Evidence map›Paper›PMID 30804340›Full record

ArticleNPJ primary care respiratory medicine2019

Perceptions of complementary/alternative medicine use and influence on evidence-based asthma medicine adherence in Malaysian children.

Siti Nurkamilla Ramdzan, Hilary Pinnock, Su May Liew, Nursyuhada Sukri, Hani Salim, Nik Sherina Hanafi, Norita Hussein, Julia Suhaimi, Ping Yein Lee, Ai Theng Cheong and 3 more

Abstract read
In one paragraph

Article in NPJ primary care respiratory medicine, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed, 1 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

17 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Herbal MedicineInternational journal of environmental research and public health · 2023
    Article
  9. Review
  10. Article
  11. Article
  12. Review
  13. Article
  14. Sociocultural influences on asthma self-management in a multicultural society: A qualitative study amongst Malaysian adults.Health expectations : an international journal of public participation in health care and health policy · 2021
    Article
  15. Article
  16. Article
  17. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

13 authors.

Siti Nurkamilla RamdzanDepartment of Primary Care Medicine, Faculty of Medicine, University of Malaya, Kuala Lumpur, Malaysia. sitinurkamilla@um.edu.my.
Hilary PinnockNIHR Global Health Research Unit on Respiratory Health (RESPIRE), Usher Institute of Population Health Sciences and Informatics, University of Edinburgh, Edinburgh, UK.
Su May LiewDepartment of Primary Care Medicine, Faculty of Medicine, University of Malaya, Kuala Lumpur, Malaysia.
Nursyuhada SukriDepartment of Primary Care Medicine, Faculty of Medicine, University of Malaya, Kuala Lumpur, Malaysia.
Hani SalimNIHR Global Health Research Unit on Respiratory Health (RESPIRE), Usher Institute of Population Health Sciences and Informatics, University of Edinburgh, Edinburgh, UK.
Nik Sherina HanafiDepartment of Primary Care Medicine, Faculty of Medicine, University of Malaya, Kuala Lumpur, Malaysia.
Norita HusseinDepartment of Primary Care Medicine, Faculty of Medicine, University of Malaya, Kuala Lumpur, Malaysia.
Julia SuhaimiDepartment of Primary Care Medicine, Faculty of Medicine, University of Malaya, Kuala Lumpur, Malaysia.
Ping Yein LeeUniversiti Putra Malaysia, Selangor, Malaysia.
Ai Theng CheongUniversiti Putra Malaysia, Selangor, Malaysia.
Azainorsuzila Mohd AhadMinistry of Health, Putrajaya, Malaysia.
Steve CunninghamNIHR Global Health Research Unit on Respiratory Health (RESPIRE), Usher Institute of Population Health Sciences and Informatics, University of Edinburgh, Edinburgh, UK.
Ee Ming KhooDepartment of Primary Care Medicine, Faculty of Medicine, University of Malaya, Kuala Lumpur, Malaysia.

Funding

Department of Health RP-PG-1016-20008
6 · The paper itself

Abstract

Complementary and alternative medicine (CAM) is widely used especially in Asia including for childhood asthma. The use of CAM could influence adherence to evidence-based (E-B) medicine. We explored the views of carers of Malaysian children with asthma regarding the use of CAM for childhood asthma, and its relationship with self-reported adherence to E-B medicine. We used a screening questionnaire to identify children diagnosed with asthma from seven suburban primary schools in Malaysia. Informed consent was obtained prior to the interviews. We conducted the interviews using a semi-structured topic guide in participants' preferred language (Malay, Mandarin, or Tamil). All interviews were audio-recorded, transcribed verbatim and coded using Nvivo. Analysis was performed thematically, informed by the Necessity-Concerns Framework. A total of 46 carers (16 Malays, 21 Indians, 9 Chinese) contributed to 12 focus groups and one individual interview. We categorised participants' as 'Non-CAM'; 'CAM'; or 'combination' user. Cultural practices and beliefs in the efficacy of CAM resulted in widespread use of CAM. Most carers used CAM as 'complementary' to E-B medicine. Concerns about dependence on or side effects of E-B treatment influenced carers' decisions to rely on CAM as an 'alternative', with an important minority of accounts describing potentially harmful CAM-use. Healthcare professionals should discuss beliefs about the necessity for and concerns about use of both E-B medicine and CAM, and provide balanced information about effectiveness and safety. The aim is to improve adherence to regular E-B preventer medication and prevent delays in seeking medical advice and harmful practices associated with CAM.

Indexed as

Attitude to HealthComplementary TherapiesMedication AdherenceAdultAgedAnti-Asthmatic AgentsAsthmaCaregiversChildChild, PreschoolCombined Modality TherapyFocus GroupsHumansInterviews as TopicMaleMiddle AgedAnti-Asthmatic Agents

Identifiers

PMID30804340
PMCPMC6389881

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.