In previous studies by the same research group it has been shown in post-stroke patients that the autonomic system can be affected by acupuncture. Within this study, teleacupuncture between China and Austria is used f...In previous studies by the same research group it has been shown in post-stroke patients that the autonomic system can be affected by acupuncture. Within this study, teleacupuncture between China and Austria is used for quantifying the effects of heart rate variability (HRV) in Chinese patients suffering from depression. In 22 Chinese depression patients (17 f, 5 m;mean age ± SD 52.3 ± 10.6 years;range 31 - 70 years) electrocardiographic signals before, during and after acupuncture at the acupoint Jianshi (PC 5) were recorded in Harbin and analyzed in Graz using teleacupuncture via internet. HRV data were analyzed in the time and frequency domain and a protocol from Austria was sent to the team in China immediately after the treatment and recording session. Mean heart rate decreased significantly (p < 0.001) during and after acupuncture, whereas total HRV increased significantly during (p < 0.034) and after (p < 0.001) acupuncture, always immediately following manual needle stimulation. Furthermore, there is a marked decrease in balance between sympathetic and parasympathetic activity (low frequency/high frequency HRV ratio) during treatment. This study shows that HRV could be a useful parameter for quantifying clinical effects of acupuncture on the autonomic nervous system. Teleacupuncture between China and Austria over a distance of more than 8,500 km has been successfully used.展开更多
We appreciate the interest of Ardila and Yadalam in our CCC-Integrativ study evaluating an interprofessional,evidence-based counseling program for complementary and integrative healthcare(CIH)in oncology patients[1].T...We appreciate the interest of Ardila and Yadalam in our CCC-Integrativ study evaluating an interprofessional,evidence-based counseling program for complementary and integrative healthcare(CIH)in oncology patients[1].Their insightful engagement underscores the critical role of patient activation in fostering self-management and enhancing engagement in cancer care.While many of the limitations they note were already addressed in our original publication and study protocol[2],we welcome the opportunity to provide further clarification on specific aspects of our findings and their clinical implications.展开更多
Complementary and integrative healthcare(CIH)is increasingly recognized as a valuable approach to empowering and activating cancer patients.Studies have shown that higher patient activation is positively associated wi...Complementary and integrative healthcare(CIH)is increasingly recognized as a valuable approach to empowering and activating cancer patients.Studies have shown that higher patient activation is positively associated with improved health outcomes and reduced healthcare costs.The CCC-Integrativ study aimed to assess the implementation of an evidence-based counseling service on CIH at four Comprehensive Cancer Centers(CCC)in Germany.In this controlled implementation study,the patient-level intervention included three CIH consultations within a 3-month period delivered by interprofessional teams of physicians and nurses.The primary endpoint was patient activation using the PAM-13 at baseline(T1)and post-intervention(T2),and compared between control(CO,receiving routine care)and the intervention group(IG)using an analysis of covariance.Missing data were handled with multiple imputations.Maintenance effects at 6-month follow-up(T3)were investigated using a linear mixed model.A total of n=1128 oncology patients(CO=443,IG=685)with diverse tumor entities and cancer stages were included in the study.The overall mean baseline PAM-13 score was 69.74(SD=14.24)(n=959(85.0%)).A statistically significant between-group difference in post-intervention PAM-13 scores was observed(F_(group)(1,1866.82)=8.634,P=0.003),with an adjusted mean difference of 2.22 PAM-points.Age,gender,tumor entity,disease stage,or CCC study site did not significantly predict post-treatment PAM-13 scores.The maintenance effect of the intervention was not statistically significant(F_(timeXgroup)(1,3316.04)=2.337,P=0.096).Individually tailored counseling on CIH,offered by specifically trained,interprofessional teams,significantly improved patient activation.Given the established positive effects of higher patient activation,the implementation of such a program at cancer centers may yield beneficial outcomes for both patients and the healthcare system.展开更多
文摘In previous studies by the same research group it has been shown in post-stroke patients that the autonomic system can be affected by acupuncture. Within this study, teleacupuncture between China and Austria is used for quantifying the effects of heart rate variability (HRV) in Chinese patients suffering from depression. In 22 Chinese depression patients (17 f, 5 m;mean age ± SD 52.3 ± 10.6 years;range 31 - 70 years) electrocardiographic signals before, during and after acupuncture at the acupoint Jianshi (PC 5) were recorded in Harbin and analyzed in Graz using teleacupuncture via internet. HRV data were analyzed in the time and frequency domain and a protocol from Austria was sent to the team in China immediately after the treatment and recording session. Mean heart rate decreased significantly (p < 0.001) during and after acupuncture, whereas total HRV increased significantly during (p < 0.034) and after (p < 0.001) acupuncture, always immediately following manual needle stimulation. Furthermore, there is a marked decrease in balance between sympathetic and parasympathetic activity (low frequency/high frequency HRV ratio) during treatment. This study shows that HRV could be a useful parameter for quantifying clinical effects of acupuncture on the autonomic nervous system. Teleacupuncture between China and Austria over a distance of more than 8,500 km has been successfully used.
文摘We appreciate the interest of Ardila and Yadalam in our CCC-Integrativ study evaluating an interprofessional,evidence-based counseling program for complementary and integrative healthcare(CIH)in oncology patients[1].Their insightful engagement underscores the critical role of patient activation in fostering self-management and enhancing engagement in cancer care.While many of the limitations they note were already addressed in our original publication and study protocol[2],we welcome the opportunity to provide further clarification on specific aspects of our findings and their clinical implications.
基金supported by the Innovationsfonds of the Federal Joint Committee 2019-2022(No.01NVF18004).
文摘Complementary and integrative healthcare(CIH)is increasingly recognized as a valuable approach to empowering and activating cancer patients.Studies have shown that higher patient activation is positively associated with improved health outcomes and reduced healthcare costs.The CCC-Integrativ study aimed to assess the implementation of an evidence-based counseling service on CIH at four Comprehensive Cancer Centers(CCC)in Germany.In this controlled implementation study,the patient-level intervention included three CIH consultations within a 3-month period delivered by interprofessional teams of physicians and nurses.The primary endpoint was patient activation using the PAM-13 at baseline(T1)and post-intervention(T2),and compared between control(CO,receiving routine care)and the intervention group(IG)using an analysis of covariance.Missing data were handled with multiple imputations.Maintenance effects at 6-month follow-up(T3)were investigated using a linear mixed model.A total of n=1128 oncology patients(CO=443,IG=685)with diverse tumor entities and cancer stages were included in the study.The overall mean baseline PAM-13 score was 69.74(SD=14.24)(n=959(85.0%)).A statistically significant between-group difference in post-intervention PAM-13 scores was observed(F_(group)(1,1866.82)=8.634,P=0.003),with an adjusted mean difference of 2.22 PAM-points.Age,gender,tumor entity,disease stage,or CCC study site did not significantly predict post-treatment PAM-13 scores.The maintenance effect of the intervention was not statistically significant(F_(timeXgroup)(1,3316.04)=2.337,P=0.096).Individually tailored counseling on CIH,offered by specifically trained,interprofessional teams,significantly improved patient activation.Given the established positive effects of higher patient activation,the implementation of such a program at cancer centers may yield beneficial outcomes for both patients and the healthcare system.
