Much of what patients are seeking in integrative medical care is likely universally shared: a strong therapeutic relationship with providers who listen and provide time and knowledgeable advice. Users believe a combined approach of CAM and conventional medicine is better than either alone and want to be able to discuss CAM use with their providers.

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Back pain is one of the major sources of disability in the US, but existing studies often have a restricted focus, leaving many patients unstudied.. The SPICER project is designed to assess the effect of integrative medical care in a mixed integrative/conventional clinic, using only existing electronic medical records, without any patient exclusions. This report will present information on which patient characteristics are good candidates to be used for adjustment or matching to reduce treatment selection bias.