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Attitudes of medical and nonmedical students toward orthodox and complementary therapies: is scientific evidence taken into account?

Medical and nonmedical students completed a questionnaire indicating how willing they would be to try various therapies for treatment. Both groups assessed more traditional complementary practices such as homeopathy and acupuncture as similar to more orthodox treatments such as physiotherapy or prescribed diets. Both groups appeared not to differentiate between established techniques (physiotherapy) and less tested techniques (yoga). Furthermore, neither group seemed particularly concerned about the scientific evaluations of treatments.

Attitude of Health Personnel↗

[Proving the effectiveness of complementary therapy. Analysis of the literature exemplified by acupuncture].

At present, acupuncture may be considered one of the most popular forms of complementary medicine worldwide. However, in relation to the number of reviews on the subject, comparatively few controlled clinical trials have been reported so far. An analysis of all the controlled clinical trials listed in MEDLINE between 1987 and March 1994 (n = 39) that met certain basic requirements revealed that they addressed a wide variety of diseases and/or symptoms with no major focus (apart from the symptom of pain, which of course is highly complex in nature). In agreement with the findings of other meta-analyses, most of the more recent papers have been found to be still of indifferent quality. Besides the inherent problem that the term acupuncture subsumes within itself a substantial number of different techniques (and even philosophies), an obvious methodological deficit can be observed. Many groups seem to attach too little importance to choosing an appropriate control model, although seminal papers addressing this problem were already published in the early eighties. Similar remarks apply to inadequacies in study design, which should be at least single-blind. In summary, these findings may well help to explain why the effectiveness of acupuncture has still not been definitively demonstrated.

Acupuncture Therapy↗

Use of complementary therapy by adolescents with asthma.

BACKGROUND: About 40% of adult Americans use complementary or alternative medicine (CAM) for health problems. OBJECTIVE: To determine the prevalence of reported use of CAM in a population of urban adolescents with asthma. DESIGN/METHODS: We used a multistaged, stratified sample approach at an inner-city high school. An asthma screening survey was administered to 3800 registered students, aged 13 to 18 years. We identified a subset of 200 respondents who answered yes to each of the following questions: (1) Does your physician think that you have asthma? (2) Do your parents think that you have asthma? (3) Do you think that you have asthma? A self-completion questionnaire was administered to a sample drawn from this cohort. Differences in proportion were tested by chi( 2) analyses. RESULTS: Of the 160 participants, 63% were female, 68% were Hispanic, 26% were African American, 33% had weekly symptoms, and 14% had daily symptoms. Overall, 80% of participants reported using CAM for asthma. The most commonly reported CAM included rubs (74%), herbal teas (39%), prayer (37%), massage (36%), and Jarabe 7 syrup (24%). Subjects with daily or weekly symptoms were more likely to use CAM for each episode of asthma (72% vs 51%; P =.005). The 61% of subjects who had a family member who used CAM were more likely to use CAM again (84% vs 39%; P<.001). Of the respondents, 59% reported that CAM was effective. Subjects who perceived CAM to be effective were more likely to use it again (96% vs 22%; P<.001). CONCLUSIONS: Most adolescents with asthma in this study used CAM. The prevalence of CAM use in this study population was twice the national average for adults.

Adolescent↗