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

12 Scopus citations

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 - Jan 1 2014

Keywords

  • Hope
  • TCM
  • TMD
  • expectation
  • qualitative

ASJC Scopus subject areas

  • Nursing(all)
  • Analysis
  • Chiropractics
  • Complementary and alternative medicine

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