Traditional acupuncture for people with medically unexplained symptoms: a longitudinal qualitative study of patients' experiences
Traditional acupuncture for people with medically unexplained symptoms: a longitudinal qualitative study of patients' experiences
Background:
People with medically unexplained physical symptoms (MUPS) are helped by interventions that combine physical and psychological explanations and treatment. Traditional acupuncture may offer such a perspective, but its use for these patients has not been investigated.
Aim:
To ascertain how patients with MUPS perceive and experience five-element acupuncture treatment.
Design and setting:
A longitudinal qualitative interview study, nested in a randomised controlled trial was carried out in four general practices in socioeconomically diverse areas of London.
Method:
A purposive sample of 20 trial participants was interviewed twice, at the start and the end of 6 months of acupuncture treatment. Semi-structured interviews were transcribed, coded, and analysed thematically, summarising both across-case as themes and within-case individual vignettes.
Results:
Acupuncture, initially accepted as 'just another referral' - one like many others that had been tried and proved unsuccessful — was valued for the amount of time allotted with a caring practitioner who listened and responded, as well as for the interactive and holistic nature of the sessions. These attributes encouraged many patients to take an active role in their treatment, including making cognitive or behavioural lifestyle changes. Interviewees cited a wide range of changes in their health that spanned physical, psychological, and social dimensions. These were largely positive and included an increase in physical and/or mental energy, as well as feelings of greater personal control, calmness, and relaxation. Three interviewees reported worsening health but did not ascribe this to acupuncture.
Conclusion:
Many patients who were treated with five-element acupuncture perceived a range of positive effects and appeared to take on a more active role in consultations and self-care.
acupuncture therapy, frequent attenders, patient participation, primary care, qualitative research, unexplained symptoms
e306-e315
Rugg, S.
3336c1b4-bee6-4371-b57e-32966df7ee8f
Paterson, C.
eda0f81c-90ca-41f3-b839-40d64b98b33f
Britten, N.
a90b1b6f-5a45-452c-bb82-6527ed3f9aa7
Bridges, J.
57e80ebe-ee5f-4219-9bbc-43215e8363cd
Griffiths, P.
ac7afec1-7d72-4b83-b016-3a43e245265b
June 2011
Rugg, S.
3336c1b4-bee6-4371-b57e-32966df7ee8f
Paterson, C.
eda0f81c-90ca-41f3-b839-40d64b98b33f
Britten, N.
a90b1b6f-5a45-452c-bb82-6527ed3f9aa7
Bridges, J.
57e80ebe-ee5f-4219-9bbc-43215e8363cd
Griffiths, P.
ac7afec1-7d72-4b83-b016-3a43e245265b
Rugg, S., Paterson, C., Britten, N., Bridges, J. and Griffiths, P.
(2011)
Traditional acupuncture for people with medically unexplained symptoms: a longitudinal qualitative study of patients' experiences.
British Journal of General Practice, 61 (587), .
(doi:10.3399/bjgp11X577972).
(PMID:21801509)
Abstract
Background:
People with medically unexplained physical symptoms (MUPS) are helped by interventions that combine physical and psychological explanations and treatment. Traditional acupuncture may offer such a perspective, but its use for these patients has not been investigated.
Aim:
To ascertain how patients with MUPS perceive and experience five-element acupuncture treatment.
Design and setting:
A longitudinal qualitative interview study, nested in a randomised controlled trial was carried out in four general practices in socioeconomically diverse areas of London.
Method:
A purposive sample of 20 trial participants was interviewed twice, at the start and the end of 6 months of acupuncture treatment. Semi-structured interviews were transcribed, coded, and analysed thematically, summarising both across-case as themes and within-case individual vignettes.
Results:
Acupuncture, initially accepted as 'just another referral' - one like many others that had been tried and proved unsuccessful — was valued for the amount of time allotted with a caring practitioner who listened and responded, as well as for the interactive and holistic nature of the sessions. These attributes encouraged many patients to take an active role in their treatment, including making cognitive or behavioural lifestyle changes. Interviewees cited a wide range of changes in their health that spanned physical, psychological, and social dimensions. These were largely positive and included an increase in physical and/or mental energy, as well as feelings of greater personal control, calmness, and relaxation. Three interviewees reported worsening health but did not ascribe this to acupuncture.
Conclusion:
Many patients who were treated with five-element acupuncture perceived a range of positive effects and appeared to take on a more active role in consultations and self-care.
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More information
Published date: June 2011
Keywords:
acupuncture therapy, frequent attenders, patient participation, primary care, qualitative research, unexplained symptoms
Identifiers
Local EPrints ID: 168495
URI: http://eprints.soton.ac.uk/id/eprint/168495
ISSN: 0960-1643
PURE UUID: f4e30420-3ca8-4d7f-9994-659ee09222f3
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Date deposited: 30 Nov 2010 11:56
Last modified: 14 Mar 2024 02:57
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Author:
S. Rugg
Author:
C. Paterson
Author:
N. Britten
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