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A qualitative study of changes in expectations over time among patients with chronic low back pain seeking four CAM therapies

Overview of attention for article published in BMC Complementary and Alternative Medicine, February 2015
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  • In the top 25% of all research outputs scored by Altmetric
  • High Attention Score compared to outputs of the same age (87th percentile)
  • High Attention Score compared to outputs of the same age and source (86th percentile)

Mentioned by

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14 tweeters
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2 Facebook pages

Citations

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46 Dimensions

Readers on

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216 Mendeley
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Title
A qualitative study of changes in expectations over time among patients with chronic low back pain seeking four CAM therapies
Published in
BMC Complementary and Alternative Medicine, February 2015
DOI 10.1186/s12906-015-0531-9
Pubmed ID
Authors

Emery R Eaves, Karen J Sherman, Cheryl Ritenbaugh, Clarissa Hsu, Mark Nichter, Judith A Turner, Daniel C Cherkin

Abstract

BackgroundThe relationship between patient expectations about a treatment and the treatment outcomes, particularly for Complementary and Alternative Medicine (CAM) therapies, is not well understood. Using qualitative data from a larger study to develop a valid expectancy questionnaire for use with participants starting new CAM therapies, we examined how participants¿ expectations of treatment changed over the course of a therapy.MethodsWe conducted semi-structured qualitative interviews with 64 participants initiating one of four CAM therapies (yoga, chiropractic, acupuncture, massage) for chronic low back pain. Participants just starting treatment were interviewed up to three times over a period of 3 months. Interviews were transcribed verbatim and analyzed using a qualitative mixed methods approach incorporating immersion/crystallization and matrix analysis for a decontexualization and recontextualization approach to understand changes in thematic emphasis over time.ResultsPre-treatment expectations consisted of conjecture about whether or not the CAM therapy could relieve pain and improve participation in meaningful activities. Expectations tended to shift over the course of treatment to be more inclusive of broader lifestyle factors, the need for long-term pain management strategies and attention to long-term quality of life and wellness. Although a shift toward greater acceptance of chronic pain and the need for strategies to keep pain from flaring was observed across participants regardless of therapy, participants varied in their assessments of whether increased awareness of the need for ongoing self-care and maintenance strategies was considered a ¿positive outcome¿. Regardless of how participants evaluated the outcome of treatment, participants from all four therapies reported increased awareness, acceptance of the chronic nature of pain, and attention to the need to take responsibility for their own health.ConclusionsThe shift in treatment expectations to greater acceptance of pain and the need for continued self-care suggests that future research should explore how CAM practitioners can capitalize on these shifts to encourage feelings of empowerment rather than disappointment surrounding realizations of the need for continued engagement with self-care.

Twitter Demographics

The data shown below were collected from the profiles of 14 tweeters who shared this research output. Click here to find out more about how the information was compiled.

Mendeley readers

The data shown below were compiled from readership statistics for 216 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
United Kingdom 2 <1%
United States 1 <1%
Unknown 213 99%

Demographic breakdown

Readers by professional status Count As %
Student > Master 51 24%
Student > Bachelor 37 17%
Student > Ph. D. Student 21 10%
Student > Doctoral Student 19 9%
Researcher 18 8%
Other 41 19%
Unknown 29 13%
Readers by discipline Count As %
Medicine and Dentistry 69 32%
Nursing and Health Professions 53 25%
Psychology 17 8%
Social Sciences 8 4%
Neuroscience 8 4%
Other 29 13%
Unknown 32 15%

Attention Score in Context

This research output has an Altmetric Attention Score of 11. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 13 January 2016.
All research outputs
#639,878
of 6,956,879 outputs
Outputs from BMC Complementary and Alternative Medicine
#202
of 1,773 outputs
Outputs of similar age
#28,234
of 230,756 outputs
Outputs of similar age from BMC Complementary and Alternative Medicine
#5
of 37 outputs
Altmetric has tracked 6,956,879 research outputs across all sources so far. Compared to these this one has done particularly well and is in the 90th percentile: it's in the top 10% of all research outputs ever tracked by Altmetric.
So far Altmetric has tracked 1,773 research outputs from this source. They typically receive a little more attention than average, with a mean Attention Score of 6.2. This one has done well, scoring higher than 88% of its peers.
Older research outputs will score higher simply because they've had more time to accumulate mentions. To account for age we can compare this Altmetric Attention Score to the 230,756 tracked outputs that were published within six weeks on either side of this one in any source. This one has done well, scoring higher than 87% of its contemporaries.
We're also able to compare this research output to 37 others from the same source and published within six weeks on either side of this one. This one has done well, scoring higher than 86% of its contemporaries.