Defining Health in a Comprehensive Context: A New Definition of Integrative Health

Witt, Claudia M.; Chiaramonte, Delia; Berman, Susan; Chesney, Margaret A.; Kaplan, George A.; Stange, Kurt C.; Woolf, Steven H.; Berman, Brian M.

doi:10.1016/j.amepre.2016.11.029

Cited by 37 publications

(26 citation statements)

References 7 publications

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“…Given the healthcare burden of stress-related disease, healthcare providers may want to consider incorporating this low-cost, low-tech option as another tool for promoting health and preventing disease with their patients. 38 Furthermore, this study documents the acceptability for a large number of women and men who practice meditation to reduce stress, and for general wellness and disease prevention. Finally, physicians and other healthcare providers need to be trained about meditation and the strategies to effectively prescribe and monitor its practice, especially among patients with mental health or physical challenges.…”

Section: Discussionmentioning

confidence: 78%

Gender Differences in Prevalence, Patterns, Purposes, and Perceived Benefits of Meditation Practices in the United States

Upchurch

Johnson

2019

Journal of Women's Health

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Introduction: Meditation is a common type of complementary and alternative medicine (CAM), and the evidence for its usefulness for health promotion is growing. Women have higher rates of overall CAM use than men do, but little is known about gender differences in meditation practices, reasons for use, or perceived benefits. Methods: Data from the 2012 National Health Interview Survey (NHIS) were used. The NHIS design is a multistage probability sample representative of US adults aged ‡18 (n = 34,342). Design-based F-test and logistic regression were used; all analyses were weighted and were performed in 2017-2018. Results: Overall, 10.3% of women and 5.2% of men reported using some type of meditation in the past year (p < 0.001). Among meditators, a higher percentage of women used meditation with yoga, tai chi, or qi gong, but men were more likely to use specific types of stand-alone practices (e.g., mindfulness) than women (p < 0.001 for each type). The most common reason reported for using meditation was to reduce stress (35%). Although women and men reported similar reasons for meditating, there were gender differences in the prevalence of some reasons. Both men and women perceived meditation to be helpful (90% and 94%, respectively). Conclusions: There are gender differences in prevalence, purpose, and perceived benefits of using meditation. US adults aged ‡18 use meditation and find it helpful. Although currently less prevalent among men, providers can consider meditation as a tool for health promotion in both men and women.

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Section: Discussionmentioning

confidence: 78%

Gender Differences in Prevalence, Patterns, Purposes, and Perceived Benefits of Meditation Practices in the United States

Upchurch

Johnson

2019

Journal of Women's Health

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“…With the emergence of personalized medicine based on genetic and epigenetic data, the health potential of an individual is partially determined by biology, but influenced by the environment and one’s personal wellness resources acquired throughout the lifespan [ 2 ]. Integrative health is a broader, more contextual construct that views wellbeing as not only physical, but involves an individual’s mind and spirit [ 3 ]. The term “health” does not appear in the “AND Definition of Terms”, a publication updated every five years, which demonstrates either a lack of shared meaning within the profession to this essential concept or the assumption that personal and professional philosophy are synonymous.…”

Section: Introductionmentioning

confidence: 99%

Health Philosophy of Dietitians and Its Implications for Life Satisfaction: An Exploratory Study

Grace-Farfaglia

Pickett-Bernard

Gorman

et al. 2017

Behavioral Sciences

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Studies of health providers suggest that satisfaction with life is related to their values and sense of purpose which is best achieved when their professional role is in harmony with personal philosophy. Cross-sectional surveys suggest that personal health beliefs and practices of health professionals influence their clinical counseling practices. However, little is known about the influence of health philosophy on the personal satisfaction with life for dietitians. This study recruited a randomly selected, cross-sectional sample to complete a self-administered online survey. An exploratory factor analysis of was conducted for 479 participants resulting in a two-factor solution, clinical (α = 0.914) and wellness (α = 0.894) perceptions of health. An index score for the following valid and reliable scales were calculated: satisfaction with life, health conception, and healthy lifestyle and personal control. Pearson correlation coefficients between scores were analyzed to determine the degree of relationship. Potential mediators were explored with multiple regression. The relationships between variables were tested with structural equation modeling using a multigroup comparison between genders. The male participants were removed from the overall model and were separately evaluated. Health philosophy that is oriented toward wellness, was positively and significantly associated with life satisfaction, r(462) = 0.103, p < 0.05. Participants with higher Healthy Lifestyle and Personal Control scores reported greater life satisfaction, r(462) = 0.27, p = 0.000. Healthy lifestyle alone predicted 8.8% of the variance in life satisfaction (R2 = 0.088, df 1462, p = 0.005). SEM confirmed the model had goodness-of-fit (χ2 = 2.63, p = 0.453). The satisfaction with life of dietitians is directly and positively influenced by a greater wellness orientation and personal healthy lifestyle practices. The effect of practice and lifestyle on life satisfaction appears to be greater for men.

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“…It emphasizes the therapeutic relationship between practitioner and patient, is informed by evidence, and makes use of all appropriate therapies.” 14 The more recently-minted definition of Integrative Health, aligned with that of the National Center for Complementary and Integrative Health (NCCIH), then adds the dimensions of social determinants and additional systems “beyond the clinic” to the above definition, widening the scope to a focus on cultivation of health and well-being by self-empowered individuals. 15,16 Taken together, the clinic approaches care informed by three key tenets: providing integrative whole person therapies, leveraging relationship as the conduit for healing, and providing care in a transdisciplinary model. A process called Core Resonance™ (unpublished data, described later) was used to elucidate these tenets.…”

Section: Background and Overview Of The Clinicmentioning

confidence: 99%

A Replicable and Sustainable Whole Person Care Model for Chronic Pain

Hansen

McKernan

Carter

et al. 2019

The Journal of Alternative and Complementary Medicine

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Background: Integrative health is an expanding field that is increasingly called upon by conventional medicine to provide care for patients with chronic pain and disease. Although evidence has mounted for delivering integrative therapies individually, there is little consensus on how best to deliver these therapies in tandem as part of whole person care. While many models exist, few are financially sustainable. Methods and results: This article describes a conceptual and logistical model for providing integrative outpatient health care within an academic medical center or hospital system to patients with chronic pain and disease. In hopes that the model will be replicated, administrative details are provided to explain how the model operates and has been maintained over nine years. The details include the intentional building of a particular work culture. Conclusion: This whole person care model that addresses chronic pain and disease in an outpatient integrative clinic has been successful, sustainable and can be replicated in other academic medical centers or hospital clinics.

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Defining Health in a Comprehensive Context: A New Definition of Integrative Health

Cited by 37 publications

References 7 publications

Gender Differences in Prevalence, Patterns, Purposes, and Perceived Benefits of Meditation Practices in the United States

Gender Differences in Prevalence, Patterns, Purposes, and Perceived Benefits of Meditation Practices in the United States

Health Philosophy of Dietitians and Its Implications for Life Satisfaction: An Exploratory Study

A Replicable and Sustainable Whole Person Care Model for Chronic Pain

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