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Benjamin kligler

Benjamin Kligler, Raymond Teets, Melissa Quick
Significant evidence supports the effectiveness and safety of several complementary or integrative treatment approaches to common primary care problems. Acupuncture is effective in the management of chronic low back pain. Mind-body interventions such as cognitive behavior therapy, yoga, tai chi, qi gong, and music therapy may be helpful for treating insomnia. Exercise can reduce anxiety symptoms. Herbal preparations and nutritional supplements can be useful as first-line therapy for certain conditions, such as fish oil for hypertriglyceridemia, St...
September 1, 2016: American Family Physician
Belinda J Anderson, Benjamin Kligler, Hillel W Cohen, Paul R Marantz
CONTEXT: Research literacy and the practice of evidence-based medicine (EBM) are important initiatives in complementary and alternative medicine (CAM), which requires cultural change within educational institutions for successful implementation. OBJECTIVE: To determine the self-assessed research and EBM perspectives of Chinese medicine Masters degree students at Pacific College of Oriental Medicine, New York campus (PCOM-NY). DESIGN AND METHODS: A survey with 17 close-ended questions and one open-ended question was administered through Survey Monkey to students at PCOM-NY...
September 2016: Explore: the Journal of Science and Healing
Benjamin Kligler
No abstract text is available yet for this article.
July 2016: Explore: the Journal of Science and Healing
Chelsea McGuire, Jonathan Gabison, Benjamin Kligler
PURPOSE: To improve understanding of the facilitators and barriers affecting the integration of mind-body medicine (MBM) into primary care and describe the experiences of mind-body primary care providers. METHODS: The authors conducted a qualitative analysis of semi-structured telephone interviews with mind-body primary care providers selected via a maximum variation sampling strategy. RESULTS: Four main themes emerged: (1) MBM is an approach to patient care as well as a set of modalities, (2) time and reimbursement pose significant challenges to MBM, (3) support for MBM in one's practice setting is a key facilitator, and (4) commitment to MBM comes from personal experience...
June 2016: Journal of Alternative and Complementary Medicine: Research on Paradigm, Practice, and Policy
Jeffery A Dusek, Donald I Abrams, Rhonda Roberts, Kristen H Griffin, Desiree Trebesch, Rowena J Dolor, Ruth Q Wolever, M Diane McKee, Benjamin Kligler
BACKGROUND: Integrative medicine (IM) provides patient-centered care and addresses the full range of physical, emotional, mental, social, spiritual, and environmental influences that affect a person's health. IM is a "whole systems" approach that employs multiple modalities as opposed to an isolated complementary therapy. Thus, studying outcomes of IM is more challenging than evaluating an isolated intervention. Practice-based research networks (PBRNs) allow for clinicians/investigators at multiple diverse sites using common methodology to pool their data, increase participant sample size and increase generalizability of results...
2016: BMC Complementary and Alternative Medicine
Benjamin Kligler, Audrey J Brooks, Victoria Maizes, Elizabeth Goldblatt, Maryanna Klatt, Mary S Koithan, Mary Jo Kreitzer, Jeannie K Lee, Ana Marie Lopez, Hilary McClafferty, Robert Rhode, Irene Sandvold, Robert Saper, Douglas Taren, Eden Wells, Patricia Lebensohn
In October 2014, the National Center for Integrative Primary Healthcare (NCIPH) was launched as a collaboration between the University of Arizona Center for Integrative Medicine and the Academic Consortium for Integrative Health and Medicine and supported by a grant from the Health Resources and Services Administration. A primary goal of the NCIPH is to develop a core set of integrative healthcare (IH) competencies and educational programs that will span the interprofessional primary care training and practice spectra and ultimately become a required part of primary care education...
September 2015: Global Advances in Health and Medicine: Improving Healthcare Outcomes Worldwide
Allison B Ludwig, William Burton, Jacqueline Weingarten, Felise Milan, Daniel C Myers, Benjamin Kligler
BACKGROUND: The demands placed on medical trainees pose a challenge to personal wellbeing, leading to burnout and erosion of empathy. However, it is unclear at what point in medical education this decline begins. Although many schools have begun to design and implement wellness programs for their students, the medical education community's experience in evaluating their impact is limited. METHODS: The authors designed a wellness needs assessment of all medical students at the Albert Einstein College of Medicine in order to assess students' health behaviors, stress and depressive symptoms...
2015: BMC Medical Education
Benjamin Kligler, Michele Buonora, Jonathan Gabison, Emilie Jacobs, Alison Karasz, M Diane McKee
OBJECTIVES: To examine the experience of patients from a low-income, ethnically diverse medically underserved population receiving acupuncture for chronic pain. DESIGN: Qualitative analysis using inductive thematic analysis of interviews with participants from an acupuncture trial. SETTINGS/LOCATION: Four community health centers in the Bronx, New York. PARTICIPANTS: Thirty-seven adults with chronic neck or back pain or osteoarthritis who participated in a previous acupuncture trial...
November 2015: Journal of Alternative and Complementary Medicine: Research on Paradigm, Practice, and Policy
Ruth Q Wolever, Nikita S Goel, Rhonda S Roberts, Karen Caldwell, Benjamin Kligler, Jeffery A Dusek, Adam Perlman, Rowena Dolor, Donald I Abrams
CONTEXT: Integrative medicine (IM) is a rapidly growing field whose providers report clinical success in treating significant stress, chronic pain, and depressive and anxiety symptoms. While IM therapies have demonstrated efficacy for numerous medical conditions, IM for psychological symptoms has been slower to gain recognition in the medical community. OBJECTIVE AND DESIGN: This large, cross-sectional study is the first of its kind to document the psychosocial profiles of 4182 patients at 9 IM clinics that form the BraveNet Practice-Based Research Network (PBRN)...
July 2015: Explore: the Journal of Science and Healing
Benjamin Kligler, Margaret Chesney
No abstract text is available yet for this article.
November 2014: Journal of the National Cancer Institute. Monographs
Belinda J Anderson, Benjamin Kligler, Barry Taylor, Hillel W Cohen, Paul R Marantz
CONTEXT: Educating healthcare practitioners to understand, critically evaluate, and apply evidence to the clinical practice of complementary and alternative medicine has been an important initiative for the National Institutes of Health National Center for Complementary and Alternative Medicine. OBJECTIVE: To determine the self-assessed research skills and interest of faculty at Pacific College of Oriental Medicine (New York campus) and their likely support of, and participatory interest in, an evidence-based medicine (EBM) training program...
September 2014: Journal of Alternative and Complementary Medicine: Research on Paradigm, Practice, and Policy
B Basia Kielczynska, Benjamin Kligler, Eileen Specchio
Acupuncture, a licensed health care profession in the United States, is poorly integrated into the American health care system, despite the evidence of its effectiveness. The purpose of this study was to offer a phenomenological description of the experience of acupuncturists who delivered acupuncture care in a tertiary teaching hospital in New York City. We analyzed data using methodology proposed by Colaizzi and identified four major clusters of themes: (a) acupuncturists' excitement about practicing in a hospital setting and frustration about organizational obstacles to effective acupuncture integration; (b) pride in being holistic practitioners; (c) attempts to preserve the holism and effectiveness of acupuncture while adjusting to the limitations of an inpatient setting, and (d) acupuncturists' realization that the medical staff knew very little about acupuncture and "it's all about trust...
September 2014: Qualitative Health Research
M Diane McKee, Benjamin Kligler, Jason Fletcher, Francesca Biryukov, William Casalaina, Belinda Anderson, Arthur Blank
PURPOSE: The purpose of this study was to describe outcomes of the Acupuncture to Decrease Disparities in Outcomes of Pain Treatment (ADDOPT) trial, testing acupuncture as an adjunct to usual treatment for chronic pain in urban health centers. METHOD: We conducted a quasi-experimental trial. Primary care patients (>21 years old) with chronic pain caused by osteoarthritis or neck or back pain at 4 hospital-owned safety net health centers in the Bronx, New York, received weekly acupuncture treatments provided by supervised acupuncture students for up to 14 weeks...
November 2013: Journal of the American Board of Family Medicine: JABFM
Patricia Lebensohn, Benjamin Kligler, Sally Dodds, Craig Schneider, Selma Sroka, Rita Benn, Paula Cook, Mary Guerrera, Tieraona Low Dog, Victor Sierpina, Raymond Teets, Dael Waxman, John Woytowicz, Andrew Weil, Victoria Maizes
INTRODUCTION: The Integrative Medicine in Residency (IMR) program, a 200-hour Internet-based, collaborative educational initiative was implemented in 8 family medicine residency programs and has shown a potential to serve as a national model for incorporating training in integrative/complementary/alternative medicine in graduate medical education. INTERVENTION: The curriculum content was designed based on a needs assessment and a set of competencies for graduate medical education developed following the Accreditation Council for Graduate Medical Education outcome project guidelines...
March 2012: Journal of Graduate Medical Education
Benjamin Kligler, Brian Linde, Nadine T Katz
PURPOSE: To improve understanding of the impact of the third year on medical student wellness and help educators improve approaches to promoting wellness. METHOD: The authors used an interpretive description approach to conduct a qualitative analysis of required essays written by 173 third-year medical students as part of a May 2011 final exam at the Albert Einstein College of Medicine of Yeshiva University. In these essays, students reflected on how the transition to clinical responsibilities during the third year of medical school had affected their own health and wellness behaviors...
April 2013: Academic Medicine: Journal of the Association of American Medical Colleges
Ruth Q Wolever, Donald I Abrams, Benjamin Kligler, Jeffery A Dusek, Rhonda Roberts, Joyce Frye, Joel S Edman, Steve Amoils, Elizabeth Pradhan, Myles Spar, Tracy Gaudet, Erminia Guarneri, Peter Homel, Sandra Amoils, Roberta A Lee, Brian Berman, Daniel A Monti, Rowena Dolor
CONTEXT: Despite the tremendous growth of integrative medicine (IM) in clinical settings, IM has not been well characterized in the medical literature. OBJECTIVE: To describe characteristics and motivation of patients seeking care at an IM clinic. DESIGN, SETTING, AND PARTICIPANTS: Patients from a nine-site practice-based research network participated in this cross-sectional survey. Clinicians documented patients' medical conditions. MAIN OUTCOME MEASURES: Patients provided information on demographics, lifestyle factors, and reasons for seeking care at an IM center...
November 2012: Explore: the Journal of Science and Healing
Benjamin Kligler, Melissa Diane McKee, Esther Sackett, Hanniel Levenson, Jeanne Kenney, Alison Karasz
OBJECTIVES: The objectives of this study were to develop a better understanding of which patients with chronic illness tend to respond to integrative medicine interventions, by identifying a set of characteristics or qualities that are associated with a positive outcome in a randomized clinical trial of an integrative medicine approach to asthma that incorporated journaling, yoga breathing instruction, and nutritional manipulation and supplementation. DESIGN: The study used qualitative analysis using a grounded-theory approach comparing a group of responders in the parent trial (based on the Asthma Quality of Life Scale) to a group of nonresponders...
October 2012: Journal of Alternative and Complementary Medicine: Research on Paradigm, Practice, and Policy
Sahana D'Silva, Cristina Poscablo, Racheline Habousha, Mikhail Kogan, Benjamin Kligler
OBJECTIVE: Of the 34 million adult Americans (17%) using mind-body medicine therapies, 8 million (24%) have anxiety/depression. The evidence for using mind-body therapies to address varying depressive symptoms in populations with and without other chronic comorbidities is reviewed. METHODS: Systematic literature searches of PubMed (Medline), Embase, CINAHL, and the seven databases encompassed by Current Contents, Web of Science, and Web of Knowledge were conducted...
September 2012: Psychosomatics
M Diane McKee, Benjamin Kligler, Arthur E Blank, Jason Fletcher, Anne Jeffres, William Casalaina, Francesca Biryukov
OBJECTIVES: This article describes the feasibility and acceptability of the Acupuncture to Decrease Disparities in Outcomes of Pain Treatment (ADDOPT) trial, which incorporates acupuncture as an adjunct to usual treatment for chronic pain in urban health centers. DESIGN: The study assessed feasibility (ability to carry out in real-world practice; adequacy of resources; acceptability to patients, acupuncturists, and primary care clinicians). SETTING: Four (4) community health centers in the Bronx, NY, participating in the New York City Research and Improvement Networking Group (NYC RING), a practice-based research network dedicated to decreasing health disparities through primary care research and quality improvement in the urban safety net setting, were involved...
September 2012: Journal of Alternative and Complementary Medicine: Research on Paradigm, Practice, and Policy
Benjamin Kligler, Peter Homel, Louis B Harrison, Hanniel D Levenson, Jeanne B Kenney, Woodson Merrell
OBJECTIVES: To evaluate the cost impact of an integrative medicine intervention on an inpatient oncology service. STUDY DESIGN: This study used nonrandomized, nonequivalent groups. A baseline sample of inpatient oncology patients at Beth Israel Medical Center admitted to the medical oncology unit before implementation of the Urban Zen Initiative were compared with patients admitted after the Urban Zen Initiative was in place. METHODS: The Urban Zen Initiative incorporated yoga therapy, holistic nursing techniques, and a "healing environment" into routine inpatient oncology care...
December 2011: American Journal of Managed Care
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