An open label, prospective, observational study on role of homoeopathic medicine in geriatric age group of patients and its analysis using Barthel index
DOI:
https://doi.org/10.18203/2394-6040.ijcmph20253263Keywords:
Barthel index, Geriatric age group, Homoeopathy, ScoringAbstract
Background: An ordinal scale called the Barthel scale is used to measure how well people conduct activities of daily living (ADL). The likelihood of being able to live at home with some degree of independence increases with a higher score. A study on elderly patients aged 60 to 80 with a variety of illnesses, including dementia, osteoarthritis, benign prostatic hyperplasia, hypertension, diabetes mellitus and stroke, was carried out at Government Homoeopathic Medical College and Hospital in Bhopal, Madhya Pradesh.
Methods: To study the role of homoeopathic medicine in geriatric group of patients and its analysis using Barthel Index. It was observational, individualistic, descriptive study.
Results: A total of 944 patients were included in the study and after the statistical analysis of data the paired samples t-test results show that there is a statistically significant difference between the "AFTER" and "BEFORE" measurements, with the "AFTER" measurements being significantly higher. The results suggest a highly significant difference between the two groups being compared, with a large effect size. The extremely small p-value (4.076 × 10-151) indicates that the observed difference is very unlikely to have occurred by chance if the null hypothesis were true.
Conclusions: It is concluded that homoeopathic medicine seems to be efficacious in treating and managing various kinds of ailments in geriatric group of patients like dementia, osteoarthritis, benign prostatic hyperplasia, hypertension, diabetes mellitus, stroke etc. using Barthel index scoring.
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References
da Silva Sousa CD, Santos-de-Araújo AD, Pereira FH, Santos PM, Frutuoso VP, Dibai DB. Level of functionality of patients with congestive heart failure evaluated by the barthel index. Revista de Gestão Social e Ambiental. 2024;18(10):1-1. DOI: https://doi.org/10.24857/rgsa.v18n10ed.esp-016
Brett L, Collins A, Lemsing K, Poulos CJ. Client characteristics and outcomes of the Australian short-term restorative care programme: a cohort study. BMC Health Services Research. 2025;25(1):1-5. DOI: https://doi.org/10.1186/s12913-025-12771-0
Li QX, Zhao XJ, Wang Y, Wang DL, Zhang J, Liu TJ. Value of the Barthel scale in prognostic prediction for patients with cerebral infarction. BMC cardiovas Disord. 2020;20(1):14.
Wolfe NK. Alternative Health Care Utilisation Among Seniors (Doctoral dissertation, University of Victoria). 2000.
Jette AM, Tao W, Haley SM. Homeopathy use among older adults in the US. J Am Med Dir Assoc. 2018;19(1):64–9.
Relton C, Cooper K, Viksveen P, Fibert P, Thomas K. Prevalence of homeopathy use by the general population worldwide: a systematic review. Homeopathy. 2017;106(02):69-78. DOI: https://doi.org/10.1016/j.homp.2017.03.002
Ross TD. Geriatrics and homœopathy. British Homeopathic J. 1954;44(03/04):184-93. DOI: https://doi.org/10.1016/S0007-0785(54)80007-X
Wolfe NK. Alternative Health Care Utilisation Among Seniors (Doctoral dissertation, University of Victoria). 2000.
Schmidt D. Proof of principle trials: exploratory open studies. Epilepsy Res. 2001;45(1-3):15-8. DOI: https://doi.org/10.1016/S0920-1211(01)00206-6
Sedgwick P. What is an open label trial. BMJ. 2014;3:48.
Hill MJ, Heads AM, Green C, Suchting R, Stotts AL. Pilot testing the effectiveness of whether a survey-driven tablet-based intervention increased willingness of Black women to attend to an initial PrEP clinic visit: the protocol for the pilot randomized controlled trial design and methods. Contemp Clin Trials Comm. 2022;29:100985.
National Cancer Institute. Prospective cohort study. Available from: https://www.cancer.gov/ publications/dictionaries/cancer-terms/def/ prospective-cohort-study. Accessed 07 July 2025.
Mahoney FI, Barthel DW. Functional Evaluation: The Barthel Index. Md State Med J. 1965;14:61–5. DOI: https://doi.org/10.1037/t02366-000
Ohura T, Hase K, Nakajima Y, Nakayama T. Validity and reliability of a performance evaluation tool based on the modified Barthel Index for stroke patients. BMC Med Res Methodol. 2017;17(1):131. DOI: https://doi.org/10.1186/s12874-017-0409-2
Culvenor AG. Physiopedia: one big constantly updating online textbook written and edited by physiotherapists for physiotherapists (continuing professional development series). British J Sports Med. 2017;51(23):1707-8. DOI: https://doi.org/10.1136/bjsports-2016-097146
Li QX, Zhao XJ, Wang Y, Wang DL. Value of the Barthel scale in prognostic prediction for patients with cerebral infarction. BMC cardiovascular disorders. 2020;20(1):14. DOI: https://doi.org/10.1186/s12872-019-01306-1
Wolfe NK. Alternative Health Care Utilisation Among Seniors (Doctoral dissertation, University of Victoria). 2000.
Boyd CM. Clinical practice guidelines and quality of care for older patients with multiple comorbid diseases: implications for pay for performance. J Am Geriatr Soc. 2005;53(4):722–8. DOI: https://doi.org/10.1001/jama.294.6.716
Teut M, Lüdtke R, Schnabel K, Willich SN, Witt CM. Homeopathic treatment of elderly patients-a prospective observational study with follow-up over a two-year period. BMC Geriat. 2010;10(1):10. DOI: https://doi.org/10.1186/1471-2318-10-10
Tripathy T, Das S, Swamy PN, Kar M. Geriatrics skin & homoeopathy. 2012.
Spence DS, Thompson EA, Barron SJ. Homeopathic treatment for chronic disease: a 6-year, university-hospital outpatient observational study. J Altern Complement Med. 2005;11(5):793-8. DOI: https://doi.org/10.1089/acm.2005.11.793
Das E. Understanding the principles of homeopathy on a research perspective. J Complement Med Alt Healthcare. 2019;9(2):555756. DOI: https://doi.org/10.19080/JCMAH.2019.09.555756
Sedgwick P. What is an open label trial. BMJ. 2014;23;348. DOI: https://doi.org/10.1136/bmj.g3434
Hill MJ, Heads AM, Green C, Suchting R, Stotts AL. Pilot testing the effectiveness of whether a survey-driven tablet-based intervention increased willingness of Black women to attend to an initialPrEP clinic visit: the protocol for the pilot randomized controlled trial design and methods. Contemp Clin Trial Comm. 2022;29:100985. DOI: https://doi.org/10.1016/j.conctc.2022.100985
Taber C, Elnemer W, Marx R. Design of a Prospective Cohort Study. InOrthopaedic Sports Medicine: An Encyclopedic Review of Diagnosis, Prevention, and Management. 2025. DOI: https://doi.org/10.1007/978-3-030-65430-6_79-1
Collin C, Wade DT, Davies S, Horne V. The Barthel ADL Index: a reliability study. Int Disabil Stud. 1988;10(2):61–3. DOI: https://doi.org/10.3109/09638288809164103
Wade DT, Collin C. The Barthel ADL Index: A standard measure of physical disability. Int Disabil Stud. 1988;10(2):64–7. DOI: https://doi.org/10.3109/09638288809164105
Banerjee S. Commentary: The use of the Barthel Index in clinical settings. BMJ. 2010;340:1310.
Bell IR, Koithan M, Pincus D. Methodological implications of nonlinear dynamical systems models for whole systems of complementary and alternative medicine. Forsch Komplementmed. 2009;16(1):15–21. DOI: https://doi.org/10.1159/000335183
Mathie RT, Lloyd SM, Legg LA, Clausen J, Moss S, Davidson JR, et al. Randomised placebo-controlled trials of individualised homeopathic treatment: systematic review and meta-analysis. Syst Rev. 2014;3:142. DOI: https://doi.org/10.1186/2046-4053-3-142
Fisher P, Ward A. Complementary medicine in Europe. BMJ. 1994;309(6947):107–11. DOI: https://doi.org/10.1136/bmj.309.6947.107
Gupta YK, Ramachandran SS. Homoeopathy: Is it a science. Indian J Pharmacol. 2010;42(3):145–7. DOI: https://doi.org/10.4103/0253-7613.66849
World Health Organization. Legal status of traditional medicine and complementary/alternative medicine: a worldwide review. Geneva: WHO. 2001.
Saxena A, Vohora SB. Homeopathic drug therapy in geriatric patients: A holistic approach. J Geriatr Ment Health. 2003;9(2):24–9.
Verma R, Khanna P, Mehta B. National program for health care of the elderly in India: A hope for healthy ageing. Int J Prev Med. 2012;3(10):615–7.
Stone SP, Ali B, Auberleek I, Thompsell A, Young A. The Barthel index in clinical practice: use on a rehabilitation ward for elderly people. J Royal Coll Physic London. 1994;28(5):419-23. DOI: https://doi.org/10.1016/S0035-8819(25)00732-9
Gupta S, Yadav R, Malhotra AK. Assessment of physical disability using Barthel index among elderly of rural areas of district Jhansi (UP), India. J Fam Med Prim Care. 2016;5(4):853-7. DOI: https://doi.org/10.4103/2249-4863.201178