The Journal of Internal Korean Medicine (대한한방내과학회지)

The Society of Internal Korean Medicine (대한한방내과학회)
권호 표지
DOI QR코드

DOI QR Code

Patients' Perceptions of Korean Medicine Treatment for Osteoporosis in a Clinical Trial of an Osteoporosis Herbal Medicine Drug: a Qualitative Study

골다공증 한약제제 임상시험 참여자의 골다공증 한의치료에 대한 인식 : 질적 연구

  • Ahn, Jae-hyun (Dept. of Acupuncture & Moxibustion Medicine, College of Korean Medicine, Kyung-Hee University) ;
  • Cho, Ye-eun (Dept. of Acupuncture & Moxibustion Medicine, College of Korean Medicine, Kyung-Hee University) ;
  • Kim, Ji-hye (Dept. of Acupuncture & Moxibustion Medicine, College of Korean Medicine, Kyung-Hee University) ;
  • Lee, Seung-hoon (Dept. of Acupuncture & Moxibustion Medicine, College of Korean Medicine, Kyung-Hee University) ;
  • Kang, Jung-won (Dept. of Acupuncture & Moxibustion Medicine, College of Korean Medicine, Kyung-Hee University) ;
  • Lee, Jae-dong (Dept. of Acupuncture & Moxibustion Medicine, College of Korean Medicine, Kyung-Hee University)
  • 안재현 (경희대학교 한의과대학 침구의학과) ;
  • 조예은 (경희대학교 한의과대학 침구의학과) ;
  • 김지혜 (경희대학교 한의과대학 침구의학과) ;
  • 이승훈 (경희대학교 한의과대학 침구의학과) ;
  • 강중원 (경희대학교 한의과대학 침구의학과) ;
  • 이재동 (경희대학교 한의과대학 침구의학과)
  • Received : 2017.03.24
  • Accepted : 2017.05.24
  • Published : 2017.05.30
Download PDF
⟨ Previous Next ⟩

Abstract

Objective: This research aimed to understand patients' perceptions of Korean medicine treatment for osteoporosis in a clinical trial setting. Methods: Ten patients participating in a clinical trial of a herbal medicine drug for osteoporosis were invited to an interview. Data were collected by in-depth interviews and patient observations. This qualitative study adopted the case study research method, and within-case and cross-case analyses were conducted. Results: A model of the patients' osteoporosis management planning was derived from the study. The results showed that the patients' perceptions of osteoporosis were derived from their knowledge and experience during diagnosis and treatment of the condition. Two groups of patients were recognized: those who overlooked the importance of osteoporosis and those who recognized the importance of osteoporosis. Before making treatment decisions about osteoporosis, the patients evaluated the treatment options and weighed the advantages and disadvantages of each option. When evaluating their treatment, the patients combined their knowledge and experience of Korean and western medicine treatments. Their experience of participating in the clinical trial influenced the management planning of osteoporosis. Two major reasons for low compliance with osteoporosis treatment were ignorance of the disease and insufficient information provided by doctors. Conclusion: The results of this qualitative study pointed to four strategies that could be employed to improve accessibility to Korean medicine treatment for osteoporosis: the dissemination of comprehensive information on osteoporosis in the clinic and mass media, promotion of Korean medicine therapies for osteoporosis, management of clinical trial participants, and insurance coverage for Korean medicine.

Keywords

References

  1. WHO Study Group. Assessment of fracture risk and application to screening for postmenopausal osteoporosis. World Health Organ Technical Report Series 1994;843:1-129.
  2. WHO. Prevention and management of osteoporosis. Geneva. 2003.
  3. Kim YA. Osteoporosis or Low Bone Mass in Adults Aged 50 years old and above in Republic of Korea, 2008-2011. Korea: Korea centers for disease control and prevention; 2014.
  4. Cho ES. Prevalence and management of Osteoporosis: Korea National Health and Nutrition Examination Survey, 2008-2011. Korea: Korea centers for disease control and prevention; 2013.
  5. Health Insurance Review & Assessment Service. Report [Internet]. Seoul: Health Insurance Review & Assessment Service, c2016 [cited 2016 Nov 7]. Available from: http://www.hira.or.kr/dummy.do?pgmid=HIRAA020041000000&cmsurl=/cms /inform/02/1344184_27116.html&subject=겨울철 부족한 햇빛에 약해지는 뼈, '비타민D결핍'주의#none
  6. Korean society for bone and mineral research guideline compilation committee. Physician's guide for diagnosis & treatment of osteoporosis 2015. Korean society for bone and mineral research 2015.
  7. Seo MS, Kim HC, Choo WJ, Jeong SY, Kim SJ, Choi JU, et al. The Review on the Study of Osteoporosis in Korean Medicine Journals. The Journal of Korea CHUNA Manual Medicine for Spine & Nerves 2013;8(2):67-78.
  8. Alami S, Hervouet L, Poiraudeau S, Briot K, Roux C. Barriers to Effective Postmenopausal Osteoporosis Treatment: A Qualitative Study of Patients' and Practitioners' Views. PloS one 2016;11(6):e0158365. https://doi.org/10.1371/journal.pone.0158365
  9. Salter C, McDaid L, Bhattacharya D, Holland R, Marshall T, Howe A. Abandoned acid? Understanding adherence to bisphosphonate medications for the prevention of osteoporosis among older women: a qualitative longitudinal study. PloS one 2014;9(1):e83552. https://doi.org/10.1371/journal.pone.0083552
  10. Kendler DL, Macarios D, Lillestol MJ, Moffett A, Satram-Hoang S, Huang J, et al. Influence of patient perceptions and preferences for osteoporosis medication on adherence behavior in the Denosumab Adherence Preference Satisfaction study. Menopause 2014;21(1):25-32. https://doi.org/10.1097/GME.0b013e31828f5e5d
  11. Speziale HJ, Carpenter DR. Qualitative research in nursing: Advancing the humanistic imperative. 4th ed. Philadelphia, PA: Lippincott, Williams & Wilkins; 2007.
  12. Stake, RE. Multiple case study analysis. New York: Guilford Press; 2006.
  13. Stake RE. The art of case study research. Tousand Oaks, CA: Sage; 1995.
  14. Merriam SB. Qualitative research and case study applications in education. San Francisco, CA: Jossey-Bass; 1998.
  15. Weiss RS. Learning from strangers: The art and method of qualitative interview studies. New York: Free Press; 1994.
  16. Merriam, SB. Qualitative research: A guide to design and implementation. San Francisco: Jossey-Bass; 2009.
  17. Miles MB, Huberman AM. Qualitative data analysis: a sourcebook of new methods. 2nd ed. Thousand Oaks, CA: Sage; 1994.
  18. Lincoln YS, Guba EG. Naturalistic inquiry. Beverly Hills, CA: Sage; 1996.
  19. Tong A, Sainsbury P, Craig JC. Consolidated criteria for reporting qualitative research(COREQ): a 32-item checklist for interviews and focus groups. Int J Qual Health Care 2007;19(6):349-57. https://doi.org/10.1093/intqhc/mzm042
  20. Strull WM, Lo B, Charles G. Do patients want to participate in medical decision making? JAMA 1984;252(21):2990-4. https://doi.org/10.1001/jama.1984.03350210038026
  21. Haynes RB, McKibbon KA, Kanani R. Systematic review of randomised trials of interventions to assist patients to follow prescriptions for medications. Lancet 1996 Aug 10;348(9024):383-6. Review. Erratum in: Lancet 1997 Apr 19;349(9059):1180. https://doi.org/10.1016/S0140-6736(96)01073-2
  22. Tong A, Flemming K, McInnes E, Oliver S, Craig J. Enhancing transparency in reporting the synthesis of qualitative research: ENTREQ. BMC Medical Research Methodology 2012;12:181. https://doi.org/10.1186/1471-2288-12-181
  23. Barbour SR. Checklists for improving rigour in qualitative research: a case of the tail wagging the dog? BMJ 2001 May 5;322(7294):1115-7.
  24. Warriner AH, Curtis JR. Adherence to osteoporosis treatments: room for improvement. Curr Opin Rheumatol 2009;21(4):356-62. https://doi.org/10.1097/BOR.0b013e32832c6aa4