RESEARCH METHODOLOGY POSTER PRESENTATION ABSTRACTS
Please note: All posters will be displayed in
Salons 10-12.
FRIDAY, 5:45-6:30 PM
Ackerman D, Bolus R, Dennis R, Huang K, Liu C, Mayer
E, Naliboff B, Natoli J, Spiegel B.
PROCAIM: a Web-based data collection system to evaluate
integrative therapies.
UCLA School of Public Health, Dept. of Epidemiology
dackerma@ucla.edu
PURPOSE: In large part the patients treated
with mind-body interventions and other complementary and alternative
therapies present with conditions that manifest with varying degrees
of overlapping pain, affective and functional disturbances. There is
a need explore the pathophysiological interactions among stress, emotion,
pain and treatment response. The UCLA Center for Neurovisceral Sciences
and Women's Health (CNS/WH) has developed a Web-based data system to
collect and manage patient symptom and outcome data. The system is called
Patient-Reported Outcomes from Complementary, Alternative, and Integrative
Medicine (PROCAIM).
METHODS: PROCAIM is an integrated system consisting
of a library of standardized questionnaires to collect patient self-reported
information about their symptoms, including stress, pain, fatigue, coping
skills, and general well-being. The instruments include assessment of
quality of life (SF-36), the Patient Health Questionnaire somatic symptom
severity scale (PHQ-15), depression and anxiety (Hospital Anxiety and
Depression Scale), coping skills (Catastrophizing subscale of the Coping
Style Questionnaire, early life trauma (Early Trauma Index), current
stress (Perceived Stress Scale, Daily Stress Inventory, and Life Orientation
Scale), specific symptoms including pain (Brief Pain Inventory), sleep
(subscale of the Hamilton Depression Scale), and fatigue (subscale of
the SF36). Patients are contacted via e-mail and data are collected
at baseline and thereafter at 3-month intervals for one year. Treatment
providers record primary and secondary diagnoses, clinical judgment
of treatment outcome, and primary treatment modality (e.g., acupuncture,
medication type and dose, biofeedback, cognitive-behavioral psychotherapy,
other forms of therapy, etc.) via a set of highly-branched data collection
screens. All data are maintained in a HIPAA-compliant, secure hosting
environment.
RESULTS: Results of a pilot trial with volunteers
demonstrated that the majority thought PROCAIM was user friendly, elicited
important information, and did not take too much time to complete.
CONCLUSIONS: The resulting database represents
a common longitudinal data set to evaluate treatments in real-world
clinical settings and to explore the pathophysiological basis for overlapping
conditions characterized by pain, mood, and functional disturbances.
Individual patient data may enhance clinical care by providing treatment
providers with more information about their patients than would be obtained
in a usual office visit. PROCAIM will be demonstrated at the conference.
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