Real-World Evidence from the Integrative Medicine Primary Care Trial (IMPACT): Assessing Patient-Reported Outcomes at Baseline and 12-Month Follow-Up
Author
Crocker, Robert LHurwitz, Jason T
Grizzle, Amy J
Abraham, Ivo
Rehfeld, Rick
Horwitz, Randy
Weil, Andrew T
Maizes, Victoria
Affiliation
Univ Arizona, Coll Med, Andrew Weil Ctr Integrat MedUniv Arizona, Coll Pharm, Ctr Hlth Outcomes PharmacoEcon Res HOPE
Issue Date
2019
Metadata
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Crocker, 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.Rights
Copyright © 2019 Robert L. Crocker et al. This is an open access article distributed under the Creative Commons Attribution License.Collection Information
This 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 repository@u.library.arizona.edu.Abstract
Purpose. 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.Note
Open access journalISSN
1741-427XEISSN
1741-4288PubMed ID
31346339Version
Final published versionSponsors
Adolph Coors Family Foundation; Andrew Weil Center for Integrative Medicine, University of Arizonaae974a485f413a2113503eed53cd6c53
10.1155/2019/8595409
Scopus Count
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Except where otherwise noted, this item's license is described as Copyright © 2019 Robert L. Crocker et al. This is an open access article distributed under the Creative Commons Attribution License.
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