Evaluating Traditional Chinese Medicine Interventions on Chronic Low Back Pain Using Goal Attainment Scaling
Joint Authors
Zhang, Xinyu
Ren, Jianping
Liu, Chaojie
He, Mengyan
Ren, Lixian
Lv, Zhen
Source
Evidence-Based Complementary and Alternative Medicine
Issue
Vol. 2020, Issue 2020 (31 Dec. 2020), pp.1-10, 10 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2020-11-28
Country of Publication
Egypt
No. of Pages
10
Main Subjects
Abstract EN
Background.
Extensive studies have been conducted to evaluate the pain relief effect of traditional Chinese medicine (TCM) interventions on patients with low back pain, including in China.
However, there is a dearth in the literature documenting the diverse goals of TCM interventions, let alone the overall effect of such interventions.
In this study, the goal attainment scaling (GAS) method was adopted to evaluate individualised TCM interventions on chronic low back pain.
Methods.
A pre-post intervention study was conducted on patients with chronic low back pain who received individualised TCM interventions in community health services.
The study was undertaken in three community health centres in Hangzhou of China.
A total of 165 eligible patients were invited, and 150 participated in the study, including 136 who completed both pre- and postintervention surveys.
Each participant was asked to identify three to five intended goals from a pool of 26 outcome indicators and their corresponding expectations of these goals prior to the TCM interventions.
Their conditions were rated against the selected indicators on a self-report five-point Likert scale before and after the TCM interventions, respectively.
Gaps between the actual conditions and the expected goals were summed up for each participant and converted into a standardised GAS score, with a higher score indicating higher achievements, and 50 indicting patient expectations were met.
Linear regression models were established to determine the factors associated with the pre-post GAS changes after adjustment for variations in other variables.
Results.
On average, an increase of 14.99 (SD = 9.81) in the GAS scores was achieved.
This resulted in a mean GAS score of 48.33 (SD = 9.74) after the TCM interventions, falling slightly short (<2) of patient expectations.
The multivariate linear regression models revealed that local residents, the retired, and those who perceived lower professional competency of their attending doctors had a smaller increase in the GAS scores after adjustment for variations in other variables.
Conclusion.
The individualised TCM interventions can help patients with low back pain to achieve their expected goals as measured by the GAS.
Further studies are needed to better understand how patients set up their goals and the professional competency requirements to meet patient expectations.
American Psychological Association (APA)
Zhang, Xinyu& Ren, Jianping& Liu, Chaojie& He, Mengyan& Ren, Lixian& Lv, Zhen. 2020. Evaluating Traditional Chinese Medicine Interventions on Chronic Low Back Pain Using Goal Attainment Scaling. Evidence-Based Complementary and Alternative Medicine،Vol. 2020, no. 2020, pp.1-10.
https://search.emarefa.net/detail/BIM-1158119
Modern Language Association (MLA)
Zhang, Xinyu…[et al.]. Evaluating Traditional Chinese Medicine Interventions on Chronic Low Back Pain Using Goal Attainment Scaling. Evidence-Based Complementary and Alternative Medicine No. 2020 (2020), pp.1-10.
https://search.emarefa.net/detail/BIM-1158119
American Medical Association (AMA)
Zhang, Xinyu& Ren, Jianping& Liu, Chaojie& He, Mengyan& Ren, Lixian& Lv, Zhen. Evaluating Traditional Chinese Medicine Interventions on Chronic Low Back Pain Using Goal Attainment Scaling. Evidence-Based Complementary and Alternative Medicine. 2020. Vol. 2020, no. 2020, pp.1-10.
https://search.emarefa.net/detail/BIM-1158119
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1158119