo group exceeded the study duration. Therefore, was analyzed as a sub-group and was not considered under ITT analysis. FA was the unit of analysis. At 6 months, complete resolution occurred in 2 participants in the intervention group and none in the placebo group. Although there is a significant difference between the intervention and the placebo groups at 3rd and 6th months, the within-group difference is insignificant. No significant difference is observed between and within the single and multiple FAs groups. Out of the 85 cases in the medicine group, 78 received a single remedy throughout the study in centesimal potencies. The frequently prescribed medicines were Pulsatilla, Silicea, Phosphorus, Sepia, and Calcarea Carbonica. IIndividualized homeopathy has significantly reduced FAs compared to the placebo group. However, the difference within the groups is not statistically significant. Future studies should be conducted based on adequate samples with long-term follow-up for resolution and recurrence if any.","PeriodicalId":74333,"journal":{"name":"OBM integrative and complimentary medicine","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-05-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46295053","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}
京公网安备 11010802042870号
京ICP备2023020795号-1
扫码关注我们
求助内容：
应助结果提醒方式：