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Facilitators of and barriers to implementing a traditional Chinese medicine collaborative model of care for axial spondyloarthritis: a qualitative study.

Publication ,  Journal Article
Kwan, YH; Fong, W; Ang, XL; Chew, XY; Yoon, S; Tan, CS; Tai, BC; Huang, Y; Bilger, M; Phang, JK; Tan, HC; Quek, S-A; Eng, SYC; Tan, CT ...
Published in: Acupuncture in medicine : journal of the British Medical Acupuncture Society
December 2021

Conventional therapy may be inadequate for many patients with axial spondyloarthritis (axSpA). Traditional Chinese medicine (TCM) may be a viable alternative, but its effectiveness for axSpA is unknown. We are currently conducting a pragmatic randomised controlled trial (RCT) to investigate the effectiveness of a TCM collaborative model of care (TCMCMC), which combines usual rheumatologic care with acupuncture for patients with axSpA. This nested qualitative sub-study aims to identify facilitators of and barriers to the implementation of the TCMCMC.We conducted individual in-depth interviews with participants who had completed the acupuncture regimen to elicit opinions on the facilitators of and barriers to the implementation of the TCMCMC. The interviews were transcribed and analysed using thematic analysis.Twelve participants were included, with data saturation occurring after 10 interviews. The analysis revealed both a number of important 'facilitators' and 'barriers'. Facilitators to the implementation of the TCMCMC included effectiveness of TCM to relieve symptoms, inadequacy of conventional treatment and positive social perceptions of TCM. Barriers included scepticism towards TCM, inability of TCM to provide instant relief, needle-related discomfort, variable effectiveness of TCM influenced by physicians' skills and experience and the high cost of TCM. Recommendations to overcome barriers included further patient education about TCM.Policymakers should take into account the various feasibility factors identified in this study when developing and implementing a TCMCMC.NCT03420404 (ClinicalTrials.gov).

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Published In

Acupuncture in medicine : journal of the British Medical Acupuncture Society

DOI

EISSN

1759-9873

ISSN

0964-5284

Publication Date

December 2021

Volume

39

Issue

6

Start / End Page

629 / 636

Related Subject Headings

  • Young Adult
  • Treatment Outcome
  • Spondylarthritis
  • Qualitative Research
  • Middle Aged
  • Medicine, Chinese Traditional
  • Male
  • Humans
  • Female
  • Complementary & Alternative Medicine
 

Citation

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Kwan, Y. H., Fong, W., Ang, X. L., Chew, X. Y., Yoon, S., Tan, C. S., … Østbye, T. (2021). Facilitators of and barriers to implementing a traditional Chinese medicine collaborative model of care for axial spondyloarthritis: a qualitative study. Acupuncture in Medicine : Journal of the British Medical Acupuncture Society, 39(6), 629–636. https://doi.org/10.1177/09645284211009543
Kwan, Yu Heng, Warren Fong, Xiang Ling Ang, Xiu Yan Chew, Sungwon Yoon, Chuen Seng Tan, Bee Choo Tai, et al. “Facilitators of and barriers to implementing a traditional Chinese medicine collaborative model of care for axial spondyloarthritis: a qualitative study.Acupuncture in Medicine : Journal of the British Medical Acupuncture Society 39, no. 6 (December 2021): 629–36. https://doi.org/10.1177/09645284211009543.
Kwan YH, Fong W, Ang XL, Chew XY, Yoon S, Tan CS, et al. Facilitators of and barriers to implementing a traditional Chinese medicine collaborative model of care for axial spondyloarthritis: a qualitative study. Acupuncture in medicine : journal of the British Medical Acupuncture Society. 2021 Dec;39(6):629–36.
Kwan, Yu Heng, et al. “Facilitators of and barriers to implementing a traditional Chinese medicine collaborative model of care for axial spondyloarthritis: a qualitative study.Acupuncture in Medicine : Journal of the British Medical Acupuncture Society, vol. 39, no. 6, Dec. 2021, pp. 629–36. Epmc, doi:10.1177/09645284211009543.
Kwan YH, Fong W, Ang XL, Chew XY, Yoon S, Tan CS, Tai BC, Huang Y, Bilger M, Phang JK, Tan HC, Quek S-A, Eng SYC, Tan CT, Dong BQ, Koh HL, Leung YY, Ng SC, Fong KY, Thumboo J, Østbye T. Facilitators of and barriers to implementing a traditional Chinese medicine collaborative model of care for axial spondyloarthritis: a qualitative study. Acupuncture in medicine : journal of the British Medical Acupuncture Society. 2021 Dec;39(6):629–636.

Published In

Acupuncture in medicine : journal of the British Medical Acupuncture Society

DOI

EISSN

1759-9873

ISSN

0964-5284

Publication Date

December 2021

Volume

39

Issue

6

Start / End Page

629 / 636

Related Subject Headings

  • Young Adult
  • Treatment Outcome
  • Spondylarthritis
  • Qualitative Research
  • Middle Aged
  • Medicine, Chinese Traditional
  • Male
  • Humans
  • Female
  • Complementary & Alternative Medicine