Use of Complementary and Integrated Health: A Retrospective Analysis of U.S. Veterans with Chronic Musculoskeletal Pain Nationally

Taylor, Stephanie L.; Herman, Patricia M.; Marshall, Nell; Zeng, Qing; Yuan, Anita H.; Chu, Karen; Shao, Yijun; Morioka, Craig A.; Lorenz, Karl

doi:10.1089/acm.2018.0276

Cited by 41 publications

(30 citation statements)

References 21 publications

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“…These self-reported utilization rates were higher than those found in our earlier examination of 2010-2013 medical record-reported utilization rates among VHA users having chronic musculoskeletal pain. 31 However, that examination used natural language processing to extract CIH utilization from medical records and most likely did not completely account for community-based CIH utilization as we do in this examination, so those estimates could be less reliable. Veterans' CIH utilization will likely increase in the near future given the expansion of CIH provision as a non-pharmacological treatment for pain in the VHA mandated by Congress in the 2016 Comprehensive Addiction and Recovery Act.…”

Section: Discussionmentioning

confidence: 99%

Complementary and Integrated Health Approaches: What Do Veterans Use and Want

2019

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OBJECTIVES: Non-pharmacological treatment options for common conditions such as chronic pain, anxiety, and depression are being given increased consideration in healthcare, especially given the recent emphasis to address the opioid crisis. One set of non-pharmacological treatment options are evidence-based complementary and integrative health (CIH) approaches, such as yoga, acupuncture, and meditation. The Veterans Health Administration (VHA), the nation's largest healthcare system, has been at the forefront of implementing CIH approaches, given their patients' high prevalence of pain, anxiety, and depression. We aimed to conduct the first national survey of veterans' interest in and use of CIH approaches. METHODS: Using a large national convenience sample of veterans who regularly use the VHA, we conducted the first national survey of veterans' interest in, frequency of and reasons for use of, and satisfaction with 26 CIH approaches (n = 3346, 37% response rate) in July 2017. RESULTS: In the past year, 52% used any CIH approach, with 44% using massage therapy, 37% using chiropractic, 34% using mindfulness, 24% using other meditation, and 25% using yoga. For nine CIH approaches, pain and stress reduction/relaxation were the two most frequent reasons veterans gave for using them. Overall, 84% said they were interested in trying/learning more about at least one CIH approach, with about half being interested in six individual CIH approaches (e.g., massage therapy, chiropractic, acupuncture, acupressure, reflexology, and progressive relaxation). Veterans appeared to be much more likely to use each CIH approach outside the VHA vs. within the VHA. CONCLUSIONS: Veterans report relatively high past-year use of CIH approaches and many more report interest in CIH approaches. To address this gap between patients' level of interest in and use of CIH approaches, primary care providers might want to discuss evidence-based CIH options to their patients for relevant health conditions, given most CIH approaches are safe.

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Section: Discussionmentioning

confidence: 99%

Complementary and Integrated Health Approaches: What Do Veterans Use and Want

2019

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“…Diese haben nicht nur historischen Wert [18], sondern werden auch in anderen Professionen gelehrt [8,9] und von hochstrukturierten Gesundheitseinrichtungen, die ein hohes Aufkommen von Schmerzpatienten haben, wie z. B. der US-amerikanischen Veteranenzentren, gefördert, wie Taylor et al [39] berichteten. An einem (retrospektiv ausgewerteten) Datensatz von 530.216 Individuen ermittelten die Autoren, dass die Nutzungsquote "komplementär/integrativer" Verfahren bei muskuloskeletalen Schmerzpatienten bei 27 % lag.…”

Section: Schmerz Und Alterunclassified

Schmerz und Alter

Thiesemann

2018

Z Gerontol Geriat

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“…Also of potential import but little examined is that utilization of CIH therapies by veteran populations may vary by race/ethnicity and age, for example because of race/ethnic and age-related differences in factors that facilitate or impede CIH use such as economic resources and cultural/health beliefs (Chao et al, 2006; Goldstein et al, 2015; Hsiao et al, 2006). We addressed these gaps by conducting secondary analyses of data from a national population study (Taylor et al, 2018) of VA users age 18–54 with chronic musculoskeletal pain to examine whether there are gender differences in the prevalence and predictors of CIH therapy use, and whether any effect of gender is further moderated by race/ethnicity and age. The results of this analysis could point to gender-specific policy and practice solutions for addressing chronic pain.…”

Section: Introductionmentioning

confidence: 99%