Modes of hoping

understanding hope and expectation in the context of a clinical trial of complementary and alternative medicine for chronic pain

Emery R. Eaves, Cheryl Ritenbaugh, Mark Nichter, Allison L. Hopkins, Karen J. Sherman

Research output: Contribution to journalArticle

9 Citations (Scopus)

Abstract

This article explores the role of hope in participants' assessments of their expectations, experiences and treatment outcomes. Data analysis focused on semi-structured, open-ended interviews with 44 participants, interviewed 3-5 times each over the course of a study evaluating Traditional Chinese Medicine (TCM) for temporomandibular disorders (TMD), a form of chronic orofacial pain. Transcripts were coded and analyzed using qualitative and ethnographic methods. A "Modes of Hoping" (Webb, 2007)(1) framework informed our analysis. Five modes of hoping emerged from participant narratives: Realistic Hope, Wishful Hope, Utopian Hope, Technoscience Hope, and Transcendent Hope. Using this framework, hope is demonstrated as exerting a profound influence over how participants assess and report their expectations. This suggests that researchers interested in measuring expectations and understanding their role in treatment outcomes should consider hope as exercising a multi-faceted and dynamic influence on participants' reporting of expectations and their experience and evaluation of treatment.

Original languageEnglish (US)
Pages (from-to)225-232
Number of pages8
JournalExplore: The Journal of Science and Healing
Volume10
Issue number4
DOIs
StatePublished - Jul 1 2014

Fingerprint

Pain
Complementary Therapies
Chronic Pain
Clinical Trials
Medicine
Temporomandibular Joint Disorders
Facial Pain
Alternatives
Chinese Traditional Medicine
Research Personnel
Interviews
Traditional Chinese Medicine
Disorder
Data analysis
Context
Evaluation
Therapeutics
Experience
Influence
Framework

Keywords

  • expectation
  • Hope
  • qualitative
  • TCM
  • TMD

ASJC Scopus subject areas

  • Medicine(all)

Cite this

Modes of hoping : understanding hope and expectation in the context of a clinical trial of complementary and alternative medicine for chronic pain. / Eaves, Emery R.; Ritenbaugh, Cheryl; Nichter, Mark; Hopkins, Allison L.; Sherman, Karen J.

In: Explore: The Journal of Science and Healing, Vol. 10, No. 4, 01.07.2014, p. 225-232.

Research output: Contribution to journalArticle

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