title: Complementary and alternative medicine use among youth with juvenile arthritis: are youth using CAM, but not talking about it?
abstract: OBJECTIVE
  To examine self-reported use and correlates of complementary and alternative medicine (CAM) in adolescents with juvenile arthritis (JA).
  
  
  METHODS
  One hundred thirty-four adolescents with JA completed an online survey of their use of, interest in, and discussions about CAM. The PedsQL 4.0 SF15 assessed quality of life.
  
  
  RESULTS
  The majority (72%) of youth reported using ≥1 CAM modality. Use did not differ by sex, age, race, or geographic location. The most commonly used CAM modalities were yoga (45%) and meditation, relaxation, or guided imagery (40%). Low psychosocial quality of life was associated with massage and meditation, relaxation, or guided imagery use (p < .05). Only 46% of youth reported discussing CAM with a health care provider. Nonusers were most interested in learning more about massage (79%) and yoga (57%).
  
  
  CONCLUSIONS
  Youth with JA reported high use of CAM, but few discussed CAM with health care providers. Findings suggest practitioners should engage adolescents in discussions about CAM.
authors: Department of Pediatrics, Medical School, University of Minnesota, Minneapolis, Minnesota 55414, USA. sebur003@umn.edu
authors: Elisabeth M
authors: EM
authors: Seburg
authors: Keith J
authors: KJ
authors: Horvath
authors: Ann W
authors: AW
authors: Garwick
authors: Barbara J
authors: BJ
authors: McMorris
authors: Richard K
authors: RK
authors: Vehe
authors: Peter
authors: P
authors: Scal
mesh_terms: D000293:Adolescent; D001171:Arthritis, Juvenile / Q000628:therapy*; D000529:Complementary Therapies / Q000706:statistics & numerical data*; D003625:Data Collection; D030881:Disclosure; D005260:Female; D006801:Humans; D008297:Male; D011369:Professional-Patient Relations; D011788:Quality of Life; D055815:Young Adult