پاورپوینت کامل Cross-cultural perspective in complementary and alternative therapies research 18 اسلاید در PowerPoint

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پاورپوینت کامل Cross-cultural perspective in complementary and alternative therapies research 18 اسلاید در PowerPoint

اسلاید ۴: ۴IntroductionLack of consensus around CAM definitionDefinition Adopted by NIH National Centres on CAM (NCCAM) Complementary and Alternative Medicine (CAM) is a broad domain of healing resources that encompasses all health systems, modalities and practices and their accompanying theories and beliefs, other than those intrinsic to the politically dominant health system of a particular society or culture in a given historical period. CAM includes all such practices and ideas self-defined by their users as preventing or treating illness or promoting health and well-being. Boundaries within CAM and between the CAM domain and the domain of the dominant system are not always sharp or fixed. Alt Ther 1997; 3(2): 49-57

اسلاید ۵: ۵Introduction (2)Issues with CAM classification systemsPorous and flexible boundaries between conventional and non-conventional medicineAny classification system depends on underlying premises and the ability to obtain mutually exclusive categories

اسلاید ۶: ۶Introduction (3)Issues in identifying CAM prevalence in the general and cancer populationworld phenomenon general population: CAM utilization is frequent and increasing: range from 9% to 75%cancer populations: range of 7-81%Range can be attributed to:what is counted or includednature of the sample

اسلاید ۷: ۷Introduction (4)Issues in defining culture and cross-cultural researchCulture as “a complex interplay of meanings that represent and shape the individual and collective lives of people” is a definition recently adopted by a group of researchers who are establishing a team to study cross-cultural issues in the Canadian health care context. Culture is often reduced to ethnicity, language spoken at home, or number of years spent in CanadaAcculturation is not well understood within health researchNecessity to promote research that transcends disciplinary boundaries and works with the populations of interest, using participatory methodologies.

اسلاید ۸: ۸Current State of KnowledgeAttention to the health beliefs of minorities is likely to improve care and health outcomes for minority patients.Reliance on an alternative health care system and use of self-care behaviours and practices are common among ethno-cultural minorities.Western trained health practitioners not always knowledgeable about CAM; in addition some are not supportive of CAM or advice patients against them. Concurrent use of alternative modalities and products while receiving standard treatments is common without any discussion occurring between patients and health care professionals.

اسلاید ۹: ۹Recent Studies Lee et al (2000). Telephone interviews with 379 women with breast cancer San FranciscoPrevalence of CAT in four ethnic groups (Latino, White, Black, and Chinese). 48% used at least one type; 42% in Chinese to 54% in WhitesBlacks – spiritual healing, Chinese – herbal remedies, Latinos and Whites – dietary therapies. Liu et al (1997). Chinese oncology patients in Taiwan64% actively undergoing conventional treatment used indigenous Chinese medicine after cancer diagnosis;Utilization was concurrent with chemotherap