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Patient-Practitioner-Environment Synchronization: Four-Step Process for Integrating Interprofessional and Distinctive

Christian Lunghi1, Francesca Baroni1, Giandomenico D'Alessandro2,3

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Summary

This study proposes an updated osteopathic care model for patient biobehavioral synchronization. The framework integrates enactivism principles to enhance patient-practitioner collaboration and improve health outcomes.

Keywords:
allostasisautonomic nervous systemenactivismevidence-based practiceinteroceptioninterprofessional relationsmanual therapymedical rationalitiesosteopathic manipulative treatmentosteopathic medicineperson-centered careprofessional identityshared decision-makingsynchronytherapeutic alliancetouchtraditional medicine

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Area of Science:

  • Osteopathic manipulative medicine
  • Integrative health
  • Biobehavioral synchronization

Background:

  • Updating osteopathic principles is crucial for the osteopathic community.
  • Existing interprofessional models incorporate patient-centered care and touch-based strategies informed by enactivism.
  • A conceptual model is needed to guide osteopathic practice, interprofessional collaboration, and define the profession's unique focus.

Purpose of the Study:

  • To develop a conceptual framework for osteopathic patient biobehavioral synchronization.
  • To provide a detailed understanding of osteopathic care's role in biobehavioral synchrony.
  • To emphasize interprofessional collaboration and the profession's unique competencies.

Main Methods:

  • Biomedical scoping review following established guidelines.
  • Thematic and qualitative analyses of 36 selected papers.
  • Development of an integrative hypothesis and a practical framework.

Main Results:

  • An integrative hypothesis supporting osteopathic patient biobehavioral synchronization was developed.
  • A four-step practical framework was proposed: narrative sense-making, touch-based shared sense-making, mindfulness-based osteopathic manipulative treatment, and active patient participation.
  • The framework aims to promote patient-practitioner-environment synchronization.

Conclusions:

  • The proposed model enhances patient-practitioner synchronization by integrating osteopathic narratives and body representations.
  • It offers a culturally sensitive approach to health promotion and addressing contemporary health needs.
  • Further research is needed to evaluate the framework's applicability in diverse modern settings.