Attitudes, awareness and self-use of complementary therapies among Spanish health sciences, journalism, and primary teacher training students

  1. Emilia Lopera-Pareja
  2. Carolina Moreno-Castro
Revista:
Ludus vitalis: revista de filosofía de las ciencias de la vida = journal of philosophy of life sciences = revue de philosophie des sciences de la vie

ISSN: 1133-5165

Año de publicación: 2020

Volumen: 28

Número: 53

Páginas: 1-26

Tipo: Artículo

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Otras publicaciones en: Ludus vitalis: revista de filosofía de las ciencias de la vida = journal of philosophy of life sciences = revue de philosophie des sciences de la vie

Resumen

In Spain, during the last decade, there has been an intense debate between advocates of complementary and alternative medicine (CAM) and a skeptical movement. Neither are these therapies integrated into the public health system nor have practitioner training courses been regulated. Notwithstanding this, their use is on the increase in Spain, as can be seen in the last public opinion survey (CIS, 2018). Thus, the objective of this work is to explore the attitudes towards and awareness and self-use of CAM among health sciences, journalism and primary teacher training students. These students were chosen since they will play a fundamental role as storytellers of evidence-based science for the foreseeable future. To perform the study, 234 students were asked to complete a Spanish version of the CAM Health Belief Questionnaire (CHBQ). The results show that, by and large, they had a positive attitude towards CAM, despite that fact that the journalism and health sciences students admitted to being wary of them to a certain extent. Four out of the five best known and most used CAM modalities among the respondents fell into the ‘mental and corporal practices’ category, i.e., yoga, massage, meditation and relaxation.

Referencias bibliográficas

  • Aasland, O. G., Borchgrevink, C. F., & Fugelli, P. (1997), “Norske leger og alternativ medisin. Kunnskaper, holdninger og erfaringer [Norwegian physicians and alternative medicine. Knowledge, attitudes and experiences]”, Tidsskr Nor Lægeforen 117(17): 2464–2468.
  • Ansede, M. (2018, 7 June), “Los científicos y médicos españoles se unen para exigir leyes contra las pseudociencias [Spanish scientists and physicians unite to demand legislation against pseudosciences]”, El País. Available at: https://elpais.com/elpais/2018/06/07/ciencia/1528393704_847448.html. Date of reference: April 12, 2019.
  • APTN-COFENAT (2018), Encuesta sobre percepción de las terapias naturales en la sociedad [Survey on social perception of natural therapies]. Available at: https://www.cofenat.es/index.php?s=noticias&a=noticias&id=1266. Date of reference: July 10, 2019.
  • Arriagada, D., Celis, D., Mallea, R., Paul, M., & Vega, J. (2007), “Conocimientos y opiniones de estudiantes de medicina de quinto año acerca de las medicinas alternativas y complementarias [Knowledge and opinions of fifth-year medical students on alternative and complementary medicines]”, Boletín Escuela de Medicina Pontificia Universidad de Chile 32(2): 59-64.
  • Ballesteros-Peña, S., & Fernández-Aedo, I. (2015), “Conocimientos y actitudes sobre terapias alternativas y complementarias en estudiantes de ciencias de la salud [Knowledge and attitudes toward complementary and alternative therapies among health sciences students]”, Investigación en Educación Médica 4: 207–215.
  • Baugniet, J., Boon, H., & Ostbye, T. (2000), “Complementary/alternative medicine: Comparing the views of medical students with students in other health care professions”, Family Medicine 32(3): 178–184.
  • Berman, B. M., Singh, B. B., Hartnoll, S. M., Singh, B. K., & Reilly, D. (1998), “Primary care physicians and complementary-alternative medicine: Training, attitudes, and practice patterns”, The Journal of the American Board of Family Practice 11(4): 272–281.
  • Bernstein, J. H., & Shuval, J. T. (1997), “Nonconventional medicine in Israel: Consultation patterns of the Israeli population and attitudes of primary care physicians”, Social Science and Medicine 44(9): 1341–1348.
  • Bishop, F. L., Yardley, L., & Lewith, G. T. (2007), “A systematic review of beliefs involved in the use of complementary and alternative medicine”, Journal of Health Psychology 12(6): 851–867.
  • Bland, J. M., & Altman, D. G. (1997), “Cronbach’s alpha”, British Medical Journal 314(7080): 572–572.
  • Borkan, J., Neher, J. O., Anson, O., & Smoker, B. (1994), “Referrals for alternative therapies”, Journal of Family Practice 39(6): 545–550.
  • Boucher, T. A., & Lenz, S. K. (1998), “An organizational survey of physicians’ attitudes about and practice of complementary and alternative medicine”, Alternative Therapies in Health and Medicine 4(6): 59–65.
  • Cano-Orón, L. (2016), “Correlación entre las búsquedas sobre terapias complementarias en Google y su uso por parte la población española [Correlation between searches on complementary therapies in Google and its use by the Spanish population]”, Panacea XVII(44): 124–132.
  • Cauffield, J. S. (2000), “The psychosocial aspects of complementary and alternative medicine”, Pharmacotherapy 20(11): 1289–1294.
  • CIS (2018), Barómetro Num. 3205 [Survey]. Available at: http://www.cis.es/cis/opencm/ES/1_encuestas/estudios/ver.jsp?estudio=14383. Date of reference: September 5, 2018.
  • Crocetti, E., Crotti, N., Montella, M., & Musso, M. (1996), “Complementary medicine and oncologists’ attitudes: A survey in Italy”, Tumori 82(6): 539–542.
  • Chez, R. A., Jonas, W. B., & Crawford, C. (2001), “A survey of medical students’ opinions about complementary and alternative medicine”, American Journal of Obstetrics and Gynecology 185(3): 754–757.
  • DeKeyser, F. G., Bar Cohen, B., & Wagner, N. (2001), “Knowledge levels and attitudes of staff nurses in Israel towards complementary and alternative medicine”, Journal of Advanced Nursing 36(1): 41–48.
  • Dogas, Z., Kardum, G., Miric, L., Sevo, V., Tolic, T., Ursic, A., Zekic, S. (2003), “Attitudes towards science and alternative medicine of medical, economics and business, and electrical engineering students in Split, Croatia”, Croatian Medical Journal 44(1): 75–79.
  • Easthope, G., Tranter, B., & Gill, G. (2000), “General practitioners’ attitudes toward complementary therapies”, Social Science and Medicine 51(10): 1555–1561.
  • Eisenberg, D. M. (1997), “Advising patients who seek alternative medical therapies”, Annals of Internal Medicine 127(1): 61–69.
  • Eisenberg, D. M., Kessler, R. C., Van Rompay, M. I., Kaptchuk, T. J., Wilkey, S. A., Appel, S., & Davis, R. B. (2001), “Perceptions about complementary therapies relative to conventional therapies among adults who use both: Results from a national survey”, Annals of Internal Medicine 135(5): 344–351.
  • Estomba, D., Ladio, A., & Lozada, M. (2006), “Medicinal wild plant knowledge and gathering patterns in a Mapuche community from North-western Patagonia”, Journal of Ethnopharmacology 103(1): 109-119.
  • European Parliament (2017), Complementary and alternative therapies for patients today and tomorrow. Retrieved from Directorate-General for Internal Policies. Policy Department A: Economic and Scientific Policy. Available at: http://www.europarl.europa.eu/RegData/etudes/STUD/2017/614180/IPOL_STU(2017)614180_EN.pdf. Date of reference: April 22, 2019.
  • Furnham, A., & Smith, C. (1988), “Choosing alternative medicine - A comparison of the beliefs of patients visiting a general-practitioner and a homeopath”, Social Science and Medicine 26(7): 685–689.
  • Geist-Martin, P., & Bell, K. K. (2009), “’Open your heart first of all’: Perspectives of holistic providers in Costa Rica about communication in the provision of health care”, Health Communication 24(7): 631-646.
  • Greiner, K. A., Murray, J. L., & Kallail, K. J. (2000), “Medical student interest in alternative medicine”, Journal of Alternative and Complementary Medicine 6(3): 231–234.
  • Gyasi, R. M., Abass, K., Adu-Gyamfi, S., & Accam, B. T. (2017), “Nurses’ knowledge, clinical practice and attitude towards unconventional medicine: Implications for intercultural healthcare”, Complementary Therapies in Clinical Practice 29: 1–8.
  • Hall, H., Leach, M. J., Brosna, C., Cant, R., & Collins, M. (2018), “Registered nurses’ communication about patients’ use of complementary therapies: a national survey”, Patient Education and Counseling 101(8): 1403-1409.
  • Han, E., Johnson, N., DelaMelena, T., Glissmeyer, M., & Steinbock, K. (2011), “Alternative therapy used as primary treatment for breast cancer negatively impacts outcomes”, Annals of Surgical Oncology 18(4): 912-916.
  • Honda, K., & Jacobson, J. S. (2005), “Use of complementary and alternative medicine among United States adults: The influences of personality, coping strategies, and social support”, Preventive Medicine 40(1): 46–53.
  • Hopper, I., & Cohen, M. (1998), “Complementary therapies and the medical profession: A study of medical students’ attitudes”, Alternative Therapies in Health and Medicine 4(3): 68–73.
  • Houston, E. A., Bork, C. E., Price, J. H., Jordan, T. R., & Dake, J. A. (2001), “How physician assistants use and perceive complementary and alternative medicine”, JAAPA: Official Journal of the American Academy of Physician Assistants 14(1): 29-30, 33-24, 39-40.
  • Islahudin, F., Shahdan, I. A., & Mohamad-Samuri, S. (2017), “Association between belief and attitude toward preference of complementary alternative medicine use”, Patient Preference and Adherence 11: 913–918.
  • Jakovljevic, M. B., Djordjevic, V., Markovic, V., Milovanovic, O., Rancic, N. K., & Cupara, S. M. (2013), “Cross-sectional survey on complementary and alternative medicine awareness among health care professionals and students using CHBQ questionnaire in a Balkan country”, Chinese Journal of Integrative Medicine 19(9): 650–655.
  • James, P. B., & Bah, A. J. (2014), “Awareness, use, attitude and perceived need for Complementary and Alternative Medicine (CAM) education among undergraduate pharmacy students in Sierra Leone: A descriptive cross-sectional survey”, BMC Complementary and Alternative Medicine 14: 438.
  • Kaptchuk, T. J., & Miller, F. G. (2005), “What is the best and most ethical model for the relationship between mainstream and alternative medicine: Opposition, integration, or pluralism?”, Academic Medicine 80(3): 286–290.
  • Kline, P. (2000), The Handbook of Psychological Testing, London: Routledge.
  • Koentopp, S., & Ebersberger, B. (2008), “Extrinsic determinant for the utilization of complementary medicinal therapy method”, Forschende Komplementarmedizin 15(1): 32–39.
  • Kreitzer, M. J., Mitten, D., Harris, I., & Shandeling, J. (2002), “Attitudes toward CAM among medical, nursing, and pharmacy faculty and students: A comparative analysis”, Alternative Therapies in Health and Medicine 8(6): 44–47, 50–53.
  • Leggett, S., Koczwara, B., & Miller, M. (2015), “The impact of complementary and alternative medicines on cancer symptoms, treatment side effects, quality of life, and survival in women with breast cancer – a systematic review”, Nutrition and Cancer 67(3): 373-391.
  • Lie, D., & Boker, J. (2004), “Development and validation of the CAM Health Belief Questionnaire (CHBQ) and CAM use and attitudes amongst medical students”, BMC Medical Education 4:2.
  • Lipman, A. G. (2002), “The polarized debate over complementary and alternative medicine”, Journal of Pain and Palliative Care Pharmacotherapy 16(4): 79-83.
  • Mertz, M. (2007), “Complementary and alternative medicine: The challenges of ethical justification. A philosophical analysis and evaluation of ethical reasons for the offer, use and promotion of complementary and alternative medicine”, Medicine, Health Care, and Philosophy 10(3): 329–345.
  • Ministerio de Sanidad (2011), Análisis de la situación de las terapias naturales [Analysis of the situation of natural therapies]. Available at: http://www.mspsi.gob.es/novedades/docs/analisisSituacionTNatu.pdf. Date of reference: October 15, 2018.
  • Ministerio de Sanidad (2013), Encuesta Nacional de Salud 2011/2012 [National Health Survey 2011/2012]. Available at: https://www.msssi.gob.es/estadEstudios/estadisticas/encuestaNacional/encuestaNac2011/UtilizacionServiciosSanitarios_DistribucionPorcentual.pdf. Date of reference: October 15, 2018.
  • Moore, J., Phipps, K., Marcer, D., & Lewith, G. (1985), “Why do people seek treatment by alternative medicine”, British Medical Journal 290(6461): 28–29.
  • Moreno-Tarín, S. (2019), “Estudio sobre el uso de la evidencia científica como argumento en los relatos periodísticos sobre terapias complementarias en los principales diarios digitales españoles (2015-2017) [Study on the use of scientific evidence as an argument in the news stories about complementary therapies in the main Spanish digital newspapers (2015-2017)]”. Dígitos. Revista de Comunicación Digital 5, https://revistadigitos.com/index.php/digitos/article/view/134
  • NCCIH (2016), Complementary, alternative, or integrative health: What’s in a name? Available at: https://nccih.nih.gov/health/integrative-health#term. Date of reference: May 5, 2019.
  • Patel, S. J., Kemper, K. J., & Kitzmiller, J. P. (2017), “Physician perspectives on education, training, and implementation of complementary and alternative medicine”, Advances in Medical Education and Practice 8: 499–503.
  • Perkin, M. R., Pearcy, R. M., & Fraser, J. S. (1994), “A comparison of the attitudes shown by general-practitioners, hospital doctors and medical-students towards alternative medicine”, Journal of the Royal Society of Medicine 87(9): 523–525.
  • Pinto, T. (2017, 28 October), “Entrevista a Soledad Cabezón (eurodiputada socialista): ‘Es necesario poner coto a la proliferación de pseudoterapias en la UE’” [“Interview to Soledad Cabezón (Socialist Member of the European Parliament): ‘It is necessary to stop the proliferation of pseudotherapies in the EU’”], Eldiario.es. Available at: https://www.eldiario.es/sociedad/homeopatia-pseudoterapias-terapias_alternativas-salud_0_700980669.html. Date of reference: April 22, 2018.
  • Pokladnikova, J., & Lie, D. (2008), “Comparison of attitudes, beliefs, and resource-seeking behavior for CAM among first- and third-year Czech pharmacy students”, American Journal of Pharmaceutical Education 72(2): article 24.
  • Reilly, D. T. (1983), “Young doctors’ views on alternative medicine”, British Medical Journal 287(6388): 337–339.
  • Riccard, C. P., & Skelton, M. (2008), “Comparative analysis of 1st, 2nd, and 4th year MD students’ attitudes toward Complementary Alternative Medicine (CAM)”, BMC Research Notes 1: 84
  • Risberg, T., Kolstad, A., Johansen, A., & Vingerhagen, K. (1999), “Opinions on and use of alternative medicine among physicians, nurses and clerks in northern Norway”, In Vivo 13(6): 493–498.
  • Salmenpera, L., Suominen, T., & Lauri, S. (1998), “Oncology nurses’ attitudes towards alternative medicine”, Psycho-Oncology 7(6): 453–459.
  • Samuels, N., Zisk-Rony, R. Y., Singer, S. R., Dulitzky, M., Mankuta, D., Shuval, J. T., & Oberbaum, M. (2010), “Use of and attitudes toward complementary and alternative medicine among nurse-midwives in Israel”, American Journal of Obstetrics and Gynecology 203(4): 341.e1-341.e7.
  • Siahpush, M. (1999), “Why do people favour alternative medicine?”, Australian and New Zealand Journal of Public Health 23(3): 266–271.
  • Tataryn, D. J. (2002), “Paradigms of health and disease: A framework for classifying and understanding complementary and alternative medicine”, Journal of Alternative and Complementary Medicine 8(6): 877–892.
  • Thomas, K., & Coleman, P. (2004), “Use of complementary or alternative medicine in a general population in Great Britain. Results from the National Omnibus survey”, Journal of Public Health 26(2): 152–157.
  • Truant, T., & Bottorff, J. L. (1999), “Decision making related to complementary therapies: A process of regaining control”, Patient Education and Counseling 38(2): 131–142.
  • Van den Bulck, J., & Custers, K. (2009), “Belief in complementary and alternative medicine is related to age and paranormal beliefs in adults”, European Journal of Public Health 20(2): 227–230.
  • Visser, G. J., & Peters, L. (1990), “Alternative medicine and general-practitioners in the Netherlands - Towards acceptance and integration”, Family Practice 7(3): 227–232.
  • Walker, B. F., Armson, A., Hodgetts, C., Jacques, A., Chin, F. E., Kow, G., Wright, A. (2017), “Knowledge, attitude, influences and use of complementary and alternative medicine (CAM) among chiropractic and nursing students”, Chiropractic and Manual Therapies 25: article 29.
  • Webb, L., Perry-Parrish, C., Ellen, J., & Sibinga, E. (2018), “Mindfulness instruction for HIV-infected youth: a randomized controlled trial”, AIDS Care 30(6): 688-695.
  • White, A. R., Resch, K. L., & Ernst, E. (1997), “Complementary medicine: Use and attitudes among GPs”, Family Practice 14(4): 302–306.
  • WHO (2013), WHO Traditional Medicine Strategy 2014-2023. Available at: http://www.who.int/medicines/publications/traditional/trm_strategy14_23/en. Date of reference: May 25, 2019.
  • Yun, Y. H., Lee, M. K., Park, S. M., Kim, Y. A., Lee, W. J., Lee, K. S., ..., & Heo, D. S. (2013), “Effect of complementary and alternative medicine on the survival and health-related quality of life among terminally ill cancer patients: a prospective cohort study”, Annals of Oncology 24(2): 489-494.
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