Complementary and Alternative Medicine Use as Health Self-Management: Rural Older Adults With Diabetes

Arcury, Thomas A.; Bell, Ronny A.; Snively, Beverly M.; Smith, Shannon L.; Skelly, Anne H.; Wetmore, Lindsay K.; Quandt, Sara A.

doi:10.1093/geronb/61.2.s62

Cited by 104 publications

(117 citation statements)

References 29 publications

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“…Those who are strict in their own self-discipline are believed to have a tendency to spend more on both therapies. Previous reports have suggested that those patients seeking CAM believe that it offers them more personal autonomy and control over their health care decisions [22,23]. In addition, the growth in CAM may be due to the ascendancy of patient self-empowerment [24], which may explain our findings regarding SMBG as an independent factor of CAM.…”

Section: Discussionmentioning

confidence: 60%

Utilization patterns and cost of complementary and alternative medicine compared to conventional medicine in patients with type 2 diabetes mellitus

Kim

Chun

Kim

et al. 2011

Diabetes Research and Clinical Practice

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Section: Discussionmentioning

confidence: 60%

Utilization patterns and cost of complementary and alternative medicine compared to conventional medicine in patients with type 2 diabetes mellitus

Kim

Chun

Kim

et al. 2011

Diabetes Research and Clinical Practice

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“…Furthermore, the movement for self-care occurred shortly after, and CAM may provide people with a better sense of control and responsibility over the management of their disease. 28,29 We hypothesize that more baby boomers will turn to CAM because of a growing interest in self-management programs that emphasize the patient's role in managing chronic diseases. Previous studies reported older adults integrating CAM with conventional practices to treat daily symptoms related to their chronic disease.…”

Section: Discussionmentioning

confidence: 99%

“…Previous studies reported older adults integrating CAM with conventional practices to treat daily symptoms related to their chronic disease. 29 Herbs, dietary supplements, and mind-body medicine are commonly reported modalities for self-management. 18 Current clinical trials for mind-body approaches such tai chi and yoga show emerging evidence demonstrating an improvement in quality of life for those with chronic diseases.…”

Section: Discussionmentioning

confidence: 99%

Generational Differences in Complementary and Alternative Medicine (CAM) Use in the Context of Chronic Diseases and Pain: Baby Boomers versus the Silent Generation

Rowland-Seymour

Frankel

et al. 2014

The Journal of the American Board of Family Medicine

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Methods: This study compares CAM usage between baby boomers (n ‫؍‬ 7734) and the silent generation (n ‫؍‬ 4682) through secondary analyses of the 2007 National Health Interview Survey data. The analysis also compares chronic disease and pain status. Multivariate logistic regression models were developed to identify generational differences.Results: Although the silent generation reported twice as many chronic disease (51.3% vs 26.1%; P < .001) and more painful conditions (56.1% vs 52.2%; P < .001), baby boomers were more likely to use CAM within the past year (43.1% vs 35.4%; P < .001). Adjusting for covariates, baby boomers with heart disease, cancer, and diabetes were more likely to use CAM than adults from the silent generation. Chronic pain status was independently associated with greater CAM use (adjusted odds ratio, 2.26; 95% confidence interval, 2.03-2.52).Conclusions: Baby boomers reported significantly higher rates of CAM use than the silent generation for both chronic diseases and painful conditions. Family physicians caring for the aging population must use patient-centered communication about the risks/benefits of CAM, which is necessary to promote effective coping with chronic illnesses and pain. (J Am Board Fam Med 2014;27:465-473.)

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“…For example, surveys of rural older adults with diabetes using lists that include a wide variety of home remedies have found higher CAM use than other surveys that exclude home remedies. 7 Lumping CAM remedies or therapies into broad categories (e.g., ''Herbs'' or ''Manipulative Therapies'') may result in lower use estimates than splitting the modalities into multiple discrete items (e.g., ''Ginseng'' and ''Echinacea,'' or ''Chiropractic'' and ''Shiatsu''). Open-ended formats or a single closed question, in contrast, may result in underestimating CAM use because of respondents' failure to remember CAM use or because they do not consider their practices to be CAM.…”

Section: Background: Need For a Common Instrumentmentioning

confidence: 99%

“…Other studies try to identify ''current use.'' This is sometimes specified as in the past 12 months 7,13 or as during the course of an illness. 14 All of these issues regarding sampling and measurement suggest that the use of a common, standard questionnaire will facilitate comparisons between studies.…”

Section: Background: Need For a Common Instrumentmentioning

confidence: 99%

Development of an International Questionnaire to Measure Use of Complementary and Alternative Medicine (I-CAM-Q)

Quandt

Verhoef

Arcury

et al. 2009

The Journal of Alternative and Complementary Medicine

189

154

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Objectives: Existing studies on the use of complementary and alternative medicine (CAM) have produced diverse results regarding the types and prevalence of CAM use due, in part, to variations in the measurement of CAM modalities. A questionnaire that can be adapted for use in a variety of populations will improve CAM utilization measurement. The purposes of this article are to (1) articulate the need for such a common questionnaire; (2) describe the process of questionnaire development; (3) present a model questionnaire with core questions; and (4) suggest standard techniques for adapting the questionnaire to different languages and populations. Methods: An international workshop sponsored by the National Research Center in Complementary and Alternative Medicine (NAFKAM) of the University of Tromsø, Norway, brought CAM researchers and practitioners together to design an international CAM questionnaire (I-CAM-Q). Existing questionnaires were critiqued, and working groups drafted content for a new questionnaire. A smaller working group completed, tested, and revised this self-administered questionnaire. Results: The questionnaire that was developed contains four sections concerned with visits to health care providers, complementary treatments received from physicians, use of herbal medicine and dietary supplements, and self-help practices. A priori-specified practitioners, therapies, supplements, and practices are included, as well as places for researcher-specified and respondent-specified additions. Core questions are designed to elicit frequency of use, purpose (treatment of acute or chronic conditions, and health maintenance), and satisfaction. A penultimate version underwent pretesting with ''think-aloud'' techniques to identify problems related to meaning and format. The final questionnaire is presented, with suggestions for testing and translating. Conclusions: Once validated in English and non-English speaking populations, the I-CAM-Q will provide an opportunity for researchers to gather comparable data in studies conducted in different populations. Such data will increase knowledge about the epidemiology of CAM use and provide the foundation for evidence-based comparisons at an international level.

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Complementary and Alternative Medicine Use as Health Self-Management: Rural Older Adults With Diabetes

Cited by 104 publications

References 29 publications

Utilization patterns and cost of complementary and alternative medicine compared to conventional medicine in patients with type 2 diabetes mellitus

Utilization patterns and cost of complementary and alternative medicine compared to conventional medicine in patients with type 2 diabetes mellitus

Generational Differences in Complementary and Alternative Medicine (CAM) Use in the Context of Chronic Diseases and Pain: Baby Boomers versus the Silent Generation

Development of an International Questionnaire to Measure Use of Complementary and Alternative Medicine (I-CAM-Q)

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