Complementary and alternative medicine (CAM) providers' views of chronic low back pain patients' expectations of CAM therapies: a qualitative study

Persistent Link:
http://hdl.handle.net/10150/610362
Title:
Complementary and alternative medicine (CAM) providers' views of chronic low back pain patients' expectations of CAM therapies: a qualitative study
Author:
Schafer, Lisa; Hsu, Clarissa; Eaves, Emery; Ritenbaugh, Cheryl; Turner, Judith; Cherkin, Daniel; Sims, Colette; Sherman, Karen
Affiliation:
Center for Community Health and Evaluation, Group Health Research Institute, 1730 Minor Avenue, Suite 1600, Seattle, WA, 98101, USA; Department of Family and Community Medicine, University of Arizona, 1450 N Cherry Avenue, Tucson, AZ, 85719, USA; Department of Psychiatry and Behavioral Sciences, University of Washington, Box 356560, Seattle, WA, 98195-6560, USA; Group Health Research Institute, 1730 Minor Avenue, Suite 1600, Seattle, WA, 98101, USA
Issue Date:
2012
Publisher:
BioMed Central
Citation:
Schafer et al. BMC Complementary and Alternative Medicine 2012, 12:234 http://www.biomedcentral.com/1472-6882/12/234
Journal:
BMC Complementary and Alternative Medicine
Rights:
© 2012 Schafer et al.; licensee BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0)
Collection Information:
This item is part of the UA Faculty Publications collection. For more information this item or other items in the UA Campus Repository, contact the University of Arizona Libraries at repository@u.library.arizona.edu.
Abstract:
BACKGROUND:Some researchers think that patients with higher expectations for CAM therapies experience better outcomes and that enthusiastic providers can enhance treatment outcomes. This is in contrast to evidence suggesting conventional medical providers often reorient patient expectations to better match what providers believe to be realistic. However, there is a paucity of research on CAM providers' views of their patients' expectations regarding CAM therapy and the role of these expectations in patient outcomes.METHODS:To better understand how CAM providers view and respond to their patients' expectations of a particular therapy, we conducted 32 semi-structured, qualitative interviews with acupuncturists, chiropractors, massage therapists and yoga instructors identified through convenience sampling. Interviews were recorded, transcribed and analyzed thematically using Atlas ti version 6.1.RESULTS:CAM providers reported that they attempt to ensure that their patients' expectations are realistic. Providers indicated they manage their patients' expectations in a number of domains-- roles and responsibilities of providers and patients, treatment outcomes, timeframe for improvement, and treatment experience. Providers reported that patients' expectations change over time and that they need to continually manage these expectations to enhance patient engagement and satisfaction with treatment.CONCLUSIONS:Providers of four types of CAM therapies viewed patients' expectations as an important component of their experiences with CAM therapy and indicated that they try to align patient expectations with reality. These findings suggest that CAM providers are similar in this respect to conventional medical providers.
EISSN:
1472-6882
DOI:
10.1186/1472-6882-12-234
Keywords:
Expectations; Providers; Qualitative research; Chiropractic; Massage; Acupuncture; Yoga; Complementary medicine; Alternative medicine
Version:
Final published version
Additional Links:
http://www.biomedcentral.com/1472-6882/12/234

Full metadata record

DC FieldValue Language
dc.contributor.authorSchafer, Lisaen
dc.contributor.authorHsu, Clarissaen
dc.contributor.authorEaves, Emeryen
dc.contributor.authorRitenbaugh, Cherylen
dc.contributor.authorTurner, Judithen
dc.contributor.authorCherkin, Danielen
dc.contributor.authorSims, Coletteen
dc.contributor.authorSherman, Karenen
dc.date.accessioned2016-05-20T09:05:09Z-
dc.date.available2016-05-20T09:05:09Z-
dc.date.issued2012en
dc.identifier.citationSchafer et al. BMC Complementary and Alternative Medicine 2012, 12:234 http://www.biomedcentral.com/1472-6882/12/234en
dc.identifier.doi10.1186/1472-6882-12-234en
dc.identifier.urihttp://hdl.handle.net/10150/610362-
dc.description.abstractBACKGROUND:Some researchers think that patients with higher expectations for CAM therapies experience better outcomes and that enthusiastic providers can enhance treatment outcomes. This is in contrast to evidence suggesting conventional medical providers often reorient patient expectations to better match what providers believe to be realistic. However, there is a paucity of research on CAM providers' views of their patients' expectations regarding CAM therapy and the role of these expectations in patient outcomes.METHODS:To better understand how CAM providers view and respond to their patients' expectations of a particular therapy, we conducted 32 semi-structured, qualitative interviews with acupuncturists, chiropractors, massage therapists and yoga instructors identified through convenience sampling. Interviews were recorded, transcribed and analyzed thematically using Atlas ti version 6.1.RESULTS:CAM providers reported that they attempt to ensure that their patients' expectations are realistic. Providers indicated they manage their patients' expectations in a number of domains-- roles and responsibilities of providers and patients, treatment outcomes, timeframe for improvement, and treatment experience. Providers reported that patients' expectations change over time and that they need to continually manage these expectations to enhance patient engagement and satisfaction with treatment.CONCLUSIONS:Providers of four types of CAM therapies viewed patients' expectations as an important component of their experiences with CAM therapy and indicated that they try to align patient expectations with reality. These findings suggest that CAM providers are similar in this respect to conventional medical providers.en
dc.language.isoenen
dc.publisherBioMed Centralen
dc.relation.urlhttp://www.biomedcentral.com/1472-6882/12/234en
dc.rights© 2012 Schafer et al.; licensee BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0)en
dc.subjectExpectationsen
dc.subjectProvidersen
dc.subjectQualitative researchen
dc.subjectChiropracticen
dc.subjectMassageen
dc.subjectAcupunctureen
dc.subjectYogaen
dc.subjectComplementary medicineen
dc.subjectAlternative medicineen
dc.titleComplementary and alternative medicine (CAM) providers' views of chronic low back pain patients' expectations of CAM therapies: a qualitative studyen
dc.typeArticleen
dc.identifier.eissn1472-6882en
dc.contributor.departmentCenter for Community Health and Evaluation, Group Health Research Institute, 1730 Minor Avenue, Suite 1600, Seattle, WA, 98101, USAen
dc.contributor.departmentDepartment of Family and Community Medicine, University of Arizona, 1450 N Cherry Avenue, Tucson, AZ, 85719, USAen
dc.contributor.departmentDepartment of Psychiatry and Behavioral Sciences, University of Washington, Box 356560, Seattle, WA, 98195-6560, USAen
dc.contributor.departmentGroup Health Research Institute, 1730 Minor Avenue, Suite 1600, Seattle, WA, 98101, USAen
dc.identifier.journalBMC Complementary and Alternative Medicineen
dc.description.collectioninformationThis item is part of the UA Faculty Publications collection. For more information this item or other items in the UA Campus Repository, contact the University of Arizona Libraries at repository@u.library.arizona.edu.en
dc.eprint.versionFinal published versionen
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