The enormous cost of health care in the United States has sparked increasing interest in innovati... more The enormous cost of health care in the United States has sparked increasing interest in innovative and alternative approaches to both physical and emotional wellness. We demonstrate the value of an easy-to-implement, stress-reducing and wellness-enhancing methodology. In our study, undergraduate students who participated in a weekly meeting over the course of two months had, relative to a control group, a significant decrease in the resting-pulse rate over time, as well as significant improvement in several measures of wellness. Our results suggest that simple lifestyleoriented wellness-promotion interventions may have significant benefits in terms of increasing health and productivity, as well as diminished medical costs.
ABSTRACT Purpose: This presentation is designed to a) propose a definition of Meditative Movement... more ABSTRACT Purpose: This presentation is designed to a) propose a definition of Meditative Movement (MM), including proposed characteristics and standardization recommendations, b) provide results of a comprehensive review of Qigong (QG) and Tai Chi (TC) as representatives of MM, describing the range of health benefits and populations responding to these practices, and c) discuss implications for application of findings for research and nursing practice. Background: Research examining psychological and physiological benefits of QG and TC is growing rapidly. The wide range of practices described as QG or TC has similar philosophical roots and expected benefit, but reviews generally treat them as separate targets of examination. Acknowledging QG and TC as forms of MM, noting the fit to the definition, and examining outcomes related to standard elements, allows for broadening the understanding of these similar practices. MM is defined as practices that include a focus on movement or postures, focus on the mind, and focus on the breath for achieving deep states of relaxation and spiritual connection, Methods: Key words tai chi, taiji, Qigong were searched in the Cumulative Index for Allied Health and Nursing, Psychological Literature, PubMed, and Cochrane database. Inclusion criteria: a) randomized controlled trials (RCTs); b) testing QG or TC; c) published in peer reviewed journals, 1993-2007; and d) published in English. Data collected for analysis: country, type and duration of exercise, number/type of subjects, control conditions, and reported outcomes. All outcomes related to QG and TC were identified and evaluated. Results: Seventy-eight RCTs met criteria. Nine outcome category groupings emerged: bone density (n=4), cardiopulmonary effects (n=19), physical function (n=16), falls and related risk factors (n=23), Quality of Life (n=17), self-efficacy (n=8), patient reported outcomes (n=13), psychological symptoms (n=27), and immune function (n=6). Many studies reported significant responses to these forms of MM compared to an inactive control. Failure to achieve significance generally was associated with active controls with intervention elements expected to achieve similar results, very small numbers of participants, severe chronic illness, or weak MM intervention (e.g., short duration). Studies did not consistently report sufficient dosing information to allow a meaningful meta-analysis. Very few studies cited prior research with relative forms of MM that may have supported or explained results. Conclusions: Many patient populations including various geographic regions, age groups, and disease categories have been shown to benefit from TC and QG in 9 different categories of outcomes. It is time to look beyond our current models of physical activity/exercise and embrace the MM constructs in Nursing care to help transition frail, fatigued, and chronic sufferers of pain into a more active lifestyle while reaping benefits previously thought to only accrue to those practicing more vigorous exercises. Practice Implications: Participants will participate in discussions to plan appropriate recommendations and referrals for MM, including TC and QG, for building health among selected, most-likely-to-benefit populations. The project described was supported by Award Number F31NR010852 from the National Institute Of Nursing Research. The content is solely the responsibility of the authors and does not necessarily represent the official views of the National Institute Of Nursing Research or the National Institutes of Health. This research was also supported by a John A. Hartford BAGNC Scholarship, 2008-2010. Your uploaded file(s): * Health Benefits of Meditative Movement and Implications for Practice Final.doc (30.0KB) - Research paper
Background Mind-body practices that elicit the relaxation response (RR) have been used worldwide ... more Background Mind-body practices that elicit the relaxation response (RR) have been used worldwide for millennia to prevent and treat disease. The RR is characterized by decreased oxygen consumption, increased exhaled nitric oxide, and reduced psychological distress. It is believed to be the counterpart of the stress response that exhibits a distinct pattern of physiology and transcriptional profile. We hypothesized that RR elicitation results in characteristic gene expression changes that can be used to measure physiological responses elicited by the RR in an unbiased fashion. Methods/Principal Findings We assessed whole blood transcriptional profiles in 19 healthy, longterm practitioners of daily RR practice (group M), 19 healthy controls (group N1), and 20 N1 individuals who completed 8 weeks of RR training (group N2). 2209 genes were differentially expressed in group M relative to group N1 (p<0.05) and 1561 genes in group N2 compared to group N1 (p<0.05). Importantly, 433 (p...
Purpose: This presentation is designed to a) propose a definition of Meditative Movement (MM), in... more Purpose: This presentation is designed to a) propose a definition of Meditative Movement (MM), including proposed characteristics and standardization recommendations, b) provide results of a comprehensive review of Qigong (QG) and Tai Chi (TC) as representatives of MM, describing the range of health benefits and populations responding to these practices, and c) discuss implications for application of findings for research and nursing practice. Background: Research examining psychological and physiological benefits of QG and TC is growing rapidly. The wide range of practices described as QG or TC has similar philosophical roots and expected benefit, but reviews generally treat them as separate targets of examination. Acknowledging QG and TC as forms of MM, noting the fit to the definition, and examining outcomes related to standard elements, allows for broadening the understanding of these similar practices. MM is defined as practices that include a focus on movement or postures, foc...
Many breast cancer survivors experience fatigue, mood, and sleep disturbances. This study aims to... more Many breast cancer survivors experience fatigue, mood, and sleep disturbances. This study aims to compare a meditative movement practice, Qigong/Tai Chi Easy (QG/TCE) with sham Qigong (SQG), testing effects of meditation/breath aspects of QG/TCE on breast cancer survivors&amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;#39; persistent fatigue and other symptoms. This double-blind, randomized controlled trial tested 12 weeks of QG/TCE versus SQG on fatigue, depression, and sleep among 87 postmenopausal, fatigued breast cancer survivors, stages 0-III, age 40-75. Fatigue decreased significantly in the QG/TCE group compared to control at post-intervention (p = 0.005) and 3 months follow-up (p = 0.024), but not depression and sleep quality. Improvement occurred over time for both interventions in depression and sleep quality (all p &amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;lt; 0.05). QG/TCE showed significant improvement over time compared to SQG for fatigue, but not depression or sleep. Both QG/TCE and SQG showed improvement for two prevalent symptoms among breast cancer survivors, depression and sleep dysfunction.
Wolters Kluwer Health may email you for journal alerts and information, but is committed to maint... more Wolters Kluwer Health may email you for journal alerts and information, but is committed to maintaining your privacy and will not share your personal information without your express consent. For more information, please refer to our Privacy Policy. ... Skip Navigation Links Home &amp;amp;amp;amp;gt; May ...
Mind-body practices that blend physical movement or postures with a focus on the breath and a med... more Mind-body practices that blend physical movement or postures with a focus on the breath and a meditative state to achieve deep states of relaxation have recently been characterized as a category of exercise called meditative movement and include practices such as Yoga, Tai Chi, and Qigong. Critical components of such practices have not been adequately assessed in research, leaving the fidelity of interventions in question; however, there is currently no set of relevant instruments. This article describes the development and preliminary validation of two subscales of the meditative movement inventory (MMI). Questionnaire items were generated with input from expert practitioners, and tested in the context of an intervention study (N = 87) comparing Qigong/Tai Chi Easy (QG/TCE) to sham Qigong (SQG). Principal components analysis produced three substantively meaningful factors: breath focus (BF; e.g., &amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;quot;I was using my breathing to go into a relaxed state&amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;quot;; five items, alpha = .86), meditative connection (MC; e.g., &amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;quot;I was connected to something greater than myself&amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;quot;; four items, alpha = .90), and flowing motion (FM; e.g., &amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;quot;I moved in relaxed, fluid movements&amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;quot;; two items, alpha = .61, dropped from further analysis). Confirmatory factor analyses of the first two factors (BF and MC) to examine item reliabilities fit the data well providing positive results for construct composition and item reliabilities. The BF and MC subscales demonstrated initial strong properties for assessing the presence and strength of these factors in meditative movement intervention studies, whereas additional work is needed to further develop the FM subscale.
Page 1. -7-The Body Therapies Roger Jahnke, BA, CA THE BODY THERAPIES designate a broad category ... more Page 1. -7-The Body Therapies Roger Jahnke, BA, CA THE BODY THERAPIES designate a broad category of techniques, usually non-invasive, which are employed specifically by health care practitioners both as treatment ...
ABSTRACT A Study of the Efficacy and Cost Effectiveness of A Complementary Medicine Modality: Acu... more ABSTRACT A Study of the Efficacy and Cost Effectiveness of A Complementary Medicine Modality: Acupunture in the Treatment of Chronic Pain David L. Bearman, MD, Deputy Director, Health Policy and Grant Development, Santa Barbara Regional Health Authority, 110 Castilian Drive, Goleta, CA 93117-3028, (800)421-2560, [email protected] and Roger Jahnke, DOM, Roger Jahnke,President, Health Action, Health Action, 243 Pebble Beach Drive, Goleta, CA 93117. This study demonstrates efficacy and cost effectiveness of acupuncture treatment for Medicaid patients with chronic pain .The Santa Barbara Regional Health Authority (SBRHA) a county organized health system (COHS)since 1983, serves 41,000 Medi-Cal recipients in Santa Barbara County . SBRHA researched efficacy and cost effectiveness of acupuncture in the treatment of chronic pain for patients who had had limited or no response to conventional pain treatment.For these patients pain relief often consisted of supplemental self-medication with alcohol or illicit drugs. Conventional chronic pain treatment programs explored had a minimum cost of $7,000 to $15,000 per member. As a Medicaid program we couldn&#39;t justify expending funds studying options unlikely to be cost effective . We looked at the alternative therapies of acupuncture and Feldenkrais, in part because of the growing integration and acceptance of complementary and alternative medicine into managed care settings. Target population were Medicaid patients with chronic headaches and/or musculskelatal problems .45 members were notified of the program.15 started ,6 completed program and 3 completed half . Cost effectiveness calculations compared Medicaid costs for each patient one year pre and post intervention. Costs went down roughly 25% for outpatient and ER care.Cost of antidepressant treatment went up because of change in community practice standards from tricyclics to SSRIs .All other prescription costs went down. Function and perception of pain were measured using the National Pain Data Bank protocol from the American Academy Pain Management.Patients had more mobility and decreased perception of pain both immediately after the program and one year later. Learning Objectives: understand the efficacy of acupuncture in treating chronic pain in a Medicaid population discuss the value of offfering acupuncture for the treatment of chronic pain appreciate the value of expanding access to acupuncture in a managed care setting Keywords: Alternative Medicine/Therapies, Medicaid Managed Care
The enormous cost of health care in the United States has sparked increasing interest in innovati... more The enormous cost of health care in the United States has sparked increasing interest in innovative and alternative approaches to both physical and emotional wellness. We demonstrate the value of an easy-to-implement, stress-reducing and wellness-enhancing methodology. In our study, undergraduate students who participated in a weekly meeting over the course of two months had, relative to a control group, a significant decrease in the resting-pulse rate over time, as well as significant improvement in several measures of wellness. Our results suggest that simple lifestyleoriented wellness-promotion interventions may have significant benefits in terms of increasing health and productivity, as well as diminished medical costs.
Wolters Kluwer Health may email you for journal alerts and information, but is committed to maint... more Wolters Kluwer Health may email you for journal alerts and information, but is committed to maintaining your privacy and will not share your personal information without your express consent. For more information, please refer to our Privacy Policy. ... Skip Navigation Links Home &amp;amp;amp;amp;gt; May ...
The enormous cost of health care in the United States has sparked increasing interest in innovati... more The enormous cost of health care in the United States has sparked increasing interest in innovative and alternative approaches to both physical and emotional wellness. We demonstrate the value of an easy-to-implement, stress-reducing and wellness-enhancing methodology. In our study, undergraduate students who participated in a weekly meeting over the course of two months had, relative to a control group, a significant decrease in the resting-pulse rate over time, as well as significant improvement in several measures of wellness. Our results suggest that simple lifestyleoriented wellness-promotion interventions may have significant benefits in terms of increasing health and productivity, as well as diminished medical costs.
ABSTRACT Purpose: This presentation is designed to a) propose a definition of Meditative Movement... more ABSTRACT Purpose: This presentation is designed to a) propose a definition of Meditative Movement (MM), including proposed characteristics and standardization recommendations, b) provide results of a comprehensive review of Qigong (QG) and Tai Chi (TC) as representatives of MM, describing the range of health benefits and populations responding to these practices, and c) discuss implications for application of findings for research and nursing practice. Background: Research examining psychological and physiological benefits of QG and TC is growing rapidly. The wide range of practices described as QG or TC has similar philosophical roots and expected benefit, but reviews generally treat them as separate targets of examination. Acknowledging QG and TC as forms of MM, noting the fit to the definition, and examining outcomes related to standard elements, allows for broadening the understanding of these similar practices. MM is defined as practices that include a focus on movement or postures, focus on the mind, and focus on the breath for achieving deep states of relaxation and spiritual connection, Methods: Key words tai chi, taiji, Qigong were searched in the Cumulative Index for Allied Health and Nursing, Psychological Literature, PubMed, and Cochrane database. Inclusion criteria: a) randomized controlled trials (RCTs); b) testing QG or TC; c) published in peer reviewed journals, 1993-2007; and d) published in English. Data collected for analysis: country, type and duration of exercise, number/type of subjects, control conditions, and reported outcomes. All outcomes related to QG and TC were identified and evaluated. Results: Seventy-eight RCTs met criteria. Nine outcome category groupings emerged: bone density (n=4), cardiopulmonary effects (n=19), physical function (n=16), falls and related risk factors (n=23), Quality of Life (n=17), self-efficacy (n=8), patient reported outcomes (n=13), psychological symptoms (n=27), and immune function (n=6). Many studies reported significant responses to these forms of MM compared to an inactive control. Failure to achieve significance generally was associated with active controls with intervention elements expected to achieve similar results, very small numbers of participants, severe chronic illness, or weak MM intervention (e.g., short duration). Studies did not consistently report sufficient dosing information to allow a meaningful meta-analysis. Very few studies cited prior research with relative forms of MM that may have supported or explained results. Conclusions: Many patient populations including various geographic regions, age groups, and disease categories have been shown to benefit from TC and QG in 9 different categories of outcomes. It is time to look beyond our current models of physical activity/exercise and embrace the MM constructs in Nursing care to help transition frail, fatigued, and chronic sufferers of pain into a more active lifestyle while reaping benefits previously thought to only accrue to those practicing more vigorous exercises. Practice Implications: Participants will participate in discussions to plan appropriate recommendations and referrals for MM, including TC and QG, for building health among selected, most-likely-to-benefit populations. The project described was supported by Award Number F31NR010852 from the National Institute Of Nursing Research. The content is solely the responsibility of the authors and does not necessarily represent the official views of the National Institute Of Nursing Research or the National Institutes of Health. This research was also supported by a John A. Hartford BAGNC Scholarship, 2008-2010. Your uploaded file(s): * Health Benefits of Meditative Movement and Implications for Practice Final.doc (30.0KB) - Research paper
Background Mind-body practices that elicit the relaxation response (RR) have been used worldwide ... more Background Mind-body practices that elicit the relaxation response (RR) have been used worldwide for millennia to prevent and treat disease. The RR is characterized by decreased oxygen consumption, increased exhaled nitric oxide, and reduced psychological distress. It is believed to be the counterpart of the stress response that exhibits a distinct pattern of physiology and transcriptional profile. We hypothesized that RR elicitation results in characteristic gene expression changes that can be used to measure physiological responses elicited by the RR in an unbiased fashion. Methods/Principal Findings We assessed whole blood transcriptional profiles in 19 healthy, longterm practitioners of daily RR practice (group M), 19 healthy controls (group N1), and 20 N1 individuals who completed 8 weeks of RR training (group N2). 2209 genes were differentially expressed in group M relative to group N1 (p<0.05) and 1561 genes in group N2 compared to group N1 (p<0.05). Importantly, 433 (p...
Purpose: This presentation is designed to a) propose a definition of Meditative Movement (MM), in... more Purpose: This presentation is designed to a) propose a definition of Meditative Movement (MM), including proposed characteristics and standardization recommendations, b) provide results of a comprehensive review of Qigong (QG) and Tai Chi (TC) as representatives of MM, describing the range of health benefits and populations responding to these practices, and c) discuss implications for application of findings for research and nursing practice. Background: Research examining psychological and physiological benefits of QG and TC is growing rapidly. The wide range of practices described as QG or TC has similar philosophical roots and expected benefit, but reviews generally treat them as separate targets of examination. Acknowledging QG and TC as forms of MM, noting the fit to the definition, and examining outcomes related to standard elements, allows for broadening the understanding of these similar practices. MM is defined as practices that include a focus on movement or postures, foc...
Many breast cancer survivors experience fatigue, mood, and sleep disturbances. This study aims to... more Many breast cancer survivors experience fatigue, mood, and sleep disturbances. This study aims to compare a meditative movement practice, Qigong/Tai Chi Easy (QG/TCE) with sham Qigong (SQG), testing effects of meditation/breath aspects of QG/TCE on breast cancer survivors&amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;#39; persistent fatigue and other symptoms. This double-blind, randomized controlled trial tested 12 weeks of QG/TCE versus SQG on fatigue, depression, and sleep among 87 postmenopausal, fatigued breast cancer survivors, stages 0-III, age 40-75. Fatigue decreased significantly in the QG/TCE group compared to control at post-intervention (p = 0.005) and 3 months follow-up (p = 0.024), but not depression and sleep quality. Improvement occurred over time for both interventions in depression and sleep quality (all p &amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;lt; 0.05). QG/TCE showed significant improvement over time compared to SQG for fatigue, but not depression or sleep. Both QG/TCE and SQG showed improvement for two prevalent symptoms among breast cancer survivors, depression and sleep dysfunction.
Wolters Kluwer Health may email you for journal alerts and information, but is committed to maint... more Wolters Kluwer Health may email you for journal alerts and information, but is committed to maintaining your privacy and will not share your personal information without your express consent. For more information, please refer to our Privacy Policy. ... Skip Navigation Links Home &amp;amp;amp;amp;gt; May ...
Mind-body practices that blend physical movement or postures with a focus on the breath and a med... more Mind-body practices that blend physical movement or postures with a focus on the breath and a meditative state to achieve deep states of relaxation have recently been characterized as a category of exercise called meditative movement and include practices such as Yoga, Tai Chi, and Qigong. Critical components of such practices have not been adequately assessed in research, leaving the fidelity of interventions in question; however, there is currently no set of relevant instruments. This article describes the development and preliminary validation of two subscales of the meditative movement inventory (MMI). Questionnaire items were generated with input from expert practitioners, and tested in the context of an intervention study (N = 87) comparing Qigong/Tai Chi Easy (QG/TCE) to sham Qigong (SQG). Principal components analysis produced three substantively meaningful factors: breath focus (BF; e.g., &amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;quot;I was using my breathing to go into a relaxed state&amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;quot;; five items, alpha = .86), meditative connection (MC; e.g., &amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;quot;I was connected to something greater than myself&amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;quot;; four items, alpha = .90), and flowing motion (FM; e.g., &amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;quot;I moved in relaxed, fluid movements&amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;quot;; two items, alpha = .61, dropped from further analysis). Confirmatory factor analyses of the first two factors (BF and MC) to examine item reliabilities fit the data well providing positive results for construct composition and item reliabilities. The BF and MC subscales demonstrated initial strong properties for assessing the presence and strength of these factors in meditative movement intervention studies, whereas additional work is needed to further develop the FM subscale.
Page 1. -7-The Body Therapies Roger Jahnke, BA, CA THE BODY THERAPIES designate a broad category ... more Page 1. -7-The Body Therapies Roger Jahnke, BA, CA THE BODY THERAPIES designate a broad category of techniques, usually non-invasive, which are employed specifically by health care practitioners both as treatment ...
ABSTRACT A Study of the Efficacy and Cost Effectiveness of A Complementary Medicine Modality: Acu... more ABSTRACT A Study of the Efficacy and Cost Effectiveness of A Complementary Medicine Modality: Acupunture in the Treatment of Chronic Pain David L. Bearman, MD, Deputy Director, Health Policy and Grant Development, Santa Barbara Regional Health Authority, 110 Castilian Drive, Goleta, CA 93117-3028, (800)421-2560, [email protected] and Roger Jahnke, DOM, Roger Jahnke,President, Health Action, Health Action, 243 Pebble Beach Drive, Goleta, CA 93117. This study demonstrates efficacy and cost effectiveness of acupuncture treatment for Medicaid patients with chronic pain .The Santa Barbara Regional Health Authority (SBRHA) a county organized health system (COHS)since 1983, serves 41,000 Medi-Cal recipients in Santa Barbara County . SBRHA researched efficacy and cost effectiveness of acupuncture in the treatment of chronic pain for patients who had had limited or no response to conventional pain treatment.For these patients pain relief often consisted of supplemental self-medication with alcohol or illicit drugs. Conventional chronic pain treatment programs explored had a minimum cost of $7,000 to $15,000 per member. As a Medicaid program we couldn&#39;t justify expending funds studying options unlikely to be cost effective . We looked at the alternative therapies of acupuncture and Feldenkrais, in part because of the growing integration and acceptance of complementary and alternative medicine into managed care settings. Target population were Medicaid patients with chronic headaches and/or musculskelatal problems .45 members were notified of the program.15 started ,6 completed program and 3 completed half . Cost effectiveness calculations compared Medicaid costs for each patient one year pre and post intervention. Costs went down roughly 25% for outpatient and ER care.Cost of antidepressant treatment went up because of change in community practice standards from tricyclics to SSRIs .All other prescription costs went down. Function and perception of pain were measured using the National Pain Data Bank protocol from the American Academy Pain Management.Patients had more mobility and decreased perception of pain both immediately after the program and one year later. Learning Objectives: understand the efficacy of acupuncture in treating chronic pain in a Medicaid population discuss the value of offfering acupuncture for the treatment of chronic pain appreciate the value of expanding access to acupuncture in a managed care setting Keywords: Alternative Medicine/Therapies, Medicaid Managed Care
The enormous cost of health care in the United States has sparked increasing interest in innovati... more The enormous cost of health care in the United States has sparked increasing interest in innovative and alternative approaches to both physical and emotional wellness. We demonstrate the value of an easy-to-implement, stress-reducing and wellness-enhancing methodology. In our study, undergraduate students who participated in a weekly meeting over the course of two months had, relative to a control group, a significant decrease in the resting-pulse rate over time, as well as significant improvement in several measures of wellness. Our results suggest that simple lifestyleoriented wellness-promotion interventions may have significant benefits in terms of increasing health and productivity, as well as diminished medical costs.
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