CAM in Veterans with Gulf War Illnesses

患有海湾战争疾病的退伍军人中的 CAM

• 批准号: 8660881
• 负责人: Matthew J. Reinhard
• 金额: --
• 依托单位: U.S. DEPT/VETS AFFAIRS MEDICAL CENTER
• 依托单位国家: 美国
• 财政年份: 2014
• 资助国家: 美国
• 起止时间: 2014-07-01 至 2018-06-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8660881
• 关键词: Acupuncture procedure; Address; Caring; Chronic; Chronic Fatigue Syndrome; Cognitive; Cognitive deficits; Collection; Combined Modality Therapy; Complement; Complementary Medicine; Data; Ear Acupuncture; Equipment and supply inventories; Fatigue; Goals; Gulf War; Health; Health education; High Prevalence; Intervention; Interview; Lead; Maintenance; Measures; Medical; Meditation; Methods; Moods; Musculoskeletal; Outcome; Outcome Study; Pain; Perception; Personal Satisfaction; Persons; Physical Function; Randomized Controlled Clinical Trials; Reporting; Research Personnel; Short-Form McGill Pain Questionnaire; Skin; Sleep; Sleep disturbances; Stress; Symptoms; System; Testing; Time; Treadmill Tests; Veterans; Yoga; actigraphy; arm; base; cohort; efficacy testing; empowered; experience; functional disability; improved; improved functioning; indexing; neuropsychological; physical conditioning; preference; primary outcome; prospective; public health relevance; respiratory; secondary outcome; tv watching

DESCRIPTION (provided by applicant): The overall goal of the proposed study is to conduct the first adequately powered prospective randomized controlled clinical trial (RCT) to determine whether combined auricular acupuncture and iRest(R) Yoga Nidra will lead to improved health-related functioning, reduced sleep disturbance and perceived stress in Gulf War-deployed Veterans with Gulf War Veterans' illnesses (GWVIs) compared to Gulf War Health Education. Using a multi-method approach, our interdisciplinary team of clinicians and researchers will test the primary hypothesis that, in Gulf War-deployed Veterans who reported at least 2 of 3 symptom types (fatigue, pain and mood/cognitive) for more than 6 months and at the time of screening, the complementary and alternative CAM treatment (combined auricular acupuncture and iRest(R) Yoga Nidra) will lead to greater improvements in physical health functioning, reductions in pain, fatigue, cognitive deficits and sleep disturbance than Gulf War Health Education. This study will also enhance our understanding of the real-world effects of CAM for these Veterans through the collection and analysis of in-depth interviews from Veterans. If successful, the results of this study would provide a scientific basis to expand the complementary treatments available to the significant number of Gulf War-deployed Veterans who suffer from GWVIs and for whom current medical treatments alone are not adequate. While the present study is targeted at the Gulf War cohort, results could also have significant impact on treatment for Veterans from all other eras as well.

描述（由申请人提供）： 拟议的研究的总体目标是进行第一个足够动力的前瞻性随机对照临床试验（RCT），以确定耳鸣起针灸和最愤怒的（R）瑜伽Nidra是否会改善与健康相关的功能，导致睡眠障碍，减少远离战争狂潮的人与Gulf veterans veterans with Gulf Waryans warsans warsans warsans vernans warsans warsans warsans warsans vernans gulf warsans verans''与Gulf Wars''相关联。使用多方法方法，我们的临床医生和研究人员的跨学科团队将测试主要假设，即在海湾中 War-deployed Veterans who reported at least 2 of 3 symptom types (fatigue, pain and mood/cognitive) for more than 6 months and at the time of screening, the complementary and alternative CAM treatment (combined auricular acupuncture and iRest(R) Yoga Nidra) will lead to greater improvements in physical health functioning, reductions in pain, fatigue, cognitive deficits and sleep disturbance than Gulf War Health Education.这项研究还将通过收集和分析退伍军人的深入访谈来增强我们对CAM对这些退伍军人的现实影响的理解。如果成功的话，这项研究的结果将提供科学的基础，以扩大大量海湾战争部署的退伍军人的补充治疗，他们患有GWVIS，仅目前的医疗治疗就不够。尽管本研究针对海湾战争队列，但结果也可能对其他所有时代的退伍军人的待遇产生重大影响。