Clinical Outcomes in Chronic Conditions: Findings from a Homeopathy Teaching Clinic using the MYCaW Instrument

IF 1.2 4区 医学 Q3 INTEGRATIVE & COMPLEMENTARY MEDICINE
Homeopathy Pub Date : 2024-04-09 DOI:10.1055/s-0044-1779337
Alastair C. Gray, Christine D. Luketic, Parker Pracjek, Denise Straiges
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Abstract

Background The Academy of Homeopathy Education is a US-based accredited teaching institution offering homeopathy education services to professional and medically licensed homeopathy students. This study reports on clinical outcomes from the teaching clinic from 2020 to 2021.

Methods Data collected using the patient-generated outcome measure, the Measure Yourself Concerns and Wellbeing (MYCaW), were anonymized. Mean MYCaW values for initial and subsequent consultations were analyzed for the degree of change across the intervention period in 38 clients. Each client listed up to two complaints. MYCaW scores between initial and subsequent consultations were analyzed for the degree of change (delta) across the intervention period.

Results A total of 95 body system-related symptoms were analyzed for change in intensity following the homeopathic intervention. Statistically significant improvements in the intensity of main symptoms were observed between initial and subsequent follow-ups. The main symptom scores showed a mean change in intensity (delta MYCaW) of −0.79 points (95% confidence interval (CI), −1.29 to −0.29; p = 0.003) at first follow-up, a mean change of −1.67 points (95% CI, −2.34 to −0.99; p = 0.001) at second follow-up compared with the initial visit, and a mean change of −1.93 points (95% CI, −3.0 to −0.86; p = 0.008) at third follow-up compared with the initial visit. For clients with four or more follow-ups, the mean delta MYCaW was −1.57 points (95% CI, −2.86 to −0.28; p = 0.039).

Conclusion Statistically significant improvements as well as some clinically meaningful changes in symptom intensity were found across a diverse group of individuals with a variety of long-term chronic conditions. The improvement was evident across different body systems and different levels of chronicity. There are limitations to the generalizability of the study due to the research design. Further research and investigation are warranted given the promising results of this work.

慢性病的临床疗效:顺势疗法教学诊所使用 MYCaW 工具的研究结果
背景顺势疗法教育学院是美国一家经认可的教学机构,为专业和持有医疗执照的顺势疗法学生提供顺势疗法教育服务。本研究报告了2020年至2021年教学诊所的临床成果。方法 使用患者生成的结果测量--"测量自己的担忧和幸福感"(MYCaW)--收集的数据已匿名化。我们分析了 38 名患者在初次咨询和后续咨询中的 MYCaW 平均值,以了解他们在整个干预期间的变化程度。每位客户最多列出两项投诉。对初次咨询和后续咨询的 MYCaW 分数进行分析,以确定干预期间的变化程度(delta)。结果 共分析了 95 种身体系统相关症状在顺势疗法干预后的强度变化。在初次随访和随后的随访中,主要症状的强度有了统计学意义上的明显改善。在第一次随访时,主要症状评分的平均强度变化(delta MYCaW)为-0.79分(95%置信区间(CI),-1.29至-0.29;p = 0.003);在第二次随访时,平均强度变化为-1.67分(95%置信区间(CI),-2.34至-0.99;p = 0.001);在第三次随访时,平均强度变化为-1.93分(95%置信区间(CI),-3.0至-0.86;p = 0.008)。对于接受过四次或四次以上随访的受访者,MYCaW 的平均德尔塔值为-1.57 点(95% CI,-2.86 至 -0.28;p = 0.039)。结论 在患有各种长期慢性疾病的不同人群中发现,症状强度有了统计意义上的明显改善和一些有临床意义的变化。这种改善在不同的身体系统和不同的慢性病程度中都很明显。由于研究设计的原因,这项研究的推广性存在局限性。鉴于这项工作取得了可喜的成果,我们有必要开展进一步的研究和调查。
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来源期刊
Homeopathy
Homeopathy 医学-全科医学与补充医学
CiteScore
3.40
自引率
70.60%
发文量
34
审稿时长
20.1 weeks
期刊介绍: Homeopathy is an international peer-reviewed journal aimed at improving the fundamental understanding and clinical practice of homeopathy by publishing relevant high-quality original research articles, reviews, and case reports. It also promotes commentary and debate on matters of topical interest in homeopathy.
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