{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,21]],"date-time":"2026-05-21T03:59:55Z","timestamp":1779335995837,"version":"3.51.4"},"reference-count":38,"publisher":"Wiley","license":[{"start":{"date-parts":[[2019,6,26]],"date-time":"2019-06-26T00:00:00Z","timestamp":1561507200000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"name":"Adolph Coors Family Foundation"},{"DOI":"10.13039\/100007899","name":"University of Arizona","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100007899","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Evidence-Based Complementary and Alternative Medicine"],"published-print":{"date-parts":[[2019,6,26]]},"abstract":"<jats:p><jats:italic>Purpose<\/jats:italic>. The University of Arizona Integrative Health Center (UAIHC) was an innovative membership-supported integrative medicine (IM) adult primary care clinic in Phoenix, Arizona. UAIHC delivered healthcare using an integrative medicine model that combined conventional and complementary medical treatments, including nutrition, mind-body medicine, acupuncture, manual medicine, health coaching, educational classes, and groups. Results from pre-post evaluation of patient-reported outcomes on several standardized measures are presented here.<jats:italic> Methods<\/jats:italic>. UAIHC patients completed surveys at baseline and after 12 months of continuous integrative primary care. Patients reported on perceived changes in health outcomes as measured by<jats:italic> Short-Form Health Survey<\/jats:italic> (<jats:italic>SF-12<\/jats:italic> general, mental, and physical health),<jats:italic> Perceived Stress Scale (PSS4)<\/jats:italic>,<jats:italic> Work Productivity and Activity Impairment Questionnaire (WPAI)<\/jats:italic>,<jats:italic> World Health Organization Well-Being Index (WHO-5<\/jats:italic>),<jats:italic> Pain Visual Analog Scale (VAS)<\/jats:italic>,<jats:italic> Fatigue Severity Scale (VAS; FSS)<\/jats:italic>,<jats:italic> Generalized Anxiety Disorder Scale (GAD2)<\/jats:italic>,<jats:italic> Patient Health Questionnaire<\/jats:italic> for depression<jats:italic> (PHQ2), Pittsburgh Sleep Quality Index (PSQI) <\/jats:italic>global rating of sleep quality, and the<jats:italic> Behavioral Risk Factor Surveillance System (BRFSS<\/jats:italic>; nutrition, exercise, and physical activity). Overall differences between time points were assessed for statistical significance. Patient demographics are also described.<jats:italic> Results<\/jats:italic>. 177 patients completed baseline and follow-up outcome measures. Patients were predominantly white, female, college-educated, and employed. Baseline to one-year follow-up results indicate statistically significant improvements (<jats:italic>p &lt; <\/jats:italic>.05) on all but perceived stress (<jats:italic>PSS-4<\/jats:italic>) and work absenteeism (<jats:italic>WPAI<\/jats:italic>). Clinical impact and\/or practical effects are reported as percent change or standardized effect sizes whenever possible. Other demographic and descriptive information is summarized.<jats:italic> Conclusions<\/jats:italic>. Following one year of IM primary care at UAIHC, patient-reported outcomes indicated positive impacts in several areas of patients\u2019 lives: mental, physical, and overall health; work productivity; sleep quality; pain; fatigue; overall well-being; and physical activity.<\/jats:p>","DOI":"10.1155\/2019\/8595409","type":"journal-article","created":{"date-parts":[[2019,6,26]],"date-time":"2019-06-26T19:31:27Z","timestamp":1561577487000},"page":"1-9","source":"Crossref","is-referenced-by-count":13,"title":["Real-World Evidence from the Integrative Medicine Primary Care Trial (IMPACT): Assessing Patient-Reported Outcomes at Baseline and 12-Month Follow-Up"],"prefix":"10.1155","volume":"2019","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-9067-6394","authenticated-orcid":true,"given":"Robert L.","family":"Crocker","sequence":"first","affiliation":[{"name":"Andrew Weil Center for Integrative Medicine, College of Medicine, University of Arizona, Tucson, AZ, 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