The Assessment of Complementary and Alternative Medicine Use Among Individuals with HIV: A Systematic Review and Recommendations for Future Research

Owen-Smith, Ashli; DePadilla, Lara; DiClemente, Ralph J.

doi:10.1089/acm.2010.0669

Cited by 14 publications

(17 citation statements)

References 33 publications

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“…Of the 54 articles identified on the prevalence of CAM use, one was a systematic review 15 and there were three other reviews. 14,45,46 Thirty-five were carried out in North America, 16,64 five in Europe, [57][58][59][60][61] and two in Australia.…”

Section: Prevalencementioning

confidence: 99%

“…12,13 Practitioners therefore need to have up-to-date knowledge regarding CAM use. Previous reviews have often focused only on the prevalence and determinants of CAM use, often with a methodological rather than clinical focus; 14,15 this review aims to provide a broader overview of the current literature on the use of CAM for PLWHA to identify issues which may have implications for patient care.…”

mentioning

confidence: 99%

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A Review of the Use of Complementary and Alternative Medicine and HIV: Issues for Patient Care

Lorenc

Robinson

2013

AIDS Patient Care and STDs

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HIV/AIDS is a chronic illness, with a range of physical symptoms and psychosocial issues. The complex health and social issues associated with living with HIV mean that people living with HIV/AIDS (PLWHA) have historically often turned to complementary and alternative medicine (CAM). This article provides an overview of the literature on HIV and CAM. Databases were searched using keywords for CAM and HIV from inception to December 2012. Articles in English and in Western countries were included; letters, commentaries, news articles, articles on specific therapies and basic science studies were excluded. Of the 282 articles identified, 94 were included. Over half reported prevalence and determinants of CAM use. Lifetime use of CAM by PLWHA ranged from 30% to 90%, with national studies suggesting CAM is used by around 55% of PLWHA, practitionerbased CAM by 15%. Vitamins, herbs, and supplements were most common, followed by prayer, meditation, and spiritual approaches. CAM use was predicted by length of time since HIV diagnosis, and a greater number of medications/symptoms, with CAM often used to address limitations or problems with antiretroviral therapy. CAM users rarely rejected conventional medicine, but a number of CAM can have potentially serious side effects or interactions with ART. CAM was used as a self-management approach, providing PLWHA with an active role in their healthcare and sense of control. Clinicians, particularly nurses, should consider discussing CAM with patients as part of patient-centered care, to encourage valuable self-management and ensure patient safety.

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Section: Prevalencementioning

confidence: 99%

mentioning

confidence: 99%

A Review of the Use of Complementary and Alternative Medicine and HIV: Issues for Patient Care

Lorenc

Robinson

2013

AIDS Patient Care and STDs

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“…In general, reliability and validity of self-reported use of CAM among PLWH has not been consistently reported in previous research. 34 However, the MMP asks about specific types of CAM used within the past 12 months, which is likely more reliable than asking about CAM use in general (any vs. no use) during a non-specific time frame (ever vs. never). Further, the present findings are limited to the CAM types inquired about, which could have led to an underestimation of CAM use.…”

Section: Discussionmentioning

confidence: 99%

Complementary and Alternative Medicine Use for HIV Management in the State of Florida: Medical Monitoring Project

Kelso-Chichetto

Okafor

Harman

et al. 2016

The Journal of Alternative and Complementary Medicine

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Objective: The aims of this study were to describe complementary and alternative medicine (CAM) use and to assess the relationships between CAM use and antiretroviral therapy (ART) adherence and human immunodeficiency virus (HIV) RNA viral load suppression among a sample of persons living with HIV (PLWH) engaged in care in the state of Florida.Design: The Florida Medical Monitoring Project (n = 803) collected repeated cross-sectional data for surveillance of clinical outcomes among PLWH from 2009 to 2010. Past-year CAM use specifically for the management of HIV was measured via self-report. Logistic regression models were conducted to assess the effect of CAM use on ART adherence and viral load suppression, controlling for demographic and clinical factors using backwards stepwise deletion of factors with a p-value of >0.25.Results: CAM use was reported in 53.3% (n = 428). In bivariate analysis, CAM use was the highest among those 40-49 years of age (61%; p < 0.05), males (56%; p < 0.01), whites (61%; p = 0.001), and those educated beyond high school (59%; p < 0.05). Among those using CAM, 63% and 37% reported one and two or more CAM modalities, respectively. CAM modalities included biologically based therapies (89%), mind-body medicine/manipulative body-based therapies (30%), spiritual healing (23%), energy therapies (6%), and whole medical systems (6%). In multivariable analyses, any CAM use and number of CAM methods used were not associated with ART adherence. Any CAM use was not associated with detectable viral load (adjusted odds ratio [aOR] 0.81; 95% confidence interval [CI] 0.58-1.12; p = 0.20). Those using two or more methods had significantly decreased risk for detectable viral load (aOR 0.60; 95% CI 0.39-0.92; p < 0.02).Conclusions: CAM use was not associated with negative effects on ART adherence. CAM users were less likely to have detectable viral load compared with non-users. Future research should focus on CAM use among PLWH not engaged in HIV care and the longitudinal patterns of CAM use and possible effects of long-term health outcomes.

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“…Therefore, to relieve adverse effects of ART and physical and psychological symptoms of HIV, some PLWH turn to other means, including complementary and alternative medicine (CAM). [13][14][15] However, some CAM (e.g., herbs and certain nutrients) may negatively interact with ART. 13,15,16 Yoga/ mediation (YM), a mindfulness-based stress reduction technique, is a nonpharmacologic intervention devoid of the adverse effects of herbal CAM.…”

mentioning

confidence: 99%

“…[13][14][15] However, some CAM (e.g., herbs and certain nutrients) may negatively interact with ART. 13,15,16 Yoga/ mediation (YM), a mindfulness-based stress reduction technique, is a nonpharmacologic intervention devoid of the adverse effects of herbal CAM. YM is increasingly being used to manage symptoms and risk factors associated with many chronic diseases, 17,18 such as cancer, 19,20 diabetes, 21 hypertension, 22 cardiovascular disease, 23 and AIDS.…”

mentioning

confidence: 99%

A Pilot Feasibility and Acceptability Study of Yoga/Meditation on the Quality of Life and Markers of Stress in Persons Living with HIV Who Also Use Crack Cocaine

Agarwal

Kumar

Lewis

2015

The Journal of Alternative and Complementary Medicine

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Background: Persons living with HIV (PLWH) who also use crack cocaine may have stressful, chaotic lives and typically do not engage in standard medical care that addresses a multitude of extenuating life circumstances. Yoga/meditation (YM) improves quality of life (QOL) and biomarkers of stress, but the effect of this intervention is almost unknown in PLWH, particularly those who use crack cocaine. Objectives: This pilot study sought to compare the feasibility and acceptability of 60-minute, twice-per-week sessions of YM for 2 months with those of no-contact control and to evaluate the effects of the intervention on QOL (according to the Short Form-36, Perceived Stress Scale [PSS], and Impact of Events Scale [IES]) and salivary cortisol and dehydroepiandrosterone sulfate (DHEA-S) among PLWH who use crack cocaine. Design: Participants were randomly assigned to YM or no-contact control and were assessed at baseline, 2 months after the intervention, and 4 months' follow-up. Results: The YM program was acceptable and feasible, with high overall attendance (89%) and individual participation in yoga sessions (83%). YM participants showed modest improvements on QOL. The PSS total score and the IES intrusion score improved significantly 2 months after the intervention, but cortisol and DHEA-S did not change. Conclusions: This pilot study showed a high level of feasibility and acceptability and modest effects on measures of QOL among PLWH who use crack cocaine. The results suggest utility of YM as a simple, safe, and inexpensive format to improve QOL in a population that has many medical difficulties and extenuating stressors.

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The Assessment of Complementary and Alternative Medicine Use Among Individuals with HIV: A Systematic Review and Recommendations for Future Research

Cited by 14 publications

References 33 publications

A Review of the Use of Complementary and Alternative Medicine and HIV: Issues for Patient Care

A Review of the Use of Complementary and Alternative Medicine and HIV: Issues for Patient Care

Complementary and Alternative Medicine Use for HIV Management in the State of Florida: Medical Monitoring Project

A Pilot Feasibility and Acceptability Study of Yoga/Meditation on the Quality of Life and Markers of Stress in Persons Living with HIV Who Also Use Crack Cocaine

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