Evidence map›Paper›PMID 21276333›Full record

ArticleThe British journal of general practice : the journal of the Royal College of General Practitioners2011

Integrated medicine in the management of chronic illness: a qualitative study.

Sarah B Brien, Felicity L Bishop, Kirsty Riggs, David Stevenson, Victoria Freire, George Lewith

Abstract read
In one paragraph

Article in The British journal of general practice : the journal of the Royal College of General Practitioners, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 2 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

10 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Breathing exercises for children with asthma.The Cochrane database of systematic reviews · 2016
    Pooled it
  2. Pooled it
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Patients' perceptions of the potential of breathing training for asthma: a qualitative study.Primary care respiratory journal : journal of the General Practice Airways Group · 2013
    Article
  9. Article
  10. Integrated medicine.The British journal of general practice : the journal of the Royal College of General Practitioners · 2011
    Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

6 authors.

Sarah B BrienFaculty of Health Sciences, University of Southampton, Southampton, UK. s.brien@southampton.ac.uk
Felicity L Bishop
Kirsty Riggs
David Stevenson
Victoria Freire
George Lewith

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundComplementary and alternative medicine (CAM) is popular with patients, yet how patients use CAM in relation to orthodox medicine (OM) is poorly understood.

aimTo explore how patients integrate CAM and OM when self-managing chronic illness. DESIGN OF STUDY: Qualitative analysis of interviews.

methodSemi-structured interviews were conducted with individuals attending private CAM practices in the UK, who had had a chronic benign condition for 12 months and were using CAM alongside OM for more than 3 months. Patients were selected to create a maximum variation sample. The interviews were analysed using framework analysis.

resultsThirty five patient interviews were conducted and seven categories of use were identified: using CAM to facilitate OM use; using OM to support long-term CAM use; using CAM to reduce OM; using CAM to avoid OM; using CAM to replace OM; maximising relief using both CAM and OM; and returning to OM. Participants described initiating CAM use following a perceived lack of suitable orthodox treatment. Participants rejecting OM for a specific condition never totally rejected OM in favour of CAM.

conclusionPatients utilise CAM and OM in identifiably different ways, individualising and integrating both approaches to manage their chronic conditions. To support patients and prevent potential adverse interactions, open dialogue between patients, OM practitioners, and CAM practitioners must be improved.

Indexed as

Complementary TherapiesAdultAgedAged, 80 and overChronic DiseaseDecision MakingFemaleHumansMaleMiddle AgedPatient Acceptance of Health CareSurveys and QuestionnairesYoung Adult

Identifiers

PMID21276333
PMCPMC3026175

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.