Abstract:The MYMOP2 results add to a growing body of observational data which demonstrates that when patients with long term conditions come under homeopathic care their presenting symptoms and wellbeing often improve. Offering a low cost high impact intervention to extend the range of choice to patients and to support self-care could be an important part of the NHS.
“…Using measures that assess general changes, which can be useful when comparing cases across different types of disease conditions, may also be considered. Examples of general outcome measures typically used for case research could be the intensity of symptoms on a numeric or visual rating scale, 10 the Measure Yourself Medical Outcome Profile (MYMOP), [11][12][13] and Outcome Related to Impact on Daily Living (ORIDL) (formerly known as the Glasgow Homeopathic Hospital Outcome Scale). 14,15 Consideration might also be given to using Goal Attainment Scaling (GAS), 16 which is an instrument used mainly in psychotherapy to check the achievement of individually defined therapeutic goals.…”
Case reports have been of central importance to the development of homeopathy over the past 200 years. With a special focus on homeopathy, we give an overview on guidelines and tools that may help to improve the quality of case reports. Reporting guidelines such as CARE (Case Report), HOM-CASE (Homeopathic Clinical Case Reports), and the WissHom Documentation Standard help to improve the quality of reporting and strengthen the scientific value of a case report. Additional scientific tools such as prospective outcome assessment, prognostic factor research, cognition-based medicine, and the Modified Naranjo Criteria for Homeopathy (MONARCH) score may be helpful in improving case documentation and evaluation.
“…Using measures that assess general changes, which can be useful when comparing cases across different types of disease conditions, may also be considered. Examples of general outcome measures typically used for case research could be the intensity of symptoms on a numeric or visual rating scale, 10 the Measure Yourself Medical Outcome Profile (MYMOP), [11][12][13] and Outcome Related to Impact on Daily Living (ORIDL) (formerly known as the Glasgow Homeopathic Hospital Outcome Scale). 14,15 Consideration might also be given to using Goal Attainment Scaling (GAS), 16 which is an instrument used mainly in psychotherapy to check the achievement of individually defined therapeutic goals.…”
Case reports have been of central importance to the development of homeopathy over the past 200 years. With a special focus on homeopathy, we give an overview on guidelines and tools that may help to improve the quality of case reports. Reporting guidelines such as CARE (Case Report), HOM-CASE (Homeopathic Clinical Case Reports), and the WissHom Documentation Standard help to improve the quality of reporting and strengthen the scientific value of a case report. Additional scientific tools such as prospective outcome assessment, prognostic factor research, cognition-based medicine, and the Modified Naranjo Criteria for Homeopathy (MONARCH) score may be helpful in improving case documentation and evaluation.
“…15 MYMOP-2 scale is routinely used in studies of long-term conditions. 22,23 In this study, patients were asked to volunteer the most troublesome symptom associated with their condition, a problem related to activity and their overall well-being on a seven-point numerical rating scale. It was found that each and every patient shown improvement in all three domains and the improvements were statistically significant after 6 weeks of treatment.…”
Background Homoeopathy is a system of therapeutics which has a holistic approach towards diseased individual. Prescription in homoeopathy is based on individualisation which can be achieved in various ways. Keynote method is one of such various ways of prescription which needs to be validated by documentation of adequate and valid evidences in its favour.
Methods This article presents a series of 15 consecutive cases in which prescriptions were made on the basis of keynote. The outcome was assessed using Outcome Related to Impact on Daily Living (ORIDL) and Measure Yourself Medical Outcome Profile (MYMOP-2) scale. Modified Naranjo criteria were used to find out any possible causal attribution.
Result The results reflected improvement in ORIDL scale (+2 and +3). MYMOP-2 for Symptom 1 showed reduction in mean score from 5.60 (standard deviation [SD]: 0.63) to 2.67 (SD: 0.72) after a treatment period of 6 weeks. The reduction was statistically significant (mean difference 2.93 with 95% confidence interval: 2.6–3.2, t-score 19.1382, p < 0.001, paired t-test). The score of Modified Naranjo criteria ranged from 6 to 9. Thus these 15 cases derived the adequate subjective evidences in favour of keynote prescription. Further documentation and studies are warranted.
“…52 The GRACE checklist is designed to guide the assessment of observational studies of comparative effectiveness in terms of their quality and usefulness for decision-making. 12,13 the Glasgow Homeopathic Hospital Outcome Scale (GHHOS), 42 the Measure Yourself Medical Outcome Profile (MYMOP), [43][44][45] the intensity of symptoms on a numeric rating scale, 12,13 and Outcome Related to Impact on Daily Living (ORIDL, formerly referred to as GHHOS). 46 In retrospective outcome studies, your random sample of medical records will enable you to get an overview of documented outcomes and quality of documentation before planning in more detail.…”
Background Randomized placebo-controlled trials are considered to be the gold standard in clinical research and have the highest importance in the hierarchical system of evidence-based medicine. However, from the viewpoint of decision makers, due to lower external validity, practical results of efficacy research are often not in line with the huge investments made over decades.
Method We conducted a narrative review. With a special focus on homeopathy, we give an overview on cohort, comparative cohort, case-control and cross-sectional study designs and explain guidelines and tools that help to improve the quality of observational studies, such as the STROBE Statement, RECORD, GRACE and ENCePP Guide.
Results Within the conventional medical research field, two types of arguments have been employed in favor of observational studies. First, observational studies allow for a more generalizable and robust estimation of effects in clinical practice, and if cohorts are large enough, there is no over-estimation of effect sizes, as is often feared. We argue that observational research is needed to balance the current over-emphasis on internal validity at the expense of external validity. Thus, observational research can be considered an important research tool to describe “real-world” care settings and can assist with the design and inform the results of randomised controlled trails.
Conclusions We present recommendations for designing, conducting and reporting observational studies in homeopathy and provide recommendations to complement the STROBE Statement for homeopathic observational studies.
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