Naturopaths practice behaviour: provision and access to information on complementary and alternative medicines

BACKGROUND: The increasing use of complementary and alternative medicines in Australia has generated concern regarding the information on these products available to both healthcare providers and the public. The aim of this study was to examine the practice behaviours of naturopaths in relation to both the provision of and access to information on complementary and alternative medicines (CAM). METHODS: A representative sample of 300 practicing naturopaths located nationally were sent a comprehensive survey which gathered data on self reported practice behaviour in relation to the provision of information on oral CAM to clients and the information needs of the practitioners themselves RESULTS: A response rate of 35% was achieved. Most practitioners (98%) have a dispensary within their clinic and the majority of practitioners perform the dispensing themselves. Practitioners reported they provided information to clients, usually in the form of verbal information (96%), handwritten notes (83%) and printed information (75%). The majority of practitioners (over 75%) reported always giving information on the full name of the product, reason for prescribing, expected response, possible interactions and contraindications and actions of the product. Information resources most often used by practitioners included professional newsletters, seminars run by manufacturers, patient feedback and personal observation of patients. Most practitioners were positive about the information they could access but felt that more information was required in areas such as adverse reactions and safe use of CAM in children, pregnancy and breastfeeding. Most naturopaths (over 96%) were informed about adverse events through manufacturer or distributor newsletters. The barriers in the provision of information to clients were misleading or incorrect information in the media, time constraints, information overload and complex language used in printed information. The main barrier to the practitioner in information access was seen as the perceived division between orthodox and complementary medicine practitioners. CONCLUSION: Our data suggest most naturopaths were concerned about possible interaction between pharmaceuticals and CAM, and explore this area with their patients. There is scope to improve practitioners' access to information of adverse events including an increased awareness of sources of information such as the Australian Therapeutic Goods Administration (TGA) website

Striking poses : an investigation into the constitution of gendered identity as process, in the worlds of Australian teenage girls / Geraldine F. Bloustien.

Bibliography: leaves 256-293.xii, 293 leaves : col. ill. ; 30 cm.Copyright material removed from digital thesis. See print copy in University of Adelaide Library for full text.Explores the intricacies of girls' micro-social lived realities within larger macro-social contexts and the notion of identity as process by centring on the process of 'self-making' by ten teenage girls, living in Adelaide, South Australia in the mid 1990s. The main hypothesis argues for the strategic role of play in the constitution of 'self-making'. This is contextualised within an analytical framework of 'social praxeology', highlighting the importance of social networks to the ways the teenage participants themselves perceived and negotiated subjectivities. Argues that the young participants in this study acquired their sense of cultural (self) identities through three aspects of 'bodily praxis' - place, space and play. While the understandings of the girls and their familial and social groupings provides the focal point to the analysis, these were framed within the perspectives of sixty-five other young people and over fifty significant adults in various social institutions and wider social networks and further contextualised by a reflexive analysis of the research process itself.Thesis (Ph.D.)--University of Adelaide, Dept. of Anthropology, 199

Community pharmacists in Australia: barriers to information provision on complementary and alternative medicines

Objective: To determine, by surveying Australian community pharmacists, the perceived barriers to the provision of information about complementary and alternative medicines (CAMs) and suggestions for overcoming them. Method: Anonymous, self-administered survey sent to a random sample of 701 pharmacists registered in three states of Australia in 2004. Main outcome measure: Pharmacists’ perceived barriers to the provision of information about CAMs. Results: A total of 344 questionnaires were returned by pharmacists (49% response) of which 211 (30%) were currently practising in community pharmacy. Ninety-five percent of surveyed community pharmacists indicated that they personally received enquires about CAMs, with fewer than 15% reporting they were “very confident” in answering queries about safety, interactions or benefits of CAMs. Frequently used CAM information sources were those from manufacturers and distributors, professional newsletters and journals and textbooks. Pharmacists’ perceived barriers to the provision of CAM information included a lack of suitable training (most training was informal), deficiencies in available information sources, a lack of managerial support, the need for regulatory changes, consumer beliefs about CAM safety and time constraints due to competing demands in daily practice. Pharmacists proposed improvements to overcome these barriers including improvements to training. Conclusion: There is scope for pharmacy professional organisations and educational institutions to further support pharmacists in their practice through providing information on the best information sources available and training that meets the needs of undergraduate students, pharmacists and other pharmacy staff. There is a need to examine regulatory requirements concerning the provision of product information with CAMs in Australia and to implement mechanisms for increasing consumer awareness of regulatory procedures for these medicines.Susan J. Semple, Elizabeth Hotham, Deepa Rao, Karen Martin, Caroline A. Smith, Geraldine F. Bloustie