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Biomedical subjects

Julie C Linville

Publications and source records attributed to Julie C Linville.

2 recordsLinked to original sources
PubMed2006

Exploring outcomes associated with acupuncture.

OBJECTIVE: The objective was to explore various methods of assessing clinically meaningful change associated with a course of acupuncture treatments. DESIGN: The design was a prospective cohort study. SETTING: The setting was an acupuncture clinic staffed by two physician acupuncturists in a university-affiliated family practice center. SUBJECTS: Subjects consisted of consecutive new patients to an acupuncture clinic. OUTCOME MEASURES: Outcomes were measured using the Medical Outcomes Study Short-Form 36 (SF-36) and Measure Your Own Medical Outcomes Profile (MYMOP). Outcomes measured were global clinical change and patient satisfaction. RESULTS: Out of 112 eligible patients, 110 consented to the study and contributed baseline data. Of these, 80 (71%) completed the 2-month follow-up questionnaire. Mean age of study subjects was 54.5 (standard deviation, SD 17.6) years; 85 (77%) were female, and 75 (68%) were married. Mean number of acupuncture treatments during the 2-month follow-up period was 5.8 (SD, 3.5, range, 1 to 16). Statistically significant improvement from baseline to follow-up was observed with the bodily pain subscale of the SF-36 and with the MYMOP. Among those who completed the study, 52 (67%) felt that the main symptom for which they sought acupuncture had improved over the course of the study and 72 (90%) were satisfied with their treatment in the acupuncture clinic. CONCLUSIONS: The MYMOP instrument appears to be the most useful of the four measures used to evaluate clinical outcomes associated with a course of acupuncture treatments (SF-36, MYMOP, global clinical change, and patient satisfaction). This easy-to-administer instrument appears to be sensitive to clinical change over a 2-month period among patients who sought acupuncture for a wide variety of clinical conditions.

Acupuncture Therapy↗
PubMedDate not supplied

Survey of osteoporosis preventive care in community family medicine settings.

OBJECTIVE: This study's objective was to document and describe osteoporosis preventive care for women age 45 years and older in community family medicine practices. METHODS: We conducted a crosssectional mailed survey of 400 women age 45 years and older enrolled in a community-based family medicine research network. Participants responded to 42 items regarding osteoporosis screening and prevention during primary care visits. RESULTS: A total of 275 women returned the survey (response rate 71.4%). Of the respondents, 162 (58.9% of the sample) were ages 45 to 64, and 113 (41.1%) were age 65 and older. Rates of counseling on calcium intake, exercise, falls, and bone density testing were similar in the two age groups. Half of women age 65 and older and 43.8% of women under 65 had received bone density testing. Ninety-two percent of the respondents rated a discussion of osteoporosis and fracture prevention with their primary care provider as "very," "moderately," or "somewhat" important, but only 44% actually had such a discussion. CONCLUSIONS: Most women age 45 and older considered osteoporosis preventive care to be important. However, fewer than half discussed this topic with their primary care provider, and only half of women age 65 and older had undergone bone density screening.

Age Factors↗