Use and Impact of Complementary and Alternative Medicine Among US Children

补充和替代医学在美国儿童中的使用和影响

• 批准号: 8323367
• 负责人: Christina D Bethell
• 金额: $ 19.06万
• 依托单位: OREGON HEALTH & SCIENCE UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 2010
• 资助国家: 美国
• 起止时间: 2010-09-01 至 2014-08-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8323367
• 关键词: Accounting; Acupuncture procedure; Address; Adolescent; Adult; Age; Alexander technique; Attitude; Behavior; Belief; Benefits and Risks; Biofeedback; Botanica; Caring; Characteristics; Child; Child Health Services; Child health care; Childhood; Chiropractic manipulation; Clinical; Clinical Trials; Cognitive; Complementary and alternative medicine; Coupled; Data; Data Collection; Data Files; Data Set; Demographic Factors; Development; Diet; Epidemiology; Ethnic Origin; Expenditure; Family; Foundations; Future; Group Meetings; Guided imagery; Guidelines; Healed; Health; Health Insurance; Health Policy; Health Sciences; Health Services; Health Services Research; Health Status; Health system; Homeopathy; Hypnosis; Income; Insurance Coverage; Knowledge; Link; Massage; Measurement; Measures; Medical; Medicine; Meditation; Methods; Minerals; Modality; Modeling; National Health Interview Survey; Native Americans; Naturopathy; Oregon; Osteopathic manipulation; Outcome; Parents; Pediatrics; Peer Review; Perception; Policies; Policy Research; Population; Prevalence; Provider; Public Health; Publications; Qi Gong; Race; Reporting; Research; Resources; Risk; Sampling; Self Care; Series; Services; Shamanism; Sobador; Social Characteristics; Specific qualifier value; Subgroup; Support Groups; Surveys; Tai Ji; Testing; Time; Trager Psychophysical Integration; Translational Research; United States; Universities; Variant; Vitamins; Yoga; ayurveda; base; chelation; deep breathing exercises; demographics; design; evidence base; experience; feldenkrais; healing; hierbero; medicine man; meetings; model development; patient oriented; pilates exercise; population based; progressive relaxation therapy; public health relevance; service utilization; sex; social; stress management

DESCRIPTION (provided by applicant): To date suggest that complementary and alternative medicine (CAM) use is increasingly common among children and youth in the United States. However, national, population-based estimates and correlates of CAM use for all and diverse subgroups of children are not known. Especially incomplete is knowledge of health status, health services factors related to CAM use, prevalence among children with specific conditions, the impact of CAM on health outcomes and utilization and expenditures for allopathic care. This study has five specific aims. Specific Aim 1: Specify a pediatric CAM health services and policy research model relevant to address priority pediatric CAM health services and policy research questions, taking into account unique needs and characteristics of children and implications for data requirements and methods. Specific Aim 2: Develop and confirm the cognitive salience and construct validity of pediatric CAM survey modules suitable and feasible for use in one or more routinely collected population-based surveys. Specific Aim 3: Empirically evaluate the significance of key child level demographic, resource and need based factors that may predict the use of CAM in children, including the child's age, sex, race/ethnicity, family income, health insurance status, health status and other predisposing, enabling and need based factors historically used in evaluating conventional medical care services utilization. Specific Aim 4: Empirically evaluate the significance of parental and other health system factors that may predict the use of CAM in children, including parental demographics, perceptions of their child's health risk, parental self-care behaviors, parental reported use of CAM and parental perceptions of the quality of conventional medical care for their child. Specific Aim 5: Evaluate associations and the potential impact of CAM use in children on both their matched year and future year utilization and/or expenditures for conventional health services use and selected health outcomes. Overall, this study will place the use of CAM in children in the context of their health status, demographics and social characteristics and their use and experiences with conventional medical care. We will incorporate factors not studied together previously by capitalizing on new population-based survey data about children's use of CAM with a sufficiently large sample to permit studying many variables and their interactions simultaneously. Specifically, this study will use data from the 2007 National Health Interview Survey (NHIS), which for the fist time includes a CAM supplement to the child version. We will link this data at the child level to the 2007 adult NHIS/CAM supplement and other NHIS data as well as to the matched year Medical Expenditure Panel Survey dataset (MEPS). Study findings will contribute to the currently nascent foundation of health services knowledge to inform the increasing integration of CAM use into pediatric care and will be summarized in a series of peer reviewed publications and other products. PUBLIC HEALTH RELEVANCE: This study employs available national data to empirically evaluate factors associated with children's use of CAM and the potential impact of CAM use on outcomes and utilization of allopathic medicine. Standardized research models and methods will be developed to advance clinical, public health and translational health services research.

描述（由申请人提供）：迄今为止，在美国儿童和青少年中，补充和替代医学（CAM）的使用越来越普遍。但是，尚不清楚国家基于国家，基于人群的CAM使用和各种子组的相关性。特别是不完整的是了解健康状况的知识，与CAM使用有关的健康服务因素，具有特定状况的儿童的患病率，CA​​M对健康结果的影响以及对同种疗法护理的利用和支出。这项研究具有五个具体目标。具体目的1：指定儿科CAM健康服务和政策研究模型，以解决儿童健康服务和政策研究问题有关的问题，并考虑到儿童的独特需求和特征以及对数据需求和方法的影响。具体目标2：开发并确认儿科CAM调查模块的认知显着性和构建有效性，可用于一个或多个常规收集的基于人群的调查。 具体目标3：经验评估关键儿童水平人口统计，资源和基于需求的因素的重要性，这些因素可能预测儿童使用CAM的使用，包括儿童的年龄，性别，种族/种族/种族，家庭收入，健康保险状况，健康状况，健康状况以及其他可预见的，启用和需要的基于历史的因素，用于评估常规医疗服务的常规医疗服务利用率。具体目的4：从经验上评估父母和其他卫生系统因素的重要性，这些因素可能预测儿童的CAM使用，包括父母人口统计，对孩子的健康风险的看法，父母的自我保健行为，父母据报道使用CAM的使用以及父母对育儿的常规医疗服务质量的看法。具体目标5：评估CAM使用对儿童的匹配年度和未来的利用率和/或传统卫生服务使用和选定的健康成果的相匹配的相匹配和/或支出。总体而言，这项研究将在儿童的健康状况，人口统计和社会特征及其在常规医疗保健方面的使用和经验中使用CAM在儿童中使用。我们将通过利用有关儿童使用CAM和足够大样本的新的基于人群的调查数据来允许同时研究许多变量及其相互作用，从而结合未一起研究的因素。具体来说，本研究将使用2007年国家健康访谈调查（NHIS）的数据，该调查在拳头时包括儿童版本的凸轮补充。我们将在儿童级别将这些数据与2007年成人NHIS/CAM补充剂和其他NHIS数据以及匹配年的医疗支出小组调查数据集（MEP）联系起来。研究结果将为当前新生的卫生服务知识基础做出贡献，以告知CAM使用量不断增加在儿科护理中，并将在一系列同行评审的出版物和其他产品中进行总结。 公共卫生相关性：本研究采用可用的国家数据来凭经验评估与儿童使用CAM相关的因素以及CAM使用对结果和同种疗法医学的利用的潜在影响。将开发标准化的研究模型和方法，以促进临床，公共卫生和转化健康服务研究。