Willingness to participate in complementary and alternative medicine clinical trials among patients with craniofacial disorders.
Willingness to participate in complementary and alternative medicine clinical trials among patients with craniofacial disorders.
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愿意参加颅面疾病患者的补充和替代医学临床试验。
DOI：
10.1089/107555303765551615
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发表时间：
2003
期刊：
影响因子：
--
通讯作者：
DeBar,Lynn
中科院分区：
文献类型：
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作者：
Schneider,Jennifer;Vuckovic,Nancy;DeBar,Lynn
目的：俄勒冈补充和替代医学中心（OCCAM）与参与者进行了焦点小组讨论，以确定他们是否愿意加入补充和替代医学（CAM）研究，并帮助设计三个关于补充和替代医学和颅面疾病的临床随机对照试验（rct）。地点/地点：俄勒冈州波特兰市凯撒医疗机构健康研究中心。受试者：符合随机对照试验纳入标准的Kaiser Permanente健康计划成员。设计：共进行了十二（12）个焦点小组，共有85名参与者。六(6)个焦点小组的成员自认为是辅助生殖疗法的使用者。焦点小组探讨了参与者对颞下颌疾病（TMD）和牙周病的CAM治疗经验，以及他们对试验建议方面的反应。训练有素的主持人主持了焦点小组讨论，讨论持续了大约2个小时，并录制了录音以备将来抄录。然后，研究人员对这些记录进行编码，以确定对特定问题的回答，并捕捉突发主题。结果：针灸、脊椎指压疗法和按摩是最常被使用的，并被报告为对参与者有帮助。没有使用CAM治疗的参与者通过一项研究表达了对体验CAM治疗的兴趣和开放态度。一般来说，参与者表示愿意被随机分配到（而不是选择）CAM治疗组。如果在预约安排上有灵活性，大多数参与者都可以接受前往医生办公室和频繁（每周一次）的访问。结论：研究结果表明，即使是在没有使用CAM的个体中，也有相当大的意愿参与CAM试验。参与者参与辅助治疗研究的意愿受到他们病情的性质、他们之前接受常规和辅助治疗的经验以及通过参加试验“免费”体验辅助治疗的可能性的影响。他们的接受度也因为担心某些特殊的治疗方式和可能不得不放弃他们目前日常保健的某些方面而有所降低。从事CAM研究的研究人员在设计研究时应该考虑到这些因素。
Objectives:The Oregon Center for Complementary and Alternative Medicine (OCCAM) conducted focus groups with participants to determine willingness to join a complementary and alternative medicine (CAM) research study, and to aid in the design of three clinical randomized controlled trials (RCTs) of CAM and craniofacial disorders.Setting/location:Center for Health Research, Kaiser Permanente, in Portland, Oregon.Subjects:Kaiser Permanente health plan members meeting RCT inclusion criteria.Design:Twelve (12) focus groups were conducted with a total of 85 participants. Six (6) of the focus groups were with members who self-identified as users of CAM therapies. Focus groups explored participants' experiences of CAM for temporomandibular disorder (TMD) and periodontal disease, and their reactions to proposed aspects of the trials. Trained facilitators led the focus groups, which lasted approximately 2 hours and were audiotaped for future transcription. Researchers then coded the transcripts to identify responses to specific questions and to capture emergent themes.Results:Acupuncture, chiropractic, and massage were most frequently accessed and reported as helpful by participants. Participants who had not used CAM treatments for their condition expressed interest and openness to experiencing CAM treatments through a research study. In general, participants expressed willingness to be randomly assigned to (rather than choose) a CAM treatment arm. Travel to practitioners' offices and frequent (> 1 per week) visits were acceptable to most participants, if there was flexibility in appointment scheduling.Conclusions:Findings indicate considerable willingness to engage in CAM trials, even among individuals who have not used CAM. Participants' willingness to engage in CAM studies was influenced by the nature of their condition, their prior experiences with conventional and CAM treatments, and the possibility of experiencing CAM "for free" through participation in the trial. Their acceptance also was tempered by concerns about particular modalities and the possibility of having to give up aspects of their current health routine. Researchers engaging in CAM studies should take these factors into consideration as they design studies.