Wye by pjwns


									CAM programme day
Overview of CAM research in the Academic Unit of Primary Health Care, University of Bristol
Lesley Wye and Ali Heawood

CAM research 2001
Players, process & outcomes

Players, process & outcomes
Homeopathy & antibiotic use amongst pre-school children


CHIPS Action Research

Completed CAM research 2006
Male cancer patients’ CAM use


Asthma patients’ views and experiences of CAM plus survey of prevalence of CAM use for asthma


Back pain
RCT of Alexander technique, massage & exercise

Individualised homeopathy for children with severe asthma


Role of pharmacists & other community staff in supporting self-care using over the counter CAM


On going CAM research 2006
Integration of CAM & conventional med. within families Use of homeopathic medicines amongst children Diet, lifestyle & supplement use for joint pain & arthritis

Mainstreaming CAM within NHS primary & community care Comp. therapies & supportive cancer care: towards integration & holistic care? Development & evaluation of holistic assessment for CHIPS Evaluation of Wellspring CHC

1. The importance of the research & its relevance to the priorities and needs of the NHS 2. Anticipated outputs, outcomes & impact of this research on the health of patients and/ or the public 3. Anticipated timescale for the benefits to the NHS resulting from this research to be realised

Example 1: CAM use for asthma
Two studies:
 Qualitative study: to investigate the views and experiences of patients and parents of children with asthma regarding CAM use (funded by NCCRCD post-doctoral award)
 Survey: to investigate the prevalence of CAM use among primary care asthma patients and predictors of use (funded by South West General Practice Trust)

Example 1: CAM use for asthma
Qualitative study:
 What are patients’ and parents’ experiences of conventional NHS asthma care?  Why do patients and parents of children with asthma turn to CAM?  How do patients/parents find out about and access CAM?  What types of CAM do they use and why?  How do they perceive CAM to help their asthma?  What are their views of greater NHS access to CAM?

Example 1: CAM use for asthma
Settings used:
 Primary care: asthma patients from two contrasting general practices  Secondary care
 Asthma outpatient clinic at children’s hospital  Homeopathic hospital

 Private complementary therapists

Example 1: CAM use for asthma
Methods used:
    Individual interviews with adult patients Paired interviews with child plus parent 50 interviews conducted in total Thematic analysis, drawing on constant comparative method

Example 1: CAM use for asthma
Qualitative study progress:
 Completed  Much of the data analysis completed  Two papers published so far *
* Shaw et al, BMC Health Services Research 2006;6:76 Shaw et al, Health Expectations 2006;9(4):343-358

Example 1: CAM use for asthma
 Aim: To determine the prevalence of complementary therapy use and predictors of use among primary care patients with asthma in the south west of England.  Methods: Postal survey of patients with asthma, conducted via 27 general practices across seven Primary Care Trusts within the South West Strategic Health Authority (England).
 Analysis: near completion, to submit for publication Dec 06/Jan 07

Example 2: Self-care and OTC CAM use
Project title: Role of pharmacy and other community staff in supporting patients’ self-care using over-thecounter (OTC) CAM products Funding body: Avon Primary Care Research Collaborative Main research question: What role (if any) do pharmacy and health shop staff have in supporting patients’ use of OTC CAM products?*
* e.g. herbal medicines, homeopathic products, supplements, essential oils

Example 2: Self-care and OTC CAM use
Research questions:
 What knowledge and attitudes do staff in pharmacies and health shops have regarding OTC CAM products?  How do staff feel about advising and informing customers about OTC products and why?  What kinds of interactions regarding OTC CAM products occur between staff and customers?  What OTC CAM products are customers seeking and why, why do they choose to purchase them in a particular setting, what information/advice are they seeking and how satisfied are they with the advice given by staff?

Example 2: Self-care and OTC CAM use
Settings studied:
 Pharmacies (v3) and health shops (x3)  Mixture of chain and independent  Range of interest in /provision of CAM products

Methods used:
 Observation of staff-customer interactions  Interviews with staff and customers

Example 2: Self-care and OTC CAM use
Progress so far:
 Two settings completed, four to go….  Project ends in July 07

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