scholarly journals Developing a patient-centered outcome measure for complementary and alternative medicine therapies II: Refining content validity through cognitive interviews

Author(s):  
Jennifer J Thompson ◽  
Kimberly L Kelly ◽  
Cheryl Ritenbaugh ◽  
Allison L Hopkins ◽  
Colette M Sims ◽  
...  
2004 ◽  
Vol 19 (4) ◽  
pp. 170-173
Author(s):  
Marc Brodsky ◽  
Ka-Kit Hui

Musicians are increasingly seeking out complementary and alternative medicine (CAM) to relieve suffering that results from playing-related pain conditions. Using an innovative patient-centered model, an approach has been developed that can incorporate various medical systems and therapeutics to offer safe, effective, affordable, and accessible health care for musicians. A case discussion explores how musicians, through combining different traditions of medicine in orchestration, can optimize their quality of life while meeting their needs of prevention and rehabilitation of occupation-related conditions.


2011 ◽  
Vol 3 (1) ◽  
pp. 29 ◽  
Author(s):  
Marion Upsdell ◽  
Chrystal Jaye

INTRODUCTION: A number of surveys in New Zealand have documented the growing interest and experience that GPs have in their encounters with complementary and alternative medicine. This study has focussed on reasons why some GPs choose to engage with CAM, how these reflect their aims of health care, the difficulties they encounter and how these are negotiated within the consultation. METHOD: A sample of 12 mainstream GPs from the greater Auckland area agreed to a semi-structured interview, and the transcripts were analysed using grounded theory technique. FINDINGS: All general practitioners interviewed in this study were confronted to a greater or lesser extent with their patients’ interest in CAM. Not all chose to engage with the subject. Those who did engage cited a number of reasons for doing so which included a desire to remain patient-centred, to place their patients’ choices within the context of a good diagnosis, to provide what evidence-based information they could and to minimise potential harms from its use. CONCLUSION: This study adds weight to findings in previous studies that many general practitioners encounter CAM in their consultations and explores reasons why they choose to engage with it. The findings suggest that increased dialogue with non-mainstream health practitioners and access to knowledge sources giving a basic understanding of CAM practices and philosophies that both CAM and mainstream practitioner communities regard as reliable would be of benefit to these GPs. KEYWORDS: Complementary and alternative medicine; family practice; patient-centered medicine


2017 ◽  
Vol 25 (2) ◽  
pp. 292-304 ◽  
Author(s):  
Giada Belletti ◽  
Seyed Afshin Shorofi ◽  
Paul Arbon ◽  
Alberto Dal Molin

Background: Patients are showing an increasing interest in the use of complementary and alternative medicine (CAM). Most nurses are open to the adoption of CAM into clinical nursing practice, but they may experience a lack of knowledge about the safe and effective use of these therapies. Several studies concerning nurses’ knowledge and attitudes toward CAM have been published, but only in one, the authors (Shorofi and Arbon) used a validated questionnaire. In Italy, there are no validated questionnaires to investigate this aspect of nursing practice. Purpose: To test the psychometric properties of the Italian Shorofi and Arbon questionnaire for use with Italian nurses. Methods: A forward–backward translation method was used to translate the questionnaire from English to Italian. Content validity, face validity and reliability were established. Results and Conclusions: This study examined the potential usefulness of the Shorofi and Arbon questionnaire for the evaluation of CAM knowledge of Italian speaking nurses, which showed good content validity and good reliability.


2009 ◽  
Vol 14 (2) ◽  
pp. 70-83 ◽  
Author(s):  
Maree O’Keefe ◽  
Suzette Coat ◽  
Alison Jones

Many parents use complementary and alternative medicine (CAM) for their children. A number of medical schools are introducing CAM teaching, and this study was undertaken to explore the medical education priorities of parents who use CAM for their children. A total of 27 parents (25 females, 2 males) participated in 1 of 6 focus group discussions. Transcripts were analyzed using an iterative process of concept identification, hypothesis testing, and detailed comparisons. Participant preferences for health care for their children were complex and informed by previous health care experiences and current family health care needs. Using CAM allowed parents choice and control in managing their family’s health care. Many participant priorities for medical education in CAM echoed key principles of patient-centered care in addition to specific suggestions for curriculum development. Participating parents believed that it was important to increase medical students’ knowledge and understanding of both CAM modalities and the perspectives of parents.


EXPLORE ◽  
2005 ◽  
Vol 1 (3) ◽  
pp. 177-185 ◽  
Author(s):  
David T. Eton ◽  
Karen Koffler ◽  
David Cella ◽  
Amy Eisenstein ◽  
John A. Astin ◽  
...  

2020 ◽  
Vol 10 (1) ◽  
pp. 12-33
Author(s):  
Nafiseh Kaviani ◽  
◽  
Zahra Tagharrobi ◽  
Khadijeh Sharifi ◽  
Zahra Sooki ◽  
...  

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.


2019 ◽  
Vol 15 (1) ◽  
pp. 7-14 ◽  
Author(s):  
Shelly Latte-Naor ◽  
Jun J. Mao

Unmet symptom needs and a desire for holistic health approaches or even cure are among the motivations patients have for seeking out complementary and alternative medicine. Using complementary and alternative medicine instead of conventional cancer treatment can have a negative impact on clinical outcomes and survival. Integrative oncology is a patient-centered, evidence-informed field of comprehensive cancer care that uses mind-body practices, natural products, and lifestyle modifications from different traditions alongside conventional cancer treatments. It prioritizes safety and best available evidence to offer appropriate therapeutic interventions along with conventional care. This review summarizes the underlying principles of integrative oncology and how it is distinct from alternative medicine, and it provides a practical guide for the effective application of evidence-based complementary and alternative medicine interventions in patient-centered care. In addition, we recommend resources for patients and clinicians and provide algorithms for appropriate integrative medicine referrals. Finally, we offer suggestions on developing and implementing an integrative oncology program and addressing current challenges in the field.


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