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      Medical students’ knowledge, attitude, and practice of complementary and alternative medicine: a pre-and post-exposure survey in Majmaah University, Saudi Arabia

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          Abstract

          Background

          Evidently, complementary and alternative medicine (CAM) is a recognized medical practice that efficiently uses multiple treatment therapies and techniques in the prevention and management of a variety of human disorders. Many medical schools have integrated CAM curriculum in medical education system worldwide. Research in knowledge, attitude, and practice (KAP) of diverse health professionals exposed to CAM courses is important from many perspectives including improvement in KAP and teaching skills of faculty, together with capacity building and curriculum development.

          Objective and setting

          This pre- and post-design cross-sectional study aimed to assess CAM-KAP of two intakes of medical students in Majmaah University, Saudi Arabia.

          Methods

          The second-year medical students of the first (year 2012–2013) and second (year 2013–2014) intake (n=26 and 39, respectively) were selected for this study. A reliable, 16-item self-administered questionnaire was distributed among all the students for answering before and after the 48-hour CAM course. The data were analyzed using appropriate statistical test of significance.

          Results

          Medical students’ knowledge and attitude toward CAM significantly improved across some subitems of CAM questionnaire with a positive trend in the rest of its items including their views on CAM practices.

          Conclusion

          CAM course tends to have a positive impact on KAP of medical students. The preliminary results of this study call for further research with a larger sample in academic settings across the nation.

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          Complementary and alternative medicine use among adults and children: United States, 2007.

          Patricia Barnes, Barbara E. Bloom, Richard Nahin (2008)
          This report presents selected estimates of complementary and alternative medicine (CAM) use among U.S. adults and children, using data from the 2007 National Health Interview Survey (NHIS), conducted by the Centers for Disease Control and Prevention's (CDC) National Center for Health Statistics (NCHS). Trends in adult use were assessed by comparing data from the 2007 and 2002 NHIS. Estimates were derived from the Complementary and Alternative Medicine supplements and Core components of the 2007 and 2002 NHIS. Estimates were generated and comparisons conducted using the SUDAAN statistical package to account for the complex sample design. In 2007, almost 4 out of 10 adults had used CAM therapy in the past 12 months, with the most commonly used therapies being nonvitamin, nonmineral, natural products (17.7%) and deep breathing exercises (12.7%). American Indian or Alaska Native adults (50.3%) and white adults (43.1%) were more likely to use CAM than Asian adults (39.9%) or black adults (25.5%). Results from the 2007 NHIS found that approximately one in nine children (11.8%) used CAM therapy in the past 12 months, with the most commonly used therapies being nonvitamin, nonmineral, natural products (3.9%) and chiropractic or osteopathic manipulation (2.8%). Children whose parent used CAM were almost five times as likely (23.9%) to use CAM as children whose parent did not use CAM (5.1%). For both adults and children in 2007, when worry about cost delayed receipt of conventional care, individuals were more likely to use CAM than when the cost of conventional care was not a worry. Between 2002 and 2007 increased use was seen among adults for acupuncture, deep breathing exercises, massage therapy, meditation, naturopathy, and yoga. CAM use for head or chest colds showed a marked decrease from 2002 to 2007 (9.5% to 2.0%).
          Article 0 comments Cited 285 times – based on 0 reviews     Review now
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            An Integrative Model of Patient-Centeredness – A Systematic Review and Concept Analysis

            Isabelle Scholl, Jördis Zill, Martin Härter … (2014)
            Background Existing models of patient-centeredness reveal a lack of conceptual clarity. This results in a heterogeneous use of the term, unclear measurement dimensions, inconsistent results regarding the effectiveness of patient-centered interventions, and finally in difficulties in implementing patient-centered care. The aim of this systematic review was to identify the different dimensions of patient-centeredness described in the literature and to propose an integrative model of patient-centeredness based on these results. Methods Protocol driven search in five databases, combined with a comprehensive secondary search strategy. All articles that include a definition of patient-centeredness were eligible for inclusion in the review and subject to subsequent content analysis. Two researchers independently first screened titles and abstracts, then assessed full texts for eligibility. In each article the given definition of patient-centeredness was coded independently by two researchers. We discussed codes within the research team and condensed them into an integrative model of patient-centeredness. Results 4707 records were identified through primary and secondary search, of which 706 were retained after screening of titles and abstracts. 417 articles (59%) contained a definition of patient-centeredness and were coded. 15 dimensions of patient-centeredness were identified: essential characteristics of clinician, clinician-patient relationship, clinician-patient communication, patient as unique person, biopsychosocial perspective, patient information, patient involvement in care, involvement of family and friends, patient empowerment, physical support, emotional support, integration of medical and non-medical care, teamwork and teambuilding, access to care, coordination and continuity of care. In the resulting integrative model the dimensions were mapped onto different levels of care. Conclusions The proposed integrative model of patient-centeredness allows different stakeholders to speak the same language. It provides a foundation for creating better measures and interventions. It can also be used to inform the development of clinical guidance documents and health policy directives, and through this support the shift towards patient-centered health care.
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              Shared Treatment Decision Making Improves Adherence and Outcomes in Poorly Controlled Asthma

              Sandra R Wilson, Peg Strub, A Buist … (2010)
              American Journal of Respiratory and Critical Care Medicine, 181(6), 566-577
              Article 0 comments Cited 188 times – based on 0 reviews     Review now
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                Author and article information

                Journal
                Journal ID (nlm-ta): Adv Med Educ Pract
                Journal ID (iso-abbrev): Adv Med Educ Pract
                Journal ID (publisher-id): Advances in Medical Education and Practice
                Title: Advances in Medical Education and Practice
                Publisher: Dove Medical Press
                ISSN (Electronic): 1179-7258
                Publication date Collection: 2015
                Publication date (Electronic): 03 June 2015
                Volume: 6
                Pages: 407-420
                Affiliations
                [1 ]College of Medicine, Majmaah University, Al Majma’ah, Saudi Arabia
                [2 ]National Center of Complementary and Alternative Medicine, Ministry of Health, Saudi Arabia
                [3 ]Department of Family Medicine and Community Medicine, College of Medicine, King Saud University, Riyadh, Saudi Arabia
                [4 ]Department of Community Medicine and Public Health, College of Medicine, Majmaah University, Al Majma’ah, Saudi Arabia
                Author notes
                Correspondence: Naseem Akhtar Qureshi, National Center for Complementary and Alternative Medicine, PO box 88300, Riyadh 11662, Saudi Arabia, Tel +966 1 1450 0147, Fax +966 1 1470 9602, Email qureshinaseem@ 123456live.com
                Article
                Publisher ID: amep-6-407
                DOI: 10.2147/AMEP.S82306
                PMC ID: 4461096
                SO-VID: c290d090-abf6-4295-a6af-be55aee86f17
                Copyright © © 2015 Al Mansour et al. This work is published by Dove Medical Press Limited, and licensed under Creative Commons Attribution – Non Commercial (unported, v3.0) License
                License:

                The full terms of the License are available at http://creativecommons.org/licenses/by-nc/3.0/. Non-commercial uses of the work are permitted without any further permission from Dove Medical Press Limited, provided the work is properly attributed.

                History
                Categories
                Subject: Original Research

                Keywords: traditional medical system,medical schools,undergraduate medical students,curriculum,saudi arabia
                Data availability:
                Keywords: traditional medical system, medical schools, undergraduate medical students, curriculum, saudi arabia

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