Admin. Supp. to Use & Impact of Complementary & Alternative Medicine Among

行政。

• 批准号: 8546611
• 负责人: Christina D Bethell
• 金额: $ 9.74万
• 依托单位: OREGON HEALTH & SCIENCE UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 2012
• 资助国家: 美国
• 起止时间: 2012-09-01 至 2014-08-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8546611
• 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.

描述（由申请人提供）：迄今为止，补充和替代医学（CAM）的使用在美国儿童和青少年中越来越普遍。然而，目前尚不清楚针对所有不同儿童亚群的 CAM 使用情况的全国性、基于人口的估计和相关性。尤其不完整的知识包括健康状况、与 CAM 使用相关的卫生服务因素、特定病症儿童的患病率、CAM 对健康结果的影响以及对抗疗法的利用和支出。这项研究有五个具体目标。具体目标 1：指定与解决优先儿科 CAM 卫生服务和政策研究问题相关的儿科 CAM 卫生服务和政策研究模型，同时考虑到儿童的独特需求和特征以及对数据要求和方法的影响。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，这些模块适合且可行，可用于一项或多项常规收集的基于人群的调查。 具体目标 3：实证评估可预测儿童使用 CAM 的关键儿童人口、资源和需求因素的重要性，包括儿童的年龄、性别、种族/民族、家庭收入、健康保险状况、健康状况和历史上用于评估传统医疗保健服务利用的其他诱发因素、促成因素和基于需求的因素。具体目标 4：实证评估可能预测儿童使用 CAM 的父母和其他卫生系统因素的重要性，包括父母人口统计数据、对其孩子健康风险的看法、父母的自我保健行为、父母报告的 CAM 使用情况和父母的看法其孩子的常规医疗护理质量。具体目标 5：评估儿童 CAM 使用对其匹配年份和未来年份利用和/或传统卫生服务使用和选定健康结果支出的关联和潜在影响。总体而言，本研究将根据儿童的健康状况、人口统计和社会特征以及他们对传统医疗护理的使用和经验来考虑 CAM 在儿童中的使用。我们将通过利用关于儿童使用 CAM 的新的基于人口的调查数据和足够大的样本来合并以前未一起研究的因素，以允许同时研究许多变量及其相互作用。具体来说，本研究将使用 2007 年全国健康访谈调查 (NHIS) 的数据，该调查首次包含儿童版本的 CAM 补充。我们将把儿童层面的数据与 2007 年成人 NHIS/CAM 补充和其他 NHIS 数据以及匹配年份的医疗支出小组调查数据集 (MEPS) 联系起来。研究结果将有助于当前新兴的健康服务知识基础，为 CAM 的使用日益融入儿科护理提供信息，并将在一系列同行评审出版物和其他产品中进行总结。

项目成果

Complementary and conventional medicine use among youth with recurrent headaches.

患有复发性头痛的青少年使用补充药物和常规药物。

• 发表时间: 2013-11
• 影响因子: 8
• 作者: Bethell, Christina;Kemper, Kathi J;Gombojav, Narangerel;Koch, Thomas K
• 通讯作者: Koch, Thomas K

Development of the adult and child complementary medicine questionnaires fielded on the National Health Interview Survey.

制定国家健康访谈调查中的成人和儿童补充医学调查问卷。

• 发表时间: 2013-11-23
• 作者: Stussman, Barbara J;Bethell, Christina D;Gray, Caroline;Nahin, Richard L
• 通讯作者: Nahin, Richard L

Adverse Childhood Experiences, Resilience and Mindfulness-Based Approaches: Common Denominator Issues for Children with Emotional, Mental, or Behavioral Problems.

不良童年经历、韧性和基于正念的方法：有情绪、心理或行为问题的儿童的共同点。

• 发表时间: 2016-04
• 影响因子: 2.4
• 作者: Bethell C;Gombojav N;Solloway M;Wissow L
• 通讯作者: Wissow L