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Doctor communication quality and friends' attitudes influence complementary medicine use in inflammatory bowel disease

Mountifield, Reme, Andrews, Jane M, Mikocka-Walus, Antonina and Bampton, Peter 2015, Doctor communication quality and friends' attitudes influence complementary medicine use in inflammatory bowel disease, World journal of gastroenterology, vol. 21, no. 12, pp. 3663-3670, doi: 10.3748/wjg.v21.i12.3663.

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Title Doctor communication quality and friends' attitudes influence complementary medicine use in inflammatory bowel disease
Author(s) Mountifield, Reme
Andrews, Jane M
Mikocka-Walus, AntoninaORCID iD for Mikocka-Walus, Antonina orcid.org/0000-0003-4864-3956
Bampton, Peter
Journal name World journal of gastroenterology
Volume number 21
Issue number 12
Start page 3663
End page 3670
Total pages 8
Publisher WJG Press
Place of publication Beijing, China
Publication date 2015-03-28
ISSN 2219-2840
Keyword(s) Alternative therapy
Complementary medicine
Inflammatory bowel disease
Medication adherence
Patient-Doctor Communication
Therapy
Summary AIM: To examine the frequency of regular complementary and alternative therapy (CAM) use in three Australian cohorts of contrasting care setting and geography, and identify independent attitudinal and psychological predictors of CAM use across all cohorts.

METHODS: A cross sectional questionnaire was administered to inflammatory bowel disease (IBD) patients in 3 separate cohorts which differed by geographical region and care setting. Demographics and frequency of regular CAM use were assessed, along with attitudes towards IBD medication and psychological parameters such as anxiety, depression, personality traits and quality of life (QOL), and compared across cohorts. Independent attitudinal and psychological predictors of CAM use were determined using binary logistic regression analysis.

RESULTS: In 473 respondents (mean age 50.3 years, 60.2% female) regular CAM use was reported by 45.4%, and did not vary between cohorts. Only 54.1% of users disclosed CAM use to their doctor. Independent predictors of CAM use which confirm those reported previously were: covert conventional medication dose reduction (P < 0.001), seeking psychological treatment (P < 0.001), adverse effects of conventional medication (P = 0.043), and higher QOL (P < 0.001). Newly identified predictors were CAM use by family or friends (P < 0.001), dissatisfaction with patient-doctor communication (P < 0.001), and lower depression scores (P < 0.001).

CONCLUSION: In addition to previously identified predictors of CAM use, these data show that physician attention to communication and the patient-doctor relationship is important as these factors influence CAM use. Patient reluctance to discuss CAM with physicians may promote greater reliance on social contacts to influence CAM decisions.
Language eng
DOI 10.3748/wjg.v21.i12.3663
Field of Research 110399 Clinical Sciences not elsewhere classified
Socio Economic Objective 929999 Health not elsewhere classified
HERDC Research category C1.1 Refereed article in a scholarly journal
ERA Research output type C Journal article
Copyright notice ©2015, The Authors
Free to Read? Yes
Use Rights Creative Commons Attribution non-commercial licence
Persistent URL http://hdl.handle.net/10536/DRO/DU:30088637

Document type: Journal Article
Collections: School of Psychology
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Every reasonable effort has been made to ensure that permission has been obtained for items included in DRO. If you believe that your rights have been infringed by this repository, please contact drosupport@deakin.edu.au.