Integrative Health and Wellness Program, Washington DC VA Medical Center.
War Related Illness and Injury Study Center.
Psychol Serv. 2019 Aug;16(3):475-483. doi: 10.1037/ser0000192. Epub 2018 Apr 5.
Complementary and integrative health (CIH) services are being used more widely across the nation, including in both military and veteran hospital settings. Literature suggests that a variety of CIH services show promise in treating a wide range of physical and mental health disorders. Notably, the Department of Veterans Affairs is implementing CIH services within the context of a health care transformation, changing from disease based health care to a personalized, proactive, patient-centered approach where the veteran, not the disease, is at the center of care. This study examines self-reported physical and mental health outcomes associated with participation in the Integrative Health and Wellness Program, a comprehensive CIH program at the Washington DC VA Medical Center and one of the first wellbeing programs of its kind within the VA system. Using a prospective cohort design, veterans enrolled in the Integrative Health and Wellness Program filled out self-report measures of physical and mental health throughout program participation, including at enrollment, 12 weeks, and 6 months. Analyses revealed that veterans reported significant improvements in their most salient symptoms of concern (primarily pain or mental health symptoms), physical quality of life, wellbeing, and ability to participate in valued activities at follow-up assessments. These results illustrate the potential of CIH services, provided within a comprehensive clinic focused on wellbeing not disease, to improve self-reported health, wellbeing, and quality of life in a veteran population. Additionally, data support recent VA initiatives to increase the range of CIH services available and the continued growth of wellbeing programs within VA settings. (PsycINFO Database Record (c) 2019 APA, all rights reserved).
补充和整合健康（CIH）服务在全国范围内得到了更广泛的应用，包括在军事和退伍军人医院环境中。文献表明，各种 CIH 服务在治疗广泛的身心障碍方面显示出希望。值得注意的是，退伍军人事务部正在医疗保健转型的背景下实施 CIH 服务，从基于疾病的医疗保健转变为个性化、主动、以患者为中心的方法，退伍军人而不是疾病成为护理的中心。本研究考察了与参与综合健康和健康计划相关的自我报告的身心健康结果，该计划是华盛顿特区退伍军人事务部医疗中心的一个全面的 CIH 计划，也是退伍军人事务系统中第一个此类健康计划之一。使用前瞻性队列设计，参与综合健康和健康计划的退伍军人在整个计划参与过程中（包括入组时、12 周和 6 个月）填写了身心健康的自我报告措施。分析表明，退伍军人报告说，他们最明显的关注症状（主要是疼痛或心理健康症状）、身体生活质量、幸福感和参与有价值活动的能力在随访评估中都有显著改善。这些结果说明了 CIH 服务的潜力，这些服务是在一个以健康而不是疾病为重点的综合诊所中提供的，可以改善退伍军人群体的自我报告健康、幸福感和生活质量。此外，数据支持最近退伍军人事务部增加可用 CIH 服务范围的举措，以及在退伍军人事务部环境中持续增加健康计划。（PsycINFO 数据库记录（c）2019 APA，保留所有权利）。
