Researching Complementary and Alternative Medicine 1st Edition by Jon Adams – Ebook PDF Instant Download/Delivery: 0415367743, 9780415367745
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Product details:
ISBN 10: 0415367743
ISBN 13: 9780415367745
Author: Jon Adams
Researching Complementary and Alternative Medicine provides a valuable and timely resource for those looking to understand, initiate and expand CAM research. This collection brings together leading international CAM researchers with backgrounds and expertise in a variety of areas including health social science, qualitative methodology, general practice, health services research and public health. Drawing upon their own research work and experience, the contributors explain and review core methods and research issues pertinent to contemporary CAM and its future development. Topics discussed include: the use and limitation of evidence in CAM research the issues facing practitioners (GPs, therapists, nurses, etc) who wish to conduct research how and why qualitative methods should be combined alongside quantitative methods to help explore CAM how the randomised control trial (RCT) method relates to CAM the future direction of CAM research in terms of public health and policy-related agendas. Researching Complementary and Alternative Medicine is essential reading for students, academics and researchers in CAM, health studies, medicine, nursing, medical sociology and public health. It will also appeal to CAM and allied health practitioners.
Table of contents:
Part I Methods in practice
1 Qualitative methods in CAM research A focus upon narratives, prayer and spiritual healing
Introduction
Qualitative research and definitions of health
Health-care narratives: context and meaning
Anecdotes, the applied language of healing
Multiple perspectives
Qualitative research as constructed meanings in context
Participant observation
Narrative analysis
Ethnographic studies
Phenomenology
Grounded theory
Research in healing
Difficulties in researching prayer and spiritual healing
Conclusion
References
2 Systematic reviews and CAM
Introduction
Systematic reviews: their importance to research
Systematic reviews require rigorous methods
Identifying relevant trials
Can searches be restricted to major databases?
Can reviews exclude non-English-language publications?
Assessing the methodological quality of RCTs
Combining the data from RCTs in a meta-analysis: a case study
Additional research issues in CAM reviews
Assessment of the treatment adequacy
Practitioner qualifications
Cointerventions
Interpreting results
Safety
Summary
Note
Acknowledgements
References
3 Utilising existing data sets for CAM-consumption research The case of cohort studies
Introduction
CAM use and CAM users: a brief literature review
Background to SDA on CAM consumption: the examples of WHA and HUNT
Advantages of utilising existing cohort study data sets
Limitations of utilising existing cohort-study data sets
Statistical analysis: issues and challenges
Analysing data over one, two or more time periods
One time point
Two time points
More than two time points
Missing data
Other issues
Conclusion
References
4 Towards the application of RCTs for CAM Methodological challenges
Introduction
RCT method and CAM research: the state of play
Practical issues in RCT CAM research
Methodological issues in RCT CAM research
Paradigm clash
Types of research questions asked
Types of interventions tested
Choice of comparator and double blinding
Outcome measures
Conclusions
Notes
References
5 Combining qualitative methods and RCTs in CAM intervention research
Introduction
Combining research methods: degrees of methodological integration
Differences between qualitative and quantitative research
Combining research methods and CAM
Reasons for combining qualitative research and the RCT
Convergence or confirmation
Complementarity
Development
Initiation
Combined method design strategies
Basic forms of combination
Towards a whole system approach
Examples of combined methods research for CAM
Example 1: the art of living with HIV
Example 2: holistic outcomes of TCM acupuncture for women with recurrent cystitis
Example 3: mindfulness-based stress reduction for nurse stress and burnout
Example 4: breathing therapy for chronic low back pain
Barriers and challenges to combined methods research
Summary
Notes
References
Part II Issues from the field
6 Evidence and CAM research Challenges and opportunities
Introduction: the need for evidence
What is evidence?
Employing evidence: towards a level playing field?
More than evidence: the example of CAM for osteoarthritis in Australian practice
Evidence is big business: difficulties for CAM research
Redefining CAM
Some effective treatments will never have evidence
Factors to consider when making treatment decisions
Summary
References
7 The practitioner as researcher Research capacity-building within the ranks of CAM
Introduction
CAM practitioner-researcher development: drawing upon the Norwegian experience
Educating practitioners as researchers
Encouraging organised data collection
Establishing a research centre and fostering networks
Working in a multidisciplinary team: difficulties of collaborative research
Conclusion
References
8 Public health and CAM Exploring overlap, contrast and dissonance
Introduction
Exploring case studies: perspectives from the field
Immunisation and its resistance
Indigenous healing practices
Alternative public health
Utilitarian
Risk averse
Realistic hedonism
Purist
Holism
Research issues arising
Acknowledgements
Notes
References
9 Involving the consumer in CAM research
Introduction
What is consumer involvement?
Why promote consumer involvement?
How is consumer involvement being done?
Consumer involvement in CAM research: findings from a contemporary study
Literature review
Key people and organisations
Findings
Extent of consumer involvement
User-led research
Collaboration: an active ongoing partnership of consumers in the research process
Consultation: where consumers are consulted with no sharing of power in decision-making
What are the benefits and the costs of consumer involvement?
Objections to consumer involvement
Representativeness
Quality
Bias
Influence
Consumer expectations
Increased cost and length of research
Overlapping roles
How can consumer involvement in CAM be increased and more effective?
Conclusion
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