scholarly journals Challenges of Systematic Reviewing Integrative Health Care

2013 ◽  
Vol 8 ◽  
pp. IMI.S11570 ◽  
Author(s):  
Ian D. Coulter ◽  
Raheleh Khorsan ◽  
Cindy Crawford ◽  
An-Fu Hsiao
Keyword(s):  
Systematic Review ◽  
Health Care ◽  
Integrative Medicine ◽  
Extensive Review ◽  
Inclusion Criteria ◽  
Systematic Review Methodology ◽  
Integrative Health ◽  
Integrative Health Care ◽  
Literature Base ◽  
Definition Of

This article is based on an extensive review of integrative medicine (IM) and integrative health care (IHC). Since there is no general agreement of what constitutes IM/IHC, several major problems were identified that make the review of work in this field problematic. In applying the systematic review methodology, we found that many of those captured articles that used the term integrative medicine were in actuality referring to adjunctive, complementary, or supplemental medicine. The objective of this study was to apply a sensitivity analysis to demonstrate how the results of a systematic review of IM and IHC will differ according to what inclusion criteria is used based on the definition of IM/IHC. By analyzing 4 different scenarios, the authors show that, due to unclear usage of these terms, results vary dramatically, exposing an inconsistent literature base for this field.

scholarly journals Systematic Review of Integrative Health Care Research: Randomized Control Trials, Clinical Controlled Trials, and Meta-Analysis

2011 ◽  
Vol 2011 ◽  
pp. 1-10 ◽  
Author(s):  
Raheleh Khorsan ◽  
Ian D. Coulter ◽  
Cindy Crawford ◽  
An-Fu Hsiao
Keyword(s):  
Systematic Review ◽  
Health Care ◽  
Methodological Quality ◽  
Health Care Research ◽  
Cochrane Library ◽  
Inclusion Criteria ◽  
Care Research ◽  
Integrative Health ◽  
Integrative Health Care

A systematic review was conducted to assess the level of evidence for integrative health care research. We searched PubMed, Allied and Complementary Medicine (AMED), BIOSIS Previews, EMBASE, the entire Cochrane Library, MANTIS, Social SciSearch, SciSearch Cited Ref Sci, PsychInfo, CINAHL, and NCCAM grantee publications listings, from database inception to May 2009, as well as searches of the “gray literature.” Available studies published in English language were included. Three independent reviewers rated each article and assessed the methodological quality of studies using the Scottish Intercollegiate Guidelines Network (SIGN 50). Our search yielded 11,891 total citations but 6 clinical studies, including 4 randomized, met our inclusion criteria. There are no available systematic reviews/meta-analyses published that met our inclusion criteria. The methodological quality of the included studies was assessed independently using quality checklists of the SIGN 50. Only a small number of RCTs and CCTs with a limited number of patients and lack of adequate control groups assessing integrative health care research are available. These studies provide limited evidence of effective integrative health care on some modalities. However, integrative health care regimen appears to be generally safe.

scholarly journals Compendium of the Health and Wellness Coaching Literature

2017 ◽  
Vol 12 (6) ◽  
pp. 436-447 ◽  
Author(s):  
Gary A. Sforzo ◽  
Miranda P. Kaye ◽  
Irina Todorova ◽  
Sebastian Harenberg ◽  
Kyle Costello ◽  
...  
Keyword(s):  
Systematic Review ◽  
Health Care ◽  
Behavior Change ◽  
Health Care Professionals ◽  
Health And Wellness ◽  
Inclusion Criteria ◽  
Wellness Coaching ◽  
Treatment Of Diabetes ◽  
Definition Of

Health and wellness coaching (HWC) for lifestyle behavior change is emerging as a practice, role, and profession, in diverse health care, employee wellness, and community settings. Health care professionals apply HWC as a behavior change methodology for the prevention and treatment of diabetes, hypertension, hyperlipidemia, heart disease, cancer, and other chronic disorders. The purpose of this systematic review was to provide a comprehensive and organized compendium of HWC literature. To date, extant HWC literature remains scattered with no meaningful summary accessible. Lack of comprehensive summary stems from lack of consensus on HWC definition and standards. We applied a recently proposed, standardized definition of HWC to determine compendium inclusion criteria for peer-reviewed, data-based literature from relevant search engines (ie, PubMed, PsychInfo, and CINAHL). A systematic review process was executed and ultimately yielded 219 articles meeting HWC inclusion criteria. Of these, 150 were data-based and the remainder were expert opinion or review-style articles. A summary of results generally reveals HWC as a promising intervention for chronic diseases though further research is needed in most categories. The resulting HWC compendium organizes and describes the quantity and quality of available literature for the use and benefit of HWC practitioners and researchers.

scholarly journals Clinical Evidence in the Treatment of Obstructive Sleep Apnoea with Oral Appliances: A Systematic Review

2021 ◽  
Vol 2021 ◽  
pp. 1-12
Author(s):  
Andrea Rossi ◽  
Antonino Lo Giudice ◽  
Camilla Di Pardo ◽  
Alberto Teodoro Valentini ◽  
Francesca Marradi ◽  
...  
Keyword(s):  
Systematic Review ◽  
Obstructive Sleep Apnoea ◽  
Assessment Tool ◽  
Sleep Apnoea ◽  
Common Finding ◽  
Control Group ◽  
Oral Appliances ◽  
Inclusion Criteria ◽  
Obstructive Sleep ◽  
Definition Of

Background. Recent clinical guidelines have extended indications for oral appliances to subjects affected by moderate-to-severe obstructive sleep apnoea (OSA). The aim of this systematic review covering this important issue for public health is twofold: updating and summarizing the best available scientific evidence by selecting RCTs of quality only, and identifying the therapeutic pathways that can be transferred to the current clinical practice. Methods. All the abstracts which were published before February 18, 2019, have been identified in three electronic databases (PubMed, Web of Science, and Cochrane). The Cochrane Collaboration’s tool for assessing risk of bias was used as an assessment tool in order to evaluate the quality of the selected studies. Results. The search strategy yielded 2,260 studies. After removing duplicates and studies that did not comply with the inclusion criteria, 32 full-text articles were assessed for eligibility, and 17 RCTs were finally included in the qualitative synthesis. The 17 selected studies were very heterogeneous in the type of included RCTs in terms of patient inclusion criteria, sample size, distribution of the two genders in the various groups, duration of treatment, and definition of primary and secondary outcomes, without any restriction on the definition of the control group. A common finding was the positive responsiveness of oral appliance treatment in subjects affected by mild-to-moderate OSA with some evidence for cases of severe OSA. Conclusion. Higher-quality studies are needed in order to provide additional useful guidelines for dental clinicians for OSA management.

Innovations in Integrative Health Care Education

EXPLORE ◽  
2005 ◽  
Vol 1 (4) ◽  
pp. 308-309
Author(s):  
Mary Jo Kreitzer ◽  
Victor S. Sierpina
Keyword(s):  
Health Care ◽  
Health Care Education ◽  
Care Education ◽  
Integrative Health ◽  
Integrative Health Care

Modern Western Science as a Standard for Traditional Chinese Medicine: A Critical Appraisal

2003 ◽  
Vol 31 (2) ◽  
pp. 213-221 ◽  
Author(s):  
Ruiping Fan
Keyword(s):  
Health Care ◽  
Chinese Medicine ◽  
Traditional Chinese Medicine ◽  
Health Care System ◽  
Care Delivery ◽  
World Health ◽  
Scientific Medicine ◽  
Integrative Health ◽  
Integrative Health Care ◽  
Care System

It is generally recognized that China, while attempting to develop modern scientific medicine in carrying out its national policy for modernization, has also made significant efforts to integrate traditional Chinese medicine into its health care system. For instance, the World Health Organization's first global strategy on traditional and alternative medicine (released in May 2002) lists China as one of only four of its member states to have attained an integrative health care system. However, medical integration can take many different forms and involve quite different health care standards. A health care standard is a set of mechanisms by which distinct diagnostic and therapeutic practices and products are validated or accredited for use in health care delivery. Traditional Chinese medicine and modern scientific medicine adopt different sets of such mechanisms and thereby engage different health care standards. Accordingly, in appraising the Chinese integrative health care system, it is important to investigate which health care standard has been appealed to.

Integrative Health Care: Definition and examples of implementation in Oncology in France

2021 ◽  
Author(s):  
Jean-Lionel Bagot ◽  
Ingrid Theunissen ◽  
Jean-Loup Mouysset ◽  
Jean-Philippe Wagner ◽  
Nicolas Magné ◽  
...  
Keyword(s):  
Health Care ◽  
Integrative Health ◽  
Integrative Health Care
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