Evidence map›Paper›PMID 25397830›Full record

ArticleMedical care2014

Perceptions of providers and administrators in the Veterans Health Administration regarding complementary and alternative medicine.

Carol E Fletcher, Allison R Mitchinson, Erika L Trumble, Daniel B Hinshaw, Jeffery A Dusek

Open access · greenAbstract read
In one paragraph

Article in Medical care, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
9.7field-weighted citation impact, top 3% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

6 citing papers in PubMed, 17 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Pilot study of massage in veterans with knee osteoarthritis.Journal of alternative and complementary medicine (New York, N.Y.) · 2015
    Article
  5. Practitioner Perspectives on Delivering Integrative Medicine in a Large, Acute Care Hospital.Evidence-based complementary and alternative medicine : eCAM · 2015
    Article
  6. Strengthening the Leader Within: A Deep Dive into Impact of Yoga on Various Leadership Traits - A Narrative Review.Indian journal of community medicine : official publication of Indian Association of Preventive & Social Medicine
    Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 2 institutions in 1 country.

Carol E Fletcher*VA Ann Arbor Medical Center, Ann Arbor, MI †Penny George Institute of Health and Healing, Abbott Northwestern Hospital, Minneapolis, MN.
Allison R Mitchinson
Erika L Trumble
Daniel B Hinshaw
Jeffery A Dusek
Ann Arbor VA Medical Center · USPenny George Institute for Health and Healing · US

Funding

Effect of Complementary and Alternative Medicine on Pain Among Inpatients: AdminiR01AT006518 · NCCIH · ALLINA HEALTH SYSTEM · PI DUSEK, JEFFERY A · 2011 to 2014
$2.6M
NCCIH NIH HHS R01 AT006518NCCIH NIH HHS R01AT006518
6 · The paper itself

Abstract

backgroundThe integration of complementary and alternative medicine (CAM) therapies into a large organization such as the Veterans Health Administration (VHA) requires cultural change and deliberate planning to ensure feasibility and buy-in from staff and patients. At present, there is limited knowledge of VHA patient care providers' and administrators' viewpoints regarding CAM therapies and their implementation.

objectivesOur purpose was to qualitatively examine knowledge, attitudes, perceived value and perceived barriers, and/or facilitators to CAM program implementation among VHA providers and administrators at a large VHA facility. RESEARCH

designWe are reporting the qualitative interview portion of a mixed-methods study. SUBJECTS: Twenty-eight participants (patient care providers or administrators) were purposely chosen to represent a spectrum of positions and services. Participants' experience with and exposure to CAM therapies varied. MEASURES: Individual interviews were conducted using a semi-structured format and were digitally recorded, transcribed, and coded for themes.

resultsRecurrent themes included: a range of knowledge about CAM; benefits for patients and staff; and factors that can be facilitators or barriers including evidence-based practice or perceived lack thereof, prevailing culture, leadership at all levels, and lack of position descriptions for CAM therapists. Participants rated massage, meditation, acupuncture, and yoga as priorities for promotion across the VHA.

conclusionsDespite perceived challenges, providers and administrators recognized the value of CAM and potential for expansion of CAM within the VHA. Interview results could inform the process of incorporating CAM into a plan for meeting VHA Strategic Goal One of personalized, proactive, patient-driven health care across the VHA.

Indexed as

Attitude of Health PersonnelHospital AdministratorsUnited States Department of Veterans AffairsComplementary TherapiesFemaleHumansInterviews as TopicMaleOrganizational ObjectivesQualitative ResearchUnited States

Identifiers

PMID25397830
PMCPMC4234181
OpenAlexW2312754815

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.