Exploring Outcomes Associated with Acupuncture

Hull, Sharon K.; Page, Cristen; Skinner, Bron D.; Linville, Julie C.; Coeytaux, Remy R

doi:10.1089/acm.2006.12.247

Cited by 33 publications

(22 citation statements)

References 35 publications

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“…''Acupuncture may result in subtle improvements in a general sense of well-being in ways that may not be measured by standardized instruments, and acupuncture treatments often are customized to meet individual patients' unique clinical needs and therapeutic goals, thereby making it difficult to define a priori a single set of clinical outcomes to assess'' (p. 247). 28 Hull et al correctly assert that the effects of acupuncture cannot be easily quantified by commonly examined clinical outcomes due to its whole systems construct.…”

Section: Pboa Instruments In Acupuncture Versus Conventional Therapy mentioning

confidence: 99%

“…Such individualized treatment approaches and therapeutic objectives limit the ability of standardized instruments to assess meaningful clinical change among groups of patients'' (p. 248). 28 Yet, acupuncture researchers, like all clinical researchers, should assess the appropriateness of their treatment approach defined and measured by clinically significant change and determine patient satisfaction from the intervention.…”

Section: Pboa Instruments In Acupuncture Versus Conventional Therapy mentioning

confidence: 99%

“…Therefore, instruments such as MYMOP can be the most useful for assessing clinical change among patients who present for acupuncture treatment with a variety of symptoms, clinical conditions, and therapeutic objectives. 28 Further research is needed to determine whether these results apply across other whole medical system therapies compared to conventional therapy research.…”

Section: Pboa Instruments In Acupuncture Versus Conventional Therapy mentioning

confidence: 99%

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Patient-Based Outcome Assessment Instruments in Acupuncture Research

Khorsan

York²,

Coulter³

et al. 2010

The Journal of Alternative and Complementary Medicine

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Background: Outcome assessment can support the therapeutic process by providing a way to track symptoms and functionality over time, providing insights to clinicians and patients, as well as offering a common language to discuss patient behavior=functioning. Objectives: In this article, we examine the patient-based outcome assessment (PBOA) instruments that have been used to determine outcomes in acupuncture clinical research and highlight measures that are feasible, practical, economical, reliable, valid, and responsive to clinical change. The aims of this review were to assess and identify the commonly available PBOA measures, describe a framework for identifying appropriate sets of measures, and address the challenges associated with these measures and acupuncture. Instruments were evaluated in terms of feasibility, practicality, economy, reliability, validity, and responsiveness to clinical change. Methods: This study was a systematic review. A total of 582 abstracts were reviewed using PubMed (from inception through April 2009). Results: A total of 582 citations were identified. After screening of title=abstract, 212 articles were excluded. From the remaining 370 citations, 258 manuscripts identified explicit PBOA; 112 abstracts did not include any PBOA. The five most common PBOA instruments identified were the Visual Analog Scale, Symptom Diary, Numerical Pain Rating Scales, SF-36, and depression scales such as the Beck Depression Inventory. Conclusions: The way a questionnaire or scale is administered can have an effect on the outcome. Also, developing and validating outcome measures can be costly and difficult. Therefore, reviewing the literature on existing measures before creating or modifying PBOA instruments can significantly reduce the burden of developing a new measure.

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Section: Pboa Instruments In Acupuncture Versus Conventional Therapy mentioning

confidence: 99%

Section: Pboa Instruments In Acupuncture Versus Conventional Therapy mentioning

confidence: 99%

Section: Pboa Instruments In Acupuncture Versus Conventional Therapy mentioning

confidence: 99%

See 1 more Smart Citation

Patient-Based Outcome Assessment Instruments in Acupuncture Research

Khorsan

York²,

Coulter³

et al. 2010

The Journal of Alternative and Complementary Medicine

Self Cite

View full text Add to dashboard Cite

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“…[4][5][6] While there is considerable debate regarding how best to address this, 7 it is generally accepted that the collection of data on trends of use and outcomes of care are timely and relevant. [8][9][10][11][12][13] Also, there is value in engaging TCM providers in the data collection process; they can provide valuable perspective to research regarding cultural context and current practice norms. [14][15][16][17][18] However, there are special challenges in doing so, specifically a lack of practitioner resources, interest, and skills.…”

mentioning

confidence: 99%

“…While acupuncture data collection and outcomes measurement have been conducted in various settings, 8,12,[23][24][25][26] few studies have illustrated methods to engage a TCM academic community in describing and evaluating patients in their teaching clinics. In 2006, Xing et al published one of the first studies of patient characteristics and outcomes collected specifically in an acupuncture teaching clinic.…”

mentioning

confidence: 99%

The Development of a Prospective Data Collection Process in a Traditional Chinese Medicine Teaching Clinic

Maiers

McKenzie

Evans

et al. 2009

The Journal of Alternative and Complementary Medicine

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Objective: There is a growing need for students and practitioners of Traditional Chinese Medicine to gain experience with standardized data collection, patient outcomes measurement, and practice-based research. The purpose of this paper is to describe the development of a process for standardized data collection that could eventually be adopted for clinical, research, and quality assurance purposes. Settings/location: The setting for this study was an acupuncture and Oriental medicine teaching clinic in Bloomington, Minnesota. Methods: Four (4) aspects of data collection were assessed and improved, including intake and post-treatment questionnaires, follow-up with patients, integration of data collection into clinic flow, and commitment of resources to the project. Outcome measures: The outcomes measures were data collection and missing data rates, burden on patients and clinic staff, and efficiency of data entry. Results: Revision to the data collection process resulted in decreased burden to patients and staff, more detailed and aggressive follow-up protocols, enhanced training for clinic staff, and increased personnel and datarelated resources. Conclusions:The systematic collection of descriptive and clinical characteristics can be accomplished in a teaching clinic with thoughtful attention paid to data collection protocols, dedicated resources, and the involvement of all relevant personnel. 305

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