| Integrated medicine in the management of chronic illness: a qualitative study. | |
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MedLine Citation:
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PMID: 21276333 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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BACKGROUND: Complementary and alternative medicine (CAM) is popular with patients, yet how patients use CAM in relation to orthodox medicine (OM) is poorly understood. AIM: To explore how patients integrate CAM and OM when self-managing chronic illness. DESIGN OF STUDY: Qualitative analysis of interviews. METHOD: Semi-structured interviews were conducted with individuals attending private CAM practices in the UK, who had had a chronic benign condition for 12 months and were using CAM alongside OM for more than 3 months. Patients were selected to create a maximum variation sample. The interviews were analysed using framework analysis. RESULTS: Thirty five patient interviews were conducted and seven categories of use were identified: using CAM to facilitate OM use; using OM to support long-term CAM use; using CAM to reduce OM; using CAM to avoid OM; using CAM to replace OM; maximising relief using both CAM and OM; and returning to OM. Participants described initiating CAM use following a perceived lack of suitable orthodox treatment. Participants rejecting OM for a specific condition never totally rejected OM in favour of CAM. CONCLUSION: Patients utilise CAM and OM in identifiably different ways, individualising and integrating both approaches to manage their chronic conditions. To support patients and prevent potential adverse interactions, open dialogue between patients, OM practitioners, and CAM practitioners must be improved. |
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Authors:
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Sarah B Brien; Felicity L Bishop; Kirsty Riggs; David Stevenson; Victoria Freire; George Lewith |
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Publication Detail:
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Type: Journal Article; Research Support, Non-U.S. Gov't |
Journal Detail:
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Title: The British journal of general practice : the journal of the Royal College of General Practitioners Volume: 61 ISSN: 1478-5242 ISO Abbreviation: Br J Gen Pract Publication Date: 2011 Feb |
Date Detail:
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Created Date: 2011-01-31 Completed Date: 2011-05-27 Revised Date: 2012-02-01 |
Medline Journal Info:
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Nlm Unique ID: 9005323 Medline TA: Br J Gen Pract Country: England |
Other Details:
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Languages: eng Pagination: e89-96 Citation Subset: IM |
Affiliation:
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Faculty of Health Sciences, University of Southampton, Southampton, UK. s.brien@southampton.ac.uk |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adult Aged Aged, 80 and over Chronic Disease / psychology, therapy* Complementary Therapies* Decision Making Female Humans Male Middle Aged Patient Acceptance of Health Care / psychology* Questionnaires Young Adult |
| Grant Support | |
ID/Acronym/Agency:
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//Arthritis Research UK |
| Comments/Corrections | |
Comment In:
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Br J Gen Pract. 2011 Apr;61(585):295
[PMID:
21439195
]
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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