Evidence map›Paper›PMID 27925776›Full record

ArticleJournal of alternative and complementary medicine (New York, N.Y.)2017

Providers' and Administrators' Perceptions of Complementary and Integrative Health Practices Across the Veterans Health Administration.

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

Abstract read
In one paragraph

Article in Journal of alternative and complementary medicine (New York, N.Y.), 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
–field-weighted citation impact
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

10 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Article
  6. Chiropractic Integration into Private Sector Medical Facilities: A Multisite Qualitative Case Study.Journal of alternative and complementary medicine (New York, N.Y.) · 2018
    Article
  7. Article
  8. Complementary and Integrative Health Therapies for Opioid Overuse: An Opportunity for the VA.Federal practitioner : for the health care professionals of the VA, DoD, and PHS · 2018
    Article
  9. Article
  10. Article
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.

Carol E Fletcher1 VA Ann Arbor Medical Center , Ann Arbor, MI.
Allison R Mitchinson1 VA Ann Arbor Medical Center , Ann Arbor, MI.
Erika Trumble1 VA Ann Arbor Medical Center , Ann Arbor, MI.
Daniel B Hinshaw1 VA Ann Arbor Medical Center , Ann Arbor, MI.
Jeffery A Dusek2 Integrated Health Research Center , Penney George Institute for Health and Healing, Allina Health, Minneapolis, MN.

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
6 · The paper itself

Abstract

objectivesUse of complementary and integrative health (CIH) therapies is being promoted by the Veterans Health Administration (VA), but promotion may not equate to adoption. The purpose of this study was to explore whether perceptions regarding CIH at one VA medical center (VAMC) were similar to perceptions from a sample of other VAMCs.

designThis article reports a subset of qualitative findings from a mixed-methods study. SETTING/

participantsSites were recruited through a VA-wide CIH listserver. On the basis of site description (e.g., therapies offered, interest in CIH), sustained site interest, and geographic location, recorded interviews of 22 persons were conducted at 6 sites across the country. OUTCOME MEASURES: Interviewees were asked the same questions as the single-site VAMC study respondents.

resultsVariable access to CIH services across the VA created the need for workarounds. Multiple barriers (e.g., limited space and challenging credentialing) and facilitators (e.g., strong champion and high veteran demand) were cited. Respondents described nonpharmacologic pain control, the usefulness in treating mental health and/or post-traumatic stress disorder issues, and improvement of staff morale as additional reasons to promote CIH. Findings confirmed those from the earlier single-site VAMC phase of the study. Even the highest-performing sites reported struggling to meet veterans' demands for delivery of CIH.

conclusionsAlmost half of active-duty military personnel report the use of at least one type of CIH therapy. As active-duty personnel transition to veteran status, both their physical and mental healthcare needs can potentially benefit from CIH therapies. The VA must actively support local enthusiastic CIH proponents and receive congressional support if it is to actually meet its stated goal of providing personalized, proactive, patient-driven healthcare through the promotion of comprehensive CIH services to veterans.

Indexed as

Attitude of Health PersonnelDelivery of Health CareUnited States Department of Veterans AffairsVeterans HealthComplementary TherapiesFemaleHealth Services AccessibilityHumansMaleMental DisordersPain ManagementPatient-Centered CarePerceptionQualitative ResearchStress Disorders, Post-TraumaticUnited Statesaccessbarriers and facilitatorscomplementary and alternative medicine (CAM)complementary and integrative health (CIH)patient-centered careveterans

Identifiers

PMID27925776
PMCPMC5248538

What OpenQuestion holds

Textmetadata
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.