Chinese Medicine Users in the United States Part II: Preferred Aspects of Care

Cassidy, Claire

doi:10.1089/acm.1998.4.189

Cited by 120 publications

(80 citation statements)

References 7 publications

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“…Several previous studies have similarly noted the 'expanded effects of care' arising from CAM use in the general population (Cartwright & Torr, 2005;Cassidy, 1998;Paterson & Britten, 2003). The impact of chronic illness on mental functioning was 19 particularly salient in participants' accounts, ranging from the psychological challenges of chronic pain to the uncertainty posed by the unpredictability of symptom flare-ups.…”

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confidence: 91%

‘Getting on with life’: The experiences of older people using complementary health care

Cartwright¹

2012

Traditional, Complementary and Integrative Medicine

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Surprisingly few studies have explored the use of complementary medicine amongst older persons and existent research is typically restricted to those who can afford private treatment. The aim of the current qualitative study was therefore to explore the experiences of older people using subsidised complementary health care.Semi-structured interviews were conducted with 17 regular attendees of a single centre offering low cost complementary health care to the over 60's. The sample was randomly drawn from the patient register and included patients from mixed social and ethnic backgrounds. Transcripts was analysed using Interpretative Phenomenological Analysis (IPA). The core theme underlying participants' accounts related to the desire to 'get on with life' and maintain physical and social functioning within the constraints imposed by chronic conditions. Consequently, the physiological effects of treatment were highly valued, particularly reductions in pain and improved mobility.Psychological effects operated at a more subtle level, influencing perceptions of health and well-being. The empowering nature of treatment enabled participants to regain a sense of control over their health, which reduced anxiety and facilitated 'normal' functioning. The whole package care was perceived as an important source of support and reassurance in contrast to the impersonal experiences of orthodox medicine. Complementary health care was therefore perceived as an important adjunct to orthodox medicine, particularly in terms of its impact on everyday functioning and well-being. Implications for the quality of life of older people with complex health needs and limited access to private complementary health care are discussed.

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confidence: 91%

‘Getting on with life’: The experiences of older people using complementary health care

Cartwright¹

2012

Traditional, Complementary and Integrative Medicine

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“…[23][24][25] The present authors' previous work, and that of others, suggests that a series of traditional acupuncture consultations constitutes a complex intervention that may have these characteristics, 26,27 and may therefore provide an effective treatment option. This hypothesis is supported by evidence of the effectiveness and cost-effectiveness of acupuncture in functional conditions that overlap with 'unexplained symptoms', including fibromyalgia, 28,29 headache, [30][31][32] and back pain.…”

Section: Introductionmentioning

confidence: 99%

Acupuncture for ‘frequent attenders’ with medically unexplained symptoms: a randomised controlled trial (CACTUS study)

Paterson¹,

Taylor²,

Griffiths³

et al. 2011

Br J Gen Pract

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BackgroundMedically unexplained physical symptoms (MUPS) are common and difficult to treat. AimTo investigate the effectiveness of adding fiveelement acupuncture to usual care in 'frequent attenders' with MUPS. Design and settingRandomised controlled trial in four London general practices. MethodParticipants were 80 adults with MUPS, consulting GPs ≥8 times/year. The intervention was individualised five-element acupuncture, ≥12 sessions, immediately (acupuncture group) and after 26 weeks (control group). The primary outcome was 26-week Measure Yourself Medical Outcome Profile (MYMOP); secondary outcomes were wellbeing (W-BQ12), EQ-5D, and GP consultation rate. Intention-to-treat analysis was used, adjusting for baseline outcomes. ResultsParticipants (80% female, mean age 50 years, mixed ethnicity) had high health-resource use. Problems were 59% musculoskeletal; 65% >1 year duration. The 26-week questionnaire response rate was 89%. Compared to baseline, the mean 26-week MYMOP improved by 1.0 (95% confidence interval [CI] = 0.4 to 1.5) in the acupuncture group and 0.6 (95% CI = 0.3 to 0.9) in the control group (adjusted mean difference: acupuncture versus control -0.6 [95% CI = -1.1 to 0] P = 0.05). Other between-group adjusted mean differences were: W-BQ12 4.4 (95% CI = 1.6 to 7.2) P = 0.002; EQ-5D index 0.03 (95% CI = -0.11 to 0.16) P = 0.70; consultation rate ratio 0.90 (95% CI = 0.70 to 1.15) P = 0.4; and number of medications 0.56 (95% CI = 0.47 to 1.6) P = 0.28. All differences favoured the acupuncture group. Imputation for missing values reduced the MYMOP adjusted mean difference to -0.4 (95% CI = -0.9 to 0.1) P = 0.12. Improvements in MYMOP and W-BQ12 were maintained at 52 weeks. ConclusionThe addition of 12 sessions of five-element acupuncture to usual care resulted in improved health status and wellbeing that was sustained for 12 months.

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“…In the US, Cassidy (1998) identified "expanded effects of care", which included physiological coping (e.g. increased energy and relaxation, reduction of medication) and psychosocial coping (e.g.…”

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confidence: 99%

Making Sense of Illness: The Experiences of Users of Complementary Medicine

Cartwright

Torr

2005

J Health Psychol

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The present study investigated the experiences of users of complementary and alternative medicine (CAM) using a qualitative approach. In-depth interviews were conducted with 11 frequent users and analysed using interpretative phenomenological analysis (IPA). Results indicated that the patient-practitioner relationship and explanatory frameworks provided by CAM were perceived as important components of the therapeutic process, irrespective of treatment efficacy. CAM served a variety of functions beyond the explicit relief of symptoms by increasing energy and relaxation, facilitating coping and enhancing self/other awareness.It is therefore important that these wider effects are taken into account when evaluating complementary medicine in order to accurately reflect patients' experiences.

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Chinese Medicine Users in the United States Part II: Preferred Aspects of Care

Cited by 120 publications

References 7 publications

‘Getting on with life’: The experiences of older people using complementary health care

‘Getting on with life’: The experiences of older people using complementary health care

Acupuncture for ‘frequent attenders’ with medically unexplained symptoms: a randomised controlled trial (CACTUS study)

Making Sense of Illness: The Experiences of Users of Complementary Medicine

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