Disclosure of Herbal Medicine Usage in Diabetes Management: A Qualitative Study amongst Type 2 Diabetes Mellitus Patients and Health Care Providers in Negeri Sembilan, Malaysia
Keywords:
herbal medicine, T2DM, disclosure, non-disclosure, experience, communication
Abstract
The use of herbal medicine (HM) and its products has significantly increased in the past decade. Type 2 Diabetes mellitus patients (T2DM) are always rendering herbal medicine as an alternative to the current option of treatment to manage their disease. This article is aimed to explore the extent of communication process of patients who disclose their HM usage to healthcare providers (HCPs) and HCP’s experiences in managing these patients. Purposive sampling method was applied in this qualitative study, which involved 28 respondents from four government clinics in Negeri Sembilan, Malaysia. A semi-structured interview was developed for the in-depth interview (IDI) and focus group interview (FGD). Both IDIs and FGDs were audio-recorded and conducted for approximately (40–60) minutes. The contents were transcribed verbatim and thematically analysed. The majority of T2DM patients did not reveal their HM usage due to fear of negative feedback, never been inquired by HCP and bad experiences after disclosure. Whereas, patients will disclose if they have a good rapport with HCPs and HCP asked patients courteously. However, HCPs reported that they did not discuss HM usage with patients due to limited knowledge, patients refuse to admit and time constraint to consult patients. Communication between T2DM patients and HCPs during consultation concerning the proper use of HM alongside modern medicine needs to be improved. Therefore, a better understanding factor of HM usage and its disclosure would make patients more open-minded to discuss and encourage HCPs to be attentive to avoid any potential adverse effects in HM usage.
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References
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Toklu, H.Z. (2016). Pharmacovigilance of Herbal Medicine: Herbavigilance. Advances in Pharmacoepidemiology & Drug Safety, 5(4). https://doi.org/10.4172/2167-1052.1000208
Tulunay, M., Aypak, C., Yikilkan, H., & Gorpelioglu, S. (2015). Herbal medicine use among Turkish patients with chronic diseases. Journal of Intercultural Ethnopharmacology, 4(3), 217. https://doi.org/10.5455/jice.20150623090040
Zhang, Y., Peck, K., Spalding, M., Jones, B. G., & Cook, R. L. (2012). Discrepancy between patient's use of and health providers' familiarity with CAM. Patient Education and Counselling, 89(3), 399–404. https://doi.org/10.1016/j.pec.2012.02.014
Arcury, T. A., Bell, R. A., Altizer, K. P., Grzywacz, J. G., Sandberg, J. C., & Quandt, S. A. (2012). Attitudes of Older Adults Regarding Disclosure of Complementary Therapy Use to Physicians. Journal of Applied Gerontology, 32(5), 627–645. https://doi.org/10.1177/0733464812443084
Avila, C., Grace, S., & Bradbury, J. (2020). How do patients integrate complementary medicine with mainstream healthcare? A survey of patients’ perspectives. Complementary Therapies in Medicine, 49(January), 102317. https://doi.org/10.1016/j.ctim.2020.102317
Babar, M. G., Syed, S. H., Naing, C. M., & Hamzah, N. H. B. (2012). Perceptions and self-use of Complementary and Alternative Medicine (CAM) among Malaysian dental students. European Journal of Integrative Medicine, 4(1). https://doi.org/ 10.1016/j.eujim.2011.11.001
Bello, N., Winit-Watjana, W., Baquir, W., & McGarry, K. (2012). Disclosure and adverse effects of complementary and alternative medicine used by hospitalized patients in the North East of England. Pharmacy Practice (Internet), 10(3), 125–135.
Boston, C., Wong, N., Ganga, T., Chandradatt, K., Rosales, J., Singh, J., & Kurup, R. (2019). Comparison and Effectiveness of Complementary and Alternative Medicine as against Conventional Medicine in the Treatment and Management of Type 2 Diabetes. Journal of Complementary and Alternative Medical Research, 7(2),1-8. https://doi.org/10.9734/jocamr/2019/v7i230097
Chang, H. Y. A., Wallis, M., & Tiralongo, E. (2011). Use of complementary and alternative medicine among people with type 2 diabetes in Taiwan: A cross-sectional survey. Evidence-Based Complementary and Alternative Medicine, 2011. https://doi.org/10.1155/2011/983792
Global Herbal Supplements and Remedies Market to Reach US $ 107 Billion.
(2012 March 07). Retrieved from http://www.prweb.com/releases/herbal_supplements/herbal_remedies/prweb9260421.htm
Hamed Abdalla, M. E. A., Ali, A. M., & Loong, L. (2020). The use of complementary and alternative medicine (CAM) among cancer patients at a tertiary hospital in Malaysia. Complementary Therapies in Medicine, 50, 102343. https://doi.org/10.1016/j.ctim.2020.102343
Hasan, S. S., Ahmed, S. I., Bukhari, N. I., & Loon, W. C. W. (2009). Use of complementary and alternative medicine among patients with chronic diseases at outpatient clinics. Complementary Therapies in Clinical Practice, 15(3), 152–157. https://doi.org/10.1016/j.ctcp.2009.02.003
Hwang, J. H., Kim, W.-Y., Ahmed, M., Choi, S., Kim, J., & Han, D. W. (2015). The Use of Complementary and Alternative Medicine by Korean Breast Cancer Women: Is It Associated with Severity of Symptoms? Evidence-Based Complementary and Alternative Medicine, 2015, 1–7. https://doi.org/10.1155/2015/182475
Ibrahim, I. R., Hassali, M. A., Saleem F., Tukmagi, H. F., & Dawood, O. T. (2018). Patients’ Attitudes towards Complementary and Alternative Medicine: A Cross-Sectional Study among Hypertensive Patients in Baghdad, Iraq. Journal of Complementary Medicine & Alternative Healthcare, 7(3). https://doi.org/10.19080/jcmah.2018.07.555713
Jiaranaikajorn, T., Panthawangkul, J., & Thamlikitkul, V. (2002). Use of Alternative Medicines among Medical Patients at Siriraj Hospital. Siriraj Medical Journal, 54(10), 603-610. Retrieved from https://he02.tci-thaijo.org/index.php/sirirajmedj/article/view/245316
Jou, J., & Johnson, P. J. (2016). Nondisclosure of Complementary and Alternative Medicine Use to Primary Care Physicians. JAMA Internal Medicine, 176 (4), 545. https://doi.org/10.1001/jamainternmed.2015.8593
Kamel, F. O., Magadmi, R. M., Hagras, M. M., Magadmi, B., & AlAhmad, R. A. (2017). Knowledge, attitude, and beliefs toward traditional herbal medicine use among diabetics in Jeddah Saudi Arabia. Complementary Therapies in Clinical Practice, 29, 207–212. https://doi.org/10.1016/j.ctcp.2017.10.007
Kretchy, I. A., Owusu-Daaku, F., & Danquah, S. (2014). Patterns and determinants of the use of complementary and alternative medicine: a cross-sectional study of hypertensive patients in Ghana. BMC Complementary and Alternative Medicine, 14(1). https://doi.org/10.1186/1472-6882-14-44
Liem, Andrian (2019). Beliefs, attitudes towards, and experiences of using complementary and alternative medicine: A qualitative study of clinical psychologists in Indonesia. European Journal of Integrative Medicine, 26(), 1–10. https://doi.org/10.1016/j.eujim.2019.01.003
Mekuria, A. B., Belachew, S. A., Tegegn, H. G., Ali, D. S., Netere, A. K., Lemlemu, E., & Erku, D. A. (2018). Prevalence and correlates of herbal medicine use among type 2 diabetic patients in Teaching Hospital in Ethiopia: A cross-sectional study. BMC Complementary and Alternative Medicine, 18(1), 1–8. https://doi.org/10.1186/s12906-018-2147-3
Memon, A. R., Randhawa, M. A., Arain, A. A., Alrawaili, Y. S. H., K, Y. S., Alrawaili, N. F. A., Alhassan, N. S., Alshammari, S. O. M., & Alanazi, A. M. S. (2017). Herbal Medicine Use: Knowledge and Attitude in Patients At Tertiary Care Level in Northern Border Region of Kingdom of Saudi Arabia. Journal of Sheikh Zayed Medical College (JSZMC);8(3): 1241-1244.
Pearson, H., Fleming, T., Chhoun, P., Tuot, S., Brody, C., & Yi, S. (2018). Prevalence of and factors associated with utilization of herbal medicines among outpatients in primary health centers in Cambodia. BMC Complementary and Alternative Medicine, 18(1). https://doi.org/10.1186/s12906-018-2181-1
Peltzer K, Pengpid S, Puckpinyo A, Yi S, Anh Le V. The utilization of traditional, complementary and alternative medicine for non-communicable diseases and mental disorders in health care patients in Cambodia, Thailand and Vietnam. BMC Complement Altern Med. (2016);16:92. https://doi.org/10.1186/s12906-016-1078-0.
Shelley, B. M.; Sussman, A. L.; Williams, R. L.; Segal, A. R.; Crabtree, B. F. (2009). 'They Don't Ask Me So I Don't Tell Them': Patient-Clinician Communication About Traditional, Complementary, and Alternative Medicine. The Annals of Family Medicine, 7(2), 139–147.https://doi.org/10.1370/afm.947
Shorofi, S. A., & Arbon, P. (2017). Complementary and alternative medicine (CAM) among Australian hospital-based nurses: knowledge, attitude, personal and professional use, reasons for use, CAM referrals, and socio-demographic predictors of CAM users. Complementary Therapies in Clinical Practice, 27, 37–45. https://doi.org/10.1016/j.ctcp.2017.03.001
Soner, B. C., Sahin, A. S., & Sahin, T. K. (2013). A survey of Turkish hospital patients’ uses of herbal medicine. European Journal of Integrative Medicine, 5(6), 547–552. https://doi.org/ 10.1016/j.eujim.2013.08.004
Toklu, H.Z. (2016). Pharmacovigilance of Herbal Medicine: Herbavigilance. Advances in Pharmacoepidemiology & Drug Safety, 5(4). https://doi.org/10.4172/2167-1052.1000208
Tulunay, M., Aypak, C., Yikilkan, H., & Gorpelioglu, S. (2015). Herbal medicine use among Turkish patients with chronic diseases. Journal of Intercultural Ethnopharmacology, 4(3), 217. https://doi.org/10.5455/jice.20150623090040
Zhang, Y., Peck, K., Spalding, M., Jones, B. G., & Cook, R. L. (2012). Discrepancy between patient's use of and health providers' familiarity with CAM. Patient Education and Counselling, 89(3), 399–404. https://doi.org/10.1016/j.pec.2012.02.014
Published
2021-01-06
How to Cite
Amirudin, N., Panting, A., Kassim, rosnani and Ithnain, N. (2021) “Disclosure of Herbal Medicine Usage in Diabetes Management: A Qualitative Study amongst Type 2 Diabetes Mellitus Patients and Health Care Providers in Negeri Sembilan, Malaysia”, Malaysian Journal of Social Sciences and Humanities (MJSSH), 6(1), pp. 279 - 288. doi: 10.47405/mjssh.v6i1.617.
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