A complementary and integrative health group-based program pilot demonstrates positive health outcomes with female Veterans
| Autor: | Christine Melillo, Nitin Patel, Jolie N. Haun, Amy C. Alman, Jacquelyn Paykel |
|---|---|
| Rok vydání: | 2019 |
| Předmět: |
Adult
Complementary Therapies 050103 clinical psychology medicine.medical_specialty Health Status Pilot Projects Acceptance and commitment therapy Cohort Studies 03 medical and health sciences 0302 clinical medicine Surveys and Questionnaires Outcome Assessment Health Care medicine Outpatient clinic Humans 0501 psychology and cognitive sciences 030212 general & internal medicine General Nursing Veterans Integrative Medicine Mental Disorders 05 social sciences Age Factors Middle Aged Mental health United States Patient Health Questionnaire United States Department of Veterans Affairs Complementary and alternative medicine Family medicine Cohort Florida Female Chiropractics Positive psychology Generalized Anxiety Disorder Questionnaire Integrative medicine Chronic Pain Psychology Analysis |
| Zdroj: | Explore (New York, N.Y.). 16(2) |
| ISSN: | 1878-7541 |
| Popis: | Transforming Health and Resiliency through Integration of Values-based Experiences (THRIVE) is an evidence-based 14-week curriculum-based group medical appointment clinical program. THRIVE is based on principles of integrative medicine, positive psychology, and acceptance and commitment therapy. The goal of this paper is to review findings from a local THRIVE program implementation piloted in the Women's Health outpatient clinics on mental and physical health indicators.Pilot data were obtained for 14 THRIVE cohorts of female veterans enrolled from outpatient clinics at the James A. Haley veterans' Hospital in Tampa, FL between 2016 and 2018 (N = 201). THRIVE assessments were conducted as part of the THRIVE program, at the first visit (baseline), mid-way, and at the end of the program. Data were collected using self-administered paper-pencil method on standardized scales for physical and mental health (Patient Health Questionnaire, Generalized Anxiety Disorder Questionnaire, Acceptance and Action Questionnaire-II, Satisfaction With Life Scale, and the physical and mental function components of the Short Form Survey). Linear mixed effects models were used to examine change in physical and mental health scales over time while adjusting for age, race (white vs. other), and cohort. In addition, we examined whether the rate of change differed by age or race.Improvement was seen for most scales across the 3 assessments (p 0.05) with the exception of physical composite score of the Short Form Survey (p = 0.487). Participants reported that pain interfering with work significantly decreased from "quite a bit" at baseline to "moderately" by assessment 3 (p = 0.042). Older ages had lower baseline scores on the Patient Health Questionnaire and Acceptance and Action Questionnaire than younger ages, but younger ages had a greater rate of improvement over the intervention (p for interaction 0.016 and 0.056, respectively). Whites reported greater improvement in life satisfaction than non-whites (p for interaction 0.043). For physical composite score, whites had higher baseline score, but did not report significant improvement in physical function over the assessment period, while non-whites had lower baseline score, but did report significant improvement in physical function (p for interaction 0.059). Non-white veterans reported more pain interfering with work relative to white veterans (OR 5.9, 95% CI 1.79-19.43, p = 0.004).We found significant improvement on self-reported mental health scales as well as improvement in how much pain interferes with work in a pilot sample of women veterans over the 14-week program. |
| Databáze: | OpenAIRE |
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