Complementary/alternative therapies use in older women with arthritis: Information sources and factors influencing dialog with health care providers

Geisler, Carol; Cheung, Corjena

doi:10.1016/j.gerinurse.2014.08.013

Cited by 12 publications

(7 citation statements)

References 33 publications

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“…A negative response regarding CAM from the medical practitioner has previously been identified as a factor associated with nondisclosure, though rarely reported in other studies [22,23,60]. This discrepancy with our study may be related to a greater acceptance of alternative therapies in some countries, as has been described in Europe [61]. Also, study patients who disclosed CAM use to their rheumatologists had more years of formal education, a finding that has been highlighted in a recent review [21] and reproduced in patients with osteoarthritis [19].…”

Section: Plos Onecontrasting

confidence: 93%

“…The most important sources of information guiding our patients to use CAM were friends and family members, as has been previously described [ 16 , 21 , 59 – 61 ]. Cultural and personal backgrounds have been reported to be influential factors for CAM use and patients may receive recommendations to use CAM by other family members who have had previous experiences with CAM [ 15 ].…”

Section: Discussionmentioning

confidence: 99%

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Association of significant risk perception with the use of complementary and alternative medicine: A cross-sectional study in Hispanic patients with rheumatoid arthritis

et al. 2020

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Background Risk perception (RP) describes patient´s judgment of the likelihood of experiencing something unpleasant, and has been associated to the adoption of health behaviors. Current rheumatoid arthritis (RA) guidelines recommend early and intensive treatment, although patients also commonly use Complementary and Alternative Medicine (CAM). We aimed to investigate if significant RP was associated to CAM use in Hispanic RA outpatients and to describe additional associated factors. Methods Between March and August 2019, 266 consecutive outpatients were invited to a face-toface interview to collect socio-demographic and RA-related information, to assess comorbidity and the following patient-reported-outcomes: pain, overall-disease and treatment adherence with visual analogue scales, disease activity with RAPID-3, RP with a validated questionnaire, and CAM use with a translated and cross-culturally adapted for Argentina version of the International CAM questionnaire. Medical records were reviewed to corroborate the data provided by the patients. CAM use definition was restricted to "in the last 3 months". Significant RP was defined based on published cutoff. Multiple logistic regression analysis was used to investigate factors associated to CAM use. The study received IRB approval. Results There were 246 patients included, primarily middle-aged women, with substantial disease duration, moderate disease activity and 70 patients (28.5%) had significant RP. Two hundreds patients (81.3%) were CAM users. Significant RP (OR: 2.388, 95%CI: 1.044-5.464,

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Section: Plos Onecontrasting

confidence: 93%

Section: Discussionmentioning

confidence: 99%

Association of significant risk perception with the use of complementary and alternative medicine: A cross-sectional study in Hispanic patients with rheumatoid arthritis

et al. 2020

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“…One -third of the patients sought care from untrained providers. The review shows that there was a high prevalence of multiple types of CAM use among RA patients worldwide, which was not limited to specific socioeconomic groups or geographic locations (Geisler and Cheung, 2015;Yang et al, 2017). According to Barnes et al, above half of the Americans use CAM to manage various medical conditions, and one third of them mention pain as the primary reason (Barnes et al, 2008).…”

Section: Discussionmentioning

confidence: 99%

Care-seeking pathways, care challenges, and coping experiences of rural women living with rheumatoid arthritis in Odisha, India

Sahoo

Samal

Jena

et al. 2019

Prim Health Care Res Dev

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Aim: The aim of the study was to explore the care-seeking pathway of rural women living with rheumatoid arthritis (RA) and attending a tertiary health-care facility in Odisha, India. Background: RA is the third leading chronic health condition and causes severe pain and immense psychosocial stress. The prevalence of RA is three to four times higher in women than in men. Furthermore, in India, women delay care seeking due to the prevailing sociocultural norms. Women report more severe symptoms and greater disability; however, there is a lack of information on their care-seeking pathways. Method: We conducted 113 in-depth interviews among RA patients those who visited specialists at the outpatients’ Department of Rheumatology, SCB Medical College Hospital, a tertiary care hospital in Cuttack, Odisha, India. The grounded theory approaches were used for data analysis. Findings: The key findings included physical pain and psychosocial stress in relation to RA, cultural issues in relation to RA, mapping of the health-care providers for RA, the first point of cares and changes in care-seeking pathways, the perceived challenge for seeking health-care, and coping strategies of patients and social supports. This study explored that the RA patients seek care from multiple providers – untrained, trained and specialist without any gatekeeping. However, the primary health centers were the first point of care for maximum patients due to accessibility and affordability. Furthermore, follow-up care is significant to prevent complication among RA patients; the primary health centers are the gateway for keeping RA patients. Hence, the availability of RA trained providers at primary health center including interprofessional care, such as physiotherapy providers, and proper referral system is essential to convalesce care-seeking pathways.

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“…According to our findings, the paucity of the modern facility in a rural setting and lack of awareness among the patients were key drivers for indigenous practice. The previous studies on RA suggested that lack of information about RA was a critical factor for the treatment delay (23,24). Hence, RA patients need to be well-informed and educated on modern treatment, which is a core component of care (4); therapeutic patient education is one of the essential components of the health system (25).…”

Section: Discussionmentioning

confidence: 99%

Use of Animal and Animal Products for Rheumatoid Arthritis Treatment: An Explorative Study in Odisha, India

et al. 2020

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Severe fatigue, pain, deformity, and disability, are the major concerns for rheumatoid arthritis (RA). The extreme pain experienced by the patients often force them to experiment with various indigenous substances including animals and animal products. However, there is little evidence on the use of animals or animal products as traditional medicine in RA. Hence, this study was aimed to explore the experience and perception of patients toward the use of animals and animal products for the treatment of RA. A qualitative, explorative study was conducted at the outpatient department of Rheumatology of a tertiary care medical college and hospital at Cuttack, Odisha, India. Out of 113 patients with RA, 18 patients gave history of use of animal and/or animal products and were selected for in-depth interviews. The content analysis methods were used for data analysis. Four major categories emerged: (1) prevailing patterns of traditional treatment of RA using animals, (2) beliefs and values behind the traditional treatment of RA, (3) sources and traditional learning pathway of indigenous practices on RA, and (4) ethical aspects of the indigenous practice of using animals and/or animal products in the treatment of RA. This study revealed the practice of eating dead animals to get relief from RA. However, there was hardly any perceived positive outcome of the practice; which indicates the lack of awareness of rational, scientific, treatment, and prevalence of irrational and unethical practices for the treatment of RA. Hence, community awareness, social mobilization, and newer screening tools are necessary to improve the timely detection and prevention of irrational treatment practices among RA patients.

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Complementary/alternative therapies use in older women with arthritis: Information sources and factors influencing dialog with health care providers

Cited by 12 publications

References 33 publications

Association of significant risk perception with the use of complementary and alternative medicine: A cross-sectional study in Hispanic patients with rheumatoid arthritis

Association of significant risk perception with the use of complementary and alternative medicine: A cross-sectional study in Hispanic patients with rheumatoid arthritis

Care-seeking pathways, care challenges, and coping experiences of rural women living with rheumatoid arthritis in Odisha, India

Use of Animal and Animal Products for Rheumatoid Arthritis Treatment: An Explorative Study in Odisha, India

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