Survey: Preferences and Limitations of Herbal Medicine Use Among Patients at a Community Acupuncture Clinic

Abstract

Abstract

Objectives:

The aim of this research was to identify patient preferences, concerns, and causes of noncompliance in the use of herbal medicine.

Materials and Methods:

Setting: This study involved patients from a community acupuncture clinic in Brooklyn, NY. Outcome Measures: A cross-sectional questionnaire was used to elicit responses on use of herbal medicines.

Results:

Eighty participants completed a survey on herbal medicine. Eighty-one percent (n = 65; confidence interval [CI]: 73%–90%) reported current or past use of herbal medicine; 19% (n = 15; CI: 10%–27%) had never taken herbs. Participants received recommendations on herbal selection from a variety of sources. Of the participants who had used herbal medicine, 63% (n = 32; CI: 49%–76%) preferred capsules or pills, 29% (n = 15; CI: 17%–42%) preferred tinctures, 10% (n = 5; CI: 2%–18%) preferred raw herbs, and 8% (n = 4; CI: 0%–15%) preferred powders. Forgetfulness and time constraints were major contributors to noncompliance. Participants with and without previous experience were concerned about cost, efficacy, quality, side-effects, taste, and product availability. One hundred percent (n = 15) of participants who had never used herbs responded that they would be more likely to consider it if they had more knowledge of the subject.

Conclusions:

Participants favored capsules/pills and tinctures due to ease of administration, taste, and time constraints. Patients might have broad concerns about using herbal medicine; therefore, practitioners should consider opening this discussion. Portable pillboxes or smartphone reminders could be utilized to improve compliance. Patients may be more likely to use herbs if a stock of commonly used formulas is maintained for immediate purchase.