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Supporting informed choice in acupuncture: effects of a new person-, evidence-, and theory-based website for patients with back pain

Supporting informed choice in acupuncture: effects of a new person-, evidence-, and theory-based website for patients with back pain
Supporting informed choice in acupuncture: effects of a new person-, evidence-, and theory-based website for patients with back pain
Objectives:To test whether a newly developed person-, theory- and evidence-based website about acupuncture helps patients make informed decisions about whether or not to use acupuncture for back pain.Methods:A randomised online study compared a newly developed ‘enhanced website’ to a ‘standard website’. The enhanced website provided evidence-based information in a person-based manner and targeted psychological constructs. The standard website was based on a widely used patient information leaflet. In total, 350 adults with recent self-reported back pain were recruited from general practices in South West England. The two primary outcomes were knowledge change and making an informed choice about using acupuncture. Secondary outcomes were beliefs about and willingness to have acupuncture.Results:Participants who viewed the enhanced acupuncture website had a significantly greater increase in knowledge about acupuncture (M = 1.1, standard deviation (SD) = 1.7) than participants who viewed the standard website (M = 0.2, SD = 1.1; F(1, 315) = 37.93, p < 0.001, η2 = .107). Participants who viewed the enhanced acupuncture website were also 3.3 times more likely to make an informed choice about using acupuncture than those who viewed the standard website (χ2(1) = 23.46, p < 0.001). There were no significant effects on treatment beliefs or willingness to have acupuncture.Conclusion:The enhanced website improved patients’ knowledge and ability to make an informed choice about acupuncture, but did not optimise treatment beliefs or change willingness to have acupuncture. The enhanced website could be used to support informed decision-making among primary care patients and members of the general public considering using acupuncture for back pain.
1759-9873
98-106
Bishop, Felicity
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Greville-Harris, Madeleine L.
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Bostock, Jennifer
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Din, Amy, Elizabeth
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Graham, Cynthia
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Lewith, George
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Liossi, Christina
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O'Riordan, Tim
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White, Peter J.
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Yardley, Lucy
64be42c4-511d-484d-abaa-f8813452a22e
Bishop, Felicity
1f5429c5-325f-4ac4-aae3-6ba85d079928
Greville-Harris, Madeleine L.
15fdf3ab-d129-4191-bfd4-9c14c910bfef
Bostock, Jennifer
fa8c227c-ba52-4e4a-b270-a511d9a508eb
Din, Amy, Elizabeth
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Graham, Cynthia
ac400331-f231-4449-a69b-ec9a477224c8
Lewith, George
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Liossi, Christina
fd401ad6-581a-4a31-a60b-f8671ffd3558
O'Riordan, Tim
d6ba191a-e432-41f8-b3da-176d28355579
White, Peter J.
f33829fd-24c9-4b44-a148-24eca9d52253
Yardley, Lucy
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Bishop, Felicity, Greville-Harris, Madeleine L., Bostock, Jennifer, Din, Amy, Elizabeth, Graham, Cynthia, Lewith, George, Liossi, Christina, O'Riordan, Tim, White, Peter J. and Yardley, Lucy (2019) Supporting informed choice in acupuncture: effects of a new person-, evidence-, and theory-based website for patients with back pain. Acupuncture in Medicine, 37 (2), 98-106. (doi:10.1177/0964528419827228).

Record type: Article

Abstract

Objectives:To test whether a newly developed person-, theory- and evidence-based website about acupuncture helps patients make informed decisions about whether or not to use acupuncture for back pain.Methods:A randomised online study compared a newly developed ‘enhanced website’ to a ‘standard website’. The enhanced website provided evidence-based information in a person-based manner and targeted psychological constructs. The standard website was based on a widely used patient information leaflet. In total, 350 adults with recent self-reported back pain were recruited from general practices in South West England. The two primary outcomes were knowledge change and making an informed choice about using acupuncture. Secondary outcomes were beliefs about and willingness to have acupuncture.Results:Participants who viewed the enhanced acupuncture website had a significantly greater increase in knowledge about acupuncture (M = 1.1, standard deviation (SD) = 1.7) than participants who viewed the standard website (M = 0.2, SD = 1.1; F(1, 315) = 37.93, p < 0.001, η2 = .107). Participants who viewed the enhanced acupuncture website were also 3.3 times more likely to make an informed choice about using acupuncture than those who viewed the standard website (χ2(1) = 23.46, p < 0.001). There were no significant effects on treatment beliefs or willingness to have acupuncture.Conclusion:The enhanced website improved patients’ knowledge and ability to make an informed choice about acupuncture, but did not optimise treatment beliefs or change willingness to have acupuncture. The enhanced website could be used to support informed decision-making among primary care patients and members of the general public considering using acupuncture for back pain.

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Improving informed choice about using acupuncture_Author Accepted Manuscript - Accepted Manuscript
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Accepted/In Press date: 10 December 2018
e-pub ahead of print date: 21 March 2019
Published date: April 2019

Identifiers

Local EPrints ID: 427347
URI: https://eprints.soton.ac.uk/id/eprint/427347
ISSN: 1759-9873
PURE UUID: b965869f-6e36-41c3-bcea-15d68feb909a
ORCID for Felicity Bishop: ORCID iD orcid.org/0000-0002-8737-6662
ORCID for Madeleine L. Greville-Harris: ORCID iD orcid.org/0000-0001-8191-9614
ORCID for Cynthia Graham: ORCID iD orcid.org/0000-0002-7884-599X
ORCID for Christina Liossi: ORCID iD orcid.org/0000-0003-0627-6377
ORCID for Tim O'Riordan: ORCID iD orcid.org/0000-0003-4905-7430
ORCID for Lucy Yardley: ORCID iD orcid.org/0000-0002-3853-883X

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Date deposited: 14 Jan 2019 17:30
Last modified: 06 Aug 2019 04:01

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Contributors

Author: Felicity Bishop ORCID iD
Author: Madeleine L. Greville-Harris ORCID iD
Author: Jennifer Bostock
Author: Amy, Elizabeth Din
Author: Cynthia Graham ORCID iD
Author: George Lewith
Author: Tim O'Riordan ORCID iD
Author: Peter J. White
Author: Lucy Yardley ORCID iD

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