Demographic and Clinical Factors Associated with Patient Adherence to Acupuncture Treatment

被引:4
|
作者
Lam, Chun Nok [1 ]
Murnane, Dale [2 ]
Ruth, Chris [2 ]
Kim, Yun [2 ]
Chou, Chih-Ping [1 ]
Black, David S. [1 ]
机构
[1] Univ Southern Calif, Keck Sch Med, Dept Prevent Med, 1200 N State St,Room 1011, Los Angeles, CA 90033 USA
[2] Emperors Coll Tradit Oriental Med, Santa Monica, CA USA
关键词
acupuncture; health care administration; integrative medicine; quantitative research; pain;
D O I
10.1089/acm.2018.0267
中图分类号
R [医药、卫生];
学科分类号
10 ;
摘要
Objectives: Acupuncture uses needle stimulation upon the body's meridian points to alleviate physical and psychologic symptoms. In clinical practice, acupuncturists often recommend patients to attend follow-up treatment to achieve cumulative benefit over time. Adherence to acupuncture treatment was studied, and demographic and clinical factors were tested that may predict adherence. Design and subjects: A retrospective chart review at an acupuncture teaching clinic was conducted using data from 2014, where patients routinely received recommendations to return for follow-up visits to continue their management of the same health condition. A total of 131 patients were included with an initial consultation in this analysis (mean age = 43 +/- 15, 40% male). Outcome measures: Rates of adherence to acupuncture follow-up treatment were determined by tracking whether patients had any subsequent follow-up visits in 30 days after their initial consultation. Demographic and clinical characteristics that differed between adherers (>= 1 follow-up visit) and nonadherers (no follow-up visit) were then tested. Among the adherer sample, the authors tested whether these characteristics were associated with a higher number of follow-up visits was tested. Results: Half (50%) of the patient sample adhered to >= 1 follow-up visits in 30 days after their initial consultation. Patients reporting multiple chief complaints were more likely to have a follow-up visit than those with a single complaint (63% vs. 42%, p = 0.02). Receipt of a treatment plan (incidence rate ratio [IRR]: 1.37, p = 0.02) and first follow-up visit within 7 days of initial treatment (IRR: 1.42, p = 0.01) were associated with a higher number of follow-up visits among adherers, after adjusting for covariates. The predicted number of follow-up visits for patients with a treatment plan was 2.5 (standard error [SE] = 0.3) and that for those without a treatment plan was 1.8 (SE = 0.2) among adherers. Conclusion: The rate of return to an acupuncture clinic for follow-up treatment was low (50%). Patient adherence to acupuncture follow-up treatments may be improved by clinical administrative protocols that formalize treatment plans and appointment scheduling.
引用
收藏
页码:522 / 525
页数:4
相关论文
共 50 条
  • [31] Adherence to acupuncture treatment for chronic pain
    Moroz, A
    Spivack, S
    Lee, MHM
    JOURNAL OF ALTERNATIVE AND COMPLEMENTARY MEDICINE, 2004, 10 (05) : 739 - 740
  • [32] What are the socio-demographic, clinical and neuropsychological factors related to medication adherence?
    Consoloni, J. -L.
    Correard, N.
    Azorin, J. -M.
    Belzeaux, R.
    EUROPEAN PSYCHIATRY, 2015, 30 (08) : S155 - S155
  • [33] Adherence to antidiabetic treatment in primary health care in individuals with type 2 diabetes. A survey including socio-demographic, patient related and clinical factors
    Silva-Tinoco, Ruben
    Cuatecontzi-Xochitiotzi, Teresa
    Bernal-Ceballos, Fernanda
    De laTorre-Saldan, Viridiana
    Galindez-Fuentes, Ana
    Castillo-Martinez, Lilia
    PRIMARY CARE DIABETES, 2022, 16 (06) : 780 - 785
  • [34] PATIENT FRACTURE RISK DECISION POINT: CLINICAL & DEMOGRAPHIC FACTORS
    Sharma, M.
    Beaudart, C.
    Hiligsmann, M.
    Silverman, S.
    AGING CLINICAL AND EXPERIMENTAL RESEARCH, 2023, 35 : S409 - S409
  • [35] Patient adherence to anticoagulation therapy and factors associated with INR levels
    Paukama, Merja
    Kaariainen, M.
    Kyngas, H.
    CARDIOLOGY, 2009, 113 : 124 - 125
  • [36] Clinical Factors Correlation to Patient Medication Adherence in Hypertensive Patients
    Hadi, Dylan
    Sondakh, Filemon M. W.
    Sunanto, Ng
    EUROPEAN HEART JOURNAL SUPPLEMENTS, 2019, 21 (0F) : F109 - F109
  • [37] Factors associated with counselling adherence in opioid treatment programs
    Placide, Vierne
    Unruh, Lynn
    Atkins, Danielle
    Chisholm, Latarsha
    Scott, J. Blake
    HEALTH & SOCIAL CARE IN THE COMMUNITY, 2022, 30 (06) : E6303 - E6311
  • [38] Factors associated with adherence to treatment of patients with diabetes mellitus
    Gimenes Faria, Heloisa Turcatto
    Luchetti Rodrigues, Flavia Fernanda
    Zanetti, Maria Lucia
    Moura de Araujo, Marcio Flavio
    Coelho Damasceno, Marta Maria
    ACTA PAULISTA DE ENFERMAGEM, 2013, 26 (03) : 231 - 237
  • [39] Adherence to Antihypertensive Treatment and Associated Factors in Central Ethiopia
    G-Tsadik, Daniel
    Berhane, Yemane
    Worku, Alemayehu
    INTERNATIONAL JOURNAL OF HYPERTENSION, 2020, 2020
  • [40] Factors associated with adolescent HIV treatment adherence.
    Bell, D
    Martinez, J
    Camacho, R
    Henry-Reid, L
    Bell, M
    Watson, C
    Rodriguez, F
    JOURNAL OF ADOLESCENT HEALTH, 2000, 26 (02) : 108 - 108