Use of complementary and alternative medicines by patients with chronic obstructive pulmonary disease.
OBJECTIVE
To investigate complementary and alternative medicine (CAM) use by patients with chronic obstructive pulmonary disease (COPD) and to explore their beliefs about CAM.


METHODS
Cross-sectional study of 173 patients with moderate to severe COPD, and in depth interviews with a purposive sample of 28 patients.


METHODS
Ambulatory care.


METHODS
Use of CAM; beliefs about the value of CAM.


RESULTS
71 patients (41%) claimed to be using some form of CAM. Most commonly used were multivitamins and minerals, and garlic was the most commonly used herbal preparation. Patients reported that advertisements and people with prior experience of using CAM were their major sources of information. Extent of knowledge about CAM, degree of faith in CAM and personal attitudes influenced decisions to try CAM. Patients used CAM to promote general wellbeing, to counteract drug side effects, to compensate for dietary deficiencies and to ameliorate their disease. Efficacy appeared less important to users than safety. CAM practitioners were regarded as more convincing, informative, considerate and available compared with mainstream health professionals.


CONCLUSIONS
Communication between patients and mainstream health professionals about CAM use could be improved by health professionals being more accepting of CAM use and having some basic knowledge about commonly used CAM preparations.
George
Johnson
J
Department of Pharmacy Practice, Faculty of Pharmacy, Monash University, Melbourne, VIC, Australia.
Ioannides-Demos
Lisa L
LL
Santamaria
Nick M
NM
Kong
David C M
DC
Stewart
Kay
K
D000368:Aged; D000553:Ambulatory Care; D001294:Attitude to Health; D000529:Complementary Therapies; D003430:Cross-Sectional Studies; D005260:Female; D006801:Humans; D008297:Male; D029424:Pulmonary Disease, Chronic Obstructive / Q000145:classification / Q000628:therapy*; D012720:Severity of Illness Index