An integrative healthcare model with heartfulness meditation and care coordination improves outcomes in cyclic vomiting syndrome. Issue 11 (28th March 2021)

• Record Type: Journal Article
• Authors: Venkatesan, Thangam; Porcelli, Anthony; Matapurkar, Anagha; Suresh Kumar, Vishnu Charan; Szabo, Aniko; Yin, Ziyan; Wieloch, Laura
• Is Part Of: Neurogastroenterology & motility. Volume 33:Issue 11(2021)
• Page Start: n/a
• Page End: n/a
• Publication Date: 2021-03-28
• Subjects: care coordination -- cyclic vomiting -- heartfulness meditation -- integrative medicine; Gastrointestinal system -- Motility -- Periodicals; Gastrointestinal system -- Innervation -- Periodicals; 616.33
• DOI: 10.1111/nmo.14132
• Languages: English
• ISSNs: 1350-1925

Abstract

Abstract: Background: Cyclic vomiting syndrome (CVS) is associated with psychosocial comorbidity and often triggered by stress. Since the current disease‐centered care model does not address psychosocial factors, we hypothesized that holistic, patient‐centered care integrating meditation and addressing psychosocial needs through a care coordinator will improve healthcare outcomes in CVS. Methods: We conducted a prospective randomized controlled trial: 49 patients with CVS (mean age: 34 ± 14 years; 81% female) were randomized to conventional health care (controls) or Integrative Health care (IHC) (27: controls, 22: IHC). The IHC group was assigned a care coordinator and received meditation with a certified instructor. Outcomes including psychological distress, coping strategies to manage chronic stress, cognitive symptom management, and Health‐Related Quality of Life (HRQoL) were measured. Key Results: In intention‐to‐treat analyses, patients receiving IHC showed significant improvement in multiple domains of coping including positive reframing, planning, and reduction in self‐blame ( p values ≤0.05), and physical HRQoL ( p = 0.03) at 6 months. They also leaned toward spirituality/religion as a coping measure ( p ≤ 0.02 at 3 and 6 months). Subgroup analysis of compliant patients showed additional benefit with significant reduction in psychological distress ( p = 0.04), improvement in sleep quality ( p = 0.03), reduction in stress levels (0.02), improvement in physical HRQoL (0.04), and further improvement in other domains of coping ( p < 0.05). Conclusions and Inferences: An IHC model incorporating meditation and care coordination improves patient outcomes in CVS and is a useful adjunct to standard treatment. Studies to determine the independent effects of meditation and care coordination are warranted. Abstract : An integrative health care model with heartfulness meditation and care coordination improves outcomes in cyclic vomiting syndrome.