Information- -seeking behavior in complementary and seeking - - PowerPoint PPT Presentation

Information Information-

• seeking behavior in complementary and

seeking behavior in complementary and alternative medicine (CAM): an online survey of faculty alternative medicine (CAM): an online survey of faculty at a health sciences campus at a health sciences campus

By David J. Owen, M.L.S., Ph.D. By David J. Owen, M.L.S., Ph.D. Education Coordinator, Basic Sciences Education Coordinator, Basic Sciences Min Min-

• Lin E. Fang, M.L.I.S.

Lin E. Fang, M.L.I.S. Information Services Librarian Information Services Librarian Kalmanovitz Library and Center for Knowledge Kalmanovitz Library and Center for Knowledge Management Management University of California, San Francisco University of California, San Francisco

• Survey conducted at University of California, San

Survey conducted at University of California, San Francisco Francisco

• Campus is dedicated to graduate and professional

Campus is dedicated to graduate and professional studies in Health Sciences studies in Health Sciences

• The campus includes

The campus includes

• Four professional schools:

Four professional schools:

• Dentistry

Dentistry

• Medicine

Medicine

• Nursing

Nursing

• Pharmacy

Pharmacy

• A graduate division for predoctoral and

A graduate division for predoctoral and postdoctoral scientists postdoctoral scientists

• The UCSF Medical Center

The UCSF Medical Center

• The Langley Porter Psychiatric Institute

The Langley Porter Psychiatric Institute

• Other sites associated with the campus

Other sites associated with the campus

• UCSF Mount Zion Hospital

UCSF Mount Zion Hospital

• San Francisco General Hospital Medical Center

San Francisco General Hospital Medical Center

• The Veterans Affairs Medical Center

The Veterans Affairs Medical Center

• Various clinics in the San Francisco Bay Area

Various clinics in the San Francisco Bay Area

• UCSF Employees approximately 5,800 faculty and

UCSF Employees approximately 5,800 faculty and research staff research staff

• UCSF received a $10 million gift to create the

UCSF received a $10 million gift to create the Osher Center for Integrative Medicine (OCIM) Osher Center for Integrative Medicine (OCIM)

• The mission of OCIM is to search for the most

The mission of OCIM is to search for the most effective treatments by combining CAM and effective treatments by combining CAM and mainstream health care mainstream health care

• The National Center for Complementary and

The National Center for Complementary and Alternative Medicine (NCCAM) defines Alternative Medicine (NCCAM) defines complementary and alternative medicine (CAM) complementary and alternative medicine (CAM) as as “ “a broad range of healing philosophies a broad range of healing philosophies (schools of thought), approaches, and therapies (schools of thought), approaches, and therapies that mainstream Western (conventional) that mainstream Western (conventional) medicine does not commonly use, accept, study, medicine does not commonly use, accept, study, understand, or make available understand, or make available” ”

• Includes:

Includes:

• Acupuncture

Acupuncture

• Herbal medicine

Herbal medicine

• Homeopathy

Homeopathy

• Traditional Chinese Medicine (TCM)

Traditional Chinese Medicine (TCM)

• Host of other practices

Host of other practices

• Studies indicate that four out of every ten

Studies indicate that four out of every ten Americans use alternative therapies, and more Americans use alternative therapies, and more visits are made to alternative medical visits are made to alternative medical practitioners than primary care physicians practitioners than primary care physicians

• The current dominant biomedical

The current dominant biomedical-

• based system is

based system is being replaced by being replaced by “ “medical pluralism medical pluralism” ”, in which , in which people use therapies and practices from a variety people use therapies and practices from a variety

• f healing systems
• f healing systems

• Core biomedical bibliographic databases, such as

Core biomedical bibliographic databases, such as MEDLINE still do not index many journals MEDLINE still do not index many journals relevant to CAM practitioners relevant to CAM practitioners

• Study by Stone et al. compared eight databases

Study by Stone et al. compared eight databases for information on for information on “ “natural products natural products” ” used as used as drugs drugs

• Found that the European

Found that the European-

• based EMBASE

based EMBASE database contained the greatest number of database contained the greatest number of relevant citations relevant citations

• A survey was conducted using a questionnaire,

A survey was conducted using a questionnaire, with thirteen questions and sections for the with thirteen questions and sections for the individuals to provide additional information individuals to provide additional information

• E

E-

• mail was sent to 295 UCSF clinic and research

mail was sent to 295 UCSF clinic and research faculty who had previously identified themselves faculty who had previously identified themselves as interested in CAM as interested in CAM

• The questionnaire could be filled out

The questionnaire could be filled out anonymously either on the web or by returning anonymously either on the web or by returning the attached Word document the attached Word document

• Results were analyzed using SPSS 10 for

Results were analyzed using SPSS 10 for Windows Windows

• Frequency tables and means were used to

Frequency tables and means were used to describe the data describe the data

• The chi

The chi-

• square test was used to determine:

square test was used to determine:

• Correlations between specialties and area of interest in

Correlations between specialties and area of interest in CAM CAM

• Types of resources consulted

Types of resources consulted

• Other patterns of information

Other patterns of information-

• seeking behavior

seeking behavior

• Statistical results were not significant due to

Statistical results were not significant due to small sample size small sample size

Complementary and alternative medicine (CAM) areas of Complementary and alternative medicine (CAM) areas of interest (N=121) interest (N=121)

67 53 52 45 42 42 38 36 35 33 27 25 20 20 10 20 30 40 50 60 70 80 90 100

H e r b a l m e d i c i n e R e l a x a t i

• n

t h e r a p i e s A c u p u n c t u r e D i e t t h e r a p i e s B i

• f

e e d b a c k G u i d e d i m a g e r y M e d i t a t i

• n

M

• v

e m e n t t h e r a p i e s M a s s a g e t h e r a p y S p i r i t u a l h e a l i n g H

• m

e

• p

a t h i c m e d i c i n e C h i r

• p

r a c t i c m e g a d

• s

e v i t a m i n s O t h e r C A M a r e a s

Percentage

Use of CAM Information (N =121) Use of CAM Information (N =121)

65 51 41 36 27 5 10 20 30 40 50 60 70 80 90 100

Clinical Teaching Research Publications Grant O ther

P e rce n ta g e

Sources of CAM Information (N = 121) Sources of CAM Information (N = 121)

46 41 40 33 25 6 2 10 20 30 40 50

Percentage

Colleague Web Journal Database Books Librarian Other

87 75 22 11 15 9 13 1 12 10 10 6

10 20 30 40 50 60 70 80 90 100 Percentage MEDLINE BIOSIS CAM on PubMed AMED NAPRALERT EMBASE Aware of Use

Specialty (N =121) Specialty (N =121) 27 15 7 7 6 4 4 4 3 3 15

Internal Medicine Psychiatry/behavioral medicine/addiction medicine Family practice Pediatrics Research Dentistry Neurology Pharmacy Nursing Pathology Other

• Results showed that health professionals at UCSF

Results showed that health professionals at UCSF frequently did not find the CAM information they frequently did not find the CAM information they sought sought

• Majority of survey respondents were unfamiliar

Majority of survey respondents were unfamiliar with several important CAM resources with several important CAM resources

• There is an absence of core printed books in the

There is an absence of core printed books in the area of CAM area of CAM

• Journals are often the primary source used for

Journals are often the primary source used for clinical information clinical information

• Mainstream US medical journals are still regarded

Mainstream US medical journals are still regarded as being poor CAM sources as being poor CAM sources

• Personal communications seems to be of greater

Personal communications seems to be of greater importance than textbooks or journals, when importance than textbooks or journals, when seeking CAM information seeking CAM information

• 41% of respondents reported using the web as a

41% of respondents reported using the web as a source for CAM information source for CAM information

• Large variation of the quality of health

Large variation of the quality of health information on the web, with much of it being information on the web, with much of it being unverified unverified

• Area of greatest interest was herbal medicine

Area of greatest interest was herbal medicine

• Academic health sciences librarians need to

Academic health sciences librarians need to become aware of new developments in CAM become aware of new developments in CAM therapies and treatments therapies and treatments

• Due to results of this research, UCSF introduced

Due to results of this research, UCSF introduced a class on the topic in the library a class on the topic in the library’ ’s informatics s informatics program program

Discussion Discussion