Health care choices: complementary therapy, chronic illness, and older rural dwellers

To better understand elderly rural dwellers use of complementary and alternative therapies (CAM), perception of efficacy, and their sources of information.

Ten participants between ages 60 and 80 years were interviewed by telephone. Qualitative analysis for content and themes was done.

Self-directed practices such as vitamin, mineral, and herbal supplements, taken to compensate for perceived dietary deficiencies, were cited most frequently. Therapies used included biofeedback, massage, chiropractic, and podiatry. Information was obtained from the physician or nurse practitioner and supplemented with material from other sources.

Respondents were discriminating users of the products they selected and were satisfied with the results, although they did not always have accurate understanding of the effects of the supplement or therapy.

Health professionals need to have knowledge about CAM and to include questions about use during patient encounters. Providers must take time to answer questions and provide user friendly information.