Dr Wenbo Peng is an Early Career Postdoctoral Research Fellow in Epidemiology, Faculty of Health, University of Technology Sydney. Dr Peng was a university lecturer and registered physician in China. Dr Peng is currently leading a data linkage project focusing on the health and economic impacts of a healthy lifestyle on recurrent stroke prevention.
Her research interests involve public health/health services research for cardiovascular diseases and practice-based research network design and implementation. Dr Peng’s research skills include systematic review, large-scale data analyses (including linkage data), and epidemiologic study design. Dr Peng received the 2014 Barbara Gross Award at the 18th Congress of the Australasian Menopause Society.
Dr Peng is a registered Chinese medicine practitioner and acupuncturist in Australia. Dr Peng collaborates with physicians and Chinese medicine practitioners in China and was awarded a 3-year grant by the National Natural Science Foundation of China (NSFC) as a Chief investigator in 2017.
- Council member, Chinese Medicine Council of New South Wales
- Low Risk Ethics Panel, Faculty of Health, UTS
- Editorial Board Member, Scientific Reports
- Associate Editor, Advances in Integrative Medicine
- Associate Editor, BMC Complementary and Alternative Medicine
- Member, Australasian Epidemiological Association
- Member, Public Health Association of Australia
Can supervise: YES
- Public health and health services research
- Stroke care
- Practice-based research network (PBRN)
- Traditional medicine
Introduction to Biostatistics;
Public health / Population health;
Adams, J, Hosseini, M, Peng, W & Sibbritt, D 2020, 'Health care utilisation and out-of-pocket expenditure associated with hypertension: an analysis of Australian adults from the 45 and Up Study', JOURNAL OF HUMAN HYPERTENSION.View/Download from: Publisher's site
Steel, A, Peng, W, Sibbritt, D & Adams, J 2020, 'Introducing national osteopathy practice-based research networks in Australia and New Zealand: an overview to inform future osteopathic research.', Scientific reports, vol. 10.View/Download from: Publisher's site
Both the Osteopathic Research Innovation Network (ORION) and the Osteopathy Research Connect-New Zealand (ORC-NZ) are practice-based research networks (PBRNs) recently established in Australia and New Zealand. This paper highlights the profile of the osteopaths participating in each PBRN in order to encourage and facilitate further related research in osteopathy. All registered osteopaths in Australia and New Zealand were invited to participate in the ORION and ORC-NZ PBRNs, respectively. This paper presents practice and sociodemographic characteristics of the osteopaths that elected to join the PBRN in their country. A total of 253 registered osteopaths in New Zealand (48.7%) agreed to join ORC-NZ while 992 registered osteopaths in Australia (44.5%) joined ORION. Membership of both PBRNs reflect national geographical spread, and diverse personal and practice characteristics. Combined membership of both PBRNs represents 45.3% of all registered osteopaths in Australasia and 7.7% of the global osteopathic profession. The PBRNs, independently and in combination, hold much potential to advance the evidence-base and capacity of osteopathy research. Both ORION and ORC-NZ PBRNs are powerful, innovative resources available to other interested parties to help conduct further osteopathy research in Australia and New Zealand.
Adams, J, Katie, DL, Michael, S, Martha, F, Arnold, W, Isabelle, P, David, S & Wenbo, P 2019, 'Prevalence and practice characteristics of urban and rural/remote Australian chiropractors: Analysis of a nationally-representative sample of 1,830 chiropractors', Australian Journal of Rural Health, vol. 27, no. 1, pp. 34-41.View/Download from: Publisher's site
Fernandez, M, Moore, C, Eklund, A, Swain, M, de Luca, K, Sibbritt, D, Adams, J & Peng, W 2019, 'The prevalence and determinants of physical activity promotion by Australian chiropractors: A cross sectional study.', Complementary therapies in medicine, vol. 45, pp. 172-178.View/Download from: Publisher's site
BACKGROUND:Approximately one in four adults do not meet the World Health Organisation physical activity recommendations. While health promotion (i.e., physical activity) is common within chiropractic settings, little is known about chiropractors discussing this public health issue with their patients. The aim of our study is to examine the prevalence and characteristics of Australian chiropractors who frequently discuss patient physical activity. METHODS:A national cross-sectional survey of chiropractors focusing upon practitioner characteristics, practice settings and clinical management characteristics. Regression analyses were conducted on 1924 survey respondents to identify factors associated with practitioners who frequently discuss physical activity with patients. RESULTS:Eighty-five percent of Australian chiropractors reported 'often' discussing physical activity as part of their patient management. The strongest factors associated with chiropractors who frequently discuss physical activity obtained from the multivariate analysis include: often discussing occupational health and safety (odds ratio [OR] = 6.10; 95%CI: 3.88, 9.59), often discussing diet/nutrition (OR = 4.56; 95%CI: 3.12, 6.66), often discussing smoking/drugs/alcohol (OR = 4.41; 95%CI: 2.06, 9.40), often use of specific exercise therapy/rehabilitation/injury taping (OR = 3.76; 95%CI: 2.62, 5.39) and often caring for athletes or sports people (OR = 2.18; 95%CI: 1.56, 3.06) within their practice setting. CONCLUSION:Discussing physical activity is a frequent feature of patient management among most chiropractors in Australia. The association between these practitioners and discussion of other costly public health burdens could suggest chiropractors have a valuable role to play in chronic disease prevention. Given the growing need for practitioner-led promotion of patient physical activity further research examination of the role and contribution of chiropractors in promoting this important publi...
Lee, H, Peng, W, Steel, A, Reid, R, Sibbritt, D & Adams, J 2019, 'Complementary and alternative medicine research in practice-based research networks: A critical review.', Complementary therapies in medicine, vol. 43, pp. 7-19.View/Download from: Publisher's site
AIMS:To provide a critical analysis of peer-reviewed literature reporting research from practice-based research networks (PBRNs) relating to complementary and alternative medicine (CAM). METHODS:A comprehensive literature search of peer-reviewed literature reporting PBRN research focusing upon CAM was conducted in PubMed, Ovid Medline, EMBASE, and CINAHL from their inceptions to June 2017. PBRN registry and websites of relevant PBRNs were also searched for further information. With regards to the nested PBRN studies included in our review, no study design restrictions were imposed and both empirical research and relevant methodologically-focused manuscripts were included. Methodological quality was evaluated via a number of established tools. RESULTS:A total of 51 articles reporting upon CAM research in PBRNs including six articles outlining CAM-focused PBRN establishment were included in the review. The findings of the literature were categorised as either: health services research (including work examining characteristics of patients and practices, doctor-patient communication, and CAM prevalence); effectiveness/safety research; or feasibility research. While 19 studies from non-CAM focused PBRNs tended to report on CAM prevalence and doctor-patient communication about CAM use, 26 articles from CAM-focused PBRNs reported on the characteristics of CAM users, practice patterns, and effectiveness/safety of CAM practice. DISCUSSION AND CONCLUSION:PBRNs - both CAM-focused and non-CAM focused - have provided a useful platform for research investigations around a number of core CAM-related issues. Given the increasing popularity of CAM use in healthcare and the identified benefits of practice-relevant research, further in-depth CAM research nested within PBRN designs is warranted.
Steel, A, Vaughan, B, Orrock, P, Peng, W, Fleischmann, M, Grace, S, Engel, RM, Sibbritt, D & Adams, J 2019, 'Prevalence and profile of Australian osteopaths treating older people.', Complementary therapies in medicine, vol. 43, pp. 125-130.View/Download from: Publisher's site
OBJECTIVES:To explore the characteristics of the Australian osteopathy workforce who participate in the management of older patients with musculoskeletal complaints. DESIGN:Secondary analysis of a cross-sectional survey of osteopaths. SETTING:The Osteopathy Research and Innovation Network (ORION), an Australian practice-based research network. MAIN OUTCOME MEASURES:The demographic, practice and treatment characteristics of osteopaths who identify as 'always'or 'often' treating patients aged 65 years or over. RESULTS:Over half (58%) of total participants (n = 992) indicated often treating older people and this was associated with referral patterns with other health professionals and a non-urban practice location. Osteopaths providing care to older people were more likely to discuss diet/nutrition and medications, and provide pain counselling. Osteopaths who treated older adults were more likely to treat shoulder musculoskeletal disorders, degenerative spine disorders, chronic or persistent pain, and tendinopathies. CONCLUSIONS:A substantial proportion of Australian osteopaths treat older adults frequently. The potential value and impact of osteopathy in managing the health needs of an ageing population warrants close examination from both researchers and policy makers.
Steel, A, Peng, W, Gray, A & Adams, J 2019, 'The Role and Influence of Traditional and Scientific Knowledge in Naturopathic Education: A Qualitative Study.', Journal of Alternative and Complementary Medicine, vol. 25, no. 2, pp. 196-201.View/Download from: Publisher's site
OBJECTIVES:To explore the perceptions, experiences, and attitudes toward scientific and traditional knowledge within contemporary naturopathic education. DESIGN:A qualitative focus group and semistructured individual interview study. SETTINGS/LOCATION:Naturopathic educational organizations and institutions in North America (United States/Canada) and Australia. SUBJECTS:Seven focus groups (three in Australia and four in the United States/Canada) involving a total of 29 students, and one-on-one interviews with 28 faculty and professional leaders of the naturopathic profession from Australia, Canada, and the United States. RESULTS:Four themes have been identified in this study, including finding the balance between traditional and scientific knowledge; supporting the balance through critical appraisal in the curriculum; the exception of traditional knowledge in the critical gaze; and focusing on critical thinking in the naturopathic curriculum. Both naturopathic students and leaders highlight the significance of balancing tradition and science in the naturopathic educational context, although they hold diverse differing viewpoints. The importance of critical appraisal skills as well as the differentiation between critical thinking and critical appraisal have also been emphasized by participants with regard to the future development of naturopathic curriculum. CONCLUSIONS:This is the first study focusing on the interface between traditional and scientific knowledge within the naturopathic education setting. The development of a framework for the critical appraisal of traditional naturopathic knowledge is required to help navigate the variety of knowledge sources available to naturopathic students and to help deliver the best outcomes for their future clinical practice.
Fernandez, M, Moore, C, Peng, W, de Luca, K, Pohlman, KA, Swain, M & Adams, J 2019, 'The profile of chiropractors managing patients with low back-related leg pain: analyses of 1907 chiropractors from the ACORN practice-based research network.', Chiropractic & Manual Therapies, vol. 27, no. 1.View/Download from: Publisher's site
Background:Approximately 60% of people with low back pain also have associated leg pain symptoms. Guidelines for low back pain recommend non-pharmacological approaches, including spinal manipulation - a therapy provided by chiropractors. However, limited empirical data has examined the characteristics of chiropractors managing patients with low back-related leg pain (LBRLP). Our objective is to describe the prevalence, profile and practice characteristics of Australian chiropractors who often treat LBRLP, compared to those who do not often treat LBRLP. Methods:This is a cross-sectional analysis of a nationally representative sample from the Australian Chiropractic Research Network (ACORN). This study investigated the demographic and practice characteristics as well as clinical management of chiropractors who 'often' treated patients with LBRLP compared to those who treated LBRLP 'never/rarely/sometimes'. Multiple logistic regression models identified independent factors associated with chiropractors who 'often' treated patients with LBRLP. Results:A total of 1907 chiropractors reported treating patients experiencing LBRLP, with 80.9% of them 'often' treating LBRLP. Chiropractors who 'often' treated LBRLP were more likely to manage patients with multi-site pain including axial low back pain (OR = 21.1), referred/radicular neck pain (OR = 10.8) and referred/radicular thoracic pain (OR = 3.1). While no specific management strategies were identified, chiropractors who 'often' treated LBRLP were more likely to discuss medication (OR = 1.8), manage migraine (OR = 1.7) and degenerative spine conditions (OR = 1.5), and treat women during pregnancy (OR = 1.6) and people with work-related injuries (OR = 1.5), compared to those not treating LBRLP frequently. Conclusions:Australian chiropractors frequently manage LBRLP, although the nature of specific management approaches for this condition remains unclear. Further research on the management of LBRLP can better inform polic...
Moore, C, de Luca, K, Wong, AYL, Fernandez, M, Swain, M, Hartvigsen, J, Adams, J & Peng, W 2019, 'Characteristics of chiropractors who manage people aged 65 and older: A nationally representative sample of 1903 chiropractors.', Australasian Journal on Ageing, vol. 38, no. 4, pp. 249-257.View/Download from: Publisher's site
OBJECTIVE:To examine the prevalence and profile of chiropractors who frequently manage people aged 65 years and older. METHODS:A national cross-sectional survey collected practitioner characteristics, practice settings and clinical management characteristics. Multiple logistic regression was conducted on 1903 chiropractors to determine the factors associated with the frequent treatment of people 65 years and older. RESULTS:In total, 73.5% of participants report "often" treating those aged 65 years and older. These chiropractors were associated with treating degenerative spine conditions (OR [odds ratio] 2.25; 95% [confidence interval] CI 1.72-2.94), working in a non-urban area (OR 1.85; 95% CI 1.35-2.54), treating low back pain (referred/radicular) (OR 1.74; 95% CI 1.26-2.40) and lower limb musculoskeletal disorders (OR 1.50; 95% CI 1.15-1.96). CONCLUSIONS:The majority of chiropractors report often providing treatment to older people. Our findings call for more research to better understand older patient complaints that are common to chiropractic practice and the care provided by chiropractors for this patient group.
Lauche, R, Wardle, J, Peng, W, Adams, J & Cramer, H 2019, ''santa baby, hurry [extra carefully] down the chimney tonight' – Prevalence of Christmas related injuries 2007–2016 in the United States: Observational study', Advances in Integrative Medicine, vol. 6, no. 1, pp. 40-44.View/Download from: Publisher's site
© 2018 Elsevier Ltd Objectives: To assess the prevalence of Christmas-related injuries for Santa Claus, Santa's helpers, Santa impersonators and Christmas revellers. Methods: Data were obtained from the US using National Electronic Injury Surveillance System (NEISS), a national probability sample of U.S. hospitals with 24-hour accident and emergency services. Data from 2007 to 2016 were analysed regarding emergency visits involving injuries related to Christmas products, and weighted prevalence and patterns of Christmas-related injuries were reported. Results: No injuries directly affecting Santa Claus, Santa Claus' helpers, or Santa impersonators were identified. U.S.-wide, 277 children were injured by Santa impersonators. Further injuries were reported in association with artificial Christmas trees (17,928 injuries), real Christmas trees (2216 injuries), Christmas tree stands/supports (2839 Injuries), tree lights (31,855 injuries), electrical decorations (36,054 injuries), non-electrical decorations (80,208 injuries), and Christmas presents (2305 injuries). Almost all injuries occurred in Caucasians and injuries were most common in children, adults aged 30–60, and in those aged 70 or older. Injuries related to electrical Christmas decorations were more common in males; those related to non-electrical Christmas decorations were more common in females. Conclusions: Despite inherent dangers associated with his work, Santa Claus appears to be safe and is not responsible for Christmas-related injuries. In contrast, the considerable safety hazards of Santa impersonation practices and Christmas products require further investigation.
Wong, CHL, Wu, IXY, Cheung, WKW, Ho, RST, Leach, MJ, Peng, W, Zhang, Y, Wu, JCY & Chung, VCH 2019, 'Impact of evidence-based healthcare education for Chinese medicine practitioners: A pre-post evaluation.', Complementary therapies in medicine, vol. 45, pp. 38-44.View/Download from: Publisher's site
WHO Traditional Medicine Strategy 2014-23 recommended evidence-based healthcare (EBHC) education for traditional and complementary medicine (T&CM) professionals, including Chinese medicine practitioners (CMPs). We evaluated the impact of a customized educational workshop on Hong Kong CMPs' knowledge, attitude and practice of EBHC. Two validated instruments, Evidence-based Practice Questionnaire (EPQ) and Evidence-based Practice Inventory (EPI), were used to assess the impact of EBHC education. Paired t-tests were used to compare scores before and after the workshop. Multiple linear regression was performed to explore the associations between changes in EPQ/EPI scores and CMPs' characteristics. CMPs who completed the workshop (n = 59) demonstrated significant improvements in the attitude (p = 0.013) and knowledge domains of the EPQ (p = 0.005). Significant improvements were also observed in the attitude, perceived behavioural control, decision making, and intention and behaviour domains of the EPI. CMPs who had never received prior EBHC training showed a larger magnitude of improvement in the EPI attitude (p = 0.032), decision making (p = 0.015), and intention and behaviour (p = 0.015) domains post-workshop. Our findings suggest that tailored workshop is effective in strengthening knowledge and in improving attitudes towards EBHC. Future RCTs should be conducted to affirm our findings. Future initiatives may consider incorporating this education approach into CMP curricula, as well as facilitating implementation of EBHC in routine Chinese medicine practice.
Adams, J, Sibbritt, D, Steel, A & Peng, W 2018, 'A workforce survey of Australian osteopathy: analysis of a nationally-representative sample of osteopaths from the Osteopathy Research and Innovation Network (ORION) project.', BMC health services research, vol. 18, no. 1, pp. 352-352.View/Download from: Publisher's site
BACKGROUND:Limited information is available regarding the profile and clinical practice characteristics of the osteopathy workforce in Australia. This paper reports such information by analysing data from a nationally-representative sample of Australian osteopaths. METHODS:Data was obtained from a workforce survey of Australian osteopathy, investigating the characteristics of the practitioner, their practice, clinical management features and perceptions regarding research. The survey questionnaire was distributed to all registered osteopaths across Australia in 2016 as part of the Osteopathy Research and Innovation Network (ORION) project. RESULTS:A total of 992 Australian osteopaths participated in this study representing a response rate of 49.1%. The average age of the participants was 38.0 years with 58.1% being female and the majority holding a Bachelor or higher degree qualification related to the osteopathy professional. Approximately 80.0% of the osteopaths were practicing in an urban area, with most osteopaths working in multi-practitioner locations, having referral relationships with a range of health care practitioners, managing patients a number of musculoskeletal disorders, and providing multi-model treatment options. CONCLUSIONS:A total of 3.9 million patients were estimated to consult with osteopaths every year and an average of approximate 3.0 million hours were spent delivering osteopathy services per year. Further research is required to provide rich, in-depth examination regarding a range of osteopathy workforce issues which will help ensure safe, effective patient care to all receiving and providing treatments as part of the broader Australian health system.
Yang, L, Peng, W, Adams, J & Sibbritt, DW 2018, 'Treating people with arthritis with traditional Chinese medicine (TCM): an examination of the perception of TCM practitioners.', Acupuncture in medicine : journal of the British Medical Acupuncture Society, vol. 36, no. 4, pp. 228-239.View/Download from: Publisher's site
Emerging evidence has shown that traditional Chinese medicine (TCM) has a positive effect on arthritis. This research provides the first critical, systematic examination of TCM practitioners' perceptions of TCM use for people with arthritis.An online survey was distributed to all TCM professionals including acupuncturists and Chinese herbal medicine practitioners registered with the Practitioner Research and Collaborate Initiative (PRACI) practitioner database. The survey questions focus on practitioner characteristics, practice characteristics and clinical management approaches regarding arthritis care.The survey attracted a response rate of 53% (n=52). The average age of the respondents was 49.9 years, more than half were female, and the majority held a bachelor degree or higher qualification. More than two thirds of TCM practitioners in our study worked with other health professionals, while they had a high level of referral relationships with a wide range of conventional, allied health and complementary and alternative medicine (CAM) providers. Most of the TCM practitioners reported that their patients with arthritis used other treatments alongside TCM and a large number of the TCM practitioners who participated believed that TCM was effective for treating arthritis.The TCM profession represents a substantial component of the healthcare field in Australia, and treating patients with arthritis appears to be an important area of TCM practice, among others. Further detailed research is needed to help ensure effective, safe patient care for those with arthritis who may be utilising TCM alongside a broader range of conventional medicine, allied health, and other CAM treatments.
Adams, J, Lee, M & Peng, W 2018, 'Critical Review of Complementary and Alternative Medicine Use in Amyotrophic Lateral Sclerosis: Prevalence and Users' Profile, Decision-Making, Information Seeking, and Disclosure in the Face of a Lack of Efficacy', NEURODEGENERATIVE DISEASES, vol. 18, no. 4, pp. 225-232.View/Download from: Publisher's site
Sibbritt, D, Peng, W, Lauche, R, Ferguson, C, Frawley, J & Adams, J 2018, 'Efficacy of acupuncture for lifestyle risk factors for stroke: A systematic review.', PloS one, vol. 13, no. 10, pp. e0206288-e0206288.View/Download from: Publisher's site
BACKGROUND:Modifications to lifestyle risk factors for stroke may help prevent stroke events. This systematic review aimed to identify and summarise the evidence of acupuncture interventions for those people with lifestyle risk factors for stroke, including alcohol-dependence, smoking-dependence, hypertension, and obesity. METHODS:MEDLINE, CINAHL/EBSCO, SCOPUS, and Cochrane Database were searched from January 1996 to December 2016. Only randomised controlled trials (RCTs) with empirical research findings were included. PRISMA guidelines were followed and risk of bias was assessed via the Cochrane Collaboration risk of bias assessment tool. The systematic review reported in this paper has been registered on the PROSPERO (#CRD42017060490). RESULTS:A total of 59 RCTs (5,650 participants) examining the use of acupuncture in treating lifestyle risk factors for stroke met the inclusion criteria. The seven RCTs focusing on alcohol-dependence showed substantial heterogeneity regarding intervention details. No evidence from meta-analysis has been found regarding post-intervention or long-term effect on blood pressure control for acupuncture compared to sham intervention. Relative to sham acupuncture, individuals receiving auricular acupressure for smoking-dependence reported lower numbers of consumed cigarettes per day (two RCTs, mean difference (MD) = -2.75 cigarettes/day; 95% confidence interval (CI) = -5.33, -0.17; p = 0.04). Compared to sham acupuncture those receiving acupuncture for obesity reported lower waist circumference (five RCTs, MD = -2.79 cm; 95% CI: -4.13, -1.46; p<0.001). Overall, only few trials were considered of low risk of bias for smoking-dependence and obesity, and as such none of the significant effects in favour of acupuncture interventions were robust against potential selection, performance, and detection bias. CONCLUSIONS:This review found no convincing evidence for effects of acupuncture interventions for improving lifestyle risk factors for s...
Adams, J, Lauche, R, de Luca, K, Swain, M, Peng, W & Sibbritt, D 2018, 'Prevalence and profile of Australian chiropractors treating athletes or sports people: a cross-sectional study', Complementary Therapies in Medicine, vol. 39, pp. 56-61.View/Download from: Publisher's site
A range of health-care professionals including chiropractors provide treatment for sports-related health problems. This study reports analyses from the first national workforce survey to determine practitioner and practice-related factors associated with the frequent treatment of athletes or sports people by Australian chiropractors.
Design and setting
A 21-item questionnaire collecting information pertaining to practitioner and practice-related characteristics was distributed to all Australian registered chiropractors, as part of the Australian Chiropractic Research Network (ACORN) project and attracted a response rate of 43% (n = 2,005). Statistical analyses compared the frequency of treating athletes or sports people against a wide range of relevant practitioner and practice characteristics.
Of the respondents, 49.5% (n = 936) reported frequently treating athletes or sports people, and these chiropractors were more likely to be male as well as report more patient care hours and patient visits per week than those chiropractors who did not frequently treat athletes or sports people. Chiropractors who frequently treat athletes or sports people were also more likely to perform multi-modal management, have multi-disciplinary practitioner relations, use diagnostic equipment and discuss nutrition and medication use as part of their patient care than those chiropractors who did not frequently treat athletes or sports people.
Nearly half of participating Australian chiropractors treat athletes or sports people frequently. The current and potential role of chiropractors in sports medicine appears significant. Further research is needed to examine the role, practices and outcomes of such chiropractic care helping to, provide treatment and policy development in this area of clinical management.
Peng, W, Lauche, R, Frawley, J, Sibbritt, D & Adams, J 2018, 'Utilization of complementary and alternative medicine and conventional medicine for headache or migraine during pregnancy: A cross-sectional survey of 1,835 pregnant women', Complementary Therapies in Medicine, vol. 41, pp. 192-195.View/Download from: Publisher's site
Objectives: Little is known about women's use of health services affected by headache or migraine during pregnancy. This paper directly addresses the research gap reporting on the healthcare utilization among Australian pregnant women experiencing headache or migraine.
Design and setting: In this retrospective observational study, data on 1,835 Australian pregnant women were obtained from the nationally-representative Australian Longitudinal Study on Women's Health. Information on quality of life and health seeking behaviors regarding conventional medicine and complementary and alternative medicine providers was identified among these participants. Factors associated with healthcare use were analyzed using regression analyses.
Results: A total of 16% of the pregnant women surveyed experienced headache or migraine, and over 20% sought help from more than two types of healthcare practitioners for their headache or migraine. General practitioners (37.8%) were the most commonly consulted providers of pregnant women for their headache or migraine. Women with headache or migraine during pregnancy had worse health-related quality of life than those without. Education level and private health insurance status of pregnant women are the predictors of the use of healthcare practitioners for their management of headache or migraine (both p<0.05).
Conclusions: Headache or migraine during pregnancy significantly impacts upon pregnant women's quality of life. The use of multiple healthcare practitioners, including conventional medicine and complementary and alternative medicine practitioners, highlights the need for further research investigating health services utilization of pregnant women with headache or migraine in different severity and frequency to help inform effective and safe treatment.
Yang, L, Peng, W, Adams, J & Sibbritt, D 2017, 'Prevalence and characteristics of Australian women aged 45 and older who consult acupuncturists for their osteoarthritis.', International Journal of Clinical Practice, vol. 71, no. 12, pp. 1-8.View/Download from: Publisher's site
There is growing acupuncture use amongst people with osteoarthritis, and acupuncture has been shown to have a positive effect on osteoarthritis. The aim of the study is to identify the characteristics of Australian women who consult acupuncturists for osteoarthritis treatment in order to help inform patients, practitioners and policy makers about the range of health care options accessed by older women with osteoarthritis.The research reported here involved participants from a sub-study of the Sax Institute's 45 and Up Study in Australia. The data of 403 Australian women aged 45 and over with osteoarthritis were analysed. Chi-squared tests and stepwise multiple logistic regression modelling were used to determine the characteristics of women who used acupuncture for the treatment of their osteoarthritis.Analysis revealed that 7.7% of women reported using acupuncture in the previous 12 months for their osteoarthritis. Acupuncture use is positively associated with women experiencing longer duration of time since initial diagnosis of osteoarthritis (OR = 1.04), undertaking more exercise (OR = 5.41), living in a rural area (OR = 3.62), having consulted a psychologist (OR = 12.21), and having consulted another complementary and alternative medicine practitioner (OR = 4.18).Our study reveals considerable acupuncture use amongst women with osteoarthritis. There is a need for health care practitioners to be mindful of acupuncture use among their patients presenting with osteoarthritis. Further research is needed to examine the potential benefits of acupuncture for osteoarthritis and to help inform efficient and safe use of this treatment alongside conventional care.
Lauche, R, Peng, W, Ferguson, C, Cramer, H, Frawley, J, Adams, J & Sibbritt, D 2017, 'Efficacy of Tai Chi and qigong for the prevention of stroke and stroke risk factors: A systematic review with meta-analysis', Medicine, vol. 96, no. 45.View/Download from: Publisher's site
Background: This review aims to summarize the evidence of Tai Chi and qigong interventions for the primary prevention of stroke, including the effects on populations with major stroke risk factors.
Methods: A systematic literature search was conducted on January 16, 2017 using the PubMed, Scopus, Cochrane Library, and CINAHL databases. Randomized controlled trials examining the efficacy of Tai Chi or qigong for stroke prevention and stroke risk factors were included. Risk of bias was assessed using the Cochrane Risk of Bias tool.
Results: Twenty-one trials with n=1604 patients with hypertension, hyperlipidaemia, diabetes, overweight or obesity, or metabolic syndrome were included. No trials were found that examined the effects of Tai Chi/qigong on stroke incidence. Meta-analyses revealed significant, but not robust, benefits of Tai Chi/qigong over no interventions for hypertension (systolic blood pressure: -15.55mm Hg (95% CI: -21.16; -9.95); diastolic blood pressure: -10.66mm Hg (95% CI: -14.90, -6.43); the homeostatic model assessment (HOMA) index (-2.86%; 95% CI: -5.35, -0.38) and fasting blood glucose (-9.6mg/dL; 95% CI: -17.28, -1.91), and for the body mass index compared with exercise controls (-1.65kg/m2; 95% CI: -3.11, -0.20). Risk of bias was unclear or high for the majority of trials and domains, and heterogeneity between trials was high. Only 6 trials adequately reported safety. No recommendation for the use of Tai Chi/qigong for the prevention of stroke can be given.
Conclusion: Although Tai Chi and qigong show some potential more robust studies are required to provide conclusive evidence on the efficacy and safety of Tai Chi and qigong for reducing major stroke risk factors.
Peng, W, Lauche, R, Ferguson, C, Frawley, J, Adams, J & Sibbritt, D 2017, 'Efficacy of Chinese herbal medicine for stroke modifiable risk factors: a systematic review', Chinese Medicine, vol. 12, no. 25, pp. 1-29.View/Download from: Publisher's site
Background: The vast majority of stroke burden is attributable to its modifiable risk factors. This paper aimed to systematically summarise the evidence of Chinese herbal medicine (CHM) interventions on stroke modifiable risk factors for stroke prevention.
Methods: A literature search was conducted via the MEDLINE, CINAHL/EBSCO, SCOPUS, and Cochrane Database from 1996 to 2016. Randomised controlled trials or cross-over studies were included. Risk of bias was assessed according to the Cochrane Risk of Bias tool.
Results: A total of 46 trials (6895 participants) were identified regarding the use of CHM interventions in the management of stroke risk factors, including 12 trials for hypertension, 10 trials for diabetes, eight trials for hyperlipidemia, seven trials for impaired glucose tolerance, three trials for obesity, and six trials for combined risk factors. Amongst the included trials with diverse study design, an intervention of CHM as a supplement to biomedicine and/or a lifestyle intervention was found to be more effective in lowering blood pressure, decreasing blood glucose level, helping impaired glucose tolerance reverse to normal, and/or reducing body weight compared to CHM monotherapy. While no trial reported deaths amongst the CHM groups, some papers do report moderate adverse effects associated with CHM use. However, the findings of such beneficial effects of CHM should be interpreted with caution due to the heterogeneous set of complex CHM studied, the various control interventions employed, the use of different participants' inclusion criteria, and low methodological quality across the published studies. The risk of bias of trials identified was largely unclear in the domains of selection bias and detection bias across the included studies.
Conclusion: This study showed substantial evidence of varied CHM interventions improving the stroke modifiable risk factors. More rigorous research examining the use of CHM products for sole or multiple ma...
Adams, J, Lauche, R, Peng, W, Steel, A, Moore, C, Amorin-Woods, LG & Sibbritt, D 2017, 'A workforce survey of Australian chiropractic: the profile and practice features of a nationally representative sample of 2,005 chiropractors.', BMC Complementary and Alternative Medicine, vol. 17, no. 1, pp. 1-8.View/Download from: Publisher's site
BACKGROUND: This paper reports the profile of the Australian chiropractic workforce and characteristics of chiropractic care from a large nationally-representative sample of practitioners. METHODS: A 21-item questionnaire examining practitioner, practice and clinical management characteristics was distributed to all registered chiropractors (n = 4,684) in Australia in 2015 via both online and hard copy mail out. RESULTS: The survey attracted a response rate of 43% (n = 2,005), and the sample is largely representative of the national chiropractic workforce on a number of key indicators. The average age of the chiropractors was 42.1 years, nearly two-thirds are male, and the vast majority hold a bachelor degree or higher qualification. Australian chiropractors are focused upon treating people across a wide age range who mainly present with musculoskeletal conditions. Australian chiropractors have referral relationships with a range of conventional, allied health and complementary medicine (CAM) providers. CONCLUSION: The chiropractic profession represents a substantial component of the contemporary Australian health care system with chiropractors managing an estimated 21.3 million patient visits per year. While the Australian chiropractic workforce is well educated, research engagement and research capacity remains sub-optimal and there is much room for further capacity building to help chiropractic reach full potential as a key integrated profession within an evidence-based health care system. Further rich, in-depth research is warranted to improve our understanding of the role of chiropractic within the Australian health care system.
Adams, J, Peng, W, Cramer, H, Sundberg, T, Moore, C, Amorin-Woods, L, Sibbritt, D, Lauche, R & Masters of Clinical Trials Research 2017, 'The prevalence, patterns, and predictors of chiropractic use among US adults: Results from the 2012 National Health Interview Survey.', Spine, vol. 42, no. 23, pp. 1810-1816.View/Download from: Publisher's site
STUDY DESIGN: Secondary analysis of a national survey. OBJECTIVE: To investigate the prevalence, patterns, and predictors of chiropractic utilization in the US general population. SUMMARY OF BACKGROUND DATA: Chiropractic is one of the largest manual therapy professions in the US and internationally. Very few details have been reported about the use of chiropractic care in the US in recent years. METHODS: Cross-sectional data from the 2012 National Health Interview Survey (n = 34,525) were analyzed to examine the lifetime and 12-month prevalence and utilization patterns of chiropractic use, profile of chiropractic users and health-related predictors of chiropractic consultations. RESULTS: Lifetime and 12-month prevalence of chiropractic use were 24.0% and 8.4%, respectively. There is a growing trend of chiropractic use amongst US adults from 2002 to 2012. Back pain (63.0%) and neck pain (30.2%) were the most prevalent health problems for chiropractic consultations and the majority of users reported chiropractic helping a great deal with their health problem and improving overall health or well-being. A substantial number of chiropractic users had received prescription (23.0%) and/or over-the-counter medications (35.0%) for the same health problem for which chiropractic was sought and 63.8% reported chiropractic care combined with medical treatment as helpful. Both adults older than 30 years (compared to younger adults), and those diagnosed with spinal pain (compared to those without spinal pain) were more likely to have consulted a chiropractor in the past 12 months. CONCLUSIONS: A substantial proportion of US adults utilized chiropractic services over the past 12 months and reported associated positive outcomes for overall well-being and/or specific health problems for which concurrent conventional care was common. Studies on the current patient integration of chiropractic and conventional health services are warranted. LEVEL OF EVIDENCE: 3.
Adams, J, Peng, W, Steel, A, Lauche, R, Moore, C, Amorin-Woods, L & Sibbritt, D 2017, 'A cross-sectional examination of the profile of chiropractors recruited to the Australian Chiropractic Research Network (ACORN): a sustainable resource for future chiropractic research', BMJ Open, vol. 2017, no. 7.View/Download from: Publisher's site
The Australian Chiropractic Research Network (ACORN) practice-based research network (PBRN) cohort was established to provide sustainable infrastructure necessary to address lack of rigorous investigation and to bridge the research–practice gap focused on chiropractic care for future years. This paper presents the profile of chiropractors recruited to the ACORN PBRN, a nationally representative sample of chiropractors working in Australia.
Cross-sectional analysis of baseline data from a cohort study of chiropractors in Australia.
All registered chiropractors in Australia were invited to participate in the ACORN study and those who completed a practitioner questionnaire and consent form were included in the PBRN cohort.
A total of 1680 chiropractors (36%) were recruited to the cohort database. The average age of the PBRN participants is 41.9 years and 63% are male. The vast majority of the PBRN participants hold a university degree.
General practitioners were identified as the most popular referral source for chiropractic care and low back pain and neck pain were the most common conditions 'often' treated by the PBRN chiropractors. The chiropractors in this PBRN cohort rated high velocity, low amplitude adjustment/manipulation/mobilisation as the most commonly used technique/method and soft tissue therapy as the most frequently employed musculoskeletal intervention in their patient management.
The ACORN PBRN cohort constitutes the largest coverage of any single healthcare profession via a national voluntary PBRN providing a sustainable resource for future follow-up. The ACORN cohort provides opportunities for further nested substudies related to chiropractic care, chiropractors, their patients and a vast range of broader healthcare issues with a view to helping build a diverse but coordinated research programme and further research capacity building around Australian chiropractic.
Dean, S, Peng, W, Zaslawski, C, Elliott, D, Newton-John, T, Campo, M & Pappas, E 2017, 'Mindfulness in Physical and Occupational Therapy Education and Practice: A scoping review', Physical Therapy Reviews, vol. 22, no. 5-6, pp. 221-228.View/Download from: Publisher's site
© 2017 Informa UK Limited, trading as Taylor & Francis Group. Background: Mindfulness practices provide numerous benefits for individuals with a variety of health issues. Recent research has highlighted the benefits of mindfulness for health professionals. The potential benefits for physical and occupational therapists or students however, are currently unclear. Objectives: To perform a scoping review on the effects of mindfulness practices among physical (PT) and occupational therapists (OT) and students of those disciplines. Methods: Eligible published articles in English were identified through a literature search of MEDLINE, PsycINFO, Cochrane Library, and AMED from the inception of databases to November 2015. Titles, abstracts, and full-text articles were screened for the selection of relevant papers. Articles identified as editorials, correspondences, commentaries, case reports, abstracts alone, and review papers were excluded. Results: Six studies (two qualitative studies, one quantitative study, one mixed-method study, and two experimental studies) met the inclusion criteria. Three studies focused on PT/OT students, two on clinicians and one on current clinicians who had previously failed a course. These studies highlighted the potential benefits of mindfulness for physical and occupational therapists. They should be interpreted with caution however, due to the small number of relevant studies, high heterogeneity in mindfulness interventions and methodological limitations. Conclusions: There is a paucity of research on the effects of mindfulness among physical and occupational therapists and students of those disciplines. The lack of relevant studies makes a systematic review challenging but the findings of the current studies suggest potentially promising effects.
Peng, W, Liang, H, Sibbritt, D & Adams, J 2016, 'Complementary and alternative medicine use for constipation: a critical review focusing upon prevalence, type, cost, and users' profile, perception and motivations', INTERNATIONAL JOURNAL OF CLINICAL PRACTICE, vol. 70, no. 9, pp. 712-722.View/Download from: Publisher's site
Sibbritt, D, Peng, W, Chang, S, Liang, H & Adams, J 2016, 'The use of conventional and complementary health services and self-prescribed treatments amongst young women with constipation: A national cohort study.', Digestive and liver disease : official journal of the Italian Society of Gastroenterology and the Italian Association for the Study of the Liver, vol. 48, no. 11, pp. 1308-1313.View/Download from: Publisher's site
Little research has been conducted regarding the comprehensive health service utilisation in constipation care. This study investigates the comprehensive health service utilisation amongst Australian women with constipation.This study draws upon data from the Australian Longitudinal Study on Women's Health. A total of 8074 young women were asked about their frequency of constipation, measures of quality of life, and use of a range of health services and self-prescribed treatments via two postal surveys conducted in 2006 and 2009, respectively.The prevalence of constipation was 18.5% amongst women in 2009. Constipated women had poorer quality of health than women without constipation. Women who sought help for constipation were more likely to visit multiple groups of conventional and complementary health practitioners compared to women who did not experience constipation (p<0.005). However, women were less likely to visit a specialist for the management of constipation over time (2006 to 2009). There was an increase in the proportion of women with constipation who self-prescribed vitamins/minerals over time (p<0.001).Although only 4.5% of women sought help for their constipation, given the increasing use of multiple health services across time, more studies are required regarding the optimal treatment in constipation care.
Jiang, J, Peng, W, Gu, T, King, C & Yin, JK 2016, 'Critical review of data evaluation in teaching Clinics of traditional Chinese medicine outside China: Implications for education', Explore: the Journal of Science and Healing, vol. 12, no. 3, pp. 188-195.View/Download from: Publisher's site
The increasing acceptance of traditional Chinese medicine (TCM) worldwide has highlighted the importance of ensuring the provision of high-quality TCM clinical education. This clinical training should be partly guided by a robust assessment of patient data outcomes in TCM teaching clinics. We undertook a comprehensive literature review to examine the data evaluation in TCM teaching clinics outside China and its implications for TCM education.
Literature was retrieved via MEDLINE (from 1946 to January 2015), EMBASE (from 1980 to February 2015), and Google Scholar for studies conducted outside China. The search was restricted to English articles reporting empirical findings related to the assessments of patient data in TCM teaching clinics, with implications for TCM education in countries other than China.
Only seven articles from six studies met the inclusion criteria. The characteristics and main symptoms of patients who received any TCM treatment in the context of teaching clinics among all included studies were similar. Symptom relief as well as a high level of patient satisfaction with TCM treatment were found in TCM teaching clinics. Conventional healthcare providers and other complementary practitioners were not the main source of referral to TCM practitioners but rather patients׳ friends/relatives. Patients received acupuncture treatment more frequently than treatments utilizing Chinese herbal medicine in teaching clinics. A standardized and consistent framework for patient records within TCM teaching clinics is currently lacking. There was no robust study which "translated" TCM clinic data evaluation findings into implications for TCM education and clinical training.
Recognizing that TCM evolves over time and its practice varies in different settings, there is an urgent need to conduct large-scale, rigorous evaluations of TCM clinic data to address the findings of our review, with the purpose of better informing...
Peng, W 2016, 'Concurrent use of self-prescribed complementary and alternative medicine, and hormone replacement therapy in menopause: possible side effects', Australian Journal of Herbal Medicine, vol. 28, no. 3.
Peng, W, Adams, J, Hickman, L & Sibbritt, DW 2016, 'Longitudinal analysis of associations between women's consultations with complementary and alternative medicine practitioners/use of self-prescribed complementary and alternative medicine and menopause-related symptoms, 2007-2010.', Menopause, vol. 23, no. 1, pp. 74-80.View/Download from: Publisher's site
This study aims to determine associations between consultations with complementary and alternative medicine (CAM) practitioners/use of self-prescribed CAM and menopause-related symptoms.Data were obtained from the Australian Longitudinal Study on Women's Health. Generalized estimating equations were used to conduct longitudinal data analyses, which were restricted to women born in 1946-1951 who were surveyed in 2007 (survey 5; n = 10,638) and 2010 (survey 6; n = 10,011).Women with menopause-related symptoms were more likely to use self-prescribed CAM but were not more likely to consult a CAM practitioner. Overall, CAM use was lower among women who had undergone hysterectomy or women who had undergone oophorectomy, compared with naturally postmenopausal women, and decreased with increasing age of postmenopausal women. Weak associations between CAM use and hot flashes were observed. Women experiencing hot flashes were more likely to consult a massage therapist (odds ratio, 1.09; 95% CI, 1.00-1.20) and/or use self-prescribed herbal medicines (odds ratio, 1.13; 95% CI, 1.03-1.23) than women not experiencing hot flashes.Consultations with CAM practitioners and use of self-prescribed CAM among naturally or surgically postmenopausal women are associated with menopause-related symptoms. Our study findings should prompt healthcare providers, in particular family medicine practitioners, to be cognizant of clinical evidence for CAM typically used for the management of common menopause-related symptoms in their aim to provide safe, effective, and coordinated care for women.
Sibbritt, D, Davidson, P, Peng, WB, Adams, J & Hickman, L 2016, 'Hypertension: What are the self-care and health-care-seeking behaviours in women over time?', Journal of human hypertension, vol. 30, pp. 783-787.View/Download from: Publisher's site
The aim of this study was to estimate the prevalence and incidence of hypertension in women, and describe their self-care and health-seeking behaviours. This research was conducted as part of the Australian Longitudinal Study on Women's Health, a study comprising a nationally representative sample of Australian women in three age groups. The focus of this research is 14 099 women born in 1946-1951, who have been surveyed six times (1996-2010). Student t-tests were used to compare women who did or did not have hypertension by their health-care utilization. Longitudinal analyses were conducted using a Poisson generalized estimating equation model. The incidence of hypertension among this cohort during 1996 to 2010 ranged from 400 to 597 participants per survey, resulting in an increase in prevalence of hypertension from 20.9% in 1996 to 41.3% in 2010. For all survey periods, women with hypertension had a significantly higher average number of visits to doctors and allied health practitioners compared with women without hypertension (P<0.005). The use of complementary medicine (practitioners and self-prescribed treatments) by women with hypertension was significantly lower compared to women without hypertension (P<0.005). Over time, conventional health-care utilization was higher for women with hypertension compared with women without hypertension (adjusted RR=1.18; 95% CI: 1.14, 1.22; P<0.0001). Our findings show that women with hypertension are using a range of conventional and complementary and alternative medicine: with hypertensive women using more conventional medicine and less complementary and alternative medicine than non-hypertensive women. As such, health-care providers should communicate with their patients regarding their use of complementary and alternative medicine in their efforts to provide safe, effective and coordinate care.Journal of Human Hypertension advance online publication, 28 April 2016; doi:10.1038/jhh.2016.20.
Wardle, J & Peng, W 2016, 'Integrative clinical care practice models: Sharing innovation for better patient outcomes', Advances in Integrative Medicine, vol. 3, no. 2, pp. 73-75.View/Download from: 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: Publisher's site
Sibbritt, D, Lauche, R, Sundberg, T, Peng, W, Moore, C, Broom, A, Kirby, E & Adams, J 2016, 'Severity of back pain may influence choice and order of practitioner consultations across conventional, allied and complementary health care: a cross-sectional study of 1851 mid-age Australian women', BMC Musculoskeletal Disorders, vol. 17, no. 1.View/Download from: Publisher's site
Back pain is a common, disabling and costly disorder for which patients often consult with a wide range of health practitioners. Unfortunately, no research to date has directly examined the association between the severity of back pain and back pain sufferers' choice of whom and in what order to consult different health practitioners.
This is a sub-study of the large nationally representative Australian Longitudinal Study on Women's Health (ALSWH). The mid-age cohort women (born 1946-51, n = 13,715) of the ALSWH were recruited from the Australian national Medicare database in 1996. These women have been surveyed six time, with survey 6 being conducted in 2010 (n = 10,011). Mid-age women (n = 1851) who in 2010 had sought help from a health care practitioner for their back pain were mailed a self-report questionnaire targeting their previous 12 months of health services utilisation, health status and their levels of back pain intensity.
A total of 1620 women were deemed eligible and 1310 (80.9 %) returned completed questionnaires. Mid-age women with back pain visited various conventional, allied health and CAM practitioners for care: 75.6 % consulted a CAM practitioner; 58.4 % consulted a medical doctor; and 54.2 % consulted an allied health practitioner. Women with the most severe back pain sought conventional care from a general practitioner, and those who consulted a general practitioner first had more severe back pain than those who consulted another practitioner first. Following the general practitioner visit, the women with more severe back pain were more likely to be referred to a conventional specialist, and those with less severe back pain were more likely to be referred to a physiotherapist.
Our findings suggest that women with more severe back pain are likely to visit a conventional practitioner first, whereas women with less severe back pain are likely to explore a range of treatment options including CA...
Peng, W, Adams, J, Hickman, L & Sibbritt, DW 2015, 'Association between consultations with complementary/alternative medicine practitioners and menopause-related symptoms: a cross-sectional study', Climacteric, vol. 18, no. 4, pp. 551-558.View/Download from: Publisher's site
Peng, W, Sibbritt, DW, Hickman, L & Adams, J 2015, 'Association between use of self-prescribed complementary and alternative medicine and menopause-related symptoms: a cross-sectional study.', Complementary Therapies in Medicine, vol. 23, no. 5, pp. 666-673.View/Download from: Publisher's site
To examine the association between self-prescribed complementary and alternative medicine use and menopause-related symptoms, stratified by menopausal status.Data were obtained from a cross-sectional survey of a nationally representative sample of 10,011 menopausal women from the Australian Longitudinal Study on Women's Health, conducted in 2010. Multivariable logistic regression models were applied to identify if the use of selected self-prescribed complementary and alternative medicine was significantly associated with a range of menopause-related symptoms.Vitamins/minerals were more likely to be used by natural menopausal women experiencing anxiety (adjusted OR=1.20) and/or stiff/painful joints (adjusted OR=1.16). Yoga/meditation was more likely to be used by women with hysterectomy (adjusted OR=1.76) or natural menopausal women (adjusted OR=1.38) experiencing anxiety. Herbal medicines were more likely to be used by natural menopausal women experiencing anxiety (adjusted OR=1.22), tiredness (adjusted OR=1.20), and/or stiff/painful joints (adjusted OR=1.17), and by women with oophorectomy experiencing tiredness (adjusted OR=1.45). Aromatherapy oils were more likely to be used by natural menopausal women experiencing night sweats (adjusted OR=1.25) and by women with hysterectomy experiencing anxiety (adjusted OR=2.02). Chinese medicines were more likely to be used by women with oophorectomy experiencing stiff/painful joints (adjusted OR=4.06) and/or palpitations (adjusted OR=3.06).Our study will help improve the patient-provider communication regarding complementary and alternative medicine use for menopause, and we conclude that menopausal status should be taken into account by providers for menopause care. The women's experience and motivations of such use warrant further research.
Peng, W, Adams, J, Sibbritt, DW & Frawley, JE 2014, 'Critical review of complementary and alternative medicine use in menopause: focus on prevalence, motivation, decision-making, and communication', Menopause, vol. 21, no. 5, pp. 536-548.View/Download from: Publisher's site
This article presents the first critical review of complementary and alternative medicine (CAM) use among menopausal women (a term here used to include premenopausal, perimenopausal and postmenopausal women) by focusing on the prevalence of CAM use and CAM users' characteristics, motivation, decision-making, and communication with healthcare providers.
Peng, W, Adams, J, Hickman, L & Sibbritt, DW 2014, 'Complementary/alternative and conventional medicine use amongst menopausal women: Results from the Australian Longitudinal Study on Women's Health', Maturitas, vol. 79, no. 3, pp. 340-342.View/Download from: Publisher's site
Peng, W, Sibbritt, D, Hickman, L, Kong, X, Yang, L & Adams, J 2014, 'A critical review of traditional Chinese medicine use amongst women with menopausal symptoms', Climacteric, vol. 17, no. 6, pp. 635-644.View/Download from: Publisher's site
Objectives To provide the first critical review of traditional Chinese medicine (TCM) use amongst symptomatic menopausal women, drawing upon work examining the perspectives of both TCM users and TCM practitioners. Methods A search was conducted in three English-language databases (MEDLINE, CINAHL and AMED) and three Chinese-language databases (CNKI, VIP and CBM Disc) for 2002-2013 international peer-reviewed articles reporting empirical findings of TCM use in menopause. Results A total of 25 journal articles reporting 22 studies were identified as meeting the review inclusion criteria. Chinese herbal medicine appears to be the most common therapy amongst symptomatic menopausal women, and vasomotor symptoms and emotional changes are the most frequent symptoms for which TCM is sought. However, evidence regarding the prevalence of TCM use and users' profile in menopause is limited. Existing studies are of varied methodological quality, often reporting low response rate, extensive recall bias and a lack of syndrome differentiation. Conclusions This review provides insights for practitioners and health policy-makers regarding TCM care to symptomatic menopausal women. More nationally representative studies are required to rigorously examine TCM use for the management of menopausal symptoms. Syndrome differentiation of menopausal women is an area which also warrants further attention.
Bussing, A, Zhai, X, Peng, W & Ling, C 2013, 'Psychosocial and spiritual needs of patients with chronic diseases: validation of the Chinese version of the Spiritual Needs Questionnaire', Journal of integrative medicine, vol. 11, no. 2, pp. 106-115.View/Download from: Publisher's site
OBJECTIVE: Even in secular societies, a small portion of patients find their spirituality to help cope with illness. But for the majority of patients, psychosocial and spiritual needs are neither addressed nor even considered a relevant factor by health care professionals. To measure such specific needs, the Spiritual Needs Questionnaire (SpNQ) was developed. The aim of this study was to validate the Chinese version of the SpNQ (SpNQ-Ch) and thus to measure psychosocial and spiritual needs of Chinese patients. METHODS: This was a cross-sectional study among 168 patients with chronic diseases who were recruited in the Changhai Hospital of Traditional Chinese Medicine, Shanghai, China using standardized questionnaires. We performed reliability and factor analyses, as well as analyses of variance, first order correlations and regression analyses. RESULTS: The 17-item SpNQ-Ch had a similar factorial structure as the original version with two main and three minor factors which accounted for 64% of variance, and internal consistency estimates (Cronbach's a) ranging from 0.51 to 0.81. Included were the 4-item scale Inner Peace Needs, the 5-item scale Giving/Generativity Needs, the 5-item scale Religious Needs (with 2 sub-constructs, Praying and Sources), and a 3-item scale Reflection/Release Needs. In Chinese patients with cancer (63%), pain affections (10%), or other chronic conditions (23%), the needs for Giving/Generativity (which refer to categories of Connectedness and Meaning) and Inner Peace Needs scored highest, while Religious Needs and the Reflection/Release Needs scored lower
Yang, X, Kong, X, Peng, W, Yue, X & Wang, L 2011, 'Experience in the teaching of Shang Han Lun', Chinese Journal of Information on Traditional Chinese Medicine, vol. 8, no. 4, pp. 97-98.View/Download from: UTS OPUS
Yang, X, Peng, WB & Yue, XQ 2009, 'Syndrome differentiation and treatment of Taiyang disease in Shanghan Lun', Journal of Chinese Integrative Medicine, vol. 7, no. 2, pp. 171-174.View/Download from: Publisher's site
Objective: To explore the laws in syndrome differentiation of Taiyang disease and the prescriptions and herbs used in its treatment in Shanghan Lun (Treatise on Febrile Diseases). Methods: The occurrence rates of main syndromes of Taiyang disease, and the usage frequency of the prescriptions and herbs in its treatment were calculated, and the laws in syndrome differentiation and herbal medication were analyzed by hierarchical clustering analysis. Results: Fever and aversion to cold were found to be the main symptoms of Taiyang disease and usually accompanied with headache, absent sweating, neck stiff, floating and tight pulse, and body ache. The accompanying or aggravated symptoms could be classified into lung system syndrome with the manifestations of sweating and asthma, spleen-deficiency syndrome with the manifestations of gastric fullness and diarrhea, stomach syndrome with vomit and constipation. Guizhi decoction was the main prescription used in the treatment of Taiyang disease. Mahuang (Herba Ephedrae) matching Xingren (Semen Armeniacae), Dahuang (Radix et Rhizoma Rhei) matching Mangxiao (Natrii Sulfas), Baizhu (Rhizoma Atractylodis Macrocephalae) matching Fuling (Poria), Fuzi (Radix Aconiti Lateralis) matching Ganjiang (Rhizoma Zingiberis), Chaihu (Radix Bupleuri) matching Huangqin (Radix Scutellariae), Banxia (Rhizoma Pinelliae), and Renshen (Radix Ginseng) as the main compatibilities were used in treating lung diseases, stomach diseases, spleen-deficiency diseases, kidney-deficiency diseases and Shaoyang diseases respectively. Conclusion: Exterior syndrome, as a common syndrome in Taiyang disease, is usually treated with Guizhi decoction. The change in syndromes from upper-energizer to lower-energizer in exterior disease can be found from the change of symptoms and the use of herbs. And the development from defending stage to qi stage in exterior disease can be found in the use of prescriptions in Shanghan Lun.
Jon, A, Peng, W, Jason, P, Roger, D, Erica, M, Irena, C, David, S, Alex, B, Patricia, D & Bradley, L 2019, 'Traditional, complementary and integrative medicine as self-care in chronic illness: A focus upon stroke and older adults' in Public health and health services research in traditional, complementary and integrative health care, World Scientific.
Adams, J, Steel, A, Schloss, J & Peng, W 2019, 'Coordination, Collaboration and Capacity Building Through National Practice-Based Research Networks: A New Paradigm of Research in Traditional, Complementary and Integrative Medicine' in Public Health and Health Services Research in Traditional, Complementary and Integrative Health Care: International Perspectives, World Scientific, UK, pp. 79-97.
Health and medical research are often criticized as disconnected from the concerns, perspectives and behaviours of those under study (Rycroft-Malone et al., 2016). Indeed, researchers have themselves at times, wittingly or unwittingly, helped propagate this impression. The long-standing focus upon randomized controlled trials and other experimental designs (in public health and medicine more generally) as the gold standard has done little to promote a more inclusive flavour to the research process (Breckenridge et al., 2018). Similarly, the power dynamics encouraged in a traditional research model with the researcher hailed as 'expert' and the participant treated as nothing more than a 'subject' (non-expert) to be passively involved in fieldwork has also discouraged rich participant engagement often as to avoid what is seen as potential contamination of 'clean', rigorous scientific enquiry. These critiques are no less relevant for TCIM as they are for other health and health care research fields and there have been calls from within the TCIM research community to address these features (Paterson, 2007). Unfortunately, despite a diversity of approach and methodology, the TCIM research field continues to harbour a predominant focus and privileged standing for designs and models that are removed from the grass-roots reality of health care delivery and consumption (Adams, 2007).
Adams, J, Steel, A, Peng, W, Sibbritt, D, Wardle, J & Fellows, P 2019, 'Capacity Building in TCIM: A Focus Upon Public Health and Health Services Research' in Public Health and Health Services Research in Traditional, Complementary and Integrative Health Care: International Perspectives, World Scientific, USA, pp. 119-128.View/Download from: Publisher's site
As the current book collection attests, the public health (PH) and health services research (HSR) of TCIM is gaining ground. However, it is imperative we not only facilitate interest but also ensure capacity and sustainability in this significant area of health and health care research (Adams et al., 2012). While a generation of public health and health services researchers have shown interest in this topic there remains only a small number of individuals (relatively insubstantial in number when compared to conventional medical research ranks) and even fewer teams dedicated to the PH and HSR of TCIM. It is well established that research disciplines and fields require strategic forward planning and capacity growth and development in order to attract and retain suitable academics and reach a critical mass where enquiry is sustainable and can serve the needs of practitioners, patients, communities, policymakers and other stakeholders (Cooke, 2005). Nevertheless, it still stands that analysis of the networks, mentoring, leadership and career development opportunities for budding researchers and scholars in the PH and HSR of TCIM does not instil optimism for the quality and future of the field.
This chapter outlines a number of challenges currently facing the PH/HSR of TCIM with regard to capacity building and growth and overviews a number of contemporary initiatives directly aimed at addressing these circumstances. The focus of this chapter is upon research and we highlight a number of recently established international research capacity building endeavours which aim to grow and deepen rigorous PH and HSR in TCIM.
Adams, J, Peng, W, Prior, J, Dunston, R, McIntyre, E, Connon, I, Sibbritt, D, Broom, A, Davidson, P & Leech, B 2019, 'Traditional, Complementary and Integrative Medicine as Self-Care in Chronic Illness: A Focus Upon Stroke and Older Adults' in Health Services Research in Traditional, Complementary and Integrative Health Care: International Perspectives.
Peng, W 2019, 'Do fish oil supplements benefit people with hypertension? Results from the 45 and Up Study', Brisbane, Australia.
Peng, W 2017, '15th World Congress on Public Health'.
Peng, W 2017, 'Do Women Use Herbal Medicine Have A Healthy Lifestyle? A National Survey Of Australian Women', Melbouren Australia.
Peng, W 2017, 'Predictors of arthritis management amongst older Chinese people in a nationally representative survey', World Congress Integrative Medicine & Health 2017.
Peng, W, Sibbritt, D & Adams, J 2015, 'The use of complementary and alternative medicine amongst postmenopausal women experiencing vasomotor symptoms', Integrative Medicine Research, 10th International congress on complementary medicine research, Korea, pp. 36-37.View/Download from: Publisher's site
Peng, W, Sibbritt, D & Adams, J 2014, '1. Utilisation of self-prescribed complementary and alternative medicine in current hormone replacement therapy users, 2007-2010;2. Hormone replacement therapy use in menopausal women with palpitations, 2004-2010', 18th Congress of the Australasian Menopause Society, Congress of the Australasian Menopause Society.
Peng, W, 'Women's use of complementary and alternative medicine for the treatment of menopause-related symptoms: A health services research study'.
Department of Anorectal Surgery, Shanghai Longhua Hospital, China