1. Complementary and alternative medicine use among veterans with chronic noncancer pain.
- Author
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Denneson, Lauren M., Corson, Kathryn, and Dobscha, Steven K.
- Subjects
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CHRONIC pain treatment , *ACUPUNCTURE , *ALTERNATIVE medicine , *CHI-squared test , *CHIROPRACTIC , *MENTAL depression , *FUNCTIONAL assessment , *EMPLOYMENT , *ETHNIC groups , *HELP-seeking behavior , *OUTPATIENT services in hospitals , *MARITAL status , *MASSAGE therapy , *VETERANS , *MEDICAL care use , *MEDICINAL plants , *BOTANIC medicine , *NONPARAMETRIC statistics , *HEALTH outcome assessment , *PATIENT satisfaction , *PRIMARY health care , *PROBABILITY theory , *QUESTIONNAIRES , *RESEARCH funding , *SCALE analysis (Psychology) , *SCALES (Weighing instruments) , *SELF-evaluation , *SOCIAL security , *SURVEYS , *T-test (Statistics) , *VETERANS' hospitals , *SECONDARY analysis , *EDUCATIONAL attainment , *PAIN measurement , *RANDOMIZED controlled trials , *TREATMENT effectiveness , *DATA analysis software , *DESCRIPTIVE statistics - Abstract
We describe prior use and willingness to try complementary and alternative medicine (CAM) among 401 veterans experiencing chronic noncancer pain and explore differences between CAM users and nonusers. Participants in a randomized controlled trial of a collaborative intervention for chronic pain from five Department of Veterans Affairs (VA) primary care clinics self-reported prior use and willingness to try chiropractic care, massage therapy, herbal medicines, and acupuncture. Prior CAM users were compared with nonusers on demographic characteristics, pain-related clinical characteristics, disease burden, and treatment satisfaction. A majority of veterans (n = 327, 82%) reported prior use of at least one CAM modality, and nearly all (n = 399, 99%) were willing to try CAM treatment for pain. Chiropractic care was the least preferred option, whereas massage therapy was the most preferred (75% and 96%, respectively). CAM users were less likely to have service-connection disabilities (54% vs 68%; chi square = 4.64, p = 0.03) and reported having spent a larger percentage of their lives in pain (26% vs 20%; Z = 1.40, p = 0.04) than nonusers. We detected few differences between veterans who had tried CAM and those who had not, suggesting that CAM may have broad appeal among veterans with chronic pain. Implications for VA policy and practice and for clinicians treating veterans with chronic pain are discussed. [ABSTRACT FROM AUTHOR]
- Published
- 2011
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