scholarly journals Awareness and Practices of Complementary and Alternative Medicine among Paediatric Patients Visiting Two Tertiary Care Hospitals in Mangaluru: An Interview Based Study

2020 ◽  
Vol 13 (4) ◽  
pp. 1737-1743
Author(s):  
Meghana Tiwary ◽  
Amrita Parida ◽  
Manju V

This study aims to find out the details of complementary and alternative medicine (CAM) use in children, including factors favouring their use and concomitant usage of allopathic drugs along with CAM. The study also analyses the communication between allopathic practitioners and patients regarding utilization of CAM. It was an interview based study based on a semi-structured interview. The study sample included parents of children waiting in the paediatric outpatient department. A total of 200 parents were interviewed. Though most of the parents were aware about CAM, around 10% parents were ignorant. Ayurveda was the most commonly used CAM followed by homeopathy. Fifty-four children had taken CAM for the first time at an age of less than 6 months. The most common condition for which children were taking CAM was related to the diseases of respiratory system. The primary reason for preferring CAM over allopathy is that they believe it is natural and has no adverse effects. Only 23% of the parents voluntarily informed the doctors that the child was taking CAM concurrently and half of the parents stated that the treating physician did not enquire regarding CAM therapy. As evident from the study, use of CAM in children starts at a very early age hence the safety and efficacy of these therapies should be well established before children are exposed to them. Hazards of concomitant administration of CAM along with allopathic medicines should also be carefully evaluated by all the treating physicians.

1969 ◽  
Vol 3 (1) ◽  
pp. 268-271
Author(s):  
HAMID HUSSAIN ◽  
ZIA URREHMAN ◽  
SALEHAAFRIDI ◽  
SAADULLAH KHAN AFRIDI ◽  
ZOHRA AMIN ◽  
...  

Objectives: The use of Complementary and Alternative Medicine (CAM) by the general population andadmitted in hospitals has been on the increase. The study was carried to find out the prevalence of CAM useamong patients admitted in the tertiary care hospitals of Peshawar.Methods: This was a cross sectional study. The investigators administered a structured questionnaire to 400patients admitted in tertiary care hospitals of Peshawar. Data were analyzed using statistical package forsocial sciences version 13.0.Results: It was found that 189/400 (47.25%) patients had used CAM. There was association betweenchronic diseases and CAM. The association between illiteracy and CAM use was significant. There seemedto be a preference for use of Hakimi medicine over other forms of CAM being studied i.e. homeopathic,herbal, nutritional supplements. Most of the patients turned to CAM use on advice from their friends andfamily. Hence peer pressure was an important factor in increasing CAM use.Conclusion: In conclusion, CAM use is prevalent in our in-hospital population, and its undisclosed use canhave important medical and peri-operativeImplications.Keywords: CAM Use, Patients, Tertiary Care Hospitals, Prevalence.


Cephalalgia ◽  
2005 ◽  
Vol 25 (7) ◽  
pp. 493-506 ◽  
Author(s):  
P Rossi ◽  
G Di Lorenzo ◽  
MG Malpezzi ◽  
J Faroni ◽  
F Cesarino ◽  
...  

The use of complementary and alternative medicine (CAM) in migraine is a growing phenomenon about which little is known. This study was undertaken to evaluate the rates, pattern and presence of predictors of CAM use in a clinical population of patients with different migraine subtypes. Four hundred and eighty-one migraineurs attending a headache clinic were asked to undergo a physician-administered structured interview designed to gather information on CAM use. Past use of CAM therapies was reported by 31.4% of the patients surveyed, with 17.1% having used CAM in the previous year. CAM therapies were perceived as beneficial by 39.5% of the patients who had used them. A significantly higher proportion of transformed migraine patients reported CAM treatments as ineffective compared with patients suffering from episodic migraine (73.1% vs. 50.7%, P < 0.001). The most common source of a recommendation of CAM was a friend or relative (52.7%). In most cases, migraineurs' recourse to CAM treatments was specifically for their headache (89.3%). Approximately 61% of CAM users had not informed their medical doctors of their CAM use. The most common reason for deciding to try a CAM therapy was that it offered a ‘potential improvement of headache’ (47.7%). The greatest users of CAM treatments were: patients with a diagnosis of transformed migraine; those who had consulted a high number of specialists and reported a higher lifetime number of conventional medical visits; those with a comorbid psychiatric disorder; those with a high income; and those whose headache had been either misdiagnosed or not diagnosed at all. Our findings suggest that headache clinic migraine patients, in their need of and quest for care, seek and explore both conventional and CAM approaches. Physicians should be made aware of this patient-driven change in the medical climate in order to prevent misuse of healthcare resources and to be better equipped to meet patients' needs.


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

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


1999 ◽  
Vol 13 (4) ◽  
pp. 327-332 ◽  
Author(s):  
Robert J Hilsden ◽  
Jon B Meddings ◽  
Marja J Verhoef

OBJECTIVES: To determine the degree and determinants of the use of complementary and alternative medicine (CAM) by patients with inflammatory bowel disease (IBD) with the use of the Internet and to compare the results with those found by using a similar survey in patients attending gastroenterology clinics in Calgary, Alberta.SUBJECTS AND METHODS: A cross-sectional survey of 263 patients with IBD with the use of a World Wide Web-based, structured questionnaire was conducted.RESULTS: Complementary therapies had been used by 46% of patients in the previous two years. Current use was reported by 34%. Vitamins, herbal products and natural health practices were the most commonly reported therapies. Side effects and lack of effectiveness of standard therapies were the most commonly cited reasons for seeking complementary medicine. However, despite this, respondents who had previously received surgery, or intravenous or oral steroids were less likely to be current CAM users. Important differences between the determinants of and reasons for CAM use in the present study and those of a similar study of IBD patients in a local tertiary care setting were noted.CONCLUSIONS: Complementary medicine use is common in patients with IBD. Differences in the determinants of and reasons for CAM use noted between the present Internet sample and a gastroenterology clinic sample suggest that conclusions from the present study and from previous studies based only on clinic samples provide a limited view of CAM use by people with IBD. More comprehensive assessments are needed.


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