Tsai Shiu-Lin, Shin Da Wi, Reynoso Elena
Columbia University College of Physicians and Surgeons, and Columbia University Medical Center, New York, NY, USA.
Icahn School of Medicine at Mount Sinai, New York, NY, USA.
Med Acupunct. 2022 Apr 1;34(2):115-122. doi: 10.1089/acu.2021.0059. Epub 2022 Apr 19.
With the ongoing opioid crisis, the Centers for Disease Control and Prevention recommends nonpharmacologic therapies (e.g., acupuncture) for treating pain. Multiple agencies, such as the National Institutes of Health and World Health Organization, recognize acupuncture's effectiveness for treating pain, but acupuncture education for providers is scarce. A Workshop to Introduce Acupuncture for Pediatrics (AcuPeds-Workshop) was developed with support from American Academy of Pediatrics to educate providers. Additional funding was given by the Virginia Apgar Academy to evaluate the effects of attending this workshop.
This prospective study used Immediate and 1-Month Post-Workshop (PWS) surveys. The AcuPeds-Workshop components included: history; a literature review; videos of patients receiving acupuncture; and hands-on experience. The workshop was presented at numerous conferences. Attendee survey completion was voluntary.
Of 327 attendees, the majority were female, non-Hispanic, and were physicians. At baseline, attendees had: heard of acupuncture, 96%; used it, 28%; and/or had a prior lecture, 13%. In the Immediate-PWS: 97% reported an increase in their knowledge and understanding of the indications for acupuncture; majority correctly addressed 3 clinical application scenarios and contraindications. With respect to attitude: 85% would use acupuncture for themselves and 88% would use it for patients. More than 80% rated the workshop components as useful or very useful. In the One-Month-PWS: majority addressed the same 3 clinical scenarios and contraindications correctly, and 11% considered referring patients for acupuncture.
Attendance at this AcuPeds-Workshop had a positive impact on attendees' knowledge, application of, and attitude about acupuncture. This workshop supports efforts to educate medical providers on this nonpharmacologic pain therapy.
鉴于当前的阿片类药物危机，美国疾病控制与预防中心推荐采用非药物疗法（如针灸）治疗疼痛。美国国立卫生研究院和世界卫生组织等多个机构认可针灸治疗疼痛的有效性，但针对医疗服务提供者的针灸教育却很匮乏。在儿科学会的支持下，举办了一场儿科针灸入门研讨会（AcuPeds研讨会），以培训医疗服务提供者。弗吉尼亚·阿普加学会提供了额外资金，用于评估参加该研讨会的效果。
本前瞻性研究采用了研讨会结束时及结束后1个月的调查问卷。AcuPeds研讨会的内容包括：历史；文献综述；患者接受针灸治疗的视频；以及实践体验。该研讨会在多个会议上进行了展示。参会者完成调查问卷是自愿的。
在327名参会者中，大多数为女性、非西班牙裔，且为医生。在基线时，参会者：听说过针灸的占96%；使用过针灸的占28%；和/或曾听过相关讲座的占13%。在研讨会结束时的调查问卷中：97%的人表示他们对针灸适应证的知识和理解有所增加；大多数人正确回答了3个临床应用场景和禁忌证。在态度方面：85%的人会自己使用针灸，88%的人会为患者使用针灸。超过80%的人认为研讨会内容有用或非常有用。在结束后1个月的调查问卷中：大多数人正确回答了相同的3个临床场景和禁忌证，11%的人考虑为患者推荐针灸治疗。
参加此次AcuPeds研讨会对参会者关于针灸的知识、应用及态度产生了积极影响。该研讨会有助于为医疗服务提供者提供这种非药物疼痛治疗方法的教育。
