Arthritis patients' perceptions of rheumatologists' participatory decision-making style and communication about complementary and alternative medicine

2008 ◽  
Vol 59 (3) ◽  
pp. 416-421 ◽  
Author(s):  
Betsy Sleath ◽  
Leigh F. Callahan ◽  
Robert F. Devellis ◽  
Ashley Beard
Keyword(s):  
Decision Making ◽  
Alternative Medicine ◽  
Complementary And Alternative Medicine ◽  
Participatory Decision Making ◽  
Complementary And Alternative

scholarly journals Critical Review of Complementary and Alternative Medicine Use in Amyotrophic Lateral Sclerosis: Prevalence and Users’ Profile, Decision-Making, Information Seeking, and Disclosure in the Face of a Lack of Efficacy

2018 ◽  
Vol 18 (4) ◽  
pp. 225-232 ◽  
Author(s):  
Jon Adams ◽  
Michael Lee ◽  
Wenbo Peng
Keyword(s):  
Decision Making ◽  
Amyotrophic Lateral Sclerosis ◽  
Alternative Medicine ◽  
Complementary And Alternative Medicine ◽  
Information Seeking ◽  
Disease Process ◽  
Cam Use ◽  
Als Patients ◽  
Lateral Sclerosis ◽  
Complementary And Alternative

Background: Despite a lack of evidence of clinical efficacy for complementary and alternative medicine (CAM) use in amyotrophic lateral sclerosis (ALS), these medicines remain popular around the world. Objective: To examine the prevalence and cost of CAM use in ALS and CAM users’ profile, decision-making, information seeking, and disclosure among ALS patients. Methods: A comprehensive literature search was conducted of MEDLINE, CINAHL/SCOPUS, and AMED databases from their inception to April 2018. This review followed PRISMA guidelines and employed a quality scoring system to assess the included papers. Results: Seven papers met the inclusion criteria and were thematically analysed. ALS patients utilized a range of CAM therapies and/or products, with acupuncture and vitamins being the most frequently reported. CAM modalities were often employed concurrently with conventional medications throughout the disease process. Although some ALS patients reported positive experience regarding CAM use, many were reluctant to disclose their CAM use to their clinicians. Research focusing on CAM use in ALS remains ad hoc and restricted to only a few countries. The rigour and quality of this research field to date has been varied, predominantly drawing upon regional/localized data and failing to report CAM users’ characteristics. Conclusion: A proportion of ALS patients report utilizing CAM concurrently with conventional treatments. Such use, set amidst a dearth of evidence for the efficacy of CAM in ALS, poses potential direct and indirect risks to patient care, and medical providers should be mindful of and enquire about CAM use when treating ALS patients.

scholarly journals Combining and Using the Utrecht Method and the Analytic Hierarchy Process to Facilitate Professional and Ethical Deliberation and Decision Making in Complementary and Alternative Medicine: A Case Study among a Panel of Stakeholders

2018 ◽  
Vol 2018 ◽  
pp. 1-10 ◽  
Author(s):  
Ramzi Shawahna
Keyword(s):  
Decision Making ◽  
Side Effects ◽  
Analytic Hierarchy Process ◽  
Alternative Medicine ◽  
Complementary And Alternative Medicine ◽  
Analytic Hierarchy ◽  
Potential Benefits ◽  
The Analytic Hierarchy Process ◽  
Hierarchy Process ◽  
Complementary And Alternative

Background. In daily practice, healthcare practitioners face many challenges in ethical and professional decision making. Currently, little is known on the ethical and professional deliberations and weighing benefits against risks in daily complementary and alternative medicine (CAM) practice. The aim of this study was to combine the Utrecht method and the Analytic Hierarchy Process (AHP) in deliberations, weighing benefits against risks of using ginger for a pregnant woman suffering nausea and vomiting of pregnancy (NVP) along with other comorbidities. Methods. A hypothetical case was constructed using the twelve tips for constructing dilemma case-based assessment. Three CAM practitioners, two physicians, three pharmacists, and two patients were recruited, and the Utrecht and the AHP methods were combined and used to deliberate and weigh benefits against risks of using ginger for the presented case. Results. Responses from the ten panelists were obtained. Priority ratings showed significantly higher scores (p-value < 0.001) for alleviating symptoms of NVP (30.7%  ± 16.6%) compared to other potential benefits. Increasing the risk of bleeding was given significantly higher (p-value < 0.0001) weight scores (24.7%  ± 13.5%) than other potential side effects. Potential risk of spontaneous abortion and risk of impairment of fetal development were given higher (p-value < 0.001) weight scores than risk of fetal hypoglycemia. When benefits were compared against side effects and risks to the fetus and pregnancy, potential benefits were given higher (p-value < 0.001) weight scores (72.3%  ± 5.2%). Conclusions. Considering the anticipated benefits and risks, a shared decision was made to use ginger in the case presented. The woman should also be informed of the potential side effects and risks of using ginger. The use of this combined method might promote openness and transparency in making shared decisions for healthcare providers and patients.

scholarly journals Shared Decision Making in Complementary and Alternative Medicine Therapies

2012 ◽  
Vol 41 (12) ◽  
pp. 522-527 ◽  
Author(s):  
Lauren L. Jansons ◽  
Rachel L. Lynch ◽  
Annie LeBlanc ◽  
Jon C. Tilburt
Keyword(s):  
Decision Making ◽  
Alternative Medicine ◽  
Complementary And Alternative Medicine ◽  
Shared Decision Making ◽  
Shared Decision ◽  
Complementary And Alternative
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