Knupp Heidi M, Esmail Shaniff, Warren Sharon
Faculty of Rehabilitation Medicine, Department of Occupational Therapy, 2-64 Corbett Hall, Edmonton, Alberta, Canada T6G 2G4.
Occup Ther Int. 2009;16(1):6-24. doi: 10.1002/oti.262.
The purpose of this study was to describe the proportion of occupational therapists currently using complementary and alternative medicine (CAM), or providing referrals to CAM practitioners, as well as the purposes of use/referral in one Canadian region. A questionnaire survey on CAM was sent through e-mail and post to 1123 Canadian occupational therapists. Content, construct and face validity, as well as response, desirability/social, and instrument bias were considered and controlled through study design. A response rate of 17.1% was achieved. Overall, 31.2% of respondents have used at least one form of CAM, with 5.5% using > 1 form of CAM. Purposes for use focused on the treatment of symptoms. Reasons preventing CAM's use included lack of training (82.4%), interest (23%) and/or supporting evidence (22.3%). Considerations of incorporating CAM into occupational therapy focused on a client-centred and holistic approach to treatment (43-63.3%), ranking above legal/employer-related aspects (43-43.6%). Elaborations of negative responses indicated that further supporting evidence on forms of CAM and related research may result in changes of opinion. Therefore, further research on the use of CAM is needed, allowing for evidence-based decisions to be made.
本研究的目的是描述加拿大一个地区目前使用补充和替代医学（CAM）或为CAM从业者提供转诊服务的职业治疗师比例，以及使用/转诊的目的。一项关于CAM的问卷调查通过电子邮件和邮寄方式发送给1123名加拿大职业治疗师。通过研究设计考虑并控制了内容效度、结构效度、表面效度以及反应偏差、期望/社会偏差和工具偏差。获得了17.1%的回复率。总体而言，31.2%的受访者至少使用过一种形式的CAM，其中5.5%使用过不止一种形式的CAM。使用目的集中在症状治疗上。阻碍使用CAM的原因包括缺乏培训（82.4%）、兴趣（23%）和/或支持证据（22.3%）。将CAM纳入职业治疗的考虑重点是以客户为中心和整体的治疗方法（43 - 63.3%），高于法律/雇主相关方面（43 - 43.6%）。对负面回复的阐述表明，关于CAM形式的进一步支持证据和相关研究可能会导致观点的改变。因此，需要对CAM的使用进行进一步研究，以便做出基于证据的决策。
