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，重点关注生命力、气、普拉纳或类似概念。这与生物医学形成鲜明对比，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测量。然而，通常缺乏适合理解 CAM 系统、评估整个人水平变化（例如精力、幸福感）的结果。此外，有证据表明，一些接受 CAM 疗法的个体，尤其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、能量或精神治疗、针灸），报告了所谓的变革性体验，正如 W.R.米勒等人。 CAM 研究人员还没有工具来衡量基于对 CAM 客户经历全人结果或变革经历的实证研究的结果。该应用旨在实现两个目标 - 确定与 CAM 疗法相关的重要的整体结果，以建议在 CAM 研究中进行一致的评估，以及开发和验证针对那些没有可用项目（例如变革性变化）的维度的测量工具。具体目标是 (1) 重新分析 CAM 患者的五个现有定性数据集和与 CAM 治疗经历的结果相关的从业者的两个定性数据集，识别参与者自然语言中的整个人体验的描述符，用于开发新的问卷项目; (2) 使用这些结果开发（编制）CAM 全人结果调查问卷，包括现有调查问卷中确定的项目和量表，以最好地评估最常见的 CAM 结果，以及根据定性数据根据需要添加新项目； (3) 在因种族多样性和 CAM 经验而选择的适当人群中严格评估该工具。在该项目中，来自四家美国和一家加拿大机构的科学家独立进行了同行评审的 CAM 研究，将他们的定性数据集和独特的 CAM 研究经验与适当的顾问相结合，开发出一种在 CAM 和非 CAM 环境中具有潜在广泛适用性的成果工具。