A systematic review of communication about Complementary and Integrative Health (CIH) in global biomedical settings |
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| Affiliation: | 1. Department of Communication Studies, University of San Francisco, San Francisco, USA;2. Asian American Research Center on Health, San Francisco, USA;3. College of Journalism and Communications, University of Florida, Gainesville, USA;4. Annenberg School for Communication and Journalism, University of Southern California, Los Angeles, USA;5. Lane Medical Library & Knowledge Management Center, Stanford University School of Medicine, Stanford, Palo Alto, USA;6. Department of Communication Studies, San Francisco State University, San Francisco, USA;7. Medical Cultures Lab, University of California, San Francisco, San Francisco, USA;1. Austrian Public Health Institute, Department Health Literacy and Health Promotion, Vienna, Austria;2. Austrian Health Literacy Alliance, c/o Austrian Health Promotion Fund, Vienna, Austria;3. Institute of Health Promotion and Disease Prevention, Graz, Austria;4. FH Joanneum University of Applied Sciences, Health and Tourism Management, Bad Gleichenberg, Austria;5. University of Iowa, Carver College of Medicine, Iowa City, USA;1. Department of Neuropsychiatry, The University of Tokyo Hospital, 7-3-1, Hongo, Bunkyo-ku, Tokyo 113-8655, Japan;2. Teikyo University Graduate School of Public Health, 2-11-1, Kaga, Itabashi-ku, Tokyo 173-8605, Japan;3. Non-Profit Organization Lung Cancer Patient Group ONE STEP, 1-38-9, Sakuragaoka, Hodogaya-ku, Yokohama-shi, Kanagawa 240-0011, Japan;4. Association of Medical Journalism, Japan;1. Department of Medical Social Sciences, Northwestern University, Chicago, IL 60611, USA;2. Robert H. Lurie Comprehensive Cancer Center of Northwestern University, Chicago, IL 60611, USA;3. Department of Pediatrics, University of North Carolina, Chapel Hill, NC 27599, USA;4. Department of Genetics, University of North Carolina, Chapel Hill, NC 27599, USA;5. Department of Biostatistics, University of North Carolina, Chapel Hill, NC 27599, USA;6. U.S. Government Accountability Office, 441G Street NW, Washington, DC 20548, USA;7. Department of Health Behavior, University of North Carolina, 135 Dauer Dr., Chapel Hill, NC 27599, USA;8. Department of Social Medicine, University of North Carolina, Chapel Hill, NC 27599, USA;1. Department of Communication Studies, University of San Francisco, San Francisco, CA, United States;2. Department of Rhetoric and Language, University of San Francisco, San Francisco, CA, United States;3. Division of General Internal Medicine, University of California San Francisco, San Francisco, CA, United States;4. Multiethnic Health Equity Research Center, University of California, San Francisco, San Francisco, CA, United States;5. Asian American Research Center on Health, San Francisco, CA, United States |
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| Abstract: | ![]()
ObjectivesA systematic review to analyze communication rates of complementary and integrative health (CIH) and analyze how communication terms, such as “disclosure,” are measured and operationalized.MethodsWe searched seven databases for studies published between 2010 and 2018 with quantitative measurements of patients’ communication of CIH to a biomedical clinician. We analyzed communication terms used to describe patients reporting CIH usage. We also examined the conceptual and operational definitions of CIH provided and whether those terms were explicitly operationalized. We aggregated the percentage, rate, or ratio of CIH users that communicated about CIH with their clinicians by disease type and geographical region.Results7882 studies were screened and 89 included in the review. Studies used a wide range of conceptual and operational definitions for CIH, as well as 23 different terms to report communication related to reporting CIH usage. Usage varied by disease type and geographical region.ConclusionsStudies of CIH and CIH communication may measure different kinds of social and communicative phenomena, which makes comparison across international studies challenging.Practice ImplicationsFuture studies should employ standardized, replicable measures for defining CIH and for reporting CIH communication. Clinicians can incorporate questions about prior, current, and future CIH use during the medical visit. |
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| Keywords: | Complementary health Integrative health Communication terms Disclosure Discussion |
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