ArticlePatient education and counseling2012
Negotiating complementary and alternative medicine use in primary care visits with older patients.
Article in Patient education and counseling, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 1 of them a synthesis that pooled it.
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Who cites it
12 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Impact of hearing loss on clinical interactions between older adults and health professionals: a systematic review.European geriatric medicine · 2020Pooled it
- Integrative nursing interventions: knowledge, attitudes and practice in home nursing services in Germany-a quantitative and qualitative online survey.Frontiers in medicine · 2024Article
- Complementary and integrative healthcare communication in Chinese American patient / primary care visits: An observational discourse analysis.PEC innovation · 2022Article
- Reasons Office-Based Physicians in the United States Recommend Common Complementary Health Approaches to Patients: An Exploratory Study Using a National Survey.Journal of integrative and complementary medicine · 2022Article
- Complementary and alternative medicine use among older adults with musculoskeletal pain: findings from the European Social Survey (2014) special module on the social determinants of health.British journal of pain · 2022Article
- Addressing Unmet Information Needs: Results of a Clinician-Led Consultation Service About Complementary and Alternative Medicine for Cancer Patients and Their Relatives.Integrative cancer therapies · 2018Article
- Oncologists' experiences of discussing complementary and alternative treatment options with their cancer patients. A qualitative analysis.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2016Article
- Primary care physicians, acupuncture and chiropractic clinicians, and chronic pain patients: a qualitative analysis of communication and care coordination patterns.BMC complementary and alternative medicine · 2016Article
- Disclosure of complementary health approaches among low income and racially diverse safety net patients with diabetes.Patient education and counseling · 2015Article
- An exploratory typology of provider responses that encourage and discourage conversation about complementary and integrative medicine during routine oncology visits.Patient education and counseling · 2015Observational
- Physician-patient communication about dietary supplements.Patient education and counseling · 2013Article
- Contending Worldviews in the Clinical Encounter: An Empirical Study of Complementary and Alternative Medicine Deliberations in Contemporary Medical Oncology.Journal of alternative and complementary medicine (New York, N.Y.)Article
Corrections and comments
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Authors and funding
4 authors.
Funding
Abstract
objectiveTo empirically investigate the ways in which patients and providers discuss Complementary and Alternative Medicine (CAM) treatment in primary care visits.
methodsAudio recordings from visits between 256 adult patients aged 50 years and older and 28 primary care physicians were transcribed and analyzed using discourse analysis, an empirical sociolinguistic methodology focusing on how language is used to negotiate meaning.
resultsDiscussion about CAM occurred 128 times in 82 of 256 visits (32.0%). The most frequently discussed CAM modalities were non-vitamin, non-mineral supplements and massage. Three physician-patient interactions were analyzed turn-by-turn to demonstrate negotiations about CAM use. Patients raised CAM discussions to seek physician expertise about treatments, and physicians adopted a range of responses along a continuum that included encouragement, neutrality, and discouragement. Despite differential knowledge about CAM treatments, physicians helped patients assess the risks and benefits of CAM treatments and made recommendations based on patient preferences for treatment.
conclusionRegardless of a physician's stance or knowledge about CAM, she or he can help patients negotiate CAM treatment decisions. PRACTICE IMPLICATIONS: Providers do not have to possess extensive knowledge about specific CAM treatments to have meaningful discussions with patients and to give patients a framework for evaluating CAM treatment use.
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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.