Complementary medicine for the management of knee and hip osteoarthritis - A patient perspective.

Kim, C; Stebbings, S; Sundberg, T; Munk, N; Lauche, R; Ward, L

Complementary medicine for the management of knee and hip osteoarthritis - A patient perspective.

Kim, C Stebbings, S Sundberg, T Munk, N Lauche, R

Ward, L

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Publisher:: Wiley
Publication Type:: Journal Article
Citation:: Musculoskeletal care, 2020, 18, (1), pp. 53-63
Issue Date:: 2020

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Field	Value	Language
dc.contributor.author	Kim, C
dc.contributor.author	Stebbings, S
dc.contributor.author	Sundberg, T
dc.contributor.author	Munk, N
dc.contributor.author	Lauche, R https://orcid.org/0000-0002-4171-7935
dc.contributor.author	Ward, L
dc.date.accessioned	2020-08-06T05:23:41Z
dc.date.available	2019-10-19
dc.date.available	2020-08-06T05:23:41Z
dc.date.issued	2020
dc.identifier.citation	Musculoskeletal care, 2020, 18, (1), pp. 53-63
dc.identifier.issn	1478-2189
dc.identifier.issn	1557-0681
dc.identifier.uri	http://hdl.handle.net/10453/141995
dc.description.abstract	BACKGROUND:Complementary medicines and therapies (CMT) are recommended in osteoarthritis (OA) treatment guidelines; however, there are few studies on CMT use in the community. The present study explored the use and perceptions of CMT for OA management in a New Zealand population. METHODS:Nineteen middle- to older-aged adults with hip or knee OA, recruited from a public hospital research database, engaged in focus groups exploring CMT knowledge, factors influencing CMT use, and the role of medical professionals in the decision-making process. Participants were organized into four groups, further to explore the impact of age or OA duration on CMT use. RESULTS:Thematic analysis resulted in five themes, consistent across all groups: participants' perceptions of CMT; reasons for taking CMT; reasons for not taking CMT; sources and credibility of CMT information; and medical professionals' role in CMT use. Participants indicated a range of CMT use, yet were unclear what defined a product as 'CMT'. CMT use was influenced by symptom severity, previous experiences of themselves or trusted others, and perceived CMT effectiveness. General practitioners were identified as participants' preferred source of CMT information, owing to both their professional knowledge and lack of commercial gain from promoting CMT use. CONCLUSION:Participants supported CMT for OA management, based on evidence and/or experience of effectiveness. Proactive general practitioner dialogue and subsidized CMT products recommended as part of a clinical treatment plan would encourage further CMT uptake. Additionally, the development of standardized CMT terminology would facilitate patient-doctor communication regarding CMT use and promote inter-professional dialogue regarding multidisciplinary patient treatment.
dc.format	Print-Electronic
dc.language	eng
dc.publisher	Wiley
dc.relation.ispartof	Musculoskeletal care
dc.relation.isbasedon	10.1002/msc.1441
dc.rights	info:eu-repo/semantics/restrictedAccess
dc.subject	1110 Nursing
dc.subject.classification	Arthritis & Rheumatology
dc.title	Complementary medicine for the management of knee and hip osteoarthritis - A patient perspective.
dc.type	Journal Article
utslib.citation.volume	18
utslib.location.activity	England
utslib.for	1110 Nursing
pubs.organisational-group	/University of Technology Sydney/Faculty of Health
pubs.organisational-group	/University of Technology Sydney
pubs.organisational-group	/University of Technology Sydney/Strength - CHSP - Health Services and Practice
utslib.copyright.status	closed_access	*
pubs.consider-herdc	true
dc.date.updated	2020-08-06T05:23:33Z
pubs.issue	1
pubs.publication-status	Published
pubs.volume	18
utslib.citation.issue	1

Abstract:

BACKGROUND:Complementary medicines and therapies (CMT) are recommended in osteoarthritis (OA) treatment guidelines; however, there are few studies on CMT use in the community. The present study explored the use and perceptions of CMT for OA management in a New Zealand population. METHODS:Nineteen middle- to older-aged adults with hip or knee OA, recruited from a public hospital research database, engaged in focus groups exploring CMT knowledge, factors influencing CMT use, and the role of medical professionals in the decision-making process. Participants were organized into four groups, further to explore the impact of age or OA duration on CMT use. RESULTS:Thematic analysis resulted in five themes, consistent across all groups: participants' perceptions of CMT; reasons for taking CMT; reasons for not taking CMT; sources and credibility of CMT information; and medical professionals' role in CMT use. Participants indicated a range of CMT use, yet were unclear what defined a product as 'CMT'. CMT use was influenced by symptom severity, previous experiences of themselves or trusted others, and perceived CMT effectiveness. General practitioners were identified as participants' preferred source of CMT information, owing to both their professional knowledge and lack of commercial gain from promoting CMT use. CONCLUSION:Participants supported CMT for OA management, based on evidence and/or experience of effectiveness. Proactive general practitioner dialogue and subsidized CMT products recommended as part of a clinical treatment plan would encourage further CMT uptake. Additionally, the development of standardized CMT terminology would facilitate patient-doctor communication regarding CMT use and promote inter-professional dialogue regarding multidisciplinary patient treatment.

Please use this identifier to cite or link to this item:

http://hdl.handle.net/10453/141995