scholarly journals Use of Complementary and Alternative Medicine in Axial Spondyloarthritis: A Qualitative Exploration of Self-Management

2019 ◽  
Vol 8 (5) ◽  
pp. 699 ◽  
Author(s):  
Abbie Jordan ◽  
Hannah Family ◽  
Kelly Blaxall ◽  
Fiona M. Begen ◽  
Raj Sengupta
Keyword(s):  
Alternative Medicine ◽  
Complementary And Alternative Medicine ◽  
Healthcare Professionals ◽  
Axial Spondyloarthritis ◽  
Alternative Therapy ◽  
Alternative Therapies ◽  
Complementary And Alternative Therapy ◽  
Complementary And Alternative Therapies ◽  
Mainstream Healthcare ◽  
Complementary And Alternative

Axial spondyloarthritis (axSpA) is an inflammatory rheumatic condition that is often subject to diagnostic delays. Individuals with axSpA report using complementary and alternative therapies prior to and following diagnosis, though little is known concerning reasons underlying use of such therapies. This study provides detailed insights into the motivation and experiences of complementary and alternative medicine use within a population of individuals with axSpA. Open-ended surveys were completed by 30 individuals (20–69 years; 17 females) diagnosed with axSpA. Subsequent telephone interviews were conducted with eight individuals (39–70 years; five females) diagnosed with axSpA. Data were analyzed using reflexive inductive thematic analysis. Themes of “a learning curve”, “barriers to complementary and alternative therapy use” and “complementary or mutually exclusive” illustrated how participants” increasing understanding of their condition empowered them to explore complementary and alternative therapies use as an adjunct to mainstream care. Individuals with axSpA recommended greater integration between mainstream and complementary and alternative therapies, valuing informed advice from mainstream healthcare professionals before selecting appropriate complementary and alternative therapies for potential use. Healthcare professionals should be proactive in discussing complementary and alternative therapy use with patients and supply them with details of organizations that can provide good-quality information.

scholarly journals Complementary and Alternative Therapy Usage Status and Attitudes of Hypertension Patients

2019 ◽  
Vol 8 (2) ◽  
pp. 59-68
Author(s):  
Hilal Gokce ◽  
Eylem Pasli Gurdogan
Keyword(s):  
Health Care ◽  
Alternative Medicine ◽  
Complementary And Alternative Medicine ◽  
Health Care Workers ◽  
Alternative Treatment ◽  
Alternative Therapy ◽  
Education Level ◽  
Complementary And Alternative Therapy ◽  
Care Workers ◽  
Complementary And Alternative

Aim: With the increase in chronic diseases, the number of patients using complementary and alternative medicine is increasing. In this study, it was aimed to examine the opinions and practices of complementary and alternative therapy usage status and attitudes of hypertension patients. Methods: A descriptive and cross-sectional study consisting of 290 patients was performed with patients who applied to the cardiology and internal diseases outpatient clinic of a public hospital and diagnosed with hypertension. Data were collected by using the patient information form which including socio-demographic form, disease-related characteristics and opinions, and also practices of the patients about the use of complementary and alternative therapies and attitudes towards Holistic Complementary and Alternative Medicine Scale. Results: The mean age of the patients was 61.52±11.19 and 63.1% were female, 83.4% were married, and 74.8% were at primary school and lower education level. Of patients, 56.9% use complementary and alternative treatment methods in addition to hypertension therapy. 27.3% of them think that they are more effective than drugs, 63% of them do not share the method they use with health care workers. The total score of the Holistic Complementary and Alternative Medicine Scale is 23.05±5.80. The scores are taken out of the scale and the sub-dimensions differ according to the age groups, education level, monthly income status and complementary and alternative treatment methods usage status (p <0.05). Conclusion: It was found that patients use complementary and alternative methods but do not share them with health care workers, and they have a positive attitude towards holistic complementary and alternative medicine. It is considered important for health care professionals to question the use of these methods in planning the patients’ treatment.

scholarly journals Law's Dilemma: Validating Complementary and Alternative Medicine and the Clash of Evidential Paradigms

2011 ◽  
Vol 2011 ◽  
pp. 1-10 ◽  
Author(s):  
Ireh Iyioha
Keyword(s):  
Quality Assurance ◽  
Alternative Medicine ◽  
Complementary And Alternative Medicine ◽  
Research Evidence ◽  
Mechanisms Of Action ◽  
Alternative Therapies ◽  
Complementary And Alternative Therapies ◽  
Regulatory Model ◽  
Scientific Validation ◽  
Complementary And Alternative

This paper examines the (in)compatibility between the diagnostic and therapeutic theories of complementary and alternative medicine (CAM) and a science-based regulatory framework. Specifically, the paper investigates the nexus between statutory legitimacy and scientific validation of health systems, with an examination of its impact on the development of complementary and alternative therapies. The paper evaluates competing theories for validating CAM ranging from the RCT methodology to anthropological perspectives and contends that while the RCT method might be beneficial in the regulation of many CAM therapies, yet dogmatic adherence to this paradigm as the exclusive method for legitimizing CAM will be adverse to the independent development of many CAM therapies whose philosophies and mechanisms of action are not scientifically interpretable. Drawing on history and research evidence to support this argument, the paper sues for a regulatory model that is accommodative of different evidential paradigms in support of a pluralistic healthcare system that balances the imperative of quality assurance with the need to ensure access.

The Use of Complementary and Alternative Therapies in Dogs and Cats With Cancer

2006 ◽  
Vol 42 (5) ◽  
pp. 361-365 ◽  
Author(s):  
Susan E. Lana ◽  
Lori R. Kogan ◽  
Ken A. Crump ◽  
J. Terry Graham ◽  
Narda G. Robinson
Keyword(s):  
Alternative Therapy ◽  
Nutritional Supplements ◽  
Alternative Therapies ◽  
Sources Of Information ◽  
Complementary And Alternative Therapy ◽  
Complementary And Alternative Therapies ◽  
Pet Owners ◽  
Intended Purpose ◽  
Medical Therapies ◽  
Complementary And Alternative

The use of complementary and alternative medical therapies is becoming widespread. The objective of this study was to examine the use of complementary and alternative therapies in dogs and cats with cancer. The types of modalities used, the intended purpose for each modality, sources of information pet owners used, and the level of interest in these modalities were all evaluated. Information was obtained by written survey, and 254 owners agreed to participate. Complementary and alternative therapy use was commonplace, with 76% of surveyed owners reporting some use. When prayer for health reasons was excluded, the number of owners reporting use dropped to 65%. Nutritional supplements were the most commonly used therapy.

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.

scholarly journals A case of metastatic pancreatic adenocarcinoma confounded by complementary and alternative medicine therapies

2019 ◽  
Vol 12 (10) ◽  
pp. e231356 ◽  
Author(s):  
Ken M Stern ◽  
Bryan S Benn
Keyword(s):  
Alternative Medicine ◽  
Complementary And Alternative Medicine ◽  
Pancreatic Adenocarcinoma ◽  
Pulmonary Metastasis ◽  
Alternative Therapy ◽  
Stage Iv ◽  
Treatment Delays ◽  
Metastatic Pancreatic Adenocarcinoma ◽  
History Of ◽  
Complementary And Alternative

The use of complementary and alternative medicine (CAM) among cancer patients is widespread. Using these therapies may lead to treatment delays or confound the clinical picture when problems arise. Inquiry regarding CAM therapies used is an important part of a thorough history for any cancer patient. A 48-year-old man with a history of stage IV pancreatic adenocarcinoma was referred for a second opinion for a worsening dry cough in the setting of cavitary ground-glass opacities and non-cavitating nodules found on chest CT. Previous workup was non-diagnostic and his CT findings were atypical for pulmonary metastasis. Due to his extensive alternative therapy use, he was diagnosed with interstitial lung disease (ILD). Flexible bronchoscopy with transbronchial cryobiopsies revealed adenocarcinoma with intestinal/pancreatobiliary differentiation, consistent with metastatic pancreatic cancer. Adjacent alveolar parenchyma was without evidence of ILD. Atypical CT patterns of pulmonary metastasis should lead to an investigation regarding other possible causes.

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]

Counseling Families Who Choose Complementary and Alternative Medicine for Their Child With Chronic Illness or Disability

PEDIATRICS ◽  
2001 ◽  
Vol 107 (3) ◽  
pp. 598-601 ◽  
Author(s):  
Keyword(s):  
United States ◽  
Chronic Illness ◽  
Alternative Medicine ◽  
Complementary And Alternative Medicine ◽  
Children With Autism ◽  
The United States ◽  
Alternative Therapies ◽  
Therapeutic Options ◽  
Unproven Therapies ◽  
Complementary And Alternative

The use of complementary and alternative medicine (CAM) to treat chronic illness or disability is increasing in the United States. This is especially evident among children with autism and related disorders. It may be challenging to the practicing pediatrician to distinguish among accepted biomedical treatments, unproven therapies, and alternative therapies. Moreover, there are no published guidelines regarding the use of CAM in the care of children with chronic illness or disability. To best serve the interests of children, it is important to maintain a scientific perspective, to provide balanced advice about therapeutic options, to guard against bias, and to establish and maintain a trusting relationship with families. This statement provides information and guidance for pediatricians when counseling families about CAM.

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