{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,22]],"date-time":"2026-05-22T07:05:36Z","timestamp":1779433536791,"version":"3.53.1"},"reference-count":15,"publisher":"SAGE Publications","issue":"2","license":[{"start":{"date-parts":[[2017,2,1]],"date-time":"2017-02-01T00:00:00Z","timestamp":1485907200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["The Journal of Alternative and Complementary Medicine: Paradigm, Practice, and Policy Advancing Integrative Health"],"published-print":{"date-parts":[[2017,2]]},"abstract":"<jats:sec>\n                    <jats:title>Objectives:<\/jats:title>\n                    <jats:p>To understand the extent and modalities of integrative medicine strategies that patients with coccidioidomycosis (valley fever) have incorporated into their treatment regimens.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design:<\/jats:title>\n                    <jats:p>A direct patient survey was distributed, with 100 unique responses, at a single infectious diseases clinic at an academic medical center in Arizona. Eligible patients, defined as those with confirmed coccidioidomycosis or currently under evaluation, were polled on their personal use of 36 integrative medicine modalities. Patients were also asked to indicate their level of fatigue on a 10-point scale in an attempt to correlate levels of fatigue to use of specific integrative medicine modalities.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>Of the patients surveyed, 64% had used at least one integrative medicine modality, and 53% used two or more, along with conventional medical therapy. The top three modalities were nutrition (39%), massage (27%), and breathing exercises (26%). The mean reported fatigue level was 4.7 on a 10-point scale, with a standard deviation of 3.0. There was no statistically significant association between use of a specific modality and reported level of fatigue.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>Nearly two thirds of patients (64%) surveyed had used at least one integrative medicine modality throughout the course of their therapy. Clinicians are probably unaware of the extent to which many patients, including this population, have embraced integrative medicine. Awareness of patients' goal and preferences is valuable in shared clinical decision making.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1089\/acm.2016.0139","type":"journal-article","created":{"date-parts":[[2016,8,24]],"date-time":"2016-08-24T14:44:06Z","timestamp":1472049846000},"page":"135-139","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Integrative Medicine Preferences Among Coccidioidomycosis (Valley Fever) Patients"],"prefix":"10.1177","volume":"23","author":[{"given":"Jack H.","family":"Short","sequence":"first","affiliation":[{"name":"Mayo Clinic Arizona"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Constance","family":"Bradley","sequence":"additional","affiliation":[{"name":"Mayo Clinic Arizona"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Janis E.","family":"Blair","sequence":"additional","affiliation":[{"name":"Mayo Clinic Arizona"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Terry D.","family":"Stewart","sequence":"additional","affiliation":[{"name":"Mayo Clinic Arizona"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mark W.","family":"Burns","sequence":"additional","affiliation":[{"name":"Mayo Clinic Arizona"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Roberto L.","family":"Patron","sequence":"additional","affiliation":[{"name":"Mayo Clinic Arizona"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Denise M.","family":"Millstine","sequence":"additional","affiliation":[{"name":"Mayo Clinic Arizona"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2017,2,1]]},"reference":[{"key":"e_1_3_3_2_2","doi-asserted-by":"publisher","DOI":"10.3201\/eid2006.131842"},{"key":"e_1_3_3_3_2","doi-asserted-by":"crossref","first-page":"1150","DOI":"10.3390\/ijerph8041150","article-title":"The public health impact of coccidioidomycosis in Arizona and California","volume":"8","author":"Hector RF","year":"2011","unstructured":"Hector RF, , Rutherford GW, , Tsang CA, et al. 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BMJ, 1996; 313:131\u2013133.","journal-title":"BMJ"},{"key":"e_1_3_3_10_2","doi-asserted-by":"publisher","DOI":"10.1001\/jama.280.18.1569"},{"key":"e_1_3_3_11_2","doi-asserted-by":"publisher","DOI":"10.1056\/NEJM199301283280406"},{"key":"e_1_3_3_12_2","doi-asserted-by":"publisher","DOI":"10.1634\/theoncologist.2012-0223"},{"key":"e_1_3_3_13_2","doi-asserted-by":"publisher","DOI":"10.1177\/1534735410363706"},{"key":"e_1_3_3_14_2","first-page":"33","volume-title":"Methods in Plant Biochemistry","author":"Paxton JD","year":"1991","unstructured":"Paxton JD. Assays for antifungal activity. In: Hostettmann K, ed. Methods in Plant Biochemistry. London: Academic Press, 1991:33\u201346."},{"key":"e_1_3_3_15_2","first-page":"133","volume-title":"Evaluation of Herbal Medicinal Products","author":"Rios JL","year":"2009","unstructured":"Rios JL. Testing of herbal products used to treat infections. In: Houghton P, , Mukherjee PK, eds. Evaluation of Herbal Medicinal Products. 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