Real-World Evidence from the Integrative Medicine Primary Care Trial (IMPACT): Assessing Patient-Reported Outcomes at Baseline and 12-Month Follow-Up
AuthorCrocker, Robert L
Hurwitz, Jason T
Grizzle, Amy J
Weil, Andrew T
AffiliationUniv Arizona, Coll Med, Andrew Weil Ctr Integrat Med
Univ Arizona, Coll Pharm, Ctr Hlth Outcomes PharmacoEcon Res HOPE
MetadataShow full item record
CitationCrocker, R. L., Hurwitz, J. T., Grizzle, A. J., Abraham, I., Rehfeld, R., Horwitz, R., ... & Maizes, V. (2019). Real-World Evidence from the Integrative Medicine Primary Care Trial (IMPACT): Assessing Patient-Reported Outcomes at Baseline and 12-Month Follow-Up. Evidence-Based Complementary and Alternative Medicine, 2019.
RightsCopyright © 2019 Robert L. Crocker et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Collection InformationThis item from the UA Faculty Publications collection is made available by the University of Arizona with support from the University of Arizona Libraries. If you have questions, please contact us at email@example.com.
AbstractPurpose. 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.
NoteOpen access journal
VersionFinal published version
SponsorsAdolph Coors Family Foundation; Andrew Weil Center for Integrative Medicine, University of Arizona
- Integrative medicine primary care: assessing the practice model through patients' experiences.
- Authors: Crocker RL, Grizzle AJ, Hurwitz JT, Rehfeld RA, Abraham I, Horwitz R, Weil A, Maizes V
- Issue date: 2017 Nov 15
- IMPACT--Integrative Medicine PrimAry Care Trial: protocol for a comparative effectiveness study of the clinical and cost outcomes of an integrative primary care clinic model.
- Authors: Herman PM, Dodds SE, Logue MD, Abraham I, Rehfeld RA, Grizzle AJ, Urbine TF, Horwitz R, Crocker RL, Maizes VH
- Issue date: 2014 Apr 7
- Is immediate imaging important in managing low back pain?
- Authors: Andersen JC
- Issue date: 2011 Jan-Feb
- Exploring integrative medicine for back and neck pain - a pragmatic randomised clinical pilot trial.
- Authors: Sundberg T, Petzold M, Wändell P, Rydén A, Falkenberg T
- Issue date: 2009 Sep 7
- When a whole practice model is the intervention: developing fidelity evaluation components using program theory-driven science for an integrative medicine primary care clinic.
- Authors: Dodds SE, Herman PM, Sechrest L, Abraham I, Logue MD, Grizzle AL, Rehfeld RA, Urbine TJ, Horwitz R, Crocker RL, Maizes VH
- Issue date: 2013