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: 7489474
• 负责人: CHERYL KAY RITENBAUGH
• 金额: $ 35.43万
• 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 2011-08-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7489474
• 关键词: Acupuncture procedure; Address; Biomedical Research; Characteristics; Client; Complementary Medicine; Complementary and alternative medicine; Condition; Data; Data Set; Descriptor; Development; Dimensions; Disease; Emotional; Equilibrium; Ethnic group; Evaluation; Focus Groups; Goals; Homeopathy; Individual; Institution; Interview; Language; Life Experience; Measurement; Measures; Medicine; Methodology; NIH Program Announcements; Organ; Outcome; Outcome Measure; Participant; Patients; Peer Review; Personal Satisfaction; Persons; Phase; Population; Population Heterogeneity; Psyche structure; Publishing; Qi; Questionnaires; Reporting; Research; Research Peer Review; Research Personnel; Scientist; Series; Signs and Symptoms; Symptoms; System; Testing; Transcend; Validity and Reliability; base; behavioral/social science; concept; drug mechanism; experience; improved; instrument; patient oriented; person centered; restoration; spiritual healing; tool

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(申请人提供)：在补充和替代医学(CAM)中，许多疗法或药物针对的是整个人，重点是生命力、气、呼吸或类似的概念。这与生物医学不同，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群体，并适当地使用与生物医学条件相关的结果衡量标准。然而，结果适合于对CAM系统的理解，在整个人的层面上评估变化(例如，能量、福祉)。往往是缺乏的。此外，有证据表明，一些接受CAM疗法的人，特别是那些可能被认为具有能量或精神成分的疗法(例如顺势疗法、能量或精神疗愈、针灸)，报告了W.R.Miller和其他人所描述的所谓的变革性体验。CAM研究人员还没有工具来衡量结果，这些工具是基于对CAM客户体验全人结果或变革性体验的经验研究。此应用程序建议实现两个目标-确定与CAM治疗相关的重要整体结果，以建议在CAM研究中进行一致的评估，以及开发和验证那些没有可用项目的测量工具，如变革性变化。具体目标是(1)重新分析五个关于CAM患者的现有定性数据集和两个关于从业者通过CAM治疗获得的结果的定性数据集，确定参与者自然语言的全人体验的描述符，以用于制定新的问卷条目；(2)使用这些结果来开发(编制)CAM全人结果问卷，包括从现有问卷中确定的条目和量表，以最好地评估最常见的CAM结果，以及根据定性数据根据需要添加新的条目；以及(3)在为种族多样性和CAM体验而选择的适当人群中严格评估这一工具。在这个项目中，来自四个美国和一个加拿大机构的科学家独立进行了同行评议的CAM研究，他们将他们的定性数据集和独特的CAM研究经验与适当的顾问结合起来，开发出一种在CAM和非CAM环境中具有潜在广泛适用性的结果工具。