Methodology for developing and evaluating diagnostic tools in Ayurveda – A review
Ayurveda has a holistic and person-centric approach towards health and disease, which in turn necessitates consideration of several factors in the process of a diagnostic workup. This concept of personalised diagnosis brings about a high level of variability among the clinicians with respect to thei...
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| Format: | Article |
| Language: | English |
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Elsevier
2021-04-01
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| Series: | Journal of Ayurveda and Integrative Medicine |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S0975947621000103 |
| _version_ | 1818734686248108032 |
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| author | Mukesh Edavalath Benil P. Bharathan |
| author_facet | Mukesh Edavalath Benil P. Bharathan |
| author_sort | Mukesh Edavalath |
| collection | DOAJ |
| description | Ayurveda has a holistic and person-centric approach towards health and disease, which in turn necessitates consideration of several factors in the process of a diagnostic workup. This concept of personalised diagnosis brings about a high level of variability among the clinicians with respect to their assessment methods and disease diagnosis. Developing and validating diagnostic tools for diseases enumerated in the Ayurvedic classical textbooks can help in standardising the clinical approach, even when attempting to arrive at a patient specific diagnosis. However, diagnostic research is a very less explored area in Ayurveda and there are no established standards for developing and evaluating diagnostic tools. This paper reviews the methodology for the development and validation of diagnostic tools, available in published literature and proposes to integrate this in the field of Ayurveda. The search was conducted on online databases including PubMed, Science Direct, Scopus, and Google scholar, with keywords - ayurvedic diagnosis, diagnostic tool development, validity, reliability, and diagnostic test assessment. The articles were screened based on their comprehensiveness, relevance, and feasibility, and the methodology elaborated in the selected articles was organized into a framework that can be adopted in Ayurveda. We have also tried to examine the methodological challenges of integrating the fundamentals of ayurvedic diagnosis within the current methods of diagnostic research and explored possible solutions. The proposed tool development process involves both qualitative and quantitative components, which may be carried out in three phases that include setting the diagnostic criteria, tool development and validation, and diagnostic test assessment. |
| first_indexed | 2024-12-18T00:09:18Z |
| format | Article |
| id | doaj.art-307ce85efb3348b8ae7d725a91393af4 |
| institution | Directory Open Access Journal |
| issn | 0975-9476 |
| language | English |
| last_indexed | 2024-12-18T00:09:18Z |
| publishDate | 2021-04-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Journal of Ayurveda and Integrative Medicine |
| spelling | doaj.art-307ce85efb3348b8ae7d725a91393af42022-12-21T21:27:42ZengElsevierJournal of Ayurveda and Integrative Medicine0975-94762021-04-01122389397Methodology for developing and evaluating diagnostic tools in Ayurveda – A reviewMukesh Edavalath0Benil P. Bharathan1Department of Roganidana, VPSV Ayurveda College, Kottakkal, Kerala, India; Corresponding author.Department of Agadatantra, VPSV Ayurveda College, Kottakkal, Kerala, IndiaAyurveda has a holistic and person-centric approach towards health and disease, which in turn necessitates consideration of several factors in the process of a diagnostic workup. This concept of personalised diagnosis brings about a high level of variability among the clinicians with respect to their assessment methods and disease diagnosis. Developing and validating diagnostic tools for diseases enumerated in the Ayurvedic classical textbooks can help in standardising the clinical approach, even when attempting to arrive at a patient specific diagnosis. However, diagnostic research is a very less explored area in Ayurveda and there are no established standards for developing and evaluating diagnostic tools. This paper reviews the methodology for the development and validation of diagnostic tools, available in published literature and proposes to integrate this in the field of Ayurveda. The search was conducted on online databases including PubMed, Science Direct, Scopus, and Google scholar, with keywords - ayurvedic diagnosis, diagnostic tool development, validity, reliability, and diagnostic test assessment. The articles were screened based on their comprehensiveness, relevance, and feasibility, and the methodology elaborated in the selected articles was organized into a framework that can be adopted in Ayurveda. We have also tried to examine the methodological challenges of integrating the fundamentals of ayurvedic diagnosis within the current methods of diagnostic research and explored possible solutions. The proposed tool development process involves both qualitative and quantitative components, which may be carried out in three phases that include setting the diagnostic criteria, tool development and validation, and diagnostic test assessment.http://www.sciencedirect.com/science/article/pii/S0975947621000103Ayurveda diagnosisAyurvedic diagnostic tool developmentDiagnostic accuracyDiagnostic test assessmentGold standard |
| spellingShingle | Mukesh Edavalath Benil P. Bharathan Methodology for developing and evaluating diagnostic tools in Ayurveda – A review Journal of Ayurveda and Integrative Medicine Ayurveda diagnosis Ayurvedic diagnostic tool development Diagnostic accuracy Diagnostic test assessment Gold standard |
| title | Methodology for developing and evaluating diagnostic tools in Ayurveda – A review |
| title_full | Methodology for developing and evaluating diagnostic tools in Ayurveda – A review |
| title_fullStr | Methodology for developing and evaluating diagnostic tools in Ayurveda – A review |
| title_full_unstemmed | Methodology for developing and evaluating diagnostic tools in Ayurveda – A review |
| title_short | Methodology for developing and evaluating diagnostic tools in Ayurveda – A review |
| title_sort | methodology for developing and evaluating diagnostic tools in ayurveda a review |
| topic | Ayurveda diagnosis Ayurvedic diagnostic tool development Diagnostic accuracy Diagnostic test assessment Gold standard |
| url | http://www.sciencedirect.com/science/article/pii/S0975947621000103 |
| work_keys_str_mv | AT mukeshedavalath methodologyfordevelopingandevaluatingdiagnostictoolsinayurvedaareview AT benilpbharathan methodologyfordevelopingandevaluatingdiagnostictoolsinayurvedaareview |