Complementary and alternative therapy (CAT) use and highly active antiretroviral therapy (HAART): current evidence in the literature, 2000–2009

Hoogbruin, Amandah Lea

doi:10.1111/j.1365-2702.2010.03322.x

Cited by 13 publications

(15 citation statements)

References 58 publications

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“…Studies of the prevalence and determinants of CAM use for PLWH-54 articles Studies of PLWHA attitudes to CAM, reasons for use and decision-making process-15 articles 10,[69][70][71][72][73][74][75][76][77][78][79][80][81] Overviews of the evidence for CAM-nine reviews [82][83][84][85][86][87][88][89][90] and one two-part overview of the use of CAM in HIV 91,92 Guidance for clinicians-six articles 12,13,[93][94][95][96] Articles on safety-four articles [97][98][99][100] …”

Section: Resultsmentioning

confidence: 99%

A Review of the Use of Complementary and Alternative Medicine and HIV: Issues for Patient Care

Lorenc

Robinson

2013

AIDS Patient Care and STDs

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HIV/AIDS is a chronic illness, with a range of physical symptoms and psychosocial issues. The complex health and social issues associated with living with HIV mean that people living with HIV/AIDS (PLWHA) have historically often turned to complementary and alternative medicine (CAM). This article provides an overview of the literature on HIV and CAM. Databases were searched using keywords for CAM and HIV from inception to December 2012. Articles in English and in Western countries were included; letters, commentaries, news articles, articles on specific therapies and basic science studies were excluded. Of the 282 articles identified, 94 were included. Over half reported prevalence and determinants of CAM use. Lifetime use of CAM by PLWHA ranged from 30% to 90%, with national studies suggesting CAM is used by around 55% of PLWHA, practitionerbased CAM by 15%. Vitamins, herbs, and supplements were most common, followed by prayer, meditation, and spiritual approaches. CAM use was predicted by length of time since HIV diagnosis, and a greater number of medications/symptoms, with CAM often used to address limitations or problems with antiretroviral therapy. CAM users rarely rejected conventional medicine, but a number of CAM can have potentially serious side effects or interactions with ART. CAM was used as a self-management approach, providing PLWHA with an active role in their healthcare and sense of control. Clinicians, particularly nurses, should consider discussing CAM with patients as part of patient-centered care, to encourage valuable self-management and ensure patient safety.

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Section: Resultsmentioning

confidence: 99%

A Review of the Use of Complementary and Alternative Medicine and HIV: Issues for Patient Care

Lorenc

Robinson

2013

AIDS Patient Care and STDs

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“…Some of these modalities are not substantiated by scientific evidence [40,42], while many have proven beneficial in dealing particular aspects of the disease. [12,43] In addition, a high number of HIV individuals using various forms of CAM remained unreported to the healthcare providers and physician in particular.…”

Section: Discussionmentioning

confidence: 99%

“…[13] Lastly, from a therapeutic perspective, there are standing concerns of adverse drug reactions (ADRs) between the conventional ARTs and type of CAM used [38,11,44], especially when most studies reported an adjunct use of CAM with ARTs. [31,45] This should also be a concern as the safety and risk factors of possible drug interactions are frequently ignored by PLWHA, as they are much focused on various expected benefits [42] as well as lack of knowledge on safety aspects. [46] Hasan et al in their study among Malaysian PLWHA reported ADRs associated with CAM use, which warranted greater healthcare providers' knowledge regarding the subject.…”

Section: Discussionmentioning

confidence: 99%

Beliefs and practices of complementary and alternative medicine (CAM) among HIV/AIDS patients: A qualitative exploration

Ahmed

Sulaiman

Thiruchelvam

et al. 2016

European Journal of Integrative Medicine

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“…In fact, a recent meta-analysis on the concurrent use of CAM and ART concluded that data are insufficient regarding the impact of CAM on HIV management. 19 The objectives of this analysis were (1) to describe CAM use, including the frequencies of different CAM modalities, and (2) to determine the relationships between CAM use and ART adherence and viral load suppression among a sample of PLWH who were engaged in care in the state of Florida.…”

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confidence: 99%

Complementary and Alternative Medicine Use for HIV Management in the State of Florida: Medical Monitoring Project

Kelso-Chichetto

Okafor

Harman

et al. 2016

The Journal of Alternative and Complementary Medicine

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Objective: The aims of this study were to describe complementary and alternative medicine (CAM) use and to assess the relationships between CAM use and antiretroviral therapy (ART) adherence and human immunodeficiency virus (HIV) RNA viral load suppression among a sample of persons living with HIV (PLWH) engaged in care in the state of Florida.Design: The Florida Medical Monitoring Project (n = 803) collected repeated cross-sectional data for surveillance of clinical outcomes among PLWH from 2009 to 2010. Past-year CAM use specifically for the management of HIV was measured via self-report. Logistic regression models were conducted to assess the effect of CAM use on ART adherence and viral load suppression, controlling for demographic and clinical factors using backwards stepwise deletion of factors with a p-value of >0.25.Results: CAM use was reported in 53.3% (n = 428). In bivariate analysis, CAM use was the highest among those 40-49 years of age (61%; p < 0.05), males (56%; p < 0.01), whites (61%; p = 0.001), and those educated beyond high school (59%; p < 0.05). Among those using CAM, 63% and 37% reported one and two or more CAM modalities, respectively. CAM modalities included biologically based therapies (89%), mind-body medicine/manipulative body-based therapies (30%), spiritual healing (23%), energy therapies (6%), and whole medical systems (6%). In multivariable analyses, any CAM use and number of CAM methods used were not associated with ART adherence. Any CAM use was not associated with detectable viral load (adjusted odds ratio [aOR] 0.81; 95% confidence interval [CI] 0.58-1.12; p = 0.20). Those using two or more methods had significantly decreased risk for detectable viral load (aOR 0.60; 95% CI 0.39-0.92; p < 0.02).Conclusions: CAM use was not associated with negative effects on ART adherence. CAM users were less likely to have detectable viral load compared with non-users. Future research should focus on CAM use among PLWH not engaged in HIV care and the longitudinal patterns of CAM use and possible effects of long-term health outcomes.

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Complementary and alternative therapy (CAT) use and highly active antiretroviral therapy (HAART): current evidence in the literature, 2000–2009

Cited by 13 publications

References 58 publications

A Review of the Use of Complementary and Alternative Medicine and HIV: Issues for Patient Care

A Review of the Use of Complementary and Alternative Medicine and HIV: Issues for Patient Care

Beliefs and practices of complementary and alternative medicine (CAM) among HIV/AIDS patients: A qualitative exploration

Complementary and Alternative Medicine Use for HIV Management in the State of Florida: Medical Monitoring Project

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