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A method for describing and evaluating naturopathic whole practice.

Patricia M Herman1, Karen J Sherman, Janet H Erro

  • 1Department of Psychology, University of Arizona, Tucson.

Alternative Therapies in Health and Medicine
|July 26, 2006
PubMed
Summary

This study proposes a method to measure treatment fidelity in naturopathic medicine research. Developed criteria accurately reflect naturopathic physician prescriptions for common conditions, enabling whole-systems research.

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Area of Science:

  • Integrative Medicine
  • Naturopathic Medicine Research
  • Healthcare Systems Analysis

Background:

  • Current complementary and alternative medicine (CAM) research often focuses on single therapies, not whole systems.
  • Evaluating CAM as distinct medical systems requires studies that assess intact whole systems.
  • Ensuring treatment fidelity is a key challenge in whole-system CAM research.

Purpose of the Study:

  • To propose a method for measuring treatment fidelity in naturopathic medical system studies.
  • To develop and test treatment criteria for naturopathic care.
  • To facilitate the study of naturopathy as a distinct medical system.

Main Methods:

  • Theory-based development of treatment criteria for naturopathic medicine.
  • Post-hoc testing of criteria against a database of actual naturopathic physician prescriptions.

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  • Defined criteria for menopausal symptoms, bowel dysfunction, and fatigue/fibromyalgia.
  • Main Results:

    • A set of meaningful, measurable treatment criteria were defined based on naturopathic practice principles.
    • These criteria could account for 82%-93% of prescriptions for the studied conditions.
    • Common and condition-specific criteria components were identified, including those potentially applicable to all naturopathic doctor (ND) visits.

    Conclusions:

    • The developed criteria ensure model validity and identify critical components of naturopathic care.
    • These criteria enable study replication and provide a measure of quality of care.
    • This work is a step toward studying CAM as distinct systems, enhancing naturopathic medicine research.