Real-World Evidence from the Integrative Medicine Primary Care Trial (IMPACT): Assessing Patient-Reported Outcomes at Baseline and 12-Month Follow-Up
Purpose. The University of Arizona Integrative Health Center (UAIHC) was an innovative membership-supported integrative medicine (IM) adult primary care clinic in Phoenix, Arizona. UAIHC delivered healthcare using an integrative medicine model that combined conventional and complementary medical tre...
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| Veröffentlicht in: | Evidence-based complementary and alternative medicine 2019-01, Vol.2019 (2019), p.1-9 |
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| creator | Maizes, Victoria H. Horwitz, Randy Rehfeld, Rick Abraham, Ivo Grizzle, Amy L. Hurwitz, Jason T. Crocker, Robert L. Weil, Andrew T. |
| description | Purpose. The University of Arizona Integrative Health Center (UAIHC) was an innovative membership-supported integrative medicine (IM) adult primary care clinic in Phoenix, Arizona. UAIHC delivered healthcare using an integrative medicine model that combined conventional and complementary medical treatments, including nutrition, mind-body medicine, acupuncture, manual medicine, health coaching, educational classes, and groups. Results from pre-post evaluation of patient-reported outcomes on several standardized measures are presented here. Methods. UAIHC patients completed surveys at baseline and after 12 months of continuous integrative primary care. Patients reported on perceived changes in health outcomes as measured by Short-Form Health Survey (SF-12 general, mental, and physical health), Perceived Stress Scale (PSS4), Work Productivity and Activity Impairment Questionnaire (WPAI), World Health Organization Well-Being Index (WHO-5), Pain Visual Analog Scale (VAS), Fatigue Severity Scale (VAS; FSS), Generalized Anxiety Disorder Scale (GAD2), Patient Health Questionnaire for depression (PHQ2), Pittsburgh Sleep Quality Index (PSQI) global rating of sleep quality, and the Behavioral Risk Factor Surveillance System (BRFSS; nutrition, exercise, and physical activity). Overall differences between time points were assessed for statistical significance. Patient demographics are also described. Results. 177 patients completed baseline and follow-up outcome measures. Patients were predominantly white, female, college-educated, and employed. Baseline to one-year follow-up results indicate statistically significant improvements (p < .05) on all but perceived stress (PSS-4) and work absenteeism (WPAI). Clinical impact and/or practical effects are reported as percent change or standardized effect sizes whenever possible. Other demographic and descriptive information is summarized. Conclusions. Following one year of IM primary care at UAIHC, patient-reported outcomes indicated positive impacts in several areas of patients’ lives: mental, physical, and overall health; work productivity; sleep quality; pain; fatigue; overall well-being; and physical activity. |
| doi_str_mv | 10.1155/2019/8595409 |
| format | Article |
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The University of Arizona Integrative Health Center (UAIHC) was an innovative membership-supported integrative medicine (IM) adult primary care clinic in Phoenix, Arizona. UAIHC delivered healthcare using an integrative medicine model that combined conventional and complementary medical treatments, including nutrition, mind-body medicine, acupuncture, manual medicine, health coaching, educational classes, and groups. Results from pre-post evaluation of patient-reported outcomes on several standardized measures are presented here. Methods. UAIHC patients completed surveys at baseline and after 12 months of continuous integrative primary care. Patients reported on perceived changes in health outcomes as measured by Short-Form Health Survey (SF-12 general, mental, and physical health), Perceived Stress Scale (PSS4), Work Productivity and Activity Impairment Questionnaire (WPAI), World Health Organization Well-Being Index (WHO-5), Pain Visual Analog Scale (VAS), Fatigue Severity Scale (VAS; FSS), Generalized Anxiety Disorder Scale (GAD2), Patient Health Questionnaire for depression (PHQ2), Pittsburgh Sleep Quality Index (PSQI) global rating of sleep quality, and the Behavioral Risk Factor Surveillance System (BRFSS; nutrition, exercise, and physical activity). Overall differences between time points were assessed for statistical significance. Patient demographics are also described. Results. 177 patients completed baseline and follow-up outcome measures. Patients were predominantly white, female, college-educated, and employed. Baseline to one-year follow-up results indicate statistically significant improvements (p < .05) on all but perceived stress (PSS-4) and work absenteeism (WPAI). Clinical impact and/or practical effects are reported as percent change or standardized effect sizes whenever possible. Other demographic and descriptive information is summarized. Conclusions. Following one year of IM primary care at UAIHC, patient-reported outcomes indicated positive impacts in several areas of patients’ lives: mental, physical, and overall health; work productivity; sleep quality; pain; fatigue; overall well-being; and physical activity.</description><identifier>ISSN: 1741-427X</identifier><identifier>EISSN: 1741-4288</identifier><identifier>DOI: 10.1155/2019/8595409</identifier><identifier>PMID: 31346339</identifier><language>eng</language><publisher>Cairo, Egypt: Hindawi Publishing Corporation</publisher><subject>Absenteeism ; Acupuncture ; Anxiety ; Demographics ; Demography ; Depression ; Diabetes ; Fatigue ; Health care facilities ; Integrative medicine ; Medical innovations ; Medicine ; Mental depression ; Occupational health ; Pain ; Patients ; Physical activity ; Polls & surveys ; Population ; Primary care ; Productivity ; Psychiatry ; Quality of life ; Questionnaires ; Risk factors ; Risk taking ; Sleep ; Statistical analysis ; Well being ; Yoga</subject><ispartof>Evidence-based complementary and alternative medicine, 2019-01, Vol.2019 (2019), p.1-9</ispartof><rights>Copyright © 2019 Robert L. Crocker et al.</rights><rights>COPYRIGHT 2019 John Wiley & Sons, Inc.</rights><rights>Copyright © 2019 Robert L. Crocker et al. This is an open access article distributed under the Creative Commons Attribution License (the “License”), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License. https://creativecommons.org/licenses/by/4.0</rights><rights>Copyright © 2019 Robert L. Crocker et al. 2019</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c499t-1193aa4a874ffbc4a6607bc2dc9d896b0ae33c06ab4f1e9c933fc7caff4cf7473</citedby><cites>FETCH-LOGICAL-c499t-1193aa4a874ffbc4a6607bc2dc9d896b0ae33c06ab4f1e9c933fc7caff4cf7473</cites><orcidid>0000-0001-9067-6394 ; 0000-0003-0490-4421 ; 0000-0001-9527-8926 ; 0000-0003-3879-9877 ; 0000-0003-4485-1459</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC6617880/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC6617880/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,723,776,780,881,27901,27902,53766,53768</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/31346339$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><contributor>Moss, Mark</contributor><contributor>Mark Moss</contributor><creatorcontrib>Maizes, Victoria H.</creatorcontrib><creatorcontrib>Horwitz, Randy</creatorcontrib><creatorcontrib>Rehfeld, Rick</creatorcontrib><creatorcontrib>Abraham, Ivo</creatorcontrib><creatorcontrib>Grizzle, Amy L.</creatorcontrib><creatorcontrib>Hurwitz, Jason T.</creatorcontrib><creatorcontrib>Crocker, Robert L.</creatorcontrib><creatorcontrib>Weil, Andrew T.</creatorcontrib><title>Real-World Evidence from the Integrative Medicine Primary Care Trial (IMPACT): Assessing Patient-Reported Outcomes at Baseline and 12-Month Follow-Up</title><title>Evidence-based complementary and alternative medicine</title><addtitle>Evid Based Complement Alternat Med</addtitle><description>Purpose. The University of Arizona Integrative Health Center (UAIHC) was an innovative membership-supported integrative medicine (IM) adult primary care clinic in Phoenix, Arizona. UAIHC delivered healthcare using an integrative medicine model that combined conventional and complementary medical treatments, including nutrition, mind-body medicine, acupuncture, manual medicine, health coaching, educational classes, and groups. Results from pre-post evaluation of patient-reported outcomes on several standardized measures are presented here. Methods. UAIHC patients completed surveys at baseline and after 12 months of continuous integrative primary care. Patients reported on perceived changes in health outcomes as measured by Short-Form Health Survey (SF-12 general, mental, and physical health), Perceived Stress Scale (PSS4), Work Productivity and Activity Impairment Questionnaire (WPAI), World Health Organization Well-Being Index (WHO-5), Pain Visual Analog Scale (VAS), Fatigue Severity Scale (VAS; FSS), Generalized Anxiety Disorder Scale (GAD2), Patient Health Questionnaire for depression (PHQ2), Pittsburgh Sleep Quality Index (PSQI) global rating of sleep quality, and the Behavioral Risk Factor Surveillance System (BRFSS; nutrition, exercise, and physical activity). Overall differences between time points were assessed for statistical significance. Patient demographics are also described. Results. 177 patients completed baseline and follow-up outcome measures. Patients were predominantly white, female, college-educated, and employed. Baseline to one-year follow-up results indicate statistically significant improvements (p < .05) on all but perceived stress (PSS-4) and work absenteeism (WPAI). Clinical impact and/or practical effects are reported as percent change or standardized effect sizes whenever possible. Other demographic and descriptive information is summarized. Conclusions. Following one year of IM primary care at UAIHC, patient-reported outcomes indicated positive impacts in several areas of patients’ lives: mental, physical, and overall health; work productivity; sleep quality; pain; fatigue; overall well-being; and physical activity.</description><subject>Absenteeism</subject><subject>Acupuncture</subject><subject>Anxiety</subject><subject>Demographics</subject><subject>Demography</subject><subject>Depression</subject><subject>Diabetes</subject><subject>Fatigue</subject><subject>Health care facilities</subject><subject>Integrative medicine</subject><subject>Medical innovations</subject><subject>Medicine</subject><subject>Mental depression</subject><subject>Occupational health</subject><subject>Pain</subject><subject>Patients</subject><subject>Physical activity</subject><subject>Polls & surveys</subject><subject>Population</subject><subject>Primary care</subject><subject>Productivity</subject><subject>Psychiatry</subject><subject>Quality of life</subject><subject>Questionnaires</subject><subject>Risk factors</subject><subject>Risk taking</subject><subject>Sleep</subject><subject>Statistical analysis</subject><subject>Well 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Evidence from the Integrative Medicine Primary Care Trial (IMPACT): Assessing Patient-Reported Outcomes at Baseline and 12-Month Follow-Up</title><author>Maizes, Victoria H. ; Horwitz, Randy ; Rehfeld, Rick ; Abraham, Ivo ; Grizzle, Amy L. ; Hurwitz, Jason T. ; Crocker, Robert L. ; Weil, Andrew T.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c499t-1193aa4a874ffbc4a6607bc2dc9d896b0ae33c06ab4f1e9c933fc7caff4cf7473</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2019</creationdate><topic>Absenteeism</topic><topic>Acupuncture</topic><topic>Anxiety</topic><topic>Demographics</topic><topic>Demography</topic><topic>Depression</topic><topic>Diabetes</topic><topic>Fatigue</topic><topic>Health care facilities</topic><topic>Integrative medicine</topic><topic>Medical innovations</topic><topic>Medicine</topic><topic>Mental depression</topic><topic>Occupational health</topic><topic>Pain</topic><topic>Patients</topic><topic>Physical activity</topic><topic>Polls & surveys</topic><topic>Population</topic><topic>Primary care</topic><topic>Productivity</topic><topic>Psychiatry</topic><topic>Quality of life</topic><topic>Questionnaires</topic><topic>Risk factors</topic><topic>Risk taking</topic><topic>Sleep</topic><topic>Statistical analysis</topic><topic>Well being</topic><topic>Yoga</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Maizes, Victoria H.</creatorcontrib><creatorcontrib>Horwitz, Randy</creatorcontrib><creatorcontrib>Rehfeld, Rick</creatorcontrib><creatorcontrib>Abraham, Ivo</creatorcontrib><creatorcontrib>Grizzle, Amy L.</creatorcontrib><creatorcontrib>Hurwitz, Jason T.</creatorcontrib><creatorcontrib>Crocker, Robert L.</creatorcontrib><creatorcontrib>Weil, Andrew T.</creatorcontrib><collection>الدوريات العلمية والإحصائية - e-Marefa Academic and Statistical 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Moss</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Real-World Evidence from the Integrative Medicine Primary Care Trial (IMPACT): Assessing Patient-Reported Outcomes at Baseline and 12-Month Follow-Up</atitle><jtitle>Evidence-based complementary and alternative medicine</jtitle><addtitle>Evid Based Complement Alternat Med</addtitle><date>2019-01-01</date><risdate>2019</risdate><volume>2019</volume><issue>2019</issue><spage>1</spage><epage>9</epage><pages>1-9</pages><issn>1741-427X</issn><eissn>1741-4288</eissn><abstract>Purpose. The University of Arizona Integrative Health Center (UAIHC) was an innovative membership-supported integrative medicine (IM) adult primary care clinic in Phoenix, Arizona. UAIHC delivered healthcare using an integrative medicine model that combined conventional and complementary medical treatments, including nutrition, mind-body medicine, acupuncture, manual medicine, health coaching, educational classes, and groups. Results from pre-post evaluation of patient-reported outcomes on several standardized measures are presented here. Methods. UAIHC patients completed surveys at baseline and after 12 months of continuous integrative primary care. Patients reported on perceived changes in health outcomes as measured by Short-Form Health Survey (SF-12 general, mental, and physical health), Perceived Stress Scale (PSS4), Work Productivity and Activity Impairment Questionnaire (WPAI), World Health Organization Well-Being Index (WHO-5), Pain Visual Analog Scale (VAS), Fatigue Severity Scale (VAS; FSS), Generalized Anxiety Disorder Scale (GAD2), Patient Health Questionnaire for depression (PHQ2), Pittsburgh Sleep Quality Index (PSQI) global rating of sleep quality, and the Behavioral Risk Factor Surveillance System (BRFSS; nutrition, exercise, and physical activity). Overall differences between time points were assessed for statistical significance. Patient demographics are also described. Results. 177 patients completed baseline and follow-up outcome measures. Patients were predominantly white, female, college-educated, and employed. Baseline to one-year follow-up results indicate statistically significant improvements (p < .05) on all but perceived stress (PSS-4) and work absenteeism (WPAI). Clinical impact and/or practical effects are reported as percent change or standardized effect sizes whenever possible. Other demographic and descriptive information is summarized. Conclusions. Following one year of IM primary care at UAIHC, patient-reported outcomes indicated positive impacts in several areas of patients’ lives: mental, physical, and overall health; work productivity; sleep quality; pain; fatigue; overall well-being; and physical activity.</abstract><cop>Cairo, Egypt</cop><pub>Hindawi Publishing Corporation</pub><pmid>31346339</pmid><doi>10.1155/2019/8595409</doi><tpages>9</tpages><orcidid>https://orcid.org/0000-0001-9067-6394</orcidid><orcidid>https://orcid.org/0000-0003-0490-4421</orcidid><orcidid>https://orcid.org/0000-0001-9527-8926</orcidid><orcidid>https://orcid.org/0000-0003-3879-9877</orcidid><orcidid>https://orcid.org/0000-0003-4485-1459</orcidid><oa>free_for_read</oa></addata></record> |
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| ispartof | Evidence-based complementary and alternative medicine, 2019-01, Vol.2019 (2019), p.1-9 |
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| source | Wiley Online Library Open Access; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; PubMed Central; Alma/SFX Local Collection; PubMed Central Open Access |
| subjects | Absenteeism Acupuncture Anxiety Demographics Demography Depression Diabetes Fatigue Health care facilities Integrative medicine Medical innovations Medicine Mental depression Occupational health Pain Patients Physical activity Polls & surveys Population Primary care Productivity Psychiatry Quality of life Questionnaires Risk factors Risk taking Sleep Statistical analysis Well being Yoga |
| title | Real-World Evidence from the Integrative Medicine Primary Care Trial (IMPACT): Assessing Patient-Reported Outcomes at Baseline and 12-Month Follow-Up |
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