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Do existing psychologic scales measure the nonspecific benefit associated with CAM treatment?

Do existing psychologic scales measure the nonspecific benefit associated with CAM treatment?
Do existing psychologic scales measure the nonspecific benefit associated with CAM treatment?
OBJECTIVE: To determine whether existing psychologic well-being scales are sensitive to change after complementary and alternative medicine (CAM) treatment, and whether changes in those scales of well-being correlate with symptom change. This may limit the need for the development of new CAM-specific outcomes. DESIGN: A study investigating change on several outcome measures over a 4-month period during CAM treatment. Patients attending the Centre for Complementary and Integrated Medicine (CCIM, Southampton, UK) for their first appointment were recruited and completed their baseline forms (T1) at the first consultation. Three (3) further sets of questionnaires (T2, T3 and T4) were mailed to them with a stamped addressed envelope at monthly intervals and were returned to CCIM. PATIENTS AND LOCATIONS: People visiting the CCIM were treated by 1 of 3 practitioners with an individualized combination of homeopathy, dietary advice, and nutritional supplements for treatment of their chronic benign illness. OUTCOME: The previously validated outcome measures were as follows: (1) symptoms (Measure Yourself Medical Outcome Profile: MYMOP); (2) mood (Positive and Negative Affect Scale; PANAS); and (3) Brief Assessment of Sense of Coherence (BASOC). RESULTS: Forty-five (45) patients were recruited and 40 completed the study; MYMOP (p=0.001), PANAS negative (p=0.025), and BASOC (p=0.019) all showed similar patterns of significant improvement over time; PANAS positive showed a nonsignificant trend for improvement (p=0.074). Change on one scale was correlated with change on other scales. CONCLUSIONS: Existing psychology scales of well-being are sensitive to change after CAM treatment and consistent with symptom improvement. Existing measures of positive affect provide an alternative to the negative, symptom-driven approach of conventional medicine
complementary and alternative medicine, cam, questionnaire, alternative medicine, statistics & numerical data, practitioners, questionnaires, illness, psychology, severity of illness index, combination, humans, health, improvement, adult, aged, evaluation studies, male, people, utilization, research, design, middle aged, symptoms, treatment outcome, affect, methods, patient satisfaction, research design, treatment, psychometrics, instrumentation, chronic, outcome assessment (health care), scale, outcome, complementary therapies, outcomes, time, homeopathy, patients, research support, female, complementary, 80 and over, quality of life, standards, great britain
185-189
Hyland, Michael E.
1d620384-b39a-4e3e-8d2a-7f42d5e65e22
Lewith, George T.
0fc483fa-f17b-47c5-94d9-5c15e65a7625
Wheeler, Philippa
0909980b-2d0b-46e0-9b3a-1a4df8c26274
Hyland, Michael E.
1d620384-b39a-4e3e-8d2a-7f42d5e65e22
Lewith, George T.
0fc483fa-f17b-47c5-94d9-5c15e65a7625
Wheeler, Philippa
0909980b-2d0b-46e0-9b3a-1a4df8c26274

Hyland, Michael E., Lewith, George T. and Wheeler, Philippa (2008) Do existing psychologic scales measure the nonspecific benefit associated with CAM treatment? The Journal of Alternative and Complementary Medicine, 14 (2), 185-189. (doi:10.1089/acm.2007.7050).

Record type: Article

Abstract

OBJECTIVE: To determine whether existing psychologic well-being scales are sensitive to change after complementary and alternative medicine (CAM) treatment, and whether changes in those scales of well-being correlate with symptom change. This may limit the need for the development of new CAM-specific outcomes. DESIGN: A study investigating change on several outcome measures over a 4-month period during CAM treatment. Patients attending the Centre for Complementary and Integrated Medicine (CCIM, Southampton, UK) for their first appointment were recruited and completed their baseline forms (T1) at the first consultation. Three (3) further sets of questionnaires (T2, T3 and T4) were mailed to them with a stamped addressed envelope at monthly intervals and were returned to CCIM. PATIENTS AND LOCATIONS: People visiting the CCIM were treated by 1 of 3 practitioners with an individualized combination of homeopathy, dietary advice, and nutritional supplements for treatment of their chronic benign illness. OUTCOME: The previously validated outcome measures were as follows: (1) symptoms (Measure Yourself Medical Outcome Profile: MYMOP); (2) mood (Positive and Negative Affect Scale; PANAS); and (3) Brief Assessment of Sense of Coherence (BASOC). RESULTS: Forty-five (45) patients were recruited and 40 completed the study; MYMOP (p=0.001), PANAS negative (p=0.025), and BASOC (p=0.019) all showed similar patterns of significant improvement over time; PANAS positive showed a nonsignificant trend for improvement (p=0.074). Change on one scale was correlated with change on other scales. CONCLUSIONS: Existing psychology scales of well-being are sensitive to change after CAM treatment and consistent with symptom improvement. Existing measures of positive affect provide an alternative to the negative, symptom-driven approach of conventional medicine

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Published date: March 2008
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Keywords: complementary and alternative medicine, cam, questionnaire, alternative medicine, statistics & numerical data, practitioners, questionnaires, illness, psychology, severity of illness index, combination, humans, health, improvement, adult, aged, evaluation studies, male, people, utilization, research, design, middle aged, symptoms, treatment outcome, affect, methods, patient satisfaction, research design, treatment, psychometrics, instrumentation, chronic, outcome assessment (health care), scale, outcome, complementary therapies, outcomes, time, homeopathy, patients, research support, female, complementary, 80 and over, quality of life, standards, great britain
Organisations: Community Clinical Sciences

Identifiers

Local EPrints ID: 70009
URI: http://eprints.soton.ac.uk/id/eprint/70009
DOI: doi:10.1089/acm.2007.7050
PURE UUID: 7081e67b-de34-4faa-9b23-b71dec3eb99b

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Date deposited: 20 Jan 2010
Last modified: 13 Mar 2024 19:53

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Author: Michael E. Hyland
Author: George T. Lewith
Author: Philippa Wheeler

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