Current Issue:  Volume 6, Issue 3 (2016)

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 2016, Vol. 6(3)     ID: 6.3001   

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


Survey Attributes, Development, Utilization, and Interpretation in Healthcare Research

John Ward, DC, MA, MS

Topics in Integrative Health Care 2016, Vol. 6(3)     ID: 6.3002   

Introduction: Surveys are important for the evaluation of healthcare data trends that affect patient populations.

Methods: This narrative review describes survey attributes, development, utilization, and interpretation from perspectives pertinent to researchers.

Results: Survey questions should be sensitive to cultural, psychological, and economic factors. Questions may be open-ended or closed-ended. They may be distributed in-person, through telephone interviews, by mail, online, or through direct physical distribution. Newly created surveys should use age-appropriate, education level-appropriate, culturally sensitive, and time-sensitive questions. Researchers will need to select an appropriate mechanism of quantifying and analyzing responses. Newly created surveys should be pilot-tested on small sample populations that are representative of the intended larger population. There is no set agreed upon way to report surveys, but the most common survey reporting deficiencies appear to be failing to: provide survey questions, report on validity or reliability of the instrument, provide the response rate, discuss how well the sample represents the entire population, and describe how missing data are handled.

Conclusions: Surveys are critical to discovering data trends and encouraging modifications in clinical treatment guidelines. The questions should focus on set domains, but be capable of accommodating all relevant answers. Survey questions should be tested to ensure they have reasonable validity for what they are trying to measure and that they are reliable if used multiple times with various populations.

Transformations Abroad: Transformative Learning Captured Within a Chiropractic Humanitarian Program

Dustin Derby, MSEd, MS, EdD

Amy Everetts

Julie A. Schrad, MS, DC

Topics in Integrative Health Care 2016, Vol. 6(3)     ID: 6.3003   

Purpose. Clinic Abroad (CA) trips result in increased clinical confidence within healthcare. However, few CA trips examine the transformational impact of CA experiences, nor has extant research sought to capture the longitudinal, transformational impact of CA trips. Thus, this study examined the clinical and cultural transformative learning resulting from a chiropractic CA trip.

Methods. The current study utilized qualitative methods to capture data through reality television style video logs during the CA trip, as well as a 6-month qualitative follow-up survey. The study is phenomenological in nature, utilizing deductive reasoning to confirm theoretical underpinnings. Thematic coding of data occurred according to participants’ viewpoints about people and objects within their experience abroad in relation to a three-stage model of transformational learning theory.

Results. The study exhibited an 89% participation rate for video log contributions, and a 75% participation rate for the 6-month follow-up survey, indicating low attrition between data collections. Emergent themes of the study indicated transformational arcs for clinical confidence, cultural awareness, and professional identity development.

Discussion. Results from the current study underscore and support important contributions of CA trips. Interns were more able to trust their clinical skills and understanding, as well as bridge cultural gaps, due to their Fiji experiences, leading toward a developed professional identity.

Conclusion. Given the cost of CA trips, and the increased liability of such trips, this study underscores the need for educators to develop intentional, intercultural and global learning experiences affordable for those that find the cost of international travel and study prohibitive.

Fast Facts

Fast Facts

Stacie A. Salsbury, PhD RN    

Topics in Integrative Health Care 2016, Vol. 6(3)     ID: 6.3004   

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:

Definitions of integrative medicine (IM) vary making it difficult to compare components and findings from studies assessing the efficacy and safety of IM. This literature review provides a suggested checklist for reporting IM studies that includes items on rationale, evidence, safety, design, outcome measures, diagnoses, personnel including practitioners and division of care, clinical setting, interventions including regimen for treatment, self-care, and processes of integration, and results including harms and costs. A link to the article is provided:

Hu X-Y, Lorenc A, Kemper K, Liu J-P, Adams J, Robinson N. Defining integrative medicine in narrative and systematic reviews: a suggested checklist for reporting. Eur J Integr Med 2015; 7(1), 76-84.