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}
Pub Date : 2023-04-19DOI: 10.21926/obm.icm.2302020
G. Litscher
This editorial briefly describes possible relationships and similarities between chess and acupuncture. Although the methods of chess and acupuncture could not be more different, possible joint effects on the brain can be hypothesized. However, the effectiveness of these joint effects has yet to be proven in scientific studies. Both chess and acupuncture can be used to improve physical and mental well-being. According to the author, the Yintang point could play a key role here.
{"title":"Chess and Acupuncture?","authors":"G. Litscher","doi":"10.21926/obm.icm.2302020","DOIUrl":"https://doi.org/10.21926/obm.icm.2302020","url":null,"abstract":"This editorial briefly describes possible relationships and similarities between chess and acupuncture. Although the methods of chess and acupuncture could not be more different, possible joint effects on the brain can be hypothesized. However, the effectiveness of these joint effects has yet to be proven in scientific studies. Both chess and acupuncture can be used to improve physical and mental well-being. According to the author, the Yintang point could play a key role here.","PeriodicalId":74333,"journal":{"name":"OBM integrative and complimentary medicine","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-04-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45584594","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 : 2023-04-13DOI: 10.21926/obm.icm.2302019
Traci D. Jarrett, Ilana Haliwa, Jennifer M. Ludrosky, Ashley Mason, Gretchen Prather, Brittney Barlett, Amy Snodgrass, G. Dino
Teacher burnout is one of the primary drivers of turnover. Skills such as improved classroom management have been shown to mitigate teacher burnout. COVID-19 created classroom disruption and an unprecedented youth mental health crisis. This study examined the effectiveness of a school-based mindfulness training at improving classroom management self-efficacy and reducing teacher burnout during COVID-19. Elementary school personnel were invited to participate in two versions of Kidding Around Yoga training and to implement with their students. Pre- and post-tests were conducted at 4-6 months (n = 49) to measure individual items related to classroom management, teacher self-efficacy, perceptions of student engagement, and professional quality of life. There were significant differences at post for items related to teacher skills, knowledge, and self-efficacy, and perceptions of the student experience (specifically, student emotional regulation). There were no significant differences between baseline and post in any of the professional quality of life measures. Findings suggest that Kidding Around Yoga is promising as a universal intervention to improve teachers’ self-efficacy and skills, and their experience of the classroom. More information is needed to understand if the intervention would have long-term impact on teacher burnout and turnover.
{"title":"Teacher Outcomes with a School-Based Mindfulness Intervention during COVID-19","authors":"Traci D. Jarrett, Ilana Haliwa, Jennifer M. Ludrosky, Ashley Mason, Gretchen Prather, Brittney Barlett, Amy Snodgrass, G. Dino","doi":"10.21926/obm.icm.2302019","DOIUrl":"https://doi.org/10.21926/obm.icm.2302019","url":null,"abstract":"Teacher burnout is one of the primary drivers of turnover. Skills such as improved classroom management have been shown to mitigate teacher burnout. COVID-19 created classroom disruption and an unprecedented youth mental health crisis. This study examined the effectiveness of a school-based mindfulness training at improving classroom management self-efficacy and reducing teacher burnout during COVID-19. Elementary school personnel were invited to participate in two versions of Kidding Around Yoga training and to implement with their students. Pre- and post-tests were conducted at 4-6 months (n = 49) to measure individual items related to classroom management, teacher self-efficacy, perceptions of student engagement, and professional quality of life. There were significant differences at post for items related to teacher skills, knowledge, and self-efficacy, and perceptions of the student experience (specifically, student emotional regulation). There were no significant differences between baseline and post in any of the professional quality of life measures. Findings suggest that Kidding Around Yoga is promising as a universal intervention to improve teachers’ self-efficacy and skills, and their experience of the classroom. More information is needed to understand if the intervention would have long-term impact on teacher burnout and turnover.","PeriodicalId":74333,"journal":{"name":"OBM integrative and complimentary medicine","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-04-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46757373","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 : 2023-04-10DOI: 10.21926/obm.icm.2302018
Beth Levant, Emma Nguyen, Jennifer A. Villwock, Ann M. Manzardo
Impostorism is prevalent in medical students and negatively impacts wellness, contributing to stress and burnout. Perceived competence is noted as one attribute underlying impostorism. A curricular change that resulted in improved United States Medical Licensing Examination (USMLE) Step 1 scores and student self-perceptions of preparedness for clinical training was used as a natural experiment to assess the effects higher competence/preparedness, based on an objective indicator and self-perceptions, on impostorism, stress, and burnout during early clinical training. Third-year medical students in the last class of the old “Legacy” curriculum and the first class of the revised “ACE” curriculum completed a voluntary, anonymous survey that included the Clance Impostor Phenomenon Scale, the Perceived Stress Scale, and the abbreviated Maslach Burnout Assessment. USLME Step 1 scores and data on students’ self-perception of their preparedness for clinics were collected as part of routine curricular monitoring. Both groups of students had highly similar entering demographics. Compared to Legacy students, ACE students had higher USMLE Step 1 scores (p < 0.001) and perceived themselves to be better prepared for clinical clerkships (p < 0.001). Stress scores were 15% lower in ACE students (p < 0.05). However, impostor scores were nearly identical between these groups and the proportions of students endorsing burnout were not different. This suggests that impostorism and burnout during the transition to clinical training are not attenuated by improved competence and are not directly related to stress.
{"title":"Greater Objective and Perceived Competence for Clinics is Associated with Reduced Stress but No Change in Impostorism in Medical Students <sup><a class=\"tippyShow\" data-tippy-arrow=\"true\" data-tippy-content=\"A portion of this work was published in abstract form and presented at the 25&lt;sup&gt;th</sup> annual meeting of the International Association of Medical Science Educators, June 12-17, 2021 [1]\" data-tippy-interactive=\"true\" data-tippy-theme=\"light-border\" style=\"…","authors":"Beth Levant, Emma Nguyen, Jennifer A. Villwock, Ann M. Manzardo","doi":"10.21926/obm.icm.2302018","DOIUrl":"https://doi.org/10.21926/obm.icm.2302018","url":null,"abstract":"Impostorism is prevalent in medical students and negatively impacts wellness, contributing to stress and burnout. Perceived competence is noted as one attribute underlying impostorism. A curricular change that resulted in improved United States Medical Licensing Examination (USMLE) Step 1 scores and student self-perceptions of preparedness for clinical training was used as a natural experiment to assess the effects higher competence/preparedness, based on an objective indicator and self-perceptions, on impostorism, stress, and burnout during early clinical training. Third-year medical students in the last class of the old “Legacy” curriculum and the first class of the revised “ACE” curriculum completed a voluntary, anonymous survey that included the Clance Impostor Phenomenon Scale, the Perceived Stress Scale, and the abbreviated Maslach Burnout Assessment. USLME Step 1 scores and data on students’ self-perception of their preparedness for clinics were collected as part of routine curricular monitoring. Both groups of students had highly similar entering demographics. Compared to Legacy students, ACE students had higher USMLE Step 1 scores (p < 0.001) and perceived themselves to be better prepared for clinical clerkships (p < 0.001). Stress scores were 15% lower in ACE students (p < 0.05). However, impostor scores were nearly identical between these groups and the proportions of students endorsing burnout were not different. This suggests that impostorism and burnout during the transition to clinical training are not attenuated by improved competence and are not directly related to stress.","PeriodicalId":74333,"journal":{"name":"OBM integrative and complimentary medicine","volume":"110 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-04-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135544063","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 : 2023-04-06DOI: 10.21926/obm.icm.2302017
Beren Crim Sabuncu, Wenyi Li, A. Ai
There has been a paucity in the literature on the protective effects of spiritual and social support as it pertains to trauma symptoms following a disaster. This secondary analysis investigated: a) the longitudinal analysis of the effect of perceived spiritual support (PSS; measured using PSSS-S2) on posttraumatic stress symptoms (PTSS); and b) the effect of social support and Wave-1 PTSS results on Wave-2 PTSS among Hurricane-Katrina (H-K) volunteers. We hypothesized that, 1. The shortform PSSS-S2 would have an adequate one-dimensional structure in our H-K sample; 2. PSSS-S2 would be inversely related to Wave-2 PTSS, after controlling for Wave-1 PTSS and other disaster factors; and 3. Wave-2 perceived social support would be inversely related to Wave-2 PTSS. In 2005, researchers of universities the Deep South conducted a questionnaire survey on H-K volunteers, some of whom were also disaster victims (N = 542; age = 29.66 + 9.10, African American = 55%). The Wave-1 survey was delivered at three-months after H-K, the Wave-2 survey was delivered six-months after H-K. Robust Confirmatory Factor Analysis was used to verify the single-item structure of PSSS-S2. Multiple regression analysis was employed using SPSS27. The Robust CFA results indicate good model fit. In our final regression model, Wave-1 PTSS (β = 0.527, p < 0.001) and other H-K stressors (β = 0.154, p < 0.035) were positively associated with Wave-2 PTSS. Being older, having experienced less PTSS in Wave-1, and perceiving higher rates of social support were negatively related with Wave-2 PTSS. The present study demonstrated the lasting nature of PTSS. The present study demonstrated the lasting nature of PTSS. The six-months follow-up is important because it was the time a diagnosis of posttraumatic stress disorder (PTSD) could be established for volunteers. Our findings underscore the importance of social support and perceived spiritual support in fending off the negative role of disaster-induced stressors [1].
{"title":"Better to Not Be Alone: Relationships between Hurricane Related Trauma, Spiritual Support, and Social Support","authors":"Beren Crim Sabuncu, Wenyi Li, A. Ai","doi":"10.21926/obm.icm.2302017","DOIUrl":"https://doi.org/10.21926/obm.icm.2302017","url":null,"abstract":"There has been a paucity in the literature on the protective effects of spiritual and social support as it pertains to trauma symptoms following a disaster. This secondary analysis investigated: a) the longitudinal analysis of the effect of perceived spiritual support (PSS; measured using PSSS-S2) on posttraumatic stress symptoms (PTSS); and b) the effect of social support and Wave-1 PTSS results on Wave-2 PTSS among Hurricane-Katrina (H-K) volunteers. We hypothesized that, 1. The shortform PSSS-S2 would have an adequate one-dimensional structure in our H-K sample; 2. PSSS-S2 would be inversely related to Wave-2 PTSS, after controlling for Wave-1 PTSS and other disaster factors; and 3. Wave-2 perceived social support would be inversely related to Wave-2 PTSS. In 2005, researchers of universities the Deep South conducted a questionnaire survey on H-K volunteers, some of whom were also disaster victims (N = 542; age = 29.66 + 9.10, African American = 55%). The Wave-1 survey was delivered at three-months after H-K, the Wave-2 survey was delivered six-months after H-K. Robust Confirmatory Factor Analysis was used to verify the single-item structure of PSSS-S2. Multiple regression analysis was employed using SPSS27. The Robust CFA results indicate good model fit. In our final regression model, Wave-1 PTSS (β = 0.527, p < 0.001) and other H-K stressors (β = 0.154, p < 0.035) were positively associated with Wave-2 PTSS. Being older, having experienced less PTSS in Wave-1, and perceiving higher rates of social support were negatively related with Wave-2 PTSS. The present study demonstrated the lasting nature of PTSS. The present study demonstrated the lasting nature of PTSS. The six-months follow-up is important because it was the time a diagnosis of posttraumatic stress disorder (PTSD) could be established for volunteers. Our findings underscore the importance of social support and perceived spiritual support in fending off the negative role of disaster-induced stressors [1].","PeriodicalId":74333,"journal":{"name":"OBM integrative and complimentary medicine","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-04-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47845765","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 : 2023-03-17DOI: 10.21926/obm.icm.2301016
L. Keith, Robert Erkstam
Lymphedema, a chronic incurable condition characterized by edema, inflammation, reactive fibrosis, adipose proliferation, and compromised immune function, affects over 250 million people worldwide [1]. Further, a comorbidity of obesity increases the risk of developing lymphedema and can result in irreversible damage to lymphatic function. Access to appropriate and timely lymphedema treatment, performance of proper self-management strategies, and implementation of healthy lifestyle practices are critical for optimal outcomes for those affected. It is vitally important that a healthy lifestyle program for patients diagnosed with lymphedema include strategies for addressing both lymphedema and weight management. In this paper, we describe the essential elements of a successful program for lymphedema and weight management: ketogenic nutrition, exercise, stress resilience, and sleep.
{"title":"Optimizing Lymphedema Outcomes through Lifestyle","authors":"L. Keith, Robert Erkstam","doi":"10.21926/obm.icm.2301016","DOIUrl":"https://doi.org/10.21926/obm.icm.2301016","url":null,"abstract":"Lymphedema, a chronic incurable condition characterized by edema, inflammation, reactive fibrosis, adipose proliferation, and compromised immune function, affects over 250 million people worldwide [1]. Further, a comorbidity of obesity increases the risk of developing lymphedema and can result in irreversible damage to lymphatic function. Access to appropriate and timely lymphedema treatment, performance of proper self-management strategies, and implementation of healthy lifestyle practices are critical for optimal outcomes for those affected. It is vitally important that a healthy lifestyle program for patients diagnosed with lymphedema include strategies for addressing both lymphedema and weight management. In this paper, we describe the essential elements of a successful program for lymphedema and weight management: ketogenic nutrition, exercise, stress resilience, and sleep.","PeriodicalId":74333,"journal":{"name":"OBM integrative and complimentary medicine","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-03-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44274277","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 : 2023-02-17DOI: 10.21926/obm.icm.2301015
A. Rose, Max Tupper, C. Irons
An individual’s wellbeing at work is now recognised as key, particularly for those in challenging environment’s such as health and social care. Focusing on the cultivation of (mindful) compassion has been shown to be an effective way of improving mental health. This service evaluation focused on a pilot drop-in group for council and NHS staff, informed by Compassionate Mind Training. It was facilitated during the COVID-19 pandemic, between April – August 2020. The group was evaluated by recording the number and characteristics of attendees and using a feedback survey focused on the acceptability of the group structure and content. Workload was a barrier to attendance. There were differences noted in terms of gender and area of employment of the attendees. The offer of a regular, short (30 minute) and virtual group during the working day seemed to facilitate participation. The group appeared acceptable as attendees indicated they improved their knowledge and understanding about group concepts and reported they had become more mindful and compassionate in everyday life. Participants appeared to value the range of meditations offered and group resources. The facilitators were struck by the sense of community that emerged. The group could be used in future research as a stand-alone programme to support staff wellbeing or perhaps as one part of a wider approach to support the development compassionate organisations.
{"title":"Employee Support During COVID-19 Using Compassionate Mind Training","authors":"A. Rose, Max Tupper, C. Irons","doi":"10.21926/obm.icm.2301015","DOIUrl":"https://doi.org/10.21926/obm.icm.2301015","url":null,"abstract":"An individual’s wellbeing at work is now recognised as key, particularly for those in challenging environment’s such as health and social care. Focusing on the cultivation of (mindful) compassion has been shown to be an effective way of improving mental health. This service evaluation focused on a pilot drop-in group for council and NHS staff, informed by Compassionate Mind Training. It was facilitated during the COVID-19 pandemic, between April – August 2020. The group was evaluated by recording the number and characteristics of attendees and using a feedback survey focused on the acceptability of the group structure and content. Workload was a barrier to attendance. There were differences noted in terms of gender and area of employment of the attendees. The offer of a regular, short (30 minute) and virtual group during the working day seemed to facilitate participation. The group appeared acceptable as attendees indicated they improved their knowledge and understanding about group concepts and reported they had become more mindful and compassionate in everyday life. Participants appeared to value the range of meditations offered and group resources. The facilitators were struck by the sense of community that emerged. The group could be used in future research as a stand-alone programme to support staff wellbeing or perhaps as one part of a wider approach to support the development compassionate organisations.","PeriodicalId":74333,"journal":{"name":"OBM integrative and complimentary medicine","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-02-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48065097","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 : 2023-02-14DOI: 10.21926/obm.icm.2301014
K. McHenry, M. Koster, Genevieve Ludwig, Yonggang Gao, J. Eichmeyer
This study aimed to examine and compare the extent of burnout among health science faculty at a higher education institution and their self-reported perception of well-being during the COVID-19 pandemic. The design of the study was cross-sectional, descriptive survey research. An electronic questionnaire was developed to measure the constructs of burnout and well-being. Validated instruments used in the survey included the Oldenburg Burnout Inventory (OLBI) and the World Health Organization-5 Well-being Index. The Qualtrics ® platform was used to distribute the survey to all full-time faculty within the College of Health Sciences. 45 respondents from nursing, community and environmental health, kinesiology, social work, respiratory care, allied health sciences, and radiologic sciences completed the survey. Significant differences were observed in the extent of burnout and perception of well-being between faculty members who had clinical teaching responsibilities within their faculty role compared to those who did not, p = 0.005, Partial Eta Squared = 0.318. Faculty with a 9-month contract appointment had significantly lower OLBI-Disengagement scores (p = 0.024) and OLBI-Full Burnout scores (p = 0.047) compared with those with another contract length. There was a significantly negative relationship between the extent of burnout and perception of well-being. In this sample of health science faculty, burnout, as characterized by increased exhaustion and disengagement, was moderately prevalent and associated with poorer well-being.
{"title":"Assessing Burnout and Well-Being in Higher Education Health Science Faculty","authors":"K. McHenry, M. Koster, Genevieve Ludwig, Yonggang Gao, J. Eichmeyer","doi":"10.21926/obm.icm.2301014","DOIUrl":"https://doi.org/10.21926/obm.icm.2301014","url":null,"abstract":"This study aimed to examine and compare the extent of burnout among health science faculty at a higher education institution and their self-reported perception of well-being during the COVID-19 pandemic. The design of the study was cross-sectional, descriptive survey research. An electronic questionnaire was developed to measure the constructs of burnout and well-being. Validated instruments used in the survey included the Oldenburg Burnout Inventory (OLBI) and the World Health Organization-5 Well-being Index. The Qualtrics ® platform was used to distribute the survey to all full-time faculty within the College of Health Sciences. 45 respondents from nursing, community and environmental health, kinesiology, social work, respiratory care, allied health sciences, and radiologic sciences completed the survey. Significant differences were observed in the extent of burnout and perception of well-being between faculty members who had clinical teaching responsibilities within their faculty role compared to those who did not, p = 0.005, Partial Eta Squared = 0.318. Faculty with a 9-month contract appointment had significantly lower OLBI-Disengagement scores (p = 0.024) and OLBI-Full Burnout scores (p = 0.047) compared with those with another contract length. There was a significantly negative relationship between the extent of burnout and perception of well-being. In this sample of health science faculty, burnout, as characterized by increased exhaustion and disengagement, was moderately prevalent and associated with poorer well-being.","PeriodicalId":74333,"journal":{"name":"OBM integrative and complimentary medicine","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-02-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49476051","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 : 2023-02-08DOI: 10.21926/obm.icm.2301013
K. Mcferran, Carmen Cheong-Clinch, Jennifer Bibb, T. Chin
Lockdowns were a central strategy for managing the outbreak of COVID-19, and Melbourne, Australia had some of the most extensive restrictions globally during 2021. As a result, university students were faced with isolated living and challenging learning experiences. This pilot study occurred during 2021, close to both university assignment due dates and end of semester examinations and some of the longest lockdowns. Seventy-one participants responded to recruitment materials describing using music playlists to manage anxiety and avoid negative thinking patterns during stressful times. They then participated in a 1-hour live, virtual workshop incorporating didactic teaching and practice activities. Pre and post measures of musical engagement, wellbeing and anxiety were used, with additional qualitative data collected at post regarding the workshop, application of ideas, and quantitative data measuring uses of music for emotion regulation. Analysis of quantitative data did not reveal significant findings, but convergent analysis suggested patterns linking degree of anxiety with changed uses of music for regulation for some individuals. Participants described more intentional and informed uses of music that were less repetitive and more targeted. This was particularly apparent when rumination appeared to be prominent. Based on the results, the intervention seems most helpful as a psycho-educational tool, but the 1-hour workshop did not result in measurable changes for highly anxious participants.
{"title":"Using Music to Manage Anxiety: A Mixed Methods Intervention Study Between Two Lockdowns","authors":"K. Mcferran, Carmen Cheong-Clinch, Jennifer Bibb, T. Chin","doi":"10.21926/obm.icm.2301013","DOIUrl":"https://doi.org/10.21926/obm.icm.2301013","url":null,"abstract":"Lockdowns were a central strategy for managing the outbreak of COVID-19, and Melbourne, Australia had some of the most extensive restrictions globally during 2021. As a result, university students were faced with isolated living and challenging learning experiences. This pilot study occurred during 2021, close to both university assignment due dates and end of semester examinations and some of the longest lockdowns. Seventy-one participants responded to recruitment materials describing using music playlists to manage anxiety and avoid negative thinking patterns during stressful times. They then participated in a 1-hour live, virtual workshop incorporating didactic teaching and practice activities. Pre and post measures of musical engagement, wellbeing and anxiety were used, with additional qualitative data collected at post regarding the workshop, application of ideas, and quantitative data measuring uses of music for emotion regulation. Analysis of quantitative data did not reveal significant findings, but convergent analysis suggested patterns linking degree of anxiety with changed uses of music for regulation for some individuals. Participants described more intentional and informed uses of music that were less repetitive and more targeted. This was particularly apparent when rumination appeared to be prominent. Based on the results, the intervention seems most helpful as a psycho-educational tool, but the 1-hour workshop did not result in measurable changes for highly anxious participants.","PeriodicalId":74333,"journal":{"name":"OBM integrative and complimentary medicine","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-02-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48283161","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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