Document Detail

An integrative medicine approach to asthma: who responds?
MedLine Citation:
PMID:  22905985     Owner:  NLM     Status:  MEDLINE    
OBJECTIVES: The objectives of this study were to develop a better understanding of which patients with chronic illness tend to respond to integrative medicine interventions, by identifying a set of characteristics or qualities that are associated with a positive outcome in a randomized clinical trial of an integrative medicine approach to asthma that incorporated journaling, yoga breathing instruction, and nutritional manipulation and supplementation.
DESIGN: The study used qualitative analysis using a grounded-theory approach comparing a group of responders in the parent trial (based on the Asthma Quality of Life Scale) to a group of nonresponders.
RESULTS: Twelve (12) responders and 8 nonresponders were interviewed. Responders demonstrated an attitude of "change as challenge;" a view of themselves as "independent" and "leaders;" an ability to accept one's illness while still maintaining a feeling of control over one's choices; a connection to the deeper context or meaning of complementary and alternative medicine (CAM) interventions, as opposed to just "previous experience" of CAM; and a sense of determination, commitment, and "willingness to fight" for what one needs from the health care system. Nonresponders were more often uncertain and anxious in their relationship to their asthma, tending to fall back on denial, and lacking a connection to the deeper context or philosophy of CAM interventions.
CONCLUSIONS: It is possible to identify a set of characteristics that may predict a positive response to an integrative/lifestyle approach to asthma. These characteristics should be examined prospectively using both quantitative and qualitative methods in future integrative medicine clinical trials.
Benjamin Kligler; Melissa Diane McKee; Esther Sackett; Hanniel Levenson; Jeanne Kenney; Alison Karasz
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Publication Detail:
Type:  Journal Article; Randomized Controlled Trial     Date:  2012-08-20
Journal Detail:
Title:  Journal of alternative and complementary medicine (New York, N.Y.)     Volume:  18     ISSN:  1557-7708     ISO Abbreviation:  J Altern Complement Med     Publication Date:  2012 Oct 
Date Detail:
Created Date:  2012-10-12     Completed Date:  2013-02-25     Revised Date:  2013-10-10    
Medline Journal Info:
Nlm Unique ID:  9508124     Medline TA:  J Altern Complement Med     Country:  United States    
Other Details:
Languages:  eng     Pagination:  939-45     Citation Subset:  IM    
Beth Israel Medical Center, New York, NY, USA.
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MeSH Terms
Activities of Daily Living*
Asthma / therapy*
Attitude to Health*
Breathing Exercises
Complementary Therapies*
Denial (Psychology)
Integrative Medicine
Interviews as Topic
Nutrition Therapy
Qualitative Research
Quality of Life*
Self Efficacy
Treatment Outcome

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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