Determinants of the Use of Four Categories of Complementary and Alternative Medicine

Hendrickson, Darren; Zollinger, Brett; McCleary, Roseanna

doi:10.1177/1533210106288080

Cited by 15 publications

(15 citation statements)

References 38 publications

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“…The [11][12][13][14][15][16][17][18][19][20] and severe disability (Grade IV: 20+); S.D., standard deviation; VAS, visual analogue scale; n, number of patients; NS, not significant. [11][12][13][14][15][16][17][18][19][20] and severe disability (Grade IV: 20+); S.D., standard deviation; VAS, visual analogue scale; n, number of patients; NS, not significant. majority of patients with TTH utilize selfmedication or are treated by the family physician, and often only chronic or therapy-resistant courses frequent a neurologist or an out-patient headache clinic.…”

Section: Discussionmentioning

confidence: 99%

“…In general, patients look for therapies with the potential to improve their quality of life or showing fewer side-effects. As regards the prevalence of CAM use, it has to be considered that in contrast to this, CAM was more often used in order to prevent illness or to strengthen the immune system, rather than treatment of illness (18)(19)(20). Often patients are not aware of the potential risks of CAM treatment.…”

Section: Discussionmentioning

confidence: 99%

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Use of Complementary and Alternative Medicine in Patients Suffering from Primary Headache Disorders

et al. 2009

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Complementary and alternative medicine (CAM) is increasingly common in the treatment of primary headache disorders despite lack of evidence for efficacy in most modalities. A systematic questionnaire-based survey of CAM therapy was conducted in 432 patients who attended seven tertiary headache out-patient clinics in Germany and Austria. Use of CAM was reported by the majority (81.7%) of patients. Most frequently used CAM treatments were acupuncture (58.3%), massage (46.1%) and relaxation techniques (42.4%). Use was motivated by 'to leave nothing undone' (63.7%) and 'to be active against the disease' (55.6%). Compared with non-users, CAM users were of higher age, showed a longer duration of disease, a higher percentage of chronification, less intensity of headache, were more satisfied with conventional prophylaxis and showed greater willingness to gather information about headaches. There were no differences with respect to gender, headache diagnoses, headache-specific disability, education, income, religious attitudes or satisfaction with conventional attack therapy. A higher number of headache days, longer duration of headache treatment, higher personal costs, and use of CAM for other diseases predicted a higher number of used CAM treatments. This study confirms that CAM is widely used among primary headache patients, mostly in combination with standard care.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Use of Complementary and Alternative Medicine in Patients Suffering from Primary Headache Disorders

et al. 2009

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“…The utilization of health services by chronic pain patients depends on multiple need factors, including physical factors such as pain-related symptoms (severity and duration), preexisting medical conditions (co-morbidities and previous operations), functional capacity, and mental health (depressive symptoms). This model has been successfully used in the study of CAM [8].…”

Section: Introductionmentioning

confidence: 99%

Predictors of Complementary and Alternative Medicine Use in Chronic Pain Patients

Ndao-Brumblay

Green

2010

Pain Med

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This study identifies variable patterns of CAM usage based on sociodemographic and health factors in chronic pain patients. Overall, who uses CAM depends on the modality; however, education, pain severity, and pain duration are persistent correlates of CAM usage regardless of the therapy considered. We found that mental health, as measured by depressive symptoms, had no noticeable impact on CAM usage among chronic pain patients. The clinical, policy, and research implications of CAM use are discussed.

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“…30 Analysis of the US National Health Interview Survey (n=31,044) also identified headache as one of the most common health problems experienced by CAM users. 31 While these studies highlight a relationship between CAM use and headache disorders, they provided little information on the patterns of and motivations for CAM use among people with headache and migraine.Although evidence of CAM use for headache and migraine is emerging, there has been no review or synthesis of CAM user characteristics, perceptions or motivations amongst headache and migraine sufferers. Such a review is essential in order to provide important insights for health practitioners and policymakers with regards to the safety and continuity of care for patients -an issue pronounced by the fact that CAM users appear not to disclose such use to their conventional doctors, Previous studies reveal that a lack of GP interest in their patients' use of CAM or the patients' perception that CAM use is not an important issue that should be raised with their doctor are the two major factors contributing to nondisclosure of CAM.…”

mentioning

confidence: 99%

mentioning

confidence: 99%

Complementary and Alternative Medicine Use for Headache and Migraine: A Critical Review of the Literature

2012

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Contexts: An evidence base for CAM consumption within general populations is emerging. However, research data on CAM use for headache disorders remains poorly documented. This paper, constituting the first critical review of literature on this topic, provides a synopsis and evaluation of the research findings on CAM use amongst patients with headache and migraine.Methods: A comprehensive search of literature from 2000 to 2011 in CINAHL, MEDLINE, AMED, and Health Sources was conducted. The search was confined to peer-reviewed articles published in English reporting empirical research findings of CAM use among people with primary headache or migraine.Results: The review highlights a substantial level of CAM use among people with headache and migraine. There is also evidence of many headache and migraine sufferers using CAM concurrent to their conventional medicine use. Overall, the existing studies have been methodologically weak and there is a need for further rigorous research employing mixed method designs and utilizing large national samples. Discussion:The critical review highlights the substantial prevalence of CAM use amongst people with headache and migraine as a significant health care delivery issue and healthcare professionals should be prepared to enquire and discuss possible CAM use with their patients during consultations. Healthcare providers should also pay attention to the possible adverse effects of CAM or interactions between CAM and conventional medical treatments amongst headache and migraine patients. KeywordsHeadache, migraine, complementary and alternative medicine, prevalence, review Over recent decades, the evidence base for CAM consumption within general populations has emerged. 9-13 However, research data on CAM use for specific health or clinical conditions remains less well documented and the use of CAM specifically for headache and migraine is no exception. This paper provides the first critical, systematic examination of the evidence-base of this crucial healthcare issue, synthesizing empirical research findings and highlighting a number of gaps and challenges facing future research in this increasingly important practice area. Headache and Migraine: The Significance of Exploring CAM UseHeadache and migraine is a very common health condition and according to the International Headache Society the percentage of the global adult population with an active general headache disorder is 46% with 11% suffering from migraines, 42% suffering tension-type headaches and 3% suffering chronic daily headache. 14 A systematic review has identified the global prevalence of chronic migraine at 0-5.1%, 4 with estimates typically in the range of 1.4-2.2% of the general population. 15 The impact of headache disorders is substantial and the World Health Organization ranks headache disorders as some of the most disabling conditions for both men and women. 14 Given the substantial effect of headache and migraine on the quality of life of the sufferer and the significant disruption to work, family ...

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Determinants of the Use of Four Categories of Complementary and Alternative Medicine

Cited by 15 publications

References 38 publications

Use of Complementary and Alternative Medicine in Patients Suffering from Primary Headache Disorders

Use of Complementary and Alternative Medicine in Patients Suffering from Primary Headache Disorders

Predictors of Complementary and Alternative Medicine Use in Chronic Pain Patients

Complementary and Alternative Medicine Use for Headache and Migraine: A Critical Review of the Literature

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