Pub Date : 2008-01-01DOI: 10.1177/1533210107310165
M. Kreitzer, Douglas D. Mann, M. Lumpkin
As consumer demand for complementary therapies has increased, so too has the public's expectation that health care professionals be knowledgeable about complementary and alternative medicine (CAM) and prepared to advise patients. In 2000, the National Institutes of Health National Center for Complementary and Alternative Medicine (NCCAM) began awarding competitive, 5-year educational grants to academic institutions committed to teaching CAM content to health professional students. Fifteen awards were made under this program. Five somewhat overlapping domains of competency have emerged: awareness of CAM therapies and practices, evidence base underlying CAM therapies, CAM skill development, self-awareness and self-care, and CAM models and systems. The NCCAM R-25 projects have demonstrated the value of defining competencies in a variety of ways that can usefully guide the allopathic learner toward the broader goals of informed integrative, patient-centered practice and enhanced self-care.
{"title":"CAM Competencies for the Health Professions","authors":"M. Kreitzer, Douglas D. Mann, M. Lumpkin","doi":"10.1177/1533210107310165","DOIUrl":"https://doi.org/10.1177/1533210107310165","url":null,"abstract":"As consumer demand for complementary therapies has increased, so too has the public's expectation that health care professionals be knowledgeable about complementary and alternative medicine (CAM) and prepared to advise patients. In 2000, the National Institutes of Health National Center for Complementary and Alternative Medicine (NCCAM) began awarding competitive, 5-year educational grants to academic institutions committed to teaching CAM content to health professional students. Fifteen awards were made under this program. Five somewhat overlapping domains of competency have emerged: awareness of CAM therapies and practices, evidence base underlying CAM therapies, CAM skill development, self-awareness and self-care, and CAM models and systems. The NCCAM R-25 projects have demonstrated the value of defining competencies in a variety of ways that can usefully guide the allopathic learner toward the broader goals of informed integrative, patient-centered practice and enhanced self-care.","PeriodicalId":10611,"journal":{"name":"Complementary Health Practice Review","volume":"88 1","pages":"63 - 72"},"PeriodicalIF":0.0,"publicationDate":"2008-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82081198","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2007-10-01DOI: 10.1177/1533210107306842
J. Daly, A. Hartz
Unexplained chronic fatigue (UCF) is a poorly understood condition with little known about its etiology and treatment. A wide range of health care providers, including physicians, nurse practitioners, and complementary and alternative medical practitioners, offer services for persons with UCF. This study explored perspectives of family medicine physicians and licensed acupuncture clinicians with experience in treating patients with UCF, regarding their treatment regimens and perceived success at improving their patients' energy and coping with symptoms. A sample of 141 family medicine physicians and licensed acupuncturists was surveyed via a questionnaire; 48 returned the completed questionnaire. Clinicians reported treating from 3 to 375 patients with UCF. Family physicians provided more conventional methods, and licensed acupuncturists provided alternative treatments. The reported success of the licensed acupuncturists at improving energy and stamina and helping patients cope with fatigue was significantly higher than that of the family physicians. Implications for future research are discussed.
{"title":"Perspectives of Family Medicine Physicians and Licensed Acupuncture Clinicians on Caring for Persons With Unexplained Chronic Fatigue","authors":"J. Daly, A. Hartz","doi":"10.1177/1533210107306842","DOIUrl":"https://doi.org/10.1177/1533210107306842","url":null,"abstract":"Unexplained chronic fatigue (UCF) is a poorly understood condition with little known about its etiology and treatment. A wide range of health care providers, including physicians, nurse practitioners, and complementary and alternative medical practitioners, offer services for persons with UCF. This study explored perspectives of family medicine physicians and licensed acupuncture clinicians with experience in treating patients with UCF, regarding their treatment regimens and perceived success at improving their patients' energy and coping with symptoms. A sample of 141 family medicine physicians and licensed acupuncturists was surveyed via a questionnaire; 48 returned the completed questionnaire. Clinicians reported treating from 3 to 375 patients with UCF. Family physicians provided more conventional methods, and licensed acupuncturists provided alternative treatments. The reported success of the licensed acupuncturists at improving energy and stamina and helping patients cope with fatigue was significantly higher than that of the family physicians. Implications for future research are discussed.","PeriodicalId":10611,"journal":{"name":"Complementary Health Practice Review","volume":"47 2","pages":"196 - 202"},"PeriodicalIF":0.0,"publicationDate":"2007-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"91499886","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2007-10-01DOI: 10.1177/1533210107307154
K. Faurot, S. Gaylord, J. Mann
Increasingly, research is demonstrating the safety, efficacy, and patient satisfaction associated with use of nonpharmacological, complementary interventions for pain management in hospital settings. One such intervention, massage, has been found to be effective for pain and anxiety reduction in limited forms, such as described here, massage is relatively easy to learn and apply. The pilot project was designed to develop and assess a clinical intervention using hand and foot massage for management of pain and anxiety in inpatients on a rehabilitation unit. Methods included formal training of staff nurses in hand and foot massage and subsequently having them teach key family caregivers of the patient how to deliver hand or foot massage in response to reports of pain and anxiety. The report describes study rationale, project development, challenges to implementation in an academic, tertiary care, inpatient rehabilitation facility, and lessons learned for future project design and implementation. The need for a community-based participatory research perspective is addressed.
{"title":"Training Family Caregivers in Hand and Foot Massage for Hospitalized Patients: Feasibility, Challenges, and Lessons Learned","authors":"K. Faurot, S. Gaylord, J. Mann","doi":"10.1177/1533210107307154","DOIUrl":"https://doi.org/10.1177/1533210107307154","url":null,"abstract":"Increasingly, research is demonstrating the safety, efficacy, and patient satisfaction associated with use of nonpharmacological, complementary interventions for pain management in hospital settings. One such intervention, massage, has been found to be effective for pain and anxiety reduction in limited forms, such as described here, massage is relatively easy to learn and apply. The pilot project was designed to develop and assess a clinical intervention using hand and foot massage for management of pain and anxiety in inpatients on a rehabilitation unit. Methods included formal training of staff nurses in hand and foot massage and subsequently having them teach key family caregivers of the patient how to deliver hand or foot massage in response to reports of pain and anxiety. The report describes study rationale, project development, challenges to implementation in an academic, tertiary care, inpatient rehabilitation facility, and lessons learned for future project design and implementation. The need for a community-based participatory research perspective is addressed.","PeriodicalId":10611,"journal":{"name":"Complementary Health Practice Review","volume":"459 1","pages":"203 - 226"},"PeriodicalIF":0.0,"publicationDate":"2007-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83033320","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2007-10-01DOI: 10.1177/1533210107306090
E. Ernst, M. Pittler, B. Wider, K. Boddy
The aim of this article is to evaluate trends in the development of the evidence-base for the effectiveness of massage therapy. For this purpose, a comparison of two systematic reviews was conducted. The first related to the evidence-base in 2000, the second to 2005. Both employed the same methodology and criteria for evaluation. The results indicate that, in several areas, the evidence has become more solid and, for anxiety and back pain, it has become more positive. For a host of other indications, the evidence seems encouraging, but more studies are required to test the effectiveness of massage therapy as well as its use for specific conditions.
{"title":"Massage Therapy: Is Its Evidence-Base Getting Stronger","authors":"E. Ernst, M. Pittler, B. Wider, K. Boddy","doi":"10.1177/1533210107306090","DOIUrl":"https://doi.org/10.1177/1533210107306090","url":null,"abstract":"The aim of this article is to evaluate trends in the development of the evidence-base for the effectiveness of massage therapy. For this purpose, a comparison of two systematic reviews was conducted. The first related to the evidence-base in 2000, the second to 2005. Both employed the same methodology and criteria for evaluation. The results indicate that, in several areas, the evidence has become more solid and, for anxiety and back pain, it has become more positive. For a host of other indications, the evidence seems encouraging, but more studies are required to test the effectiveness of massage therapy as well as its use for specific conditions.","PeriodicalId":10611,"journal":{"name":"Complementary Health Practice Review","volume":"2 1","pages":"179 - 183"},"PeriodicalIF":0.0,"publicationDate":"2007-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78609309","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2007-10-01DOI: 10.1177/1533210107306294
Tera Gahlsdorf, R. Krause, M. Beal
Current studies regarding the efficacy of the herb St. John's wort (SJW) in treating mild to moderate cases of depression show conflicting evidence. In this article, we review the literature and consider similarities and differences between studies showing some efficacy and those showing none. Twelve published reports were reviewed. The majority of studies indicated the efficacy of SJW in the treatment of mild to moderate cases of depression. Most trials have had small sample sizes and either a placebo group or a standard pharmaceutical group. Two studies (both pediatric) were uncontrolled. Studies generally reported outcomes that had positive implications for their financial supporters and/or those with whom the primary investigators had acknowledged financial affiliations. More studies that have larger sample sizes and include placebo and pharmaceutical control groups are needed.
{"title":"Efficacy of St. John's Wort for Treating Mild to Moderate Depression","authors":"Tera Gahlsdorf, R. Krause, M. Beal","doi":"10.1177/1533210107306294","DOIUrl":"https://doi.org/10.1177/1533210107306294","url":null,"abstract":"Current studies regarding the efficacy of the herb St. John's wort (SJW) in treating mild to moderate cases of depression show conflicting evidence. In this article, we review the literature and consider similarities and differences between studies showing some efficacy and those showing none. Twelve published reports were reviewed. The majority of studies indicated the efficacy of SJW in the treatment of mild to moderate cases of depression. Most trials have had small sample sizes and either a placebo group or a standard pharmaceutical group. Two studies (both pediatric) were uncontrolled. Studies generally reported outcomes that had positive implications for their financial supporters and/or those with whom the primary investigators had acknowledged financial affiliations. More studies that have larger sample sizes and include placebo and pharmaceutical control groups are needed.","PeriodicalId":10611,"journal":{"name":"Complementary Health Practice Review","volume":"24 1","pages":"184 - 195"},"PeriodicalIF":0.0,"publicationDate":"2007-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90172246","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2007-10-01DOI: 10.1177/1533210107306134
H. Baer
To address rising health costs, the Australian government has relied on several strategies: (1) covert rationing that entails limiting public health funds for particular patients or services; (2) the allocation of patients awaiting surgery to a priority level; (3) increased copayments for physician visits necessitated by practices such as physicians refusing to bulk bill; and (4) the establishment of an independent auditor for the private health insurance industry. However, the health economics literature rarely mentions that the growing support in various ways of the Australian government for complementary medicine may constitute another strategy for curtailing rising health costs. The government's main support for complementary medicine has come in the form of training programs in chiropractic, osteopathy, Chinese medicine, and naturopathy in public tertiary institutions and partnerships between private complementary colleges and public universities. Compared with biomedical education with its need for hospitals and sophisticated technology, complementary training programs are inexpensive. Furthermore, complementary services are generally not covered by Medicare but must be paid for either out of pocket or by a private health plan.
{"title":"Why Is the Australian Government Interested in Complementary Medicine? A Case Study of Economic Rationalism","authors":"H. Baer","doi":"10.1177/1533210107306134","DOIUrl":"https://doi.org/10.1177/1533210107306134","url":null,"abstract":"To address rising health costs, the Australian government has relied on several strategies: (1) covert rationing that entails limiting public health funds for particular patients or services; (2) the allocation of patients awaiting surgery to a priority level; (3) increased copayments for physician visits necessitated by practices such as physicians refusing to bulk bill; and (4) the establishment of an independent auditor for the private health insurance industry. However, the health economics literature rarely mentions that the growing support in various ways of the Australian government for complementary medicine may constitute another strategy for curtailing rising health costs. The government's main support for complementary medicine has come in the form of training programs in chiropractic, osteopathy, Chinese medicine, and naturopathy in public tertiary institutions and partnerships between private complementary colleges and public universities. Compared with biomedical education with its need for hospitals and sophisticated technology, complementary training programs are inexpensive. Furthermore, complementary services are generally not covered by Medicare but must be paid for either out of pocket or by a private health plan.","PeriodicalId":10611,"journal":{"name":"Complementary Health Practice Review","volume":"12 1","pages":"167 - 178"},"PeriodicalIF":0.0,"publicationDate":"2007-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84531834","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2007-04-01DOI: 10.1177/1533210107302934
S. Peck
This qualitative study reports 12 patients' experiences following the unplanned and unexpected termination of their healing touch treatments. Physically disabled, chronically ill patients requiring nursing home levels of care, who were being assisted in staying at home with agency support, had been treated one to two times weekly to monthly over a period of 3 to 4 months by a healing touch practitioner, under a pilot study. Patients had been interviewed twice during their treatments and had described positive experiences with healing touch. Midway through the study, there was an abrupt stopping of treatments without warning or explanation to either patients or researchers. Naturalistic inquiry methodology was used to explore patients' subsequent reactions and experiences. Six patients had negative experiences, including increased pain and impaired functional ability, sleep, and emotional status. Six patients continued to have positive experiences after treatments were terminated. Estimates of potential cost savings with healing touch treatment, as well as ethical implications of discontinuing beneficial treatment without warning or replacement, are discussed.
{"title":"Aftermath of the Unexpected, Unexplained, and Abrupt Termination of Healing Touch and Extrapolation of Related Costs","authors":"S. Peck","doi":"10.1177/1533210107302934","DOIUrl":"https://doi.org/10.1177/1533210107302934","url":null,"abstract":"This qualitative study reports 12 patients' experiences following the unplanned and unexpected termination of their healing touch treatments. Physically disabled, chronically ill patients requiring nursing home levels of care, who were being assisted in staying at home with agency support, had been treated one to two times weekly to monthly over a period of 3 to 4 months by a healing touch practitioner, under a pilot study. Patients had been interviewed twice during their treatments and had described positive experiences with healing touch. Midway through the study, there was an abrupt stopping of treatments without warning or explanation to either patients or researchers. Naturalistic inquiry methodology was used to explore patients' subsequent reactions and experiences. Six patients had negative experiences, including increased pain and impaired functional ability, sleep, and emotional status. Six patients continued to have positive experiences after treatments were terminated. Estimates of potential cost savings with healing touch treatment, as well as ethical implications of discontinuing beneficial treatment without warning or replacement, are discussed.","PeriodicalId":10611,"journal":{"name":"Complementary Health Practice Review","volume":"9 1","pages":"144 - 160"},"PeriodicalIF":0.0,"publicationDate":"2007-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84356859","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2007-04-01DOI: 10.1177/1533210107302933
H. Baer
This article examines the drive for legitimation on the part of Chinese medicine and more specifically acupuncture in Australia. It examines the development of Chinese medicine in Australia, the road to statutory registration of Chinese medicine in Victoria, and the niche of Chinese medicine within the context of the Australian plural medical system. Despite the opposition of organized medicine, the Victorian Parliament passed the Chinese Medicine Registration Act in May 2000, making Victoria the only Australian political jurisdiction to formally regulate Chinese medicine practitioners and acupuncturists. The legal status of Chinese medicine and acupuncture outside of Victoria resembles that of naturopathy and other natural therapies, such as Western herbalism and homeopathy, none of which has achieved statutory registration in any Australian jurisdiction. Chinese medicine has a distinct identity within the context of the Australian plural medical system. Conversely, acupuncture, as one of the modalities of Chinese medicine—and in Western societies its principal modality—has been incorporated into various other heterodox medical subsystems, particularly chiropractic, osteopathy, and naturopathy, as well as conventional systems, such as biomedicine and physiotherapy.
{"title":"The Drive for Legitimation in Chinese Medicine and Acupuncture in Australia: Successes and Dilemmas","authors":"H. Baer","doi":"10.1177/1533210107302933","DOIUrl":"https://doi.org/10.1177/1533210107302933","url":null,"abstract":"This article examines the drive for legitimation on the part of Chinese medicine and more specifically acupuncture in Australia. It examines the development of Chinese medicine in Australia, the road to statutory registration of Chinese medicine in Victoria, and the niche of Chinese medicine within the context of the Australian plural medical system. Despite the opposition of organized medicine, the Victorian Parliament passed the Chinese Medicine Registration Act in May 2000, making Victoria the only Australian political jurisdiction to formally regulate Chinese medicine practitioners and acupuncturists. The legal status of Chinese medicine and acupuncture outside of Victoria resembles that of naturopathy and other natural therapies, such as Western herbalism and homeopathy, none of which has achieved statutory registration in any Australian jurisdiction. Chinese medicine has a distinct identity within the context of the Australian plural medical system. Conversely, acupuncture, as one of the modalities of Chinese medicine—and in Western societies its principal modality—has been incorporated into various other heterodox medical subsystems, particularly chiropractic, osteopathy, and naturopathy, as well as conventional systems, such as biomedicine and physiotherapy.","PeriodicalId":10611,"journal":{"name":"Complementary Health Practice Review","volume":"17 1","pages":"87 - 98"},"PeriodicalIF":0.0,"publicationDate":"2007-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82057047","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2007-04-01DOI: 10.1177/1533210107302436
A. Robinson, J. Chesters, S. Cooper
The diversity within CAM use in the community, and the beliefs, concerns, and characteristics of the users of individual CAM modalities was explored via a survey mailed to a randomly selected sample of 1,308 people in different metropolitan and rural localities in Victoria, Australia. The response rate was 40% (n = 459). The respondents' overall current CAM use was 52% and lifetime use was 85%. Chiropractic (50%), massage therapy, (50%), and vitamin or herbal supplements (39%) were the most frequently used modalities. A set of beliefs labeled holistic health care beliefs strongly predicted the use of Natural Remedy and Wellness modalities. Users of these modalities were more likely to be female, under the age of 60, and tertiary educated. Rurality characteristics did not predict rural CAM usage and were equally present in metropolitan and rural respondents. The respondents' decisions concerning CAM involved choosing a modality that fit their self-assessed health care needs.
{"title":"People's Choice: Complementary and Alternative Medicine Modalities","authors":"A. Robinson, J. Chesters, S. Cooper","doi":"10.1177/1533210107302436","DOIUrl":"https://doi.org/10.1177/1533210107302436","url":null,"abstract":"The diversity within CAM use in the community, and the beliefs, concerns, and characteristics of the users of individual CAM modalities was explored via a survey mailed to a randomly selected sample of 1,308 people in different metropolitan and rural localities in Victoria, Australia. The response rate was 40% (n = 459). The respondents' overall current CAM use was 52% and lifetime use was 85%. Chiropractic (50%), massage therapy, (50%), and vitamin or herbal supplements (39%) were the most frequently used modalities. A set of beliefs labeled holistic health care beliefs strongly predicted the use of Natural Remedy and Wellness modalities. Users of these modalities were more likely to be female, under the age of 60, and tertiary educated. Rurality characteristics did not predict rural CAM usage and were equally present in metropolitan and rural respondents. The respondents' decisions concerning CAM involved choosing a modality that fit their self-assessed health care needs.","PeriodicalId":10611,"journal":{"name":"Complementary Health Practice Review","volume":"48 1","pages":"119 - 99"},"PeriodicalIF":0.0,"publicationDate":"2007-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89843746","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2007-04-01DOI: 10.1177/1533210107302776
A. Robinson, S. Cooper
The objective of this article is to explore complementary and alternative medicine (CAM) users' reliance on health service providers, different forms of media, and interpersonal contacts for their health-needs information. To explore this information, a survey was posted to a random sample of 1,308 people in five rural and two metropolitan localities in Victoria, Australia. The response rate was 40% (n = 459). The overall current CAM use was 52% and lifetime use was 85%. We found that the CAM users obtained most of their health needs information from doctors and CAM practitioners, whereas the Internet and health food shops served as the least useful sources of information. The respondents who used the modalities we labeled as natural remedy modalities accessed the most health information. The study results show that although conventional medicine may question some types of health care information that forms the basis of respondents' decision making, their health care decisions are nevertheless informed decisions.
{"title":"Trusted Information Sources: The Preferred Option for Complementary and Alternative Medicine Users","authors":"A. Robinson, S. Cooper","doi":"10.1177/1533210107302776","DOIUrl":"https://doi.org/10.1177/1533210107302776","url":null,"abstract":"The objective of this article is to explore complementary and alternative medicine (CAM) users' reliance on health service providers, different forms of media, and interpersonal contacts for their health-needs information. To explore this information, a survey was posted to a random sample of 1,308 people in five rural and two metropolitan localities in Victoria, Australia. The response rate was 40% (n = 459). The overall current CAM use was 52% and lifetime use was 85%. We found that the CAM users obtained most of their health needs information from doctors and CAM practitioners, whereas the Internet and health food shops served as the least useful sources of information. The respondents who used the modalities we labeled as natural remedy modalities accessed the most health information. The study results show that although conventional medicine may question some types of health care information that forms the basis of respondents' decision making, their health care decisions are nevertheless informed decisions.","PeriodicalId":10611,"journal":{"name":"Complementary Health Practice Review","volume":"15 1","pages":"120 - 138"},"PeriodicalIF":0.0,"publicationDate":"2007-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"76949256","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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