Complementary Therapies

Objective: 
Collaboration between complementary and integrative health (CIH) institutions and research-intensive (R1) institutions has been successfully undertaken in the United States, resulting in federally funded research projects, educational programs, and faculty development. The aim of this cross-sectional survey study was to explore the barriers and facilitators to establishing and maintaining such collaborative partnerships.

Methods: A 32-question survey was sent to participants recruited through author contacts and resources, literature review, and database searches. Participants were required to be researchers and affiliates who attempted, completed, or had current collaborative endeavors involving CIH and R1 institutions. Data were collected in the research electronic data capture (REDCap) system and descriptive quantitative and qualitative data analysis was undertaken.

Results: A total of 26 unique entries were included in the final data analysis; four of which were paired entries (one from an R1 institution and one from a CIH institution) to make up two dyad data collections. Eighty-one percent of the participants had senior leadership roles at CIH institutions representing five CIH disciplines—East Asian medicine (acupuncture and Traditional Chinese Medicine), chiropractic medicine, massage therapy, naturopathy, and yoga. Collaborative research projects were often (>38%) in response to specific project funding mechanisms. Over 60% of the collaborations also included educational activities and faculty development. Collaborations resulted in multiple different types of benefits to both institutions but were not without associated challenges.

Conclusion: Collaborations between R1 and CIH institutions can be cooperative, productive, and mutually beneficial. Funding mechanisms supporting R1 and CIH collaboration increase CIH research productivity as well as the development of innovative research methodology to study the real-world practice of CIH therapies, whole systems, and whole person health. CIH researchers would greatly benefit from such funding, allowing access to research infrastructure, professional development, and the provision of protected time to conduct research.

Public and professional awareness of the nature and consequences of psychological trauma has resulted in a greater interest in becoming trauma-informed. Complementary and alternative medicine (CAM) providers have begun to incorporate trauma-informed care in their practices. However, there is a lack of research exploring how training in trauma-informed care (TIC) personally and professionally transforms CAM providers. This descriptive phenomenological study explored the lived experience of transformation in CAM providers who participated in TIC training. Transformative learning theory (TLT) was used as the conceptual framework. Nine participants were interviewed, and their experiences of personal and professional transformation were analyzed using Giorgi’s analytic strategy. While the reasons for participating in TIC training varied, the shared experience included the recognition of behaviors of self and others as expressions of trauma, the importance of uncovering personal experiences of trauma, and acknowledgement of the need for change in how they worked with clients and patients. They described seeing new ways to address physical symptoms and the connections of symptoms to unresolved trauma. They also shared greater understanding of the boundary between retraumatizing and healing, for themselves and those they treat. Opportunities for positive social change include increasing awareness of the value of TIC training and the resulting personal and professional transformative consequences. The more understanding about the impact of trauma on health and well-being in all professions, the greater the chance of enhanced clinical health outcomes, lessening of provider burnout, and positive change in society