Table 2.

Facilitators for Use of Integrative Medicine for Patients With Sickle Cell Disease

Facilitators	Descriptive Quote
Buy-in	I think in general, I tend to have the most success, and that usually means the most buy-in from the kids, when we're talking about diaphragmatic breathing and guided imagery or distraction. But again, I think a lot of it really depends on the person. —Psychologist
Culture of collaboration	Children's has this…everybody's forward thinking. Nobody's really closed off. —Nurse
Starting early and reinforcing often	I think that we have to start early, like during those first pain crises at introducing it [IM], because I think once kids already have a chronic pain phenotype, then I think it's really hard to reverse that, and you have to do these drastic measures like pain rehab programs and stuff. —Physician
Research documenting efficacy	I also come from a training place where we are all about evidence based medicine, so really CBT and relaxation strategies are the ones that I tend to gravitate the most towards, largely because that is where the largest evidence base is right now. That being said I know there is a lot of emerging evidence about massage, and there is certainly evidence of for acupuncture as well. —Psychologist