title: Communication about self-care in traditional acupuncture consultations: the co-construction of individualised support and advice.
abstract: OBJECTIVE
  To analyse the co-construction of self-care advice in traditional acupuncture consultations.
  
  
  METHODS
  Analysis of 27 audio-recorded and transcribed consultations, involving 7 practitioners, augmented by integrating the data from 15 patient interviews and regular practitioner discussions.
  
  
  RESULTS
  Self-care talk was initiated equally by practitioner and patient, and was threaded through and between acupuncture consultations. It involved interactive discussions that were interwoven with other types of talk, especially life-world and acupuncture talk. Practitioner engagement in self-care talk appeared to increase with experience. The self-care talk was co-constructed within the context of a relationship that was characterised by continuity, mutuality and trust.
  
  
  CONCLUSIONS
  Self-care support and advice was integral to the practice of traditional acupuncture and individualised in terms of the patient's life-world and/or the Chinese medicine diagnosis. The co-construction of self-care talk did not replicate the asymmetry of conventional medical consultations.
  
  
  CONCLUSIONS
  The active participation of both patients and acupuncture practitioners in self-care talk may be related to professional practice that is underpinned by a holistic theory base such as Chinese medicine and is delivered in the context of therapeutic relationships based on continuity, mutuality and trust. These findings may inform professional education and the design of multi-disciplinary care pathways.
authors.affiliation: University of Bristol, Bristol, UK. Charlotte.paterson@bristol.ac.uk
authors.forename: Charlotte
authors.initials: C
authors.lastname: Paterson
authors.forename: Maggie
authors.initials: M
authors.lastname: Evans
authors.forename: Richard
authors.initials: R
authors.lastname: Bertschinger
authors.forename: Russ
authors.initials: R
authors.lastname: Chapman
authors.forename: Rosemary
authors.initials: R
authors.lastname: Norton
authors.forename: Jane
authors.initials: J
authors.lastname: Robinson
mesh_terms: D026881:Acupuncture; D015670:Acupuncture Therapy / Q000379:methods*; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D003142:Communication; D003376:Counseling; D005260:Female; D006293:Health Promotion; D006801:Humans; D007407:Interviews as Topic; D008297:Male; D008875:Middle Aged; D010358:Patient Participation; D018802:Patient-Centered Care; D011369:Professional-Patient Relations; D036301:Qualitative Research; D012017:Referral and Consultation; D012648:Self Care; D012944:Social Support; D013637:Tape Recording