002. (continued) Main text [last third -- I.3. to end]:
I.3. Phrases include, for the code of efficacious:
|
Code |
Quote |
Location |
Author |
|
Efficacious |
“It is essential that the naturopathic workforce be appropriately trained to ensure they can provide safe, effective, and appropriate care to patients.”
|
“Naturopathy Practice, Effectiveness, Economics & Safety” (2021)
|
Lloyd, Hausser, Dunn |
|
|
“It is the integration of naturopathic philosophies and principles within a biomedical understanding of health and disease that defines naturopathic care. Naturopathic researchers apply these philosophies and principles to the design of research studies examining the efficacy or effectiveness of naturopathic treatments.”
|
“Naturopathy Practice, Effectiveness, Economics & Safety” (2021)
|
Redmond, Graham, Steel |
|
|
“The chapters in this Section highlight the effectiveness of naturopathic care for conditions researched by the naturopathic profession and commonly treated by naturopaths/naturopathic doctors.”
|
“Naturopathy Practice, Effectiveness, Economics & Safety” (2021)
|
Lloyd, Steel |
|
|
“Effectiveness and Efficacy of Naturopathy / Naturopathic Medicine. One hundred and two of the 237 studies (81.1%) indicated a positive clinically relevant outcome in either the primary or secondary measurements of studies included in this review.”
|
“Naturopathy Practice, Effectiveness, Economics & Safety” (2021)
|
Wardle, Steel, Lloyd |
|
|
“Another important finding was the effective role that naturopathy/naturopathic medicine appears to have in addressing the modifiable risk factors associated with non-communicable diseases.”
|
“Naturopathy Practice, Effectiveness, Economics & Safety” (2021)
|
Wardle, Steel, Lloyd |
|
|
“Consultation with naturopathic practitioners is known to be associated with positive health behaviors, consistently show a positive role for naturopathy/naturopathic medicine as an effective intervention in a wide variety of non-communicable diseases.”
|
“Naturopathy Practice, Effectiveness, Economics & Safety” (2021)
|
Wardle, Steel, Lloyd |
|
|
“Research suggests that the naturopathic community is a translational profession, able to implement and facilitate health outcomes of interventions known to be effective.”
|
“Naturopathy Practice, Effectiveness, Economics & Safety” (2021)
|
Wardle, Steel, Lloyd |
|
|
“However, despite evidence of clinical and cost-effectiveness, lack of integration creates inequities in the accessibility of naturopathic care.”
|
“Naturopathy Practice, Effectiveness, Economics & Safety” (2021)
|
Wardle, Steel, Lloyd |
|
|
“Naturopathy/naturopathic medicine is a safe and effective intervention that has utility across different geographic regions, clinical settings and conditions, and naturopathic practitioners are trusted and consulted by the global public for a wide range of conditions. Studies demonstrate the clinical effectiveness and efficacy of naturopathic interventions in a wide variety of conditions.”
|
“Naturopathy Practice, Effectiveness, Economics & Safety” (2021)
|
Wardle, Steel, Lloyd |
|
|
“This Health Technology Assessment (HTA) report on naturopathy was compiled to provide an evidence-based summary of naturopathic practice and the safety, economics and effectiveness of naturopathic care.”
|
“Naturopathy Practice, Effectiveness, Economics & Safety” (2021)
|
Wardle, Steel, Lloyd |
|
|
“Research in whole-system, multimodality naturopathic medicine shows that it is effective in the management of conditions such as cardiovascular disease, type 2 diabetes, depression, anxiety, and a range of complex chronic conditions.”
|
“White Paper: Role of Naturopathic Practice Within a Global Pandemic” (2020)
|
Collective |
|
|
“Most of the clinical research in this chapter focused on naturopathic interventions in the treatment of Type II DM and have shown a variety of efficacious results.”
|
“Naturopathy Practice, Effectiveness, Economics & Safety” (2021)
|
Callan, Cooley |
J. The WNF’s Claim of Informed decisions, Individualization, Patient Centeredness, and Empowerment:
J.1. Phrases include, for the code of informed decisions:
|
Code |
Quote |
Location |
Author |
|
Informed decisions |
“Naturopathic practitioners support informed decision making.”
|
“White Paper: Naturopathic Workforce and Hypertension” (2022) |
Collective |
|
|
“Regulation of these products is an important step towards improving the quality of products globally, to ensuring effectiveness, public safety and in providing consumers access to important information with which to make informed healthcare decisions.”
|
“Naturopathy Practice, Effectiveness, Economics & Safety” (2021)
|
Lloyd, Dun, Wardle |
|
|
“To support individuals in making informed decisions the WNF has created an animated video for the public about building a shield of wellness to protect you from life’s challenges. This video is available in five languages.”
|
“White Paper: Role of Naturopathic Practice Within a Global Pandemic” (2020)
|
Collective |
J.2. Phrases include, for the code of individualization:
|
Code |
Quote |
Location |
Author |
|
Individualization |
“Naturopathic care is known for its diverse and flexible therapeutic approach to healthcare. It is individualized to each patient using a range of therapeutic modalities and practices, ensuring the valued client-centric elements of trust, engagement and empowerment.”
|
“White Paper: Naturopathic Workforce and Hypertension” (2022) |
Collective |
|
|
“Naturopathic treatment: An individualized clinical practice.”
|
“Naturopathy Practice, Effectiveness, Economics & Safety” (2021)
|
Lloyd, Steel, Wardle |
|
|
“Naturopathic care is individualized to each patient and uses a range of therapeutic modalities and practices.”
|
“Naturopathy Practice, Effectiveness, Economics & Safety” (2021)
|
Lloyd |
|
|
“The naturopathic workforce employs a range of treatment modalities in their individualized and multi-modal integrative approach to patient care.”
|
“Naturopathy Practice, Effectiveness, Economics & Safety” (2021)
|
Lloyd, Hausser |
|
|
“Naturopathic practice is characterized by the application of care guided by overarching principles which views individualized treatments tailored to each patient through a person-centered approach.”
|
“Naturopathy Practice, Effectiveness, Economics & Safety” (2021)
|
Redmond, Graham, Steel |
|
|
“The emphasis on individualized treatments as a core philosophical element of naturopathic care.”
|
“Naturopathy Practice, Effectiveness, Economics & Safety” (2021)
|
Schloss, McIntyre, Steel, Bradley, Harnett, Redmond, Hawrelak, Goldenberg, Van De Venter, Cooley |
|
|
“The naturopathic individualized patient-centered approach to healthcare using a diverse range of therapies and practices is well suited in the prevention, treatment and management of a diverse range of conditions.”
|
“Naturopathy Practice, Effectiveness, Economics & Safety” (2021)
|
Lloyd, Steel |
|
|
“The naturopathic individualized patient-centered approach to healthcare using a diverse range of therapies and practices is well suited in the prevention, treatment and management of cancer.”
|
“Naturopathy Practice, Effectiveness, Economics & Safety” (2021)
|
Schloss, Brown, Seely |
|
|
“The individualized and multi-modal naturopathic approach serves as a model of holistic preventive cardiovascular care and management or treatment of cardiovascular conditions.”
|
“Naturopathy Practice, Effectiveness, Economics & Safety” (2021)
|
Ast, Lloyd, Bradley |
|
|
“The breadth of treatments employed by naturopaths/ naturopathic doctors combined with the variability in each patient’s health needs and the imperatives of the naturopathic philosophies and principles to deliver individualized patient care.”
|
“Naturopathy Practice, Effectiveness, Economics & Safety” (2021)
|
Steel, Lloyd |
|
|
“The patient-centered and individualized focus of naturopathic practice.”
|
“Naturopathy Practice, Effectiveness, Economics & Safety” (2021)
|
Steel, Lloyd |
|
|
“The treatment intervention included bromelain 250 mg TID, an herbal product individualized for each patient, a cough elixir 10 or 30 gtt QID and an individualized homeopathic remedy.”
|
“Naturopathy Practice, Effectiveness, Economics & Safety” (2021)
|
Steel, Lloyd |
J.3. Phrases include, for the code of patient-centeredness:
|
Code |
Quote |
Location |
Author |
|
Patient-centeredness |
“Since inception, the naturopathic encounter has been person-centered and individually focused. Over the last two decades, other health professions and policy-makers have embraced the patient-centered model that has evolved into the now more contemporary concept of person-centered care. The shift from patient-centered to person-centered care arose to include the entirety of an individual’s needs beyond just the clinical and medical. Naturopathic practice is, and has always been, in complete accord with a person-centered approach.”
|
“Naturopathy Practice, Effectiveness, Economics & Safety” (2021)
|
Lloyd, Hausser, Myers |
|
|
“The emphasis naturopaths/naturopathic doctors place on patient-centered care.”
|
“Naturopathy Practice, Effectiveness, Economics & Safety” (2021)
|
Steel, Lloyd |
|
|
“Naturopaths/NDs demonstrate application of both evidence-based medicine and patient-centered care principles when they use and apply knowledge and information.”
|
“Naturopathy Practice, Effectiveness, Economics & Safety” (2021)
|
Steel, Leach, Brosnan, Ward, Lloyd |
|
|
“The naturopathic individualized patient-centered approach to healthcare using a diverse range of therapies and practices is well suited in the prevention, treatment and management of a diverse range of conditions.”
|
“Naturopathy Practice, Effectiveness, Economics & Safety” (2021)
|
Lloyd, Steel |
|
|
“The naturopathic individualized patient-centered approach to healthcare using a diverse range of therapies and practices is well suited in the prevention, treatment and management of cancer.”
|
“Naturopathy Practice, Effectiveness, Economics & Safety” (2021)
|
Lloyd, Steel |
|
|
“The holistic, patient-centered and preventive approach of naturopathic treatment is conducive to an advanced role in cardiovascular care that aligns with public health aims.”
|
“Naturopathy Practice, Effectiveness, Economics & Safety” (2021)
|
Ast, Lloyd, Bradley |
|
|
“The holistic, patient-centered, multi-modal treatment approach that is central to naturopathic philosophy comprises the clinical application of different forms of naturopathic therapeutic modalities and practices.”
|
“Naturopathy Practice, Effectiveness, Economics & Safety” (2021)
|
Care, Smith, Burgos-Arias, Seely |
|
|
“The naturopathic clinical assessment is a patient-centered process.”
|
“Naturopathy Practice, Effectiveness, Economics & Safety” (2021)
|
Lloyd, Steel, Wardle |
|
|
“16. Treat the whole person. Definition: Treat the whole person is a concept that recognizes the spiritual, psychological, functional and structural aspects and vitality of an individual as being part of an inseparable whole. Individuals are also interconnected and interdependent with family, community and environment. This concept is essential to patient-centered naturopathic practice.”
|
“WNF – Terminology Document” (2019) |
Hausser, Lloyd, Arankalle, Banchieri, Brown, DeGroot, Finnell, Kieffer, Myers, Menon, Poorna |
|
|
“The naturopathic assessment is patient centered.”
|
“2018 WNF Update” (2018) |
Collective |
|
|
“The naturopathic approach is ’patient centered’.”
|
“WNF White Paper: Naturopathic Philosophies, Principles and Theories” (2017)
|
Hausser, Lloyd, Yanez, Cottingham, Turner, Abascal |
|
|
“The naturopathic encounter is a patient-centered model.”
|
“WNF White Paper: Naturopathic Philosophies, Principles and Theories” (2017)
|
Hausser, Lloyd, Yanez, Cottingham, Turner, Abascal |
J.4. Phrases include, for the code of empowered:
|
Code |
Quote |
Location |
Author |
|
Empowered
|
“Doctor as teacher (docere). A principal objective of naturopathic patient education is to empower patients.”
|
“Naturopathy Practice, Effectiveness, Economics & Safety” (2021)
|
Lloyd, Hausser, Myers |
|
|
“This patient experience of empowerment is a known feature of naturopathic care.”
|
“Naturopathy Practice, Effectiveness, Economics & Safety” (2021)
|
Lloyd, Hausser, Myers |
|
|
“Naturopaths/naturopathic doctors draw on their holistic and vitalistic philosophies to actively and deliberately employ nonspecific factors such as their therapeutic relationship with the patient, empathy and patient empowerment.”
|
“Naturopathy Practice, Effectiveness, Economics & Safety” (2021)
|
Lloyd, Hausser, Myers |
|
|
“The appeal of the egalitarian, empowering and holistic model of care that characterizes naturopathic consultations.”
|
“Naturopathy Practice, Effectiveness, Economics & Safety” (2021)
|
Kennedy, Steel |
|
|
“Naturopaths/naturopathic doctors aim to alleviate suffering, prevent and/or treat illness, prevent the progression of disease conditions, and to educate and empower patients to facilitate optimal health.”
|
“Naturopathy Practice, Effectiveness, Economics & Safety” (2021)
|
Care, Smith, Burgos-Arias, Seely |
|
|
“Empower individuals and communities. Naturopaths/naturopathic doctors have a philosophically strong focus on empowerment and building capacity in individuals and communities to self-manage their health. Educating patients to improve their health literacy and ability to maintain their own health forms one of the key principles of naturopathic practice – Docere – as evidenced by the active role of the naturopathic community in knowledge mobilization and dissemination to a wide variety of audiences using a variety of information sources specific to their community and their patient populations. For example, health promotion education is a cornerstone of naturopathic practice, both philosophically and in terms of healthcare delivery, which has resulted in sustained and long-term clinical improvements among naturopathic patients due to improved self-management of health. The empowering nature of naturopathic treatment has also been supported by research that highlighted the intrinsic qualities of naturopathic consultation and treatment as facilitating patient empowerment, empathy and patient-centeredness, even more so than many other T&CM professions.”
|
“Naturopathy Practice, Effectiveness, Economics & Safety” (2021)
|
Wardle, Steel, Lloyd |
K. – INSTITUTIONS theme:
K. The WNF’s Claim of Institutionalization via schools and accreditation, research and publishing, and laws and regulation:
K.1. Phrases include, for the code of schools and accreditation:
|
Code |
Quote |
Location |
Author |
|
Schools and accreditation |
“Naturopathic Education Accreditation Standards Comparison. Naturopathic philosophies: Vitalism and Holism. Naturopathic principles: The healing power of nature; First do no harm; Identify and treat the cause; Physician/doctor as teacher; Treat the whole person; Disease prevention and health promotion. Research: critical research skills, knowledge mobilization skills, understanding of the uniqueness of naturopathic research.”
|
“Naturopathic Education Accreditation Standards Comparison” (2023) |
Collective |
|
|
“One of the mandates of the World Naturopathic Federation (WNF) is to promote accreditation of naturopathic educational programs and the highest educational standards for the naturopathic global profession.”
|
“WNF Naturopathic Educational Program Guide” (2022) |
Lloyd, Hausser |
|
|
“WNF mission […] establishing and maintaining a database of naturopathic organizations, regulation, accreditation, conferences, and research activities.”
|
“Naturopathy Practice, Effectiveness, Economics & Safety” (2021) |
Lloyd, Steel, Wardle |
|
|
“Accreditation, defined as ‘the formal process of evaluation of an educational program, institution or system against defined standards by an external body for purposes of quality assurance and enhancement’ seeks to implement, strengthen and support quality medical education. Accreditation of an educational program is a valuable asset and aids in the regulation of a health care profession. ‘The purpose of accreditation is to build a competent health workforce by ensuring the quality of training taking place within those institutions that have met certain criteria. It is the combination of institution or program accreditation with individual licensure—for confirming practitioner competence— that governments and professions use to reassure the public of the capability of its health workforce. Accreditation offers educational quality assurance to students, governments, ministries, and society.’ In the global naturopathic profession, there are three recognized accreditation organizations that provide standards for naturopathic education: [#1] Council of Naturopathic Medical Education (CNME) (United States and Canada). [#2] Australian Register of Naturopaths and Herbalists (ARONAH) (Australia and New Zealand).”
|
“Naturopathic Education Accreditation Standards Comparison” (2023) |
Collective |
|
|
“The formation of a distinct professional identity within the global healthcare environment depends on interrelated factors including the level and standardization and accreditation of educational programs and the regulatory status and recognition from governments achieved by the profession in different countries and Regions.”
|
“Naturopathy Practice, Effectiveness, Economics & Safety” (2021) |
Lloyd |
|
|
“Importantly, measures that both reduce risks associated with naturopathic practice and support safe and effective naturopathy/ naturopathic medicine are well-known – primarily centering around improved standards of regulation and accreditation – and are within the jurisdiction and capacity of policy decision-makers globally.”
|
“Naturopathy Practice, Effectiveness, Economics & Safety” (2021) |
Wardle, Steel, Lloyd |
K.2. Phrases include, for the code of research and publishing:
|
Code |
Quote |
Location |
Author |
|
Research and publishing |
“The literature informing this HTA was drawn from the extensive bibliometric analysis of naturopathic research – that is research on interventions conducted by the naturopathic research community – which identified 2218 manuscripts published in peer-reviewed indexed journals by naturopathic researchers from 22 countries.”
|
“Naturopathy Practice, Effectiveness, Economics & Safety” (2021) |
Wardle, Steel, Lloyd |
|
|
“As the naturopathic research community develops, there are increasing opportunities for naturopathic theories of practice to inform optimal approaches to health care.”
|
“Naturopathy Practice, Effectiveness, Economics & Safety” (2021) |
Wardle, Steel, Lloyd |
|
|
“The international naturopathic research community has produced peer-reviewed literature for over 30 years.”
|
“White Paper: Role of Naturopathic Practice Within a Global Pandemic” (2020)
|
Collective |
|
|
“This analysis indicated that there was a substantial quantity of peer-reviewed naturopathic research indexed in research journal databases and this research covered very broad topics which is consistent with naturopathic practice.”
|
“WNF Naturopathic Journal Report” (2020) |
Lloyd, Hausser |
|
|
“The WNF’s mission […] 4. Encouraging naturopathic research.”
|
“2018 WNF Update” (2018) |
Collective |
|
|
“There is a tremendous breadth of naturopathic research spanning many different aspects of naturopathic practice as well as disease states and conditions.”
|
“WNF White Paper: Naturopathic Philosophies, Principles and Theories” (2017) |
Hausser, Lloyd, Yanez, Cottingham, Turner, Abascal |
|
|
“Naturopathic educational institutions, naturopathic clinics, non-naturopathic universities and educational institutions, government and industry were all listed as participating in naturopathic research.”
|
“World Naturopathic Federation Report” (2015) |
Lloyd, Wardle, Parker, Hausser, Cottingham |
|
|
“There are over twenty agencies that fund naturopathic medicine and naturopathic research.”
|
“World Naturopathic Federation Report” (2015) |
Lloyd, Wardle, Parker, Hausser, Cottingham |
|
|
“Over the last twenty years, there has been tremendous growth in the area of naturopathic research and the creation of peer-reviewed research journals in the field of naturopathic medicine.”
|
“World Naturopathic Federation Report” (2015) |
Lloyd, Wardle, Parker, Hausser, Cottingham |
|
|
“The practice of naturopathic medicine in Canada is supported by naturopathic research, journals specializing in peer-reviewed articles and specialized naturopathic associations.”
|
“World Naturopathic Federation Report” (2015) |
Lloyd, Wardle, Parker, Hausser, Cottingham |
|
|
“As naturopathy / naturopathic medicine is comprised of many different modalities, research supporting naturopathic therapies and treatments is often pulled from the research specific to individual modalities, such as clinical nutrition, botanical medicine, and/or acupuncture or homeopathy.”
|
“World Naturopathic Federation Report” (2015) |
Lloyd, Wardle, Parker, Hausser, Cottingham |
|
|
“Every health profession requires ongoing research and peer-reviewed research articles in order to provide a critical look at how they practice and an opportunity to stay current with new findings that affect the safe and effective care of patients. Naturopathy / naturopathic medicine is no exception.”
|
“World Naturopathic Federation Report” (2015) |
Lloyd, Wardle, Parker, Hausser, Cottingham |
K.3. Phrases include, for the code of laws and regulation:
|
Code |
Quote |
Location |
Author |
|
Laws and regulation |
“It is our intention that this HTA will be used to support the global implementation of appropriate and robust regulation of the naturopathic profession.”
|
“Naturopathy Practice, Effectiveness, Economics & Safety” (2021) |
Lloyd, Steel, Wardle |
|
|
“Research shows that standards of education and practice are highest and consistency more apparent in countries with regulation.”
|
“Naturopathy Practice, Effectiveness, Economics & Safety” (2021) |
Lloyd, , Dunn, Wardle |
|
|
“Educational standards influence or reflect the type of regulation and the legislative framework for the profession, and they impact the ability of the workforce to offer the public safe and consistent effective healthcare.”
|
“Naturopathy Practice, Effectiveness, Economics & Safety” (2021) |
Lloyd, Hausser, Dunn |
|
|
“Although there is no formal regulations there are also no restriction to practice in Australia and New Zealand – the two countries in the Western Pacific that have been practicing naturopathy since the early 1900s.”
|
“Global Naturopathic Regulation” (2019) |
Collective |
|
|
“The WNF’s mission is […] 2. Supporting the appropriate regulation and recognition of naturopathy /naturopathic medicine.”
|
“2018 WNF Update” (2018) |
Collective |
|
|
“Regulation: The focus of regulation is patient safety.”
|
“2018 WNF Update” (2018) |
Collective |
|
|
“Regulation of a profession refers to a level of government recognition and oversight. Once a profession is regulated they have accepted professional standards of practice and conduct that all professional members must adhere to.”
|
“World Naturopathic Federation Report” (2015) |
Lloyd, Wardle, Parker, Hausser, Cottingham |
|
|
“There are base consistencies in how naturopathy / naturopathic medicine is practiced around the world, but there are also tremendous differences in naturopathic regulations and in scope of practice within countries and between countries.”
|
“World Naturopathic Federation Report” (2015) |
Lloyd, Wardle, Parker, Hausser, Cottingham |
|
|
“With only 50% of the countries reporting that they have regulation.”
|
“World Naturopathic Federation Report” (2015) |
Lloyd, Wardle, Parker, Hausser, Cottingham |
|
|
“In naturopathic medicine – as in most health professions – regulation is focused on ensuring practitioners have the education and training to demonstrate that they have the knowledge, skills and judgement to practice safely and effectively.”
|
“World Naturopathic Federation Report” (2015) |
Lloyd, Wardle, Parker, Hausser, Cottingham |
|
|
“Naturopaths remain the only profession in Australia which has been formally assessed under National Registration and Accreditation Scheme criteria that have demonstrated they warrant statutory registration that are not currently included in the Scheme. In lieu of statutory registration, an independent self-regulatory body mirroring standards of the government regulatory scheme has been established.”
|
“World Naturopathic Federation Report” (2015) |
Lloyd, Wardle, Parker, Hausser, Cottingham |
|
|
“1921 marks the start of regulation of naturopathic medicine in Canada.”
|
“World Naturopathic Federation Report” (2015) |
Lloyd, Wardle, Parker, Hausser, Cottingham |
|
|
“The first state to initially regulate naturopathic medicine was California in 1909, Connecticut followed in 1920.”
|
“World Naturopathic Federation Report” (2015) |
Lloyd, Wardle, Parker, Hausser, Cottingham |
|
|
“Regulation can have either a net positive or a net negative impact on scope of naturopathic practitioners.”
|
“World Naturopathic Federation Report” (2015) |
Lloyd, Wardle, Parker, Hausser, Cottingham |
SRQR Step 016 Main Findings Summary
The WNFM had strong proclamations supporting and defining commitments regarding naturopathy’s:
Foundationals in terms of:
Consistency, global consensus, and commonality;
Distinction, and blended contents.
Knowledge in terms of:
Patient education, community education;
Science, evidence, technology, research basis.
Philosophy, Principles, Theories in terms of:
Vitalism, holism, set principles, healing power of nature/vis medicatrix naturae/vitalism, therapeutic order, Hering’s Law, humoralism, emunctories.
Treatment, Therapies, and Diagnostics in terms of:
Diversity, multi-modal, efficacy, informed decision making, individualization, patient-centeredness, empowerment.
Institutions in terms of:
Schools and accreditation, research and publishing, laws and regulation.
[end of script]
