Admin. Supp. to Use & Impact of Complementary & Alternative Medicine Among

行政。

• 批准号: 8546611
• 负责人: Christina D Bethell
• 金额: $ 9.74万
• 依托单位: OREGON HEALTH & SCIENCE UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 2012
• 资助国家: 美国
• 起止时间: 2012-09-01 至 2014-08-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8546611
• 关键词: Accounting; Acupuncture procedure; Address; Adolescent; Adult; Age; Alexander technique; Attitude; Behavior; Belief; Benefits and Risks; Biofeedback; Botanica; Caring; Characteristics; Child; Child Health Services; Child health care; Childhood; Chiropractic manipulation; Clinical; Clinical Trials; Cognitive; Complementary and alternative medicine; Coupled; Data; Data Collection; Data Files; Data Set; Demographic Factors; Development; Diet; Epidemiology; Ethnic Origin; Expenditure; Family; Foundations; Future; Group Meetings; Guided imagery; Guidelines; Healed; Health; Health Insurance; Health Policy; Health Sciences; Health Services; Health Services Research; Health Status; Health system; Homeopathy; Hypnosis; Income; Insurance Coverage; Knowledge; Link; Massage; Measurement; Measures; Medical; Medicine; Meditation; Methods; Minerals; Modality; Modeling; National Health Interview Survey; Native Americans; Naturopathy; Oregon; Osteopathic manipulation; Outcome; Parents; Pediatrics; Peer Review; Perception; Policies; Policy Research; Population; Prevalence; Provider; Public Health; Publications; Qi Gong; Race; Reporting; Research; Resources; Risk; Sampling; Self Care; Series; Services; Shamanism; Sobador; Social Characteristics; Specific qualifier value; Subgroup; Support Groups; Surveys; Tai Ji; Testing; Time; Trager Psychophysical Integration; Translational Research; United States; Universities; Variant; Vitamins; Yoga; ayurveda; base; chelation; deep breathing exercises; demographics; design; evidence base; experience; feldenkrais; healing; hierbero; medicine man; meetings; model development; patient oriented; pilates exercise; population based; progressive relaxation therapy; public health relevance; service utilization; sex; social; stress management

DESCRIPTION (provided by applicant): To date suggest that complementary and alternative medicine (CAM) use is increasingly common among children and youth in the United States. However, national, population-based estimates and correlates of CAM use for all and diverse subgroups of children are not known. Especially incomplete is knowledge of health status, health services factors related to CAM use, prevalence among children with specific conditions, the impact of CAM on health outcomes and utilization and expenditures for allopathic care. This study has five specific aims. Specific Aim 1: Specify a pediatric CAM health services and policy research model relevant to address priority pediatric CAM health services and policy research questions, taking into account unique needs and characteristics of children and implications for data requirements and methods. Specific Aim 2: Develop and confirm the cognitive salience and construct validity of pediatric CAM survey modules suitable and feasible for use in one or more routinely collected population-based surveys. Specific Aim 3: Empirically evaluate the significance of key child level demographic, resource and need based factors that may predict the use of CAM in children, including the child's age, sex, race/ethnicity, family income, health insurance status, health status and other predisposing, enabling and need based factors historically used in evaluating conventional medical care services utilization. Specific Aim 4: Empirically evaluate the significance of parental and other health system factors that may predict the use of CAM in children, including parental demographics, perceptions of their child's health risk, parental self-care behaviors, parental reported use of CAM and parental perceptions of the quality of conventional medical care for their child. Specific Aim 5: Evaluate associations and the potential impact of CAM use in children on both their matched year and future year utilization and/or expenditures for conventional health services use and selected health outcomes. Overall, this study will place the use of CAM in children in the context of their health status, demographics and social characteristics and their use and experiences with conventional medical care. We will incorporate factors not studied together previously by capitalizing on new population-based survey data about children's use of CAM with a sufficiently large sample to permit studying many variables and their interactions simultaneously. Specifically, this study will use data from the 2007 National Health Interview Survey (NHIS), which for the fist time includes a CAM supplement to the child version. We will link this data at the child level to the 2007 adult NHIS/CAM supplement and other NHIS data as well as to the matched year Medical Expenditure Panel Survey dataset (MEPS). Study findings will contribute to the currently nascent foundation of health services knowledge to inform the increasing integration of CAM use into pediatric care and will be summarized in a series of peer reviewed publications and other products.

描述（由申请人提供）：迄今为止，补充和替代医学（CAM）的使用在美国儿童和青少年中越来越普遍。然而，国家，人口为基础的估计和相关的CAM使用的所有和不同的儿童亚组是未知的。特别是不完整的是健康状况的知识，卫生服务的因素有关的CAM使用，患病儿童的具体条件，CAM对健康结果的影响和利用和对抗疗法护理的支出。这项研究有五个具体目标。具体目标1：指定一个儿科CAM健康服务和政策研究模型，以解决优先的儿科CAM健康服务和政策研究问题，考虑到儿童的独特需求和特点以及对数据要求和方法的影响。具体目标二：开发并确认儿科CAM调查模块的认知显著性和结构效度，适用于一项或多项常规收集的基于人群的调查。 具体目标3：从经验上评估关键儿童水平的人口统计学、资源和基于需求的因素的重要性，这些因素可能预测儿童使用CAM，包括儿童的年龄、性别、种族/民族、家庭收入、健康保险状况、健康状况和历史上用于评估传统医疗保健服务利用率的其他诱发因素、促成因素和基于需求的因素。具体目标4：从经验上评估父母和其他卫生系统因素的重要性，这些因素可能预测儿童使用CAM，包括父母人口统计学、对儿童健康风险的看法、父母自我护理行为、父母报告的CAM使用情况以及父母对儿童常规医疗护理质量的看法。具体目标五：评估儿童使用CAM对其匹配年份和未来年份的利用率和/或常规卫生服务使用和选定健康结果的支出的关联和潜在影响。总体而言，本研究将在儿童的健康状况、人口统计学和社会特征以及他们对传统医疗护理的使用和经验的背景下使用CAM。我们将把以前没有一起研究的因素，利用新的人口为基础的调查数据，儿童使用CAM与足够大的样本，允许同时研究许多变量和它们的相互作用。具体来说，这项研究将使用2007年全国健康访谈调查（NHIS）的数据，其中第一次包括儿童版本的CAM补充。我们将把儿童层面的数据与2007年成人NHIS/CAM补充数据和其他NHIS数据以及匹配年医疗支出小组调查数据集（MEPS）相关联。研究结果将有助于目前新生的基础卫生服务知识，告知越来越多的整合CAM使用到儿科护理，并将总结在一系列同行评议的出版物和其他产品。