HubMed - Acupuncture
Comparative Effectiveness of Traditional Chinese Medicine and Psychosocial Care in the Treatment of Temporomandibular Disorders-Associated Chronic Facial Pain.
J Pain. 2012 Oct 8;
Ritenbaugh C, Hammerschlag R, Dworkin SF, Aickin MG, Mist SD, Elder CR, Harris RE
This dual-site study sought to identify the appropriate role for traditional Chinese medicine (TCM; acupuncture and herbs) in conjunction with a validated psychosocial self-care (SC) intervention for treating chronic temporomandibular disorders (TMD)-associated pain. Participants with Research Diagnostic Criteria for Temporomandibular Disorders-confirmed TMD (n = 168) entered a stepped-care protocol that began with a basic TMD class. At weeks 2 and 10, patients receiving SC whose worst facial pain was above predetermined levels were reallocated by minimization to SC or TCM with experienced practitioners. Characteristic facial pain (CFP: mean of worst pain, average pain when having pain, and current pain; each visual analog scale [VAS] 0-10) was the primary outcome. Social activity interference (VAS 0-10) was a secondary outcome. Patients were monitored for safety. TCM provided significantly greater short-term (8-week) relief than SC (CFP reduction difference, -.60 [standard deviation of the estimate .26], P = .020) and greater reduction in interference with social activities (-.81 [standard deviation of the estimate .33], P = .016). In 2 of 5 treatment trajectory groups, more than two thirds of participants demonstrated clinically meaningful responses (≥30% improvement) in pain interference over 16 weeks. This study provides evidence that TMD patients referred for TCM in a community-based model will receive safe treatment that is likely to provide some short-term pain relief and improved quality of life. Similar designs may also apply to evaluations of other kinds of chronic pain. (ClinicalTrials.gov number NCT00856167). PERSPECTIVE: This short-term comparative effectiveness study of chronic facial pain suggests that TCM is safe and frequently efficacious alone or subsequent to standard psychosocial interventions. TCM is widely available throughout North America and may provide clinicians and patients with a reasonable addition or alternative to other forms of therapy.
HubMed - holistic Health
Measuring outcome in child and adolescent mental health services: Consumers' views of measures.
Clin Child Psychol Psychiatry. 2012 Oct 11;
Stasiak K, Parkin A, Seymour F, Lambie I, Crengle S, Pasene-Mizziebo E, Merry S
Background: Outcome measurement in child and adolescent mental health services in New Zealand became mandatory in 2005 and little is known about how this is perceived by service users.Aims: This study aimed to ascertain what service users think about routine outcome measurement in child and adolescent mental health services.Method: Nine semi-structured focus groups of child and adolescent service users (n=34) and family members (n=21) were held in different sites in New Zealand to determine their views on outcome measures.Results: Consumers supported outcome assessment with some provisos that have important implications for clinical services: the method of collecting information is critical to acceptance; assessment should be done in the context of an established relationship with the clinician; care is needed over the timing and context of assessment, access to information and feedback of results; and measures should be brief and holistic and their limitations recognised.Conclusion: Service users support outcome measures but their implementation requires care and consultation.
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LA360【健康顧問】韓中醫獨特針灸療法
 | 在美國看病是一件恐怖的事情，尤其是看專科醫師或做特診檢查，等待時間很長，除此之外，費用也相當的昂貴。當然，不能毫無障礙的和醫師交流自己的病症病況，也使醫療效果大打折扣，但是別擔心，漢醫的針灸治療，是您另一個不錯的選擇。今天我們就請來了清中醫院(Pinebrook Acupuncture)的院長金先生，和我們一起來談談這個話題。 | Views: 0  0 ratings |
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