Evidence map›Paper›PMID 33639250›Full record

ArticleComplementary therapies in medicine2021

Implementing an inpatient integrative medicine consult service for children with pain: A qualitative analysis.

Isabel Roth, Rebecca Wells, Linda Highfield, Paula Cuccaro, Sanghamitra Misra, Joan Engebretson

Open access · goldAbstract read
In one paragraph

Article in Complementary therapies in medicine, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.8field-weighted citation impact, top 24% 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

1 citing paper in PubMed, 4 citations in OpenAlex.

  1. 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

6 authors at 3 institutions in 1 country.

Isabel RothDepartment of Management, Policy, and Community Health, University of Texas Health Science Center School of Public Health (UTHealth), Houston, TX, USA. Electronic address: iroth@email.unc.edu.
Rebecca WellsDepartment of Management, Policy, and Community Health, University of Texas Health Science Center School of Public Health (UTHealth), Houston, TX, USA. Electronic address: Rebecca.s.wells@uth.tmc.edu.
Linda HighfieldDepartment of Management, Policy, and Community Health, University of Texas Health Science Center School of Public Health (UTHealth), Houston, TX, USA. Electronic address: Linda.d.highfield@uth.tmc.edu.
Paula CuccaroDepartment of Health Promotion and Behavioral Science, UTHealth School of Public Health, Houston, TX, USA. Electronic address: Paula.m.cuccaro@uth.tmc.edu.
Sanghamitra MisraDepartment of Academic General Pediatrics, Baylor College of Medicine, Houston, TX, USA. Electronic address: Smisra@bcm.edu.
Joan EngebretsonDepartment of Research, UTHealth Cizik School of Nursing, Houston, TX, USA. Electronic address: Joan.c.engebretson@uth.tmc.edu.
University of Texas Health Science Center at Dallas · USThe University of Texas Health Science Center · USBaylor College of Medicine · US

Funding

UNC Research Fellowship in Complementary and Alternative MedicineT32AT003378 · NCCIH · UNIV OF NORTH CAROLINA CHAPEL HILL · PI Keturah Ruth Faurot, Susan Gaylord · 2007 to 2026
$7.8M
NCCIH NIH HHS T32 AT003378
6 · The paper itself

Abstract

objectivesComplementary and integrative medicine (CIM) therapies show clinical benefits with minimal side effects, yet challenges to effective integration in hospital settings remain. The current study aimed to better understand the process of integration of CIM therapies at a large urban pediatric hospital from the perspectives of providers, parents, and administrators.

designThe study employed an applied medical ethnography.

settingThe ethnography was conducted before, during, and after an Integrative Medicine Pain Consult Service (IM Pilot) was implemented at a large urban pediatric hospital during the spring of 2017.

main outcome measuresFieldwork interviews, participant observations, and document review captured aspects of the integration of CIM over a 6-month study period. Ethnographic analysis included thematic content analysis. Participants included providers (n = 10), administrators (n = 5), and parents of patients (n = 11).

resultsEmergent themes from analysis of the interviews and field notes were organized according to the socio-ecological model. Themes included facilitating factors for CIM pain management at the intrapersonal and community levels (Alignment with Parental Perceptions of Child Needs and Provider Desire to Offer Care, Alignment of CIM with Spiritual Beliefs and Community Norms) and barriers at the interpersonal, organizational, and political levels (Inter-professional Challenges, Lack of Logistics in Place for Referrals and Triaging Patients with Pain, Lack of Remuneration/Insurance Reimbursement for Care).

conclusionsTo address barriers, future efforts to implement integrative pain management programs in pediatric hospital settings may consider testing implementation strategies, including engaging program champions and family advocates, providing education on CIM professions and therapies to hospital staff, and billing for provider time rather than individual CIM therapies.

Indexed as

Complementary TherapiesIntegrative MedicineChildHumansInpatientsPainReferral and ConsultationComplementary therapiesImplementationIntegrative medicinePediatric painQualitative methods

Identifiers

PMID33639250
PMCPMC8504152
OpenAlexW3129828590

What OpenQuestion holds

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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.