Using factor analysis to create complementary and alternative medicine domains: An examination of patterns of use

2010 ◽  
Vol 14 (3) ◽  
pp. 234-252 ◽  
Author(s):  
Stephanie L. Ayers ◽  
Jennie J. Kronenfeld
Keyword(s):  
Factor Analysis ◽  
Alternative Medicine ◽  
Complementary And Alternative Medicine ◽  
Patterns Of Use ◽  
Complementary And Alternative

scholarly journals From disappointment to holistic ideals: a qualitative study on motives and experiences of using complementary and alternative medicine in Sweden

2015 ◽  
Vol 4 (2) ◽  
Author(s):  
Jenny-Ann Danell
Keyword(s):  
Alternative Medicine ◽  
Complementary And Alternative Medicine ◽  
Individual Responsibility ◽  
Qualitative Understanding ◽  
Patterns Of Use ◽  
Conventional Health Care ◽  
Design And Methods ◽  
Depth Interviews ◽  
Complementary And Alternative

<em>Background</em>. Recent studies indicate increased use of complementary and alternative medicine (CAM) in western societies, to ameliorate health problems. Even if there is substantial research on general patterns of use, there is limited knowledge on individual motives. This study contributes to a qualitative understanding of experiences of choosing and using CAM. <br /><em>Design and methods</em>. This study consists of in-depth interviews with 10 CAM users in Sweden. The participants represent different backgrounds and experiences of using CAM. The interviews have been analysed in accordance with content analysis. <br /><em>Results</em>. In analysing experiences of choosing and using CAM four main themes were identified: frustration and critique, values and ideology, individual responsibility, and combining treatments. In general, the participants were highly reflexive on issues concerning their health. They highlighted their own role and responsibility, combined a variety of treatments, and continuously dealt with questions on risks, even if they had relatively different approaches to if and when to use CAM. The results also show that motives may change over time. Even if initial choices were closely related to frustration and critique of conventional treatments (for example, by perceiving conventional health care as limited, not receiving proper diagnoses, or being critical to conventional drugs) was long-term use motivated by ideological characteristics of CAM (such as holistic and individualized treatments, and extensive interaction with practitioners).<br /><em>Conclusions</em>. Four main themes, concerning experiences of choosing and using CAM were identified. This study also supports the idea that initial motives for choosing CAM may differ from those explaining long-term use.

scholarly journals Self-efficacy in relation to the use of complementary and alternative medicine, lifestyle choices and cancer aetiology

2021 ◽  
Author(s):  
Lena Josfeld ◽  
Lara Krüger ◽  
Jens Büntzel ◽  
Bijan Zomorodbakhsch ◽  
Jutta Hübner
Keyword(s):  
Factor Analysis ◽  
Alternative Medicine ◽  
Complementary And Alternative Medicine ◽  
Cancer Patients ◽  
Exploratory Factor Analysis ◽  
Self Efficacy ◽  
Physical Trauma ◽  
Lifestyle Choices ◽  
Carcinogenic Effects ◽  
Complementary And Alternative

Abstract Purpose This survey assesses cancer patients’ etiological concepts, lifestyle choices, use of complementary and alternative medicine (CAM), and self-efficacy, as well as associations between those. It aims to find patterns which may facilitate communication and understanding between patients and physicians. Methods 353 oncological patients attending lectures on CAM answered a questionnaire. Correlations were examined and an exploratory factor analysis conducted to identify comprehensive lay-etiological concepts among a list of potential carcinogenic factors. Results Patients considered scientifically proven agents as well as other non-carcinogenic influences to be responsible for their disease. An exploratory factor analysis yielded vague indications of possible underlying concepts but factors tend to include items that do not fit the pattern in terms of content. Higher self-efficacy correlated with healthy diet and sports, but not with use of CAM. No conclusive correlations emerged between lay-aetiological concepts and most other variables, but we found a tendency for higher self-efficacy among patients who assigned higher carcinogenic effects to tobacco and lower carcinogenic effects to fasting and physical trauma. Conclusion Interest in CAM can arise for many reasons that are not necessarily related to self-efficacy. Lay-aetiological concepts of cancer differ significantly from scientific ones. They are complex and presumably highly individualistic. Their connection to use of CAM methods, lifestyle choices and self-efficacy should be explored in more detail. Patient information and communication with clinicians need to address cancer patients’ individual aetiological concepts to further patient’s understanding not only of their diagnosis but also of the treatment as well.

scholarly journals Development of Nurses’ Beliefs and Attitudes Towards Complementary and Alternative Medicine Questionnaire and its Psychometric Evaluation

2020 ◽  
Vol 10 (1) ◽  
pp. 12-33
Author(s):  
Nafiseh Kaviani ◽  
◽  
Zahra Tagharrobi ◽  
Khadijeh Sharifi ◽  
Zahra Sooki ◽  
...  
Keyword(s):  
Factor Analysis ◽  
Clinical Practice ◽  
Alternative Medicine ◽  
Complementary And Alternative Medicine ◽  
Content Validity ◽  
Psychometric Evaluation ◽  
Cronbach’S Alpha ◽  
Cronbach's Alpha ◽  
Beliefs And Attitudes ◽  
Complementary And Alternative

Objective Due to the impact of the beliefs and attitudes on clinical practice, it is necessary to measure the beliefs and attitudes of nurses towrads the use of Complementary and Alternative Medicine (CAM) in patient care. This study aimed for development and psychometric evaluation of Nurses’ Beliefs and Attitudes towards CAM Questionnaire (NBACQ) for Iranian population. Methods In this methodological study, based on Waltz et al.’s approach and the constructs of the theory of planned behavior, the initial version of NBACQ was designed, and its face and content validity were assessed. Participants were 250 eligible clinical nurses in Kashan, Iran selected using a stratified random sampling method in 2018 after obtaining informed written consent from them. Construct validity of the tool was evaluated by factor analysis and known-groups method, and its reliability was assessed by measuring its internal consistency and stability as well as the ceiling and floor effects. Data were analyzed in SPSS by using exploratory factor analysis, ANOVA, Cronbach’s alpha and Intraclass Correlation Coefficient (ICC). Results The initial version of NBACQ had 60 items. In the face and content validity assessment stage, 4 items were eliminated. Factor analysis yielded 6 factors by eliminating 14 items (Explained Variance=52.3%). There was a significant relationship between the NBACQ score and the nurses’ agreement with the use of CAM in clinical practice (F=6.85, P<0.0001). Cronbach’s alpha and ICC values were obtained 0.878 and 0.973, respectively. The standard error of measurement and the smallest detectable change were calculated ±14.685 and 10.62, respectively. The frequency of minimum and maximum possible NBACQ scores was zero. Conclusion The 42-item NBACQ can be used as a valid and reliable tool for assessing the nurses’ beliefs and attitudes towards CAM.

scholarly journals Use of complementary and alternative medicine in a pediatric population in southern Turkey

2011 ◽  
Vol 34 (1) ◽  
pp. 21 ◽  
Author(s):  
Nilgun Araz ◽  
Selda Bulbul
Keyword(s):  
Alternative Medicine ◽  
Complementary And Alternative Medicine ◽  
Associated Factors ◽  
Pediatric Population ◽  
Great Majority ◽  
Perceived Effectiveness ◽  
Herbal Products ◽  
Herbal Preparations ◽  
Patterns Of Use ◽  
Complementary And Alternative

Purpose: The use of complementary and alternative medicine (CAM) in children is becoming increasingly acceptable and popular. The aim of this questionnaire-based study was to determine the prevalence, patterns of use, types, perceived effectiveness and associated factors of CAM in children. Methods: Parents of children (n= 268) who attended the Pediatric Outpatient Department of the Faculty of Medicine at Gaziantep University in June and July 2008 were asked to complete a questionnaire. Results: The prevalence of CAM use, at least once in the previous year, was 58.6%. The most commonly used CAM modality was herbal preparations (82.7%), which were used to treat cough (42.0%), diarrhea (30.0%) and gas (colic) pains (34.4%). These products were recommended by the respondents’ mother/mother-in-law (52.5%), neighbors (20.0%), friends (14.7%) and doctors (12.8%). Only 31.6% (61) of these parents informed their doctor about their use of CAM to treat their children. Thirty-eight percent (n=102) of the participants stated that they preferred to use CAM modalities rather than referring to a doctor when their child was sick. While most of the families (57.7 %) stated that the method they used was “slightly” useful, 18.6% of them stated the method to be “fairly” useful. The parental use of CAM and the educational level of the parents were among the factors of affecting the use of CAM in children. No correlation was found between the use of CAM and the sex, social security status, income level and other sociodemographic properties of the respondents. Conclusion: This study showed that a great majority of parents of children in this population used CAM modalities and that herbal products were preferred. Most parents did not inform their physicians of their use of CAM. In the light of these findings, pediatricians should be prepared to discuss alternative therapies with parents, since talking about CAM may be helpful in minimizing associated risks.

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