Caregiver-reported religious beliefs and complementary and alternative medicine use among children admitted to an epilepsy monitoring unit

Beattie, Julia Fleming; Thompson, Matthew D.; Parks, Pamela H.; Jacobs, Ruth Q.; Goyal, Monisha

doi:10.1016/j.yebeh.2017.01.026

Cited by 14 publications

(28 citation statements)

References 41 publications

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“…15,16 Previous studies have found that less than half of CAM users had discussed using CAM with their doctor. 4,11 Our findings, which may be institutionally dependent, are contrary to what has been reported. Discussions regarding CAM occurred more frequently than we expected.…”

Section: Discussioncontrasting

confidence: 99%

“…Existing research similarly suggests that patients may turn to CAM when they feel their epilepsy is not adequately controlled by prescribed pharmacologic interventions. 4,11 Our findings suggest that patients with poorly controlled epilepsy may benefit most from discussions with their providers about safe and potentially efficacious CAM interventions.…”

Section: Discussionmentioning

confidence: 84%

“…Our questionnaire was created in collaboration with pediatric neurologists on our team after reviewing literature from related studies. 11,12 The questionnaire inquired about demographic information, epilepsy characteristics and treatment modalities used, CAM use, and perception of CAM and patient-physician discussions regarding CAM.…”

Section: Methodsmentioning

confidence: 99%

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Complementary and Alternative Medicine (CAM) use in Children with Epilepsy

et al. 2022

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Complementary and alternative medicine (CAM) use by the pediatric population with epilepsy in rural Pennsylvania was studied to characterize the prevalence, perceived effectiveness, and reasons for CAM use. This study additionally assessed the adequacy of parent-physician communication regarding CAM usage. A telephone survey was administered to 200 parents/caregivers of children with epilepsy followed at Hershey Medical Center. Thirteen percent of respondents indicated CAM use by their child. Common types of CAM used were cannabis-related products such as CBD oil and medical marijuana. Forty-eight percent of CAM users chose to initiate CAM owing to dissatisfaction with the outcomes of antiseizure drugs. Fifty-nine percent noticed a decrease in seizure frequency with CAM use, and more than 11% of CAM users reported side effects from CAM. Eighty percent of CAM users had discussions regarding CAM with their child's neurologist. CAM use was found to be associated with increased seizure severity ( P = .004) and the prior use of cannabidiol (Epidiolex) ( P < .001) or the ketogenic diet ( P = .001). Increased seizure severity and the prior use of Epidiolex or the ketogenic diet may be used as predictors for the identification of patients with a higher likelihood of using CAM. Interest in future CAM use, especially cannabis-related products, was expressed in a large percentage of non-CAM users. Given the high parental or caregiver interest in CAM, providers are encouraged to be proactive in initiating discussions about CAM and collaborate with parents/caregivers to ensure the safe usage of CAM among pediatric patients.

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Section: Discussioncontrasting

confidence: 99%

Section: Discussionmentioning

confidence: 84%

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Complementary and Alternative Medicine (CAM) use in Children with Epilepsy

et al. 2022

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“…Not only patients should share information, but also their physicians who plan and carry out treatment are required to their patients about use of CAM. Beattie et al [23] reported that 68% of physicians treating epileptic children were not questioning the use of CAM. As a result; we found that 25% of children with chronic neurological complaints who were followed up and treated in the pediatric neurology clinic used CAM, but only 5.8% of their parents shared this information with their physicians.…”

Section: Discussionmentioning

confidence: 99%

The evaluation of use of complementary and alternative medicine practices in the treatment of children with chronic neurological disease

Çarman¹

2018

Haydarpasa Numune Med J

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The aim of present study was to search the use of complementary and alternative medicine practices in children with chronic neurological disorders and associated factors. Methods: The prepared questionnaire was applied to parents of children admitted to the pediatric child neurology unit. Results: A total of 832 parents participated in the search. Twenty-five per cent of parents stated that they had been using complementary and alternative medicine for the treatment of their children over the past year. It has been found that the incidence of complementary and alternative medicine increases with increasing maternal education level and income level of the family. The religious methods were most frequent modality. Only 5.8% of parents informed their doctors who managed follow-up and treatment. Discussion and Conclusion: One of every 4 children is using complementary and alternative medicine practices. Considering the possible side effects, we think that this question should be asked during routine visits to the outpatient clinic and pediatricians.

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“…A questionnaire was developed based on available literature to assess the usage of CAM amongst PWE as part of their epilepsy management (Beattie et al, 2017;Chen et al, 2016;Durón et al, 2009;Quandt et al, 2009). The questionnaire was reviewed by a neurologist, two pharmacists and 10 patients, for its content validity, and modified accordingly.…”

Section: Methodsmentioning

confidence: 99%

Use of complementary and alternative medicine among adult with epilepsy - experiences from a single epilepsy center in Malaysia

et al. 2022

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Complementary and alternative medicine (CAM) usage were reported in Europe, the United States of America and monoethnic Asian countries such as Korea and Taiwan. However, limited literature is available on the variability of CAM usage patterns among people with epilepsy (PWE) in a multi-racial country in particular Malaysia. This cross-sectional study assessed the prevalence, types, predictors and impact of CAM use among adult PWE and their adherence to anti-epileptic drugs (AEDs) treatment.140 patients were recruited, with a median age of 37.5 (IQR,28.0-51.5) years, majority female, had secondary or lower education level, earn <USD1077 and seizure frequency of <1 per month. One quarter (25.7%) used CAM for seizure control, of which 94.4% adhered to AEDs treatment while on CAM. Common CAM used were prayers, traditional herbal remedies, massage, and acupuncture. Only 33.3% have discussed CAM usage with their physician. The main reason for CAM usage was patients’ willingness to try other alternatives for seizure control. Although most patients had not used CAM, 20.2% were receptive to using CAM as concomitant treatment. Buddhists were more open to CAM while Muslims uses CAM selectively and avoid amulets, acupuncture, chiropractic, Ayurveda, yoga, and reiki. Logistic regression analysis showed Buddhist’s religion (OR,11.01), Muslims (OR,4.04), ≥1 seizure per month (OR,3.85) and monthly income of ≥USD1077 (OR,2.92) as the predictors for CMA usage. CAM use is common in Malaysia, especially among Buddhists and Muslims, with higher socio-economic status, and uncontrolled seizures. CAM is mostly used to complement but not in replacement of AEDs.

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Caregiver-reported religious beliefs and complementary and alternative medicine use among children admitted to an epilepsy monitoring unit

Cited by 14 publications

References 41 publications

Complementary and Alternative Medicine (CAM) use in Children with Epilepsy

Complementary and Alternative Medicine (CAM) use in Children with Epilepsy

The evaluation of use of complementary and alternative medicine practices in the treatment of children with chronic neurological disease

Use of complementary and alternative medicine among adult with epilepsy - experiences from a single epilepsy center in Malaysia

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