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Differences in referral and use of complementary and alternative medicine between pediatric providers and patients
Brooke N Jenkins1, Nicole Vincent2, Michelle A Fortier3
1University of California Irvine, Department of Psychology and Social Behavior, United States.
Insights
Pediatric health care providers referred more complementary and alternative medicine (CAM) therapies than parents reported using for their children. This suggests potential underutilization of CAM by pediatric patients.
Area of Science:
- Pediatric Health
- Complementary and Alternative Medicine (CAM)
- Healthcare Provider Referrals
Background:
- Complementary and Alternative Medicine (CAM) is increasingly utilized by pediatric populations.
- Understanding the patterns of CAM use and healthcare provider (HCP) referral is crucial for integrated pediatric care.
- Predictors of CAM use and referral in pediatric settings require further investigation.
Purpose of the Study:
- To compare pediatric complementary and alternative medicine (CAM) use by caregivers with CAM referrals by pediatric health care providers (HCP).
- To identify predictors associated with pediatric CAM use and HCP CAM referral.
Main Methods:
- A survey study involving 283 parents/caregivers and 200 pediatric health care providers (HCP) at a children's hospital.
- Participants indicated the use or consideration of 32 CAM interventions for pediatric patients.
- Outcome measures included the number and types of CAM therapies endorsed.
Main Results:
- HCPs referred the majority of CAM therapies significantly more often than caregivers reported their children used them.
- Children from higher-income families, with older and more educated parents, who were White, and whose primary language was English were more likely to use CAM.
- HCP CAM referral was not significantly predicted by years of practice or health care profession.
Conclusions:
- HCPs referred CAM therapies more frequently than parents reported using them for their children.
- Findings suggest potential underutilization of CAM therapies among pediatric patients.
- Further research is needed to explore barriers to CAM use in pediatric populations.
Objectives:
The goal of this study was to compare pediatric complementary and alternative medicine (CAM) use and pediatric health care provider CAM referral as well as identify predictors of use and referral.
Design:
Surveys were administered to 283 parents/caregivers of pediatric patients and 200 pediatric health care providers (HCP).
Setting:
This study took place at the Children's Hospital of Orange County (CHOC Children's) in Orange, CA.
Main Outcome Measures:
Caregivers and HCP were provided a list of 32 CAM interventions and asked to indicate which treatments their child had ever used or which they would consider using for their child and which treatments they had ever referred or which they would consider referring, respectively. The main outcome variables were the number and type of CAM therapies endorsed by participants.
Results:
Providers referred the majority of CAM therapies significantly more often than patients used each therapy and more often than caregivers would consider each therapy for their child. In addition, children from families with higher incomes, whose parents were older and had more education, who were White, and whose primary language spoken at home was English were more likely to use CAM therapies, all p's<0.05. HCP CAM referral was not significantly predicted by number of years a health care provider practiced or health care profession, all p's<0.05.
Conclusions:
HCP referred CAM therapies more often than parents reported use for their children. Findings may imply that parents/caregivers are underutilizing CAM therapies for their children. Potential barriers to CAM use in pediatric patients needs to be explored.
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