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Conducting an Integrative Health Interview.

Maureen George1, Melissa Avila2, Thomas Speranger2

  • 1Columbia University School of Nursing, New York, NY.

The Journal of Allergy and Clinical Immunology. in Practice
|February 5, 2018
PubMed
Summary
This summary is machine-generated.

Integrative health (IH) use is common but poorly understood by clinicians. New IH history forms were developed to help healthcare providers systematically collect patient information on complementary and alternative practices.

Keywords:
Complementary and Alternative Medicine (CAM)Health historyIntegrative health (IH)Integrative medicine (IM)Patient-provider communicationShared decision making

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Area of Science:

  • Integrative Medicine
  • Complementary and Alternative Medicine
  • Patient History Taking

Background:

  • Integrative health (IH) involves incorporating complementary modalities into conventional medicine.
  • While common in children and adults, not all IH therapies are proven safe or effective.
  • Clinicians often lack knowledge of patient IH use due to inadequate history-taking tools.

Purpose of the Study:

  • To address the unmet need for systematic collection of IH use information.
  • To develop standardized tools for documenting patient engagement with complementary and alternative practices.
  • To improve clinician understanding of patients' integrative health behaviors.

Main Methods:

  • Literature review to identify existing IH history forms.
  • Development of three new templates for systematic IH practice documentation.
  • Creation of two general screening surveys and one clinician-guided interview template.

Main Results:

  • No suitable IH history forms were found in the existing literature.
  • Three novel templates were created for collecting IH history.
  • The templates include patient screening surveys and clinician interview guides for diverse populations.

Conclusions:

  • Standardized tools are needed to improve the documentation of integrative health practices.
  • The developed templates can assist clinicians in identifying and understanding patient IH use.
  • Enhancing clinician competencies in IH history taking supports patient-centered care.