Table 2.
Themes from Qualitative Research Describing HIV+ Patients' Reasons for CAM Use
Theme | Description of Thematic Findings | Representative Studies |
---|---|---|
General physical and psychological health maintenance and benefits |
CAM is used as a general method of promoting health or to improve or maintain quality of life |
Bates et al., 1996; Carwein & Sabo, 1997; Furler et al., 2003; Gillett et al., 2001; Langewitz et al., 1994; Pawluch et al., 2000 |
HIV-specific benefits | CAM used to treat nutritional deficiencies, fatigue, and nausea, and to alleviate pain related to peripheral neuropathy progression CAM used to augment the effects of conventional HIV treatments |
Agnoletto et al., 2003; Anderson et al., 1993; Fairfield et al., 1998; Langewitz et al., 1994; Pawluch et al., 2000; Sparber et al., 2000; Tsao et al., 2005; Woolridge et al., 2005 |
CAM use to alleviate medication side-effects |
CAM used concurrently with conventional HIV medications to prevent or ameliorate side-effects (e.g., gastrointestinal and dermatological problems, fatigue, neuropathy, and lipodystrophy) |
Agnoletto et al., 2003; Bates et al., 1996; Foote-Ardah, 2003; Pawluch et al., 2000; Standish et al., 2001 |
Concerns with conventional HIV treatment |
CAM is viewed as safe alternative to conventional HIV medications CAM used as a way of responding to or counteracting the potential long-term adverse effects of HAART CAM is used because it is more congruent with patients' culture or health beliefs |
Foote-Ardah, 2003; Gillett et al., 2001; Pawluch et al., 2000; Standish et al., 2001; Suarez et al., 1996 |
Desire for greater involvement in healthcare |
CAM use provides a way of being more actively involved in one's healthcare and treatment decisions | Foote-Ardah, 2003; Gillett et al., 2001; Sparber et al., 2000 |