Definitions and patterns of CAM use by the lay public

Fennell, Dana; Liberato, Ana S. Q.; Zsembik, Barbara A.

doi:10.1016/j.ctim.2008.09.002

Cited by 19 publications

(14 citation statements)

References 37 publications

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“…The high variability in the content of CAM questionnaires was also problematic and may explain great variability in use in the pediatric studies, such as in cancer care [2]. This may be explained by the fact that there is no consensus on a definition of CAM and the therapies that it encompasses as well as items that should be assessed in order to understand thoroughly the use of CAM [36]; [37]. Very few questionnaires were reported to have a completion time under 10 minutes, which might pose a problem if used in a research setting and routine clinical practice.…”

Section: Discussionmentioning

confidence: 99%

Measurement Properties of Questionnaires Assessing Complementary and Alternative Medicine Use in Pediatrics: A Systematic Review

et al. 2012

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Objective Complementary and alternative medicine (CAM) is commonly used by children, but estimates of that use vary widely partly due to the range of questionnaires used to assess CAM use. However, no studies have attempted to appraise measurement properties of these questionnaires. The aim of this systematic review was to critically appraise and summarize measurement properties of questionnaires of CAM use in pediatrics. Study design A search strategy was implemented in major electronic databases in March 2011 and conference websites, scientific journals and experts were consulted. Studies were included if they mentioned a questionnaire assessing the prevalence of CAM use in pediatrics. Members of the team independently rated the methodological quality of the studies (using the COSMIN checklist) and measurement properties of the questionnaires (using the Terwee and Cohen criteria). Results A total of 96 CAM questionnaires were found in 104 publications. The COSMIN checklist showed that no studies reported adequate methodological quality. The Terwee criteria showed that all included CAM questionnaires had indeterminate measurement properties. According to the Cohen score, none were considered to be a well-established assessment, two approached the level of a well-established assessment, seven were promising assessments and the remainder (n = 87) did not reach the score’s minimum standards. Conclusion None of the identified CAM questionnaires have been thoroughly validated. This systematic review highlights the need for proper validation of CAM questionnaires in pediatrics, which may in turn lead to improved research and knowledge translation about CAM in clinical practice.

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Section: Discussionmentioning

confidence: 99%

Measurement Properties of Questionnaires Assessing Complementary and Alternative Medicine Use in Pediatrics: A Systematic Review

et al. 2012

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“…However, despite the lack of consensus on a definition for CAM, and the more recent debates regarding complementarity or integrativeness, CAM has become a widely used form of healthcare. 18,19 Utilization of CAM Increase in use…”

Section: Cam: What Is It?mentioning

confidence: 99%

Complementary and alternative medicine: contemporary trends and issues

Smith

Sullivan

Baxter

2011

Physical Therapy Reviews

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Background: Complementary and alternative medicine (CAM) incorporates a heterogeneous array of approaches and applications. CAM is increasing in popularity and use globally, with many people using CAM to treat and/or prevent musculoskeletal conditions, or chronic or recurring pain. Objectives: To describe the contemporary trends, and outline some of the issues and challenges for the use and development of CAM. Major findings: CAM has become a widely used form of healthcare but the prevalence of use of CAM varies by region and modality. CAM more often complements conventional care, and various reasons for the increasing popularity of CAM have been proposed. Issues and challenges for CAM include: across-therapy and within-therapy variances; the complexity of the holistic approach with its multimodal and individualized application of treatment; and the difficulty in identifying suitable research frameworks. Conclusions: Consumer demand for CAM suggests that a number of health needs are being met by the practice of CAM. Further research is required to tease out the elements of CAM that are valued by consumers, and to understand the complexity of CAM at both a modality-specific and multimodal level.

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“…The growing acceptance of CAM by conventional practitioners and the increasing recognition that several of these therapies and disciplines play a prominent role in the health of patients have significantly impacted its use and study. However, public debates as well as the scientific literature suggest the need to revisit the terms and definitions used to refer to CAM practitioners, therapies, and products that have framed research and practice to date [1-6]. Facilitating meaningful change in healthcare terminology can be complex and challenging.…”

Section: Introductionmentioning

confidence: 99%

“…Similar to the World Health Organization’s definition, these definitions portray CAM as a moving target, which represents a significant limitation in our contemporary multicultural societies where different healthcare approaches are available [11]. Moreover, culturally-specific definitions may preclude the research community from gathering all possible evidence on CAM and its safe and effective application in patient care [6]. As a consequence, this lack of consensus limits the healthcare practitioners’ ability to practice evidence-based medicine.…”

Section: Introductionmentioning

confidence: 99%

“…The lack of appropriate terminology also renders the communication both within and among practitioners, researchers, educators, and most importantly patients, more complex and confusing. It is becoming clear, for example, that none of the terms are clearly understood by the general public [6]. This terminological confusion has real-world consequences: it prevents effective interprofessional collaboration between conventional and CAM practitioners, which may lead to the deterioration of patient-centered care.…”

Section: Introductionmentioning

confidence: 99%

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A qualitative study on the term CAM: is there a need to reinvent the wheel?

Gaboury

April

Verhoef

2012

BMC Complement Altern Med

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BackgroundAs complementary and alternative medicine (CAM) has developed extensively, uncertainty about the appropriateness of the terms CAM and other CAM-related terms has grown both in the research and practice communities. Various terms and definitions have been proposed over the last three decades, highlighting how little agreement exits in the field. Contextual use of current terms and their respective definitions needs to be discussed and addressed.MethodsRelying upon the results of a large international Delphi survey on the adequacy of the term CAM, a focus group of 13 international experts in the field of CAM was held. A forum was also set up for 28 international experts to discuss and refine proposed definitions of both CAM and integrative healthcare (IHC) terms. Audio recordings of the meeting and forum discussion threads were analyzed using interpretive description.ResultsMultiple terms to describe the therapies, products, and disciplines often referred to as CAM, were considered. Even though participants generally agreed there is a lack of optimal definitions for popular CAM-related umbrella terms and that all terms that have so far been introduced are to some extent problematic, CAM and IHC remained the most popular and accepted terms by far. The names of the specific disciplines were also deemed adequate in certain contexts. Focus group participants clarified the context in which those three terms are appropriate. Existing and emergent definitions of both CAM and integrative healthcare terms were discussed.ConclusionsCAM and other related terms could be used more effectively, provided they are used in the proper context. It appears difficult for the time being to reach a consensus on the definition of the term CAM due to the uncertainty of the positioning of CAM in the contemporary healthcare systems. While umbrella terms such as CAM and IHC are useful in the context of research, policy making and education, relevant stakeholders should limit the use of those terms.

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Definitions and patterns of CAM use by the lay public

Cited by 19 publications

References 37 publications

Measurement Properties of Questionnaires Assessing Complementary and Alternative Medicine Use in Pediatrics: A Systematic Review

Measurement Properties of Questionnaires Assessing Complementary and Alternative Medicine Use in Pediatrics: A Systematic Review

Complementary and alternative medicine: contemporary trends and issues

A qualitative study on the term CAM: is there a need to reinvent the wheel?

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