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Biomedical subjects

Adam Burke

Publications and source records attributed to Adam Burke.

6 recordsLinked to original sources
PubMed2006

Acupuncture use in the United States: findings from the National Health Interview Survey.

OBJECTIVE: Acupuncture has become an important provider-based complementary and alternative medicine (CAM) treatment. To improve understanding of its role in personal health care, an analysis of national data was conducted to examine user sociodemographics, conditions treated, and the relationship of use with conventional Western medical care. DESIGN: A nationally representative cross-sectional survey. SETTING: The 2002 National Health Interview Survey (NHIS), conducted in all 50 states and the District of Columbia. PARTICIPANTS: Thirty-one-thousand and forty-four (31,044) adults who completed the NHIS Sample Adult Core. OUTCOME MEASURES: The primary outcome measure was recent use of acupuncture, defined as use within the previous 12 months. RESULTS: In the 2002 NHIS sample, 4.1% of the respondents reported lifetime use, and 1.1% (representing 2.13 million Americans) reported recent use of acupuncture. Recent use (n = 327) was positively associated with being an Asian female, living in the West or Northeast, having poorer self-reported health status, a higher level of education, and being an ex-smoker. Among recent users, the most typical treatment regimen was two to four treatments (34.5%), with musculoskeletal complaints being the most frequently reported conditions, led by back pain (34.0%). Reports of perceived benefit were generally high. Respondents indicated that acupuncture was used both as an alternative and as a complementary therapy. A reasonable number also reported being referred to acupuncture by a conventional medical professional (25.3%). The cross-sectional nature of the data precluded analysis of transitions in health care use (between conventional and CAM treatments) over time. CONCLUSIONS: Utilization of acupuncture was somewhat lower than expected given its significant national and international recognition and its visibility in the media. This may in part be a function of provider availability and cultural factors.

Acupuncture Therapy↗
PubMed2006

Community-research collaboration between researchers and acupuncturists: integrating a participatory research approach in a statewide survey of licensed acupuncturists in California.

The Licensed Acupuncture Collaborative Study, a job analysis of licensed acupuncturists in California, provides a model for building community-research partnerships between university researchers and communities of non-physician clinicians. The study design used a project-management approach based on the core principles of community-based participatory research: 1) mobilizing shared expertise and resources to address issues of concern; 2) sharing power in the decision-making process; and 3) promoting mutual ownerships of resources and products derived from the collaboration. A project infrastructure involving the sharing of study responsibilities across university researchers, individual acupuncturists, and state community organizations was developed and cultivated over a three-year project period. Essential factors in the success of this project included shared objectives, addressing the concerns about collaboration among academic and community partners, inclusion of nontraditional viewpoints about healthcare policy, and participation by the acupuncturist community in performing the research. These activities helped to overcome mistrust and perceived power differences between researchers and the acupuncturist community.

Acupuncture↗
PubMed2005

Exploring the role of complementary and alternative medicine in public health practice and training.

OBJECTIVES: Consumer use of complementary and alternative medicine (CAM) in the United States continues to expand. Although conventional medicine has responded actively, the response from public health has been far less pronounced. To examine the potential for integrating CAM into public health contexts, an exploratory survey was conducted. DESIGN: A 19-item, self-administered survey instrument was used to collect participant data. SETTINGS/LOCATION: Participants were surveyed at the 2003 American Public Health Association (APHA) annual meeting while attending CAM-related talks sponsored by the Alternative and Complementary Health Practices Special Interest Group (ACHP SPIG). SUBJECTS: A convenience sample of 153 individuals was surveyed, which was predominantly female (81%) and Caucasian (68%), with an average age of 42 years. OUTCOME MEASURES: The survey instrument included items about participant and client demographics, participant use of CAM (personal and professional), perceived client interest in CAM, and several attitude measures. RESULTS: The majority of participants (64%) were currently employed as public health professionals working in a wide variety of settings with highly diverse populations. Personal use of CAM was high (66% using four or more modalities). The majority also reported integrating CAM into work settings. There was a significant relationship between personal and professional use of CAM. Participants overwhelmingly agreed that more professional training in this area was needed. CONCLUSIONS: This exploratory study provides insight into the potential role of CAM as an important resource in public health settings. Additional funding and research in this area is urgently needed.

Adult↗
PubMed2004

Developing the complementary and alternative medicine education infrastructure: baccalaureate programs in the United States.

OBJECTIVES: Efforts to build a complementary and alternative medicine (CAM) education and research infrastructure have been productive. Development has focused largely on graduate, postgraduate, and professional level training. This paper examines baccalaureate programs, looking at the prevalence and characteristics of CAM and holistic health training in the United States. DESIGN: A comprehensive literature and web site search was conducted to find educational institutions offering baccalaureate programs in CAM or holistic health. Search criteria included accredited undergraduate programs terminating in a minor, an AA, or a BA/BS degree. RESULTS: A search of health and education databases produced marginal results. Internet searches, by contrast, were very productive in locating CAM or holistic health-related programs generally and baccalaureate programs specifically. The most effective search strings included terms such as "holistic health," "minor," "certificate," and "undergraduate." Using these terms, 5 programs were found in the United States that met the inclusion criteria: Arizona State University East, Bastyr University, San Francisco State University, Metropolitan State College of Denver, and Georgian Court College. CONCLUSIONS: Preparing tomorrow's scholars and clinicians to contribute meaningfully to this emerging healthcare paradigm will require a plan that integrates all elements of higher education. The creation of a truly effective workforce of CAM-competent M.D.s, nurses, health educators, pharmacists, and other allied health professionals will increasingly necessitate baccalaureate preparation. Curriculum discussions at the campus, state, and national levels are needed.

Complementary Therapies↗
PubMedDate not supplied

Cumulative trauma disorder risk for children using computer products: results of a pilot investigation with a student convenience sample.

OBJECTIVES: Cumulative trauma disorder is a major health problem for adults. Despite a growing understanding of adult cumulative trauma disorder, however, little is known about the risks for younger populations. This investigation examined issues related to child/adolescent computer product use and upper body physical discomfort. METHODS: A convenience sample of 212 students, grades 1-12, was interviewed at their homes by a college-age sibling or relative. One of the child's parents was also interviewed. A 22-item questionnaire was used for data-gathering. Questionnaire items included frequency and duration of use, type of computer products/games and input devices used, presence of physical discomfort, and parental concerns related to the child's computer use. RESULTS: Many students experienced physical discomfort attributed to computer use, such as wrist pain (30%) and back pain (15%). Specific computer activities-such as using a joystick or playing noneducational games-were significantly predictive of physical discomfort using logistic multiple regression. Many parents reported difficulty getting their children off the computer (46%) and that their children spent less time outdoors (35%). CONCLUSIONS: Computer product use within this cohort was associated with self-reported physical discomfort. Results suggest a need for more extensive study, including multiyear longitudinal surveys.

Adolescent↗