title: Complementary/alternative medicine use for arthritis by older women of urban-rural settings.
abstract: OBJECTIVE
  This study described the use of complementary/alternative medicine (CAM) for arthritis management among community-dwelling older women in urban, suburban, and rural areas.
  
  
  METHODS
  A descriptive qualitative approach using focus group method was employed. A purposive sample of 50 women ages 66-101 who managed arthritis with CAM participated in eight semistructured focus groups: rural (n=22), suburban (n=17), and urban areas (n=11). Data were transcribed verbatim. Inductive analytic process and computer software were used for data analysis.
  
  
  CONCLUSIONS
  A wide variety of self-help CAM were reported. Supplements were the most commonly used CAM across all locations; rural participants reported the greatest variety of CAM use. Physical symptoms, dissatisfaction with conventional medicine, perceived safety and convenience of CAM, and a desire for personal control over one's health motivated CAM use. Most participants did not fully disclose their CAM use to their primary healthcare provider (HCP).
  
  
  CONCLUSIONS
  Results suggest a strong need for primary HCP to purposely dialogue with their clients on CAM use when designing, organizing, and delivering arthritis care. Information on safe CAM use and greater options for effective arthritis management with CAM are needed. The value of group-based model for treating arthritis deserves further exploration.
authors.affiliation: School of Nursing, University of Minnesota, Minneapolis, Minnesota.
authors.forename: Corjena
authors.initials: C
authors.lastname: Cheung
authors.forename: Carol
authors.initials: C
authors.lastname: Geisler
authors.forename: Jeris
authors.initials: J
authors.lastname: Sunneberg
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D001168:Arthritis / Q000188:drug therapy*; D000529:Complementary Therapies / Q000379:methods / Q000706:statistics & numerical data*; D005260:Female; D017144:Focus Groups; D006801:Humans; D036301:Qualitative Research; D012424:Rural Population; D014505:Urban Population
keywords: Complementary and alternative medicine (CAM); arthritis; elderly; focus groups