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AJPH First Look, published online ahead of print Jan 2, 2008
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September 2008, Vol 98, No. 9 | American Journal of Public Health 1700-1705
© 2008 American Public Health Association
DOI: 10.2105/AJPH.2007.110072

RESEARCH AND PRACTICE

Treat or Treatment: A Qualitative Study Analyzing Patients’ Use of Complementary and Alternative Medicine

Felicity L. Bishop, PhD, Lucy Yardley, PhD and George T. Lewith, MA, MD, FRCP, MRCGP

Felicity Bishop, Lucy Yardley, and George Lewith are with the University of Southampton, Southampton, England.

Correspondence: Requests for reprints should be sent to Felicity L. Bishop, Complementary Research Unit, Primary Medical Care, University of Southampton, Aldermoor Health Centre, Aldermoor Close, Southampton, Hampshire, SO16 5ST, UK (e-mail: flb100{at}soton.ac.uk).

Objectives. We analyzed how patients use complementary and alternative medicine (CAM) and examined how patients’ perspectives relate to existing, expert-led taxonomies.

Methods. We conducted semistructured interviews with 46 people who used CAM in southern England, then performed a qualitative thematic analysis of the interviews.

Results. CAM appeared to be used in 4 different ways: as treats, and as alternative, complementary, or conventional treatments. Treats were portrayed as personal luxuries, not directed at an identified health need. Systematic differences in the context, anticipated benefits, and implications for financial justification were revealed when nonmedical therapies were viewed and used as alternative, complementary, or conventional treatments. Specific CAM practices were viewed and used in different ways by different participants.

Conclusions. Some participants used CAM practices as a personal luxury, not as a health care technology. This is incongruent with existing expert-led taxonomies. Physicians and researchers need to be aware that patients’ views of what constitutes CAM can differ radically from their own. They should choose their terminology carefully to initiate meaningful dialogue with their patients and research participants.






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