Naturopathic approaches to irritable bowel syndrome: protocol for a prospective observational study in academic teaching clinics

Introduction: Naturopathy is a mixture of both traditional and complementary medicine. It incorporates a broad set of health care practices that may or may not be traditional to that country or conventional medicine and are not fully integrated into the dominant health care system. Research required to evaluate or substantiate naturopathic medicine may not fall under the testing of randomized clinical trials, which opens up discussions on what is the best practice for research in naturopathic medicine. Discussion: Not only do advances in health research methodology offer important opportunities to progress naturopathic research, there are also areas where the unique characteristics of naturopathic philosophy and practice can impact other areas of health research. Some of the new advances in health research methodology involve whole-system research, pragmatic trials, template for intervention description and replication protocols for complex interventions, patient-centered care models, and the pragmatic-explanatory continuum indicator summary tool for designing pragmatic trials. Discussion and critique of these health-related methodologies shows that these research methods are more suited for the philosophy and treatment options that naturopathy is based on. Conclusions: Successful implementation of naturopathic research methodologies, and translation and dissemination of research will require a substantial paradigm shift in which naturopathic practitioners adopt a greater level of responsibility for developing an evidence base for naturopathic medicine.

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“…An example of this is described in an article that discusses the naturopathic approaches to irritable bowel syndrome. 69 …”

Section: Implications and Future Directionsmentioning

confidence: 99%

Lessons from Outside and Within: Exploring Advancements in Methodology for Naturopathic Medicine Clinical Research

Schloss

McIntyre

Steel

et al. 2019

The Journal of Alternative and Complementary Medicine

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Subgrouping patients with comorbidity between functional dyspepsia and irritable bowel syndrome: application of multidimensional item response theory and latent profile analysis

Zhongyu,

Zipan,

Fengbin

2023

Preprint

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BackgroundComorbidity between different subtypes of functional gastrointestinal disorders(FGIDs) is of high prevalence in clinical practice. Heterogeneity of clinical appearances has led to difficulty in individualized diagnosis and comprehensive management of FGIDs.AimsTo discover the hidden clinical patterns of patients with comorbidity between functional dyspepsia(FD) and irritable bowel syndrome(IBS).MethodsIn a retrospective cross-section study, a self-report questionnaire that consist of items indicating 5 different assessing domains including gastrointestinal discomforts, systemic discomforts, psychological disorders, and environmental aggravated factors was used as basic instrument for clinical assessment. With item response theory, the theoretical framework of assessment was evaluated, and latent traits of patient were quantified in the simulated computerized adaptive testing. Latent class analysis was used for uncovering the hidden patterns over the heterogenous clinical appearances. And differences among the profiles were compared referring to the spectrum of clinical appearances and the clinical diagnosis.ResultsWith 996 patients enrolled in the study, the validity and reliability of the instrument were evaluated as adequate (Cronbach’s alpha indices =0.72, Split-half reliability =0.84). The construct validity was also evaluated to be adequate with Chi-square/df=3.45, CFI=0.92, GFI=0.96, RMSEA=0.05, TLI=0.90, RMR=0.02. The 7-profile model was evaluated to be with better fitness with Entropy=0.98, Lo-Mendell-Rubin likelihood ratio test-pvalue<0.01, Bootstrap likelihood ratio test-pvalue<0.01. And the patterns detailed the heterogeneity of clinical appearance of FGIDs patients either in general condition or discomfort in specific dimension.ConclusionsWith application of multidimensional variable analysis, this article summarized the hidden patterns beneath the heterogenous clinical features. And quantitative approaches helped equip clinician with individualized and comprehensive tool in the management of complex diseases such as FGIDs.

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Síndrome de intestino irritable: un enfoque integral

López¹,

Torres²

2020

Atención Familiar

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<p>El síndrome de intestino irritable (sii) es una enfermedad crónica que afecta la función gastrointestinal y requiere una demanda importante de atención médica; su incidencia aumenta dependiendo de los estilos de vida y otras comorbilidades. Actualmente el enfoque terapéutico se debe hacer de forma integral llevando a cabo un adecuado seguimiento y tratamiento. El objetivo de esta revisión es dar a conocer los factores de riesgo, la sintomatología y el tratamiento utilizado para este síndrome, con el propósito de fortalecer su abordaje multidisciplinario y mejorar la calidad de vida de los pacientes.</p>

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Naturopathic approaches to irritable bowel syndrome: protocol for a prospective observational study in academic teaching clinics

Cited by 3 publications

References 31 publications

Lessons from Outside and Within: Exploring Advancements in Methodology for Naturopathic Medicine Clinical Research

Lessons from Outside and Within: Exploring Advancements in Methodology for Naturopathic Medicine Clinical Research

Subgrouping patients with comorbidity between functional dyspepsia and irritable bowel syndrome: application of multidimensional item response theory and latent profile analysis

Síndrome de intestino irritable: un enfoque integral

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