Current Issue:  Volume 6, Issue 2 (2015)

Topics in Integrative Health Care: an International Journal (TIHC) is a peer-reviewed, open-access online journal. It is dedicated to advancing the integration of multiple disciplines, both complementary and mainstream, into diverse health care settings in order to provide optimal patient care. It presents themed issues on topics of current relevance to health care providers interested in integrative, conservative care, health promotion and disease prevention. It includes international, interdisciplinary Grand Rounds in order to facilitate communication and patient comanagement among various health professions, for the good of patients everywhere.

Topics in Integrative Health Care (TIHC) is published by Healthindex, Inc. (ChiroACCESS).


Topics in Integrative Health Care

Cheryl Hawk, DC, PhD, CHES    

Topics in Integrative Health Care 2015, Vol. 6(2)     ID: 6.2001   

Topics in Integrative Health Care welcomes unsolicited manuscripts with original research, Grand Rounds, clinical briefs and “fast facts” collections. All submissions are peer-reviewed.


Interview With Michael Schneider, DC, PhD, On A Non-surgical Approach to Spinal Stenosis

Daniel Redwood, DC    

Topics in Integrative Health Care 2015, Vol. 6(2)     ID: 6.2002   

Michael Schneider, DC, PhD, is an Associate Professor at the School of Health and Rehabilitation Sciences at the University of Pittsburgh.

Schneider was the only chiropractor to receive a grant as part of the Patient Centered Outcomes Research Institute’s (PCORI) first wave of 25 grants, in late 2012. PCORI was created as an independent entity by the Patient Protection and Affordable Care Act, with a mission to fund high-quality comparative effectiveness research. The topic of Dr. Schneider’s research is A Comparison of Nonsurgical Treatment Methods for Patients with Lumbar Spinal Stenosis.

Dr. Schneider serves on the postgraduate faculty of several chiropractic colleges, is program chair Chiropractic Health Care Section of American Public Health Association, and is a past chair of the Soft Tissue Committee of the Council on Chiropractic Guidelines and Practice Parameters. He has had numerous articles published in peer-reviewed research journals.

A graduate of the State University of New York at Binghamton who later received his PhD in Rehabilitation Science at the University of Pittsburgh, Schneider is among a growing cadre of chiropractic researchers who form a crucial bridge between chiropractic and other health professions.


Using Positive Motivation Techniques to Help People Gain Control of Eating Behaviors: A Clinical Review on Building Confidence and Routines for a Sustainable Body Transformation

Conrad L. Woolsey, PhD, CC-AASP, CHES

Clifton S. LeNoir

Ronald D. Williams, Jr., PhD, CHES

David Sean, NASM-CPT, IFPA Pro

Joe Mannion, MS

Marion W. Evans, Jr., DC, PhD, MCHES

Michael Ramcharan, DC, MPH, MUA-C

Topics in Integrative Health Care 2015, Vol. 6(2)     ID: 6.2003   

Despite determined prevention efforts and an increase in our knowledge about how to build successful health behavior change skills, the increased incidence and prevalence of obesity has continued. The traditional approach of modifying diet and increasing exercise is often not holistic enough for many to sustain new diet/exercise behaviors when external motivators are removed. The key to long term actions and behavioral maintenance starts in patients’ perceptions about their own ability to change and existing decision making skills. These perceptions and skills can be largely influenced by the clinician. Often clinicians can make the mistake of thinking that people already have the mental skills and thought processes to stick with new behaviors, but in reality without actively working towards developing specific mental skills and a hardy mindset, change will be difficult to maintain. This review focuses on how to help patients or clients develop the mental skills for lasting health behavior change through understanding their choices and by providing guidelines on how to build self-efficacy toward behavior changes. Building routines, positive self-talk, affirmations, and expression of empathy among clinicians are discussed along with the research on the efficacy of positive motivation techniques such as mindfulness and motivational interviewing (MI).

The Effect of Physical Activity and Nutritional Interventions on a Child’s Mood and Behavioral Disorders: A Case Report

Naomi May, MS, RD, LD

Chris Caffery, DC

Topics in Integrative Health Care 2015, Vol. 6(2)     ID: 6.2004   

Objective: Mood and behavior disorders in children can be very challenging for not only the well-being of the child, but all family members. When a child is evaluated in a conventional medical setting, children with mood disorders and Attention-Deficit/Hyperactivity Disorders (ADHD) are often encouraged to take medications which may cause adverse side effects in some individuals. This case demonstrates that symptoms of ADHD and other behavioral issues can be affected by simple lifestyle changes. The purpose of this case report is to discuss the outcome of a 4 year old child diagnosed with mood and behavior disorders when treated with lifestyle intervention, including physical activity and nutritional interventions, by a functional medicine practitioner.

Clinical Features: A 4 year old child presented to the clinic with his mother with recent evaluation and several mood and behavior diagnoses, including: Mood Disorder, Not Otherwise Specified; ADHD, combined Type; and Disruptive Behavior Disorder, Not Otherwise Specified. The patient was having severe violent outbursts regularly and was disruptive, inattentive, anxious, and hyperactive. He was also wetting the bed regularly.

Intervention and outcome: The patient was treated with an electronic fast (eliminating use of all electronic devices, including television and computers), 1 hour of physical activity per day, elimination diet, nutritional supplements, and proprioceptive and vestibular exercises. After just 1-2 months, patient was already doing really well behaviorally according to his mother. Conclusion: This case offers an example of promising, medication free options for optimizing mood and behavior disorders in children.

Fast Facts

Fast Facts

THIC Staff    

Topics in Integrative Health Care 2015, Vol. 6(2)     ID: 6.2005   

Readers are welcome to contribute to Fast Facts. Please include the original abstract (with citation) that is the source of your contribution. Contributors’ names will be included along with the item.

The following is an excerpt:

This article offers information relevant to social workers in practice about the complex and multifactoral condition of chronic nonspecific back pain and the integration of complementary and alternative medicine, in particular, massage therapy, as an effective evidence-based integrated approach.

McEwen S. Social work in health care when conventional meets complementary: nonspecific back pain and massage therapy. Health Soc Work. 2015 Feb;40(1):19-25.