Complementary and alternative drug therapy versus science-oriented medicine

Anlauf, Manfred; Hein, Lutz; Hense, Hans‐Werner; Köbberling, J.; Lasek, R; Leidl, Reiner; Schöne‐Seifert, Bettina

doi:10.3205/000209

Cited by 11 publications

(7 citation statements)

References 124 publications

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Section: Methodsmentioning

confidence: 99%

“…We designed an experiment to simulate the characteristics of a clinical situation which might influence the attractiveness of a NPT compared to a conventional treatment (Anlauf et al, 2015). In particular, many alternative NPTs do not have the adverse effects or inconveniences associated with conventional treatments, possibly making them more attractive for patients (Anlauf et al, 2015). Thus, in our experiment, the conventional treatments offered to patients had undesirable effects, which encouraged patients to look for an alternative treatment, whereas for the NPT no such effects were mentioned.…”

Section: Methodsmentioning

confidence: 99%

“…The diet, homoeopathy, and diet pill, respectively, were the alternative NPTs suggested by the second physician to take instead of the conventional treatment. These therapies were chosen because they are considered to have limited effectiveness in each respective context and/or are considered risky due to lack of evidence (Anlauf et al, 2015;Food & Drug Administration, 2015;Johnson et al, 2018;National Health & Medical Research Council, 2015;Risberg et al, 2003). Hence, each scenario simulated a situation where due to the patient's current health condition an effective treatment was urgently needed and choosing to undergo the NPT instead of the conventional treatment could lead to worsening of the patient's health (e.g., taking a non-effective homoeopathic pill instead of antibiotics can lead to the worsening of a bacterial infection).…”

Section: Instrumentsmentioning

confidence: 99%

“…The term non-proven therapies (NPTs) refers to therapies or treatments whose benefit has not been demonstrated using scientific methods (Anlauf et al, 2015). The prevalence of the use of such therapies varies strongly across countries and health conditions (Eardley et al, 2012;Fischer et al, 2014).…”

Section: Introductionmentioning

confidence: 99%

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Treatment choice in the presence of conflicting information: The role of physician likeability in the choice of non‐proven therapies against conventional treatment

Niszczota

Petrova

2021

British J Health Psychol

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Research on why patients sometimes choose non‐proven therapies (NPT) instead of conventional treatments is limited. We investigated how physician likeability influences the choice of NPT instead of conventional treatment. In an experiment with three medical scenarios, participants (N = 384) consulted two physicians who gave conflicting recommendations: The first physician recommended a conventional treatment and the second one recommended a NPT. We manipulated the likeability of the first physician, who was either likeable or unlikeable. Using mediation analyses, we explored how the effect of likeability was channelled and whether time pressure influenced treatment choice. Participants chose the NPT more often (OR = 1.43, 95% CI [1.03–2.00]), had more positive affective responses, and perceived more benefit from NPT when the conventional treatment was recommended by an unlikeable (vs. likeable) physician. Time pressure had no effect on treatment choice. Physicians’ likeability might play an important role in treatment choice in the presence of conflicting information. Providers should be cognizant that poor communication might push patients to prefer the advice of more likeable physicians, even when they prescribe NPT instead of conventional treatment.

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Section: Methodsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Section: Instrumentsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Treatment choice in the presence of conflicting information: The role of physician likeability in the choice of non‐proven therapies against conventional treatment

Niszczota

Petrova

2021

British J Health Psychol

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“…There are treatments provided by conventional medicine as well as by complementary and alternative medicine (CAM). CAM differs substantially from conventional medicine [1], although a clear definition of CAM is lacking [2] and quite difficult to achieve since CAM comprises approximately 400 procedures that differ widely in methodical approaches [3]. In general, CAM treatments include not only remedies but also a wide range of practices and other modalities -the offers are highly diverse.…”

Section: Introductionmentioning

confidence: 99%

Medical decision making beyond evidence: Correlates of belief in complementary and alternative medicine (CAM) and homeopathy

Aßmann

Betsch

2023

PLoS ONE

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Many people believe in and use complementary and alternative medicine (CAM) to address health issues or prevent diseases. Empirical evidence for those treatments is either lacking or controversial due to methodological weaknesses. Thus, practitioners and patients primarily rely on subjective references rather than credible empirical evidence from systematic research. This study investigated whether cognitive and personality factors explain differences in belief in CAM and homeopathy. We investigated the robustness of 21 predictors when examined together to obtain insights into key determinants of such beliefs in a sample of 599 participants (60% female, 18-81 years). A combination of predictors explained 20% of the variance in CAM belief (predictors: ontological confusions, spiritual epistemology, agreeableness, death anxiety, gender) and approximately 21% of the variance in belief in homeopathy (predictors: ontological confusions, illusory pattern perception, need for cognitive closure, need for cognition, honesty-humility, death anxiety, gender, age). Individuals believing in CAM and homeopathy have cognitive biases and certain individual differences which make them perceive the world differently. Findings are discussed in the context of previous literature and in relation to other unfounded beliefs.

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Complementary and alternative medicine contacts by persons with mental disorders in 25 countries: results from the World Mental Health Surveys

Jonge

Wardenaar

Hoenders

et al. 2017

Epidemiol Psychiatr Sci

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CAM contacts are common in persons with severe mental disorders, in high-income countries, and in persons receiving conventional care. Our findings support the notion of CAM as largely complementary but are in contrast to suggestions that this concerns person with only mild, transient complaints. There was no indication that persons were less satisfied by CAM visits than by receiving conventional care. We encourage health care professionals in conventional settings to openly discuss the care patients are receiving, whether conventional or not, and their reasons for doing so.

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Complementary and alternative drug therapy versus science-oriented medicine

Cited by 11 publications

References 124 publications

Treatment choice in the presence of conflicting information: The role of physician likeability in the choice of non‐proven therapies against conventional treatment

Treatment choice in the presence of conflicting information: The role of physician likeability in the choice of non‐proven therapies against conventional treatment

Medical decision making beyond evidence: Correlates of belief in complementary and alternative medicine (CAM) and homeopathy

Complementary and alternative medicine contacts by persons with mental disorders in 25 countries: results from the World Mental Health Surveys

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