Kim, C, Stebbings, S, Sundberg, T, Munk, N, Lauche, R & Ward, L 2020, 'Complementary medicine for the management of knee and hip osteoarthritis - A patient perspective.', Musculoskeletal care.View/Download from: Publisher's site
BACKGROUND:Complementary medicines and therapies (CMT) are recommended in osteoarthritis (OA) treatment guidelines; however, there are few studies on CMT use in the community. The present study explored the use and perceptions of CMT for OA management in a New Zealand population. METHODS:Nineteen middle- to older-aged adults with hip or knee OA, recruited from a public hospital research database, engaged in focus groups exploring CMT knowledge, factors influencing CMT use, and the role of medical professionals in the decision-making process. Participants were organized into four groups, further to explore the impact of age or OA duration on CMT use. RESULTS:Thematic analysis resulted in five themes, consistent across all groups: participants' perceptions of CMT; reasons for taking CMT; reasons for not taking CMT; sources and credibility of CMT information; and medical professionals' role in CMT use. Participants indicated a range of CMT use, yet were unclear what defined a product as 'CMT'. CMT use was influenced by symptom severity, previous experiences of themselves or trusted others, and perceived CMT effectiveness. General practitioners were identified as participants' preferred source of CMT information, owing to both their professional knowledge and lack of commercial gain from promoting CMT use. CONCLUSION:Participants supported CMT for OA management, based on evidence and/or experience of effectiveness. Proactive general practitioner dialogue and subsidized CMT products recommended as part of a clinical treatment plan would encourage further CMT uptake. Additionally, the development of standardized CMT terminology would facilitate patient-doctor communication regarding CMT use and promote inter-professional dialogue regarding multidisciplinary patient treatment.
Bishop, FL, Lauche, R, Cramer, H, Pinto, JW, Leung, B, Hall, H, Leach, M, Chung, VC, Sundberg, T, Zhang, Y, Steel, A, Ward, L, Sibbritt, D & Adams, J 2019, 'Health Behavior Change and Complementary Medicine Use: National Health Interview Survey 2012.', Medicina (Kaunas, Lithuania), vol. 55, no. 10.View/Download from: UTS OPUS or Publisher's site
Background and objectives: Complementary and alternative medicine (CAM) use has been associated with preventive health behaviors. However, the role of CAM use in patients' health behaviors remains unclear. This study aimed to determine the extent to which patients report that CAM use motivates them to make changes to their health behaviors. Materials and Methods: This secondary analysis of 2012 National Health Interview Survey data involved 10,201 CAM users living in the United States who identified up to three CAM therapies most important to their health. Analyses assessed the extent to which participants reported that their CAM use motivated positive health behavior changes, specifically: eating healthier, eating more organic foods, cutting back/stopping drinking alcohol, cutting back/quitting smoking cigarettes, and/or exercising more regularly. Results: Overall, 45.4% of CAM users reported being motivated by CAM to make positive health behavior changes, including exercising more regularly (34.9%), eating healthier (31.4%), eating more organic foods (17.2%), reducing/stopping smoking (16.6% of smokers), or reducing/stopping drinking alcohol (8.7% of drinkers). Individual CAM therapies motivated positive health behavior changes in 22% (massage) to 81% (special diets) of users. People were more likely to report being motivated to change health behaviors if they were: aged 18-64 compared to those aged over 65 years; of female gender; not in a relationship; of Hispanic or Black ethnicity, compared to White; reporting at least college education, compared to people with less than high school education; without health insurance. Conclusions: A sizeable proportion of respondents were motivated by their CAM use to undertake health behavior changes. CAM practices and practitioners could help improve patients' health behavior and have potentially significant implications for public health and preventive medicine initiatives; this warrants further research attention.
Goldenberg, JZ, Ward, L, Day, A & Cooley, K 2019, 'Naturopathic Approaches to Irritable Bowel Syndrome-A Delphi Study.', Journal of alternative and complementary medicine (New York, N.Y.), vol. 25, no. 2, pp. 227-233.View/Download from: UTS OPUS or Publisher's site
INTRODUCTION:Irritable bowel syndrome (IBS) affects 11% of the population, and up to 50% of patients report using complementary and alternative medicines (CAM) for it. To date, there is no research describing how providers of naturopathic medicine in North America, a well-defined CAM profession, approach IBS. METHODS:A Delphi study was conducted over a 17-month period in 4 rounds with 15 North American naturopathic medicine experts in IBS. Consensus was defined as a median value of 75% or greater agreement with the relevant statement. RESULTS:Consensus was met with 45 statements describing a "reasonable naturopathic approach" to IBS. These statements covered the domains of general, office visits, tracking progress, testing, interventions, and resources. CONCLUSION:These results represent the beginning of an evidence base depicting naturopathic interventions for IBS and should inform future randomized controlled clinical trials in this area. Future research should look to reflect on and revise these guidance consensus statements particularly extending to other stakeholders as well as geographic and regulatory jurisdictions in the naturopathic profession.
Cramer, H, Lauche, R, Anheyer, D, Pilkington, K, de Manincor, M, Dobos, G & Ward, L 2018, 'Yoga for anxiety: a systematic review and meta-analysis of randomized controlled trials', Depression and Anxiety, vol. 35, no. 9, pp. 830-843.View/Download from: UTS OPUS or Publisher's site
Yoga has become a popular approach to improve emotional health. The aim of this review was to systematically assess and meta-analyze the effectiveness and safety of yoga for anxiety. Medline/PubMed, Scopus, the Cochrane Library, PsycINFO, and IndMED were searched through October 2016 for randomized controlled trials (RCTs) of yoga for individuals with anxiety disorders or elevated levels of anxiety. The primary outcomes were anxiety and remission rates, and secondary outcomes were depression, quality of life, and safety. Risk of bias was assessed using the Cochrane tool. Eight RCTs with 319 participants (mean age: 30.0–38.5 years) were included. Risk of selection bias was unclear for most RCTs.Meta-analyses revealed evidence for small short-term effects of yoga on anxiety compared to no treatment (standardized mean difference [SMD]=−0.43; 95% confidence interval [CI]=−0.74, −0.11; P = .008), and large effects compared to active comparators (SMD=−0.86; 95% CI=−1.56, −0.15; P = .02). Small effects on depression were found compared to no treatment (SMD=−0.35; 95% CI=−0.66,−0.04; P = .03). Effects were robust against potential methodological bias. No effects were found for patients with anxiety disorders diagnosed by Diagnostic and Statistical Manual criteria, only for patients diagnosed by other methods, and for individuals with elevated levels of anxiety without a formal diagnosis. Only three RCTs reported safety-related data but these indicated that yoga was not associated with increased injuries. In conclusion, yoga might be an effective and safe intervention for individuals with elevated levels of anxiety. There was inconclusive evidence for effects of yoga in anxiety disorders. More high-quality studies are needed and are warranted given these preliminary findings and plausible mechanisms of action.
Steel, A, Sundberg, T, Reid, R, Ward, L, Bishop, FL, Leach, M, Cramer, H, Wardle, J & Adams, J 2017, 'Osteopathic manipulative treatment: A systematic review and critical appraisal of comparative effectiveness and health economics research.', Musculoskeletal Science and Practice, vol. 27, pp. 165-175.View/Download from: UTS OPUS or Publisher's site
In recent years, evidence has emerged regarding the effectiveness of osteopathic manipulative treatments (OMT). Despite growing evidence in this field, there is need for appropriate research designs that effectively reflect the person-centred system of care promoted in osteopathy and provide data which can inform policy decisions within the healthcare system. The purpose of this systematic review is to identify, appraise and synthesise the evidence from comparative effectiveness and economic evaluation research involving OMT. A database search was conducted using CINAHL, PubMed, PEDro, AMED, SCOPUS and OSTMED.DR, from their inception to May 2015. Two separate searches were undertaken to identify original research articles encompassing the economic evaluation and comparative effectiveness of OMT. Identified comparative effectives studies were evaluated using the Cochrane risk of bias tool and appraised using the Good Reporting of Comparative Effectiveness (GRACE) principles. Identified economic studies were assessed with the Consolidated Health Economic Evaluation Reporting Standards (CHEERS) guidelines. Sixteen studies reporting the findings of comparative effectiveness (n = 9) and economic evaluation (n = 7) research were included. The comparative effectiveness studies reported outcomes for varied health conditions and the majority (n = 6) demonstrated a high risk of bias. The economic evaluations included a range of analyses and considerable differences in the quality of reporting were evident. Despite some positive findings, published comparative effectiveness and health economic studies in OMT are of insufficient quality and quantity to inform policy and practice. High quality, well-designed, research that aligns with international best practice is greatly needed to build a pragmatic evidence base for OMT.
Steel, A, Sundberg, T, Reid, R, Ward, L, Bishop, FL, Leach, M, Cramer, H, Wardle, J & Adams, J 2017, 'Reply to the letter to the editor: 'Systematic review of comparative effectiveness and health economics research relating to osteopathic manipulative treatment'.', Musculoskeletal Science and Practice, vol. 29, pp. e18-e18.View/Download from: UTS OPUS or Publisher's site
Cramer, H, Ward, L, Steel, A, Lauche, R, Dobos, G & Zhang, Y 2016, 'Prevalence, Patterns, and Predictors of Yoga Use Results of a US Nationally Representative Survey', AMERICAN JOURNAL OF PREVENTIVE MEDICINE, vol. 50, no. 2, pp. 230-235.View/Download from: UTS OPUS or Publisher's site
Hall, H, Cramer, H, Sundberg, T, Ward, L, Adams, J, Moore, C, Sibbritt, D & Lauche, R 2016, 'The effectiveness of complementary manual therapies for pregnancy-related back and pelvic pain: A systematic review with meta-analysis', MEDICINE, vol. 95, no. 38.View/Download from: UTS OPUS or Publisher's site
Frawley, J, Peng, W, Sibbritt, D, Ward, L, Lauche, R, Zhang, Y & Adams, J 2016, 'Is there an association between women's consultations with a massage therapist and health-related quality of life? Analyses of 1800 women aged 56-61 years', JOURNAL OF BODYWORK AND MOVEMENT THERAPIES, vol. 20, no. 4, pp. 734-739.View/Download from: UTS OPUS or Publisher's site
Cramer, H, Ward, L, Saper, R, Fishbein, D, Dobos, G & Lauche, R 2015, 'The Safety of Yoga: A Systematic Review and Meta-Analysis of Randomized Controlled Trials', AMERICAN JOURNAL OF EPIDEMIOLOGY, vol. 182, no. 4, pp. 281-293.View/Download from: UTS OPUS or Publisher's site
Zhang, Y, Leach, MJ, Hall, H, Sundberg, T, Ward, L, Sibbritt, D & Adams, J 2015, 'Differences between Male and Female Consumers of Complementary and Alternative Medicine in a National US Population: A Secondary Analysis of 2012 NIHS Data', Evidence-Based Complementary and Alternative Medicine.View/Download from: UTS OPUS or Publisher's site