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

Lorenc, Ava and Ilan-Clarke, Yael and Robinson, Nicola and Blair, Mitch (2009) How parents choose to use CAM: a systematic review of theoretical models. BMC Complementary and Alternative Medicine, 9 (1). p. 9. ISSN 1472-6882

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Abstract

Background:
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.
Methods:
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.
Results:
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.
Conclusion:
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.

Item Type: Article
Research Areas: A. > School of Science and Technology > Psychology > Centre for Abuse and Trauma Studies (CATS)
A. > School of Science and Technology > Psychology
A. > School of Science and Technology > Psychology > Applied Health Psychology group
Item ID: 12815
Depositing User: Users 3197 not found.
Date Deposited: 22 Nov 2013 16:47
Last Modified: 04 Apr 2018 15:47
URI: http://eprints.mdx.ac.uk/id/eprint/12815

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