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How do homeopaths make decisions? An exploratory study of inter-rater reliability and intuition in the decision making process

Brien, S., Prescott, P., Owen, D. and Lewith, G. (2004) How do homeopaths make decisions? An exploratory study of inter-rater reliability and intuition in the decision making process Homeopathy, 93, (3), pp. 125-131. (doi:10.1016/j.homp.2004.04.001).

Record type: Article


The validity of clinical decision making in homeopathy is largely unexplored and little is understood about the process or its reliability. This exploratory study investigated, in the context of a questionnaire based re-proving of Belladonna 30c, the extent to which decisions are based on clinical facts or intuition and how reliable decisions are. Three experienced, independent homeopathic clinicians/proving researchers rated the symptom diaries of the 206 subjects taking part. They reported their proving decision (ie positive proving response, no proving response or undecided) based on the total symptom profiles and rated (on a scale of 0–10) their use of clinical facts or intuition. Keynote symptoms and overall confidence scores were also reported. The level of agreement between raters was generally poor (weighted kappa 0.349–0.064). All raters used both facts and intuition. The rater's reliance on the facts was significantly associated with classifying those subjects who had no proving response [rater 1, P < 0.001; rater 2, P < 0.001]. Raters used significantly higher intuition scores when classifying a prover [rater 2, P = 0.001; rater 3, P = 0.012]. Issues regarding the education and practice of homeopathy are discussed.

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Published date: July 2004
Keywords: clinical decision making, intuition, inter-rater reliability, proving, belladonna
Organisations: Statistics


Local EPrints ID: 24283
ISSN: 1475-4916
PURE UUID: 451d652b-eabe-466e-be35-0f4f5661c8b9

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Date deposited: 30 Mar 2006
Last modified: 17 Jul 2017 16:14

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