Effects of a pain education program in Complementary and Alternative Medicine treatment utilization at a VA medical center
Abstract
Background Past studies have shown that U.S. Veterans are consumers of CAM. However, more than 75% of Veteran non-users report they would utilize these treatment options if made available. Thus, Veterans may not be fully aware of the CAM options currently available to them in the current U.S. VA health care system.Objectives The current study tested the hypothesis that Veterans would report an increase in CAM utilization after completing a formal pain education program in a VA medical center.Design The study used a quasi-experimental, one-group, pre/post-test design.Setting Midwestern, U.S. VA Medical Center.Participants The responses from 103 Veterans who elected to participate in the program and the assessment measures were included in the outcome analyses.Intervention "Pain Education School" is a 12-week, educational program that is open to all Veterans and their families. It is a comprehensive program that introduces patients to 23 different disciplines at the VA Medical Center that deal with chronic, non-cancer pain.Main outcome measures An adaptation of the Complementary and Alternative Medicine Questionnaire(©), SECTION A: Use of Alternative Health Care Providers.Results There was a significant difference found in overall utilization of CAM after completing the pain education program. The most utilized CAM modality was the chiropractor; the least utilized were hypnosis and aromatherapy.Conclusions Not all health care systems or providers may have access to an education-focused, professionally driven program as an amenity. However, lessons can be learned from this study in terms of what pain providers may be able to accomplish in their practice.
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The complementary therapies most commonly used for chronic pain are osteopathy, chiropractic, homeopathy, acupuncture and herbalism, and rarely hypnosis and aromatherapy.
“The complementary therapies most commonly used for chronic pain are osteopathy, chiropractic, homeopathy, acupuncture and herbalism (and rarely hypnosis and aromatherapy) [58, 59].”
From Identification and Management of Chronic Pain in Primary Care: a Review (2016) · cites this paper as [59]
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- Authors
- Cosio, D., & Lin, E. H.
- Corresponding author
- Cosio, David
- Venue
- Complementary Therapies in Medicine
- Publisher
- Elsevier BV
- Published
- 2015-06
- Volume
- 23
- Issue
- 3
- Pages
- 413-422
- ISSN
- 0965-2299 (ISSN-L)
- OpenAlex
- W2093964367
- Cited by
- 15
- References
- 35
- Citations by year
- 2026: 1 · 2025: 1 · 2023: 1 · 2022: 1 · 2020: 2 · 2019: 1 · 2018: 2 · 2017: 3 · 2016: 2 · 2015: 1
- FWCI
- 5.24
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Complementary Therapies in Medicine (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Complementary and alternative medicine › Complementary and Alternative Medicine Studies
- Health Sciences › Medicine › Pharmacology › Musculoskeletal pain and rehabilitation
- Health Sciences › Medicine › Complementary and alternative medicine › Traditional Chinese Medicine Studies
- Keywords
- complementary and alternative medicine, CAM utilization, veterans, chronic non-cancer pain, chiropractic, patient education
- MeSH terms
- Adult, Aged, Complementary Therapies, Female, Hospitals, Veterans, Humans, Male, Middle Aged, Patient Education as Topic, United States, Veterans, Cohort Studies, Chronic Pain
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