How parents choose to use CAM: a systematic review of theoretical models

<p>Abstract</p> <p>Background</p> <p>Complementary and Alternative Medicine (CAM) is widely used throughout the UK and the Western world. CAM is commonly used for children and the decision-making process to use CAM is affected by numerous factors. Most research on CAM u...

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Main Authors: Robinson Nicola, Ilan-Clarke Yael, Lorenc Ava, Blair Mitch
Format: Article
Language:English
Published: BMC 2009-04-01
Series:BMC Complementary and Alternative Medicine
Online Access:http://www.biomedcentral.com/1472-6882/9/9
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author Robinson Nicola
Ilan-Clarke Yael
Lorenc Ava
Blair Mitch
author_facet Robinson Nicola
Ilan-Clarke Yael
Lorenc Ava
Blair Mitch
author_sort Robinson Nicola
collection DOAJ
description <p>Abstract</p> <p>Background</p> <p>Complementary and Alternative Medicine (CAM) is widely used throughout the UK and the Western world. CAM is commonly used for children and the decision-making process to use CAM is affected by numerous factors. Most research on CAM use lacks a theoretical framework and is largely based on bivariate statistics. The aim of this review was to identify a conceptual model which could be used to explain the decision-making process in parental choice of CAM.</p> <p>Methods</p> <p>A systematic search of the literature was carried out. A two-stage selection process with predetermined inclusion/exclusion criteria identified studies using a theoretical framework depicting the interaction of psychological factors involved in the CAM decision process. Papers were critically appraised and findings summarised.</p> <p>Results</p> <p>Twenty two studies using a theoretical model to predict CAM use were included in the final review; only one examined child use. Seven different models were identified. The most commonly used and successful model was Andersen's Sociobehavioural Model (SBM). Two papers proposed modifications to the SBM for CAM use. Six qualitative studies developed their own model.</p> <p>Conclusion</p> <p>The SBM modified for CAM use, which incorporates both psychological and pragmatic determinants, was identified as the best conceptual model of CAM use. This model provides a valuable framework for future research, and could be used to explain child CAM use. An understanding of the decision making process is crucial in promoting shared decision making between healthcare practitioners and parents and could inform service delivery, guidance and policy.</p>
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spelling doaj.art-c9c9b8d0f3c644a4a94db9092a6980242022-12-21T22:00:01ZengBMCBMC Complementary and Alternative Medicine1472-68822009-04-0191910.1186/1472-6882-9-9How parents choose to use CAM: a systematic review of theoretical modelsRobinson NicolaIlan-Clarke YaelLorenc AvaBlair Mitch<p>Abstract</p> <p>Background</p> <p>Complementary and Alternative Medicine (CAM) is widely used throughout the UK and the Western world. CAM is commonly used for children and the decision-making process to use CAM is affected by numerous factors. Most research on CAM use lacks a theoretical framework and is largely based on bivariate statistics. The aim of this review was to identify a conceptual model which could be used to explain the decision-making process in parental choice of CAM.</p> <p>Methods</p> <p>A systematic search of the literature was carried out. A two-stage selection process with predetermined inclusion/exclusion criteria identified studies using a theoretical framework depicting the interaction of psychological factors involved in the CAM decision process. Papers were critically appraised and findings summarised.</p> <p>Results</p> <p>Twenty two studies using a theoretical model to predict CAM use were included in the final review; only one examined child use. Seven different models were identified. The most commonly used and successful model was Andersen's Sociobehavioural Model (SBM). Two papers proposed modifications to the SBM for CAM use. Six qualitative studies developed their own model.</p> <p>Conclusion</p> <p>The SBM modified for CAM use, which incorporates both psychological and pragmatic determinants, was identified as the best conceptual model of CAM use. This model provides a valuable framework for future research, and could be used to explain child CAM use. An understanding of the decision making process is crucial in promoting shared decision making between healthcare practitioners and parents and could inform service delivery, guidance and policy.</p>http://www.biomedcentral.com/1472-6882/9/9
spellingShingle Robinson Nicola
Ilan-Clarke Yael
Lorenc Ava
Blair Mitch
How parents choose to use CAM: a systematic review of theoretical models
BMC Complementary and Alternative Medicine
title How parents choose to use CAM: a systematic review of theoretical models
title_full How parents choose to use CAM: a systematic review of theoretical models
title_fullStr How parents choose to use CAM: a systematic review of theoretical models
title_full_unstemmed How parents choose to use CAM: a systematic review of theoretical models
title_short How parents choose to use CAM: a systematic review of theoretical models
title_sort how parents choose to use cam a systematic review of theoretical models
url http://www.biomedcentral.com/1472-6882/9/9
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