골다공증 한약제제 임상시험 참여자의 골다공증 한의치료에 대한 인식 : 질적 연구 = Patients' Perceptions of Korean Medicine Treatment for Osteoporosis in a Clinical Trial of an Osteoporosis Herbal Medicine Drug: a Qualitative Study

다국어 초록 (Multilingual 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.

참고문헌 (Reference)

1 Stake RE, "The art of case study research" Sage 1995

2 Seo MS, "The Review on the Study of Osteoporosis in Korean Medicine Journals" 8 (8): 67-78, 2013

3 Haynes RB, "Systematic review of randomised trials of interventions to assist patients to follow prescriptions for medications. Lancet 1996 Aug 10;348(9024):383-6. Review" 349 (349): 1180-, 1997

4 Merriam, SB, "Qualitative research: A guide to design and implementation" Jossey-Bass 2009

5 Speziale HJ, "Qualitative research in nursing: Advancing the humanistic imperative" Lippincott, Williams & Wilkins 2007

6 Merriam SB, "Qualitative research and case study applications in education" Jossey-Bass 1998

7 Miles MB, "Qualitative data analysis: a sourcebook of new methods" Sage 1994

8 WHO, "Prevention and management of osteoporosis" 2003

9 Cho ES, "Prevalence and management of Osteoporosis: Korea National Health and Nutrition Examination Survey, 2008-2011" Korea centers for disease control and prevention 2013

10 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

11 Kim YA, "Osteoporosis or Low Bone Mass in Adults Aged 50 years old and above in Republic of Korea, 2008-2011" Korea centers for disease control and prevention 2014

12 Lincoln YS, "Naturalistic inquiry" Sage 1996

13 Stake, RE, "Multiple case study analysis" Guilford Press 2006

14 Weiss RS, "Learning from strangers: The art and method of qualitative interview studies" Free Press 1994

15 Kendler DL, "Influence of patient perceptions and preferences for osteoporosis medication on adherence behavior in the Denosumab Adherence Preference Satisfaction study" 21 (21): 25-32, 2014

16 Health Insurance Review & Assessment Service, "Health Insurance Review & Assessment Service. Report"

17 Tong A, "Enhancing transparency in reporting the synthesis of qualitative research: ENTREQ" 12 : 181-, 2012

18 Strull WM, "Do patients want to participate in medical decision making" 252 (252): 2990-2994, 1984

19 Tong A, "Consolidated criteria for reporting qualitative research(COREQ): a 32-item checklist for interviews and focus groups" 19 (19): 349-357, 2007

20 Barbour SR, "Checklists for improving rigour in qualitative research: a case of the tail wagging the dog" 322 (322): 1115-1117, 2001

21 Alami S, "Barriers to Effective Postmenopausal Osteoporosis Treatment: A Qualitative Study of Patients' and Practitioners' Views" 11 (11): e0158365-, 2016

22 WHO Study Group, "Assessment of fracture risk and application to screening for postmenopausal osteoporosis" World Health Organ Technical Report Series 843 : 1-129, 1994

23 Warriner AH, "Adherence to osteoporosis treatments: room for improvement" 21 (21): 356-362, 2009

24 Salter C, "Abandoned acid? Understanding adherence to bisphosphonate medications for the prevention of osteoporosis among older women: a qualitative longitudinal study" 9 (9): e83552-, 2014