4.5 Review

Patient perceptions of clinical care in complementary medicine: A systematic review of the consultation experience

Journal

PATIENT EDUCATION AND COUNSELING
Volume 100, Issue 2, Pages 212-223

Publisher

ELSEVIER IRELAND LTD
DOI: 10.1016/j.pec.2016.09.015

Keywords

Person-centred medicine; Health behaviour; Holism; Patient-practitioner relationship

Ask authors/readers for more resources

Objective: This review aims to describe the prevalence of empathy, empowerment and patient-centred clinical care experienced by patients in complementary medicine (CM) consultations. Methods: A systematic review was undertaken of original research exploring patient perceptions of CM clinical care. Ten databases were searched: Alt HealthWatch, AMED, CINAHL Plus, MEDLINE Complete, Cochrane Library, PubMed, Proquest Medical Collection, PsycInfo, Social Sciences Citation Index and Psychology Collection. Studies were included which reported patient perceptions of consultation with CM practitioners and were excluded where experimental methods controlled the nature of consultation processes. Results: Findings of included studies (n = 34) were categorised under the a priori themes of empathy, empowerment and patient-centred care. This produced a substantial pool of qualitative data detailing patient-reported experiences which consistently confirmed occurrence of these themes in CM consultation. Quantitative data was correlative, yet was insufficient to definitively describe prevalence of such experiences. Conclusion: While it is evident that CM consultations provide a patient experience of empathy, empowerment and patient-centredness, further research is warranted to quantify this experience before it can be defined as characteristic of CM clinical care. Practice implications: This review draws attention to the potential role of CM as a resource for patients' psychosocial health needs. (C) 2016 Elsevier Ireland Ltd. All rights reserved.

Authors

I am an author on this paper
Click your name to claim this paper and add it to your profile.

Reviews

Primary Rating

4.5
Not enough ratings

Secondary Ratings

Novelty
-
Significance
-
Scientific rigor
-
Rate this paper

Recommended

Article Nutrition & Dietetics

Prevalence and Characteristics of Australians Complementary Medicine Product Use, and Concurrent Use with Prescription and Over-the-Counter Medications-A Cross Sectional Study

Joanna Harnett, Erica McIntyre, Jon Adams, Tamia Addison, Holly Bannerman, Lucy Egelton, Jessica Ma, Leon Zabakly, Amie Steel

Summary: This study found that nearly half of Australians use complementary medicine (CM) products, with half of them frequently or always using CM products on the same day as prescription medications. Older individuals, those with lower education levels, and those with chronic illnesses are more likely to concurrently use CM products and other medications. Overall, the prevalence and characteristics of CM use in the Australian population are similar to data collected five years ago. This study highlights the need for further research to ensure appropriate and safe use of CM products among older and more vulnerable populations.

NUTRIENTS (2023)

Review Health Care Sciences & Services

Feasibility and efficacy of implementing group visits for women's health conditions: a systematic review

Sophia Gerontakos, Matthew Leach, Amie Steel, Jon Wardle

Summary: Shared medical appointments, also known as group visits, are a feasible and well-accepted approach for women receiving antenatal care, but their feasibility and efficacy for female-specific reproductive conditions are uncertain.

BMC HEALTH SERVICES RESEARCH (2023)

Review Public, Environmental & Occupational Health

Paternal preconception modifiable risk factors for adverse pregnancy and offspring outcomes: a review of contemporary evidence from observational studies

Tristan Carter, Danielle Schoenaker, Jon Adams, Amie Steel

Summary: This systematic review focuses on investigating the association between modifiable paternal preconception health behaviors and risk factors with pregnancy and/or offspring outcomes.The evidence suggests that paternal smoking may increase the risk of birth defects, and higher paternal BMI is associated with higher offspring birthweight. However, the current evidence is limited and heterogeneous, and further high-quality research is needed to inform clinical preconception care guidelines.

BMC PUBLIC HEALTH (2023)

Article Nursing

Breastfeeding Aversion Response (BAR): A Descriptive Study

Melissa A. Morns, Amie E. Steel, Erica McIntyre, Elaine Burns

Summary: This study aims to investigate the experience and factors influencing breastfeeding aversion response (BAR) through an online survey. Results revealed that a majority of participants experienced aversion symptoms during breastfeeding, and half of them ended breastfeeding sessions before their child was ready to stop feeding.

JOURNAL OF MIDWIFERY & WOMENS HEALTH (2023)

Article Nutrition & Dietetics

The prevalence of breastfeeding aversion response in Australia: A national cross-sectional survey

Melissa A. Morns, Elaine Burns, Erica McIntyre, Amie E. Steel

Summary: A study conducted in Australia investigated the breastfeeding experience of women and found that over one in five participants had experienced breastfeeding aversion response (BAR). Despite the difficulties, most women rated their overall breastfeeding experience positively.

MATERNAL AND CHILD NUTRITION (2023)

Article Public, Environmental & Occupational Health

Osteopathy in rural and remote Australia: analysis of demographic, practice and clinical management characteristics from a nationally representative sample of 992 osteopaths

Brett Vaughan, Amie Steel, Michael Fleischmann, Sandra Grace, Kylie Fitzgerald, Roger Engel, Jon Adams

Summary: There are differences between osteopaths practicing in rural and remote settings and those practicing in urban settings in terms of population distribution and practice characteristics. Osteopaths in rural and remote settings are more likely to receive referrals from massage therapists, send referrals to other osteopaths, and often treat patients over 65 years old, while they are less likely to use private health insurance claim systems and treat non-English-speaking patients.

RURAL AND REMOTE HEALTH (2023)

Article Integrative & Complementary Medicine

Providing naturopathic care in the community: Perspectives of recent naturopathy graduates in Australia

Amie Steel, Helene Diezel, Matthew Leach, Andrea Bugarcic

Summary: This study aimed to understand and describe the experience of naturopathic graduates completing Bachelor degree and transitioning to provide naturopathic care in the community. The analysis identified three related themes: challenges faced by graduates in finding a place within their professional community, the importance of finding a place within the health system, and the need to protect the future of the profession and practice through registration.

COMPLEMENTARY THERAPIES IN CLINICAL PRACTICE (2023)

Article Public, Environmental & Occupational Health

The salutogenic gaze: Theorising the practitioner role in complementary and alternative medicine consultations

Caragh Brosnan, Campbell Tickner, Kate Davies, Milena Heinsch, Amie Steel, Pia Vuolanto

Summary: Research on CAM use reveals that clients highly value the consultation process, as it empowers them through active listening and control over their health. However, there is limited sociological analysis on the dynamics between CAM practitioners and clients within the consultation. This study uses audio recordings and interviews to explore knowledge utilization in client-practitioner interactions, and introduces the concept of the 'salutogenic gaze' to understand the operation of power/knowledge in the CAM consultation.

SOCIOLOGY OF HEALTH & ILLNESS (2023)

Article Social Sciences, Interdisciplinary

Naturopaths' behaviours, attitudes and perceptions towards the use of knowledge and information sources

Amie Steel, Vicky Ward, Matthew Leach, Iva Lloyd

Summary: This study investigates the behaviors, perceptions, and attitudes of naturopathic practitioners towards their use of knowledge and information sources. The findings show that naturopathic practitioners rely heavily on clinical experience and training, and place the most trust in information obtained from laboratory tests. Additionally, they prioritize the patient's perspective when making clinical decisions.

EVIDENCE & POLICY (2023)

Article Integrative & Complementary Medicine

Complex systems, complex practice, complex outcomes: A call for the development of complexity-informed implementation models (CIIM) for traditional, complementary, and integrative medicine.

Kim D. Graham, Hope Foley, Jon Adams, Amie Steel

Summary: This article discusses a complexity-informed implementation model that aims to better meet the complex needs of clinical practice in traditional, complementary, and integrative medicine.

EUROPEAN JOURNAL OF INTEGRATIVE MEDICINE (2023)

Article Integrative & Complementary Medicine

Making sense of complexity: A qualitative 'Framework' analysis of naturopathic case management and clinical reasoning

Kim D. Graham, Amie Steel, Jon Wardle

Summary: The aim of this study is to explore the perceptions of experienced naturopathic practitioners to the management of clinical complexity within naturopathic care. The results showed that naturopathic practitioners approached patients as whole entities, used ampliative and explicative clinical reasoning strategies, and employed systems thinking in treatment. They perceived themselves as embodying the traditional holistic philosophy of naturopathy and using a complexity-informed approach in their case management.

COMPLEMENTARY THERAPIES IN CLINICAL PRACTICE (2023)

Article Integrative & Complementary Medicine

Patient-shared knowledge and information in clinical decision-making: an international survey of the perspectives and experiences of naturopathic practitioners

Amie Steel, Sarah Brand, Matthew Leach, Iva Lloyd, Vicky Ward

Summary: A survey of naturopathic practitioners showed that they value and utilize patient-shared knowledge and information in their clinical consultations. They trust the information provided by the patients and consider their experiences important in informing clinical decision-making.

BMC COMPLEMENTARY MEDICINE AND THERAPIES (2023)

Review Information Science & Library Science

Criteria for the selection, evaluation and application of traditional knowledge in contemporary health practice, education, research and policy: A systematic review

Hope Foley, Andrea Bugarcic, Jon Adams, Jon Wardle, Matthew Leach, Amie Steel

Summary: This study aims to examine the criteria used to select, evaluate, and apply traditional knowledge (TK) in contemporary health contexts. The results show that TK is primarily used in the exploration phase, with little reporting on the preparation, implementation process, or sustainment. The criteria for evaluating TK commonly involve validation with other evidence sources or assessment of factors influencing knowledge translation.

HEALTH INFORMATION AND LIBRARIES JOURNAL (2023)

Article Integrative & Complementary Medicine

Exploring Criteria for the Translation of Traditional Knowledge Within Contemporary Clinical Practice, Research, Policy, and Education: A Stakeholder Forum

Amie Steel, Hope Foley, Andrea Bugarcic, Jon Wardle, Hannah Boyd, Ian Breakspear, Anne-Louise Carlton, Greg Cope, Kamal Dua, Patricia Greenway, Rebecca Redmond, Jason Hawrelak, Naveen Shukla, Jon Adams

Summary: The aim of this study was to identify key factors related to the translation of traditional knowledge (TK) into contemporary settings. The World Cafe methodology was used to collect the observations and perspectives of experts who use TK, and thematic analysis revealed five themes that provide a holistic interpretation of the translation process. Stakeholders recognized TK as a valid source of evidence and outlined important considerations for using TK in contemporary settings.

JOURNAL OF INTEGRATIVE AND COMPLEMENTARY MEDICINE (2023)

Editorial Material Integrative & Complementary Medicine

The Changing Global Public Health Landscape of Traditional, Complementary, and Integrative Medicine in Primary Care: Responding to the Vision of the Declaration of Astana

Gail D. Hughes, Elizabeth Sommers, Amie Steel

JOURNAL OF INTEGRATIVE AND COMPLEMENTARY MEDICINE (2023)

Article Public, Environmental & Occupational Health

Exploring health advice by dental professionals in USA: A secondary data analysis of NHANES (2015-2018)

Noora Jawad, Faisal F. Hakeem, Wael Sabbah

Summary: This study aims to examine socioeconomic and ethnic variations in the provision of health advice by dental professionals. The findings indicate the prominent roles of education level, ethnicity, and smoking status in the provision of health advice. The study emphasizes the need for targeted interventions to promote equity and cultural competence in delivering health advice in dental settings.

PATIENT EDUCATION AND COUNSELING (2024)

Review Public, Environmental & Occupational Health

The 'Kidney' model for optimising feedback in undergraduate clinical communication: A meta-ethnographic systematic review

Katherine Miles, Bernadette O'Neill, Shuangyu Li

Summary: This study conducted a meta-ethnography to identify and synthesize guidance for optimizing feedback interactions in undergraduate clinical communication simulations. The findings led to the development of a new Feedback Kidney Model, which can guide medical education and future research on feedback in promoting learning. Incorporating meta-cognitive training and utilizing the model can help improve students' learning and communication with patients through on-site face-to-face feedback.

PATIENT EDUCATION AND COUNSELING (2024)

Article Public, Environmental & Occupational Health

Implementing bedside handovers in mental health care: Insights from an experience-based co-design

Ellen Van de Velde, Ann Van Hecke, Kristof Eeckloo, Simon Malfait

Summary: This study investigates the suitability of experience-based co-design as a method for designing bedside handover in mental health care, and finds that it is a suitable method for enhancing patient involvement in nursing handovers in a general hospital's mental healthcare unit.

PATIENT EDUCATION AND COUNSELING (2024)

Article Public, Environmental & Occupational Health

Exploring factors to interpretation of targeted nutrition messages for people living with multiple sclerosis

Yasmine Probst, Maddison Luscombe, Marta Hilfischer, Vivienne Guan, Lauren Houston

Summary: This study explores the interpretation of MS-targeted nutrition messages using semi-structured interviews. The findings reveal that dietary changes made by patients with MS after diagnosis are a coping mechanism to address uncertainty, fear of disease progression, and the risk of relapse. The admiration and skepticism towards extremist MS diets depend on individual vulnerability and support from healthcare professionals. The unique MS journey influences the interpretation of the messages, driven by engagement, practicality, and credibility.

PATIENT EDUCATION AND COUNSELING (2024)

Article Public, Environmental & Occupational Health

Role of digital health communication, sociodemographic factors, and medical conditions on perceived quality of patient-centered communication

Aisha T. Langford, Kerli Orellana, Nancy Buderer, Katerina Andreadis, Stephen K. Williams

Summary: This study examined the associations between digital health, sociodemographic factors, and medical conditions on patient-centered communication (PCC). The results suggested that age, education level, household income, and history of hypertension were related to the quality of PCC.

PATIENT EDUCATION AND COUNSELING (2024)

Article Public, Environmental & Occupational Health

'Symptom-free' when inflammatory bowel disease is in remission: Expectations raised by online resources

Danielle Huisman, Taylor Burrows, Louise Sweeney, Kirsty Bannister, Rona Moss-Morris

Summary: This study found limited information on symptoms during remission of inflammatory bowel disease (IBD) on readily searchable patient websites, which fails to adequately explain the persistence of symptoms during remission for patients.

PATIENT EDUCATION AND COUNSELING (2024)

Article Public, Environmental & Occupational Health

Why affiliation matters: A conversation analysis of complaints calls to the NHS

Bethan Benwell, Maria Erofeeva, Catrin S. Rhys

Summary: This study examined how language choices made by call handlers affect the progress of complaint calls and the stance of the callers. The findings showed that displaying affiliation at relevant moments in the conversation helps advance the call and de-escalate the complaint, while the absence or misplacement of affiliation may lead to escalation. Early intervention in establishing affiliation with the caller's concerns and reasoning is crucial for de-escalation.

PATIENT EDUCATION AND COUNSELING (2024)

Article Public, Environmental & Occupational Health

Race differences in patient trust and distrust from audio-recorded cardiology encounters

Sarah V. Hantzmon, Clemontina A. Davenport, Maya N. Das Gupta, Temi A. Adekunle, Sarah E. Gaither, Maren K. Olsen, Sandro O. Pinheiro, Kimberly S. Johnson, Hannah Mahoney, Allison Falls, Lauren Lloyd, Kathryn I. Pollak

Summary: This study examined the impact of racial differences on patient trust and distrust in physician-patient interactions through audio-recorded cardiologist-patient encounters. The results showed that Black patients had lower expressions of trust and a higher level of guardedness compared to White patients. It suggests that White clinicians can improve communication with Black patients to increase expressions of trust.

PATIENT EDUCATION AND COUNSELING (2024)

Article Public, Environmental & Occupational Health

Youth perspectives on mobile health adherence interventions: A qualitative study guided by the supportive accountability model

Caitlin S. Sayegh, Ellen Iverson, Karen K. Macdonell, Shinyi Wu, Marvin Belzer

Summary: This study applied a Supportive Accountability Model to examine youth's perception of remote human coaching and automated reminders for medication adherence. The findings indicated that both coaching and automated reminders were effective in improving adherence, with coaching being viewed as more potent and engaging. Phone calls enhanced the sense of supportive accountability, but texts were more convenient and flexible. Individual preferences varied.

PATIENT EDUCATION AND COUNSELING (2024)

Article Public, Environmental & Occupational Health

Conversation starters: Understanding the facilitators and barriers to physician-initiated secure firearm storage conversations

Jennifer Necci Dineen, Mitchell Doucette, Mekaila Carey, Kerri M. Raissian

Summary: This paper aims to understand the facilitators and barriers perceived by general practice physicians in initiating anticipatory guidance around firearm safety. Qualitative interviews were conducted with 18 GPs to explore their perspectives. Barriers to providing secure firearm storage counseling include inadequate screening mechanisms, limited understanding of who is at risk for firearm injury, time pressures, concerns about patient receptivity, and a need for training. Structural issues need to be addressed before focusing on how to have conversations about firearm safety.

PATIENT EDUCATION AND COUNSELING (2024)

Article Public, Environmental & Occupational Health

The use of outcome data in patient consultations from the healthcare professionals' and patients' perspectives: A mixed methods study

Henrike J. Westerink, Cato C. Bresser, Mirjam M. Garvelink, Cornelia F. van Udenkraan, Ouisam Zouitni, Hans A. J. Bart, Philip J. van der Wees, Paul B. van der Nat

Summary: This study aims to explore the perspectives and needs of healthcare professionals (HCPs) and patients regarding the use of outcome data in consultations. The findings indicate that HCPs do not routinely use aggregated outcome data in consultations due to various barriers. Patients, however, consider aggregated outcome data important but have different preferences based on their health conditions.

PATIENT EDUCATION AND COUNSELING (2024)

Article Public, Environmental & Occupational Health

Co-facilitation to foster equity in codesign: Mechanisms underpinning practice

Bronwyn Newman, Mashreka Sarwar, Ashfaq Chauhan, Reema Harrison

Summary: Co-facilitation presents an opportunity to address inequity in codesign, and through our experiences in the CanEngage project, we have identified three mechanisms to promote equity.

PATIENT EDUCATION AND COUNSELING (2024)

Review Public, Environmental & Occupational Health

Group-based patient education via videoconference: A scoping review

Andre Vaagan, Mette Haaland-Overby, Alison Axisa Eriksen, Kari Fredriksen, Vibeke Stenov, Cecilie Varsi, Brynja Ingadottir, Bryan Richard Cleal, Anita Royneberg Alvheim, Karl Fredrik Westermann, Hilde Stromme, Olof Birna Kristjansdottir

Summary: This study summarizes the recent evidence on the feasibility, acceptability, and effectiveness of videoconference group-based patient and caregiver education. The results suggest that this education approach is highly feasible and acceptable, and may improve health outcomes for participants. However, the evidence of effectiveness is limited and the quality of studies varies. Further research is needed to establish the effectiveness of this education approach for different patient and caregiver groups.

PATIENT EDUCATION AND COUNSELING (2024)

Article Public, Environmental & Occupational Health

Conversation topics in psychiatric consultations conducted with and without a shared decision-making tool: A qualitative content analysis

Momoka Igarashi, Takayuki Kawaguchi, Takuma Shiozawa, Sosei Yamaguchi

Summary: The study aims to identify conversation topics, who initiated the topics, and differences in topics with and without the use of a shared decision-making (SDM) tool in psychiatric outpatient consultations. The findings show that daily life issues, especially related to work, were the main topics discussed, and the SDM tool seems to facilitate discussion of patients' concerns.

PATIENT EDUCATION AND COUNSELING (2024)

Article Public, Environmental & Occupational Health

What's after COVID-19?: Communication pathways influencing future use of telehealth

Qiwei Luna Wu, Grace Ellen Brannon

Summary: This study explores how patient-centered communication, media, and organizational factors influence patients' intentions to use telehealth. The findings suggest that positive healthcare experiences, organizational support, and quality media designs are associated with telehealth adoption.

PATIENT EDUCATION AND COUNSELING (2024)