Kanadiya Mehulkumar K, Klein Guy, Shubrook Jay H
Department of Social and Public Health at Ohio University in Athens, OH, USA.
J Am Osteopath Assoc. 2012 Jul;112(7):437-46.
Complementary and alternative medicine (CAM) has grown into a huge health care industry in the United States, with 91.5 million people (38% of adults) using CAM in 2007. Given the increase in CAM use and the need for CAM education for health professionals, it is important to understand the baseline attitudes and beliefs of osteopathic medical students regarding CAM, as well as the factors that may have formed them.
(1) To determine osteopathic medical students' use of different CAM modalities. (2) To assess osteopathic medical students' attitudes toward CAM using a previously validated instrument.
A previously validated, 29-item Integrative Medicine Attitude Questionnaire and a 10-item CAM Health Belief Questionnaire were administered to osteopathic medical students. Demographic and other data were collected on student use of and recommendations for CAM modalities as well as student awareness and use of primary CAM information resources.
Survey respondents were 635 osteopathic medical students from 7 osteopathic medical schools and additional locations in the United States. Osteopathic medical students demonstrated positive attitudes toward CAM use. A total of 527 osteopathic medical students (83.0%) self-reported the use of at least 1 CAM modality, whereas 69 students (10.9%) used just 1 CAM modality and 458 (72.1%) used 2 or more modalities. The most commonly used CAM modalities--meditation/yoga/relaxation/imagery, massage, and spirituality/prayer--were also most likely to be suggested to patients by osteopathic medical students. Sex, age, and the use of CAM modalities were significantly correlated with attitudes toward CAM modalities.
Osteopathic medical students had a positive attitude toward CAM and had high levels of self-reported CAM knowledge and use. Osteopathic medical students who acquire professional training and have personal experience with CAM may be in a better position to discuss CAM with future patients.
补充和替代医学（CAM）在美国已发展成为一个庞大的医疗保健产业，2007年有9150万人（占成年人的38%）使用补充和替代医学。鉴于补充和替代医学使用的增加以及卫生专业人员对补充和替代医学教育的需求，了解整骨医学学生对补充和替代医学的基线态度和信念以及可能形成这些态度和信念的因素非常重要。
（1）确定整骨医学学生对不同补充和替代医学模式的使用情况。（2）使用先前验证过的工具评估整骨医学学生对补充和替代医学的态度。
对整骨医学学生进行了一份先前验证过的、包含29个条目的综合医学态度问卷和一份包含10个条目的补充和替代医学健康信念问卷。收集了学生对补充和替代医学模式的使用情况、推荐情况以及学生对主要补充和替代医学信息资源的知晓和使用情况等人口统计学和其他数据。
调查对象为来自美国7所整骨医学院及其他地点的635名整骨医学学生。整骨医学学生对使用补充和替代医学表现出积极态度。共有527名整骨医学学生（83.0%）自我报告使用了至少一种补充和替代医学模式，其中69名学生（10.9%）仅使用了一种模式，458名学生（72.1%）使用了两种或更多模式。最常用的补充和替代医学模式——冥想/瑜伽/放松/意象、按摩以及灵性/祈祷——也是整骨医学学生最有可能向患者推荐的。性别、年龄以及补充和替代医学模式的使用与对补充和替代医学模式的态度显著相关。
整骨医学学生对补充和替代医学持积极态度，自我报告的补充和替代医学知识及使用水平较高。接受过专业培训且有补充和替代医学个人经验的整骨医学学生可能更有能力与未来患者讨论补充和替代医学。
