Research Report Abstracts - Gesundheit

WPT2011, Research Report Abstracts eS1071
Funding acknowledgements: None.
Ethics approval: Interdisciplinary Review Board of Utica
College.
Research Report Poster Display
Number: RR-PO-203-7-Wed Wednesday 22 June 12:00
RAI: Exhibit Halls 2&3
EXPERIENCES OF ACUPUNCTURE DURING AND
AFTER TREATMENT FOR MIGRAINE
Rutberg S., Öhrling K.
Luleå University of Technology, Department of Health Sciences,
Luleå, Sweden
Purpose: The aim was to describe experiences of acupuncture
treatment among women with migraine.
Relevance: Acupuncture treatment for migraine has been
shown to be at least as effective as preventive medication but
with much less adverse effects, however no differences have
been shown between acupuncture and placebo acupuncture.
There are studies proposing that the consultations between
the person who gives and the person who receives acupuncture
are important to the effect of acupuncture. This draws
attention to the patient experiences of acupuncture both during
and after acupuncture treatment to explore what persons
with migraine find important.
Participants: Ten women diagnosed with migraine, aged
from 31 to 60 years and living in the northern part of Sweden
participated in the study.
Methods: To explore the aim of the study narrative interviews
were used. The interview started with the question:
“Please narrate your experiences of acupuncture treatment?”
To deepen the narration follow up questions were asked
such as “what did you feel then?”; “can you explain more
about...?”.
Analysis: The interview text was analyzed using qualitative
content analysis.
Results: The analysis revealed two categories: “experiences
during acupuncture treatment” and “experiences after
acupuncture treatment” and five subheadings. The experience
of acupuncture during treatment varied between women, over
time, and depending on external circumstances. Women who
experienced pain during acupuncture treatment described
how it depended on their own feeling of stress and tension,
or on stressful surroundings. Women stated that the
patient–therapist relationship affected the experience both
during and the outcome after acupuncture treatment. The
most valued was a calm physiotherapist who spent time with
the woman and showed interest for her. The results showed
that acupuncture relieved pain, decreased the use of pharmaceuticals,
increased emotional strength and provided a feeling
of control over migraine. When the migraine disappeared or
was lessened, women experienced that they could live life to
the fullest again and felt that family and work did not suffer,
as they did before the acupuncture treatment.
Conclusions: Acupuncture treatment seems to relieve the
consequences of migraine, increase emotional strength and
make it possible to live life to the fullest and therefore it can
be viewed as an alternative therapy for physiotherapists treating
persons with migraine. The patient–therapist relationship
seems to have importance for the experience of acupuncture
and more research is needed to fully understand its meaning.
Implications: Physiotherapists in the clinic must be aware
of the importance of both the settings around acupuncture
treatments as well as the patient–therapist relationship,
to facilitate an as pleasant experience as possible. Physiotherapist
using acupuncture should evaluate all experiences
after acupuncture treatment, including frequencies of attacks,
intensity of symptoms, emotional strength as well as the
effects of life due to having less migraine in order to more
fully evaluate its effectiveness.
Keywords: Acupuncture treatment; Migraine; Qualitative
research
Funding acknowledgements: This study was supported by
Luleå University of Technology.
Ethics approval: Ethical approval was not required in
accordance with Swedish law (2003:460 § 3 and 4) for
research ethics.
Research Report Poster Display
Number: RR-PO-205-27-Tue Tuesday 21 June 13:00
RAI: Exhibit Halls2&3
RESULTS OF THE PILOT STUDY OF A
MULTILEVEL INTERVENTION TO IMPROVE
ADHERENCE TO EVIDENCE BASED GUIDELINES
FOR LOW BACK PAIN
Rutten G. 1 , Harting J. 2 , Bartholomew L.K. 3 , Oostendorp
R.A.B. 4 , de Vries N.K. 1
1Maastricht University, Department of Health Promotion,
Maastricht, Netherlands, 2Amsterdam Academic Medical
Centre, University of Amsterdam, Department of Social
Medicine, Amsterdam, Netherlands, 3The University of
Texas, School of Public Health, Houston, United States
of America, 4Radboud University Nijmegen Medical Centre,
Scientific Institute for Quality of Healthcare, Nijmegen,
Netherlands
Purpose: The study aimed to assess the potential effectiveness
of a systematically developed, theory based multilevel
program to enhance the uptake of the Dutch physical therapy
guidelines for low back pain. The study was accompanied
by a process evaluation to examine fidelity, acceptability and
feasibility of the intervention.
Relevance: Adherence to the physiotherapy guidelines on
low back pain is moderate. This is due to the limited use
of theoretic frameworks, problems linking implementation