Attitudes and Beliefs that Affect Adherence to Provider-Based Complementary and Alternative Medicine: A Systematic Review

TY - JOUR

T1 - Attitudes and Beliefs that Affect Adherence to Provider-Based Complementary and Alternative Medicine

T2 - A Systematic Review

AU - Ding, Amally

AU - Patel, Jignesh P.

AU - Auyeung, Vivian

PY - 2017/12/20

Y1 - 2017/12/20

N2 - AbstractIntroduction Although a systematic review on the beliefs involved in the use of complementary and alternative medicine (CAM) has been conducted, there is research indicating that these findings may not be applicable to adherence. Thus, a systematic review was undertaken with the aim to identify the attitudes and beliefs towards CAM that affect adherence over time to provider-based CAM in adults. Methods A literature search was conducted in the default fields on the variations of ‘adherence’, ‘compliance’ and ‘concordance’. They were combined with “complementary medicine”, “complementary therapy”, “alternative medicine” and “alternative therapy”, and their plural forms. The search was executed in PubMed, Embase, IPA, PsycINFO, CINAHL, BNI, CENTRAL, AMED and OpenGrey. Inclusion criteria were applied, along with a modified Downs and Black Instrument. Narrative synthesis was performed on the data extracted. Results The search returned with 9387 records. Of these, seven studies were reviewed. Despite the lack of consistency in reporting and Downs and Black scores of 9-18, the findings overall appear to show that a positive attitude or belief in therapy as well as appreciation of the CAM is associated with adherence. To provide a framework of understanding, the factors extracted in this review can be mapped to the capability, opportunity, motivation and behaviour model which is applicable to conventional medication adherence. Conclusion Positive attitudes and the belief in treatment effectiveness were generally associated with adherence to provider-based CAM in the adult population studied within this review.

AB - AbstractIntroduction Although a systematic review on the beliefs involved in the use of complementary and alternative medicine (CAM) has been conducted, there is research indicating that these findings may not be applicable to adherence. Thus, a systematic review was undertaken with the aim to identify the attitudes and beliefs towards CAM that affect adherence over time to provider-based CAM in adults. Methods A literature search was conducted in the default fields on the variations of ‘adherence’, ‘compliance’ and ‘concordance’. They were combined with “complementary medicine”, “complementary therapy”, “alternative medicine” and “alternative therapy”, and their plural forms. The search was executed in PubMed, Embase, IPA, PsycINFO, CINAHL, BNI, CENTRAL, AMED and OpenGrey. Inclusion criteria were applied, along with a modified Downs and Black Instrument. Narrative synthesis was performed on the data extracted. Results The search returned with 9387 records. Of these, seven studies were reviewed. Despite the lack of consistency in reporting and Downs and Black scores of 9-18, the findings overall appear to show that a positive attitude or belief in therapy as well as appreciation of the CAM is associated with adherence. To provide a framework of understanding, the factors extracted in this review can be mapped to the capability, opportunity, motivation and behaviour model which is applicable to conventional medication adherence. Conclusion Positive attitudes and the belief in treatment effectiveness were generally associated with adherence to provider-based CAM in the adult population studied within this review.

KW - adherence

KW - adult

KW - attitude

KW - belief

KW - complementary and alternative medicine

KW - systematic review

U2 - 10.1016/j.eujim.2017.12.002

DO - 10.1016/j.eujim.2017.12.002

M3 - Article

SN - 1876-3820

VL - 17

SP - 92

EP - 101

JO - European Journal of Integrative Medicine

JF - European Journal of Integrative Medicine

ER -