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: 7490772
• 负责人: CHERYL KAY RITENBAUGH
• 金额: $ 8.46万
• 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/7490772
• 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

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 CAMtherapies 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..

在补充和替代医学 (CAM) 中，许多疗法或药物针对整个 人，专注于生命力、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 重点是特定的疾病、器官、症状或机制（药物）。现代CAM研究经常 研究生物医学术语定义的患者群体，并适当使用定义的结果测量 与生物医学条件有关。然而，结果适合 CAM 的理解 通常缺乏评估整个人水平变化（例如精力、幸福感）的系统。 此外，有证据表明，一些接受 CAM 疗法的个体，尤其是那些 可能被认为具有精力充沛或精神成分（例如顺势疗法、能量或精神成分） 治疗、针灸），报告所谓的变革性经历，如 W.R.Miller 和 其他的。 CAM 研究人员还没有工具来衡量基于实证研究的结果 CAM 客户体验全人成果或变革性体验。本申请提出 实现两个目标 - 确定与 CAM 疗法相关的重要的整体结果 提议对 CAM 研究进行一致评估，并开发和验证测量 工具用于那些没有可用项目的维度，例如变革。 具体目标是 (1) 重新分析 CAM 患者的 5 个现有定性数据集和 2 个关于 CAM 患者的现有定性数据集。 与通过 CAM 疗法经历的结果相关的从业者，识别整体描述符 以参与者的自然语言表达的个人经历，用于开发新的问卷项目； (2) 利用这些结果制定（编制）CAM全人结果调查问卷，包括项目 和从现有调查问卷中确定的量表，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) 以适当的方式严格评估该工具 因种族多样性和 CAM 经验而被选择的人群。在这个项目中，来自四位美国和 一家加拿大机构独立进行了同行评审的 CAM 研究，将其 定性数据集和独特的 CAM 研究经验以及适当的顾问来开发 结果工具在 CAM 和非 CAM 环境中具有潜在广泛的适用性。