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首页> 外文期刊>The journal of alternative and complementary medicine: research on paradigm, practice, and policy >'It's Better in a Group Anyway': Patient Experiences of Group and Individual Acupuncture
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'It's Better in a Group Anyway': Patient Experiences of Group and Individual Acupuncture

机译：“无论如何，它在一个群体中更好”：患者的群体和单个针灸的经历

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Objectives: Chronic pain is prevalent, burdensome, and costly, and there are ethnic and racial disparities in treatment. Acupuncture is effective and safe, but access is limited. Group acupuncture can decrease cost and increase capacity by decreasing clinic space needs and increasing patient volume per acupuncturist; however, the effectiveness and patient acceptability of group and individual session acupuncture have never been directly compared. Design: The Acupuncture Approaches to Decrease Disparities in Pain Treatment (AADDOPT-2) study is a randomized comparative effectiveness trial of acupuncture for chronic pain. Semistructured in-depth interviews were conducted with a subset of patients enrolled in the trial. Settings/Location: Outpatient clinics in an urban, low income area serving a primarily black and Hispanic population. Subjects: Qualitative interviews were conducted with 46 patients; 23 in each arm of the AADDOPT-2 study. Interventions: Patients were randomized to receive either individual acupuncture or acupuncture delivered in a small group. Outcome measures: Transcripts of the interviews were analyzed using an inductive thematic framework to explore and compare the patient experience in group and individual settings. Results: Patients in both study arms valued the pain relief, improved quality of life, and relaxation experienced during acupuncture. Privacy and mixed-sex groups were cited as a concern by a minority of patients; however, most of those randomized to the group setting noted that these concerns abated after initiating treatment. Differences between arms included the depth of the relationship with the acupuncturist and misgivings related to the treatment space. Group dynamics varied; some groups fostered a supportive, therapeutic interaction, while others were more reserved. Conclusions: Patients in both arms valued their acupuncture experience. Participants described both positive and negative aspects of the group setting.
机译：目的：慢性疼痛是普遍的，繁重，昂贵，并且有种族和种族差异。针灸是有效和安全的，但进入有限。群针灸可通过降低临床空间需求和每次穴位患者的患者体积来降低成本和增加能力;然而，从未直接比较了组和单个会议针灸的有效性和患者可接受性。设计：减少疼痛治疗差距的针灸方法（Aaddopt-2）研究是针灸对慢性疼痛的随机对比有效性试验。使用患者参加试验的患者的患者进行半系统的深度访谈。设置/位置：城市，低收入区的门诊诊所，主要是黑人和西班牙裔人口。主题：定性访谈是用46名患者进行的; 23在Aaddopt-2研究的每个手臂中。干预措施：患者随机接受在小组中递送的单独针灸或针灸。结果措施：使用归纳专题框架分析了访谈的成绩单来探索和比较组和各个环境中的患者体验。结果：研究手臂患者有价值疼痛缓解，改善生活质量，以及针灸期间的放松。隐私和混合性群体被认为是少数患者的担忧;然而，大多数被随机到群组的计划指出，在启动治疗后的这些担忧。武器之间的差异包括与针灸师的关系的深度和与治疗空间相关的疑虑。组动力学变化;有些团体培养了支持性，治疗性的互动，而其他团体则更保守。结论：双臂患者重视他们的针灸经验。参与者描述了组设置的正面和负面方面。

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