Evidence map›Paper›PMID 26247238›Full record

ArticleJournal of alternative and complementary medicine (New York, N.Y.)2015

"I Felt Like It Was God's Hands Putting the Needles In": A Qualitative Analysis of the Experience of Acupuncture for Chronic Pain in a Low-Income, Ethnically Diverse, and Medically Underserved Patient Population.

Benjamin Kligler, Michele Buonora, Jonathan Gabison, Emilie Jacobs, Alison Karasz, M Diane McKee

Abstract read
In one paragraph

Article in Journal of alternative and complementary medicine (New York, N.Y.), 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

14 citing papers in PubMed.

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  5. "It's Better in a Group Anyway": Patient Experiences of Group and Individual Acupuncture.Journal of alternative and complementary medicine (New York, N.Y.) · 2018
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Benjamin Kligler1 Department of Integrative Medicine, Mount Sinai Beth Israel Medical Center , New York, NY.
Michele Buonora2 Albert Einstein College of Medicine , Bronx, NY.
Jonathan Gabison2 Albert Einstein College of Medicine , Bronx, NY.
Emilie Jacobs3 Mount Sinai St. Luke's Roosevelt Medical Center , New York, NY.
Alison Karasz2 Albert Einstein College of Medicine , Bronx, NY.
M Diane McKee2 Albert Einstein College of Medicine , Bronx, NY.

Funding

Acupuncture to Decrease Disparities in Outcomes of Pain Treatment (ADDOPT)R21AT004543 · NCCIH · ALBERT EINSTEIN COLLEGE OF MEDICINE · PI MCKEE, MELISSA DIANE · 2008 to 2010
$679k
Academic Career Development Award in CAM Research and EducationK07AT004570 · NCCIH · ALBERT EINSTEIN COLLEGE OF MEDICINE · PI KLIGLER, BENJAMIN · 2009 to 2013
$675k
NCCIH NIH HHS 1 K07 AT004570-01A2NCCIH NIH HHS 1R21AT004543-01A1
6 · The paper itself

Abstract

objectivesTo examine the experience of patients from a low-income, ethnically diverse medically underserved population receiving acupuncture for chronic pain.

designQualitative analysis using inductive thematic analysis of interviews with participants from an acupuncture trial. SETTINGS/LOCATION: Four community health centers in the Bronx, New York.

participantsThirty-seven adults with chronic neck or back pain or osteoarthritis who participated in a previous acupuncture trial.

interventionsUp to 14 weekly acupuncture treatments. OUTCOME MEASURES: Pain and quality of life were examined in the original trial; this study examines qualitative outcomes.

resultsThe themes grouped naturally into three domains of the acupuncture experience: the decision-making process, the treatment experience, and the effect of acupuncture on health. Regarding decision-making, important factors were a willingness to try something new even if you do not necessarily "believe" in it or have specifically positive expectations; a sense that medications were not working for their pain, that they also caused significant adverse effects, and that natural strategies might be preferable; and a feeling of desperation. Cost and access were significant barriers to acupuncture treatment. Regarding the process of acupuncture, the open and personal communication with the acupuncturist was an important factor, as were the sense that the process of acupuncture related to a natural process of healing or correction within the body and that part of making acupuncture successful required being open to the power of the mind to generate a positive outcome. Regarding the effect of treatment, notable aspects were the deep sense of rest and relaxation participants reported during treatment as well as the benefit they experienced for conditions other than pain.

conclusionsThe themes that emerged in this ethnically diverse, low-income population were very similar to those that have emerged over the past decade of qualitative research on the acupuncture experience in other patient populations.

Indexed as

Medically Underserved AreaAcupuncture TherapyChronic PainCommunity Health CentersHumansNew York CityPoverty

Identifiers

PMID26247238
PMCPMC4642820

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.