A cross-sectional review of the prevalence of integrative medicine in pediatric pain clinics across the United States
•Children living in rural areas specifically in Southern United States have very limited access to IM therapies within PPCs.•Non-profit PPCs were more likely to staff IM providers compared to private PPCs.•Mind-body exercises are the most common IM services offered in PPCs with IM. This project asse...
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Veröffentlicht in: | Complementary therapies in medicine 2018-06, Vol.38, p.79-84 |
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creator | Bodner, Kristen D’Amico, Salvatore Luo, Man Sommers, Elizabeth Goldstein, Laura Neri, Caitlin Gardiner, Paula |
description | •Children living in rural areas specifically in Southern United States have very limited access to IM therapies within PPCs.•Non-profit PPCs were more likely to staff IM providers compared to private PPCs.•Mind-body exercises are the most common IM services offered in PPCs with IM.
This project assesses the prevalence of integrative medicine (IM) in pediatric pain clinics (PPCs) across the United States.
PPCs were identified through the American Pain Society and cross referenced through the International Association for the Study of Pain (IASP). A cross-sectional review using each PPC’s website was then utilized for further information. We collected data regarding each program’s target population, non-profit status (where non-profits were designated as hospitals that do not operate for-profit purpose, and private as institutions receiving private funding), location, services provided and participating providers. Descriptive statistics were used for data analysis.
Of the 53 PPCs identified, 43 (81%) were part of a non-profit healthcare organization, and 10 (19%) were within a private hospital; 85% were located in urban settings, 15% in rural settings; 83% were located in free-standing children’s hospitals. Thirty-two (60%) PPCs utilized IM, including acupuncture (38%), mind-body (21%), massage (21%), aromatherapy (19%), nutrition counseling (17%) and/or art/music therapy (11%). The most prevalent providers within PPCs offering IM were yoga instructors (84%), nutritionists (56%) and mind-body specialists (44%). IM was offered in 63% of programs in non-profit organizations and 50% in private hospitals; 58% of urban sites and 75% of rural sites. Within each region, 91% (n = 10) of PPCs in the West offer IM, 53% of PPCs in the Midwest (n = 10) and Northeast (n = 8) offer IM and 50% (n = 4) of PPCs in the South offer IM compared to PPCs who do not.
Of 53 current identified PPCs, over half offer IM services. While children in the US are more likely to find a PPC offering IM services, access to do so is more limited in rural and southern regions. |
doi_str_mv | 10.1016/j.ctim.2018.05.001 |
format | Article |
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This project assesses the prevalence of integrative medicine (IM) in pediatric pain clinics (PPCs) across the United States.
PPCs were identified through the American Pain Society and cross referenced through the International Association for the Study of Pain (IASP). A cross-sectional review using each PPC’s website was then utilized for further information. We collected data regarding each program’s target population, non-profit status (where non-profits were designated as hospitals that do not operate for-profit purpose, and private as institutions receiving private funding), location, services provided and participating providers. Descriptive statistics were used for data analysis.
Of the 53 PPCs identified, 43 (81%) were part of a non-profit healthcare organization, and 10 (19%) were within a private hospital; 85% were located in urban settings, 15% in rural settings; 83% were located in free-standing children’s hospitals. Thirty-two (60%) PPCs utilized IM, including acupuncture (38%), mind-body (21%), massage (21%), aromatherapy (19%), nutrition counseling (17%) and/or art/music therapy (11%). The most prevalent providers within PPCs offering IM were yoga instructors (84%), nutritionists (56%) and mind-body specialists (44%). IM was offered in 63% of programs in non-profit organizations and 50% in private hospitals; 58% of urban sites and 75% of rural sites. Within each region, 91% (n = 10) of PPCs in the West offer IM, 53% of PPCs in the Midwest (n = 10) and Northeast (n = 8) offer IM and 50% (n = 4) of PPCs in the South offer IM compared to PPCs who do not.
Of 53 current identified PPCs, over half offer IM services. While children in the US are more likely to find a PPC offering IM services, access to do so is more limited in rural and southern regions.</description><identifier>ISSN: 0965-2299</identifier><identifier>EISSN: 1873-6963</identifier><identifier>DOI: 10.1016/j.ctim.2018.05.001</identifier><identifier>PMID: 29857885</identifier><language>eng</language><publisher>Scotland: Elsevier Ltd</publisher><subject>Acupuncture ; Anesthesia ; Aromatherapy ; Child ; Children ; Chronic illnesses ; Chronic pain ; Chronic pain programs ; Complementary Therapies - statistics & numerical data ; Complementary Therapies - utilization ; Cross-Sectional Studies ; Data analysis ; Data processing ; Families & family life ; Health care ; Hospitals ; Humans ; Identification methods ; Information processing ; Integrative Medicine ; Medicine ; Music therapy ; Nonprofit organizations ; Nutrition ; Pain ; Pain Clinics - statistics & numerical data ; Pediatric chronic pain ; Pediatric pain clinics ; Pediatrics ; Prevalence ; Profits ; Statistical analysis ; Teachers ; Teenagers ; Therapists ; Therapy ; United States - epidemiology ; Urban areas ; Urban environments ; Websites ; Yoga</subject><ispartof>Complementary therapies in medicine, 2018-06, Vol.38, p.79-84</ispartof><rights>2018</rights><rights>Published by Elsevier Ltd.</rights><rights>Copyright Elsevier Limited Jun 2018</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c384t-c6561d5e1d123d105449e5d59ca681a7c48915cfd7125c12d9578c57112622783</citedby><cites>FETCH-LOGICAL-c384t-c6561d5e1d123d105449e5d59ca681a7c48915cfd7125c12d9578c57112622783</cites><orcidid>0000-0002-9834-4623</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.proquest.com/docview/2046544836?pq-origsite=primo$$EHTML$$P50$$Gproquest$$H</linktohtml><link.rule.ids>314,780,784,3541,27915,27916,45986,64374,64376,64378,72230</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/29857885$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Bodner, Kristen</creatorcontrib><creatorcontrib>D’Amico, Salvatore</creatorcontrib><creatorcontrib>Luo, Man</creatorcontrib><creatorcontrib>Sommers, Elizabeth</creatorcontrib><creatorcontrib>Goldstein, Laura</creatorcontrib><creatorcontrib>Neri, Caitlin</creatorcontrib><creatorcontrib>Gardiner, Paula</creatorcontrib><title>A cross-sectional review of the prevalence of integrative medicine in pediatric pain clinics across the United States</title><title>Complementary therapies in medicine</title><addtitle>Complement Ther Med</addtitle><description>•Children living in rural areas specifically in Southern United States have very limited access to IM therapies within PPCs.•Non-profit PPCs were more likely to staff IM providers compared to private PPCs.•Mind-body exercises are the most common IM services offered in PPCs with IM.
This project assesses the prevalence of integrative medicine (IM) in pediatric pain clinics (PPCs) across the United States.
PPCs were identified through the American Pain Society and cross referenced through the International Association for the Study of Pain (IASP). A cross-sectional review using each PPC’s website was then utilized for further information. We collected data regarding each program’s target population, non-profit status (where non-profits were designated as hospitals that do not operate for-profit purpose, and private as institutions receiving private funding), location, services provided and participating providers. Descriptive statistics were used for data analysis.
Of the 53 PPCs identified, 43 (81%) were part of a non-profit healthcare organization, and 10 (19%) were within a private hospital; 85% were located in urban settings, 15% in rural settings; 83% were located in free-standing children’s hospitals. Thirty-two (60%) PPCs utilized IM, including acupuncture (38%), mind-body (21%), massage (21%), aromatherapy (19%), nutrition counseling (17%) and/or art/music therapy (11%). The most prevalent providers within PPCs offering IM were yoga instructors (84%), nutritionists (56%) and mind-body specialists (44%). IM was offered in 63% of programs in non-profit organizations and 50% in private hospitals; 58% of urban sites and 75% of rural sites. Within each region, 91% (n = 10) of PPCs in the West offer IM, 53% of PPCs in the Midwest (n = 10) and Northeast (n = 8) offer IM and 50% (n = 4) of PPCs in the South offer IM compared to PPCs who do not.
Of 53 current identified PPCs, over half offer IM services. While children in the US are more likely to find a PPC offering IM services, access to do so is more limited in rural and southern regions.</description><subject>Acupuncture</subject><subject>Anesthesia</subject><subject>Aromatherapy</subject><subject>Child</subject><subject>Children</subject><subject>Chronic illnesses</subject><subject>Chronic pain</subject><subject>Chronic pain programs</subject><subject>Complementary Therapies - statistics & numerical data</subject><subject>Complementary Therapies - utilization</subject><subject>Cross-Sectional Studies</subject><subject>Data analysis</subject><subject>Data processing</subject><subject>Families & family life</subject><subject>Health care</subject><subject>Hospitals</subject><subject>Humans</subject><subject>Identification methods</subject><subject>Information processing</subject><subject>Integrative Medicine</subject><subject>Medicine</subject><subject>Music therapy</subject><subject>Nonprofit organizations</subject><subject>Nutrition</subject><subject>Pain</subject><subject>Pain Clinics - statistics & numerical data</subject><subject>Pediatric chronic pain</subject><subject>Pediatric pain clinics</subject><subject>Pediatrics</subject><subject>Prevalence</subject><subject>Profits</subject><subject>Statistical analysis</subject><subject>Teachers</subject><subject>Teenagers</subject><subject>Therapists</subject><subject>Therapy</subject><subject>United States - epidemiology</subject><subject>Urban areas</subject><subject>Urban environments</subject><subject>Websites</subject><subject>Yoga</subject><issn>0965-2299</issn><issn>1873-6963</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2018</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>8G5</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><sourceid>GUQSH</sourceid><sourceid>M2O</sourceid><recordid>eNp9kUFP3DAQha2qqCy0f4ADstRLLwkeJ3ZsqReEWkBC4kA5W64923qVTVLboeLf4-wCBw6c7Bl980bzHiEnwGpgIM82tcthW3MGqmaiZgw-kBWorqmkls1HsmJaiopzrQ_JUUobxphuuuYTOeRaiU4psSLzOXVxTKlKWMTGwfY04kPA_3Rc0_wX6VRK2-PgcOmEIeOfaHN4QLpFH1wYsDTpVP42x-DoZEvp-jAEl6jdae907oeQ0dO7bDOmz-RgbfuEX57fY3L_88evi6vq5vby-uL8pnKNanPlpJDgBYIH3nhgom01Ci-0s1KB7VyrNAi39h1w4YB7Xa5yogPgkvNONcfk2153iuO_GVM225Ac9r0dcJyT4azVQjLQC_r1DboZ51j82FGyrFaNLBTfU7vDIq7NFMPWxkcDzCyhmI1ZQjFLKIYJU0IpQ6fP0vPvYtrryEsKBfi-B7B4UcyPJrmwWO5DLLEYP4b39J8AmFCdIw</recordid><startdate>201806</startdate><enddate>201806</enddate><creator>Bodner, Kristen</creator><creator>D’Amico, Salvatore</creator><creator>Luo, Man</creator><creator>Sommers, Elizabeth</creator><creator>Goldstein, Laura</creator><creator>Neri, Caitlin</creator><creator>Gardiner, Paula</creator><general>Elsevier Ltd</general><general>Elsevier Limited</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7RV</scope><scope>7TS</scope><scope>7X7</scope><scope>7XB</scope><scope>88C</scope><scope>88E</scope><scope>88G</scope><scope>8AO</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>8G5</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AN0</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>GUQSH</scope><scope>K9-</scope><scope>K9.</scope><scope>KB0</scope><scope>M0R</scope><scope>M0S</scope><scope>M0T</scope><scope>M1P</scope><scope>M2M</scope><scope>M2O</scope><scope>M7N</scope><scope>MBDVC</scope><scope>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>PSYQQ</scope><scope>Q9U</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0002-9834-4623</orcidid></search><sort><creationdate>201806</creationdate><title>A cross-sectional review of the prevalence of integrative medicine in pediatric pain clinics across the United States</title><author>Bodner, Kristen ; D’Amico, Salvatore ; Luo, Man ; Sommers, Elizabeth ; Goldstein, Laura ; Neri, Caitlin ; Gardiner, Paula</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c384t-c6561d5e1d123d105449e5d59ca681a7c48915cfd7125c12d9578c57112622783</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2018</creationdate><topic>Acupuncture</topic><topic>Anesthesia</topic><topic>Aromatherapy</topic><topic>Child</topic><topic>Children</topic><topic>Chronic illnesses</topic><topic>Chronic pain</topic><topic>Chronic pain programs</topic><topic>Complementary Therapies - statistics & numerical data</topic><topic>Complementary Therapies - utilization</topic><topic>Cross-Sectional Studies</topic><topic>Data analysis</topic><topic>Data processing</topic><topic>Families & family life</topic><topic>Health care</topic><topic>Hospitals</topic><topic>Humans</topic><topic>Identification methods</topic><topic>Information processing</topic><topic>Integrative Medicine</topic><topic>Medicine</topic><topic>Music therapy</topic><topic>Nonprofit organizations</topic><topic>Nutrition</topic><topic>Pain</topic><topic>Pain Clinics - statistics & numerical data</topic><topic>Pediatric chronic pain</topic><topic>Pediatric pain clinics</topic><topic>Pediatrics</topic><topic>Prevalence</topic><topic>Profits</topic><topic>Statistical analysis</topic><topic>Teachers</topic><topic>Teenagers</topic><topic>Therapists</topic><topic>Therapy</topic><topic>United States - epidemiology</topic><topic>Urban areas</topic><topic>Urban environments</topic><topic>Websites</topic><topic>Yoga</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Bodner, Kristen</creatorcontrib><creatorcontrib>D’Amico, Salvatore</creatorcontrib><creatorcontrib>Luo, Man</creatorcontrib><creatorcontrib>Sommers, Elizabeth</creatorcontrib><creatorcontrib>Goldstein, Laura</creatorcontrib><creatorcontrib>Neri, Caitlin</creatorcontrib><creatorcontrib>Gardiner, Paula</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Nursing & Allied Health Database</collection><collection>Physical Education Index</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Healthcare Administration Database (Alumni)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Psychology Database (Alumni)</collection><collection>ProQuest Pharma Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>Research Library (Alumni Edition)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>British Nursing Database</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>Research Library Prep</collection><collection>Consumer Health Database (Alumni Edition)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Consumer Health Database</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Healthcare Administration Database</collection><collection>Medical Database</collection><collection>Psychology Database</collection><collection>Research Library</collection><collection>Algology Mycology and Protozoology Abstracts (Microbiology C)</collection><collection>Research Library (Corporate)</collection><collection>Nursing & Allied Health Premium</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>ProQuest One Psychology</collection><collection>ProQuest Central Basic</collection><collection>MEDLINE - Academic</collection><jtitle>Complementary therapies in medicine</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Bodner, Kristen</au><au>D’Amico, Salvatore</au><au>Luo, Man</au><au>Sommers, Elizabeth</au><au>Goldstein, Laura</au><au>Neri, Caitlin</au><au>Gardiner, Paula</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>A cross-sectional review of the prevalence of integrative medicine in pediatric pain clinics across the United States</atitle><jtitle>Complementary therapies in medicine</jtitle><addtitle>Complement Ther Med</addtitle><date>2018-06</date><risdate>2018</risdate><volume>38</volume><spage>79</spage><epage>84</epage><pages>79-84</pages><issn>0965-2299</issn><eissn>1873-6963</eissn><abstract>•Children living in rural areas specifically in Southern United States have very limited access to IM therapies within PPCs.•Non-profit PPCs were more likely to staff IM providers compared to private PPCs.•Mind-body exercises are the most common IM services offered in PPCs with IM.
This project assesses the prevalence of integrative medicine (IM) in pediatric pain clinics (PPCs) across the United States.
PPCs were identified through the American Pain Society and cross referenced through the International Association for the Study of Pain (IASP). A cross-sectional review using each PPC’s website was then utilized for further information. We collected data regarding each program’s target population, non-profit status (where non-profits were designated as hospitals that do not operate for-profit purpose, and private as institutions receiving private funding), location, services provided and participating providers. Descriptive statistics were used for data analysis.
Of the 53 PPCs identified, 43 (81%) were part of a non-profit healthcare organization, and 10 (19%) were within a private hospital; 85% were located in urban settings, 15% in rural settings; 83% were located in free-standing children’s hospitals. Thirty-two (60%) PPCs utilized IM, including acupuncture (38%), mind-body (21%), massage (21%), aromatherapy (19%), nutrition counseling (17%) and/or art/music therapy (11%). The most prevalent providers within PPCs offering IM were yoga instructors (84%), nutritionists (56%) and mind-body specialists (44%). IM was offered in 63% of programs in non-profit organizations and 50% in private hospitals; 58% of urban sites and 75% of rural sites. Within each region, 91% (n = 10) of PPCs in the West offer IM, 53% of PPCs in the Midwest (n = 10) and Northeast (n = 8) offer IM and 50% (n = 4) of PPCs in the South offer IM compared to PPCs who do not.
Of 53 current identified PPCs, over half offer IM services. While children in the US are more likely to find a PPC offering IM services, access to do so is more limited in rural and southern regions.</abstract><cop>Scotland</cop><pub>Elsevier Ltd</pub><pmid>29857885</pmid><doi>10.1016/j.ctim.2018.05.001</doi><tpages>6</tpages><orcidid>https://orcid.org/0000-0002-9834-4623</orcidid></addata></record> |
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subjects | Acupuncture Anesthesia Aromatherapy Child Children Chronic illnesses Chronic pain Chronic pain programs Complementary Therapies - statistics & numerical data Complementary Therapies - utilization Cross-Sectional Studies Data analysis Data processing Families & family life Health care Hospitals Humans Identification methods Information processing Integrative Medicine Medicine Music therapy Nonprofit organizations Nutrition Pain Pain Clinics - statistics & numerical data Pediatric chronic pain Pediatric pain clinics Pediatrics Prevalence Profits Statistical analysis Teachers Teenagers Therapists Therapy United States - epidemiology Urban areas Urban environments Websites Yoga |
title | A cross-sectional review of the prevalence of integrative medicine in pediatric pain clinics across the United States |
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