Patient & Provider Perspectives on Homeopathic Treatment

病人

• 批准号: 6559618
• 负责人: IRIS Roberta BELL
• 金额: $ 18.86万
• 依托单位: UNIVERSITY OF ARIZONA
• 依托单位国家: 美国
• 财政年份: 2003
• 资助国家: 美国
• 起止时间: 2003-01-01 至 2004-11-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/6559618
• 关键词: alternative medicine; chronic disease /disorder; clinical research; data management; health care; human subject; human therapy evaluation; interview; longitudinal human study; outcomes research; psychophysiology; questionnaires

DESCRIPTION (provided by applicant): Homeopathy, a major system of care within complementary and alternative medicine (CAM) is a 200-year-old field that has to date stimulated much debate over the nature of its medicines (remedies), but little research on its diagnostic and therapeutic process as experienced by providers and patients in clinical practice. Homeopaths report that their patients undergo a broader scope and deeper quality of change in multiple dimensions than do allopathic patients. The overarching goal of this R21, 2-year exploratory proposal is to understand successful homeopathic treatment of chronic diseases in the context of previously unsuccessful homeopathic treatment, other CAM interventions, and allopathic care, from both provider and patient perspectives. The three distinct analytic design components, each with its own unique qualitative research methodologies, address: Specific Aim 1 Develop a grounded theory that explicates the delivery of care process by classical homeopathic providers with differing conventional medical and CAM professional training backgrounds. Specific Aim 2 Describe the patient's lived experience of homeopathic and other health care. Specific Aim 3 Evaluate similarities and differences in perceptions of treatment course and outcomes between patients and providers within each homeopathic orientation. Participants will include (a) classical homeopathic providers (selecting a single remedy to address the entire person as a whole system) will allopathic professional training (MD, DU, NP, PA); (b) classical homeopathic providers with CAM professional training (ND, DC, HMA, lay professional homeopaths); and (c) exemplar patients of each provider, i.e., patients with any previously established, chronic allopathic diagnosis who, in the provider's global clinical impression, have exhibited a sustained, "outstanding or extremely successful outcome in their condition" for at least 1 year follow-up. Prior research and clinical observations suggest that such patients also will have had experiences with unsuccessful homeopathic, other CAM, and allopathic treatments to compare with their currently "successful" outcomes. For the Grounded Theory component (Aim 1), providers (N=48) will undergo both individual interviews and focus groups. For the Phenomenology component (Aim 2), patients (N=48) will undergo individual interviews. For the Comparative Analysis component (Aim 3), we will evaluate both data sets to develop an explanatory model of successful homeopathic treatment. This project is part of the Pi's long-term interactive homeopathy research program on patient-centered issues and psychophysiological markers of homeopathic remedy effects. Findings from this proposed study should help clarify the proper premises and parameters on which to base future prospective qualitative and quantitative research in homeopathy.

顺势疗法是补充和替代医学（CAM）中的一个主要护理系统，是一个有200年历史的领域，迄今为止，它激发了对其药物（补救措施）性质的许多辩论，但很少研究其诊断和治疗过程，如提供者和患者在临床实践中所经历的。 顺势疗法报告说，他们的病人经历了更广泛的范围和更深的质量变化在多个维度比对抗疗法的病人。 这个R21，2年探索性提案的总体目标是从提供者和患者的角度，在以前不成功的顺势疗法治疗，其他CAM干预和对抗疗法护理的背景下，了解慢性病的成功顺势疗法治疗。三个不同的分析设计组成部分，每个都有自己独特的定性研究方法，地址：具体目标1开发一个接地的理论，阐述了传统的顺势疗法提供者提供不同的传统医疗和CAM专业培训背景的护理过程。 具体目标2描述病人的顺势疗法和其他保健的生活经验。 具体目标3评估在每一个顺势疗法的方向患者和供应商之间的治疗过程和结果的看法的相似性和差异。 参与者将包括（a）经典顺势疗法提供者（选择单一疗法以解决整个人作为一个整体系统）将对抗疗法专业培训（MD、DU、NP、PA）;（B）具有CAM专业培训的经典顺势疗法提供者（ND、DC、HMA、外行专业顺势疗法医生）;以及（c）每个提供者的示范患者，即，具有任何先前确定的慢性对抗疗法诊断的患者，在提供者的全球临床印象中，在至少1年的随访中显示出持续的、“在其病症中突出或非常成功的结果”。 先前的研究和临床观察表明，这些患者也将有不成功的顺势疗法，其他CAM和对抗疗法治疗的经验，以与他们目前的“成功”结果进行比较。对于扎根理论部分（目标1），提供者（N=48）将接受个人访谈和焦点小组。 对于现象学部分（目标2），患者（N=48）将接受个体访谈。 对于比较分析部分（目标3），我们将评估两个数据集，以开发成功顺势疗法治疗的解释模型。 该项目是Pi的长期互动顺势疗法研究计划的一部分，该计划以患者为中心的问题和顺势疗法疗效的心理生理学标志物。 这项研究的结果应该有助于澄清正确的前提和参数，在此基础上，未来的前瞻性定性和定量研究顺势疗法。