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BMC Complementary Medicine and Therapies
Published in: BMC Complementary Medicine and Therapies 1/2015

Open Access 01-12-2015 | Research article

The characteristics, experiences and perceptions of naturopathic and herbal medicine practitioners: results from a national survey in New Zealand

Authors: Phillip Cottingham, Jon Adams, Ram Vempati, Jill Dunn, David Sibbritt

Published in: BMC Complementary Medicine and Therapies | Issue 1/2015

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Abstract

Background

Despite the popularity of naturopathic and herbal medicine in New Zealand there remains limited data on New Zealand-based naturopathic and herbal medicine practice.
In response, this paper reports findings from the first national survey examining the characteristics, perceptions and experiences of New Zealand-based naturopaths and herbal medicine practitioners across multiple domains relating to their role and practice.

Methods

An online survey (covering 6 domains: demographics; practice characteristics; research; integrative practice; regulation and funding; contribution to national health objectives) was administered to naturopaths and herbal medicine practitioners. From a total of 338 naturopaths and herbal medicine practitioners, 107 responded providing a response rate of 32%. Data were statistically analysed using STATA.

Results

A majority of the naturopaths and herbal medicine practitioners surveyed were female (91%), and aged between 45 and 54 years. Most practiced part-time (64%), with practitioner caseloads averaging 8 new clients and over 20 follow-up clients per month.
Our analysis shows that researched information impacts upon and is useful for naturopaths and herbal medicine practitioners to validate their practices.
However, the sources of researched information utilised by New Zealand naturopaths and herbal medicine practitioners remain variable, with many sources beyond publications in peer-reviewed journals being utilised. Most naturopathic and herbal medicine practitioners (82%) supported registration, with statutory registration being favoured (75%). Integration with conventional care was considered desirable by the majority of naturopaths and herbal medicine practitioners surveyed (83%).
Naturopaths and herbal medicine practitioners feel that they contribute to several key national health objectives, including: improved nutrition (93%); increased physical activity (85%); reducing incidence and impact of CVD (79%); reducing incidence and impact of cancer (68%).

Conclusions

There is a need for greater understanding and communication between practitioners of conventional care and naturopathic and herbal medicine which could support informed, coordinated and effective health provision within the New Zealand health care system. There is a need for further in-depth research examining naturopaths and herbal medicine practitioners’ perceptions and practices, to provide insights of benefit to all those practising and managing health services as well as those directing health policy in New Zealand.
Literature
1.
Harris PE, Cooper KL, Relton C, Thomas KJ. Prevalence of complementary and alternative medicine (CAM) use by the general population: a systematic review and update. Int J Clin Pract. 2012;66(10):924–39.CrossRefPubMed
2.
Rogers SB. The rising popularity of complementary medicine: perspectives from the field [Doctoral]. Melbourne: Victoria University; 2010.
3.
Andrews G, Adams J, Segrott J, Lui CW. The profile of complementary and alternative medicine users and reasons for complementary and alternative mediicne use. In: Adams J, Andrews G, Barnes J, Broom A, Magin P, editors. Traditional complementary and alternative medicine. London: Palgrave MacMillan; 2012. p. 11–7.
4.
A Portrait of Health. Key results of the 2006/07 New Zealand health survey. Wellington: Ministry of Health; 2008.
5.
Chrystal K, Allan S, Forgeson G, Isaacs R. The use of complementary/alternative medicine by cancer patients in a New Zealand regional cancer treatment centre. New Zeal Med J. 2003;116:1168.
6.
7.
8.
9.
Baer H. Complementary medicine in Australia and New Zealand. Maleny: Verdant House; 2009.
10.
Koopman-Boyden P, Holden D, Jones R, Martin M, McNeill J, Randle J, et al. Complementary and alternative health care in New Zealand. Wellington: Ministerial Advisory Committee on Complementary and Alternative Health Care; 2004.
11.
Poynton L, Dowell A, Dew K, Egan T. General practitioners’ attitudes toward (and use of) complementary and alternative medicine: a New Zealand nationwide survey. N Z Med J. 2006;119(1247):U2361.PubMed
12.
Braun LA, Spitzer O, Tiralongo E, Wilkinson JM, Bailey M, Poole SG, et al. Naturopaths and Western herbalists’ attitudes to evidence, regulation, information sources and knowledge about popular complementary medicines. Complement Ther Med. 2013;21(1):58–64.CrossRefPubMed
13.
Bensoussan A, Myers SP, Wu SM, O’Connor K. Naturopathic and Western herbal medicine practice in Australia—a workforce survey. Complement Ther Med. 2004;12(1):17–27.CrossRefPubMed
14.
Boon H, Cherkin D, Erro J, Sherman K, Milliman B, Booker J, et al. Practice patterns of naturopathic physicians: results from a random survey of licensed practitioners in two US States. BMC Complement Altern Med. 2004;4(1):14.CrossRefPubMedPubMedCentral
15.
Standish L, Greene K, Greenlee H, Kim J, Grosshans C. Complementary and alternative medical treatment of breast cancer: a survey of licensed North American naturopathic physicians. Altern Ther Health Med. 2001;8(4):74–6. 8–81.
16.
King A. The New Zealand Health Strategy. Wellington: Ministry of Health; 2000.
17.
18.
Casey M, Adams J, Sibbritt D. An examination of the clinical practices and perceptions of professional herbalists providing patient care concurrently with conventional medical practice in Australia. Complement Ther Med. 2008;16(4):228–32.CrossRefPubMed
19.
Adams J, Lui C-W, Sibbritt D, Broom A, Wardle J, Homer C. Attitudes and referral practices of maternity care professionals with regard to complementary and alternative medicine: an integrative review. J Adv Nurs. 2011;67(3):472–83.CrossRefPubMed
20.
Wong LY, Toh MPHS, Kong KH. Barriers to patient referral for Complementary and Alternative Medicines and its implications on interventions. Complement Ther Med. 2010;18(3–4):135–42.CrossRefPubMed
21.
Greenfell A, Patel N, Robinson N. Complementary therapy: general practitioners’ referral and patients’ use in an urban multi-ethnic area. Complement Ther Med. 1998;6(3):127–32.CrossRef
22.
Shmueli A, Shuval J. Complementary and alternative medicine: beyond users and nonusers. Complement Ther Med. 2006;14(4):261–7.CrossRefPubMed
23.
Sewitch MJ, Yaffe M, Maisonneuve J, Prchal J, Ciampi A. Use of complementary and alternative medicine by cancer patients at a Montreal hospital. Integr Cancer Ther. 2011;10(4):305–11.CrossRefPubMed
24.
Frawley J, Adams J, Broom A, Steel A, Gallois C, Sibbritt D. Majority of women are influenced by nonprofessional information sources when deciding to consult a complementary and alternative medicine practitioner during pregnancy. J Altern Complement Med. 2014;20(7):571–7.CrossRefPubMed
25.
Smith CA, Armour M, Betts D. Treatment of women's reproductive health conditions by Australian and New Zealand acupuncturists. Complement Ther Med. 2014;22(4):710–8.CrossRefPubMed
26.
Bishop FL, Bradbury K, Hj Jeludin NN, Massey Y, Lewith GT. How patients choose osteopaths: a mixed methods study. Complement Ther Med. 2013;21(1):50–7.CrossRefPubMed
27.
Frenkel M, Cohen L, Peterson N, Palmer JL, Swint K, Bruera E. Integrative medicine consultation service in a comprehensive cancer center: findings and outcomes. Integr Cancer Ther. 2010;9(3):276–83.CrossRefPubMed
28.
Ben-Arye E, Frenkel M. Referring to complementary and alternative medicine–A possible tool for implementation. Complement Ther Med. 2008;16(6):325–30.CrossRefPubMed
29.
McCabe P. Complementary and alternative medicine in Australia: a contemporary overview. Complement Ther Clin Pract. 2005;11(1):28–31.CrossRefPubMed
30.
WHO. Traditional Medicine Strategy 2014–2023. Geneva: World Health Organisation; 2013.
31.
Kelner M, Wellman B, Boon H, Welsh S. The role of the state in the social inclusion of complementary and alternative medical occupations. Complement Ther Med. 2004;12(2–3):79–89.CrossRefPubMed
32.
Kraft K. Complementary/Alternative Medicine in the context of prevention of disease and maintenance of health. Prev Med. 2009;49(2–3):88–92.CrossRefPubMed
33.
34.
Regulation of herbal medicine and acupuncture: Proposals for statutory regulation. London: Department of Health; 2004.
35.
Wardle J, Steel A, Adams J. A review of tensions and risks in naturopathic education and training in Australia: a need for regulation. J Altern Complement Med. 2012;18(4):363–70.CrossRefPubMed
36.
Steel A, Adams J. The application and value of information sources in clinical practice: an examination of the perspective of naturopaths. Health Inform Libr J. 2011;28(2):110–8.CrossRef
37.
Ryan JD. Clinical Decision-Making in Complementary Medicine: The use of evidence. J Aust Tradit Med Soc. [Article]. 2007;13(2):81–3.
38.
Smith C, Martin K, Hotham E, Semple S, Bloustien G, Rao D. Naturopaths practice behaviour: provision and access to information on complementary and alternative medicines. BMC Complement Altern Med. 2005;5(1):15.CrossRefPubMedPubMedCentral
39.
Tilburt JC, Curlin FA, Kaptchuk TJ, et al. Alternative medicine research in clinical practice: a us national survey. Arch Intern Med. 2009;169(7):670–7.CrossRefPubMedPubMedCentral
40.
Austed K, Avorn J, Franklin J, Campbell E, Kesselheim A. Marketing interactions with medical trainees’ knowledge about evidence-based prescribing: results from a national survey. J Am Med Assoc. 2014;174(8):1283–9.
41.
Evans S, Grant A, Howden I, Lewis M, Singer J. Evidence-based medicine and naturopathy. J Altern Compl Med. 2006;12(3):323–8.CrossRef
42.
Carruthers R, Paxton P. Curriculum review at a New Zealand private college: dissecting the knowledge typology, curriculum logic, and cognitive complexity. ACPET J Pri High Educ. 2012:40.
43.
Wardle J, Adams J, Lui C-W, Steel AE. Current challenges and future directions for naturopathic medicine in Australia: a qualitative examination of perceptions and experiences from grassroots practice. BMC Complement Altern Med. 2013;13(1):15.CrossRefPubMedPubMedCentral
44.
Leach MJ, Gillham D. Are complementary medicine practitioners implementing evidence based practice? Complement Ther Med. 2011;19(3):128–36.CrossRefPubMed
45.
Zwolsman S, te Pas E, Hooft L, Wieringa-de Waard M, van Dijk N. Barriers to GPs’ use of evidence-based medicine: a systematic review. Br J Gen Prac. 2012;62(600):e511–21.CrossRef
46.
Hoare KJ, Steele M, Ram FS, Arroll B. Evidence-based resource use by Practice Nurses in the Greater Auckland region. N Z Med J. 2008;121(1283):51–8.PubMed
47.
Mills EJ, Hollyer T, Guyatt G, Ross CP, Saranchuk R, Wilson K. Teaching evidence-based complementary and alternative medicine: 1. A learning structure for clinical decision changes. J Alternative Compl Med. 2002;8(2):207–14.CrossRef
48.
Toupin April K, Gaboury I. A survey of Canadian regulated complementary and alternative medicine schools about research, evidence-based health care and interprofessional training, as well as continuing education. BMC Complement Altern Med. 2013;13(1):374.CrossRefPubMedPubMedCentral
49.
Aitken C, Power R, Dwyer R. A very low response rate in an on-line survey of medical practitioners. Aust N Z J Public Health. 2008;32(3):288–9.CrossRefPubMed
50.
Hawk C, Ndetan H, Evans Jr MW. Potential role of complementary and alternative health care providers in chronic disease prevention and health promotion: An analysis of National Health Interview Survey data. Prev Med. 2012;54(1):18–22.CrossRefPubMed
51.
Davis MA, West AN, Weeks WB, Sirovich BE. Health behaviors and utilization among users of complementary and alternative medicine for treatment versus health promotion. Health Serv Res. 2011;46(5):1402–16.CrossRefPubMedPubMedCentral
52.
Wilson K, Dowson C, Mangin D. Prevalence of complementary and alternative medicine use in Christchurch, New Zealand: children attending general practice versus paediatric outpatients. N Z Med J. 2007;120:1251.
53.
Seely D, Szczurko O, Cooley K, Fritz H, Aberdour S, Herrington C, et al. Naturopathic medicine for the prevention of cardiovascular disease: a randomized clinical trial. Can Med Assoc J. 2013;185(9):E409–16.CrossRef
54.
Thompson JJ, Nichter M. Is There a Role for Complementary and Alternative Medicine in Preventive and Promotive Health? An Anthropological Assessment in the Context of U.S. Health Reform. Med Anthropol Q. 2014:n/a-n/a.
55.
56.
Standish L, Calabrese C, Snider P, Krail K, Mills E, Myers S, et al. The naturopathic medical research agenda: the future and foundation of naturopathic medical science. J Altern Compl Med. 2006;12(3):341–5.CrossRef
Metadata
Title
The characteristics, experiences and perceptions of naturopathic and herbal medicine practitioners: results from a national survey in New Zealand
Authors
Phillip Cottingham
Jon Adams
Ram Vempati
Jill Dunn
David Sibbritt
Publication date
01-12-2015
Publisher
BioMed Central
Published in
BMC Complementary Medicine and Therapies / Issue 1/2015
Electronic ISSN: 2662-7671
DOI
https://doi.org/10.1186/s12906-015-0616-5

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