title: Complementary therapy use among older rural adults.
abstract: OBJECTIVE
  Explore use, cost, and satisfaction with the quality and effectiveness of complementary therapy among older rural adults.
  
  
  METHODS
  Descriptive survey.
  
  
  METHODS
  A random sample of 325 older adults from rural communities throughout Montana and North Dakota.
  
  
  METHODS
  Participants were interviewed by telephone.
  
  
  RESULTS
  Only 57 participants (17.5%) had used complementary providers and most sought this care for chronic problems, heard about providers through word-of-mouth information, and were satisfied with the care. A total of 35.7% (116) used self-directed complementary practices and most used these practices for health promotion, heard about them through informal sources, and found them to be at least somewhat helpful. Of the 325 participants, 45.2% (147) used some form of complementary care, e.g., providers, self-directed practices, or both. Participants used as much complementary care as is found in national studies. Most spent relatively little out-of-pocket for complementary care.
  
  
  CONCLUSIONS
  Understanding the health care choices that older rural residents make, including complementary health care, is paramount for a comprehensive approach to meeting their health care needs.
authors.affiliation: Montana State University-Bozeman, College of Nursing, Missoula 59812-7416, USA. jeansh@montana.edu
authors.forename: Jean
authors.initials: J
authors.lastname: Shreffler-Grant
authors.forename: Clarann
authors.initials: C
authors.lastname: Weinert
authors.forename: Elizabeth
authors.initials: E
authors.lastname: Nichols
authors.forename: Bette
authors.initials: B
authors.lastname: Ide
mesh_terms: D000368:Aged / Q000523:psychology* / Q000706:statistics & numerical data; D000369:Aged, 80 and over; D002755:Choice Behavior; D002908:Chronic Disease / Q000523:psychology; D000529:Complementary Therapies / Q000191:economics / Q000193:education / Q000706:statistics & numerical data*; D005260:Female; D005382:Financing, Personal / Q000191:economics; D019538:Health Care Surveys; D007722:Health Knowledge, Attitudes, Practice; D006293:Health Promotion; D006301:Health Services Needs and Demand; D006801:Humans; D007061:Idaho; D007255:Information Services; D020407:Internet; D008297:Male; D009009:Montana; D010342:Patient Acceptance of Health Care / Q000523:psychology* / Q000706:statistics & numerical data; D010353:Patient Education as Topic; D011637:Public Health Nursing; D012424:Rural Population / Q000706:statistics & numerical data; D012648:Self Care / Q000191:economics / Q000379:methods / Q000523:psychology; D011795:Surveys and Questionnaires