Literature DB >> 16332188

Integrative health care: how can we determine whether patients benefit?

Marja J Verhoef1, Andrea Mulkins, Heather Boon.   

Abstract

OBJECTIVE: Evaluation of integrative health care (IHC) models is becoming increasingly important. One of the areas that requires further attention is the development of an appropriate set of outcome measures. The purpose of this study was: (1) to identify how cancer patients phrase and frame the beneficial outcomes they experienced from IHC, and (2) to develop recommendations for an appropriate outcome measures package for evaluation of IHC.
DESIGN: This study involved two different parts: (1) a secondary analysis of qualitative data consisting of transcripts from 42 personal interviews and three focus groups from previous studies related to IHC use by cancer patients; and (2) a content analysis of goal-setting data collected from patients attending an IHC clinic to categorize the type and range of their treatment goals.
RESULTS: Six types of benefits were identified: physical well-being, change in physiological indicators, improved emotional well-being, personal transformation, feeling connected, global state of well-being, and cure. Types of goals identified by patients confirmed these benefits and include: to improve state of being, to be cancer free, to have more energy, more effective pain management, and improved quality of life.
CONCLUSIONS: A patient's perspective is crucial in understanding the process and outcomes of intentional selfhealing. Assessing self-identified goals suggests the need for patient empowerment through participation in outcome evaluation. We present recommendations for an appropriate outcomes package that is relevant, practical, and based on patient experiences.

Entities:  

Mesh:

Year:  2005        PMID: 16332188     DOI: 10.1089/acm.2005.11.s-57

Source DB:  PubMed          Journal:  J Altern Complement Med        ISSN: 1075-5535            Impact factor:   2.579


  20 in total

1.  Unanticipated benefits of CAM therapies for back pain: an exploration of patient experiences.

Authors:  Clarissa Hsu; June Bluespruce; Karen Sherman; Dan Cherkin
Journal:  J Altern Complement Med       Date:  2010-02       Impact factor: 2.579

2.  Evaluation of ¡Vivir Mi Vida! to improve health and wellness of rural-dwelling, late middle-aged Latino adults: results of a feasibility and pilot study of a lifestyle intervention.

Authors:  Stacey L Schepens Niemiec; Jeanine Blanchard; Cheryl L P Vigen; Jenny Martínez; Laura Guzmán; Alyssa Concha; Michelle Fluke; Mike Carlson
Journal:  Prim Health Care Res Dev       Date:  2018-05-06       Impact factor: 1.458

3.  'The onus is on me': primary care patient views of Medicare-funded team care in chronic disease management in Australia.

Authors:  Michele M Foster; Geoffrey K Mitchell
Journal:  Health Expect       Date:  2013-03-22       Impact factor: 3.377

4.  Systematic review of integrative health care research: randomized control trials, clinical controlled trials, and meta-analysis.

Authors:  Raheleh Khorsan; Ian D Coulter; Cindy Crawford; An-Fu Hsiao
Journal:  Evid Based Complement Alternat Med       Date:  2010-09-08       Impact factor: 2.629

5.  Using Chinese version of MYMOP in Chinese medicine evaluation: validity, responsiveness and minimally important change.

Authors:  Vincent C H Chung; Vivian C W Wong; Chun Hong Lau; Henny Hui; Tat Hing Lam; Lin Xiao Zhong; Samuel Y S Wong; Sian M Griffiths
Journal:  Health Qual Life Outcomes       Date:  2010-09-30       Impact factor: 3.186

6.  Individualised and complex experiences of integrative cancer support care: combining qualitative and quantitative data.

Authors:  Helen E Seers; Nicola Gale; Charlotte Paterson; Helen J Cooke; Veronica Tuffrey; Marie J Polley
Journal:  Support Care Cancer       Date:  2009-01-13       Impact factor: 3.603

Review 7.  Complementary or alternative medicine in cancer care-myths and realities.

Authors:  Gary Deng; Barrie Cassileth
Journal:  Nat Rev Clin Oncol       Date:  2013-07-30       Impact factor: 66.675

8.  Evaluating complex health interventions: a critical analysis of the 'outcomes' concept.

Authors:  Charlotte Paterson; Charlotte Baarts; Laila Launsø; Marja J Verhoef
Journal:  BMC Complement Altern Med       Date:  2009-06-18       Impact factor: 3.659

9.  The potential of complementary and alternative medicine in promoting well-being and critical health literacy: a prospective, observational study of shiatsu.

Authors:  Andrew F Long
Journal:  BMC Complement Altern Med       Date:  2009-06-18       Impact factor: 3.659

10.  Identifying the barriers to conducting outcomes research in integrative health care clinic settings--a qualitative study.

Authors:  Marja J Verhoef; Andrea Mulkins; Ania Kania; Barbara Findlay-Reece; Silvano Mior
Journal:  BMC Health Serv Res       Date:  2010-01-14       Impact factor: 2.655

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