Patterns and perceptions of complementary/alternative medicine among paediatricians and patients' mothers: a review of the literature

Cuzzolin, Laura; Zaffani, Silvana; Murgia, Vitalia; Gangemi, Michele; Meneghelli, G.; Chiamenti, Giampietro; Benoni, Giuseppina

doi:10.1007/s00431-003-1313-9

Cited by 74 publications

(54 citation statements)

References 55 publications

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“…15 There are many reasons why patients may choose CAM in addition to, or as a substitute for, conventional care. Commonly, CAM is characterized as a more natural therapeutic approach to manufactured agents 17 and some believe that treatment, such as steroids. 18 Complementary and alternative medicine is also seen as providing protection from illness 19 or relief of symptoms 20 while offering others hope for a cure.…”

Section: 12mentioning

confidence: 99%

Beliefs about asthma and complementary and alternative medicine in low-income inner-city african-american adults

et al. 2006

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BACKGROUND: The gap in asthma prevalence, morbidity, and mortality is increasing in low‐income racial/ethnic minority groups as compared with Caucasians. In order to address these disparities, alternative beliefs and behaviors need to be identified. OBJECTIVE: To identify causal models of asthma and the context of conventional prescription versus complementary and alternative medicine (CAM) use in low‐income African‐American (AA) adults with severe asthma. DESIGN: Qualitative analysis of 28 in‐depth interviews. PARTICIPANTS: Twenty‐six women and 2 men, aged 21 to 48, who self‐identified as being AA, low‐income, and an inner‐city resident. APPROACH: Transcripts of semi‐structured in‐depth qualitative interviews were inductively analyzed using the constant comparison approach. RESULTS: Sixty‐four percent of participants held biologically correct causal models of asthma although 100% reported the use of at least 1 CAM for asthma. Biologically based therapies, humoral balance, and prayer were the most popular CAM. While most subjects trusted prescription asthma medicine, there was a preference for integration of CAM with conventional asthma treatment. Complementary and alternative medicine was considered natural, effective, and potentially curative. Sixty‐three percent of participants reported nonadherence to conventional therapies in the 2 weeks before the research interview. Neither CAM nor nonmedical causal models altered most individuals (93%) willingness to use prescription medication. Three possibly dangerous CAM were identified. CONCLUSIONS: Clinicians should be aware of patient‐generated causal models of asthma and use of CAM in this population. Discussing patients' desire for an integrated approach to asthma management and involving social networks are 2 strategies that may enhance patient‐provider partnerships and treatment fidelity.

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Section: 12mentioning

confidence: 99%

Beliefs about asthma and complementary and alternative medicine in low-income inner-city african-american adults

et al. 2006

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“…Homeopathy was the most frequently prescribed CAM, being used by three-quarters of the children. This is not surprising because, unlike in countries in which only a minority of CAM prescriptions are homeopathic (1-2), homeopathy is frequently used for children in Italy, especially when they are aged < 5 years and suffer from respiratory complaints (20).…”

Section: Discussionmentioning

confidence: 99%

Use of Complementary and Alternative Medicine in Children with Recurrent Acute Otitis Media in Italy

Marchisio

Bianchini

Galeone

et al. 2011

Int J Immunopathol Pharmacol

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Controlling environmental factors, chemoprophylaxis, immunoprophylaxis and surgery are considered possible means of preventing recurrent acute otitis media (RAOM), but there are no available data concerning the paediatric use of complementary and alternative medicine (CAM). We evaluated the uses of CAM (homeopathy and/or herbal medicine) as means of preventing AOM in children with a history of RAOM. Eight hundred and forty Italian children with RAOM (~3 episodes in six months) aged 1-7 years were surveyed in 2009 using a face-to-face questionnaire, filled by parents or caregivers, that explored the prevalence, determinants, reasons, cost, and perceived safety and efficacy of CAM. About one-half (46%) of the children used CAM, significantly more than the number who used immunoprophylaxis (influenza vaccine 15%; p<0.05), PCV-7 34%; p< 0.05) or chemoprophylaxis (2%; p<0.001). Use of CAM in the family was the only important factor positively associated with the use of CAM in children (adjusted OR 7.94; 95% CI: 5.26-11.99).The main reasons for using CAM were a fear of the adverse effects of conventional medicine (40%) and to increase host defences (20%). CAM was widely seen as safe (95%) and highly effective (68%). CAM prescribers were paediatricians in 50.7% of cases; self-initiation was reported by 23% of respondents. CAM expenditure was between €25 and €50/ month in 27.6% of cases and~€50/month in 16%. Children with RAOM should be considered among the categories of subjects likely to be using CAM. Together with the fact that paediatricians are the main prescribers, this is worrying because of the current lack of evidence regarding the efficacy, safety and cost-effectiveness of CAM in the prevention of RAOM.The use ofcomplementary and alternative medicine (CAM) in paediatrics has grown dramatically in the Western world over recent years. It has been shown that approximately 20-40% of healthy children seen in outpatient paediatric clinics (1-3) and more than 50% of children with chronic, recurrent or incurable conditions use CAM, almost always in conjunction with mainstream medicine (4-10). Most families use

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“…e questionnaire was prepared with the cooperation of two centers (Kirikkale University and Gaziantep University), based on a review of published subject-related data . A pilot study was carried out to test the comprehensibility of the questions [2,[13][14][15][16]. ese data were then used to develop the nal version of the questionnaire.…”

Section: Methodsmentioning

confidence: 99%

Use of complementary and alternative medicine in a pediatric population in southern Turkey

Araz¹,

Bülbül²

2011

CIM

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Purpose: e use of complementary and alternative medicine (CAM) in children is becoming increasingly acceptable and popular. e aim of this questionnaire-based study was to determine the prevalence, patterns of use, types, perceived e ectiveness and associated factors of CAM in children.Methods: Parents of children (n= 268) who attended the Pediatric Outpatient Department of the Faculty of Medicine at Gaziantep University in June and July 2008 were asked to complete a questionnaire.Results: e prevalence of CAM use, at least once in the previous year, was 58.6%. e most commonly used CAM modality was herbal preparations (82.7%), which were used to treat cough (42.0%), diarrhea (30.0%) and gas (colic) pains (34.4%). ese products were recommended by the respondents' mother/mother-in-law (52.5%), neighbors (20.0%), friends (14.7%) and doctors (12.8%). Only 31.6% (61) of these parents informed their doctor about their use of CAM to treat their children. irty-eight percent (n=102) of the participants stated that they preferred to use CAM modalities rather than referring to a doctor when their child was sick. While most of the families (57.7 %) stated that the method they used was "slightly" useful, 18.6% of them stated the method to be "fairly" useful. e parental use of CAM and the educational level of the parents were among the factors of a ecting the use of CAM in children. No correlation was found between the use of CAM and the sex, social security status, income level and other sociodemographic properties of the respondents.Conclusion: is study showed that a great majority of parents of children in this population used CAM modalities and that herbal products were preferred. Most parents did not inform their physicians of their use of CAM. In the light of these ndings, pediatricians should be prepared to discuss alternative therapies with parents, since talking about CAM may be helpful in minimizing associated risks.

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Patterns and perceptions of complementary/alternative medicine among paediatricians and patients' mothers: a review of the literature

Cited by 74 publications

References 55 publications

Beliefs about asthma and complementary and alternative medicine in low-income inner-city african-american adults

Beliefs about asthma and complementary and alternative medicine in low-income inner-city african-american adults

Use of Complementary and Alternative Medicine in Children with Recurrent Acute Otitis Media in Italy

Use of complementary and alternative medicine in a pediatric population in southern Turkey

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