Complementary/alternative therapies use in older women with arthritis: Information sources and factors influencing dialog with health care providers

The purpose of this study was to describe the information sources older women with arthritis use to make decisions about complementary/alternative therapies (C/AT), and factors that influence C/AT dialog with their HCP. The purposive sample included 50 community-dwelling older women (mean age=77.8, SD=7.6, range 66-101) who were using C/AT for arthritis management. Eight focus groups were conducted. Qualitative data were analyzed using both manual and computer-based (Atlas.ti) methods. Participants used a variety of C/AT for arthritis management. Most did not seek C/AT information from their health care provider (HCP) but primarily relied on family and friends as resources. Common themes that influenced C/AT dialog included collaborative patient relationship with HCP, HCP unsupportive attitudes toward C/AT and lack of C/AT knowledge, and time-limited clinic visits. Clinical implications include fostering shared decision making clinical relationships, increasing HCP knowledge about C/AT, initiating C/AT dialog and offering credible C/AT information sources.