Real-World Evidence from the Integrative Medicine Primary Care Trial (IMPACT): Assessing Patient-Reported Outcomes at Baseline and 12-Month Follow-Up
| العنوان: | Real-World Evidence from the Integrative Medicine Primary Care Trial (IMPACT): Assessing Patient-Reported Outcomes at Baseline and 12-Month Follow-Up |
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| المؤلفون: | Ivo Abraham, Victoria Maizes, Robert L. Crocker, Jason T. Hurwitz, Andrew Weil, Randy Horwitz, Amy J. Grizzle, Rick A. Rehfeld |
| المصدر: | Evidence-Based Complementary and Alternative Medicine, Vol 2019 (2019) Evidence-based Complementary and Alternative Medicine : eCAM |
| بيانات النشر: | Hindawi Limited, 2019. |
| سنة النشر: | 2019 |
| مصطلحات موضوعية: | medicine.medical_specialty, Health coaching, Article Subject, Behavioral Risk Factor Surveillance System, business.industry, Visual analogue scale, Perceived Stress Scale, lcsh:Other systems of medicine, lcsh:RZ201-999, 030205 complementary & alternative medicine, Patient Health Questionnaire, Pittsburgh Sleep Quality Index, 03 medical and health sciences, 0302 clinical medicine, Complementary and alternative medicine, 030220 oncology & carcinogenesis, Health care, Physical therapy, Medicine, Integrative medicine, business, Research Article |
| الوصف: | Purpose. The University of Arizona Integrative Health Center (UAIHC) was an innovative membership-supported integrative medicine (IM) adult primary care clinic in Phoenix, Arizona. UAIHC delivered healthcare using an integrative medicine model that combined conventional and complementary medical treatments, including nutrition, mind-body medicine, acupuncture, manual medicine, health coaching, educational classes, and groups. Results from pre-post evaluation of patient-reported outcomes on several standardized measures are presented here. Methods. UAIHC patients completed surveys at baseline and after 12 months of continuous integrative primary care. Patients reported on perceived changes in health outcomes as measured by Short-Form Health Survey (SF-12 general, mental, and physical health), Perceived Stress Scale (PSS4), Work Productivity and Activity Impairment Questionnaire (WPAI), World Health Organization Well-Being Index (WHO-5), Pain Visual Analog Scale (VAS), Fatigue Severity Scale (VAS; FSS), Generalized Anxiety Disorder Scale (GAD2), Patient Health Questionnaire for depression (PHQ2), Pittsburgh Sleep Quality Index (PSQI) global rating of sleep quality, and the Behavioral Risk Factor Surveillance System (BRFSS; nutrition, exercise, and physical activity). Overall differences between time points were assessed for statistical significance. Patient demographics are also described. Results. 177 patients completed baseline and follow-up outcome measures. Patients were predominantly white, female, college-educated, and employed. Baseline to one-year follow-up results indicate statistically significant improvements (p < .05) on all but perceived stress (PSS-4) and work absenteeism (WPAI). Clinical impact and/or practical effects are reported as percent change or standardized effect sizes whenever possible. Other demographic and descriptive information is summarized. Conclusions. Following one year of IM primary care at UAIHC, patient-reported outcomes indicated positive impacts in several areas of patients’ lives: mental, physical, and overall health; work productivity; sleep quality; pain; fatigue; overall well-being; and physical activity. |
| وصف الملف: | text/xhtml |
| تدمد: | 1741-4288 1741-427X |
| URL الوصول: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::46d2219daf22fe7ad9d00e0c93f8945e https://doi.org/10.1155/2019/8595409 |
| حقوق: | OPEN |
| رقم الأكسشن: | edsair.doi.dedup.....46d2219daf22fe7ad9d00e0c93f8945e |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 17414288 1741427X |
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