Don't Ask, Don't Tell: Parental Nondisclosure of Complementary and Alternative Medicine and Over-the-Counter Medication Use in Children's Asthma Management

Sidora-Arcoleo, Kimberly; Yoos, H. Lorrie; Kitzman, Harriet; McMullen, Ann; Anson, Elizabeth

doi:10.1016/j.pedhc.2007.07.001

Cited by 48 publications

(33 citation statements)

References 36 publications

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“…What needs for education, pertaining to conventional [48,49] as well as CAM caregivers, can be identified? Do patients disclose their CAM use in clinical encounters with conventional health care [50,51], and if not, why? Is the field sufficiently regulated and researched [40]?…”

Section: Conclusion and Discussionmentioning

confidence: 99%

Two-Thirds of Survey Respondents in Southern Sweden Used Complementary or Alternative Medicine in 2015

et al. 2017

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Background: Research has long suggested that a large and possibly growing number of people use complementary or alternative medicine (CAM). However, in many countries, such as Sweden, national and regional research on CAM use is still very limited. Existing prevalence studies are few and characterized by low comparability. This study aims to contribute towards addressing this knowledge gap. Methods: A web-based survey measured the use of and attitude towards CAM and conventional medicine in the southernmost Swedish province of Scania, while taking part in the development of a measurement tool for the standardized study of CAM use within the European Union (EU; I-CAM-Q). Results: 71% of the respondents (n = 1,534) reported having used some form of CAM in the past year. CAM consumption here includes visits to CAM providers, use of natural remedies, and use of self-help methods. Reported use was more common among women, younger age groups, and people with tertiary education. 69% of the respondents stated that collaboration between conventional medicine and complementary medicine should increase. The survey's response rate was 31%. Conclusions: The study confirms that CAM forms a considerable part of the health care offered to and used by the population. In the face of the existing lack of national and regional data on CAM usage, it affirms the importance of furthered investigation of CAM consumption, policy, practice, regulation, and education.

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Section: Conclusion and Discussionmentioning

confidence: 99%

Two-Thirds of Survey Respondents in Southern Sweden Used Complementary or Alternative Medicine in 2015

et al. 2017

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“…The use of complementary and alternative medications to treat acute presentations of common medical conditions is quite frequent among both adult and pediatric patients [9][10][11]. Furthermore, use of nonprescription medications in doses exceeding the manufacturer's recommendations is not uncommon [12].…”

Section: Discussionmentioning

confidence: 99%

Heavy Metal Contaminants in Yerberia Shop Products

et al. 2012

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Complementary and alternative medications, including the use of herbal medications, have become quite popular in the USA. Yerberias are found throughout the southwest and specialize in selling Hispanic herbal products. The products sold in these stores are not regulated by any governmental agency. Previous reports have found Ayurvedic medications contain high levels of lead, mercury, and arsenic. The primary purpose of this study is to examine the prevalence of heavy metal contaminants sold at Yerberia stores in the southwest. Yerberias in the Phoenix, Arizona area were identified via search of an on-line search engine using the words "Yerberia Phoenix." Every second store was selected, and products were purchased using a standard script. The products were subsequently analyzed for mercury, lead, and arsenic. The main outcome is the prevalence of heavy metal content in over-the-counter "cold" medications purchased at a Yerberia. Twenty-two samples were purchased. One product contained pure camphor (2-camphone) and was subsequently not further analyzed. Of the 21 samples analyzed, lead was found in 4/21 (19.4 %). Arsenic and mercury were in 1/21 (4.8 %) each. Because two samples contained two heavy metals, the total prevalence of heavy metals was 4/21 (19.4). Heavy metal contaminants are commonly encountered in over-the-counter herbal "cold" medications purchased at Yerberias in the southwest.

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“…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. [32][33][34] In 6 response, this paper provides the first synopsis and evaluation of the research findings on CAM use amongst patients with headache and migraine as identified from recent international empirical literature. Specifically, this paper aims to: 1) identify the relevant studies that examine the use of CAM among people with headaches; 2) analyse the quality of these studies; and 3) summarise the key findings from these studies using theme-based analysis.…”

Section: Headache and Migraine: The Significance Of Exploring Cam Usementioning

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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Don't Ask, Don't Tell: Parental Nondisclosure of Complementary and Alternative Medicine and Over-the-Counter Medication Use in Children's Asthma Management

Cited by 48 publications

References 36 publications

Two-Thirds of Survey Respondents in Southern Sweden Used Complementary or Alternative Medicine in 2015

Two-Thirds of Survey Respondents in Southern Sweden Used Complementary or Alternative Medicine in 2015

Heavy Metal Contaminants in Yerberia Shop Products

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

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