Attitudes and factors involved in decision-making around complementary and alternative medicines (CAMs) by older Australians: A qualitative study

Gallego, Gisselle; Gugnani, Saira; Armour, Mike; Smith, Caroline; Chang, Esther

doi:10.1016/j.eujim.2019.100930

Cited by 9 publications

(3 citation statements)

References 31 publications

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“…Eighty‐eight percent of adults aged ≥65 year, for instance, applied CAMs to reduce symptoms of disease in the US (Stockigt et al., 2013). The use of CAMs is more common in older people that have a chronic condition (e.g., insomnia) (Gallego et al., 2019). Furthermore, increasing numbers of older adults with cognitive impairment are resorting to various kinds of CAMs (Esmel‐Esmel et al., 2017; Parmar et al., 2018).…”

Section: Discussionmentioning

confidence: 99%

“…Third, the perceived effectiveness of reflexology may be related to the effects on activities of daily living and quality of life rather than a direct influence on sleep disturbances. Foot reflexology may make older adults feel empowered as to their ability to make informed health‐related decisions, as foot reflexology promotes a participatory and more‐active role (Gallego et al., 2019). In turn, older adults have higher self‐responsibility and compliance, and their psychosocial aspect of health is better as sleep disturbances are mitigated.…”

Section: Discussionmentioning

confidence: 99%

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Can foot reflexology be a complementary therapy for sleep disturbances? Evidence appraisal through a meta‐analysis of randomized controlled trials

Huang

Chen

Kuo

et al. 2020

Journal of Advanced Nursing

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Aims To systematically summarize and quantify the effects of foot reflexology on improvements in sleep disturbances. Design Systematic review and meta‐analysis. Data sources Datasets including PubMed, Web of Science, Scopus, EMBASE, Cochrane Library, Google Scholar, CINAHL and two Chinese electronic databases (i.e., AiritiLibrary and China National Knowledge Infrastructure) were used to search from their inception to 31 January 2019. Review methods Studies which were randomized controlled trials that reported changes in sleep disturbances after the intervention among adults over 18 years old and written in the English or Chinese language were included. Two reviewers’ independently assessed the eligibility, extracted data, and conducted a quality assessment. Based on the extracted data, two separate meta‐analyses were performed. Results Forty‐two articles with a total sample of 3,928 participants were included in the systematic review and were eligible for the meta‐analysis. The most commonly employed outcome measurement tool was the Pittsburgh Sleep Quality Index, followed by the therapeutic effect between the intervention and control groups (as evaluated by participants with sleep problems compared with those without sleep problems in each group after the intervention). Results revealed that foot reflexology resulted in a greater reduction in the sleep quality score compared with the controls (Hedges’ g = −1.37; 95% confidence interval (CI) = −1.81~‐0.94). As for the therapeutic effect, participants in the intervention group were less likely to have sleep problems than those in the control group (pooled odds ratio = 0.25; 95% CI = 0.19 ~ 0.31). Conclusion The findings suggested that foot reflexology produced significant improvements in sleep disturbances. Impact Foot reflexology is a non‐invasive and convenient intervention and regularly receiving foot reflexology can be considered complementary therapy to improve the sleep quality of adults with sleep disturbances. Furthermore, healthcare providers can actively press the solar plexus and heart zones to alleviate sleep disturbances when performing foot reflexology.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Can foot reflexology be a complementary therapy for sleep disturbances? Evidence appraisal through a meta‐analysis of randomized controlled trials

Huang

Chen

Kuo

et al. 2020

Journal of Advanced Nursing

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“… 51 Several studies conducted in Australia have highlighted factors associated with CM use among healthy older people, namely personal beliefs and experiences, social networks, educational levels and previous experiences encountering conventional medicine. 52 , 53 …”

Section: Main Textmentioning

confidence: 99%

Traditional and complementary medicine for promoting healthy ageing in WHO Western Pacific Region: Policy implications from utilization patterns and current evidence

Chung

Wong

Zhong

et al. 2021

Integrative Medicine Research

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Background With increasing burden of chronic non-communicable diseases (NCD), ageing becomes a global public health concern, and the World Health Organization Western Pacific Region has no exception. To address the NCD challenge, priority should be given to promote healthy ageing across the life-course. As traditional and complementary medicine (T&CM) is popular within the Region, it is of policy interest to explore possibilities of applying T&CM for promoting healthy ageing. Methods We first summarized sources of clinical evidence supporting the use of T&CM. We then searched publications through MEDLINE from its inception to April 2020 to identify studies focusing on the perception of T&CM among older people. Finally, taking current evidence base and patient choice into account, we generated policy recommendations for of integrating T&CM into health systems. Result Experiences from countries with different income levels suggested that promoting evidence-based T&CM as self-care modalities would be the most efficient way of maximizing impact among the older population, especially via a train the trainer approach. Meanwhile, popularity of natural products in the Region mandates policy makers to implement appropriate regulation and quality assurance, and to establish pharmacovigilance to detect potential harm. The role of pharmacists in advising patients on self-medication using natural products needs to be strengthened. Conclusion Policy-makers will benefit from continued global dialogue and sharing of experience in T&CM policy development and implementation. Harmonizing regulatory frameworks for natural products at regional and global levels, including mutual recognition of regulatory approval, to improve standards and protect patients could be a priority.

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Better Health Through Integrative Medicine: A Pursuit of Lived Experience

De Lorenzo,

Venkatraman

2024

Research Partners With Lived Experience

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Attitudes and factors involved in decision-making around complementary and alternative medicines (CAMs) by older Australians: A qualitative study

Abstract: Attitudes and factors involved in decision-making around complementary and alternative medicines (CAMs) by older Australians: A qualitative study.

Cited by 9 publications

References 31 publications

Can foot reflexology be a complementary therapy for sleep disturbances? Evidence appraisal through a meta‐analysis of randomized controlled trials

Can foot reflexology be a complementary therapy for sleep disturbances? Evidence appraisal through a meta‐analysis of randomized controlled trials

Traditional and complementary medicine for promoting healthy ageing in WHO Western Pacific Region: Policy implications from utilization patterns and current evidence

Better Health Through Integrative Medicine: A Pursuit of Lived Experience

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