Naturopathic approaches to Irritable Bowel Syndrome-A Delphi Study

Goldenberg, Joshua Z.; Ward, Leslie; Day, Andrew S.; Cooley, Kieran

doi:10.1016/j.aimed.2019.03.382

Cited by 3 publications

(5 citation statements)

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“…These types of treatments reflect the overall treatment categories reported to be used by naturopaths internationally 24 . Equally, a recent Delphi study reports that naturopaths with expertise in the treatment of IBS agreed that dietary interventions, herbal medicines and lifestyle interventions, including meditation, exercise and stress reduction, are important treatment considerations 25 . Further, a review of naturopathic and dietetic treatment approaches for functional bowel disorders found holistic assessment incorporating individualised dietary prescription optimises patient outcomes 38 .…”

Section: Discussionmentioning

confidence: 99%

“…Generally, naturopaths utilize integrative treatments incorporating clinical nutrition and dietary modifications, herbal medicine, lifestyle counselling and physical modalities 24 . Specific dietary interventions, including therapeutic diets, plus products including herbal tinctures/infusions and digestive enzymes, eating hygiene/mindful eating and/or mind-body techniques such as exercise and meditation, as often prescribed by naturopaths for functional bowel disorders, are advocated by a panel of industry experts 25 . Treatments prescribed by naturopaths for irritable bowel syndrome (IBS)—an internationally significant FGID—have been explored,25, 26, 27, 28, 29, 30, 31 and while some of this research suggests possible clinical benefits for generalised FGID, minimal research is currently available exploring this.…”

Section: Introductionmentioning

confidence: 99%

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An examination of naturopathic treatment of non-specific gastrointestinal complaints: comparative analysis of two cases

Carter

Goldenberg

Steel

2019

Integrative Medicine Research

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Background Functional gastrointestinal disorders (FGID) affect more than one-third of the general population and contribute a considerable burden on the health and wellbeing of the community and the economy. This study aims to examine the treatment approaches and outcomes of naturopathic management of individuals presenting with a non-specific FGID. Methods We report a comparison of two clinical case studies of patients being treated by a naturopath for a functional gastrointestinal disorder. The care was provided by two different student practitioners under the supervision of an industry qualified mentor within a multidisciplinary academic clinic at the Endeavour College of Natural Health. A student practitioner and student observer conduct consultations under the supervision of an industry qualified mentor. The outcomes of care were measured by the Gastrointestinal Symptom Rating Scale. Results Clinical notations partially correlate to Jane’s outcomes measured by gastrointestinal rating scale scores, which remain stable. Significant changes in Rona’s gastrointestinal rating scale scores equate to only generalizable minimal clinical notations. Conclusions The holistic and individualised approach core to naturopathic medicine practice is also informed by traditional methods, research evidence and the pragmatic needs of the patient. The emphasis within naturopathic treatment approaches on dietary changes and lifestyle prescription alongside other ingestive therapies such as herbal and nutritional medicine underscores the need for clinical research designs which support evaluation of complex interventions in real-world settings.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

An examination of naturopathic treatment of non-specific gastrointestinal complaints: comparative analysis of two cases

Carter

Goldenberg

Steel

2019

Integrative Medicine Research

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“…This multisystem approach of naturopathy is well illustrated in the treatment of irritable bowel syndrome, a primarily gastrointestinal disorder that may also influence and be affected by one's emotional state; thus, NDs routinely consider dietary, microbial, mechanical, and psycho-emotional contributors to health. 17,18 As recently acknowledged by the American Heart Association, focusing on the role of psychological health as a contributory factor of overall health has been largely overlooked in the conventional model of care. 19 Positive psychological health is associated with a lower risk for cardiovascular disease and greater likelihood of beneficial health behaviors such as increased participation in preventive care measures, smoking cessation, and increases in nutritious food consumption and physical activity.…”

Section: Implementation and Utilization Of Naturopathy In Whole Healthmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Naturopathic Doctors: An Underutilized Resource of Whole Health Delivery in Primary Care

Sadowski

Garofalo

Welsh

et al. 2022

Glob Adv Health Med

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Naturopathy, recognized by the National Institutes of Health and the World Health Organization as a distinct system of complementary and integrative health care, is an existing model of whole health delivery. Its unifying principles, respect for the interconnectedness of biological systems, and representation globally uniquely positions naturopathy to serve an integral role in addressing the needs of primary health care. In this viewpoint, we aim to 1) highlight key areas and existing literature supporting the use of naturopathy for health promotion and disease prevention of noncommunicable diseases; 2) describe how naturopathy can addresses the mental health needs of today’s societies; and 3) discuss the importance of naturopathy in the access and navigation of complementary and integrative health therapies.

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“…In one large survey, approximately 10% of individuals who used CAM for a gastrointestinal complaint reported using naturopathy. 10 According to the unpublished results from an ongoing Delphi study of naturopathic IBS experts, it appears naturopathic approaches to IBS are distinct from that of conventional medicine 11 and preliminary case reports suggest that that can be a useful component of a multi-disciplinary approach in the effective management of IBS symptoms. 12 However, aside from the aforementioned preliminary work, to date, there is little published research on naturopathic approaches for IBS.…”

Section: Introductionmentioning

confidence: 99%

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

Goldenberg

Steel

Day

et al. 2019

Advances in Integrative Medicine

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Background: Irritable bowel syndrome (IBS) is a common functional bowel disorder with a worldwide prevalence estimated between 10% and 20%. It has a significant impact on quality of life and societal expense. While there are pharmaceutical options available, few can be reliably recommended. Many IBS sufferers turn to complementary and alternative medicine including naturopathy. Naturopathic approaches to IBS are poorly studied to date. Methods:We aim to describe naturopathic approaches to IBS as well as establish pilot data on before and after changes in validated IBS instruments. The study will employ a multicentered, international, prospective, observational, naturalistic design. The uncontrolled before-and-after study will examine the outcomes associated with individualized, whole system naturopathic care as determined by each provider. We will recruit adult patients diagnosed with IBS and presenting to a participating naturopathic academic teaching clinic.Participants' IBS symptoms will be measured using validated instruments (IBS-SSS and IBS-AR). Quality of life will be measured by using the PROMIS-29 profile. Adverse events will be tracked, as followed for treatment descriptions. Our primary outcomes will be before-andafter differences using week twelve as the primary endpoint. A p values will be set at 0.05, and descriptive and summary data will be presented.

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Naturopathic approaches to Irritable Bowel Syndrome-A Delphi Study

Cited by 3 publications

References 0 publications

An examination of naturopathic treatment of non-specific gastrointestinal complaints: comparative analysis of two cases

An examination of naturopathic treatment of non-specific gastrointestinal complaints: comparative analysis of two cases

Naturopathic Doctors: An Underutilized Resource of Whole Health Delivery in Primary Care

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

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