Schloss, J, McIntyre, E, Rickwood, C, Van de Venter, C & Harnett, J 2019, 'Identification of the conditions that complementary medicine practitioners recommend gluten free diets for in Australia', Advances in Integrative Medicine, vol. 6, no. 2, pp. 87-91.View/Download from: UTS OPUS or Publisher's site
© 2018 Introduction: A gluten free diet (GFD) is indicated for the medical management of coeliac disease as well as gluten ataxia, dermatitis herpetiformis, and wheat allergy. Complementary medicine practitioners (CMPs) recommend removing gluten from the diet, but it is not known what symptoms or conditions they recommend gluten free diets for. The aim of this study is to describe for what conditions Australian naturopaths, Western herbalists and nutritionists (non-dietetic) recommend a gluten free diet. Methods: This was a sub-group analysis nested within a cross-sectional survey of practitioners recruited through the PRACI practice-based research network and relevant professional associations. A 40-item survey collected information on sociodemographic characteristics, practice and professional characteristics and specific questions on gluten related disorders between February and August 2017. Data was described using frequencies and percentages along with one-way ANOVA to determine group differences. Results: One hundred and forty-five complementary practitioners responded to the survey. The gastrointestinal conditions most frequently prescribed a GFD for were non-coeliac gluten sensitivity (99%), medically diagnosed coeliac disease (95.2%), inflammatory bowel disease (73.1%) and irritable bowel syndrome (60%). The most frequently prescribed GFDs for extra-intestinal conditions were skin conditions (60%), children with developmental disorders (53.1%), mental health conditions (46.2%) and weight management. Discussion: Results suggest that given the broad application of GFDs by CMPs, there may be therapeutic benefits for conditions other than known gluten related disorders. However, in the absence of appropriate investigations for gluten related disorders, the recommendation and positive response to a GFD may be inadvertently treating an undiagnosed gluten related disorder. In addition, a GFD may also be inadvertently managing other unknown intolerances that req...
McIntyre, E, Adams, J, Foley, H, Harnett, J, Leach, MJ, Reid, R, Schloss, J & Steel, A 2019, 'Consultations with Naturopaths and Western Herbalists: Prevalence of Use and Characteristics of Users in Australia.', Journal of Alternative and Complementary Medicine, vol. 25, no. 2, pp. 181-188.View/Download from: UTS OPUS or Publisher's site
OBJECTIVES:To report the prevalence of naturopathic and Western herbal medicine service utilization in Australia, and describe the characteristics of individuals who use these services. DESIGN:This is a national cross-sectional study. SETTINGS:Online survey platform. SUBJECTS:Purposive convenience sampling was used to recruit 2025 adults who were matched to Australian population demographics by gender, age, and state of residence. INTERVENTIONS:A survey instrument consisting of 50 items covering demographics, health service utilization, health status, health literacy, and medicine disclosure to complementary healthcare providers. OUTCOME MEASURES:The prevalence, frequency, and cost of naturopathy and Western herbal medicine consultations and sociodemographic characteristics of users of naturopathic and Western herbalist services and associations between these factors. RESULTS:The final data set included 2019 participants: 6.2% (n = 126) consulted a naturopath and 3.8% (n = 76) a Western herbalist. These health services were most commonly used to improve well-being. An average of AUD$102.67 and AUD$49.64 was spent per user on consultations with naturopaths and Western herbalists, respectively, in the previous year. The most prevalent users were those between 18 and 29 years of age (39.3%), in a relationship (51%), employed (70%), and held a bachelor degree or higher (40.5%). Some degree of financial difficulty was reported by 65.4% of users. Having a chronic illness (p < 0.01) and using both conventional and complementary medicines (p = 0.05) were both associated with using naturopathic or Western herbal medicine services. Less than 40% of participants disclosed their use of conventional medicines to Western herbalists. CONCLUSIONS:Naturopathy and Western herbal medicine services are used by a substantial number of Australian adults who also use conventional health services. Accordingly, research is needed to determine how these health professions can be better in...
Schloss, J, McIntyre, E, Steel, A, Bradley, R, Harnett, J, Reid, R, Hawrelak, J, Goldenberg, J, Van De Venter, C & Cooley, K 2019, 'Lessons from outside and within: Exploring advancements in methodology for naturopathic medicine clinical research', Journal of Alternative and Complementary Medicine, vol. 25, no. 2, pp. 135-140.View/Download from: UTS OPUS or Publisher's site
Steel, A, McIntyre, E, Harnett, J, Foley, H, Adams, J, Sibbritt, D, Wardle, J & Frawley, J 2018, 'Complementary medicine use in the Australian population: Results of a nationally-representative cross-sectional survey', Scientific Reports, vol. 8, no. 1, pp. 1-7.View/Download from: UTS OPUS or Publisher's site
In order to describe the prevalence and characteristics of complementary medicine (CM) practice and product use by Australians, we conducted a cross-sectional online survey with Australian adults aged 18 and over. Rates of consultation with CM practitioners, and use of CM products and practices were assessed. The sample (n = 2,019) was broadly representative of the Australian population. Prevalence of any CM use was 63.1%, with 36% consulting a CM practitioner and 52.8% using any CM product or practice. Bodywork therapists were the most commonly consulted CM practitioners (massage therapists 20.7%, chiropractors 12.6%, yoga teachers 8.9%) and homeopaths were the least commonly consulted (3.4%). Almost half of respondents (47.8%) used vitamin/mineral supplements, while relaxation techniques/meditation were the most common practice (15.8%). CM users were more likely to be female, have a chronic disease diagnosis, no private health insurance, a higher education level, and not be looking for work. Prevalence of CM use in Australia has remained consistently high, demonstrating that CM is an established part of contemporary health management practices within the general population. It is critical that health policy makers and health care providers acknowledge CM in their attempts to ensure optimal public health and patient outcomes.
Chan, W-JJ, McLachlan, AJ, Wheate, NJ & Harnett, JE 2018, 'An evaluation of garlic products available in Australian pharmacies–From the label to the laboratory', Journal of Herbal Medicine, vol. 14, pp. 61-67.View/Download from: UTS OPUS or Publisher's site
Garlic is one of the most commonly used herbal medicines worldwide. There is medium quality evidence to support that specific garlic formulations at specific doses have an antihypertensive effect in a cohort of individuals with hypertension. There is lower quality evidence for garlic's hypolipidaemic effects. While there are many garlic products available in Australian pharmacies, it is unclear if these products are formulated based on the current evidence for use in such populations. The aim of this study was to evaluate garlic product formulations available in Australian pharmacies for quality indicators including: supporting evidence, labelling, product, safety and manufacturing information and the presence of key constituents previously identified as having hypotensive or hypolipidaemic properties. A qualitative evaluation of commercially available garlic products was conducted in accordance with the study aims. Thin-layer chromatography (TLC) was included in the evaluation to investigate the presence of alliin and s-allyl cysteine in both garlic products and raw garlic. The quality indicators evaluated in this study including evidence for the formulation used, labelling, product, safety and manufacturing information and key constituents varied significantly between the garlic products available in Australian pharmacies. These findings have a number of implications that relate to the formulations and doses chosen by herbalists, pharmacists and consumers who may consider using garlic products in the management of hypertension and/or dyslipidaemia.
Gan, WC, Smith, L, Luca, EJ & Harnett, JE 2018, 'The prevalence and characteristics of complementary medicine use by Australian and American adults living with gastrointestinal disorders: A systematic review', Complementary Therapies in Medicine, vol. 41, pp. 52-60.View/Download from: Publisher's site