Use of herbal medicines for the management of type 2 diabetes: A systematic review of qualitative studies.
Attitudes
Herbal medicine
Qualitative research
Systematic review
Type 2 diabetes mellitus
Journal
Complementary therapies in clinical practice
ISSN: 1873-6947
Titre abrégé: Complement Ther Clin Pract
Pays: England
ID NLM: 101225531
Informations de publication
Date de publication:
Nov 2023
Nov 2023
Historique:
received:
22
08
2023
revised:
21
10
2023
accepted:
25
10
2023
medline:
1
12
2023
pubmed:
18
11
2023
entrez:
17
11
2023
Statut:
ppublish
Résumé
Many people with Type 2 Diabetes Mellitus (T2DM) use herbal medicines, some of which can improve glycaemic control. Providing evidence-based advice on herbal medicines could be an effective intervention to improve control of diabetes, if it is designed to address key needs and concerns of T2DM patients. To understand the views and experiences of patients and health professionals on herbal treatments for self-management of T2DM. MEDLINE, EMBASE, CINAHL, SOCIOFILE and Google Scholar were searched for qualitative studies in T2DM patients about their views on herbal medicines. Included papers were analysed using thematic synthesis. Thirty-one papers (about 30 studies) were included: 20 from low-and-middle income countries, 10 from high income countries, and 1 internet-based study. Almost all studies from high income countries focussed on ethnic minorities. Many people with T2DM wanted a "cure", and often took advice from friends and family, but also traditional healers and mass media. However, they were reluctant to discuss herbal medicines with health professionals, whom they perceived as "closed-minded". They based their treatment decisions on personal experience (from "trial-and-error"), availability, cost and convenience of both herbal and conventional medicines. Most health professionals were reluctant to discuss herbal medicines, or recommended against their use, because of lack of knowledge and concerns about their quality, efficacy and potential interactions. Evidence-based information could help to overcome the current lack of communication about herbal medicines between people with T2DM and health professionals.
Sections du résumé
BACKGROUND
BACKGROUND
Many people with Type 2 Diabetes Mellitus (T2DM) use herbal medicines, some of which can improve glycaemic control. Providing evidence-based advice on herbal medicines could be an effective intervention to improve control of diabetes, if it is designed to address key needs and concerns of T2DM patients.
AIM
OBJECTIVE
To understand the views and experiences of patients and health professionals on herbal treatments for self-management of T2DM.
METHOD
METHODS
MEDLINE, EMBASE, CINAHL, SOCIOFILE and Google Scholar were searched for qualitative studies in T2DM patients about their views on herbal medicines. Included papers were analysed using thematic synthesis.
RESULTS
RESULTS
Thirty-one papers (about 30 studies) were included: 20 from low-and-middle income countries, 10 from high income countries, and 1 internet-based study. Almost all studies from high income countries focussed on ethnic minorities. Many people with T2DM wanted a "cure", and often took advice from friends and family, but also traditional healers and mass media. However, they were reluctant to discuss herbal medicines with health professionals, whom they perceived as "closed-minded". They based their treatment decisions on personal experience (from "trial-and-error"), availability, cost and convenience of both herbal and conventional medicines. Most health professionals were reluctant to discuss herbal medicines, or recommended against their use, because of lack of knowledge and concerns about their quality, efficacy and potential interactions.
CONCLUSION
CONCLUSIONS
Evidence-based information could help to overcome the current lack of communication about herbal medicines between people with T2DM and health professionals.
Identifiants
pubmed: 37977099
pii: S1744-3881(23)00089-0
doi: 10.1016/j.ctcp.2023.101808
pii:
doi:
Substances chimiques
Plant Extracts
0
Types de publication
Systematic Review
Journal Article
Langues
eng
Pagination
101808Informations de copyright
Copyright © 2023 The Authors. Published by Elsevier Ltd.. All rights reserved.