Use of Complementary and Alternative Medicine and Adherence to Medication Therapy Among Stroke Patients: A Meta-analysis and Systematic Review

Rajahthurai, Sareneya Dashni; Farrukh, Muhammad Junaid; Makmor-Bakry, Mohd; Tan, Hui Jan; Fatokun, Omotayo; Saffian, Shamin Mohd; Ramatillah, Diana Laila

doi:10.3389/fphar.2022.870641

Cited by 14 publications

(11 citation statements)

References 58 publications

(156 reference statements)

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“…Approximately 85% of respondents stated it is difficult to distinguish legitimate CAIM practices from scams or fraudulent claims. Currently, the evidence base for most CAIM modalities vary greatly in quality [56][57][58][59] . This is partly due to the fundamental differences between CAIM and conventional medicine that make it difficult to study many CAIM therapies under the gold-standard placebo-controlled randomised clinical trial 42,56,57 .…”

Section: Discussionmentioning

confidence: 99%

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Perceptions of Complementary, Alternative, and Integrative Medicine Among Neurology Researchers and Clinicians: A Large-Scale, International Cross-Sectional Survey

Ng,

Li,

Cramer

2024

Preprint

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Background: While many patients with neurological disorders and conditions use complementary, alternative, and integrative medicine (CAIM), little is known about the use and perceptions of CAIM among neurology researchers and clinicians. With the increasing popularity of CAIM, our objective was to assess practices, perceptions, and attitudes towards CAIM among neurology researchers and clinicians. Methods: We conducted an anonymous online survey of authors who had published articles in neurology journals indexed in MEDLINE. We emailed potential participants our cross-sectional electronic survey after extracting their email addresses from one of their publications in our sample of journals. Basic descriptive statistics were drawn from quantitative data, and thematic content analysis was used to analyse qualitative data from any open-ended questions. Results: The survey was completed by 783 neurology researchers and/or clinicians (1.5% response rate, 83.9% completion rate). Overall, respondents perceived CAIM to be promising in preventing, treating, and/or managing neurological diseases. Mind-body therapies received the most positive responses, indicated by over half of respondents cumulatively agreeing that they are promising (n=368, 59.0%) and safe (n=280, 50.3%). Whole medical systems and biofield therapy were less favourable. Most neurology clinicians reported a lack of formal (n=211, 70.3%) and supplementary training (n=158, 52.5%) on CAIM. Nearly half of clinicians did not feel comfortable counselling patients about CAIM (n = 121, 44.5%), and over half did not feel comfortable recommending it (n=161, 59.3%). A lack of scientific evidence for CAIM's safety and efficacy was reported as the greatest challenge to CAIM (n=515, 92.5%). The majority of respondents believed there is value to conducting research on this topic (n=461, 82.0%) and supported increasing allocation of research funding towards CAIM (n=241, 58.9%). Conclusions: Although many participants found CAIM to be promising to the field of neurology, the vast majority did not feel open to integrating CAIM into mainstream medical practices on account of a perceived lack of scientific evidence for its safety and efficacy. Future studies can use our findings to improve educational resources on CAIM within neurology, as well as examine what effects a tailored CAIM education has on the perceptions of neurology researchers and clinicians.

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Section: Discussionmentioning

confidence: 99%

“…the most positive responses, indicated by over half of respondents cumulatively agreeing that they are promising (n=368, 59.0%) and safe (n=280, 50.3%). Whole medical systems and biofield therapy were less favourable.…”

mentioning

confidence: 99%

Perceptions of Complementary, Alternative, and Integrative Medicine Among Neurology Researchers and Clinicians: A Large-Scale, International Cross-Sectional Survey

Ng,

Li,

Cramer

2024

Preprint

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“…Currently, balloon dilatation has become a commonly used method for treating post-stroke CPA (Dou et al, 2012 ). Patients suffering from post-stroke CPA can also benefit from acupuncture in terms of swallowing function, and acupuncture has fewer adverse reactions than other treatments (Jia et al, 2009 ; Dou et al, 2013 ; Arnold et al, 2016 ; Han and Gao, 2017 ; Rajahthurai et al, 2022 ). But there is no high-quality evidence for the effect of acupuncture combined with balloon dilation.…”

Section: Discussionmentioning

confidence: 99%

Acupuncture combined with balloon dilation for post-stroke cricopharyngeal achalasia: A meta-analysis of randomized controlled trials

et al. 2023

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BackgroundThe purpose of this study was to systematically evaluate the effectiveness of acupuncture combined with balloon dilatation in patients with post-stroke cricopharyngeal achalasia (CPA) according to the effective rate, videofluoroscopy swallowing study (VFSS) score and standardized swallowing function assessment scale (SSA) score through Meta-analysis.MethodsEnglish and Chinese language literature published before July 24,2022 were searched in ten electronic databases. The identified articles were screened, data were extracted, and the methodological quality of the included trials was assessed. Using RevMan 5.4.1 software to perform Meta-analysis.Results10 studies with 517 patients with post-stroke CPA were included. Meta-analysis showed that the effective rate of the experience group was higher than that of the control group [OR = 0.62; 95% CI (2.32, 13.05); I2 = 0%; p = 0.0001]. Compared to the control group, the SSA score was lower in the experience group [MD = −4.22; 95% CI (−4.57, −3.87); I2 = 42%; p < 0.00001]. In terms of VFSS scores, the experience group showed greater efficacy differences than control group [MD = 1.53; 95% CI (1.32, 1.75); I2 = 0%; p < 0.00001]. The subgroup analysis of VFSS score based on the average course of disease (<1 month vs. ≥1 month) showed no significant difference. The subgroup analysis based on average age (>60 years vs. ≤60 years) showed the VFSS score of the experience group was significantly higher than that of the control group, and the effect may be better in the subgroup older than 60 years. The subgroup analysis based on the treatment course (>30 days vs. ≤30 days) showed the VFSS score of the experience group was significantly higher than that of the control group, and the effect may be better in the subgroup the treatment course>30 days.ConclusionAcupuncture combined with balloon dilatation may be an effective method for treating post-stroke CPA. Compared with balloon dilatation, acupuncture combined with balloon can significantly improve the swallowing function of patients, and it is also effective for patients of different courses, ages, and treatment course, while patients over 60 years old and the treatment course over 30 days may have better clinical outcomes.

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“…On the other hand, Rajahthurai et al (2022) showed that the use of complementary medicines in stroke patients is at a low level due to limited knowledge and the high number of medical drugs. [27]. Hashemi et al (2018) introduced the most important barriers to adherence to treatment as the poor performance of the healthcare team, social bottlenecks, and personal helplessness.…”

Section: Discussionmentioning

confidence: 99%

Adherence to Treatment According to Patients with Scleroderma: A Qualitative Content Analysis

Parniyan

Pasyar

Rambod

et al. 2023

Preprint

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Purpose: Scleroderma is a disease without definitive treatment. It has long-term complications, but is controllable. Patients’ adherence to treatment recommendations can prevent acute and chronic complications of the disease and delay its occurrence. This study aimed to explain adherence to treatment from the perspective of patients with scleroderma. Patients and Methods: The present study was conducted with a qualitative approach. The research setting was Hafez Teaching Hospital, affiliated to Shiraz University of Medical Sciences, Iran. Fourteen patients with scleroderma was purposefully selected and participated in semi-structured interviews. To analyze the data, the conventional content analysis approach was used. Results: According to the participants’ opinions, two main categories emerged. For the category “the diagnostic-therapeutic regimen as the basis of adherence to treatment”, the data analysis revealed the following subcategories: the value of diagnostic methods and adherence to the drug regimen. For the category “adherence to a range of physical care”, the following subcategories emerged: persistence in monitoring one's weight, attention to skin care, comfort by keeping the body warm, selection of nutritional patterns appropriate for disease conditions and tendency to use complementary medicine. Conclusion: Adherence to treatment can play a significant role in the self-management and control of scleroderma. The present study showed that patients with scleroderma adhere to the therapeutic regimen by following diagnostic and pharmacotherapy methods, performing skin care, choosing nutritional patterns, using complementary medicine and watching their weight.

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Use of Complementary and Alternative Medicine and Adherence to Medication Therapy Among Stroke Patients: A Meta-analysis and Systematic Review

Cited by 14 publications

References 58 publications

Perceptions of Complementary, Alternative, and Integrative Medicine Among Neurology Researchers and Clinicians: A Large-Scale, International Cross-Sectional Survey

Perceptions of Complementary, Alternative, and Integrative Medicine Among Neurology Researchers and Clinicians: A Large-Scale, International Cross-Sectional Survey

Acupuncture combined with balloon dilation for post-stroke cricopharyngeal achalasia: A meta-analysis of randomized controlled trials

Adherence to Treatment According to Patients with Scleroderma: A Qualitative Content Analysis

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