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Integrative Health

integrative health

Description of Integrative Health

Integrative health is grounded in approaches that emphasize healing and wellness for the whole being. Thus it embraces a treatment philosophy that is bio-psycho-socio-spiritual in dimension.  Often utilized in combination with conventional Western medicine, alternative or complementary strategies may include acupuncture, massage, biofeedback, yoga, and stress reduction techniques, all aimed at promoting wellness of the whole person in the context of a supportive and effective provider-patient relationship.

For more information on complementary and alternative medicine, visit The National Center for Complementary and Alternative Medicine (NCCAM) website. NCCAM is a division of the National Institutes of Health (NIH) “dedicated to exploring complementary and alternative healing practices in the context of rigorous science; training complementary and alternative medicine researchers; and disseminating authoritative information to the public and professionals.”

APOS Integrative Health SIG

Rebecca Lehto, PhD, MSN, RN, Co-Chair | Lora Thompson, Ph.D., Co-Chair


The APOS Integrative Health Special Interest Group (SIG) was developed to promote a forum where practitioners and researchers have opportunities for networking and gaining up-to-date state of the science knowledge on complementary and integrative therapies research and clinical applications in oncology care. In addition, the Integrative Health SIG has promoted APOS conference wellness activities, such as restorative yoga sessions and on-site massage therapy.

Our SIG has several members who are at the forefront of testing complementary therapies as supportive care modalities for patients with cancer.  A selection of recently published research papers are listed below, and we encourage APOS members to utilize these resources.


Members Current Research:

Dr. Cecile Lengacher’s research:

  1. Lengacher, C.A, Reich, R.R., Post-White, Moscoso, M., Shelton, M.M., Barta, M., Le, N., Budhrani, P. (2011). Mindfulness based stress reduction in post-treatment breast cancer patients: An examination of symptoms and symptom clusters. J Behav Med. doi: 10.1007/s10865-011-9346.
  2. Lengacher, C.A., Kip, K.E., Barta, M., Post-White, J., Jacobsen, P.B., Groer, M., Lehman, B., Moscoso,  M.S., Kadel, R., Le, N., Loftus, L., Stevens, C., Malafa, M.P., Shelton, M.M. (2012). A pilot study evaluating the effect of MBSR on psychological Status, physical status, salivary cortisol and interleukin-6 among advanced stage cancer patients and their caregivers. Journal of Holistic Nursing,doi:10.1177/0898010111435949
  3. Lengacher, C.A. Shelton, M., Reich, R., Barta, M., Moscoso, MS, Johnson-Mallard, V., Moscoso, M.,Paterson, C. Ramesar, S., Budhrani, P., Carranza, I., Lucas, J., Jacobsen. P. B., Goodman, M. and Kip, K.E. (2012). Mindfulness Based Stress Reduction (MBSR(BC)) in Breast Cancer: Evaluating Fear of recurrence (FOR) as a Mediator of Psychological and Physical Symptoms in a Randomized Control Trial(RCT). Journal of Behavioral Medicine. doi: 10.1007/s10865-012-9473-6.
  4. Lengacher, C.A, Reich, R., Kip, K, Barta, M., Ramesar, S., Paterson, C., Moscoso, M., Kim, S., Park, H., Jacobsen, P., Schell, M., & Park, J. (2014).  Mindfulness-based stress reduction (MBSR) as a catalyst of telomerase activity in women with breast cancer. Biological Research for Nursing.
  5. Lengacher, C. A., Reich, R. R., Paterson, C. L., Jim, H. S., Ramesar, S., Alinat, C. B., … & Kip, K. E. (2014). The effects of mindfulness‐based stress reduction on objective and subjective sleep parameters in women with breast cancer: a randomized controlled trial.PsychoOncology.

Dr. Gwen Wyatt’s research: 

  1. Wyatt G.K., Sikorskii, A., Rahbar, M.H., Victorson, D., You, M. (2012). Health-related quality of life outcomes: A reflexology trial with patients with advanced stage breast cancer. Oncology Nursing Forum, 39(6), 568-577.
  2. Zick, S.M., Wyatt, G.K., Murphy, S.L., Arnedt, J.T., Sen, A., Harris, R.H. (2012, online). Acupressure for Persistent Cancer-related Fatigue in Breast Cancer Survivors (AcuCrft): a study protocol for a randomized clinical trial. BMC Complementary and Alternative Medicine.
  3. Wyatt, G. K., Sikorskii, A., & You, M. (2012). Self-reported use of complementary and alternative medicine (CAM) therapies while participating in a reflexology longitudinal randomized clinical trial (RCT). Alternative Therapies in Health and Medicine