Self-Reported Knowledge and Approaches Toward Complementary and Alternative Medicine Among Physicians Dealing with Allergic Diseases

2012 ◽  
Vol 40 (04) ◽  
pp. 671-683 ◽  
Author(s):  
Emine Argüder ◽  
İnsu Yılmaz ◽  
Can Ateş ◽  
Zeynep Mısırlıgil ◽  
Sevim Bavbek
Keyword(s):  
Alternative Medicine ◽  
Complementary And Alternative Medicine ◽  
Private Hospital ◽  
Allergic Diseases ◽  
University Hospital ◽  
National Society ◽  
Academic Degree ◽  
Level Of Knowledge ◽  
Based Medicine ◽  
Complementary And Alternative

Considering the popularity of Complementary and Alternative Medicine (CAM) in allergic patients, physicians involved in allergic patients' care need to be aware of CAM. To assess self-reported knowledge, attitude and approach to CAM of physicians who deal with allergic patients, a total of 500 structured questionnaires were distributed to physicians who participated in "Turkish National Society of Allergy and Clinical Immunology Congress-2009". For the questionnaires handed out, 242 (48.4%) physicians (median age 36.0 years, range 25–64 years) responded; 22.4% were fellows in training and 48.5% were residents. The main specialties were pediatrics (49.3%), and pulmonology (36.8%); half were either specialists or training in allergy and one-quarter (25.6%) referred patients to CAM. Asthma (42.1%) and chronic urticaria (28.9%) were the most common CAM referral diseases. Referred therapies were herbal (10.3%) and diet-based medicine (7.4%). The differences between physicians in terms of age, gender, experience in medicine, and specialty/allergy subspecialty were not statistically significant (p = 0.01). Affiliation to a university hospital was significantly associated with no CAM referral vs. affiliation in a state/private hospital or private practice. Academic degree and reported level of knowledge negatively/positively affected attitudes toward CAM, respectively. More than half of the respondents (68.8%) reported lack of or insufficient information about CAM, while 58.7% of physicians desired CAM education. This first report on physicians involved in allergic patients' care shows that they are reluctant to refer for CAM therapies. A minority believes that they have enough knowledge, and most are interested in continuing medical education on CAM. Considering physicians' interest and tendency to communicate significantly with their patients about CAM when they feel that they have sufficient knowledge and popularity of CAM among patients, training possibilities should be created to improve physicians' education in this field.

Complementary and alternative medicine is positively associated with religiousness/spirituality

2020 ◽  
Vol 0 (0) ◽  
Author(s):  
Tabitha Heller ◽  
Christof Kloos ◽  
Nicolle Mueller ◽  
Josef Roemelt ◽  
Christian Keinki ◽  
...  
Keyword(s):  
Alternative Medicine ◽  
Complementary And Alternative Medicine ◽  
Metabolic Diseases ◽  
Late Complications ◽  
Alternative Therapies ◽  
University Hospital ◽  
Outpatient Department ◽  
Perceived Effectiveness ◽  
Frequent Use ◽  
Complementary And Alternative

AbstractBackgroundComplementary and alternative medicine (CAM) is used often by patients with different diseases. While some authors subsume religiousness and spirituality to CAM, others do not. The objective of the present study was to assess the prevalence and types of CAM usage as well as the participants' spirituality/religiousness in an outpatient department for endocrinology and metabolic diseases.MethodsAll individuals visiting the outpatient department at a German university hospital from April to June 2009 were offered a standardized questionnaire on the use of dietary supplements and alternative therapies as well as their religiousness/spirituality. Demographic and clinical data of 428 respondents were taken from the electronic health record.ResultsOf the respondents, 16.4% (n = 66) classified themselves to be religious/spiritual and 67.9% (n = 273) as not religious/spiritual. Women were more religious/spiritual than men (p = 0.02). 41.4% of the respondents used supplements and 27.4% additional therapies. The use of supplements and additional therapies was more frequent in people with higher religiousness/spirituality (p = 0.005 and p = 0.01,resp.) but there were no associations between religiousness/spirituality and the number of consultations, costs for drugs, appraisal of the physicians treatment methods, the perceived effectiveness of prescribed drugs, fear of late complications or of side effects.ConclusionsA higher religiousness/spirituality is associated with a more frequent use of supplements or additional therapies in individuals with endocrinopathies or metabolic diseases. As CAM has been shown to be associated with worse outcome, addressing religiousness/spirituality which stresses the responsibility of the person for his life might offer an additional resource and should be further studied.

How to Search and Critique Scientific Evidence for Decision-Making

2017 ◽  
pp. 100-123
Author(s):  
Mayuree Tangkiatkumjai ◽  
Win Winit-Watjana ◽  
Li-Chia Chen
Keyword(s):  
Alternative Medicine ◽  
Complementary And Alternative Medicine ◽  
Literature Search ◽  
Scientific Evidence ◽  
Clinical Decision ◽  
Evidence Based ◽  
Search Terms ◽  
Based Medicine ◽  
Complementary And Alternative

A clinical decision on the use of complementary and alternative medicine (CAM) should be made based on evidence-based medicine (EBM) together with practitioner's knowledge and experiences. This chapter describes the process of EBM, including how to address a clinical question, do a systematic search for appropriate evidence with key search terms, appraise the evidence and make a clinical decision on CAM applications. An effective literature search should be performed by using a structured search strategy in searching biomedical and CAM databases, such as the National Center for Complementary and Alternative Medicine (CAM Citation Index). Few standard tools are recommended to evaluate the quality of CAM studies, i.e. the CONSORT extension for herbal interventions and STRICTA for RCTs of acupuncture. Additionally, some guidelines for designing RCTs in Chinese herbal medicine (CHM) can also be adopted to critique CAM literature. A clinical decision on choosing optimal CAM for patient care should be based on the current best evidence emerged from the EBM process.

A Literature Review of Health Care Professional Attitudes Toward Complementary and Alternative Medicine

2008 ◽  
Vol 13 (3) ◽  
pp. 139-154 ◽  
Author(s):  
Maida J. Sewitch ◽  
Monica Cepoiu ◽  
Nicole Rigillo ◽  
Donald Sproule
Keyword(s):  
Health Care ◽  
Alternative Medicine ◽  
Complementary And Alternative Medicine ◽  
Health Care Professionals ◽  
Public Health Professionals ◽  
Positive Attitudes ◽  
Personal Use ◽  
School Faculty ◽  
Level Of Knowledge ◽  
Complementary And Alternative

Objective. To summarize health care professionals' attitudes toward complementary and alternative medicine (CAM). Methods. In October 2006, we searched Allied and Complementary Medicine Database (AMED; 1985—2006), Excerpta Medica Database (EMBASE; 1980—2006), and MED-LINE (1960—2006) for Canadian or US studies of health care professionals' attitudes toward CAM, published in English or French. Results. A total of 21 surveys of physicians, nurses, public health professionals, dietitians, social workers, medical/nursing school faculty, and pharmacists were included that focused on beliefs about CAM efficacy, personal use, clinical practice use and referrals, communication with patients about CAM, level of knowledge, and the need for information regarding various CAM therapies. Physicians were more negative compared to other health care professionals. Positive attitudes toward CAM did not correlate with CAM referral or prescription patterns. Health care professionals of all disciplines wanted more information about CAM. Conclusions. Heterogeneity in the CAM definition and questionnaire items precluded summarizing health care professionals' attitudes toward CAM. Providing CAM education to health care professionals may help to integrate CAM into mainstream medical care.

scholarly journals The ACP Evidence-Based Guide to Complementary and Alternative Medicine

2011 ◽  
Vol 2011 ◽  
pp. 1-2 ◽  
Author(s):  
Sungmi Lian
Keyword(s):  
Quality Of Care ◽  
Alternative Medicine ◽  
Complementary And Alternative Medicine ◽  
Evidence Based Medicine ◽  
Published Data ◽  
Evidence Based ◽  
Practice Of Medicine ◽  
Based Medicine ◽  
Complementary And Alternative

Complementary and alternative medicine (CAM) is no longer new terminology in the healthcare system but,evidence-based CAMis still an unfamiliar term. Evidence-based medicine, a practice of medicine based on the recommendation derived from a systematic, scientific study of published data, is accepted as the standard in the healthcare.ACP Evidence-Based Guide to Complementary and Alternative Medicineby Bradly Jacobs and Katherine Gundling is reviewed. Up-to-date reference books like theACP Evidence-Based Guide to Complementary and Alternative Medicineis an essential tool for improving quality of care when the providers aim to practice evidence-based medicine.

scholarly journals Use of Complementary and Alternative Medicine in Children with Cancer: A Study at a Swiss University Hospital

PLoS ONE ◽  
2015 ◽  
Vol 10 (12) ◽  
pp. e0145787 ◽  
Author(s):  
Tatjana Magi ◽  
Claudia E. Kuehni ◽  
Loredana Torchetti ◽  
Laura Wengenroth ◽  
Sonja Lüer ◽  
...  
Keyword(s):  
Alternative Medicine ◽  
Complementary And Alternative Medicine ◽  
University Hospital ◽  
Children With Cancer ◽  
Complementary And Alternative

Preliminary results from CAMEO-PRO study: Complementary and alternative medicine in oncology—Physicians inform oncological patients.

2017 ◽  
Vol 35 (15_suppl) ◽  
pp. e21632-e21632
Author(s):  
Claudia Bozza ◽  
Lorenzo Gerratana ◽  
Debora Basile ◽  
Maria Grazia Vitale ◽  
Michele Bartoletti ◽  
...  
Keyword(s):  
Alternative Medicine ◽  
Complementary And Alternative Medicine ◽  
Cancer Patients ◽  
Alternative Therapy ◽  
Pilot Trial ◽  
Complementary Therapy ◽  
University Hospital ◽  
Oncological Patients ◽  
Before And After ◽  
Complementary And Alternative

e21632 Background: It is estimated that about half of cancer patients (pts) use at least one form of (CAM) Complementary and Alternative Medicine in their life but there is a strong reticence of pts in talking about CAM with their oncologist. Aim of this study is to inform pts about CAM. Methods:From April to December 2016, the observational pilot trial “CAMEO-PRO” prospectively enrolled 200 cancer pts that were invited to attend a tutorial about CAM at the Department of Oncology, University Hospital of Udine (Italy). Before and after the seminar, pts were asked to fill a questionnaire reporting their knowledge and opinion about CAM . Results:Median age was 61 years, 141 (72%) women and 53 (28%) men. At study entry, 139 (72%) pts declared they have never been interested in this topic before; 22 pts (12%) revealed the use of a type of alternative therapy and 53 (31%) revealed the use of complementary therapy. Overall, 111 (55.5%) pts participated to the tutorial. Table 1 shows the percentage of response and the opinion’s change about CAM before and after the tutorial. Conclusions:Informative seminars seem to have an impact on patients’ perceptions and opinions about CAM. [Table: see text]

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