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Book ; Online ; E-Book: Women's health and complementary and integrative medicine

Adams, Jon / Steel, Amie / Broom, Alex / Frawley, Jane

(Routledge studies in public health)

2019

Author's details	edited by Jon Adams, Amie Steel, Alex Broom and Jane Frawley
Series title	Routledge studies in public health
Keywords	Women’s Health / methods ; Complementary Therapies / methods ; Integrative Medicine / methods ; Women/Health and hygiene ; Women/Diseases/Alternative treatment ; Integrative medicine
Subject code	615.5082
Language	English
Size	1 Online-Ressource (xii, 168 Seiten)
Publisher	Routledge
Publishing place	London
Publishing country	Great Britain
Document type	Book ; Online ; E-Book
Remark	Zugriff für angemeldete ZB MED-Nutzerinnen und -Nutzer
HBZ-ID	HT019765302
ISBN	978-1-317-33794-2 ; 978-1-317-33792-8 ; 9781138959262 ; 9781315660721 ; 1-317-33794-8 ; 1-317-33792-1 ; 113895926X ; 1315660725
DOI	10.4324/9781315660721
Database	ZB MED Catalogue: Medicine, Health, Nutrition, Environment, Agriculture

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Article ; Online: Naturopathic patient care during different life stages: an international observational study of naturopathic practitioners and their patients.

Steel, Amie

BMC health services research

2022 Volume 22, Issue 1, Page(s) 947

Abstract: Background: An individual's health status varies with age, with most health problems increasing through different life stages. Yet, a key feature of the majority of conditions contributing burden to society globally, irrespective of life stage, is the ... ...

Abstract	Background: An individual's health status varies with age, with most health problems increasing through different life stages. Yet, a key feature of the majority of conditions contributing burden to society globally, irrespective of life stage, is the predominance of chronic, non-communicable diseases (NCDs). An important response to this growing burden is the increasing recognition of addressing NCD prevention through a life-course perspective through primary care and public health. Naturopathy is a traditional medicine system originating from Europe, and its practitioners commonly provide primary care and focus on prevention and wellness. However, little is known about naturopathic practitioners (NPs) contribution to health care across different life stages. Methods: This secondary analysis of a cross-sectional study aimed to describe the approach to the care of NPs based on the life stage of their patients. The primary study recruited NPs from 14 regions or countries, who were invited to complete a short survey about 20 consecutive patients. The multilingual survey included the following domains: patient demographics, reason for visit, prescribed or recommended treatments, and naturopathic interpretation of the health conditions. Descriptive statistics were tabulated as frequencies and percentages and chi square tests were used to test associations and compare groups. Effect size was determined by Cramer's V. Results: Participant NPs (n = 56) provided consultation details for 854 patients encounters. There were differences in the patient's primary reason for visiting, the additional physiological systems the NP considered important in the management of the patient's health, and the treatments prescribed across all life stages. However, diet (45.1-70.0%) and lifestyle (14.3-60.0%) prescription were the most common categories of treatments across all patient groups. Conclusion: NPs provide care to patients across all life stages, and diverse conditions pertinent to those life stages while also demonstrating a holistic approach that considers broader health concerns and long term treatment practices. While there may be emerging evidence supporting and informing NP clinical outcomes, the breadth and diversity of health conditions, populations and treatments within the scope of naturopathic practice underscores a need for urgent and widescale research investigating naturopathic care across the life course.
MeSH term(s)	Cross-Sectional Studies ; Humans ; Naturopathy ; Patient Care ; Surveys and Questionnaires
Language	English
Publishing date	2022-07-26
Publishing country	England
Document type	Journal Article ; Observational Study
ZDB-ID	2050434-2
ISSN	1472-6963 ; 1472-6963
ISSN (online)	1472-6963
ISSN	1472-6963
DOI	10.1186/s12913-022-08344-0
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Article ; Online: Naturopathic patient care during different life stages

Amie Steel

BMC Health Services Research, Vol 22, Iss 1, Pp 1-

an international observational study of naturopathic practitioners and their patients

2022 Volume 13

Abstract: Abstract Background An individual’s health status varies with age, with most health problems increasing through different life stages. Yet, a key feature of the majority of conditions contributing burden to society globally, irrespective of life stage, ... ...

Abstract	Abstract Background An individual’s health status varies with age, with most health problems increasing through different life stages. Yet, a key feature of the majority of conditions contributing burden to society globally, irrespective of life stage, is the predominance of chronic, non-communicable diseases (NCDs). An important response to this growing burden is the increasing recognition of addressing NCD prevention through a life-course perspective through primary care and public health. Naturopathy is a traditional medicine system originating from Europe, and its practitioners commonly provide primary care and focus on prevention and wellness. However, little is known about naturopathic practitioners (NPs) contribution to health care across different life stages. Methods This secondary analysis of a cross-sectional study aimed to describe the approach to the care of NPs based on the life stage of their patients. The primary study recruited NPs from 14 regions or countries, who were invited to complete a short survey about 20 consecutive patients. The multilingual survey included the following domains: patient demographics, reason for visit, prescribed or recommended treatments, and naturopathic interpretation of the health conditions. Descriptive statistics were tabulated as frequencies and percentages and chi square tests were used to test associations and compare groups. Effect size was determined by Cramer’s V. Results Participant NPs (n = 56) provided consultation details for 854 patients encounters. There were differences in the patient’s primary reason for visiting, the additional physiological systems the NP considered important in the management of the patient’s health, and the treatments prescribed across all life stages. However, diet (45.1–70.0%) and lifestyle (14.3–60.0%) prescription were the most common categories of treatments across all patient groups. Conclusion NPs provide care to patients across all life stages, and diverse conditions pertinent to those life stages while also ...
Keywords	Life course perspective ; Naturopathy ; Preventive medicine ; Healthy lifestyle ; Primary health care ; Public aspects of medicine ; RA1-1270
Subject code	360
Language	English
Publishing date	2022-07-01T00:00:00Z
Publisher	BMC
Document type	Article ; Online
Database	BASE - Bielefeld Academic Search Engine (life sciences selection)

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Article ; Online: What preconception health services would the public find when searching the internet in Australia?: results from a simulated internet-search study.

Steel, Amie / Gibson, Harriet / Adams, Jon / Schoenaker, Danielle

BMC health services research

2024 Volume 24, Issue 1, Page(s) 93

Abstract: Background: Australian preventive health strategy outlines the importance of preconception health in improving health in the community, across multiple generations and places primary and community healthcare services as a central pillar to effective ... ...

Abstract	Background: Australian preventive health strategy outlines the importance of preconception health in improving health in the community, across multiple generations and places primary and community healthcare services as a central pillar to effective preconception care. However, there is no national implementation plan to see preconception care proactively offered in healthcare settings in Australia. Instead, there is evidence that most women search the internet for information about pregnancy planning and preparation. In response, this study explores the availability and characteristics of health services found by searching for preconception care online in Australia. Method: Simulated Google searches were conducted using search terms 'preconception' and the name of a city/town with a population > 50,000. Related terms, 'fertility' and 'pregnancy' were also searched. Characteristics of the health services and the information available on relevant websites were extracted and reported descriptively. Results: The searches identified 831 website links, including 430 websites for health services. The health services were most often located in cities/towns with populations equal to or less than 200 000 (54.2%), and housing multiple health professionals (69.8%) including a specialist doctor (66.5%), nurse (20.9%), psychologist/counsellor (2.0%) and/or naturopath (13.0%). All the health services identified online explicitly mentioned women among their target populations, while 69.1% (n = 297) also referred to providing services for men or partners. More than one third of websites included blogs (36.9%) while external links were included in 10.8% of the online sites. Conclusions: This study provides a preliminary examination of health services that may be found through internet-based searching by Australian consumers seeking health advice or support prior to becoming pregnant. Our descriptive results suggest couples may find a variety of health professionals when seeking health services for preconception care. Future research involving co-design of search terms with consumers, ongoing monitoring of health services and ensuring access to meaningful, and accurate information found through internet-searching are all necessary to ensure people of reproductive age are able to access the preconception health information and care they need.
MeSH term(s)	Pregnancy ; Male ; Humans ; Female ; Preconception Care/methods ; Australia ; Preventive Health Services ; Blogging ; Community Health Services ; Internet
Language	English
Publishing date	2024-01-17
Publishing country	England
Document type	Journal Article
ZDB-ID	2050434-2
ISSN	1472-6963 ; 1472-6963
ISSN (online)	1472-6963
ISSN	1472-6963
DOI	10.1186/s12913-024-10559-2
Database	MEDical Literature Analysis and Retrieval System OnLINE

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Article ; Online: The Changing Global Public Health Landscape of Traditional, Complementary, and Integrative Medicine in Primary Care: Responding to the Vision of the Declaration of Astana.

Hughes, Gail D / Sommers, Elizabeth / Steel, Amie

Journal of integrative and complementary medicine

2023 Volume 29, Issue 6-7, Page(s) 335–336

MeSH term(s)	Public Health ; Integrative Medicine ; Global Health ; Primary Health Care
Language	English
Publishing date	2023-04-24
Publishing country	United States
Document type	Editorial
ISSN	2768-3613
ISSN (online)	2768-3613
DOI	10.1089/jicm.2023.0071
Database	MEDical Literature Analysis and Retrieval System OnLINE

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Article ; Online: Variations in folate prescriptions for patients with the MTHFR genetic polymorphisms: A case series study.

Ledowsky, Carolyn Jane / Schloss, Janet / Steel, Amie

Exploratory research in clinical and social pharmacy

2023 Volume 10, Page(s) 100277

Abstract: Background: Over 48.5 million couples are reported with infertility worldwide. Health policy recommends folic acid in women of childbearing age, particularly in preconception and pregnancy which results in women purchasing over-the-counter prenatal ... ...

Abstract	Background: Over 48.5 million couples are reported with infertility worldwide. Health policy recommends folic acid in women of childbearing age, particularly in preconception and pregnancy which results in women purchasing over-the-counter prenatal multivitamins containing folic acid through pharmacies and other retail outlets. Emerging studies are investigating whether other forms of supplemental folate are more suitable, particularly for those with methylenetetrahydrofolate reductase ( Methods: Australian practitioners were invited to complete a retrospective case report form for patients that presented with unexplained infertility. This case report form documented the form and dose of folate that practitioners were prescribing to their infertility patient with MTHFR polymorphisms, together with their fertility history. Results: Six practitioners submitted case information for 12 patients with diagnosed infertility and Conclusion: This case series has highlighted clinical practices that vary from the recommendations by Australian policy. Further research is required to verify the clinical importance of variations in folate prescriptions for women with
Language	English
Publishing date	2023-05-08
Publishing country	United States
Document type	Case Reports
ISSN	2667-2766
ISSN (online)	2667-2766
DOI	10.1016/j.rcsop.2023.100277
Database	MEDical Literature Analysis and Retrieval System OnLINE

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Article ; Online: The rules of scientific rigor: response to Shirzad and Abbassian.

Carè, Jenny / Steel, Amie / Wardle, Jon

Human resources for health

2022 Volume 20, Issue 1, Page(s) 26

Language	English
Publishing date	2022-03-12
Publishing country	England
Document type	Letter ; Research Support, Non-U.S. Gov't
ZDB-ID	2126923-3
ISSN	1478-4491 ; 1478-4491
ISSN (online)	1478-4491
ISSN	1478-4491
DOI	10.1186/s12960-022-00717-0
Database	MEDical Literature Analysis and Retrieval System OnLINE

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Article ; Online: Making sense of complexity: A qualitative 'Framework' analysis of naturopathic case management and clinical reasoning.

Graham, Kim D / Steel, Amie / Wardle, Jon

Complementary therapies in clinical practice

2023 Volume 52, Page(s) 101773

Abstract: Background and purpose: The clinical encounter is inherently complex and uncertain. Naturopathic clinical practice is shaped by a traditional philosophy and practice guiding principles, with a therapeutic framework that incorporates a complex inter- ... ...

Abstract	Background and purpose: The clinical encounter is inherently complex and uncertain. Naturopathic clinical practice is shaped by a traditional philosophy and practice guiding principles, with a therapeutic framework that incorporates a complex inter-systems approach. It is possible that this foundation may orient naturopathic practitioners to manage clinical complexity and uncertainty in a distinct manner. The aim of this study is to explore the perceptions of experienced naturopathic practitioners to the management of clinical complexity within naturopathic care. Materials and methods: Twenty experienced Australian naturopathic practitioners participated across four focus groups, responding to semi-structured questions regarding their clinical reasoning strategies and case management processes. The data were analysed using a seven step Framework analysis method. Results: Three primary themes were identified: i) patient is encountered as a whole entity, ii) clinical reasoning is ampliative and explicative, and iii) treatment reflects systems thinking. Participants perceived a focus on the connections between various case elements, building a comprehensive internalised schematic of each case. Participants saw treatments as meeting various needs including prevention, symptom alleviation, causal mitigation, and support of innate healing processes. Conclusion: Naturopathic practitioners perceive they clinically embody the traditional holistic philosophy of naturopathy as a systems orientation, incorporating traditional and contemporary bioscience knowledge. This appears to shape a distinct naturopathic case management approach, oriented to working with patients in a complexity-informed manner.
MeSH term(s)	Humans ; Naturopathy ; Case Management ; Australia ; Focus Groups
Language	English
Publishing date	2023-05-24
Publishing country	England
Document type	Journal Article
ZDB-ID	2182834-9
ISSN	1873-6947 ; 1744-3881
ISSN (online)	1873-6947
ISSN	1744-3881
DOI	10.1016/j.ctcp.2023.101773
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Article ; Online: Feasibility and efficacy of implementing group visits for women's health conditions: a systematic review.

Gerontakos, Sophia / Leach, Matthew / Steel, Amie / Wardle, Jon

BMC health services research

2023 Volume 23, Issue 1, Page(s) 549

Abstract: Background: Shared medical appointments, also known as group visits, are a feasible and well-accepted approach for women receiving antenatal care, yet the feasibility and efficacy of this approach for female-specific reproductive conditions is uncertain. ...

Abstract	Background: Shared medical appointments, also known as group visits, are a feasible and well-accepted approach for women receiving antenatal care, yet the feasibility and efficacy of this approach for female-specific reproductive conditions is uncertain. Objective: The aim of this systematic review was to (a) determine the feasibility of group visits in adults with any female-specific reproductive condition, and (b) identify whether delivering group care for these conditions impacts clinical outcomes. Method: Six databases and two clinical trials registries were searched from inception through to 26 January 2022 for original research examining group medical visits or group consultation interventions for adults with female reproductive conditions or pathologic conditions specific to the female reproductive system. Results: The search yielded 2584 studies, of which four met the inclusion criteria. Included studies sampled women with breast cancer, chronic pelvic pain, polycystic ovary syndrome and gynaecological cancers. Studies reported high levels of patient satisfaction, with participants indicating their expectations had been met or exceeded. The impact of group visits on clinical outcomes was inconclusive however. Discussion/conclusions: The studies in this review indicate delivery of female-specific healthcare via a group model maybe feasible and well-accepted. The review provides a solid basis for proposing larger and longer studies on group visits for female reproductive conditions. Trial registration: The review protocol was registered with PROSPERO (CRD42020196995).
MeSH term(s)	Adult ; Pregnancy ; Female ; Humans ; Feasibility Studies ; Prenatal Care/methods ; Women's Health ; Patient Satisfaction ; Breast Neoplasms
Language	English
Publishing date	2023-05-26
Publishing country	England
Document type	Systematic Review ; Journal Article
ZDB-ID	2050434-2
ISSN	1472-6963 ; 1472-6963
ISSN (online)	1472-6963
ISSN	1472-6963
DOI	10.1186/s12913-023-09582-6
Database	MEDical Literature Analysis and Retrieval System OnLINE

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Article ; Online: Providing naturopathic care in the community: Perspectives of recent naturopathy graduates in Australia.

Steel, Amie / Diezel, Helene / Leach, Matthew / Bugarcic, Andrea

Complementary therapies in clinical practice

2023 Volume 51, Page(s) 101737

Abstract: Background and purpose: Naturopathy is a traditional medicine system originating from Europe and naturopathic practitioners provide care to 6.2% of Australians in a 12-month period. Australian naturopathic programs have undertaken a slow transition over ...

Abstract	Background and purpose: Naturopathy is a traditional medicine system originating from Europe and naturopathic practitioners provide care to 6.2% of Australians in a 12-month period. Australian naturopathic programs have undertaken a slow transition over the last 20 years from Advanced diploma to Bachelor degree as the minimum level of qualification for entry into the profession. This study aimed to understand and describe the experience of naturopathic graduates completing Bachelor degree and transitioning to provide naturopathic care in the community. Materials and methods: Qualitative semi-structured phone interviews were conducted with graduates of Bachelor's degree naturopathy programs, within five years of completing their studies. The data were analysed using Framework analysis methods. Results: The analysis identified three related themes: (1) Love for looking after patients, but clinical practice is not easy, (2) Finding a place in the naturopathic profession and in the health system; and (3) Protecting the future of the profession and practice through registration. Conclusion: Graduates of Australian Bachelor's degree naturopathic programs face challenges as they attempt to find a place within their professional community. By identifying these challenges the profession's leaders may be able to develop initiatives to better support graduates and increase the success of new naturopaths.
MeSH term(s)	Humans ; Naturopathy ; Australia ; Attitude of Health Personnel ; Medicine, Traditional
Language	English
Publishing date	2023-02-15
Publishing country	England
Document type	Journal Article
ZDB-ID	2182834-9
ISSN	1873-6947 ; 1744-3881
ISSN (online)	1873-6947
ISSN	1744-3881
DOI	10.1016/j.ctcp.2023.101737
Database	MEDical Literature Analysis and Retrieval System OnLINE

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