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Perceptions of other integrative health therapies by Veterans with pain who are receiving massage
Open accessAbstract
Veterans are increasingly using complementary and integrative health (CIH) therapies to manage chronic pain and other troubling symptoms that significantly impair health and quality of life. The Department of Veterans Affairs (VA) is exploring ways to meet the demand for access to CIH, but little is known about Veterans' perceptions of the VA's efforts. To address this knowledge gap, we conducted interviews of 15 inpatients, 8 receiving palliative care, and 15 outpatients receiving CIH in the VA. Pain was the precipitating factor in all participants' experience. Participants were asked about their experience in the VA and their opinions about which therapies would most benefit other Veterans. Participants reported that massage was well-received and resulted in decreased pain, increased mobility, and decreased opioid use. Major challenges were the high ratio of patients to CIH providers, the difficulty in receiving CIH from fee-based CIH providers outside of the VA, cost issues, and the role of administrative decisions in the uneven deployment of CIH across the VA. If the VA is to meet its goal of offering personalized, proactive, patient-centered care nationwide then it must receive support from Congress while considering Veterans' goals and concerns to ensure that the expanded provision of CIH improves outcomes.
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Integrative medicine has been shown to be effective in treating complex medical conditions, such as multiple sclerosis, pain and depression.
“Integrative medicine is an approach that combines traditional and complementary medicine (e.g., yoga, acupuncture, biofeedback) and has been shown to be effective in treating complex medical conditions, such as multiple sclerosis, pain and depression.3À6”
From A complementary and integrative health group-based program pilot demonstrates positive health outcomes with female Veterans. (2020) · cites this paper as [4]
The Results (Experience; page not provided) report that Veterans receiving massage experienced pain relief and described reduced depression. The paper does not address multiple sclerosis, and its participants’ reports do not establish that integrative medicine broadly is effective in treating all three conditions. (LLM, conf=0.88)
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Metadata
- Authors
- Fletcher, C. E., Mitchinson, A. R., Trumble, E. L., Hinshaw, D. B., & Dusek, J. A.
- Affiliations
- VA Ann Arbor Healthcare System (US)
- Abbott Northwestern Hospital (US)
- Venue
- Journal of Rehabilitation Research and Development
- Published
- 2016
- Volume
- 53
- Issue
- 1
- Pages
- 117-126
- ISSN
- 0742-3241 (ISSN-L)
- 0748-7711
- 1938-1352
- PMC
- PMC4829362
- OpenAlex
- W2411756403
- Cited by
- 17
- References
- 22
- Citations by year
- 2025: 4 · 2023: 2 · 2022: 4 · 2021: 1 · 2019: 2 · 2018: 3 · 2016: 1
- FWCI
- 4.11
- Type
- journal article
- Language
- en
- Open access
- diamond
- doi.org
- Locations
- The Journal of Rehabilitation Research and Development (publishedVersion)
- PubMed (publishedVersion)
- Europe PMC (PubMed Central) (acceptedVersion)
- PubMed Central (acceptedVersion)
- eScholarship (California Digital Library) (submittedVersion)
- Funders
- National Center for Complementary and Integrative Health (R01AT006518)
- Topics
- Health Sciences › Medicine › Complementary and alternative medicine › Complementary and Alternative Medicine Studies
- Health Sciences › Health Professions › Physical Therapy, Sports Therapy and Rehabilitation › Musculoskeletal pain and rehabilitation
- Social Sciences › Psychology › Clinical Psychology › Psychotherapy Techniques and Applications
- Keywords
- complementary and integrative health, veterans, chronic pain, massage, palliative care, patient perspectives, Department of Veterans Affairs, opioid use reduction, health care access, cost barriers, patient-centered care
- MeSH terms
- Adult, Female, Follow-Up Studies, Humans, Male, Massage, Middle Aged, Perception, Pilot Projects, Quality of Health Care, Quality of Life, United States, United States Department of Veterans Affairs, Veterans, Health Care Surveys, Chronic Pain
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