The University of Southampton
University of Southampton Institutional Repository

Effect of expectation on short- and long-term treatment response to Acupuncture in migraine patients

Effect of expectation on short- and long-term treatment response to Acupuncture in migraine patients
Effect of expectation on short- and long-term treatment response to Acupuncture in migraine patients

Introduction: There are relatively few studies addressing the relationship between the patient's expectation and the short and long-term response to treatment with acupuncture. The aim of this study was to assess the association between pre- and post-treatment expectation of acupuncture and post-treatment and post-follow-up patient outcomes. Methods: This was an open-label, randomized controlled clinical trial conducted at the Czech-Chinese Centre for Traditional Chinese Medicine at the University Hospital Hradec Kralove between October 2015 and April 2017. Non-specific factors were examined in the intervention arm using regression analysis. Results: Post-treatment positive expectation concerning the success of the treatment, as well as the affective status of the patient, is one of the most significant nonspecific factors contributing to an increased post-treatment effectiveness of acupuncture; however, this positive expectation decreased with time. On the other hand, the post-follow-up effect of acupuncture was significantly improved by the patients’ positive perception of the TCM practitioner. Conclusions: Correct calibration of a patient's expectation, good mental status, and patients' perceptions of an acupuncturist's skills reduced the number of migraine days in patients treated with acupuncture. Understanding non-specific treatment effects can potentially help clinicians to integrate them in to practice and thus optimise treatment effectiveness. Future research is needed to clarify whether interventions targeting modifiable non-specific factors prior to and during acupuncture treatment can result in better patient outcomes and future cost-savings.

Acupuncture, Expectation, Health outcome, Migraine, Non-specific effects
1876-3820
31-36
Pokladnikova, Jitka
a418718a-a8bd-4f79-a25f-20ec09ef4946
Stefancikova, Mariana
b95cac02-49d3-4450-9fec-b2877ed54eaf
Haviger, Jiri
146f12a4-ff47-4450-9573-8c42c996847b
Bishop, Felicity L.
1f5429c5-325f-4ac4-aae3-6ba85d079928
Wang, Bo
10d05edf-8e22-4266-88c7-2672b17284b6
Guan, Xin
1ac92b03-9cf2-45be-baa9-d02d11fc0097
Musil, Frantisek
1ec409b1-a45e-446d-9d81-711cf37bd0bf
Pokladnikova, Jitka
a418718a-a8bd-4f79-a25f-20ec09ef4946
Stefancikova, Mariana
b95cac02-49d3-4450-9fec-b2877ed54eaf
Haviger, Jiri
146f12a4-ff47-4450-9573-8c42c996847b
Bishop, Felicity L.
1f5429c5-325f-4ac4-aae3-6ba85d079928
Wang, Bo
10d05edf-8e22-4266-88c7-2672b17284b6
Guan, Xin
1ac92b03-9cf2-45be-baa9-d02d11fc0097
Musil, Frantisek
1ec409b1-a45e-446d-9d81-711cf37bd0bf

Pokladnikova, Jitka, Stefancikova, Mariana, Haviger, Jiri, Bishop, Felicity L., Wang, Bo, Guan, Xin and Musil, Frantisek (2019) Effect of expectation on short- and long-term treatment response to Acupuncture in migraine patients. European Journal of Integrative Medicine, 26, 31-36. (doi:10.1016/j.eujim.2019.01.007).

Record type: Article

Abstract

Introduction: There are relatively few studies addressing the relationship between the patient's expectation and the short and long-term response to treatment with acupuncture. The aim of this study was to assess the association between pre- and post-treatment expectation of acupuncture and post-treatment and post-follow-up patient outcomes. Methods: This was an open-label, randomized controlled clinical trial conducted at the Czech-Chinese Centre for Traditional Chinese Medicine at the University Hospital Hradec Kralove between October 2015 and April 2017. Non-specific factors were examined in the intervention arm using regression analysis. Results: Post-treatment positive expectation concerning the success of the treatment, as well as the affective status of the patient, is one of the most significant nonspecific factors contributing to an increased post-treatment effectiveness of acupuncture; however, this positive expectation decreased with time. On the other hand, the post-follow-up effect of acupuncture was significantly improved by the patients’ positive perception of the TCM practitioner. Conclusions: Correct calibration of a patient's expectation, good mental status, and patients' perceptions of an acupuncturist's skills reduced the number of migraine days in patients treated with acupuncture. Understanding non-specific treatment effects can potentially help clinicians to integrate them in to practice and thus optimise treatment effectiveness. Future research is needed to clarify whether interventions targeting modifiable non-specific factors prior to and during acupuncture treatment can result in better patient outcomes and future cost-savings.

Full text not available from this repository.

More information

Accepted/In Press date: 17 January 2019
e-pub ahead of print date: 17 January 2019
Published date: 1 February 2019
Keywords: Acupuncture, Expectation, Health outcome, Migraine, Non-specific effects

Identifiers

Local EPrints ID: 430395
URI: http://eprints.soton.ac.uk/id/eprint/430395
ISSN: 1876-3820
PURE UUID: b3631a0e-cf37-4c4b-a874-f0e85ef7e735
ORCID for Felicity L. Bishop: ORCID iD orcid.org/0000-0002-8737-6662

Catalogue record

Date deposited: 26 Apr 2019 16:30
Last modified: 07 Oct 2020 01:48

Export record

Altmetrics

Contributors

Author: Jitka Pokladnikova
Author: Mariana Stefancikova
Author: Jiri Haviger
Author: Bo Wang
Author: Xin Guan
Author: Frantisek Musil

University divisions

Download statistics

Downloads from ePrints over the past year. Other digital versions may also be available to download e.g. from the publisher's website.

View more statistics

Atom RSS 1.0 RSS 2.0

Contact ePrints Soton: eprints@soton.ac.uk

ePrints Soton supports OAI 2.0 with a base URL of http://eprints.soton.ac.uk/cgi/oai2

This repository has been built using EPrints software, developed at the University of Southampton, but available to everyone to use.

We use cookies to ensure that we give you the best experience on our website. If you continue without changing your settings, we will assume that you are happy to receive cookies on the University of Southampton website.

×