Clinical Research Methodology For Complementary Therapies

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Complementary and Alternative Medicine in the United States

Author : Institute of Medicine
Publisher : National Academies Press
ISBN 13 : 0309133424
Total Pages : 360 pages
Book Rating : 4.3/5 (91 download)

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Book Synopsis Complementary and Alternative Medicine in the United States by : Institute of Medicine

Download or read book Complementary and Alternative Medicine in the United States written by Institute of Medicine and published by National Academies Press. This book was released on 2005-04-13 with total page 360 pages. Available in PDF, EPUB and Kindle. Book excerpt: Integration of complementary and alternative medicine therapies (CAM) with conventional medicine is occurring in hospitals and physicians offices, health maintenance organizations (HMOs) are covering CAM therapies, insurance coverage for CAM is increasing, and integrative medicine centers and clinics are being established, many with close ties to medical schools and teaching hospitals. In determining what care to provide, the goal should be comprehensive care that uses the best scientific evidence available regarding benefits and harm, encourages a focus on healing, recognizes the importance of compassion and caring, emphasizes the centrality of relationship-based care, encourages patients to share in decision making about therapeutic options, and promotes choices in care that can include complementary therapies where appropriate. Numerous approaches to delivering integrative medicine have evolved. Complementary and Alternative Medicine in the United States identifies an urgent need for health systems research that focuses on identifying the elements of these models, the outcomes of care delivered in these models, and whether these models are cost-effective when compared to conventional practice settings. It outlines areas of research in convention and CAM therapies, ways of integrating these therapies, development of curriculum that provides further education to health professionals, and an amendment of the Dietary Supplement Health and Education Act to improve quality, accurate labeling, research into use of supplements, incentives for privately funded research into their efficacy, and consumer protection against all potential hazards.

Disease Control Priorities in Developing Countries

Author : Dean T. Jamison
Publisher : World Bank Publications
ISBN 13 : 0821361805
Total Pages : 1449 pages
Book Rating : 4.8/5 (213 download)

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Book Synopsis Disease Control Priorities in Developing Countries by : Dean T. Jamison

Download or read book Disease Control Priorities in Developing Countries written by Dean T. Jamison and published by World Bank Publications. This book was released on 2006-04-02 with total page 1449 pages. Available in PDF, EPUB and Kindle. Book excerpt: Based on careful analysis of burden of disease and the costs ofinterventions, this second edition of 'Disease Control Priorities in Developing Countries, 2nd edition' highlights achievable priorities; measures progresstoward providing efficient, equitable care; promotes cost-effectiveinterventions to targeted populations; and encourages integrated effortsto optimize health. Nearly 500 experts - scientists, epidemiologists, health economists,academicians, and public health practitioners - from around the worldcontributed to the data sources and methodologies, and identifiedchallenges and priorities, resulting in this integrated, comprehensivereference volume on the state of health in developing countries.

Small Clinical Trials

Author : Institute of Medicine
Publisher : National Academies Press
ISBN 13 : 0309171148
Total Pages : 221 pages
Book Rating : 4.3/5 (91 download)

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Book Synopsis Small Clinical Trials by : Institute of Medicine

Download or read book Small Clinical Trials written by Institute of Medicine and published by National Academies Press. This book was released on 2001-01-01 with total page 221 pages. Available in PDF, EPUB and Kindle. Book excerpt: Clinical trials are used to elucidate the most appropriate preventive, diagnostic, or treatment options for individuals with a given medical condition. Perhaps the most essential feature of a clinical trial is that it aims to use results based on a limited sample of research participants to see if the intervention is safe and effective or if it is comparable to a comparison treatment. Sample size is a crucial component of any clinical trial. A trial with a small number of research participants is more prone to variability and carries a considerable risk of failing to demonstrate the effectiveness of a given intervention when one really is present. This may occur in phase I (safety and pharmacologic profiles), II (pilot efficacy evaluation), and III (extensive assessment of safety and efficacy) trials. Although phase I and II studies may have smaller sample sizes, they usually have adequate statistical power, which is the committee's definition of a "large" trial. Sometimes a trial with eight participants may have adequate statistical power, statistical power being the probability of rejecting the null hypothesis when the hypothesis is false. Small Clinical Trials assesses the current methodologies and the appropriate situations for the conduct of clinical trials with small sample sizes. This report assesses the published literature on various strategies such as (1) meta-analysis to combine disparate information from several studies including Bayesian techniques as in the confidence profile method and (2) other alternatives such as assessing therapeutic results in a single treated population (e.g., astronauts) by sequentially measuring whether the intervention is falling above or below a preestablished probability outcome range and meeting predesigned specifications as opposed to incremental improvement.

Clinical Research in Complementary Therapies

Author : George Thomas Lewith
Publisher : Elsevier Health Sciences
ISBN 13 : 0702049166
Total Pages : 429 pages
Book Rating : 4.7/5 (2 download)

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Book Synopsis Clinical Research in Complementary Therapies by : George Thomas Lewith

Download or read book Clinical Research in Complementary Therapies written by George Thomas Lewith and published by Elsevier Health Sciences. This book was released on 2010-11-23 with total page 429 pages. Available in PDF, EPUB and Kindle. Book excerpt: The use of complementary therapies is exploding, increasing the pressure to establish a rigorous science to support its practice. Clinical Research in Complementary Therapies: Principles, Problems and Solutions provides students with the tools they need to research complementary and integrative medicine (CIM) and so fill this gap. Essential for both undergraduate and postgraduate students, this second edition is significantly updated and enhanced. Part 1 deals with research strategies and methods, explaining the major types of clinical research in CIM and how these inter-relate. New chapters are included on whole systems research, qualitative research and questionnaire development. Not all therapies can be treated the same way nor channeled through the signal process of randomized controlled trials. Therefore, detailed description of mixed methods approaches including observational, qualitative, cost-benefit and comparative effectiveness research are described. Part 2 deals with specific complementary therapies and how they are invested by experts in each field. The book analyses the key questions asked and the controversies debated in complementary medicine research and offers clear and innovative guidance for answering these questions. FEATURES • Provides an overarching synthesis of methods in CIM and how they are to be used collectively including the role of comparative effectiveness research• Suggests both general and specific factors which need to be considered in assessing or planning complementary therapy research • Pinpoints aspects of research which are different in orthodox research and complementary therapy research • Reviews the types of research carried out in specific complementary therapies and analyses issues which arise • Includes information on measuring the economic cost and benefits of complementary medicine, clinical audit and the role of placebos use • Builds upon recent research results, looks at the lessons these provide for all complementary therapies and suggests key issues to address in future research. • Provides an overarching synthesis of methods in CIM and how they are to be used collectively including the role of comparative effectiveness research• Suggests both general and specific factors which need to be considered in assessing or planning complementary therapy research • Pinpoints aspects of research which are different in orthodox research and complementary therapy research • Reviews the types of research carried out in specific complementary therapies and analyses issues which arise • Includes information on measuring the economic cost and benefits of complementary medicine, clinical audit and the role of placebos use • Builds upon recent research results, looks at the lessons these provide for all complementary therapies and suggests key issues to address in future research.

Inflammatory Bowel Disease Nursing Manual

Author : Andreas Sturm
Publisher : Springer
ISBN 13 : 3319750224
Total Pages : 481 pages
Book Rating : 4.3/5 (197 download)

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Book Synopsis Inflammatory Bowel Disease Nursing Manual by : Andreas Sturm

Download or read book Inflammatory Bowel Disease Nursing Manual written by Andreas Sturm and published by Springer. This book was released on 2019-01-24 with total page 481 pages. Available in PDF, EPUB and Kindle. Book excerpt: This comprehensive manual discusses the many aspects of inflammatory bowel disease (IBD), providing relevant information along with practical guidance. The reader is also directed to additional resources for extra and current information. This book comes at a time when the number of people suffering from the two major forms of IBD, ulcerative colitis (UC) and Crohn’s disease (CD), is rising around the globe. Despite their huge impact on daily life and health economics, these diseases are not fully understood, and diagnosis and treatment remains a significant challenge. IBD nurses are increasingly recognised as key clinicians within the multidisciplinary team caring for people with IBD. Through experience and specialist knowledge IBD nurses provide timely support, advice, and treatment for people living with this unpredictable condition. IBD nurses are also well placed to liaise with the wider team, developing patient centred services which best fit their local health framework. The combined international expertise and accessible guidance here will equip nurses, or any clinician wanting to increase their competence in IBD management. Thereby this manual aims to contribute to the optimisation of IBD care throughout the world.

Alternative Medicine

Author :
Publisher : Health and Human Services Department
ISBN 13 :
Total Pages : 428 pages
Book Rating : 4.3/5 (91 download)

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Book Synopsis Alternative Medicine by :

Download or read book Alternative Medicine written by and published by Health and Human Services Department. This book was released on 1995 with total page 428 pages. Available in PDF, EPUB and Kindle. Book excerpt:

The Prevention and Treatment of Missing Data in Clinical Trials

Author : National Research Council
Publisher : National Academies Press
ISBN 13 : 030918651X
Total Pages : 163 pages
Book Rating : 4.3/5 (91 download)

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Book Synopsis The Prevention and Treatment of Missing Data in Clinical Trials by : National Research Council

Download or read book The Prevention and Treatment of Missing Data in Clinical Trials written by National Research Council and published by National Academies Press. This book was released on 2010-12-21 with total page 163 pages. Available in PDF, EPUB and Kindle. Book excerpt: Randomized clinical trials are the primary tool for evaluating new medical interventions. Randomization provides for a fair comparison between treatment and control groups, balancing out, on average, distributions of known and unknown factors among the participants. Unfortunately, these studies often lack a substantial percentage of data. This missing data reduces the benefit provided by the randomization and introduces potential biases in the comparison of the treatment groups. Missing data can arise for a variety of reasons, including the inability or unwillingness of participants to meet appointments for evaluation. And in some studies, some or all of data collection ceases when participants discontinue study treatment. Existing guidelines for the design and conduct of clinical trials, and the analysis of the resulting data, provide only limited advice on how to handle missing data. Thus, approaches to the analysis of data with an appreciable amount of missing values tend to be ad hoc and variable. The Prevention and Treatment of Missing Data in Clinical Trials concludes that a more principled approach to design and analysis in the presence of missing data is both needed and possible. Such an approach needs to focus on two critical elements: (1) careful design and conduct to limit the amount and impact of missing data and (2) analysis that makes full use of information on all randomized participants and is based on careful attention to the assumptions about the nature of the missing data underlying estimates of treatment effects. In addition to the highest priority recommendations, the book offers more detailed recommendations on the conduct of clinical trials and techniques for analysis of trial data.

Sharing Clinical Trial Data

Author : Institute of Medicine
Publisher : National Academies Press
ISBN 13 : 0309316324
Total Pages : 236 pages
Book Rating : 4.3/5 (93 download)

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Book Synopsis Sharing Clinical Trial Data by : Institute of Medicine

Download or read book Sharing Clinical Trial Data written by Institute of Medicine and published by National Academies Press. This book was released on 2015-04-20 with total page 236 pages. Available in PDF, EPUB and Kindle. Book excerpt: Data sharing can accelerate new discoveries by avoiding duplicative trials, stimulating new ideas for research, and enabling the maximal scientific knowledge and benefits to be gained from the efforts of clinical trial participants and investigators. At the same time, sharing clinical trial data presents risks, burdens, and challenges. These include the need to protect the privacy and honor the consent of clinical trial participants; safeguard the legitimate economic interests of sponsors; and guard against invalid secondary analyses, which could undermine trust in clinical trials or otherwise harm public health. Sharing Clinical Trial Data presents activities and strategies for the responsible sharing of clinical trial data. With the goal of increasing scientific knowledge to lead to better therapies for patients, this book identifies guiding principles and makes recommendations to maximize the benefits and minimize risks. This report offers guidance on the types of clinical trial data available at different points in the process, the points in the process at which each type of data should be shared, methods for sharing data, what groups should have access to data, and future knowledge and infrastructure needs. Responsible sharing of clinical trial data will allow other investigators to replicate published findings and carry out additional analyses, strengthen the evidence base for regulatory and clinical decisions, and increase the scientific knowledge gained from investments by the funders of clinical trials. The recommendations of Sharing Clinical Trial Data will be useful both now and well into the future as improved sharing of data leads to a stronger evidence base for treatment. This book will be of interest to stakeholders across the spectrum of research-from funders, to researchers, to journals, to physicians, and ultimately, to patients.

Research Made Easy in Complementary and Alternative Medicine

Author : Mark Kane
Publisher : Made Easy
ISBN 13 : 9780443070334
Total Pages : 215 pages
Book Rating : 4.0/5 (73 download)

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Book Synopsis Research Made Easy in Complementary and Alternative Medicine by : Mark Kane

Download or read book Research Made Easy in Complementary and Alternative Medicine written by Mark Kane and published by Made Easy. This book was released on 2004 with total page 215 pages. Available in PDF, EPUB and Kindle. Book excerpt: Highly engaging and visually attractive, this clear and lively introduction to research is designed to help readers gain confidence and initiate small practice-based research projects. Providing a foundation in understanding research, it includes valuable information on how to get started, how to formulate useful and answerable research questions, a range of methodologies set in terms of their usefulness and limitations, strategies for seeing a project through completion, and writing up the results. Pitfalls and pointers are also highlighted along the way. Provides a realistic and clear introduction to understanding research Features simple explanation of all key concepts Offers clear guidance on how to formulate and initiate a project Includes a summary of pros and cons of each research methodology Provides examples relating to each method Includes checklists, summary boxes, warnings, tips and illustrations in abundance

Complementary Medicine

Author : Charles Vincent
Publisher : John Wiley & Sons
ISBN 13 : 9780471966456
Total Pages : 320 pages
Book Rating : 4.9/5 (664 download)

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Book Synopsis Complementary Medicine by : Charles Vincent

Download or read book Complementary Medicine written by Charles Vincent and published by John Wiley & Sons. This book was released on 1997-07-07 with total page 320 pages. Available in PDF, EPUB and Kindle. Book excerpt: This volume provides a balanced and even-handed review of the evidence and assesses the claims of both advocates and critics of complementary medicine. It draws the empirical literature together and examines the effectiveness of complementary medicine for both patients and practitioners by providing an overview of the major alternative therapies, together with their methods and philosophies; explaining the appeal of complementary medicine to patients; investigating its relationship with the medical profession; analysing methods of evaluation and the role of placebo effects; reviewing the evidence for each of the major therapies; and seeking out a research agenda for the future.

Research Methods for Massage and Holistic Therapies

Author : Glenn Hymel
Publisher : Elsevier Health Sciences
ISBN 13 : 0323070493
Total Pages : 350 pages
Book Rating : 4.3/5 (23 download)

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Book Synopsis Research Methods for Massage and Holistic Therapies by : Glenn Hymel

Download or read book Research Methods for Massage and Holistic Therapies written by Glenn Hymel and published by Elsevier Health Sciences. This book was released on 2005-09-23 with total page 350 pages. Available in PDF, EPUB and Kindle. Book excerpt: This comprehensive resource covers a broad array of research strategies available to massage therapists to give them the tools they need to be knowledgeable readers of research literature, as well as active researchers. The primary focus of the book is on the quantitative aspect of research that encompasses the principal types of studies most extensively used in the various health care professions, specifically massage therapy. Extensive coverage is also given to the qualitative and integrative research categories that are progressively gaining recognition among researchers in various health science disciplines and professions. - Accommodates the March 2003 mandate from the Commission on Massage Therapy Accreditation (COMTA) that massage therapy schools incorporate into their curricula provisions to ensure a research literate profession. - Examples and techniques for interpreting research guide practitioners and students to be knowledgeable readers of massage therapy research, allowing application to practice. - Relies heavily on concept maps, flowcharts, tables, and illustrations and excerpts of published studies to augment the book's narrative development of topics by providing pictorial displays and summaries of the material. - Literature-based and hypothetical research examples/illustrations from several manual therapy professions employing therapeutic massage make the material pertinent to real-life settings - An introductory section at the beginning of each chapter reviews the material covered in the previous chapter and how it relates to the new material. - Chapter coverage spans the quantitative, qualitative, and integrative research categories and affiliated research strategies and methods are considered in detail. - Review/summary tables give an overview of the narrative development of topics. - Boxes provide the essential features of a given topic. - Relies on multiple examples of possible research scenarios and illustrative excerpts from the published research literature. - Content is cross-referenced for use with the Massage Therapy Foundation's Massage Therapy Research Curriculum Kit to provide both instructors and students in the 6-, 15-, and 24-hour options/levels an extensively-developed resource in one place. - Each chapter includes recommended web sites and software application packages for further information.

The Role of Complementary and Alternative Medicine

Author : Daniel Callahan
Publisher : Georgetown University Press
ISBN 13 : 1589010167
Total Pages : 225 pages
Book Rating : 4.5/5 (89 download)

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Book Synopsis The Role of Complementary and Alternative Medicine by : Daniel Callahan

Download or read book The Role of Complementary and Alternative Medicine written by Daniel Callahan and published by Georgetown University Press. This book was released on 2002 with total page 225 pages. Available in PDF, EPUB and Kindle. Book excerpt: At the center of the debate over complementary and alternative medicine--from acupuncture and chiropractic treatments to homeopathy and nutritional supplements--is how to scientifically measure the effectiveness of a particular treatment. Fourteen scholars from the fields of medicine, philosophy, sociology, and cultural and folklore studies examine that debate, and the clash between growing public support and the often hostile stance of clinicians and medical researchers. Proponents and critics have different methodologies and standards of evidence--raising the question of how much pluralism is acceptable in a medical context--particularly in light of differing worldviews and the struggle to define medicine in the modern world. The contributors address both the methodological problems of assessment and the conflicting cultural perspectives at work in a patient's choice of treatment. Sympathetic to CAM, the contributors nonetheless offer careful critiques of its claims, and suggest a variety of ways it can be taken seriously, yet subject to careful scrutiny.

Integrative Preventive Medicine

Author : Richard H. Carmona
Publisher : Oxford University Press
ISBN 13 : 019024125X
Total Pages : 585 pages
Book Rating : 4.1/5 (92 download)

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Book Synopsis Integrative Preventive Medicine by : Richard H. Carmona

Download or read book Integrative Preventive Medicine written by Richard H. Carmona and published by Oxford University Press. This book was released on 2018 with total page 585 pages. Available in PDF, EPUB and Kindle. Book excerpt: For most clinicians, the science and evidence for many integrative therapies is largely unknown or considered suspect. Most physicians don't have time to learn integrative approaches and aren't sure what to recommend or which approaches have merit or improved outcomes. In Integrative Preventive Medicine, clinicians have easy access to the best practices in integrative medicine and expectations for outcomes. The current state of the science is also presented. Authors are leaders in their fields, with decades of expertise and leadership in their fields.

The Clinical Practice of Complementary, Alternative, and Western Medicine

Author : W. John Diamond
Publisher : CRC Press
ISBN 13 : 9780849313998
Total Pages : 380 pages
Book Rating : 4.3/5 (139 download)

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Book Synopsis The Clinical Practice of Complementary, Alternative, and Western Medicine by : W. John Diamond

Download or read book The Clinical Practice of Complementary, Alternative, and Western Medicine written by W. John Diamond and published by CRC Press. This book was released on 2000-09-26 with total page 380 pages. Available in PDF, EPUB and Kindle. Book excerpt: "Western Medicine", "Alternative Medicine", "Complementary Medicine", "Holistic Medicine", and "Natural Medicine." There is really only one "medicine" that heals and puts the whole patient, not the disease, at the center of care: Integrated Medicine. This practice integrates all modalities of healing to produce not merely a medical cure, but a deeper healing of the patient on his or her own terms. The Clinical Practice of Complementary, Alternative, and Western Medicine is a scientifically based text that informs and leads the practitioner easily through the maze of alternative therapies. Unlike other books that address the different alternative modalities, this text integrates homeopathy, acupuncture, chinese herbology, western herbology, and clinical nutrition, then combines them with traditional medicine. The author explains the new paradigm of patient-centered and Integrated Medicine and includes an extensive section on the physical underpinnings of this new paradigm, a paradigm that employs thermodynamics, non linear dynamics, chaos theory, and fractal geometry in an easy to understand discourse. The book incorporates the author's fundamental training in the alternative modalities and his ten years of clinical practice, a practice in which multiple integrated modalities of healing were utilized in the healing of over 10,000 patients. The Clinical Practice of Complementary, Alternative, and Western Medicine is a tremendously valuable reference for practitioners who want to learn about and practice alternative therapies and those who want to be more informed about what their patients may be doing and taking, and the influences those self-administered therapies may be having on their care.

Therapeutic Landscapes

Author : Allison Williams
Publisher : Routledge
ISBN 13 : 1317010809
Total Pages : 399 pages
Book Rating : 4.3/5 (17 download)

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Book Synopsis Therapeutic Landscapes by : Allison Williams

Download or read book Therapeutic Landscapes written by Allison Williams and published by Routledge. This book was released on 2017-05-15 with total page 399 pages. Available in PDF, EPUB and Kindle. Book excerpt: The therapeutic landscape concept, first introduced early in the 1990s, has been widely employed in health/medical geography and gaining momentum in various health-related disciplines. This is the first book published in several years, and provides an introduction to the concept and its applications. Written by health/medical geographers and anthropologists, it addresses contemporary applications in the natural and built environments; for special populations, such as substance abusers; and in health care sites, a new and evolving area - and provides an array of critiques or contestations of the concept and its various applications. The conclusion of the work provides a critical evaluation of the development and progress of the concept to date, signposting the likely avenues for future investigation.

The Routledge Companion to Philosophy of Medicine

Author : Miriam Solomon
Publisher : Routledge
ISBN 13 : 1317519841
Total Pages : 782 pages
Book Rating : 4.3/5 (175 download)

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Book Synopsis The Routledge Companion to Philosophy of Medicine by : Miriam Solomon

Download or read book The Routledge Companion to Philosophy of Medicine written by Miriam Solomon and published by Routledge. This book was released on 2016-10-04 with total page 782 pages. Available in PDF, EPUB and Kindle. Book excerpt: The Routledge Companion to Philosophy of Medicine is a comprehensive guide to topics in the fields of epistemology and metaphysics of medicine. It examines traditional topics such as the concept of disease, causality in medicine, the epistemology of the randomized controlled trial, the biopsychosocial model, explanation, clinical judgment and phenomenology of medicine and emerging topics, such as philosophy of epidemiology, measuring harms, the concept of disability, nursing perspectives, race and gender, the metaphysics of Chinese medicine, and narrative medicine. Each of the 48 chapters is written especially for this volume and with a student audience in mind. For pedagogy and clarity, each chapter contains an extended example illustrating the ideas discussed. This text is intended for use as a reference for students in courses in philosophy of medicine and philosophy of science, and pairs well with The Routledge Companion to Bioethics for use in medical humanities and social science courses.

Complementary and Integrative Therapies for Mental Health and Aging

Author : Helen Lavretsky
Publisher : Oxford University Press
ISBN 13 : 0199380880
Total Pages : 593 pages
Book Rating : 4.1/5 (993 download)

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Book Synopsis Complementary and Integrative Therapies for Mental Health and Aging by : Helen Lavretsky

Download or read book Complementary and Integrative Therapies for Mental Health and Aging written by Helen Lavretsky and published by Oxford University Press. This book was released on 2015-12-22 with total page 593 pages. Available in PDF, EPUB and Kindle. Book excerpt: Complementary and Integrative Therapies for Mental Health and Aging provides an up-to-date overview of integrative medicine that clinicians, researchers, and caregivers will require in order to address the major mental and physical disorders of aging. The chapters herein will increase clinicians' familiarity with the most recent research findings, and broaden their understanding of the use of these interventions in clinical practice. The discussion of the data is provided in easy-to-use format covering different fields of integrative medicine, and is written by an international group of leaders and researchers in their respective areas of expertise. This volume can be used for training by students of integrative medicine and gerontology, and individual chapters can be used as on-the-go references on a particular topic. Putting this work into a wider context, volume editors Helen Lavretsky, Martha Sajatovic, and Charles Reynolds III also provide a necessary framework for clinicians and public policy makers to understand the necessity of pursuing complementary, alternative, and integrative medicine for aging adults.