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Barriers to the conduct and application of research in complementary and alternative medicine: a systematic review
BACKGROUND: The popularity of Complementary and alternative medicine (CAM) has grown considerably over the past few decades. This has been accompanied by increasing public pressure for CAM to be evidence-based. Notwithstanding, the conduct and application of research in CAM faces a number of obstacl...
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Formato: | Online Artículo Texto |
Lenguaje: | English |
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BioMed Central
2017
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5364631/ https://www.ncbi.nlm.nih.gov/pubmed/28335766 http://dx.doi.org/10.1186/s12906-017-1660-0 |
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author | Veziari, Yasamin Leach, Matthew J. Kumar, Saravana |
author_facet | Veziari, Yasamin Leach, Matthew J. Kumar, Saravana |
author_sort | Veziari, Yasamin |
collection | PubMed |
description | BACKGROUND: The popularity of Complementary and alternative medicine (CAM) has grown considerably over the past few decades. This has been accompanied by increasing public pressure for CAM to be evidence-based. Notwithstanding, the conduct and application of research in CAM faces a number of obstacles. No systematic review has mapped these barriers to date. Therefore, this systematic literature review aimed to explore, identify and map the barriers to the conduct and application of research in CAM. METHODS: Systematic searching of MEDLINE, Embase, AMED, CINAHL, The Cochrane library, Google scholar and Google was conducted between February and June 2016 for pertinent publications. Pearling (secondary searching) of retrieved publications was also undertaken. Literature published only in English were included; however, no year limit was placed for searching. Two critical appraisal tools were used to critically appraise descriptive studies and opinion publications. RESULTS: A total of 21 eligible publications were included in this review; this comprised of eight primary research articles and thirteen opinion publications. A critical appraisal process found two categories of good quality publications while recognising their limitations in terms of descriptive and opinion publications. The synthesised data from the selected publications about the barriers to the conduct and application of research within CAM were captured within two broad components, namely capacity and culture. Capacity encompassed elements such as access, competency, bias, incentives and time. Encompassed within culture were elements relating to the values and complex system of CAM. CONCLUSIONS: Multiple barriers exist for the conduct and application of research in CAM. Given the growing popularity of these therapies, it is essential that the evidence base underpinning CAM also continues to expand. Without overt recognition of these barriers, enabling strategies cannot be applied. By addressing these barriers, CAM professions will be able to develop a critical mass and a well-coordinated research effort to assist the integration of evidence – based practice in CAM. |
format | Online Article Text |
id | pubmed-5364631 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2017 |
publisher | BioMed Central |
record_format | MEDLINE/PubMed |
spelling | pubmed-53646312017-03-24 Barriers to the conduct and application of research in complementary and alternative medicine: a systematic review Veziari, Yasamin Leach, Matthew J. Kumar, Saravana BMC Complement Altern Med Research Article BACKGROUND: The popularity of Complementary and alternative medicine (CAM) has grown considerably over the past few decades. This has been accompanied by increasing public pressure for CAM to be evidence-based. Notwithstanding, the conduct and application of research in CAM faces a number of obstacles. No systematic review has mapped these barriers to date. Therefore, this systematic literature review aimed to explore, identify and map the barriers to the conduct and application of research in CAM. METHODS: Systematic searching of MEDLINE, Embase, AMED, CINAHL, The Cochrane library, Google scholar and Google was conducted between February and June 2016 for pertinent publications. Pearling (secondary searching) of retrieved publications was also undertaken. Literature published only in English were included; however, no year limit was placed for searching. Two critical appraisal tools were used to critically appraise descriptive studies and opinion publications. RESULTS: A total of 21 eligible publications were included in this review; this comprised of eight primary research articles and thirteen opinion publications. A critical appraisal process found two categories of good quality publications while recognising their limitations in terms of descriptive and opinion publications. The synthesised data from the selected publications about the barriers to the conduct and application of research within CAM were captured within two broad components, namely capacity and culture. Capacity encompassed elements such as access, competency, bias, incentives and time. Encompassed within culture were elements relating to the values and complex system of CAM. CONCLUSIONS: Multiple barriers exist for the conduct and application of research in CAM. Given the growing popularity of these therapies, it is essential that the evidence base underpinning CAM also continues to expand. Without overt recognition of these barriers, enabling strategies cannot be applied. By addressing these barriers, CAM professions will be able to develop a critical mass and a well-coordinated research effort to assist the integration of evidence – based practice in CAM. BioMed Central 2017-03-23 /pmc/articles/PMC5364631/ /pubmed/28335766 http://dx.doi.org/10.1186/s12906-017-1660-0 Text en © The Author(s). 2017 Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated. |
spellingShingle | Research Article Veziari, Yasamin Leach, Matthew J. Kumar, Saravana Barriers to the conduct and application of research in complementary and alternative medicine: a systematic review |
title | Barriers to the conduct and application of research in complementary and alternative medicine: a systematic review |
title_full | Barriers to the conduct and application of research in complementary and alternative medicine: a systematic review |
title_fullStr | Barriers to the conduct and application of research in complementary and alternative medicine: a systematic review |
title_full_unstemmed | Barriers to the conduct and application of research in complementary and alternative medicine: a systematic review |
title_short | Barriers to the conduct and application of research in complementary and alternative medicine: a systematic review |
title_sort | barriers to the conduct and application of research in complementary and alternative medicine: a systematic review |
topic | Research Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5364631/ https://www.ncbi.nlm.nih.gov/pubmed/28335766 http://dx.doi.org/10.1186/s12906-017-1660-0 |
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