{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,2,21]],"date-time":"2025-02-21T13:18:39Z","timestamp":1740143919273,"version":"3.37.3"},"reference-count":30,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2017,10,9]],"date-time":"2017-10-09T00:00:00Z","timestamp":1507507200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/100010331","name":"Bath Spa University","doi-asserted-by":"publisher","award":["n\/a"],"award-info":[{"award-number":["n\/a"]}],"id":[{"id":"10.13039\/100010331","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Musculoskeletal Care"],"published-print":{"date-parts":[[2018,3]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objective<\/jats:title><jats:p>Ankylosing spondylitis (AS) is a chronic inflammatory rheumatic disease in which individuals experience a long delay to diagnosis. Prior to diagnosis, individuals report frequent use of complementary and alternative medicine (CAM) therapies. While popularly used, there is a dearth of knowledge concerning the experiences of CAM practitioners in terms of treating individuals with AS. Addressing this knowledge gap, the present study provides a detailed exploration of how UK\u2010based CAM practitioners treat individuals with AS.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Semi\u2010structured telephone interviews were conducted with eight UK\u2010based CAM practitioners, (four males), aged 45\u201369\u00a0years. CAM practitioners were recruited across a range of CAM therapies and years of CAM practice experience (8\u201346\u00a0years).<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Thematic analysis resulted in the identification of three themes to characterize the data. Themes comprised: (i) the whole picture; (ii) alarm bells; and (iii) a common language. Themes highlighted CAM practitioner adoption of a holistic, yet individualized approach to treating individuals with AS, despite a general sense of lack of knowledge concerning AS among CAM practitioners. Notably, results indicated a desire of CAM practitioners to work more collaboratively with mainstream health providers to provide more joined\u2010up care for individuals with AS.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>CAM practitioners emphasized the benefits of CAM to focus on providing effective symptom management when used in conjunction, rather than in opposition to, mainstream healthcare. Adoption of a more holistic approach to AS management by CAM practitioners may empower clients to become more aware of symptoms, thus potentially reducing delays in receiving a formal diagnosis of AS.<\/jats:p><\/jats:sec>","DOI":"10.1002\/msc.1217","type":"journal-article","created":{"date-parts":[[2017,10,9]],"date-time":"2017-10-09T08:02:38Z","timestamp":1507536158000},"page":"96-102","source":"Crossref","is-referenced-by-count":5,"title":["A truly complementary approach: A qualitative exploration of complementary and alternative medicine practitioners' views of treating ankylosing spondylitis"],"prefix":"10.1002","volume":"16","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-1243-778X","authenticated-orcid":false,"given":"Hannah","family":"Family","sequence":"first","affiliation":[{"name":"Department of Pharmacy and Pharmacology University of Bath  Bath UK"},{"name":"Centre for Pain Research University of Bath  Bath UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1595-5574","authenticated-orcid":false,"given":"Abbie","family":"Jordan","sequence":"additional","affiliation":[{"name":"Department of Psychology University of Bath  Bath UK"},{"name":"Centre for Pain Research University of Bath  Bath UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kelly","family":"Blaxall","sequence":"additional","affiliation":[{"name":"Department of Pharmacy and Pharmacology University of Bath  Bath UK"},{"name":"Department of Psychology University of Bath  Bath UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9720-0396","authenticated-orcid":false,"given":"Raj","family":"Sengupta","sequence":"additional","affiliation":[{"name":"Department of Pharmacy and Pharmacology University of Bath  Bath UK"},{"name":"Royal National Hospital for Rheumatic Diseases  Bath UK"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2017,10,9]]},"reference":[{"key":"e_1_2_7_2_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10067-016-3261-6"},{"key":"e_1_2_7_3_1","doi-asserted-by":"publisher","DOI":"10.1080\/14768320500444216"},{"key":"e_1_2_7_4_1","doi-asserted-by":"publisher","DOI":"10.1191\/1478088706qp063oa"},{"key":"e_1_2_7_5_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10067-008-1029-3"},{"key":"e_1_2_7_6_1","doi-asserted-by":"publisher","DOI":"10.1093\/rheumatology\/ket387"},{"key":"e_1_2_7_7_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10067-007-0727-6"},{"issue":"7","key":"e_1_2_7_8_1","doi-asserted-by":"crossref","first-page":"693","DOI":"10.1007\/s00296-007-0499-y","article-title":"Definition of disease duration in ankylosing spondylitis","volume":"28","author":"Feldtkeller E.","year":"2008","journal-title":"Rheumatology International"},{"key":"e_1_2_7_9_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00296-002-0237-4"},{"key":"e_1_2_7_10_1","doi-asserted-by":"publisher","DOI":"10.3899\/jrheum.120106"},{"volume-title":"Research Interviewing: The Range of Techniques: A Practical Guide","year":"2005","author":"Gillham B.","key":"e_1_2_7_11_1"},{"key":"e_1_2_7_12_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen-2014-006634"},{"issue":"1","key":"e_1_2_7_13_1","doi-asserted-by":"crossref","first-page":"6","DOI":"10.1016\/S0965-2299(03)00140-7","article-title":"Providing complementary and alternative medicine in primary care: The primary care workers' perspective","volume":"12","author":"Haselen R.","year":"2004","journal-title":"Complementary Therapies in Medicine"},{"key":"e_1_2_7_14_1","doi-asserted-by":"publisher","DOI":"10.1093\/rheumatology\/ken224"},{"issue":"3","key":"e_1_2_7_15_1","doi-asserted-by":"crossref","first-page":"417","DOI":"10.1016\/j.pec.2012.08.013","article-title":"Integration of complementary and alternative medicine in primary care: What do patients want?","volume":"89","author":"Jong M. 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