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Is Complementary and Alternative Healthcare Use Associated with Better Outcomes in Children with Juvenile Idiopathic Arthritis?
- Source :
- The Journal of Rheumatology. 36:2302-2307
- Publication Year :
- 2009
- Publisher :
- The Journal of Rheumatology, 2009.
-
Abstract
- Objective.The objectives of this study were (1) to examine the association between the use of complementary and alternative healthcare (CAHC) and subsequent health outcomes; and (2) to explore the association between CAHC use and adherence to conventional treatments in children with juvenile idiopathic arthritis (JIA).Methods.A cohort of children with JIA (n = 182, mean age 10 yrs) who attended outpatient clinics were followed for one year. We evaluated the use of CAHC, health-related quality of life (HRQOL), global health, physical functioning, pain, and disease severity at 3-month intervals. We also evaluated perceived adherence to treatments. General estimating equations were performed to determine the association between use of CAHC and subsequent outcomes while controlling for possible confounders.Results.CAHC was used by 36.4% of participants over the 12-month period. Use of CAHC was associated with subsequent lower global health and physical functioning despite higher adherence to prescribed medications as assessed by the rheumatologist (p < 0.05). Use of CAHC was not associated with subsequent improved HRQOL or decreased pain or disease severity.Conclusion.Children with JIA who use CAHC do not have improved outcomes, at least over the relatively short term. Nevertheless, they seem to be more adherent to conventional treatment according to the rheumatologist.
- Subjects :
- Complementary Therapies
Male
Canada
medicine.medical_specialty
Adolescent
Immunology
Severity of Illness Index
Cohort Studies
Rheumatology
Quality of life
Health care
Severity of illness
medicine
Humans
Immunology and Allergy
Outpatient clinic
Child
business.industry
Prognosis
medicine.disease
Health Surveys
Arthritis, Juvenile
Treatment Outcome
El Niño
Child, Preschool
Cohort
Quality of Life
Physical therapy
Female
business
Juvenile rheumatoid arthritis
Follow-Up Studies
Cohort study
Subjects
Details
- ISSN :
- 14992752 and 0315162X
- Volume :
- 36
- Database :
- OpenAIRE
- Journal :
- The Journal of Rheumatology
- Accession number :
- edsair.doi.dedup.....ff67158ed19121a861f5972005f8fb3f