Integrative Medicine Quality of Life Study

Study Overview
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Brief Summary
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Integrative Medicine is an approach to health that addresses a person's mental, physical, social, spiritual, and environmental factors. Chronic diseases are best treated if the root cause is addressed, improving one's overall health. Health is defined by the WHO as a state of complete physical, mental and social wellbeing, and not merely the absence of disease or infirmity. Many national institutions, such as the American Heart Association, American College of Cardiology, American Diabetes Association, and more, all affirm that lifestyle modifications are the number one treatment and prevention for the most common disorders: high blood pressure, obesity, diabetes, high cholesterol, etc. The generic term lifestyle modifications encompasses many aspects that can be impacted by Integrative Medicine. Patients present to be treated by Integrative Medicine practitioners frequently, and we would like to see how their quality of life is improving by being treated by this practice approach.

Detailed Description
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At the turn of the 19th century, medicine made great strides in the field of bacteriology. Development of antibiotics, pasteurization, sterilization and antiseptic techniques led to tremendous advances in the understanding of disease pathophysiology. Unfortunately, with increased longevity came increased rates of chronic diseases, a shift referred to as the epidemiological transition. Lifestyle risk factors have been directly linked to the increase in diseases, such as heart disease, cancer, and stroke - with these conditions overtaking infectious diseases such as TB, influenza, cholera, and pneumonia as the major sources of mortality in the developed countries. These major external or modifiable factors contributing to US mortality were subsequently labeled the actual causes of death and included tobacco usage, physical inactivity, diet, alcohol, sexual behaviors, and others (McGinnis, 1993). This same analysis has persisted into the 21st century. An analysis by Mokdad published in JAMA, 2004 found that tobacco, poor diet, physical inactivity and alcohol use were the leading causes of death, collectively accounting for 36.8% of all deaths in 2000. In 2014, chronic diseases remain the leading cause of mortality and morbidity in the US and the main contributors to these diseases are tobacco use, poor diet, physical inactivity, alcohol use, hypertension and hyperlipidemia - all modifiable risk factors. As medical research shifted toward addressing these chronic health conditions linked to lifestyle risk factors, the clinical practice of medicine shifted to a disease-oriented model. At the core of Integrative Medicine, physicia strive to delineate factors that have caused a person to be who they are at this current stage, all the way from when they were in utero until now. Integrative Medicine is a practice approach to medicine that strives to achieve health, the definition of health being a state of complete physical, mental and social wellbeing, and not merely the absence of disease or infirmity, as defined by the WHO. The Andrew Weil Center of Integrative Medicine has the following principals at the core of its practice: the patient and practitioner are partners in the healing process; all factors that influence health, wellness and disease are taken into consideration, including mind, spirit and community, as well as the body. Appropriate use of both conventional and alternative methods facilitates the body's innate healing response. Effective interventions that are natural and less invasive should be used whenever possible; the broader concepts of health promotion and prevention of illness are paramount.

Official Title
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Quality of Life for Patients Who Are Treated Using Integrative Medicine

Conditions
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Integrative Medicine

Intervention / Treatment
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* Other: Integrative medicine approach


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: The inclusion criteria are any healthy or non-healthy adult or child English-speaking Any ethnic background Any socioeconomic status Exclusion Criteria: Pregnant women
Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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Accepts Healthy Volunteers

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Treatment
Allocation: Non-Randomized
Intervention Model: Parallel Assignment
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Treatment<br>Being cared for by an Integrative Medicine provider | Other: Integrative medicine approach<br>* By treated by integrative medicine approaches instead of conventional medicine<br>|
| No Intervention: Control<br>Being cared for by conventional medicine provider | |

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Medical Symptoms Questionnaire | Quantitative review of systems survey, with a maximum score of 280 indicating severe toxicity, and a minimum score of 0 indicating no toxicity. The score breakdown is as following: <10 optimal health, 10-50 mild toxicity, 50-100 moderate toxicity, >100 severe toxicity. | through study completion, anticipated 6 months | 
| PROMIS Global Health Scale | Qualitative quality of life survey, with a maximum score of 45 indicating great subjective quality of life, and minimum score of 0 indicating very poor subjective quality of life. | through study completion, anticipated 6 months |