Developing Patient-Centered Measures for Outcomes of CAM Therapies

制定以患者为中心的 CAM 治疗结果措施

• 批准号: 7149665
• 负责人: CHERYL KAY RITENBAUGH
• 金额: $ 35.16万
• 依托单位: UNIVERSITY OF ARIZONA
• 依托单位国家: 美国
• 财政年份: 2006
• 资助国家: 美国
• 起止时间: 2006-09-01 至 2009-08-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7149665
• 关键词: alternative medicine; clinical research; experience; questionnaires

DESCRIPTION (provided by applicant): Within complementary and alternative medicine (CAM), many therapies or medicines target the whole person, with focus on vital force, qi, prana, or similar concepts. This contrasts with biomedicine, where the focus is on specific diseases, organs, symptoms, or mechanisms (drugs). Modern CAM research often studies patient populations defined in biomedical terms, and appropriately uses outcome measures defined in relation to biomedical conditions. However, outcomes appropriate to the understanding of the CAM systems, evaluating changes at the level of the whole person (e.g. energy, well-being.) are often lacking. Further, there is evidence that some individuals receiving CAM therapies, especially those therapies that might be considered to have an energetic or spiritual component (e.g. homeopathy, energy or spiritual healing, acupuncture), report what can be called transformative experiences, as described by W.R.Miller and others. CAM researchers have not had tools to measure outcomes that are based on empirical studies of CAM clients experiencing whole person outcomes or transformative experiences. This application proposes to accomplish two goals - identifying important whole person outcomes associated with CAM therapies to propose for consistent evaluation in CAM research, and developing and validating a measurement instrument for those dimensions without available items, such as transformative change. The specific aims are (1) to reanalyze five existing qualitative data sets on CAM patients and two on practitioners relating to outcomes experienced through CAM therapies, identifying descriptors of whole person experiences in participants' natural language, to use in the development of new questionnaire items; (2) to use these results to develop (compile) a CAM whole person outcomes questionnaire, including items and scales from existing questionnaires identified to best evaluate the most common CAM outcomes, and new items as needed based on the qualitative data; and (3) to rigorously evaluate this tool in appropriate populations chosen for ethnic diversity and CAM experiences. In this project, scientists from four US and one Canadian institution who have independently conducted peer-reviewed CAM research combine their qualitative data sets and unique CAM research experiences with appropriate consultants to develop an outcomes instrument with potential broad applicability in CAM and non-CAM settings.

描述（由申请人提供）：在补充和替代医学（CAM）中，许多疗法或药物针对整个人，重点是生命力，气，prana或类似概念。这与生物医学相反，生物医学的重点是特定的疾病，器官，症状或机制（药物）。现代CAM研究经常研究以生物医学术语定义的患者人群，并适当使用与生物医学条件相关的结果测量。然而，结果适合于CAM系统的理解，评估整个人水平的变化（例如能量，福祉）。往往缺乏。此外，有证据表明，一些接受CAM治疗的人，特别是那些可能被认为具有能量或精神成分的治疗（例如顺势疗法，能量或精神治疗，针灸），报告了可以称为转化体验的经历，如W.R.米勒和其他人所描述的。CAM研究人员还没有工具来衡量基于CAM客户体验全人成果或变革体验的实证研究的成果。本申请旨在实现两个目标-确定与CAM治疗相关的重要的全人结局，以在CAM研究中进行一致的评价，并为那些没有可用项目的维度（如变革性变化）开发和验证测量工具。具体目标是（1）重新分析CAM患者的五个现有定性数据集和CAM治疗经验的结果相关的从业者的两个数据集，确定参与者自然语言中的整个人的经验描述符，用于开发新的问卷项目;（2）利用这些结果编制CAM全人结果问卷，包括从现有问卷中确定的项目和量表，以最好地评估最常见的CAM结果，以及根据定性数据需要的新项目;以及（3）在根据种族多样性和CAM经验选择的适当人群中严格评估该工具。在这个项目中，来自四个美国和一个加拿大机构的科学家谁独立进行同行评审CAM研究联合收割机结合他们的定性数据集和独特的CAM研究经验与适当的顾问开发一个结果工具，在CAM和非CAM设置具有潜在的广泛适用性。