Expert consensus-based clinical recommendation for an integrative anthroposophic treatment of acute bronchitis in children: A Delphi survey
Background: Acute bronchitis is one of the most common pediatric diseases. In addition to conventional therapies, a frequent use of complementary and alternative medicine (CAM) has been stated. Anthroposophic medicine (AM) is one of the most practiced complementary and integrative medicine (CIM) app...
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| Format: | Article |
| Language: | English |
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Elsevier
2021-08-01
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| Series: | Complementary Therapies in Medicine |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S0965229921000777 |
| _version_ | 1819137238252912640 |
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| author | Pilar Marie Wopker Melanie Schwermer Simon Sommer Alfred Längler Katharina Fetz Thomas Ostermann Tycho Jan Zuzak |
| author_facet | Pilar Marie Wopker Melanie Schwermer Simon Sommer Alfred Längler Katharina Fetz Thomas Ostermann Tycho Jan Zuzak |
| author_sort | Pilar Marie Wopker |
| collection | DOAJ |
| description | Background: Acute bronchitis is one of the most common pediatric diseases. In addition to conventional therapies, a frequent use of complementary and alternative medicine (CAM) has been stated. Anthroposophic medicine (AM) is one of the most practiced complementary and integrative medicine (CIM) approaches in Central Europe but hitherto no consensus-based clinical recommendations or guidelines are available.Therefore, a consensus-based recommendation leading to an informed and reasonable use of AM in the treatment of acute bronchitis in pediatrics was developed. Methods: A total of 61 physicians in Germany with expertise in the field of anthroposophic pediatrics was invited to complete an online multistep Delphi process. Two independent reviewers quantitatively and qualitatively evaluated the results. The survey was completed when >75 % consensus was achieved. Results: The clinical recommendation comprises 15 subitems related to treatment as well as clinical and psychosocial aspects. All items reached strong consensus (>90 %; N = 9) or consensus (75–90 %; N = 6). Conclusion: The comprehensive clinical recommendation creates a scientific base for the anthroposophic integrative treatment of acute bronchitis in children in Germany. It will make the anthroposophic approach more applicable, understandable and comparable to a wider public of physicians and other health professionals in Germany. |
| first_indexed | 2024-12-22T10:47:42Z |
| format | Article |
| id | doaj.art-f1e858a3ee76442a92c5cdcf832bd473 |
| institution | Directory Open Access Journal |
| issn | 0965-2299 |
| language | English |
| last_indexed | 2024-12-22T10:47:42Z |
| publishDate | 2021-08-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Complementary Therapies in Medicine |
| spelling | doaj.art-f1e858a3ee76442a92c5cdcf832bd4732022-12-21T18:28:54ZengElsevierComplementary Therapies in Medicine0965-22992021-08-0160102736Expert consensus-based clinical recommendation for an integrative anthroposophic treatment of acute bronchitis in children: A Delphi surveyPilar Marie Wopker0Melanie Schwermer1Simon Sommer2Alfred Längler3Katharina Fetz4Thomas Ostermann5Tycho Jan Zuzak6Department of Pediatrics, Gemeinschaftskrankenhaus Herdecke, Gerhard-Kienle-Weg 4, 58313, Herdecke, Germany; Witten/Herdecke University, Faculty of Health, Alfred-Herrhausen-Straße 50, 58455, Witten, GermanyDepartment of Pediatrics, Gemeinschaftskrankenhaus Herdecke, Gerhard-Kienle-Weg 4, 58313, Herdecke, Germany; Witten/Herdecke University, Faculty of Health, Alfred-Herrhausen-Straße 50, 58455, Witten, Germany; Corresponding author at: Department of Pediatrics, Gemeinschaftskrankenhaus Herdecke, Gerhard-Kienle-Weg 4, 58313, Herdecke, Germany.Department of Pediatrics, Vestische Kinder- und Jugendklinik Datteln, Dr.-Friedrich-Steiner-Straße 5, 45711, Datteln, GermanyDepartment of Pediatrics, Gemeinschaftskrankenhaus Herdecke, Gerhard-Kienle-Weg 4, 58313, Herdecke, Germany; Witten/Herdecke University, Faculty of Health, Alfred-Herrhausen-Straße 50, 58455, Witten, GermanyDepartment of Psychology, Chair of Research Methodology and Statistics in Psychology, Witten/Herdecke University, Alfred-Herrhausen-Straße 50, 58455, Witten, GermanyDepartment of Psychology, Chair of Research Methodology and Statistics in Psychology, Witten/Herdecke University, Alfred-Herrhausen-Straße 50, 58455, Witten, GermanyDepartment of Pediatrics, Gemeinschaftskrankenhaus Herdecke, Gerhard-Kienle-Weg 4, 58313, Herdecke, Germany; Department of Pediatric Oncology and Hematology, University of Duisburg-Essen, Hufelandstr.55, 45147, Essen, GermanyBackground: Acute bronchitis is one of the most common pediatric diseases. In addition to conventional therapies, a frequent use of complementary and alternative medicine (CAM) has been stated. Anthroposophic medicine (AM) is one of the most practiced complementary and integrative medicine (CIM) approaches in Central Europe but hitherto no consensus-based clinical recommendations or guidelines are available.Therefore, a consensus-based recommendation leading to an informed and reasonable use of AM in the treatment of acute bronchitis in pediatrics was developed. Methods: A total of 61 physicians in Germany with expertise in the field of anthroposophic pediatrics was invited to complete an online multistep Delphi process. Two independent reviewers quantitatively and qualitatively evaluated the results. The survey was completed when >75 % consensus was achieved. Results: The clinical recommendation comprises 15 subitems related to treatment as well as clinical and psychosocial aspects. All items reached strong consensus (>90 %; N = 9) or consensus (75–90 %; N = 6). Conclusion: The comprehensive clinical recommendation creates a scientific base for the anthroposophic integrative treatment of acute bronchitis in children in Germany. It will make the anthroposophic approach more applicable, understandable and comparable to a wider public of physicians and other health professionals in Germany.http://www.sciencedirect.com/science/article/pii/S0965229921000777Acute bronchitisChildAnthroposophic medicineComplementary and alternative medicineIntegrative medicineDelphi survey |
| spellingShingle | Pilar Marie Wopker Melanie Schwermer Simon Sommer Alfred Längler Katharina Fetz Thomas Ostermann Tycho Jan Zuzak Expert consensus-based clinical recommendation for an integrative anthroposophic treatment of acute bronchitis in children: A Delphi survey Complementary Therapies in Medicine Acute bronchitis Child Anthroposophic medicine Complementary and alternative medicine Integrative medicine Delphi survey |
| title | Expert consensus-based clinical recommendation for an integrative anthroposophic treatment of acute bronchitis in children: A Delphi survey |
| title_full | Expert consensus-based clinical recommendation for an integrative anthroposophic treatment of acute bronchitis in children: A Delphi survey |
| title_fullStr | Expert consensus-based clinical recommendation for an integrative anthroposophic treatment of acute bronchitis in children: A Delphi survey |
| title_full_unstemmed | Expert consensus-based clinical recommendation for an integrative anthroposophic treatment of acute bronchitis in children: A Delphi survey |
| title_short | Expert consensus-based clinical recommendation for an integrative anthroposophic treatment of acute bronchitis in children: A Delphi survey |
| title_sort | expert consensus based clinical recommendation for an integrative anthroposophic treatment of acute bronchitis in children a delphi survey |
| topic | Acute bronchitis Child Anthroposophic medicine Complementary and alternative medicine Integrative medicine Delphi survey |
| url | http://www.sciencedirect.com/science/article/pii/S0965229921000777 |
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