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1دورية أكاديمية
المؤلفون: Rachel S. Wasson MA, Christina M. Luberto PhD, Meera Murthi PhD, Susan Blocksom McDonald MA, Harini Pallerla MS, Brenna K. Novak BS, Sian Cotton PhD
المصدر: Global Advances in Health and Medicine, Vol 9 (2020)
مصطلحات موضوعية: Medicine (General), R5-920, Public aspects of medicine, RA1-1270
الوصف: Background Mindfulness-Based Stress Reduction (MBSR) often improves health outcomes, though literature primarily focuses on middle-class, employed individuals. With an estimated average of six million unemployed over the past year, and the recent uptick in unemployment due to the COVID-19 pandemic, it is important to identify methods to mitigate and reduce the negative health outcomes often associated with under- and unemployment. Objectives We aimed to 1) outline the process of partnering with a community organization to implement a modified MBSR program for under- and unemployed individuals, and 2) present pilot data on preliminary results. Methods The modified MBSR program was implemented in two phases within a job training program for under- and unemployed individuals. In Phase I, group one received an eight-week program. Based on feedback, the MBSR program was reduced to six weeks and implemented for groups two and three (Phase II). Feasibility and acceptability were evaluated utilizing a mixed-methods approach. Changes in mindfulness, perceived stress, pain interference, anxiety, depression, and sleep disturbance were assessed pre-post the modified MBSR program. Results Thirty-three participants completed the program with twenty-nine post-survey responses. The modified MBSR program was feasible and acceptable as evidenced by the enrollment rate (96%), retention rate (72%), and qualitative feedback. Fifty-percent of participants self-reported weekly home practice compliance. Perceived stress and mindfulness demonstrated significant moderate improvements ( d = .69, p = .005; d = .46, p = .001). Depression, anxiety, and pain interference results suggested small non-significant effect size improvements ( d = .27, p = .19; d = .23, p = .31; d = .25, p = .07). Effects on fatigue and sleep disturbance were negligible. Conclusion The modified MBSR program was feasible and acceptable to the organization and participants. Small to moderate improvements in mental health and pain interference outcomes were observed. Research using larger sample sizes and randomized designs is warranted.
وصف الملف: electronic resource
Relation: https://doaj.org/toc/2164-9561
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2دورية أكاديمية
المؤلفون: Brenna K Novak BS, Anna Gebhardt BS, Harini Pallerla MS, Susan Blocksom McDonald MA, Aviad Haramati PhD, Sian Cotton PhD
المصدر: Global Advances in Health and Medicine, Vol 9 (2020)
مصطلحات موضوعية: Medicine (General), R5-920, Public aspects of medicine, RA1-1270
الوصف: Background Positive effects of mind-body skills programs on participant well-being have been reported in health professions students. The success seen with medical students at this university led to great interest in expanding the mind-body skills program so students in other disciplines could benefit from the program. Objective The purpose of this study was to assess the effects of a 9-week mind-body skills program on the mental and emotional well-being of multidisciplinary students compared to controls. We also sought to determine if the program’s effects were sustained at 1-year follow-up. Methods A cross-sectional pre-post survey was administered online via SurveyMonkey to participants of a 9-week mind-body skills program and a control group of students from 7 colleges at a public university from 2017–2019. Students were assessed on validated measures of stress, positive/negative affect, resilience, depression, anxiety, fatigue, sleep disturbance, mindfulness, empathy, and burnout. Scores were analyzed between-groups and within-groups using bivariate and multivariate analyses. A 1-year follow-up was completed on a subset of participants and controls. Results 279 participants and 247 controls completed the pre-survey and post-survey (79% response rate; 71% female, 68% white, mean age = 25 years). Participants showed significant decreases in stress, negative affect, depression, anxiety, sleep disturbance, and burnout, while positive affect, resilience, mindfulness, and empathy increased significantly ( P < .05). Only sleep disturbance showed a significant decrease in the control group. Follow-up in a subset of participants showed that only mindfulness remained elevated at 1-year ( P < .05), whereas the significant changes in other well-being measures were not sustained. Conclusion Participation in a 9-week mind-body skills program led to significant improvement in indicators of well-being in multidisciplinary students. A pilot 1-year follow-up suggests that effects are only sustained for mindfulness, but not other parameters. Future programming should focus on implementing mind-body skills booster sessions to help sustain the well-being benefits.
وصف الملف: electronic resource
Relation: https://doaj.org/toc/2164-9561
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3دورية أكاديمية
المؤلفون: Christina M Luberto PhD, Daniel L Hall PhD, Elyse R Park PhD, MPH, Aviad Haramati PhD, Sian Cotton PhD
المصدر: Global Advances in Health and Medicine, Vol 9 (2020)
مصطلحات موضوعية: Medicine (General), R5-920, Public aspects of medicine, RA1-1270
الوصف: Mind–body medicine is an evidence-based approach to health and healing that focuses on interactions between the mind, body, and behavior. It encompasses a wide range of interventions that are similar yet different in meaningful ways. Mindfulness and relaxation practices are 2 mind–body techniques that have similarities and differences; however, these techniques are often used or discussed interchangeably, such that the differences between them become obscured. A greater understanding of the unique facets of mindfulness and relaxation is needed for researchers and clinicians to make informed decisions when selecting an approach. The purpose of the current article is to offer an evidence-informed perspective on similarities and differences between mindfulness and relaxation. Specifically, mindfulness and relaxation practices are compared and contrasted in terms of theoretical foundation, intention, and psychological and physiological effects and mechanisms. Implications for clinical practice and suggestions for future research are discussed.
وصف الملف: electronic resource
Relation: https://doaj.org/toc/2164-9561
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4
المؤلفون: Christina M. Luberto, Rachel S. Wasson, Meera Murthi, Susan Blocksom McDonald, Harini Pallerla, Sian Cotton, Brenna K Novak
المصدر: Global Advances in Health and Medicine
Global Advances in Health and Medicine, Vol 9 (2020)مصطلحات موضوعية: Stress reduction, 050103 clinical psychology, 2019-20 coronavirus outbreak, unemployment, Mindfulness, mindfulness, Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), media_common.quotation_subject, MBSR, Health outcomes, Mindfulness-based stress reduction, 03 medical and health sciences, 0302 clinical medicine, 0501 psychology and cognitive sciences, media_common, Community based, lcsh:R5-920, lcsh:Public aspects of medicine, 05 social sciences, lcsh:RA1-1270, General Medicine, under-resourced, Unemployment, Original Article, Psychology, lcsh:Medicine (General), underemployed, 030217 neurology & neurosurgery, Clinical psychology
الوصف: Background Mindfulness-Based Stress Reduction (MBSR) often improves health outcomes, though literature primarily focuses on middle-class, employed individuals. With an estimated average of six million unemployed over the past year, and the recent uptick in unemployment due to the COVID-19 pandemic, it is important to identify methods to mitigate and reduce the negative health outcomes often associated with under- and unemployment. Objectives We aimed to 1) outline the process of partnering with a community organization to implement a modified MBSR program for under- and unemployed individuals, and 2) present pilot data on preliminary results. Methods The modified MBSR program was implemented in two phases within a job training program for under- and unemployed individuals. In Phase I, group one received an eight-week program. Based on feedback, the MBSR program was reduced to six weeks and implemented for groups two and three (Phase II). Feasibility and acceptability were evaluated utilizing a mixed-methods approach. Changes in mindfulness, perceived stress, pain interference, anxiety, depression, and sleep disturbance were assessed pre-post the modified MBSR program. Results Thirty-three participants completed the program with twenty-nine post-survey responses. The modified MBSR program was feasible and acceptable as evidenced by the enrollment rate (96%), retention rate (72%), and qualitative feedback. Fifty-percent of participants self-reported weekly home practice compliance. Perceived stress and mindfulness demonstrated significant moderate improvements ( d = .69, p = .005; d = .46, p = .001). Depression, anxiety, and pain interference results suggested small non-significant effect size improvements ( d = .27, p = .19; d = .23, p = .31; d = .25, p = .07). Effects on fatigue and sleep disturbance were negligible. Conclusion The modified MBSR program was feasible and acceptable to the organization and participants. Small to moderate improvements in mental health and pain interference outcomes were observed. Research using larger sample sizes and randomized designs is warranted.
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5
المؤلفون: Christina M. Luberto, Daniel L. Hall, Elyse R. Park, Aviad Haramati, Sian Cotton
المصدر: Global Advances in Health and Medicine
Global Advances in Health and Medicine, Vol 9 (2020)مصطلحات موضوعية: 050103 clinical psychology, Mindfulness, mindfulness, Mind–body problem, Psychological intervention, 03 medical and health sciences, 0302 clinical medicine, relaxation, well-being, mind–body, 0501 psychology and cognitive sciences, lcsh:R5-920, Relaxation (psychology), lcsh:Public aspects of medicine, 05 social sciences, Perspective (graphical), Foundation (evidence), lcsh:RA1-1270, health, General Medicine, 3. Good health, Clinical Practice, Well-being, Original Article, lcsh:Medicine (General), Psychology, 030217 neurology & neurosurgery, Cognitive psychology
الوصف: Mind–body medicine is an evidence-based approach to health and healing that focuses on interactions between the mind, body, and behavior. It encompasses a wide range of interventions that are similar yet different in meaningful ways. Mindfulness and relaxation practices are 2 mind–body techniques that have similarities and differences; however, these techniques are often used or discussed interchangeably, such that the differences between them become obscured. A greater understanding of the unique facets of mindfulness and relaxation is needed for researchers and clinicians to make informed decisions when selecting an approach. The purpose of the current article is to offer an evidence-informed perspective on similarities and differences between mindfulness and relaxation. Specifically, mindfulness and relaxation practices are compared and contrasted in terms of theoretical foundation, intention, and psychological and physiological effects and mechanisms. Implications for clinical practice and suggestions for future research are discussed.
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6
المؤلفون: Anna Gebhardt, Susan Blocksom McDonald, Aviad Haramati, Harini Pallerla, Sian Cotton, Brenna K Novak
المصدر: Global Advances in Health and Medicine
Global Advances in Health and Medicine, Vol 9 (2020)مصطلحات موضوعية: mindfulness, Mindfulness, 020205 medical informatics, Mind–body problem, education, 02 engineering and technology, Burnout, 03 medical and health sciences, 0302 clinical medicine, 0202 electrical engineering, electronic engineering, information engineering, 030212 general & internal medicine, lcsh:R5-920, Medical education, burnout, lcsh:Public aspects of medicine, lcsh:RA1-1270, General Medicine, Health professions, Interventions to Improve Well-Being of Health Professionals in Learning & Work Environments, Mental health, student well-being, Emotional well-being, mind-body, Original Article, lcsh:Medicine (General), Psychology, mental health
الوصف: BackgroundPositive effects of mind-body skills programs on participant well-being have been reported in health professions students. The success seen with medical students at this university led to great interest in expanding the mind-body skills program so students in other disciplines could benefit from the program.ObjectiveThe purpose of this study was to assess the effects of a 9-week mind-body skills program on the mental and emotional well-being of multidisciplinary students compared to controls. We also sought to determine if the program’s effects were sustained at 1-year follow-up.MethodsA cross-sectional pre-post survey was administered online via SurveyMonkey to participants of a 9-week mind-body skills program and a control group of students from 7 colleges at a public university from 2017–2019. Students were assessed on validated measures of stress, positive/negative affect, resilience, depression, anxiety, fatigue, sleep disturbance, mindfulness, empathy, and burnout. Scores were analyzed between-groups and within-groups using bivariate and multivariate analyses. A 1-year follow-up was completed on a subset of participants and controls.Results279 participants and 247 controls completed the pre-survey and post-survey (79% response rate; 71% female, 68% white, mean age = 25 years). Participants showed significant decreases in stress, negative affect, depression, anxiety, sleep disturbance, and burnout, while positive affect, resilience, mindfulness, and empathy increased significantly ( P < .05). Only sleep disturbance showed a significant decrease in the control group. Follow-up in a subset of participants showed that only mindfulness remained elevated at 1-year ( P < .05), whereas the significant changes in other well-being measures were not sustained.ConclusionParticipation in a 9-week mind-body skills program led to significant improvement in indicators of well-being in multidisciplinary students. A pilot 1-year follow-up suggests that effects are only sustained for mindfulness, but not other parameters. Future programming should focus on implementing mind-body skills booster sessions to help sustain the well-being benefits.
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7
المؤلفون: Rachel S. Wasson, Elizabeth E. Hathaway, Sian Cotton, Sue Geiss, Christina M. Luberto, Lois H. Bogenschutz
المصدر: Global Advances in Health and Medicine
مصطلحات موضوعية: medicine.medical_specialty, Pediatrics, Neonatal intensive care unit, Massage, business.industry, Alternative medicine, MEDLINE, Healing Touch, Retrospective cohort study, General Medicine, Original Articles, Pain management, medicine, Level iii, Intensive care medicine, business
الوصف: Pain management is a frequent problem in the neonatal intensive care unit (NICU). Few studies examining effects of integrative care therapies on pain-related outcomes in neonates have included physiological outcomes or investigated the use of such therapies in a practice-based setting.The purpose of this practice-based retrospective study was to examine the associations between integrative care therapies, particularly massage and healing touch, and pain-related outcomes among hospitalized infants.We conducted a retrospective review of a clinical database from a level III NICU regularly delivering integrative care therapies. Paired-samples t-tests were used to examine associations between integrative care therapies and 4 pre-post outcome measures: therapist-rated pain and presentation (ranging from asleep to agitated) and neonates' heart rate and oxygen saturation.Of 186 patients (M age=68 days), 58% were male and 67% were Caucasian. Sixty-two percent received both massage and healing touch; the remainder received a single therapy. From pre-post therapy, statistically significant changes were observed in infants' heart rate (M pre=156 vs M post=140 per minute; P.001), oxygen saturation (M pre=95.0% vs.M post=97.4%; P.001), and therapist-reported pain (M pre=2.8 vs M post=0.2; P.001) and presentation (M pre=3.2 vs. M post=1.0; P.001).Observed improvements in pain-related outcomes suggest that massage and healing touch may be useful integrative therapies to consider as pain management options in the NICU.背景：疼痛控制是新生儿重症监 护室 (NICU) 经常遇到的一个难 题。在评估整合护理疗法对新生 儿疼痛相关指标之影响的研究 中，几乎没有研究探讨生理指标 或评估此类疗法在诊所环境中的 应用情况。目的：这项基于实践的回顾性研 究旨在分析整合护理疗法，特别 是按摩和康复性抚摸，与住院婴 儿的疼痛相关指标之间的关系。方法：我们对经常实施整合护理 疗法的 III 级 NICU 的临床数据 库进行了回顾性审核。我们采用 配对样本 t 检验分析了整合护理 疗法与以下 4 个治疗前-治疗后评 估指标的关系：治疗师评定的疼 痛、新生儿的疼痛表现（从睡眠 到烦躁不等）、新生儿的心率和 血氧饱和度。结果：在 186 名患儿中（平均年 龄 = 68 天），有 58% 为男 婴，67% 为白种人。62% 接受了按 摩联合康复性抚摸，其余仅接受 了单一疗法。从治疗前到治疗 后，婴儿的心率（治疗前均值 = 156 次/分，治疗后均值 = 140 次/分；p0.001）、血氧饱和度（ 治疗前均值 = 95.0%，治疗后均值 = 97.4%；p0.001）、治疗师评定 的疼痛（治疗前均值 = 2.8，治疗 后均值 = 0.2；p0.001）以及疼 痛表现（治疗前均值 = 3.2，治疗 后均值 = 1.0；p0.001）均观察 到了有统计显著性的改变。结论：疼痛相关指标的改善表 明，按摩和康复性抚摸是有效的 整合疗法，可考虑作为疼痛控制 方案用于 NICU 中。.El tratamiento del dolor es un problema frecuente en la unidad de cuidados intensivos neonatales (UCIN). Pocos de los estudios que examinan los efectos de los tratamientos integradores sobre los resultados relacionados con el dolor en neonatos han incluido los resultados fisiológicos o investigado el uso de este tipo de tratamientos en un entorno basado en la práctica.El objetivo de este estudio retrospectivo basado en la práctica fue examinar la asociación entre los tratamientos integradores de atención, especialmente el masaje y el toque sanador, y los resultados relacionados con el dolor entre los lactantes hospitalizados.Realizamos una revisión retrospectiva de una base de datos clínica de una UCIN de nivel III que proporcionaba regularmente tratamientos integradores de atención. Se utilizaron pruebas t de muestras pareadas para examinar las asociaciones entre los tratamientos integradores de atención y cuatro medidas de resultados anteriores y posteriores: dolor puntuado por el terapeuta y presentación (desde dormido hasta sueño agitado) y frecuencia cardíaca y saturación de oxígeno de los neonatos.De 186 pacientes (Medad = 68 días), el 58 % eran hombres y el 67 % eran de raza caucásica. El 62 % recibió tanto masajes como toque sanador; el resto recibió un solo tratamiento. A partir del tratamiento anterior y posterior, se observaron cambios estadísticamente significativos en la frecuencia cardíaca de los lactantes (Manterior = 156 frente a Mposterior = 140 por minuto;Las mejoras observadas en los resultados relacionados con el dolor sugieren que el masaje y el toque sanador podrían ser tratamientos integradores útiles a considerar como opciones de tratamiento del dolor en la UCIN.
URL الوصول: https://explore.openaire.eu/search/publication?articleId=doi_dedup___::02ea3deac696bc20837681a2a6733e72
http://europepmc.org/articles/PMC4533649 -
8
المؤلفون: Stefanie Stevenson, Sian Cotton, Christina M. Luberto
المصدر: Global Advances in Health and Medicine
مصطلحات موضوعية: medicine.medical_specialty, business.industry, Nutrition Education, Primary care physician, Psychological intervention, General Medicine, Social support, Nursing, Diabetes management, Family medicine, Health care, Medicine, Scientific Abstracts, Integrative medicine, business, Socioeconomic status
الوصف: Focus Areas: Integrative Approaches to Care, Supporting Behavioral Change Diabetes affects approximately 26 million adults and is a leading cause of death and disability in the United States (CDC, 2011). Diabetes disproportionately affects individuals from lower socioeconomic status groups, the same individuals with limited access to healthcare resources (CDC, 2011). Thus, there is a critical need to provide affordable and effective care to these at-risk individuals. In order to meet this need, we developed and implemented a unique integrative medicine (IM) “Shared Medical Visit” approach to diabetes management at a Free Health Clinic. This initiative uses IM techniques and tenants to improve the health and well-being of low-income men and women with Type II diabetes mellitus. The Shared Medical Visit model allows patients to provide and receive social support and learn from others' experiences while receiving high-quality medical care. Visits occur monthly and include 8 to 15 patients, 1 IM physician, and 1 Clinic Primary Care Physician (PCP). The IM physician leads the 90-minute group while the PCP provides individual, private visits as needed. The IM physician's goals are to promote healthy group dynamics, respect, and healthy behavior change. The visits provide several interventions, including nutrition education (eg, whole foods), healthy cooking demonstrations, and food tastings; mind-body stress reduction exercises (eg, mindfulness, breath-work); and physical activity (eg, walking groups). While we did not formally assess outcomes, group members subjectively reported an increased sense of community, appreciation of food tastings, and overall health improvement. One participant reported improved hemoglobin A1C, less medication use, and understanding how stress and sleep contribute to glucose control. The nurse manager reported that participants who attend these visits keep their clinic appointments more often than those who do not. Groups are consistently filled and have been running continuously for 21 months. Plans are underway to formally assess the impact of the group visits on health outcomes.
URL الوصول: https://explore.openaire.eu/search/publication?articleId=doi_dedup___::35865395bcf9c6478de0195fb3422890
https://doi.org/10.7453/gahmj.2013.097cp.s10c -
9
المؤلفون: Christina M. Luberto, Stefanie Stevenson, Sian Cotton
المصدر: Global Advances in Health and Medicine
مصطلحات موضوعية: Horizontal integration, business.industry, media_common.quotation_subject, Financial independence, Cost centre, General Medicine, Public relations, Business model, Management, Excellence, Sustainability, Medicine, Scientific Abstracts, Center (algebra and category theory), Integrative medicine, business, media_common
الوصف: Focus Area: Sustainable Business Models In 2012, with solely institutional support, the University of Cincinnati officially launched its Center for Integrative Health and Wellness, focused on developing integrative medicine clinical, research, and education initiatives horizontally across the academic health center. Given that Integrative Medicine (IM) is intrinsically interdisciplinary, the UC Center purposively functions according to a horizontal integration business and clinical model, rather than as a siloed vertical structure within one specific clinical or academic area. As opposed to building a separate freestanding physical clinical site, the clinical services are co-located within existing Centers for Excellence and established clinical programs including, for example, a new 25 000–squarefoot Women's Health Center, our Cancer Center, and a Neuroscience Center in development. With its own cost center, IM maintains financial independence while capitalizing on cross-programmatic marketing, development, and infrastructure. Faculty members across the academic health center were engaged early on in the development and planning of the Center in order to inform clinical services tailored to their specific patient populations. The Director of the IM program systematically delivered Grand Rounds across Departments in the College of Medicine in order to market, promote, and plan the IM expansion across the medical school. With an embedded horizontal model of clinical integration, both the financial risks and the successes of the IM program are collaborative and intrinsically shared for optimal sustainability. The Center's future plan for sustainability involves: (1) revenue-generating IM consults and shared medical visits billable through insurance; (2) trainings and wellness educational events; (3) philanthropic support and endowments; (4) federally funded research and education grants; (5) close partnering with the established Integrative Care Department at Cincinnati Children's Hospital Medical Center; and (6) continuing to build strategic horizontal partnerships.
URL الوصول: https://explore.openaire.eu/search/publication?articleId=doi_dedup___::7d00d9d2b2ecbf3e2835988672080eef
https://doi.org/10.7453/gahmj.2013.097cp.s21b
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