The relationship between patient expectations about a treatment and the outcomes, particularly for Complementary Alternative Medicine (CAM) therapies, is not well understood. Using qualitative data from larger study to develop valid expectancy questionnaire use with participants starting new CAM we examined how participants' of changed over course therapy. We conducted semi-structured interviews 64 initiating one four therapies (yoga, chiropractic, acupuncture, massage) chronic low back...

Positive patient expectations are often believed to be associated with greater benefits from complementary and alternative medicine (CAM) treatments. However, clinical studies of CAM treatments for chronic pain have not consistently supported this assumption, possibly because differences in definitions measures expectations. The goal qualitative paper is provide new perspectives on the outcome patients prior receiving therapies low back pain. We conducted semi-structured interviews 64...

Objectives. To estimate the association between race/ethnicity and drug- alcohol-related arrest outcomes. Methods. We used multinomial logistic regression general estimating equations to outcomes in 36 073 arrests obtained from administrative records a Southwest US county 2009 2018. Results were stratified by charge type. Results. Among misdemeanor arrests, American Indian/Alaska Native (AI/AN; adjusted odds ratio [AOR] = 3.60; 95% confidence interval [CI] 3.32, 3.90), Latino (AOR 1.53; CI...

In Arizona, United States, long distances to services, diverse populations, and medical provider shortages impact substance use disorder (SUD) prevention treatment for Indigenous historically excluded populations. To address these issues, the Culturally-Centered Addictions Research Training Program (C-CART) is designed engage doctoral students future practicing clinicians in culturally-centered, community-engaged, interdisciplinary team-based research. C-CART Scholars projects collaboration...

Abstract Background Some researchers think that patients with higher expectations for CAM therapies experience better outcomes and enthusiastic providers can enhance treatment outcomes. This is in contrast to evidence suggesting conventional medical often reorient patient match what believe be realistic. However, there a paucity of research on providers’ views their patients’ regarding therapy the role these Methods To understand how view respond particular therapy, we conducted 32...

Temporomandibular Disorders (TMD) represent a particular form of chronic pain that, while not outwardly debilitating, profoundly impacts interactions as fundamental to human existence smiling, laughing, speaking, eating, and intimacy. Our analysis, informed by an expanded “works illness” assessment, draws attention work surrounding social physical risk. We refer these the stoicism vigilance identify double binds created in contexts that call for both. Conflicting authorial stances...

Incarcerated populations have increased in the last 20 years and >12 million individuals cycle out of jails each year. Previous research has predominately focused on prison population. However, a substantial gap exists understanding health, well-being, health care utilization patterns jail populations.This pilot study 5 main objectives: (1) define recidivists system, characterized by high incarceration rates; (2) describe compare demographic clinical characteristics incarcerated individuals;...

This study examined tribal members' perspectives on alcohol, risk factors, consequences, and community responses. Focus groups were conducted with five American Indian tribes between 1997 2001. Participants knowledgeable of the cultural lives their reservation communities. Although there was agreement regarding pervasiveness heavy drinking, participants reported different opinions about meaning alcohol appropriate intervention strategies. Three dilemmas identified, suggesting that...

As a response to the COVID-19 pandemic, United States Drug Enforcement Administration (DEA) has temporarily relaxed restrictions serve people who are opioid dependent during social distancing mandates. Changes include allowing patients take home more doses of methadone and buprenorphine rather than coming clinic every day (for methadone) or weekly buprenorphine) on telehealth delivery. Telemedicine Program representatives have described relaxing federal regulations as “silver lining”...

Purpose and Approach Women in recovery describe stigma, negative treatment, limited support as barriers to achieving their health parenting goals. Mobile technologies carefully tailored the unique needs of communities can provide less burdensome alternatives in-person services for women transitioning out substance use treatment. An iterative design process integrated women’s interests into structure, content, interaction flow a mobile (mHealth) app. Setting Participants included from opioid,...

Objectives: The authors employ a Whole Systems framework to explore implementation of new guidelines for back and neck pain in Oregon's Medicaid system. research is useful understanding the relationship between complementary integrative health care (CIH) conventional systems real-world clinical practice settings. Design: Preliminary results are from an observational study designed evaluate state-wide CIH other non-pharmacological treatments among Oregon patients. This natural experiment,...

No consistent relationship exists between pre-treatment expectations and therapeutic benefit from various complementary alternative medicine (CAM) therapies in clinical trials. However, many different expectancy measures have been used those studies, with no validated questionnaires clearly focused on CAM pain. We undertook cognitive interviews as part of a process to develop validate such questionnaire.We reviewed questions about benefits acupuncture, chiropractic, massage, or yoga for...

While some research training programs have considered the importance of mentoring in inspiring professionals to engage translational research, most evaluations emphasize outcomes specific academic productivity as primary measures program success. The impact such or on stakeholders and local community organizations engaged efforts has received little attention. purpose this evaluation is explore other than traditional a graduate certificate designed pair students behavioral health...

Purpose The purpose of this paper is to characterize the relationship between adverse childhood experiences (ACEs) and substance use among people incarcerated in a county jail. Design/methodology/approach A questionnaire was administered 199 individuals Southwest jail as part social-epidemiological exploration converging comorbidities populations. Among 96 participants with complete ACEs data, authors determined associations individual items summative score methamphetamine (meth), heroin,...

Complementary and alternative medicine (CAM) practitioners, such as chiropractors, acupuncturists, massage therapists, are a growing presence in the US health care landscape already provide wellness to significant numbers of patients who use tobacco. For decades, conventional biomedical practitioners have received training evidence-based tobacco cessation brief interventions (BIs) referrals services part routine clinical care, whereas CAM been largely overlooked for BI training. Web-based...

This article presents findings from qualitative interviews conducted as part of a research study that trained Acupuncture, Massage, and Chiropractic practitioners' in Arizona, US, to implement evidence-based tobacco cessation brief interventions (BI) their routine practice. The phase the overall aimed assess: impact tailored training BI on complementary alternative medicine (CAM) knowledge willingness BIs practice; patients' responses intervention CAM context. To evaluate implementation...

Successful integration of health care in rural and underserved communities requires attention to power structures, trust, disciplinary boundaries that inhibit team-based behavioral primary care. This paper reports on perceived successes ongoing challenges integrating from the perspectives providers, community leaders, members. Data collection consisted semi-structured qualitative interviews focus groups conducted as part a regional equity assessment northern Arizona. The authors explore...

Abstract Focus groups provide a source of data that highlight community ideas on topic interest. How interview will be utilized varies by project. With this in mind, we identify ways focus group from particular population (Native American) articulate health issue individual tribal concern (alcohol consumption). Taking our analytic framework linguistics, one the four fields inquiry anthropology, examine format ties and performance humor as stylistic features illustrate how linguistic devices...

This special issue of Practicing Anthropology presents multidisciplinary and multisectoral views a community engaged health disparities project titled "Health Disparities in Jail Populations: Converging Epidemics Infectious Disease, Chronic Illness, Behavioral Health, Substance Abuse." The overall incorporated traditional anthropological mixed-methods approaches with theory methods from informatics, epidemiology, genomics, evolutionary computational biology, engagement, applied/translational science.

During the COVID-19 Pandemic, health care provision changed rapidly and funding became available to assess pandemic-related policy change. Research activities, however, were limited contactless, online delivery. It was clear early on that some elements of rapid ethnography feasible effective, while others would not approach traditional ethnographic depth. We conducted an Rapid Assessment, Response, Evaluation (RARE) project from August 2020 September 2021 understand how impacted people who...

Background Racial disparities in child welfare systems have been well-documented over the past several decades. Despite programmatic efforts, little attention has given to impact of public policies on racial disproportionality welfare. While overrepresentation Black children widely studied, there is notably less research Native American foster care.Objective To explore relationship between state and care entries for children.Participants Setting Data from Guttmacher Policy Institute State...