An integrative healthcare model with heartfulness meditation and care coordination improves outcomes in cyclic vomiting syndrome

© 2021 John Wiley & Sons Ltd..

BACKGROUND: Cyclic vomiting syndrome (CVS) is associated with psychosocial comorbidity and often triggered by stress. Since the current disease-centered care model does not address psychosocial factors, we hypothesized that holistic, patient-centered care integrating meditation and addressing psychosocial needs through a care coordinator will improve healthcare outcomes in CVS.

METHODS: We conducted a prospective randomized controlled trial: 49 patients with CVS (mean age: 34 ± 14 years; 81% female) were randomized to conventional health care (controls) or Integrative Health care (IHC) (27: controls, 22: IHC). The IHC group was assigned a care coordinator and received meditation with a certified instructor. Outcomes including psychological distress, coping strategies to manage chronic stress, cognitive symptom management, and Health-Related Quality of Life (HRQoL) were measured.

KEY RESULTS: In intention-to-treat analyses, patients receiving IHC showed significant improvement in multiple domains of coping including positive reframing, planning, and reduction in self-blame (p values ≤0.05), and physical HRQoL (p = 0.03) at 6 months. They also leaned toward spirituality/religion as a coping measure (p ≤ 0.02 at 3 and 6 months). Subgroup analysis of compliant patients showed additional benefit with significant reduction in psychological distress (p = 0.04), improvement in sleep quality (p = 0.03), reduction in stress levels (0.02), improvement in physical HRQoL (0.04), and further improvement in other domains of coping (p < 0.05).

CONCLUSIONS AND INFERENCES: An IHC model incorporating meditation and care coordination improves patient outcomes in CVS and is a useful adjunct to standard treatment. Studies to determine the independent effects of meditation and care coordination are warranted.

Medienart:

E-Artikel

Erscheinungsjahr:

2021

Erschienen:

2021

Enthalten in:

Zur Gesamtaufnahme - volume:33

Enthalten in:

Neurogastroenterology and motility - 33(2021), 11 vom: 27. Nov., Seite e14132

Sprache:

Englisch

Beteiligte Personen:

Venkatesan, Thangam [VerfasserIn]
Porcelli, Anthony [VerfasserIn]
Matapurkar, Anagha [VerfasserIn]
Suresh Kumar, Vishnu Charan [VerfasserIn]
Szabo, Aniko [VerfasserIn]
Yin, Ziyan [VerfasserIn]
Wieloch, Laura [VerfasserIn]

Links:

Volltext

Themen:

Care coordination
Cyclic vomiting
Heartfulness meditation
Integrative medicine
Journal Article
Randomized Controlled Trial
Research Support, N.I.H., Extramural
Research Support, Non-U.S. Gov't

Anmerkungen:

Date Completed 03.03.2022

Date Revised 25.01.2023

published: Print-Electronic

Citation Status MEDLINE

doi:

10.1111/nmo.14132

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM323307418