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Author (up) Schnyer, R.N.; Conboy, L.A.; Jacobson, E.; McKnight, P.; Goddard, T.; Moscatelli, F.; Legedza, A.T.; Kerr, C.; Kaptchuk, T.J.; Wayne, P.M. openurl 
  Title Development of a Chinese medicine assessment measure: an interdisciplinary approach using the delphi method Type of Study Journal Article
  Year 2005 Publication J Altern Complement Med Abbreviated Journal  
  Volume 11 Issue 6 Pages 1005-1013  
  Keywords Data Interpretation, Statistical; *Delphi Technique; Humans; Interdisciplinary Communication; Medicine, Chinese Traditional/*instrumentation/methods; Patient Care Team/organization & administration; Physician's Practice Patterns; Program Development/methods; Psychometrics/*instrumentation; Reproducibility of Results  
  Abstract BACKGROUND: The diagnostic framework and clinical reasoning process in Chinese medicine emphasizes the contextual and qualitative nature of a patient's illness. Chinese medicine assessment data may help interpret clinical outcomes. OBJECTIVES: As part of a study aimed at assessing the validity and improving the inter-rater reliability of the Chinese diagnostic process, a structured assessment instrument was developed for use in clinical trials of acupuncture and other Chinese medical therapies. STUDY DESIGN: To foster collaboration and maximize resources and information, an interdisciplinary advisory team was assembled. Under the guidance of two group process facilitators, and in order to establish whether the assessment instrument was consistent with accepted Chinese medicine diagnostic categories (face validity) and included the full range of each concept's meaning (content validity), a panel of Traditional Chinese Medicine (TCM) expert clinicians was convened and their responses were organized using the Delphi process, an iterative, anonymous, idea-generating and consensus-building process. An aggregate rating measure was obtained by taking the mean of mean ratings for each question across all 10 experts. RESULTS: Over three rounds, the overall rating increased from 7.4 (SD = 1.3) in Round 1 to 9.1 (SD = 0.5) in Round 3. The level of agreement among clinicians was measured by a decrease in SD. CONCLUSIONS: The final instrument TEAMSI-TCM (Traditional East Asian Medicine Structured Interview, TCM version) uses the pattern differentiation model characteristic of TCM. This modular, dynamic version was specifically designed to assess women, with a focus on gynecologic conditions; with modifications it can be adapted for use with other populations and conditions. TEAMSI-TCM is a prescriptive instrument that guides clinicians to use the proper indicators, combine them in a systematic manner, and generate conclusions. In conjunction with treatment manualization and training it may serve to increase inter-rater reliability and inter-trial reproducibility in Chinese medicine clinical trials. Testing of the validity and reliability of this instrument currently is underway.  
  Address New England School of Acupuncture, Watertown, MA 02215, USA.  
  Language Number of Treatments  
  Treatment Follow-up Frequency Number of Participants  
  Time in Treatment Condition
  Disease Category OCSI Score  
  Notes Date of Input: 9/29/2015; Date Modified: 10/8/2015; Priority: Normal; New England School of Acupuncture, Watertown, MA 02215, USA.; eng; Web: Approved no  
  Call Number OCOM @ refbase @ Serial 1817  
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