Positive Health Online

Abstract

PATERSON and BRITTEN, MRC Health Services Research Collaboration, Department of Social Medicine, University of Bristol, Bristol, UK, c.paterson@bristol.ac.uk, have conducted research into acupuncture for chronic illness, combining qualitative and quantitative outcome assessment.

Background

Many people with chronic illnesses choose acupuncture treatment. This study attempted to ask what benefits and problems these people experience, and what feels important to them, as well as whether subjective health questionnaires encompass and measure these treatment effects.

Methodology

In this longitudinal qualitative study, 23 people having acupuncture for the first time for chronic conditions were interviewed three times within 6 months. They also completed questionnaires at three different time points.

Results

In addition to changes in their presenting symptoms, people also reported changes in energy levels and in their personal and social identity. These whole-person effects were distinct and developed individually over time. The health status questionnaires varied in their ability to reflect and measure these changes, and the whole person effects were often missed. After 6 months, some patients had changed their treatment goals and some were still seeing health improvement. One person reported an exacerbation of symptoms.

Conclusion

The knowledge that treatment outcomes can vary enormously in their range, individuality, and temporal patterns can guide patients, providers, and researchers of acupuncture. Qualitative methods have highlighted the strengths and weaknesses of different outcome measures, and the importance of long-term follow-up.

References

Paterson C, Britten N. Acupuncture for people with chronic illnesses: combining qualitative and quantitative outcome assessment. The Journal of Alternative and Complementary Medicine 9 (5): 671-681, Oct 2003.