Complementary and Alternative Medicine Services in the Military Health System

Herman, Patricia M.; Sorbero, Melony E.; Sims-Columbia, Ann C.

doi:10.1089/acm.2017.0236

Cited by 19 publications

(16 citation statements)

References 11 publications

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“…Research indicates 82% of veterans with chronic pain reported use of at least one CIH therapy and nearly all (99%) were willing to try such approaches [37]. These findings are consistent with military treatment facilities that report CIH is most often used use for pain and mental health conditions [38]. The preference for massage is intuitive given evidence suggesting the therapeutic benefits of massage including reduction of pain, stress, depressive symptoms, anxiety, and improvement of sleep across diverse populations [36,39-43].…”

Section: Introductionsupporting

confidence: 62%

A Mobile and Web-Based Self-Directed Complementary and Integrative Health Program for Veterans and Their Partners (Mission Reconnect): Protocol for a Mixed-Methods Randomized Controlled Trial

Haun¹,

Ballistrea²,

Melillo³

et al. 2019

JMIR Res Protoc

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Background Complementary and integrative health (CIH) is a viable solution to PTSD and chronic pain. Many veterans believe CIH can be performed only by licensed professionals in a health care setting. Health information technology can bring effective CIH to veterans and their partners. Objective This paper describes the rationale, design, and methods of the Mission Reconnect protocol to deliver mobile and Web-based complementary and integrative health programs to veterans and their partners (eg, spouse, significant other, caregiver, or family member). Methods This three-site, 4-year mixed-methods randomized controlled trial uses a wait-list control to determine the effects of mobile and Web-based CIH programs for veterans and their partners, or dyads. The study will use two arms (ie, treatment intervention arm and wait-list control arm) in a clinical sample of veterans with comorbid pain and posttraumatic stress disorder, and their partners. The study will evaluate the effectiveness and perceived value of the Mission Reconnect program in relation to physical and psychological symptoms, global health, and social outcomes. Results Funding for the study began in November 2018, and we are currently in the process of recruitment screening and data randomization for the study. Primary data collection will begin in May 2019 and continue through May 2021. Projected participants per site will be 76 partners/dyads, for a total of 456 study participants. Anticipated study results will be published in November 2022. Conclusions This work highlights innovative delivery of CIH to veterans and their partners for treatment of posttraumatic stress disorder and chronic pain. Trial Registration ClinicalTrials.gov NCT03593772; https://clinicaltrials.gov/ct2/show/NCT03593772 (Archived by WebCite at http://www.webcitation.org/77Q2giwtw) International Registered Report Identifier (IRRID) PRR1-10.2196/13666

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Section: Introductionsupporting

confidence: 62%

A Mobile and Web-Based Self-Directed Complementary and Integrative Health Program for Veterans and Their Partners (Mission Reconnect): Protocol for a Mixed-Methods Randomized Controlled Trial

Haun¹,

Ballistrea²,

Melillo³

et al. 2019

JMIR Res Protoc

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“…Regarding musculoskeletal problems, it should be noted that acupuncture and massage are alternatives which are sought as methods to attenuate the manifested symptomatology. According to research on Complementary and Alternative Medicine Services in the US Military Health System, acupuncture and chiropractic methods are commonly applied in cases of pain and stress management (25) . Another international study also highlighted the effect of massage for relief of physical and psychological symptoms in caregivers of cancer patients who reported fatigue due to care actions (26) .…”

Section: Discussionmentioning

confidence: 99%

Health-related consequences of caring for dependent relatives in older adult caregivers

Gomes

Pedreira

Gomes

et al. 2019

Rev. esc. enferm. USP

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Objective: To know the health-related consequences of caring for dependent relatives in older adult caregivers. Method: Qualitative research carried out with older adult women who cared for family members enrolled in a federal public home care program. The identification of the older adult caregivers was done by consulting the patient's charts, and the interview took place from March to June 2017. The data were systematized based on Content Analysis. Results: Six older adult caregivers of people with impaired functional capacity participated in the study. Three categories emerged: care-related musculoskeletal pain; health problems related to the somatization of the lived feeling; and self-care deficit by virtue of caring for another. Conclusion: The study revealed the consequences of caring for dependent family members on the health of older adult caregivers. Careful management is essential to prevent and/or reduce health problems, especially regarding the musculoskeletal system. Health-related consequences of caring for dependent relatives in older adult caregivers*Consequências do cuidado para a saúde de idosas cuidadoras de familiares dependentes Consecuencias del cuidado para la salud de las ancianas cuidadoras de familiares dependientes

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“…As a peer CPO, the second author designed the online survey with awareness of the context of military service, in which there is not much spare time for extended forms of treatment due to operational and training pressures, and a perceived stigma around seeking care or therapies. One hypothesis to be tested was that mind-body practices such as CAM may not be as stigmatizing as other clinical forms of mental health treatment (Herman et al, 2017).…”

Section: Introductionmentioning

confidence: 99%

“…It has also shown potential of several emerging concepts in veteran’ social, career, and mental health services, and it has tested the utility of participative forms of research to help bridge the gaps between professional practice, currently available programs, and the actual needs of veterans. Some of the issues that have been considered to date by these student veteran–led research projects include the differentiation of moral injury from posttraumatic stress disorder (PTSD) (Jinkerson & Buechner, 2016; Meagher, 2014; Shay, 2014; Sherman, 2015), the use of integrated mind-body practices in therapy (van der Kolk, 2014; Herman, Sorbero, & Sims-Columbia, 2017; Wood, 2014), alternatives to deficit-based therapeutic and transition support programs (Cooperrider & Whitney, 2005; Walker, 2016), family systems support and counseling methods (Nelson, Fleurides, & Rosenthal, 1986), and social/psychological factors leading to posttraumatic growth (Tedeschi & Calhoun, 2004; Troiani & Buechner, 2016). In addition to some intriguing theoretical work with these bodies of literature, the peer-to-peer interaction among student cohorts has also helped focus more attention on the use of collaborative adult learning methods in veteran education that engage directly with their lived experience.…”

Section: Introductionmentioning

confidence: 99%

Beyond Transition: Personal and Social Transformation Through Co-Inquiry Among Military-Connected Students

Kent

Buechner

2019

Journal of Humanistic Psychology

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Social reintegration of veterans following military service is a complex, nonlinear, and highly individualized phenomenon, yet much of the existing literature on transition of veterans represents a narrow and limited perspective of transition and trauma—mostly written from an external (nonveteran) perspective. We present an alternative based on concepts of personal and social transformation through collaborative, veteran-led social science research designed from an interdisciplinary Adlerian (social systems) perspective. Participants are military-connected students, defined as service members, veterans, family members, and mental health practitioners experienced in working with military and veteran populations. Research projects described were designed by the students, and these typically involved informal data gathering and self-reflection, combined with extensive review of current interdisciplinary literature in the military psychology field. A case study of informal participative research with a cohort of female Navy Chief Petty Officers by the first author is presented as an example. Conclusions and recommendations support further extension of this cohort-driven adult learning model as a means of combining personal growth and social transformation by including military, veteran, and family perspectives in research and literature directed toward veterans’ social and mental health programs and policies.

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Complementary and Alternative Medicine Services in the Military Health System

Abstract: The availability of CAM services in the MHS is widespread and is being used to address a range of challenging pain and mental health conditions.

Cited by 19 publications

References 11 publications

A Mobile and Web-Based Self-Directed Complementary and Integrative Health Program for Veterans and Their Partners (Mission Reconnect): Protocol for a Mixed-Methods Randomized Controlled Trial

A Mobile and Web-Based Self-Directed Complementary and Integrative Health Program for Veterans and Their Partners (Mission Reconnect): Protocol for a Mixed-Methods Randomized Controlled Trial

Health-related consequences of caring for dependent relatives in older adult caregivers

Beyond Transition: Personal and Social Transformation Through Co-Inquiry Among Military-Connected Students

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