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Nestoruk, M., O. Figurna, Людмила Анатоліївна Денисова, Людмила Анатольевна Денисова i Liudmyla Anatoliivna Denysova. "Complementary and alternative medicine". Thesis, Sumy State University, 2014. http://essuir.sumdu.edu.ua/handle/123456789/45285.
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We have all heard the terms “complementary medicine” and “alternative medicine” on the TV or somewhere else, but what do they really mean?lternative medicine is a collective name for methods pretending on the ability to treat (or prevent) disease. There are five major categories of complementary and alternative medicine therapies.
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Blackwelder, Reid B. "Complementary and Alternative Medicine". Digital Commons @ East Tennessee State University, 2002. https://dc.etsu.edu/etsu-works/6918.
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Blackwelder, Reid B. "Practical Approach to Complementary and Alternative Medicine". Digital Commons @ East Tennessee State University, 2012. https://dc.etsu.edu/etsu-works/6979.
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Bailey, E. E., i L. Lee Glenn. "Cancer Patient Use of Complementary and Alternative Medicine". Digital Commons @ East Tennessee State University, 2012. https://dc.etsu.edu/etsu-works/7502.
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Shrestha, Priyanka. "Predicting Quantity of Complementary and Alternative Medicine Use". Miami University / OhioLINK, 2017. http://rave.ohiolink.edu/etdc/view?acc_num=miami1500381639467327.
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Carmichael, Jenna, Kelsey Kitzmiller i Rebekah Jackowski. "Arizona Pharmacist's Attitudes Towards Complementary and Alternative Medicine". The University of Arizona, 2011. http://hdl.handle.net/10150/614599.
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Class of 2011 AbstractOBJECTIVES: The purpose of the study is to gain knowledge about pharmacists’ use and recommendations toward complementary and alternative medicine in the state of Arizona. METHODS: Samples were obtained through an online survey. Members from Arizona Pharmacy Alliance (AzPA) were emailed asking them to participate in an online survey. The sample size was all the pharmacists who are members of AzPA and have an email address, about 900 pharmacists. There were 187 responses, giving a response rate of 21%. The questionnaire was developed using questions from previous studies of pharmacists, physicians, and nurses. Demographic information collected included age, number of years practicing, ethnicity, sex and type of pharmacy he/she practices in. RESULTS: Pharmacists who have been treated with CAM personally are more likely to agree that CAM is a useful supplement to conventional medicines (p<0.001). Pharmacists who do not use CAM regularly to treat their own symptoms or illnesses were less likely to think CAM is a useful supplement to conventional medicine (p<0.001) and less likely to think CAM should be integrated into main stream western medicine (p<0.001). Pharmacists practicing greater than 20 years are more likely to think that their attitude toward alternative medicine has changed substantially over the past few years (p=0.028) and are more likely to think CAM should be integrated into western medicine (p=0.036) compared to those practicing less than 10 years. CONCLUSION: Based on the results, the hypothesis that pharmacists with personal CAM use are more likely to recommend or have a positive attitude toward their patients and recommend CAM was supported. The other hypothesis of pharmacists who have more recently graduated from pharmacy school will have a more positive outlook on CAM has been refuted as it was shown that those who have been practicing more than 20 years are more likely to believe CAM should be integrated into Western medicine.
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O'Rourke, Patricia Mary. "Complementary and alternative medicine : nature, origins, ethics and regulation". Thesis, National Library of Canada = Bibliothèque nationale du Canada, 2001. http://www.collectionscanada.ca/obj/s4/f2/dsk3/ftp05/NQ63987.pdf.
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Bhargava, Vibha. "Demand for complementary and alternative medicine an economic analysis /". Columbus, Ohio : Ohio State University, 2007. http://rave.ohiolink.edu/etdc/view?acc%5Fnum=osu1181736111.
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Beebe, Michele Morgen. "Use of complementary and alternative medicine among rural Montanans". Thesis, Montana State University, 2004. http://etd.lib.montana.edu/etd/2004/beebe/BeebeM0805.pdf.
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Verhovsek, Ester L. "Curriculum Change: Implementation of Complementary and Alternative Medicine (CAM)". Digital Commons @ East Tennessee State University, 2009. https://dc.etsu.edu/etsu-works/2592.
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Blevins, Joshua David. "West Virginians' perceptions and use of complementary medicine". Morgantown, W. Va. : [West Virginia University Libraries], 2000. http://etd.wvu.edu/templates/showETD.cfm?recnum=1751.
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Lunat, Imran. "Traditional, complementary and alternative medicine use in HIV-positive patients". Thesis, Nelson Mandela Metropolitan University, 2011. http://hdl.handle.net/10948/1388.
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The standard anti-retroviral drugs (ARVs) used for the treatment of HIV/AIDS have significant side effects resulting in a lack of adherence and the emergence of multidrug resistant viral strains. These drugs are also expensive, making it essential to investigate all alternatives to classical HIV/AIDS treatment. A wide variety of nonconventional medicines are used by patients for the treatment HIV and for symptoms associated with HIV. So long as they are safe and effective, traditional, complementary and alternative medicines (TCAMs) may be considered more advantageous for developing countries as they are relatively cheap, more accessible and widely accepted by local populations. The aim of this study was to determine the prevalence of TCAM use in HIV-positive patients, prior to, and during ARV therapy. The study was exploratory, cross sectional and observational in nature. Participants were selected via convenience sampling from the Nelson Mandela Bay Municipality, and included 244 HIV-positive patients, 29 health care professionals (HCPs) and 30 traditional, complementary and alternative practitioners (TCAMPs). A wide variety of TCAMs were used by the sample population. These medicines were more commonly used by non-ARV patients (36 percent) compared with ARV patients (22 percent). A significant statistical difference in TCAM use between the ARV and non- ARV population was found in relation to education, employment, period of status awareness, patient opinion of personal health and the reasons for TCAM use. Amongst the HCPs, 24 percent recommended TCAM use prior to ARVs, and 55 percent were aware of patients self-prescribing before and during ARV treatment. Amongst the TCAMPs, 90 percent provided a wide range of TCAMs for HIV, with some giving consideration to conventional management. TCAMs are commonly used by HIV-positive patients on ARVs, as well as by those not on ARVs. These medicines are also the preferred form of treatment for those not seeking conventional treatment. TCAMs are widely available and recommended by TCAMPs as well as some HCPs. Due to public health concerns, clinical trials of the widely used TCAMs are crucial in order to establish the safety and efficacy of these medicines in HIV.
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Bair, Yalili Angulo. "Use of complementary and alternative medicine during the menopause transition /". For electronic version search Digital dissertations database. Restricted to UC campuses. Access is free to UC campus dissertations, 2003. http://uclibs.org/PID/11984.
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Rausch, Kimberly B. "An exploration into complementary and alternative medicine at home and abroad". Virtual Press, 2006. http://liblink.bsu.edu/uhtbin/catkey/1349767.
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The White House Commission on Complementary and Alternative Medicine Policy (WHCCAMP) suggests that CAM may be useful in contributing to the achievement of the nation's health objectives listed in Healthy People 2010 (Chapter 8: CAM and wellness in health promotion, 2002). The purpose of this study was to compare CAM practitioners and practices in Australia, where CAM has been embraced, to those in the United States. Overall there were many similarities and few differences between the two country's results. The themes that resulted from analyzing the transcripts of 5 in-depth interviews with practitioners included; collaboration and integration, community descriptions, general characteristics of practice, general characteristics of practitioner, growth and life purpose, holism, need for health culture change, personalized attention/tailored intervention, and technology use. The implications that resulted may inform users of CAM, students of medicine, and American citizens who desire safe alternative ways to improve their health.Fisher Institute for Wellness and Gerontology
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Blackwelder, Reid B. "AAFP Home Study Self-Assessment Monograph on Complementary and Alternative Medicine". Digital Commons @ East Tennessee State University, 1997. https://dc.etsu.edu/etsu-works/6923.
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Vincent, Dawn A. "Acceptance of complementary and alternative medicine among pediatric patients with diabetes". Virtual Press, 2007. http://liblink.bsu.edu/uhtbin/catkey/1366504.
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The purpose of this research study was to determine the acceptability of complementary and alternative medicine use in a pediatric population with diabetes. Subjects included 76 patients who attend or have previously attended a diabetes clinic at Riley Hospital for Children in Indianapolis, Indiana.Once patient and parent approval had been granted, the researcher conducted a telephone interview to gather information. Using SPSS statistical software, frequencies and Chi-squared analysis were performed on the data collected. It was revealed that although subjects had a wide variety of concerns with the use of CAM and were unsure about whether it "could heal diabetes or other health problems," a majority were willing to try CAM. Results also indicated that willingness to try CAM was not affected by the age of the child, the type of diabetes present, use of insulin or special diet, or current use of a vitamin or supplement.Department of Family and Consumer Sciences
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Lockwood, Richard Scott. "Physicians Providing Alternative Medicine Boundary Crossing and the Emergence of Integrative Medicine". PDXScholar, 2008. https://pdxscholar.library.pdx.edu/open_access_etds/2273.
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Integrative medicine (IM) has organized as a new area of specialization in mainstream healthcare. The development of IM is widely attributed to popular demand for the range of therapies known collectively as Complementary and Alternative Medicine (CAM). During the 1990's the rate of acceptance of CAM accelerated among consumers, professions, financing and education. The Medical Expenditure Panel Survey (MEPS) measured CAM utilization and professional service provision during the years 1996 and 1998, but never since. These surveys were unique because they specifically inquired as to whether CAM was provided by a physician, among other types of professionals. This dissertation defines early integrative medicine (MDCAM) as CAM therapies provided by physicians. Because the MDCAM subpopulation is small, MEPS surveys for 1996 and 1998 were combined (N=39,314) to improve statistical power.
The theoretical approach employed Abbott's (1988) theory of a system of professions, in which MDCAM represents a professional strategy of client differentiation through the social boundary mechanism of borrowing (Tilly, 2004) specific CAM therapies to satisfy consumer demand. The utility of the theory of a system of professions is discussed for its ability to decouple conceptual-level claims from observable workplace-level behaviors.
Nearly one million Americans received CAM therapies from their physicians during the period, and this professional behavior was found in every region of the country. Services provided by physicians included spiritual healing, massage and acupuncture; national population prevalence estimates are provided. This is meaningful because physicians, at the time, were at risk for disciplinary action for providing CAM.
The MDCAM subpopulation was similar to those who used both conventional and CAM services from other professional sources (BOTH), however, MDCAM reported much higher prescription medication use. The demographic profile of MDCAM was more similar to those who consume health care services frequently, compared to infrequent consumers. The MDCAM group is distinguished from those who use BOTH by increased utilization of the following services: nutritional advice, biofeedback and meditation. MDCAM is characterized by diagnoses of chronic illness. MDCAM recipients used mainstream medicine, yet employed disease management services offered by the CAM domain.
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Versnik, Nowak Amy L. "Predictors of complementary and alternative medicine use among Texas university undergraduates". Diss., Texas A&M University, 2005. http://hdl.handle.net/1969.1/4132.
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Research regarding use of complementary and alternative medicine (CAM) among all populations in America is needed to understand what seems to be an increasing trend. Education has been shown to be a significant determinant of CAM use, therefore, college students are likely to be CAM users. Little research has addressed the prevalence and predictors of CAM use among this population, so the purpose of this study was to: (1) measure the prevalence and type of CAM use among a sample of college undergraduates; and (2) test the significance of select social-cognitive constructs and demographics as predictors of CAM use. A random sample of undergraduate students within the Texas A&M University System was solicited via email to complete a web-based survey. Findings show high rates of CAM use. Gender, attitude toward CAM, outcome expectancies regarding the health care encounter, and social network use of CAM were shown to be significant predictors of CAM use. Results can inform health care and health education professionals interested in improving health care processes and addressing positive and negative issues related to CAM use.
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Walden, Keema M. "Perceptions of leisure and complementary and alternative medicine among spa practitioners". [Bloomington, Ind.] : Indiana University, 2007. http://gateway.proquest.com/openurl?url_ver=Z39.88-2004&rft_val_fmt=info:ofi/fmt:kev:mtx:dissertation&res_dat=xri:pqdiss&rft_dat=xri:pqdiss:3278235.
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Thesis (Ph.D.)--Indiana University, School of Health, Physical Education and Recreation, 2007.Source: Dissertation Abstracts International, Volume: 68-09, Section: B, page: 5831. Adviser: Ruth V. Russell. Title from dissertation home page (viewed May 9, 2008).
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Gowing, Christine Mary. "Complementary and Alternative Medicine (CAM) in British nursing practice, 1960-2000". Thesis, University of Birmingham, 2016. http://etheses.bham.ac.uk//id/eprint/7167/.
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Most nursing history has focused on the politics, identity and development of the profession. This study focuses on practice. It examines the surge of interest in complementary and alternative medicine {CAM) in British nursing during the second half of the twentieth century and explores how and why some nurses used CAM in their practice. It examines the therapies that nurses employed and how these practitioners were supported. The merit of this research lies in exposing evidence of a more clearly designed organisation of CAM in nursing than has been suggested previously and places it within a discrete timeframe, one already recognised as a period of reform in medicine. In using the methodology of oral histories, archives and nursing journals, the research is rooted in nursing history, importantly demonstrating that CAM practice in nursing was not only part of a shift in consciousness away from a medical model, but was an extension of the patient-centred nature of nursing culture in the late twentieth century. In presenting a movement that challenged the dominance of biomedicine, this thesis demonstrates the emergence of a changing model of healthcare and contributes an important perspective to the modern history of medicine and healing.
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Perry, Rachel Elizabeth. "Complementary and alternative medicine in primary care : practice, attitudes and effectiveness". Thesis, University of Bristol, 2017. https://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.752755.
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Kizhakkeveettil, Anupama Kizhakkeveettil. "Relationship Between Stress and Young Adults' Complementary and Alternative Medicine Use". ScholarWorks, 2016. https://scholarworks.waldenu.edu/dissertations/2264.
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Complementary and alternative medicine (CAM) refers to a group of diverse medical and healthcare systems, practices, and products not treated as conventional medicine. The body of literature on stress and stress management among young adults has not addressed the use of CAM modalities for stress management among this population. The theoretical foundation of the study was based upon the transactional model of stress and coping, which describes stress as an interaction between an external stressor and the resources available to eliminate the stressor. The purpose of this quantitative study was to examine whether variables such as exposure to CAM, stress level, dispositional coping style, sociodemographic variables, and social support influence young adults' use of CAM modalities for stress management. This study sought to determine to what extent dispositional coping, exposure to and knowledge of CAM, and sociodemographic variables affect young adults' use of CAM modalities for stress management. This study also sought to answer whether there is a difference in the perceived stress of participants who use CAM modalities and those who do not. A quantitative cross-sectional correlational study was employed, using a survey methodology, to identify whether the factors identified in the study influence young adults' use of CAM modalities. Results showed that knowledge of CAM and dispositional coping style significantly influence the use of CAM modalities; sociodemographic variables do not influence the use of these modalities. Furthermore, the use of CAM modalities was found to have a significant relationship to stress level. The findings of the current study suggest the CAM techniques can be adapted and introduced into college settings so that students can better manage their stress levels
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Pratt, Kimberly M. "Evaluating Complementary and Alternative Medicine (CAM) Utilization in a College Sample: A Multisite Application of the Sociobehavioral Model of Healthcare Utilization". DigitalCommons@USU, 2012. https://digitalcommons.usu.edu/etd/1397.
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The use of complementary and alternative medicine (CAM) among U.S. college students and the general public is substantial and growing; however, research on the characteristics of college students who use CAM and the factors that influence their decision to use CAM is scarce. The present study applied the sociobehavioral model of healthcare utilization to the examination of CAM utilization in a sample of college students in the western U.S. A total of 592 college students from ages 18-52 from two universities within the western U.S. completed a web-based survey assessing the relationships between their demographic characteristics, health locus of control beliefs, religious and spiritual beliefs, and physical and mental health status and their lifetime and past 12-month use of CAM across five domains (alternative medicine systems, biologically based therapies, manipulative and body based treatments, mind-body medicine, and energy medicine). Statistically significant relationships were found between CAM use and biological sex, financial dependency status, internal health locus of control, mental health status, and bodily pain. These predictors were combined, along with college attended, according to the sociobehavioral model of healthcare utilization and tested for their predictive efficacy. One hundred percent of those surveyed reported use of at least one type of CAM practice within their lifetime, and 88% reported use of at least one type of CAM practice within the last year. The interventions used most by college students in this study were deep breathing exercises (50.7%), yoga (39.7%), massage (37.8%), meditation (35.8%), pilates (20.4%), and chiropractic or osteopathic manipulation (20.1%). Moreover, they endorsed using these practices for the promotion of general wellness, improvement of psychological functioning, and alleviation of pain.
Multiple linear regression analyses of these variables revealed that their combination explained from 4.0% to 17.6% of the variance in CAM use in this sample. Results indicated that this model can be successfully applied to CAM use. These findings were evaluated and compared with previous findings regarding CAM use in both general population and college student samples. Specific implications for the fields of psychology, medicine, and health education within the areas of practice and research are discussed.
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Hsu, Mei-Chi. "Complementary and Alternative Medicine Use for Adult Patients With Depression in Taiwan". Thesis, Griffith University, 2006. http://hdl.handle.net/10072/367427.
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Complementary and Alternative Medicine (CAM) is being increasingly used by consumers to prevent disease and promote health in general. However, the use of CAM by adults with depression remains a largely unexplored area. Little is known about how patients actually use CAM while they are under the care of health professionals and being prescribed conventional medicine. More information is required regarding the impact of CAM on conventional treatment, because such information can have important implications for public health and mental health care. Using a descriptive design, the main aim of the thesis was to identify the prevalence of CAM use in a sample of Taiwanese patients (n = 206). Participants were aged 50 years or over and were hospitalised with a diagnosis of depression. The study also aimed to identify factors associated with CAM use and the influence of CAM use on compliance with antidepressant medication.
This study consisted of 2 phases. During Phase 1, participants who were hospitalised and receiving conventional care for depression were surveyed in a face-to-face interview. The survey included (1) CAM use, (2) reasons for use, (3) communication with health professionals about CAM use, and (4) support for CAM use. Attitudes toward and perceived education of nurses about both CAM and antidepressant medication were measured as potential contributing factors to CAM use. The influence of CAM use on adherence to antidepressant medication was also addressed. Phase 2 consisted of a telephone interview conducted one month following discharge. Participants repeated the CAM survey, and the Adherence Attitude Inventory (AAI) was added in this phase. Nearly 70% of participants (69.9%, n = 144) reported using at least one CAM therapy in the past 12 months and 50.2% (n = 101) reported using CAM for one month after discharge. During the past 12 months, around 60% of participants (59.2%, n = 122)had used a combination of CAM and antidepressants to treat depression; 20.4% (n = 42) had used antidepressants exclusively; and 10.7% (n = 22) had used CAM exclusively. One month after discharge, 40.8% (n = 82) reported using CAM and antidepressants; 28.9% (n = 58) had used antidepressants exclusively; and 9.5% (n = 19) had used CAM exclusively. The most commonly used CAM therapies in the treatment of depression were herbal medicines, spiritual healing by others and folk remedies. In Phase 2, the most commonly used CAM were spiritual healing by others, relaxation techniques and herbal medicine. In Phase 1, 'improved feeling of well-being' was reported as the primary reason for using CAM, followed by 'symptom relief' and 'increased energy'. In Phase 2, 'symptom relief' was the main reason participants used CAM for depression. Although some participants sought CAM from licensed therapists, some also sought CAM from non-licensed therapists. A high proportion of participants never discussed their CAM use with psychiatrists or nurses.
The most likely users of CAM were women aged 50 - 64 who had higher incomes, higher education, current employment, strong religious beliefs and practice, and a longer duration of depression. There was a statistically significant relationship between CAM use and antidepressant use. Participants had slightly favourable attitudes toward CAM. Many participants (50%, n = 102) expressed that they were willing to try any possible treatment for depression. They believed that CAM helped them to feel better and live a happier life. They disagreed that CAM could be ineffective. However, two thirds of participants (66.5%, n = 137) reported that they have inadequate knowledge of CAM. Most participants were unsure whether CAM assisted with the effects of antidepressants or affected their tolerance of other treatments, or if CAM use conflicted with their antidepressants. Most participants were not satisfied with the health education they received about CAM. Participants also reported receiving low levels of education about
antidepressant medication. However, a consistent positive relationship between attitudes toward CAM and reported patient health education about CAM was found both in Phase 1 (&beta = .276, p less than .001) and Phase 2 (&beta = .152, p less than .05). Patient education about CAM was found to be a mediator for the use of CAM in Phase 1, but not in Phase 2. Positive attitudes toward CAM and patient health education accounted for 32% of the variance in the use of CAM. CAM use for depression and its influence on antidepressant medication is an under-explored area and to date no similar research has been conducted in Taiwan. This research is distinctive in that it identified the prevalence of CAM use for depression, the demographic, attitudinal and educational factors that contribute to the use of CAM, and the potential impact of CAM on conventional medicine use. Such findings should prompt not only the exploration of new areas of CAM research and depression management, but also help to determine how CAM can best be used to meet patients' needs, for which culturally appropriate care ultimately leads to better patient treatment options.Thesis (PhD Doctorate)
Doctor of Philosophy (PhD)
School of Nursing and Midwifery
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Lemmons, Lisa. "Perceived effectiveness of complementary and alternative medicine in individuals with bipolar disorder". Thesis, Alliant International University, 2016. http://pqdtopen.proquest.com/#viewpdf?dispub=10128235.
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Bipolar disorder is a condition leading to an increased risk of suicide, often due to non-compliance and mood instability. Research has shown the desire of many to incorporate complementary medicine in order to more effectively reduce the negative symptoms of bipolar disorder. However, there is still little research as to which complementary treatments have been utilized by individuals with bipolar disorder and the effectiveness of said treatments. The study objectives were to determine, based on participant perception, which complementary treatment was perceived to be most effective in reducing symptoms of bipolar disorder. Twenty-three participants completed a self-report questionnaire where they were asked about types of CAM treatments utilized and the perceived effectiveness of these therapies. Information received from the participants provided knowledge about the types of CAM treatments utilized. According to the perception of the participants, CAM use was considered to be more effective in reducing symptoms of bipolar disorder compared to the effectiveness of psychotherapy. Chi square and t test analyses were performed to determine significance of CAM use versus psychotherapy. Future research could be to research the effectiveness of specific CAM treatments and determine whether CAM use alone is more effective than CAM use and psychotherapy.
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Kago, Ntsetselele. "Traditional, complementary and alternative medicine in Botswana: patients’ attitudes, knowledge and use". University of the Western Cape, 2017. http://hdl.handle.net/11394/5482.
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>Magister Scientiae - MScBACKGROUND: The purpose of this study was to determine use, knowledge and attitudes towards traditional, complementary and alternative medicine (TCAM) in Botswana among people who visit public health facilities. PRIMARY AIM: The primary aim of this study was to establish the attitude towards, knowledge of and use of TCAM among patients utilizing two public health care facilities in Botswana. METHODS: The study was descriptive and quantitative in design. Data were collected using structured questionnaires in two public sector hospitals. Data included demographics of participants, current or past TCAM use, perceptions of efficacy and safety of TCAM and knowledge sources on TCAM. RESULTS: The median age of participants was 38.5 years with the youngest participants being 18 years and oldest participant 78 years. Just more than half (55%) of the participants were female.The majority of participants were single (65.6%) and about a quarter (24.4%) of participants were married. Of the study population 16 (7%) participants had no formal education and 40% had a secondary school education. The prevalence of TCAM use in the 90 study participants was found to be 48.9% of which 16.7% were currently using TCAM and 32.2% had used TCAM in the past. However, this practice could not be correlated with any particular demographic variable. TCAM was most often used either to promote overall wellness or to treat a specific health condition. The TCAM modality that was mostly used was African traditional medicine and other herbals. The majority of TCAM users were satisfied with the effects of TCAM of whom 68.4% of participants found the products very helpful. Most of the respondents (79%) reported that they perceived the products to be very safe. However, the participants were split in their willingness to recommend TCAM to another person. In terms of knowledge, most participants would not use TCAM with other medicines. Yet the majority of participants also indicated that they have never discussed TCAM use with their health care professional. Most participants have been exposed to information on TCAM from family or friends (80.6%). CONCLUSION: The prevalence of TCAM use in Botswana is similar to findings in other parts of the world. These products were primarily used for overall wellness and to treat specific diseases, but this practice could not be attributed to any particular demographic profile. The majority of TCAM users were satisfied with the effects of TCAM. Findings support a need for greater integration of allopathic medicine and CAM, as well as improved communication between patients and caregivers regarding TCAM usage.
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McNinch, Deborah A. "Patients' Perspectives on Discussing Complementary and Alternative Medicine Therapies With Conventional Doctors". ScholarWorks, 2011. https://scholarworks.waldenu.edu/dissertations/946.
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Currently, little is known about patients' perceptions and beliefs in discussing complementary and alternative medicine (CAM) with their conventional medical (CM) doctor. The purpose of this descriptive research was to show whether CAM-using patients have an interest in discussing CAM treatments with their CM doctor for comprehensive care as described by the health belief model (HBM) constructs of perceived susceptibility, perceived seriousness, and perceived benefits of taking action. A sample of 165 participants age 18 or older from 2 chiropractic clinics in the midwestern United States completed a Likert-scaled survey. The data were analyzed using descriptive statistics and multiple regression to determine if there is a relationship between the variables of the need for a CAM discussion with a CM as the outcome using HBM constructs as the independent variables. The primary findings from this study were that (a) the participants were interested in discussing CAM with their physicians, with the majority of the participants stating that they discussed CAM either often (33.5%) or always (29.3%); and (b) perceived susceptibility, perceived seriousness, and perceived benefits of taking action were not predictive of a CAM discussion. Future studies should be conducted to (a) examine samples with varying demographic characteristics to assess the generalizability of the current findings; and (b) to include additional predictors of CAM discussions from the HBM such as barriers, cues to action, and self-efficacy. The results of this study add to the limited literature on CAM usage and may prompt future research. Implications for positive social change include understanding patient interest in discussing CAM which can help improve the overall quality of patient service.
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Nekrašaitė, Laura. "Onkologinėmis ligomis sergančių pacientų patirties apie papildomų priemonių,vartojamų greta gydytojo paskirto gydymo, tyrimas". Master's thesis, Lithuanian Academic Libraries Network (LABT), 2014. http://vddb.library.lt/obj/LT-eLABa-0001:E.02~2014~D_20140701_144740-87567.
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Siekiant surinkti ir susisteminti duomenis apie onkologinėmis ligomis sergančių pacientų greta gydytojo paskirto gydymo vartojamas papildomas priemones, vykdytas tiriamasis interviu, kurio metu naudotas pagrindinis tyrimo instrumentas – trijų dalių klausimynas. Tyrimo dalyviai: Lietuvos sveikatos mokslų universiteto ligoninės Kauno klinikų Chemoterapijos dienos stacionaro pacientai bei Alytaus apskrities onkologinėmis ligomis sergančių žmonių asociacijos „Bendrakeleivės“ nariai. Iš viso – 90 respondentų, dažniausiai sergančių: krūties (30 proc.), kraujo (7 proc.), žarnyno (5 proc.), priešinės liaukos (4 proc.) vėžiu.
Tyrimo rezultatai parodė, kad 73 proc. pacientų naudoja papildomas priemones. Apklausos metu nustatytos 134 natūralios kilmės papildomų priemonių rūšys, iš kurių 123 – vaistinių augalų rūšys, priklausančios 52 šeimoms. Citavimų kiekiu (proc.) išsiskiria 6 vaistinių augalų šeimos: astrinių (Asteraceae ) – 20 proc., erškėtinių (Rosaceae) – 9 proc., salierinių (Apiaceae) – 7 proc., bastutinių (Brassicacea) – 6 proc., aguoninių (Papaveraceae) – 6 proc., pupinių (Fabaceae) – 4 proc. Krūties bei žarnyno vėžiu sergantys respondentai dažniausiai naudoja vaistinę medetką (Calendula officinalis L.) ir paprastąją kraujažolę (Achillea millefolium L.) – 5 proc. citavimų skaičiaus. Paprastąją kiaulpienę (Taraxacum officinale F. H. Wigg. s. l.) ir tikrąjį margainį (Silybum marianum L.) paprastai renkasi kraujo vėžiu sergantys pacientai – 11 proc. citavimų skaičiaus. Nustatytos... [toliau žr. visą tekstą]In order to collect and organize data from the use of complementary measures used in addition to a physician prescribed treatment among cancer patients, was conducted exploratory interviews during which was used the main research instrument – a three – part questionnaire. Study participants: patients of Lithuanian University of Health Sciences Kaunas Clinics Hospital Chemotherapy Day Care department and fellow members of Alytus County cancer patients association “Bendrakeleivės”. A total number of 90 respondents participated in this study, mostly with: breast (30%), blood (7%), intestine (5%), prostate (4%) cancer. The results showed that 73% patients use complementary measures. The survey established 134 additional measures types of natural origin. 123 from the previously mentioned were medicinal plant species, belonging to 52 families. Citations content (%) stands 6 medicinal plants of the family Asteraceae – 20%, Rosaceae – 9%, Apiaceae – 7%, Brassicaceae – 6%, Papaveraceae – 6%, Fabaceae – 4%. Breast and intestine cancer patients mainly use marigold (Calendula officinalis L.) and common yarrow (Achillea millefolium L.) – 5% of citation number. Ordinary dandelion (Taraxacum officinale F. H. Wigg. s. l.) and actual milk thistle (Silybum marianum L.) usually opt for blood cancer patients – 11% of citation number. 6 from the previously mentioned were animal species, of which most of the times (34%) was cited gray toad (Bufo bufo) used among breast (26% ) and prostate (8%)... [to full text]
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Lim, Eun Jin. "Model of Integrative Medicine: How Complementary and Alternative Medicine Has Been Integrated into Conventional Cancer Care". Thesis, The University of Sydney, 2016. http://hdl.handle.net/2123/16874.
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An emerging trend in health care is the increased use of complementary and alternative medicine (CAM) by consumers. This has led to the integration of CAM services into conventional hospital settings, which is often called integrative medicine (IM). This is most commonly seen for the management of cancer-related symptoms and side effects. This study sets out to understand different approaches to IM models of care through a comprehensive assessment of what is known about IM, evaluation of how IM operates in a number of major centres, and a comparison between the main models across three countries. Our scoping review identified five main models of IM that could be categorised into three systems (independent, dependent, and integrative). These differing models and systems depict a range of philosophical, theoretical, and practical considerations in the execution of IM models of care; moving from a focus on providers to a focus on patient centred care. The insights developed in our review were then applied to investigate the structure of IM centres and to explore the experiences of senior stakeholders of IM centres in three Western countries - the USA, Germany, and Australia. Centres in the USA and Germany were identified from their prominence in the literature, while Australian centres were identified as part of a scoping exercise that determined the proportion of cancer hospitals providing supportive care and CAM services. A mixed methods approach that incorporated survey and interview data was used to explore the IM models in operation. All of the IM centres emphasised the need for collaboration and engagement between all stakeholders. The German and USA centres retained a strong emphasis on physician-focused care while Australian centres demonstrated a greater focus on patient-centred care. The patient-centred care model requires recognition of the need to personalise medical care, including CAM, for the individual, and the requirement for more collaboration between disciplines, within teams and between staff and patients. Patient-centred care appears to represent the future direction of health care services. An organisational assessment tool was developed based on the results of this study to determine the level of integration of individual IM centres. The tool was applied to Australian IM centres. The majority of the Australian centres were evaluated as level 3 of collaboration, which indicates that in these centres CAM is integrated into the hospital system, but that the expansion of the CAM program is controlled by the hospital. The organisational assessment tool provides a means of assessing where a service sits on this matrix and could be used to plan service development. IM healthcare is complex and requires an understanding of the contextual and philosophical background of both conventional medicine and CAM in order to identify and address key barriers from both medical paradigms. Collaboration and engagement between all stakeholders is essential to meet the demands of patients seeking IM care, and to provide safe patient-centred care.
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Song, Hyon W., Marion Slack, Jennie Lee i Bismark Baidoo. "A Meta-Analysis of Alternative and Complementary Medicine for the Treatment of Insomnia". The University of Arizona, 2013. http://hdl.handle.net/10150/614292.
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Class of 2013 AbstractSpecific Aims: To evaluate three complementary and alternative medicines (CAM), tai-chi, acupuncture, and melatonin, for treating insomnia using meta-analysis assessment of randomized controlled trials. Methods: The electronic database MEDLINE (PubMed) was searched from May of 2012 to November of 2012 by using the terms “sleep initiation and maintenance disorders” AND “tai-chi” OR “melatonin” OR “acupuncture”. All of the searches ended at November of 2012. Data extraction was conducted independently by 2 investigators and any disagreements were resolved by consensus. If the 2 investigators could not agree, the study was reviewed by all 4 investigators. Main Results: Out of 500 studies that were initially retrieved, 12 studies were included; 3 for tai-chi; 4 for acupuncture; 5 for melatonin. We found that the effect of each type of intervention was significantly different than zero, p<0.01 thus all were effective in treating insomnia. From our analysis, acupuncture was the most effective (standard mean difference, SMD=-0.66; p<0.01) followed by tai-chi (SMD=-0.43; p<0.01) whereas melatonin was the least effective (SMD=-0.26; p=0.04) but difference between acupuncture and melatonin was not significant (p=0.15). Conclusion: All three interventions were found to be effective in treating insomnia. However, due to mixed and inconsistent data of the studies, poorly designed trials, and small sample size, further large, well-controlled trials are warranted.
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Usrey, Kelly Marie. "Complementary and alternativve medicine in genetic counseling". Oklahoma City : [s.n.], 2010.
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Rudolph, Cindy Ann. "A study of the benefits of cancer patients engaging in complementary therapies". Online version, 2002. http://www.uwstout.edu/lib/thesis/2002/2002rudolphc.pdf.
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Patnala, Satya Siva Rama Ranganath Srinivas. "Pharmaceutical analysis and quality of complementary medicines : sceletium and associated products". Thesis, Rhodes University, 2007. http://hdl.handle.net/10962/d1018263.
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There has been an upsurge in the use of Complementary and Alternate Medicines (CAMs) in both developed and developing countries. Although herbal medicines have been in use for many centuries, their quality, safety and efficacy are still of major concern. Many countries are in the process of integrating CAMs into conventional health care systems based on the knowledge and use of traditional medicines. The quality control (QC) of herbal products usually presents a formidable analytical challenge in view of the complexity of the constituents in plant material and the commercial non-availability of appropriate qualified reference standards. Sceletium, a genus belonging to the family Aizoaceae, has been reported to contain psychoactive alkaloids, specifically mesembrine, mesembrenone, mesembrenol and some other related alkaloids. Sceletium is marketed as dried plant powder and as phyto-pharmaceutical dosage forms. Sceletium products and plant material marketed through health shops and on the internet are associated with unjustified claims of specific therapeutic efficacy and may be of dubious quality. Validated analytical methods to estimate Sceletium alkaloids have not previously been reported in the scientific literature and the available methods have focused only on qualitative estimation. Furthermore, since appropriate markers were not commercially available for use as reference standards, a primary objective of this study was to isolate relevant compounds, qualify them as reference standards which could be applied to develop appropriate validated qualitative and quantitative analytical methods for fingerprinting and assay of Sceletium plant material and dosage forms. The alkaloidal markers mesembrine, mesembrenone and ∆⁷ mesembrenone were isolated by solvent extraction and chromatography from dried plant material. Mesembranol and epimesembranol were synthesised by hydrogenation of the isolated mesembrine using the catalyst platinum (IV) oxide and then further purified by semi-preparative column chromatography. All compounds were subjected to analysis by ¹H, ¹³C, 2-D nuclear magnetic resonance and liquid chromatography-tandem mass spectroscopy. Mesembrine was converted to hydrochloride crystals and mesembranol was isolated as crystals from the hydrogenation reaction mass. These compounds were analysed and characterised by X-ray crystallography. A relatively simple HPLC method for the separation and quantitative analysis of five relevant alkaloidal components in Sceletium was developed and validated. The method was applied to determine the alkaloids in plant material and dosage forms containing Sceletium. An LCMS method developed during the study provided accurate identification of the five relevant Sceletium alkaloids. The method was applied for the quantitative analysis and QC of Sceletium plant material and its dosage forms. This LCMS method was found to efficiently ionize the relevant alkaloidal markers in order to facilitate their detection, identification and quantification in Sceletium plant material as well as for the assay and QC of dosage forms containing Sceletium. The chemotaxonomy of some Sceletium species and commercially available Sceletium dosage forms were successfully studied by the LCMS method. The HPLC and LCMS methods were also used to monitor the bio-conversion of some of the alkaloids while processing the plant material as per traditional method of fermentation. Additionally a high resolution CZE method was developed for the separation of several Sceletium alkaloids in relatively short analysis times. This analytical method was used successfully to fingerprint the alkaloids and quantify mesembrine in Sceletium and its products. Sceletium species grown under varying conditions at different locations, when analyzed, showed major differences in their composition of alkaloids and an enormous difference was found to exist between the various species with respect to the presence and content of alkaloids. Sceletium and its products marketed through health shops and the internet may thus have problems with respect to the quality and related therapeutic efficacy. The QC of Sceletium presents a formidable challenge as Sceletium plants and products contain a complex mixture of compounds. The work presented herein contributes to a growing body of scientific knowledge to improve the QC standards of herbal medicines and also to provide vital information regarding the selection of plant species and information on the specific alkaloidal constituents to the cultivators of Sceletium and the manufacturers of its products.
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Jizi, Lama. "Prevalence and Predictors of Complementary and Alternative Medicine Use among Lebanese College students". ScholarWorks, 2016. https://scholarworks.waldenu.edu/dissertations/2359.
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In Lebanon, estimates of Complementary and Alternative Medicine (CAM) use among college students are not available. CAM practices are not well regulated and some products contain unsafe substances. The purpose of this study was to estimate the prevalence and predictors of CAM use among Lebanese college students using the health belief model. A quantitative cross sectional research design was used. An online survey was administered to 126 Lebanese college students with the aim of determining the most important predictors of CAM use. A majority (89%) of surveyed students reported the use of CAM in the last 12 months. Based on the findings of a multiple logistic regression analysis, perceived susceptibility (OR = 1.781), perceived barriers (OR =.809), and cues to action (OR = 1.650), 95% CIs [1.185, 2.678], [.658, .995], [1.049, 1.821], respectively, significantly predicted CAM use. Results indicate that people who perceive themselves more susceptible to diseases, who do not perceive barriers to CAM use, and who follow more cues to action are more likely to use CAM than others. These factors provide pathways for facilitating positive social change by developing stricter governmental policies to ensure consumer safety and to promote high quality products, and by driving the development of public awareness interventions about CAM use and related health risks.
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Stopp, Elizabeth A. "What factors determine the availability of complementary and alternative medicine in the NHS?" Thesis, University of Bath, 2003. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.429570.
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Rowlands, Barbara Ann. "The Emperor's new clothes : media representations of complementary and alternative medicine, 1990-2005". Thesis, City University London, 2015. http://openaccess.city.ac.uk/13706/.
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The purpose of this dissertation is to reflect on the author’s published work in the field complementary and alternative medicine, specifically that produced between 1996 and 2005. It examines how the production of this work was influenced by the author’s previous and concurrent experience as a medical journalist and the methodological challenges arising from sourcing complementary and alternative medicine and framing for audiences of broadsheet newspapers and two books – The Which? Guide to Complementary Medicine and Alternative Answers to Asthma & Allergies. It explores how this work relates to scholarship in three key areas: the theory of sourcing, the theory of framing and the study of erroneous beliefs. The author demonstrates that a “perfect storm” – sociologically, culturally and economically – created a narrative that suited the new consumer-‐driven cult of the empowered individual, which in turn led to most sectors of the print media becoming impervious to any real investigation of the subject.
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Seip, Robert. "Complementary and alternative medicine : ethics, legality, and use of the best available science". Thesis, Cardiff University, 2015. http://orca.cf.ac.uk/71691/.
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The purpose of this thesis is to provide a robust epistemological justification for Evidence Based Medicine (EMB), and thereby to demonstrate the epistemological short comings of Complementary and Alternative Medicine (CAM). CAM has received support from both philosophers, such as Rorty and Feyerband, and the Sociology and Anthropology of Medicine. The thesis will thus review both the internal coherence and the application of non-realist arguments, and counter non-realism with the realist epistemology and philosophy of science that is represented by C.S. Peirce’s pragmatism. Rorty and Feyerabend and others have developed radical forms of scientific antirealism in the latter 20th century. Subsequently, sociologists developed even more intractable forms of anti-realism, which they applied to the social study of science. This approach served to challenge the legitimacy of orthodox scientific practice (including EMB). A practical expression of this controversy was immediately identified in the question of the role of scientific authority in a democratic society. That question was immediately applied to the status of alternative medical systems and their legitimacy vis-a-vis EBM in terms of the controversy over what has come to be termed "medical pluralism": If scientific medicine has no particular authority, should other, medical systems, epistemically incompatible with EBM, be made available as well? The thesis will suggest that non-realism is in fact a marginal position within the philosophy of science. Scientists, medical researchers and medical practitioners may thus appeal to the philosophy of science in order to justify their authority in the face of challenges from CAM. However, it will be suggested that they are frequently ill-served by a reliance on a simplistic understanding of the philosophy of Karl Popper. An alternative will be proposed in the philosophy of C. S. Peirce. His pragmatism offers to medical research and medical practice a way of understanding and justifying the scientific process, a justification of realism in the face of non-realism, and a resource for the criticism of CAM and medical pluralism, as at once epistemologically ill grounded and potentially dangerous to patients and the general public.
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Majumdar, Anne J. "An exploratory study of the use of complementary and alternative medicine for osteoarthritis". Thesis, Liverpool John Moores University, 2009. http://researchonline.ljmu.ac.uk/5978/.
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Background & Aim: Osteoarthritis (OA) sufferers frequently turn to complementary and alternative medicine (CAM), of which the most common are acupuncture and homeopathy, to improve manageability of their condition. However, there is little extant evidence of effectiveness for these treatments for OA, particularly for homeopathy. One criticism of homeopathic studies is that treatment protocols do not reflect true homeopathy. The nature of true homeopathy is not documented in extant literature. In the current study a mixed methods approach was used to investigate the use of homeopathy for osteoarthritis using a survey, conducted with a parallel acupuncture survey for comparison, follow up interviews with homeopaths and a patient-centred study in a homeopathic department offering treatment on the NHS, in order to inform future studies. Method: The current study involved three phases; (1) A descriptive survey conducted on n=362 medical and non-medical homeopaths and acupuncturists, was used to , investigate practice of the therapies (2) Follow up interview of n=28 of the homeopathic practitioners. (3) A patient-centred study of n=11 patients with OA receiving homeopathy in the primary care setting. Results: (1) Most commonly encountered conditions were chronic diseases. Medical and non-medical acupuncturists practised very different forms of acupuncture particularly in terms of diagnostic techniques used and theoretical underpinning. Homeopathic practitioners used individualised treatments, abiding by classical homeopathy. Differences between medical and non-medical homeopaths included time spent in the consultation (p= 0.01), strength of confidence in homeopathy for asthma (p=0.01), musculo-skeletal (p=0.046) and acute conditions (p=0.01)., and confidence in conventional medicine (p=0.01). There was a belief amongst acupuncturists and homeopaths that the treatments may work on electrodynamic fields in the body. (2) A similar approach was taken by participants during a detailed initial consultation. However, irrespective of medical status, varied approaches were used to identify the remedy, potency, and remedy f6mi, and the source of remedy also varied. Main themes regarding the modus operandi of homeopathy included stimulation of self healing mechanisms and identifying in detail events at the point where the initial health imbalance occurred. Identification of this point together with the patient was considered a potential trigger for the healing process to begin, adding a particular importance to the role of the consultation. (3) OA patients in the primary care setting identified pain or stiffness as the most common primary complaint., with an emotional factor such as anxiety and limitations caused by their condition as a secondary complaint. A desire to reduce their medication or to improve the manageability of their condition was a common theme for interest in receiving homeopathy, with access to NHS homeopathic treatment and perceived safety of receiving treatment from medical doctors being important factors. Following 6 months of' homeopathic treatment, most participants reported an improvement in the manageability of their condition. This, however was not supported by results from VAS pain, VAS stiffness, MYCAW scores or SF36 subscore, or salivary concentration of substance P results which were not found to be significant. Few correlations were found between outcome measures. Substance P level was strongly correlated with the functional limitations sub-score of the SF36 (p=0.01), indicating a potential role for this biochemical measure in future studies. Conclusion: Findings from the current study can inform future studies on how to enhance the evidence base for homeopathic and acupuncture treatment, and inform the integration debate. Future advances in the understanding of subtle processes in the body, the placebo response, and the nature of cure may add to our understanding of' CAM treatments. However, it is likely that in order to advance the evidence base on the effectiveness of homeopathy for OA, more effective tools that are sensitive to changes in biopsychosocial dimensions of health will be necessary. Future research on combination therapies is also warranted.
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Galbraith, N. "Cognition associated with use of, and belief in, complementary and alternative medicine (CAM)". Thesis, University of the West of England, Bristol, 2018. http://eprints.uwe.ac.uk/32371/.
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The use of and belief in the effectiveness of complementary and alternative medicine (CAM) is associated with two cognitive biases: over-reliance on intuitive thinking and ontological mistakes. This thesis reports seven studies which explore the nature of these biases. Aims. The aim of study 1 was to develop and test a valid and reliable measure of belief in the effectiveness of CAM and use of CAM (the Attitudes to Complementary and Alternative Medicine scale; ACAM). Studies 2-3 explored whether the previously reported relationship between CAM beliefs and intuitive thinking could be found when using performance measures (rather than just self-report measures) of thinking. Studies 4-7 tested the proposal that being able to spot ontological mistakes is a system 2, analytical process and that overlooking ontological mistakes is more likely when one relies on intuitive, automatic processing. Methods. Studies 1-3 employed a mixture of self-report questionnaires and performance measures of thinking (the cognitive reflection test and base rate problems) in a survey methodology. Studies 4-7 employed experimental methods, and specifically a variation of the syllogistic belief bias paradigm. Results. In study 1, a principal components analysis yielded four factors for the ACAM, each reflecting beliefs in the effectiveness of different categories of CAM (alternative whole medical systems, energy medicines, herbalism and natural products, mind and body approaches). The ACAM had good internal consistency and convergent validity. In study 2, psychology students’ self-reported analytical thinking was negatively related to belief in CAM effectiveness. In study 3, self-reported intuitive thinking was positively related to CAM beliefs in a mixed sample of students and the general population. Performance measures of thinking style largely did not relate with CAM beliefs. In studies 4-7, it was found that ontological correctness biased responding when simultaneous processing demands were low, but when ontological statements were embedded in difficult reasoning problems, particularly those in which belief and logic conflicted, ontological correctness was less likely to bias responding. Conclusions. These findings suggest that faith in CAM effectiveness depends not so much on the people’s actual thinking style but rather on people’s perception of their own thinking style. Furthermore, noticing ontological mistakes appears to be a system 2, analytical process which is more difficult to carry out when simultaneous reasoning competes for processing capacity. However, the ability to spot ontological mistakes is made easier following simple psychoeducational instructions. These findings improve our understanding of the cognitive factors which might underpin beliefs in the effectiveness of CAM and have implications for the design of health psychology interventions to improve people’s health decision-making.
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Oyelowo, Tolulope. "Complementary and Alternative Medicine Careers Following a Science Academy for Underrepresented Minority Students". ScholarWorks, 2018. https://scholarworks.waldenu.edu/dissertations/5926.
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Minority groups experience disproportionately worse health outcomes. An identified solution is to increase the number of minorities providing healthcare in their own communities. Primary care complementary and alternative medicine (CAM) providers are a potential resource. Many investigators have demonstrated the efficacy of science-based pipeline programs for increasing the roles of students in allopathic health professions. Whether these programs influence matriculation of minorities into a CAM university is unknown. The main purpose of this study was to gain an understanding of a pre-college science academy at a CAM university and determine whether the experience increased interest in and motivation for CAM careers. It was also important to learn more about what factors may facilitate or impede minority student matriculation in a CAM university. In this phenomenological study, a mixed purposeful sampling strategy was used to select 9 students who had participated in a science academy at a CAM university. Individual in depth, semi-structured, interviews were conducted and analyzed using a process of inductive analysis. The results indicated that barriers to college matriculation included cost and the complexity of the process. The desire to elevate status steers some minorities who use CAM modalities as their indigenous health practice, towards high prestige allopathic careers. Participation in the science academy increased interest in and utility of CAM, but did not change preconceived career choices. These results contribute to the existing literature and can enrich social change initiatives by increasing the number of minorities providing healthcare in their own communities, and further understanding of the factors that influence underrepresented minority career choices.
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Faircloth, Amanda. "Perceptions of Acupuncture and Acupressure by Anesthesia Providers". VCU Scholars Compass, 2014. http://scholarscompass.vcu.edu/etd/3586.
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BACKGROUND: Randomized controlled trials show acupuncture and acupressure support anesthesia management by decreasing anxiety, opioid requirements and treating post-operative nausea and vomiting. Acupuncture and acupressure have demonstrated clinical usefulness and received governmental support (NIH, PPACA, WHO, U.S. Military), but have not yet diffused into mainstream anesthesia practice. This study examined US anesthesia providers' perceptions of acupuncture and acupressure.
METHODS: Ninety-six anesthesiology departments stratified by geographic region (Northeast, South, West, and Midwest) and institution type (university medical centers, community hospitals, children’s hospitals, and VA hospitals) were selected for participation in an anonymous, online survey. The target sample was 1,728 providers of which N = 292 (54% anesthesiologists, 44% CRNAs, 2% AAs) responded yielding an overall 17% response rate.
RESULTS: Spearman’s correlation coefficient revealed a statistically significant correlation between acupuncture and geographic region, with the West having the highest predisposition toward acupuncture use (rs = 0.159, p = 0.007). Females are more likely to use acupuncture than men (rs = -.188, p = 0.002). Age yielded a moderate effect size with providers between the ages of 31-50 years old experiencing the best outcomes administering acupuncture (rs = 0.65, 95% CI = 2.79, 3.06). A strong effect size exists between acupuncture and country of pre-anesthesia training (rs = 1.00, 95% CI = 1.08, 1.16). Some providers have used acupuncture (27%) and acupressure (18%) with positive outcomes, however the majority of providers have not used these modalities, but would consider using them (54%, SD = 1.44 acupuncture; 60%, SD = 1.32 acupressure). Seventy-six percent of respondents would like acupuncture education and 74% would like acupressure education (SD = 0.43, SD = 0.44, respectively). Lack of scientific evidence (79%, SD = 0.73) and unavailability of credentialed providers (71%, SD = 0.92) were the primary barriers.
CONCLUSIONS: While most U.S. anesthesia providers have not used these modalities, they still report a favorable perception of acupuncture/acupressure’s role as part of an anesthetic and the majority of providers express an interest in receiving education. This study adds to the body of acupuncture and acupressure research by providing insight into anesthesia providers’ perceptions of these alternative medicine modalities.
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Johnson, Phaedra. "Health care workers' attitudes towards and perceived knowledge of complementary and alternative medicine at Baldwin Area Medical Center". Online version, 2003. http://www.uwstout.edu/lib/thesis/2003/2003johnsonp.pdf.
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Pumpa, Kate Louise. "Complementary and alternative medicine use among elite Australian athletes and the efficacy of selected complementary and alternative medicines in the prevention and treatment of delayed onset muscle soreness and muscle damage in well trained males". View thesis, 2007. http://handle.uws.edu.au:8081/1959.7/31593.
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Thesis (Ph.D.)--University of Western Sydney, 2007."A thesis submitted to the University of Western Sydney, College of Health and Science, School of Biomedical and Health Sciences in fulfilment of the requirements for the degree of Doctor of Philosophy." Includes bibliography.
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Littlewood, Rae Ann. "Using 'common-sense' to understand complementary and alternative medicine use and HAART adherence in HIV+ people". Related electronic resource: Current Research at SU : database of SU dissertations, recent titles available full text, 2009. http://wwwlib.umi.com/cr/syr/main.
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Russell, Raymond Thomas. "The role of complementary therapies in the self-management of chronic bronchial asthma : a controlled study". Thesis, University of Ulster, 1994. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.261038.
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Aucamp, Charle M. "The use of complementary and alternative therapies among adult HIV positive patients in an outpatient setting". Thesis, Link to the online version, 2008. http://hdl.handle.net/10019/758.
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Olejownik, Jennifer M. "Complementary and alternative medical providers and the experience of integration a case study /". Columbus, Ohio : Ohio State University, 2007. http://rave.ohiolink.edu/etdc/view?acc%5Fnum=osu1187096162.
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Grace, Sandra. "Integrative Medicine in Contemporary Australian Health Care". Thesis, The University of Sydney, 2008. http://hdl.handle.net/2123/4048.
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ABSTRACT Integrative medicine (IM) is a dynamic and increasingly prevalent model of primary health care that combines complementary and alternative medicine with mainstream medicine. This research is about the practice of IM and its value to primary health care in Australia. It locates IM within Australian health care by revealing its processes and outcomes in terms of: practice styles, interactions between practitioners and clients and among practitioners, range of diagnostic and treatment options, and health benefits. In this research I examine the nature of integrative medicine (IM) in co-located primary health care practices and consider the influence that integrating mainstream medicine and CAM can have on the perceived quality of primary health care in Australia. My goal was to contribute the knowledge of the phenomenon of IM through a deeper understanding and interpretation of IM gained by investigating the perceptions of core stakeholders, in this case clients and practitioners of IM. This research was situated in the interpretive paradigm and used two research methodologies: hermeneutics (to interpret the value of IM as reported in the literature) and hermeneutic phenomenology (to understand meanings and significance that clients and practitioners attach to their experiences of IM). Data collection involved the collation of existing literature texts and by cumulative case studies (using semi-structured interviews and observation), focus groups, and key informant interviews. Using a blend of methodologies provided a rich and powerful means of understanding the processes and outcomes of IM through the interpretations of its core stakeholders’ lived experiences. In particular I sought perceptions of clients and practitioners of IM about their health and health care including assessment and treatment options, health outcomes, congruence with beliefs and values, collaborative practices and power sharing. Data analysis was conducted concurrently with and subsequent to data collection so that questioning, observation and textual interpretation were progressively guided by the data. A set of meta-themes emerged from the fusion of findings from all phases of the research. These meta-themes represented answers to key research questions. They are: • Power/authority • Mutual respect • Professionalism • Ontological perspectives • Duty of care. This thesis identifies IM practice styles according to different levels of client agency and degrees of power sharing that exist among CAM and mainstream medical practitioners. A theorised model based on the research findings which depicts quality of health care as a variable consequence of diverse practice styles of IM is produced in two parts: Part 1 acknowledges that IM is a variable phenomenon in practice with different levels of collaboration, power-sharing and quality of health care; Part 2 presents an optimum mode of IM practice. Authentically client-centred health care is at the core of all of these practice styles. This thesis has significant implications for the way IM is practised and for primary health care delivery more broadly. IM that is mutually respectful and genuinely collaborative is flexible, inclusive, and socially relevant and has a substantial and far-reaching contribution to make to the quality of primary health care.
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Grace, Sandra. "Integrative Medicine in Contemporary Australian Health Care". Faculty of Health Sciences, The University of Sydney, 2008. http://hdl.handle.net/2123/4048.
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Doctor of PhilosophyABSTRACT Integrative medicine (IM) is a dynamic and increasingly prevalent model of primary health care that combines complementary and alternative medicine with mainstream medicine. This research is about the practice of IM and its value to primary health care in Australia. It locates IM within Australian health care by revealing its processes and outcomes in terms of: practice styles, interactions between practitioners and clients and among practitioners, range of diagnostic and treatment options, and health benefits. In this research I examine the nature of integrative medicine (IM) in co-located primary health care practices and consider the influence that integrating mainstream medicine and CAM can have on the perceived quality of primary health care in Australia. My goal was to contribute the knowledge of the phenomenon of IM through a deeper understanding and interpretation of IM gained by investigating the perceptions of core stakeholders, in this case clients and practitioners of IM. This research was situated in the interpretive paradigm and used two research methodologies: hermeneutics (to interpret the value of IM as reported in the literature) and hermeneutic phenomenology (to understand meanings and significance that clients and practitioners attach to their experiences of IM). Data collection involved the collation of existing literature texts and by cumulative case studies (using semi-structured interviews and observation), focus groups, and key informant interviews. Using a blend of methodologies provided a rich and powerful means of understanding the processes and outcomes of IM through the interpretations of its core stakeholders’ lived experiences. In particular I sought perceptions of clients and practitioners of IM about their health and health care including assessment and treatment options, health outcomes, congruence with beliefs and values, collaborative practices and power sharing. Data analysis was conducted concurrently with and subsequent to data collection so that questioning, observation and textual interpretation were progressively guided by the data. A set of meta-themes emerged from the fusion of findings from all phases of the research. These meta-themes represented answers to key research questions. They are: • Power/authority • Mutual respect • Professionalism • Ontological perspectives • Duty of care. This thesis identifies IM practice styles according to different levels of client agency and degrees of power sharing that exist among CAM and mainstream medical practitioners. A theorised model based on the research findings which depicts quality of health care as a variable consequence of diverse practice styles of IM is produced in two parts: Part 1 acknowledges that IM is a variable phenomenon in practice with different levels of collaboration, power-sharing and quality of health care; Part 2 presents an optimum mode of IM practice. Authentically client-centred health care is at the core of all of these practice styles. This thesis has significant implications for the way IM is practised and for primary health care delivery more broadly. IM that is mutually respectful and genuinely collaborative is flexible, inclusive, and socially relevant and has a substantial and far-reaching contribution to make to the quality of primary health care.
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Usher, Lee. "Complementary and alternative medicine use in Irritable Bowel Syndrome : an examination of the influence of illness and treatment representations". Thesis, University of West London, 2011. https://repository.uwl.ac.uk/id/eprint/388/.
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Irritable Bowel Syndrome (IBS) is a chronic functional disorder of the gastrointestinal system with prevalence in adults of 10-20%. IBS is characterised by a number of troublesome symptoms including abdominal bloating, pain and excess gas, and has substantial impact on quality of life in addition to wider economic implications. Conventional medical treatment can be problematic however, due to the lack of established aetiology and the number of symptoms reported. Concurrently, use of complementary and alternative medicine (CAM) to relieve IBS symptoms is reported to be as high as 50%, although the benefits and impact of such treatments are not fully substantiated by primary research data. However, evidence has shown that people affected may benefit from psychological interventions in terms of reduced use of health care services and reported symptoms. This thesis has examined psychological factors that influence the use of CAM and quality of life in individuals affected by IBS. These factors were explored within the theoretical framework of an extended common-sense model of illness representations (CSM), which incorporated treatment beliefs. The main aim of the thesis was twofold: to examine the illness perceptions and treatment beliefs that influence CAM use and to explore pathways from illness and treatment representation to quality of life in CAM-users and those not using CAM (non-users). A web-based cross-sectional study and minimum six month time-period follow-up study were conducted. Participants were primarily recruited from an IBS self-help network in the UK and other online message boards. The cross-sectional study (n=63) considered illness perceptions and treatment beliefs associated with CAM use and how these factors differed in influencing coping strategies and quality of life in CAM-users and non-users. The follow-up study (n=197) focused on exploration of the influence of illness perceptions and treatment beliefs at study time one, on coping strategies and quality of life at study time two. The findings demonstrated that components of illness perceptions influenced CAM use, coping strategies and quality of life. Treatment beliefs were more strongly implicated in influencing the use of CAM. At the cross-sectional stage, stronger perceptions of illness consequences and emotional representations were major influences on reduced reported quality of life measures and poorer emotional outcomes in both survey groups, where similar strength effects were observed. There were many observed instances of of partial mediation of maladaptive and dysfunctional coping strategies such as self-blame and behavioural disengagement. In addition, follow up data demonstrated a reduction of the influence of illness perceptions (time one) on quality of life (time two)compared to the cross-sectional data. Moreover, evidence of mediation effects was only detected in CAM-users in the follow-up study. These results highlight the importance of psychological factors, in particular illness perceptions, and to an extent, treatment beliefs in influencing coping strategies, quality of life and emotional outcome in those affected by IBS. Practical and theoretical implications of the findings are considered and future applications discussed. This thesis concludes with the proposal of a novel conceptual model to utilise a mulitconvergent approach to enhance the quality of life and emotional outcomes in those affected bt IBS.