Utilization of Complementary and Integrative Health Care by People With Spinal Cord Injury in the Spinal Cord Injury Model Systems: A Descriptive Study |
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| Affiliation: | 1. Craig Hospital, Englewood, CO;2. Kessler Foundation, West Orange, NJ;3. Icahn School of Medicine at Mount Sinai, New York, NY;4. Shirley Ryan AbilityLab, Chicago, IL;5. Spaulding Rehabilitation Hospital, Charlestown, MA;6. University of Minnesota Medical School, Minneapolis, MN;7. Texas Institute for Rehabilitation Research, Houston, TX;1. Human Engineering Research Laboratories, Veterans Affairs Pittsburgh Healthcare System, Pittsburgh, PA;2. Departments of Physical Medicine and Rehabilitation;3. Bioengineering;4. Physical Therapy;5. Rehabilitation Science and Technology, University of Pittsburgh, Pittsburgh, PA;6. University of Pittsburgh Medical Center Centers for Rehab Services, Pittsburgh, PA;7. Department of Kinesiology and Community Health, College of Applied Health Sciences, University of Illinois at Urbana-Champaign, Champaign, IL;8. Department of Human Performance and Sport Studies, Idaho State University, Pocatello, ID;1. Rehab Neural Engineering Labs, University of Pittsburgh, Pittsburgh, PA;2. Human Engineering Research Laboratories, Veterans Affairs Pittsburgh Healthcare System, Pittsburgh, PA;3. Department of Bioengineering, University of Pittsburgh, Pittsburgh, PA;4. Department of Health and Rehabilitation Sciences, University of Pittsburgh, Pittsburgh, PA;5. Department of Rehabilitation Science and Technology, University of Pittsburgh, Pittsburgh, PA;6. Department of Physical Medicine and Rehabilitation, University of Pittsburgh, Pittsburgh, PA;7. Department of Physical Therapy, University of Pittsburgh, Pittsburgh, PA;1. From the Department of Physical Medicine and Rehabilitation, University of Pittsburgh, Pittsburgh, PA;2. Department of Bioengineering, University of Pittsburgh, Pittsburgh, PA;3. Department of Physical Therapy, University of Pittsburgh, Pittsburgh, PA;4. Human Engineering Research Laboratories, Veterans Affairs Pittsburgh Healthcare System, Pittsburgh, PA;5. Division of Physical Medicine and Rehabilitation, Dalhousie University, Halifax, Nova Scotia, Canada;6. Department of Physical Medicine & Rehabilitation, University of Alabama, Birmingham, AL;7. Kessler Foundation, West Orange, NJ;8. Department of Physical Medicine and Rehabilitation, Rutgers New Jersey Medical School, Newark, NJ;9. Kessler Institute for Rehabilitation, West Orange, NJ;10. Feinberg School of Medicine, Northwestern University, Chicago, IL;11. Shirley Ryan Ability Lab, Chicago, IL;1. Spaulding Rehabilitation Hospital, Boston, MA;2. The Miami Project to Cure Paralysis-University of Miami Miller School of Medicine, Miami, FL;3. Thomas Jefferson University Hospital and Magee Rehabilitation Hospital, Philadelphia PA;4. Belford Center for Spinal Cord Injury, The Ohio State University, Wexner Medical Center, Columbus, OH;5. Spinal Cord Injury Medicine, Department of Neurology, The Ohio State University, Wexner Medical Center, Columbus, OH;6. Department of Physical Medicine and Rehabilitation, The Ohio State University, Wexner Medical Center, Columbus, OH;7. Southern California Spinal Cord Injury Model System, Downey, CA;8. Rancho Research Institute at Rancho Los Amigos National Rehabilitation Center, Downey, CA;1. College of Health Professions, Medical University of South Carolina, Charleston, SC;2. Shepherd Center, Atlanta, GA |
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| Abstract: | ObjectiveTo characterize the use of complementary and integrative health care (CIH) by people with spinal cord injury.DesignCross-sectional self-report study.SettingParticipants were recruited from 5 Spinal Cord Injury Model Systems (SCIMS) centers across the United States.InterventionsNot applicable.ParticipantsA total of 411 persons enrolled in the SCIMS completing their SCIMS follow-up interview between January 2017 and July 2019 (N = 411).Main Outcome MeasuresParticipants completed a survey developed for this study that included questions about types of CIH currently and previously used, reasons for current and previous use, reasons for discontinuing use of CIH, and reasons for never using CIH since injury.ResultsOf the 411 respondents, 80.3% were current or previous users of CIH; 19.7% had not used CIH since injury. The most commonly used current types of CIH were multivitamins (40.0%) and massage (32.6%), whereas the most common previously used type of CIH was acupuncture (33.9%). General health and wellness (61.4%) and pain (31.2%) were the most common reasons for using CIH. The primary reason for discontinuing CIH was that it was not helpful (42.1%). The primary reason for not using CIH since injury was not knowing what options are available (40.7%).ConclusionsThese results point to the importance for rehabilitation clinicians to be aware that their patients may be using 1 or more CIH approaches. Providers should be open to starting a dialogue to ensure the health and safety of their patients because there is limited information on safety and efficacy of CIH approaches in this population. These results also set the stage for further analysis of this data set to increase our knowledge in this area. |
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