Patients Receiving Integrative Medicine Effectiveness Registry (PRIMIER) of the BraveNet practice-based research network: Outcomes of the PRIMIER cohort

Dusek, Jeffery A.; Gao, Qi; Kim, Ryung S.; Abrams, Donald I.; Kligler, Benjamin; Dyer, Natalie L.; Hansen, Kathryn; McKee, M. Diane

doi:10.1016/j.ctim.2022.102904

Cited by 6 publications

(3 citation statements)

References 41 publications

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“…The self-report method employed by the PREMIER cohort created a longitudinal, multisite observational study that found significant improvements in mental health, physical health, anxiety, fatigue, depression, sleep, pain interference, physical function, social role satisfaction, stress, and patient activation [39,40]. Employing a similar design with controls for "doses" and types of integrative medicine could begin to provide the scientific basis for achieving maximal outcomes from integrative medicine and prevent the spiral of weight-related disorders.…”

Section: Future Of Integrative Medicinementioning

confidence: 99%

Weight Management: An Integrated Medicine Approach

Matecki,

Greenlaw,

Ossler

et al. 2024

New Community Health Models [Working Title]

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Obesity is related to comorbidities: type 2 diabetes, hypertension, cardiovascular disease, and other common primary care challenges. Primary care practitioners are the front line for the diagnosis and treatment of these comorbidities yet often lack tools to effectively address overweight as a risk factor. The HANES documented that 40% of adults with overweight were counseled to lose weight. About 55% of obese adults reported they received a diagnosis of obesity, and 24% reported follow-up contact with a clinician after the initial weight-related discussion. About 45% of primary care physicians said they did not feel knowledgeable enough to counsel on weight management. This chapter explores the challenges physicians face in addressing weight management, a review of new evidence-based research, and a proposal for an integrative medicine approach. We highlight two peer-reviewed clinical trials whose findings challenge beliefs about diet, nutrition, exercise, and weight management. Participants reported significant reductions in weight, blood pressure, blood sugar, cholesterol, and triglycerides. This chapter provides a comprehensive understanding of the challenges and nuances surrounding weight management. We conclude by introducing the New Health Conversation®, a paradigm shift in medical care and an integrated approach that sees the patient as a whole.

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Section: Future Of Integrative Medicinementioning

confidence: 99%

Weight Management: An Integrated Medicine Approach

Matecki,

Greenlaw,

Ossler

et al. 2024

New Community Health Models [Working Title]

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“…Die bislang größte Beobachtungsstudie zur Wirksamkeit integrativer Behandlung konnte kürzlich erste Daten publizieren: Fast 5000 ambulante Patienten an 17 integrativmedizinischen Zentren wurden prospektiv mit dem PRO-MIS-29-Fragebogen befragt, der sowohl den körperlichen als auch den psychischen Gesundheitszustand erfasst [6]. Klinisch bedeutungsvolle Verbesserungen wurden nach 1 Jahr in den Summen-Scores zu mentaler und körperlicher Gesundheit erzielt; in den Subskalen ergab sich nur zu körperlicher Funktionsfähigkeit keine Signifikanz, aber die Besserungen von Schlaf, Depression, Angst, Fatigue, Schmerzbeeinträchtigung und sozialer Rolle waren hochsignifikant [11].…”

Section: Wirksamkeitunclassified

Integrative Medizin in der Klinik

Klose¹,

Werner²

2023

Erfahrungsheilkunde

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ZusammenfassungDie Landschaft der Medizin hat sich langsam weiterentwickelt hin zu mehr Ganzheitlichkeit und Individualität. Teil dieses Fortschritts waren die Verbindung und Integration des konventionellen, biomedizinischen mit dem komplementär-naturheilkundlichen Gesundheitskonzept, das interdisziplinär und multimodal Synergien anstrebt, die dem Patienten Linderung und/oder Heilung bringen. Im Folgenden wird zunächst die Integrative Medizin definiert, danach die Vorgehens- und Arbeitsweise beschrieben, zuletzt wird noch auf Wirksamkeit und Kosten eingegangen.

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“…In an outpatient upper hand and extremity clinic, patient-level factors associated with completion of PRO measures included patient literacy, physical ability, and questionnaire design, among others [38,39]. Prior research upon largescale, longitudinal PRO collection within both the outpatient and inpatient IHM settings underscores its feasibility, acceptability, and potential benefit following routine implementation [16,[39][40][41][42][43]. A 2023 process-improvement study by Rodgers-Melnick et al [44] highlighted efforts to optimize PRO collection by inpatient music therapists, including offering resources and guidelines for data collection as well as opportunities for staff feedback.…”

Section: Introductionmentioning

confidence: 99%

Implementing paper-based patient-reported outcome collection within outpatient integrative health and medicine

Srinivasan,

Rodgers-Melnick,

Rivard

et al. 2024

PLoS ONE

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Objective To investigate the feasibility of pre- and post-encounter patient-reported outcome (PRO) measure collection within an outpatient integrative health and medicine (IHM) clinic and to characterize factors associated with successful completion. Methods We conducted a retrospective review of 27,464 outpatient IHM encounters including 9,520 chiropractic; 8,237 acupuncture; 5,847 massage; 2,345 IHM consultation; and 1,515 osteopathic manipulation treatment encounters at four clinics offering IHM over 18 months. Patients were asked to complete paper questionnaires rating pain, anxiety, and stress from 0–10 immediately pre- and post-encounter. Generalized linear mixed effect regression models were used to examine the relationship between demographic, clinical, and operational covariates and completing (1) pre-encounter and (2) paired (i.e., pre and post) PROs. Results Patients (N = 5587, mean age 49 years, 74% white, 77% female) generally presented for musculoskeletal conditions (81.7%), with a chief complaint of pain (55.1%). 21,852 (79.6%) encounters were among patients who completed pre-encounter PROs; 11,709/21,852 (53.6%) completed subsequent post-encounter PROs. Odds of PRO completion were more impacted by provider, operational, and clinical-level factors than patient factors. Covariates associated with increased odds of pre-encounter PRO completion included being female, having additional IHM encounters, and having a pain or anxiety complaint. Covariates associated with increased odds of paired PRO completion included being aged 31–40 vs. 51–60 years and having additional IHM encounters. Conclusion Implementing a paper-based PRO collection system in outpatient IHM is feasible; however, collecting post-encounter PROs was challenging. Future endeavors should leverage the electronic health record and patient portals to optimize PRO collection and engage patients and clinical providers.

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Patients Receiving Integrative Medicine Effectiveness Registry (PRIMIER) of the BraveNet practice-based research network: Outcomes of the PRIMIER cohort

Cited by 6 publications

References 41 publications

Weight Management: An Integrated Medicine Approach

Weight Management: An Integrated Medicine Approach

Integrative Medizin in der Klinik

Implementing paper-based patient-reported outcome collection within outpatient integrative health and medicine

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