Experiences and Perceptions Toward Integrative, Complementary, and Alternative Medicine Among Conventional Medicine Practitioners of Mangalore, India

Joseph, Nitin; Talwar, Chhavi; Sikdar, Isha; Sengupta, Manjima; Sayed, Daanish Ali; Mahajan, Ishika

doi:10.1016/j.jmpt.2018.12.009

Cited by 7 publications

(5 citation statements)

References 28 publications

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“…However, clinicians expressed that a lack of high-quality evidence is currently the most significant factor preventing CAIM from being implemented into routine clinical practices. This finding is in line with multiple studies that have also identified a global scepticism surrounding the safety and efficacy of CAIM due to a perceived lack of evidence and evidence-based resources in support of these therapies [34,36,39,50]. This perception is in line with previous literature that report a lower quantity of evidence regarding CAIM's efficacy among patients with neurological disorders and/or conditions [9,15,18,33,36,37].…”

Section: Discussionsupporting

confidence: 89%

Perceptions and attitudes regarding complementary, alternative, and integrative medicine among published neurology authors: a large-scale, international cross-sectional survey

Ng,

Li,

Cramer

2024

BMC Neurol

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Background While many patients with neurological disorders and conditions use complementary, alternative, and integrative medicine (CAIM), little is known about the use, perceptions, and attitudes regarding CAIM among published neurology authors. With the increasing popularity of CAIM, our objective was to assess practices, perceptions, and attitudes towards CAIM among published neurology authors. Methods We conducted an anonymous online survey of authors who had published articles in neurology journals indexed in MEDLINE. We emailed potential participants our cross-sectional electronic survey after extracting their email addresses from one of their publications in our sample of journals. Basic descriptive statistics were drawn from quantitative data, and thematic content analysis was used to analyse qualitative data from any open-ended questions. Results The survey was completed by 783 published neurology authors (1.7% response rate, 83.9% completion rate). Overall, respondents perceived CAIM to be promising in preventing, treating, and/or managing neurological diseases. Mind-body therapies received the most positive responses, indicated by over half of respondents cumulatively agreeing that they are promising (n = 368, 59.0%) and safe (n = 280, 50.3%). Whole medical systems and biofield therapy were less favourable. Most neurology clinicians reported a lack of formal (n = 211, 70.3%) and supplementary training (n = 158, 52.5%) on CAIM. Nearly half of clinicians did not feel comfortable counselling patients about CAIM therapies (n = 121, 44.5%), and over half did not feel comfortable recommending them (n = 161, 59.3%). A lack of scientific evidence for CAIM’s safety and efficacy was reported as the greatest challenge to CAIM (n = 515, 92.5%). The majority of respondents believed there is value to conducting research on this topic (n = 461, 82.0%) and supported increasing allocation of research funding towards CAIM (n = 241, 58.9%). Conclusions Although many participants found CAIM to be promising to the field of neurology, the vast majority did not feel open to integrating CAIM into mainstream medical practices on account of a perceived lack of scientific evidence for its safety and efficacy. Future studies can use our findings to gather more detailed insights, improve educational resources on CAIM within neurology, as well as examine what effects a tailored CAIM education has on the perceptions and attitudes of published neurology authors towards CAIM.

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Section: Discussionsupporting

confidence: 89%

Perceptions and attitudes regarding complementary, alternative, and integrative medicine among published neurology authors: a large-scale, international cross-sectional survey

Ng,

Li,

Cramer

2024

BMC Neurol

View full text Add to dashboard Cite

show abstract

“…However, clinicians expressed that a lack of high-quality evidence is currently the most significant factor preventing CAIM from being implemented into routine clinical practices. This finding is in line with multiple studies that have also identified a global scepticism surrounding the safety and efficacy of CAIM due to a perceived lack of evidence and evidence-based resources in support of these therapies 37,39,42,55 . This perception is in line with previous literature that report a lower quantity of evidence regarding CAIM’s efficacy among patients with neurological disorders and/or conditions 10,16,19,34,39,40 .…”

Section: Discussionsupporting

confidence: 87%

Perceptions of Complementary, Alternative, and Integrative Medicine Among Neurology Researchers and Clinicians: A Large-Scale, International Cross-Sectional Survey

Ng,

Li,

Cramer

2024

Preprint

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Background: While many patients with neurological disorders and conditions use complementary, alternative, and integrative medicine (CAIM), little is known about the use and perceptions of CAIM among neurology researchers and clinicians. With the increasing popularity of CAIM, our objective was to assess practices, perceptions, and attitudes towards CAIM among neurology researchers and clinicians. Methods: We conducted an anonymous online survey of authors who had published articles in neurology journals indexed in MEDLINE. We emailed potential participants our cross-sectional electronic survey after extracting their email addresses from one of their publications in our sample of journals. Basic descriptive statistics were drawn from quantitative data, and thematic content analysis was used to analyse qualitative data from any open-ended questions. Results: The survey was completed by 783 neurology researchers and/or clinicians (1.5% response rate, 83.9% completion rate). Overall, respondents perceived CAIM to be promising in preventing, treating, and/or managing neurological diseases. Mind-body therapies received the most positive responses, indicated by over half of respondents cumulatively agreeing that they are promising (n=368, 59.0%) and safe (n=280, 50.3%). Whole medical systems and biofield therapy were less favourable. Most neurology clinicians reported a lack of formal (n=211, 70.3%) and supplementary training (n=158, 52.5%) on CAIM. Nearly half of clinicians did not feel comfortable counselling patients about CAIM (n = 121, 44.5%), and over half did not feel comfortable recommending it (n=161, 59.3%). A lack of scientific evidence for CAIM's safety and efficacy was reported as the greatest challenge to CAIM (n=515, 92.5%). The majority of respondents believed there is value to conducting research on this topic (n=461, 82.0%) and supported increasing allocation of research funding towards CAIM (n=241, 58.9%). Conclusions: Although many participants found CAIM to be promising to the field of neurology, the vast majority did not feel open to integrating CAIM into mainstream medical practices on account of a perceived lack of scientific evidence for its safety and efficacy. Future studies can use our findings to improve educational resources on CAIM within neurology, as well as examine what effects a tailored CAIM education has on the perceptions of neurology researchers and clinicians.

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“…However, the lack of scienti ic evidence was a major disadvantage. (Joseph et al, 2019) Integrating complementary and alternative medicine with allopathic medicine and including it as a part of the undergraduate medical curriculum should be considered in future after exploring their uses and interactions with the help of larger randomized control studies.…”

Section: Discussionmentioning

confidence: 99%

Prevalence of Complementary and Alternative Medicine Use among General Population in South India - A Cross-Sectional Study

Devi

Shanmugapriya

Kaavya

2021

ijrps

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Complementary and alternative medicine (CAM) refers to a wide range of clinical therapies outside of conventional medicine used along with the physician prescribed drugs to complement the treatment. It is widely accepted and used across the globe. The aim of this study was to assess the prevalence of use of CAM among the general population and to determine the acceptability, extent and pattern of CAM use. This cross-sectional questionnaire-based study was done among the general population in South India. 300 participants aged >18 years were included in the study irrespective of their genders. An interviewer-administered questionnaire with 20 questions was used to assess CAM usage. The statistical analysis was done by Chi-square test using SPSS version 25. The mean age was 50.39 (± 15.67) years. CAM usage was significantly influenced by age, educational qualification, occupation, geographical area and accessibility to a health care facility. The prevalence of CAM usage was found to be 62%. Homeopathy/Herbal medicine (34%) was the most commonly used CAM. About 35% had used CAM without the knowledge of their treating physician. More than 60% believe that CAM is safe with fewer side effects and around half of them had symptomatic relief following CAM usage. Our study results indicate the need for more studies testing various CAM modalities exploring their uses, adverse effects & interactions with other drugs, which in turn can guide the physicians in their treatment.

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Experiences and Perceptions Toward Integrative, Complementary, and Alternative Medicine Among Conventional Medicine Practitioners of Mangalore, India

Cited by 7 publications

References 28 publications

Perceptions and attitudes regarding complementary, alternative, and integrative medicine among published neurology authors: a large-scale, international cross-sectional survey

Perceptions and attitudes regarding complementary, alternative, and integrative medicine among published neurology authors: a large-scale, international cross-sectional survey

Perceptions of Complementary, Alternative, and Integrative Medicine Among Neurology Researchers and Clinicians: A Large-Scale, International Cross-Sectional Survey

Prevalence of Complementary and Alternative Medicine Use among General Population in South India - A Cross-Sectional Study

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