Abstract
Background
Evidence-based practice (EBP) has been the focus of increasing attention in the teaching and delivery of both complementary and conventional healthcare. Western herbal medicine (WHM) is a system of complementary healthcare rooted in tradition. How WHM practitioners perceive, are prepared for, and use EBP, has to date been largely ignored. We therefore examined the use, opinion, skills, and training in EBP, and barriers and facilitators of EBP uptake, among herbal practitioners in the United States (US).
Methods
The study utilized a cross-sectional, descriptive survey design. A sample of US clinical herbalists was invited to complete a validated online questionnaire, the Evidence-Based practice Attitude and utilization SurvEy (EBASE).
Results
Seventy-four US herbal practitioners completed the survey (response rate=35 %). Participants demonstrated a generally positive attitude toward EBP (median attitude subscore 31 [possible range=8–40]), a moderate to high level of self-assessed skill in EBP (median skill subscore 46 [13–65]) and a moderate level of EBP uptake (median use subscore 12 [0–24]). Apart from a lack of clinical evidence in herbal medicine, there were few perceived barriers to EBP uptake among herbal practitioners. Access to the Internet, online databases and full-text journal articles were considered most useful in facilitating the uptake of EBP in WHM practice.
Conclusions
Respondents’ attitudes, skill level, and uptake of EBP were generally consistent with other complementary and alternative medicine providers. Educational initiatives, including those focused on the appraisal and application of evidence, may help to optimize the use of EBP among WHM practitioners.
Acknowledgments
The authors would like to thank the WHM providers for their participation in the study, the American Herbalists Guild for their support with recruiting participants for the study, and Dr. Steffany Moonaz for her thoughtful feedback.
Research funding: None declared.
Employment or leadership: ML and JS have no conflicts of interest to declare. BC is the President of the American Herbalists Guild.
Honorarium: None declared.
Competing interests: The funding organization(s) played no role in the study design; in the collection, analysis, and interpretation of data; in the writing of the report; or in the decision to submit the report for publication.
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© 2017 Walter de Gruyter GmbH, Berlin/Boston
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- Attitudes, skill and use of evidence-based practice among US Western herbal medicine providers: a national survey
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Articles in the same Issue
- Review
- Herbal approach in the treatment of pancytopenia
- Medical Education
- Attitudes, skill and use of evidence-based practice among US Western herbal medicine providers: a national survey
- Naturopaths in Ontario, Canada: geographic patterns in intermediately-sized metropolitan areas and integration implications
- Preclinical Studies
- Effects of luteolin and luteolin-morphine co-administration on acute and chronic pain and sciatic nerve ligated-induced neuropathy in mice
- In vivo analgesic, antipyretic and anti-inflammatory potential of leaf extracts and fractions of Eria javanica
- Modulatory effects of melatonin and vitamin C on oxidative stress-mediated haemolytic anaemia and associated cardiovascular dysfunctions in rats
- Phenolic compounds from Citrus leaves: antioxidant activity and enzymatic browning inhibition
- Berberis vulgaris L. effects on oxidative stress and liver injury in lead-intoxicated mice
- Organo-protective and antioxidant properties of leaf extracts of Syzygium guineense var macrocarpum against ferric nitriloacetate-induced stress of Wistar rats
- Clinical Studies
- Acupuncture decreases competitive anxiety prior to a competition in young athletes: a randomized controlled trial pilot study
- Case Report
- Herbal and dietary supplements related to diarrhea and acute kidney injury: a case report