Abstract

The publisher regrets to inform that the Table formatting was unclear in the original version of the article hence please find the below updated Table for reference. The publisher would like to apologise for any inconvenience caused.TableDeveloping an Evidence-Based Framework for Clinical Use of the Body-Mind-Spirit Osteopathic Tenet (Adapted from Craig et al. [13] and Esteves et al. [14])StepsPossible Areas of ExplorationResearch TopicsSuggested Methods1. Identifying the evidence base•Identifying current models of BMS approaches used in other professions•Defining BMS approaches within Western secular medical practice•Systematic review•Identifying current models of osteopathic care where BMS approaches may fit•Defining BMS approaches within non-Western secular practices•Medical anthropology2. Identifying appropriate theory•Defining BMS approaches within current scopes of symptom-oriented osteopathic care (MSK-related disorders, regaining agency, wellness and health promotion)•Current application of the BMS tenet in osteopathic care•Defining BMS approaches within osteopathic scopes of practice (what changes are expected and how change will be achieved)•Observational studies•Qualitative studies (interviews and questionnaires)•Clinical audit•Defining BMS approaches within current scopes of nonsymptom-oriented osteopathic care (wellness and health promotion)•Relevance of the BMS tenet within a secular Western context•Relevance of the BMS tenet within non-Western contexts•Distinctiveness of osteopathic care from other manual therapies•Osteopathic professional identity/identities•Observational studies•Qualitative studies (interviews and questionnaires)•Clinical audit•Exploring patients' and practitioners' expectations towards the use of the BMS tenet in symptom-oriented osteopathic care (MSK-related disorders, regaining agency, wellness and health promotion)•Perception of the BMS tenet•Clinical relevance of the BMS tenet•Description of clinical practices associated with the BMS tenet in osteopathic care•Improvement of clinical outcomes with clinical practices associated with the BMS tenet•Patients' and practitioners' beliefs•Patients' and practitioners' expectations•Scoping review•Observational studies•Qualitative studies (interviews and questionnaires)•Single-case experimental design and case studies•Exploring patient and practitioner expectations toward the use of the BMS tenet in nonsymptom-oriented osteopathic care (wellness and health promotion)•Perception of the BMS tenet•Clinical relevance of the BMS tenet•Description of clinical practices associated with the BMS tenet in osteopathic care•Improvement of clinical outcomes with clinical practices associated with the BMS tenet•Patients' and practitioners' beliefs•Patients' and practitioners' expectations•Scoping review•Observational studies•Qualitative studies (interviews and questionnaires)•Single-case experimental design and case studies3. Developing appropriate theories•Determining best clinical outcomes to evaluate potential clinical values when using the BMS tenet in osteopathic care•Description of the BMS tenet within an evidence-oriented framework•Clinical outcome measurements•Systematic review•Developing operational clinical frameworks for using the BMS tenet in osteopathic care•Description of current outcome measurements for BMS approaches in Western secular medical practices•Theoretical construct•Basic studies (neurosciences)•Building interdisciplinary collaboration to develop models for using the BMS tenet in osteopathic care•Clinical relevance of applying the BMS tenet within osteopathic secular clinical scenarios•Clinical practices associated with the BMS tenet within osteopathic secular clinical scenarios•Proof of concept•Acceptability and appropriateness (patients, practitioners, third parties)•Delphi study4. Modelling processes and outcomes (before a full-scale evaluation)•Developing robust research strategies to evaluate potential clinical values when using the BMS tenet in osteopathic care•Measuring clinical outcomes when applying the BMS tenet in osteopathic care•Implementation•Experimental studies•Feasibility studies•Pilot studies•Pretrial economic evaluation•Describing the clinical value of using the BMS tenet within osteopathic scopes of practice•Patient characteristics likely to benefit from the BMS tenet in osteopathic care•Evaluation•Experimental studies•Feasibility studies•Pilot studies•Pretrial economic evaluationAbbreviations: BMS, body-mind-spirit; MSK, musculoskeletal. Open table in a new tab Abbreviations: BMS, body-mind-spirit; MSK, musculoskeletal. The legacy and implications of the body-mind-spirit osteopathic tenet: A discussion paper evaluating its clinical relevance in contemporary osteopathic careInternational Journal of Osteopathic MedicineVol. 41PreviewA current osteopathic tenet inherited from Native American principles involves viewing each person as a dynamic interaction of body-mind-spirit (BMS). Because of its traditional medicine heritage and current evidence-based approach, the osteopathic profession is, arguably, uniquely positioned to promote evidence-informed person-centered approaches that transcend improvements in pain and musculoskeletal function. It may be particularly relevant in the context of integrating the BMS tenet into osteopathic care according to the diversity of patients’ values and sociocultural assumptions towards health, symptoms, and subsequent care, which range from the typical Western to complementary and alternative medicine perspectives. Full-Text PDF

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