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Patients’ perceptions on non‐specific effects of acupuncture: Qualitative comparison between responders and non‐responders

BACKGROUND: Non-specific effect of acupuncture constitutes part of the overall effect generated via clinical encounter beyond needle insertion and stimulation. It is unclear how responders and non-responders of acupuncture experience non-specific effects differently. We aimed to compare their experi...

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Autores principales: Ho, Robin S.T., Ho, Fai Fai, Adams, Jon, Cramer, Holger, Leung, Brenda, Ward, Lesley, Zhang, Yan, Chung, Vincent C.H.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8503627/
https://www.ncbi.nlm.nih.gov/pubmed/34660196
http://dx.doi.org/10.1016/j.imr.2021.100771
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author Ho, Robin S.T.
Ho, Fai Fai
Adams, Jon
Cramer, Holger
Leung, Brenda
Ward, Lesley
Zhang, Yan
Chung, Vincent C.H.
author_facet Ho, Robin S.T.
Ho, Fai Fai
Adams, Jon
Cramer, Holger
Leung, Brenda
Ward, Lesley
Zhang, Yan
Chung, Vincent C.H.
author_sort Ho, Robin S.T.
collection PubMed
description BACKGROUND: Non-specific effect of acupuncture constitutes part of the overall effect generated via clinical encounter beyond needle insertion and stimulation. It is unclear how responders and non-responders of acupuncture experience non-specific effects differently. We aimed to compare their experiences in a nested qualitative study embedded in an acupuncture randomized trial on functional dyspepsia. METHODS: Purposive sampling was used to capture experience of responders (n=15) and non-responders (n=15) to acupuncture via individual in-depth interviews. Design and analysis followed a framework analysis approach, with reference to an existing model on acupuncture non-specific effects. Themes emerging outside of this model were purposefully explored. RESULTS: Responders had a more trusting relationship with acupuncturist in response to their expression of empathy. In turn they were more actively engaged in lifestyle modifications and dietary advice offered by acupuncturists. Non-responders were not satisfied with the level of reassurance regarding acupuncture safety. They were also expecting more peer support from fellow participants, regarded that as an empowerment process for initiating and sustaining lifestyle changes. CONCLUSIONS: Our results highlighted key differences in acupuncture non-specific effect components experienced by responders and non-responders. Positive non-specific effects contributing to overall benefits could be enhanced by emphasizing on empathy expression from acupuncturists, trust-building, offering appropriate explanations on safety, and organizing patient support groups. Further research on the relative importance of each component is warranted.
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spelling pubmed-85036272021-10-15 Patients’ perceptions on non‐specific effects of acupuncture: Qualitative comparison between responders and non‐responders Ho, Robin S.T. Ho, Fai Fai Adams, Jon Cramer, Holger Leung, Brenda Ward, Lesley Zhang, Yan Chung, Vincent C.H. Integr Med Res Original article BACKGROUND: Non-specific effect of acupuncture constitutes part of the overall effect generated via clinical encounter beyond needle insertion and stimulation. It is unclear how responders and non-responders of acupuncture experience non-specific effects differently. We aimed to compare their experiences in a nested qualitative study embedded in an acupuncture randomized trial on functional dyspepsia. METHODS: Purposive sampling was used to capture experience of responders (n=15) and non-responders (n=15) to acupuncture via individual in-depth interviews. Design and analysis followed a framework analysis approach, with reference to an existing model on acupuncture non-specific effects. Themes emerging outside of this model were purposefully explored. RESULTS: Responders had a more trusting relationship with acupuncturist in response to their expression of empathy. In turn they were more actively engaged in lifestyle modifications and dietary advice offered by acupuncturists. Non-responders were not satisfied with the level of reassurance regarding acupuncture safety. They were also expecting more peer support from fellow participants, regarded that as an empowerment process for initiating and sustaining lifestyle changes. CONCLUSIONS: Our results highlighted key differences in acupuncture non-specific effect components experienced by responders and non-responders. Positive non-specific effects contributing to overall benefits could be enhanced by emphasizing on empathy expression from acupuncturists, trust-building, offering appropriate explanations on safety, and organizing patient support groups. Further research on the relative importance of each component is warranted. Elsevier 2022-03 2021-08-21 /pmc/articles/PMC8503627/ /pubmed/34660196 http://dx.doi.org/10.1016/j.imr.2021.100771 Text en © 2021 Korea Institute of Oriental Medicine. Published by Elsevier B.V. https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).
spellingShingle Original article
Ho, Robin S.T.
Ho, Fai Fai
Adams, Jon
Cramer, Holger
Leung, Brenda
Ward, Lesley
Zhang, Yan
Chung, Vincent C.H.
Patients’ perceptions on non‐specific effects of acupuncture: Qualitative comparison between responders and non‐responders
title Patients’ perceptions on non‐specific effects of acupuncture: Qualitative comparison between responders and non‐responders
title_full Patients’ perceptions on non‐specific effects of acupuncture: Qualitative comparison between responders and non‐responders
title_fullStr Patients’ perceptions on non‐specific effects of acupuncture: Qualitative comparison between responders and non‐responders
title_full_unstemmed Patients’ perceptions on non‐specific effects of acupuncture: Qualitative comparison between responders and non‐responders
title_short Patients’ perceptions on non‐specific effects of acupuncture: Qualitative comparison between responders and non‐responders
title_sort patients’ perceptions on non‐specific effects of acupuncture: qualitative comparison between responders and non‐responders
topic Original article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8503627/
https://www.ncbi.nlm.nih.gov/pubmed/34660196
http://dx.doi.org/10.1016/j.imr.2021.100771
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