Pediatric Integrative Medicine

Prospective population-based active surveillance is recommended to accurately assess the rates of adverse events related to manual and manipulative therapies in children.56

Hilary McClafferty; Sunita Vohra; Michelle Bailey; Melanie Brown; Anna Esparham; Dana Gerstbacher; Brenda Golianu; Anna-Kaisa Niemi; Erica Sibinga; Joy Weydert; Ann Ming Yeh; SECTION ON INTEGRATIVE MEDICINE

2017

Scholarcy highlights

  • The National Center for Complementary and Integrative Health of the National Institutes of Health1 defines complementary therapies as evidence-based health care approaches developed outside of conventional Western medicine that are used in conjunction with conventional care
  • Results of the 2012 National Health Interview Survey revealed that the prevalence of children <18 years using complementary therapies remained approximately 12% in the preceding 5 years,12 reflecting the fact that more than 1 in every 10 children had used some form of complementary therapy in the preceding year
  • Pediatricians and other primary care providers who care for children are encouraged to advise and counsel patients and families about relevant, safe, effective, and age-appropriate health services and therapies, regardless of whether they are considered conventional or complementary therapies
  • In the 2001 Academy of Pediatrics Periodic Survey of Fellows, 73% of pediatricians agreed that it is the role of pediatricians to provide patients and/or families with information about all potential treatment options for the patient’s condition, and 54% agreed that pediatricians should consider the use of all potential therapies, not just those of mainstream medicine, when treating patients
  • In a study of 926 children attending 10 Canadian pediatric outpatient specialty clinics, Adams et al4 showed that the prevalence of pediatric complementary therapy use reached up to 70%
  • Because most families use complementary and integrative health services without spontaneously reporting this use to their primary care provider, pediatricians can best provide appropriate advice and counseling if they regularly inquire about all the therapies the family is using to help the child
  • Spiritual healing includes prayer and has traditionally been identified as one of the most prevalent complementary therapies in the United States.155 Eighty-two percent of Americans believe in the healing power of personal prayer, 73% believe that praying for someone else can help cure their illness, and 77% believe that God sometimes intervenes to cure people who have a serious illness.156 Prayer is used by up to two-thirds of parents for their children.157,158 Studies have suggested that spiritual and/or religious beliefs and practices may contribute to decreased stress and increased sense of well-being and enhanced immune system functioning.157 In a large systematic literature review, Best et al159 demonstrated that the majority of patients express interest in a discussion of religion and spirituality in the medical visit

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