International prevalence of consultation with a naturopathic practitioner: a systematic review and meta-analysis

Objectives Naturopathy is a traditional medicine system informed by codified philosophies and principles, and an emphasis on non-pharmacologic therapeutic interventions. While naturopathy is practised by approximately 75 000–100 000 000 naturopathic practitioners in at least 98 countries, little is...

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Main Authors: Amie Steel, Jon Adams, Brenda Leung, Holger Cramer, Matthew J Leach, Jon Wardle, Joshua Goldenberg, Janet Schloss, Rebecca Redmond, Joanna Elizabeth Harnett, Claudine Van de Venter, Andy McLintock, Ryan Bradley, Jason Hawrelak, Kieran Cooley
Format: Article
Language:English
Published: BMJ Publishing Group 2022-07-01
Series:BMJ Open
Online Access:https://bmjopen.bmj.com/content/12/7/e056075.full
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author Amie Steel
Jon Adams
Brenda Leung
Holger Cramer
Matthew J Leach
Jon Wardle
Joshua Goldenberg
Janet Schloss
Rebecca Redmond
Joanna Elizabeth Harnett
Claudine Van de Venter
Andy McLintock
Ryan Bradley
Jason Hawrelak
Kieran Cooley
author_facet Amie Steel
Jon Adams
Brenda Leung
Holger Cramer
Matthew J Leach
Jon Wardle
Joshua Goldenberg
Janet Schloss
Rebecca Redmond
Joanna Elizabeth Harnett
Claudine Van de Venter
Andy McLintock
Ryan Bradley
Jason Hawrelak
Kieran Cooley
author_sort Amie Steel
collection DOAJ
description Objectives Naturopathy is a traditional medicine system informed by codified philosophies and principles, and an emphasis on non-pharmacologic therapeutic interventions. While naturopathy is practised by approximately 75 000–100 000 000 naturopathic practitioners in at least 98 countries, little is known about the international prevalence of history of consultation with a naturopathic practitioner. This study reports a systematic review and meta-analysis of studies describing the global prevalence of history of consultation with a naturopathic practitioner by the general population.Setting The included literature was identified through a systematic search of eight databases between September and October 2019, as well as the grey literature.Participants Studies were included if they reported the prevalence rate of consultations with a naturopathic practitioner by the general population.Interventions Survey items needed to report consultations with a naturopathic practitioner as defined in the country where data was collected, and not combine naturopathic consultations with other health services or only report consulations for illness populations.Primary and secondary outcome measures Primary measures used for the analysis was consultations in the previous 12 months. Other prevalence timeframes were reported as secondary measures.Methods Meta-analysis of prevalence data was conducted using random effects models based on individual countries and WHO world regions.Results The literature search identified eight manuscripts summarising 14 studies reporting prevalence for inclusion in the review. All included studies had a low risk of bias. Meta-analysis of the included studies by world region found the 12-month prevalence of history of naturopathy consultations ranged from 1% in the Region of the Americas to 6% in the European and Western Pacific Regions.Conclusions There are up to sixfold differences in the prevalence of naturopathy consults over 12 months between and within world regions, which may be driven by a range of policy, legislative and social factors.PROSPERO registration number CRD42020145529.
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spelling doaj-art-f9c150c6a9ba49a8b5983fab2df236122025-01-30T19:35:14ZengBMJ Publishing GroupBMJ Open2044-60552022-07-0112710.1136/bmjopen-2021-056075International prevalence of consultation with a naturopathic practitioner: a systematic review and meta-analysisAmie Steel0Jon Adams1Brenda Leung2Holger Cramer3Matthew J Leach4Jon Wardle5Joshua Goldenberg6Janet Schloss7Rebecca Redmond8Joanna Elizabeth Harnett9Claudine Van de Venter10Andy McLintock11Ryan Bradley12Jason Hawrelak13Kieran Cooley14Australian Research Centre in Complementary and Integrative Medicine (ARCCIM), University of Technology Sydney, Sydney, New South Wales, AustraliaAustralian Research Centre in Complementary and Integrative Medicine (ARCCIM), University of Technology Sydney, Sydney, New South Wales, AustraliaUniversity of Lethbridge, Lethbridge, Alberta, CanadaDepartment of Internal and Integrative Medicine, Universitat Duisburg-Essen, Essen, Nordrhein-Westfalen, GermanyNational Centre for Naturopathic Medicine, Southern Cross University, East Lismore, New South Wales, AustraliaNational Centre for Naturopathic Medicine, Southern Cross University, East Lismore, New South Wales, AustraliaHelfgott Research Institute, National University of Natural Medicine, Portland, Oregon, USANational Centre for Naturopathic Medicine, Southern Cross University, East Lismore, New South Wales, AustraliaAustralian Research Centre in Complementary and Integrative Medicine (ARCCIM), University of Technology Sydney, Sydney, New South Wales, AustraliaSchool of Pharmacy, Faculty of Medicine and Health, The University of Sydney, Sydney, New South Wales, AustraliaAustralian Research Centre in Complementary and Integrative Medicine (ARCCIM), University of Technology Sydney, Sydney, New South Wales, AustraliaAustralian Research Centre in Complementary and Integrative Medicine (ARCCIM), University of Technology Sydney, Sydney, New South Wales, AustraliaHelfgott Research Institute, National University of Natural Medicine, Portland, Oregon, USAUniversity of Tasmania, Hobart, Tasmania, AustraliaCanadian College of Naturopathic Medicine, Toronto, Ontario, CanadaObjectives Naturopathy is a traditional medicine system informed by codified philosophies and principles, and an emphasis on non-pharmacologic therapeutic interventions. While naturopathy is practised by approximately 75 000–100 000 000 naturopathic practitioners in at least 98 countries, little is known about the international prevalence of history of consultation with a naturopathic practitioner. This study reports a systematic review and meta-analysis of studies describing the global prevalence of history of consultation with a naturopathic practitioner by the general population.Setting The included literature was identified through a systematic search of eight databases between September and October 2019, as well as the grey literature.Participants Studies were included if they reported the prevalence rate of consultations with a naturopathic practitioner by the general population.Interventions Survey items needed to report consultations with a naturopathic practitioner as defined in the country where data was collected, and not combine naturopathic consultations with other health services or only report consulations for illness populations.Primary and secondary outcome measures Primary measures used for the analysis was consultations in the previous 12 months. Other prevalence timeframes were reported as secondary measures.Methods Meta-analysis of prevalence data was conducted using random effects models based on individual countries and WHO world regions.Results The literature search identified eight manuscripts summarising 14 studies reporting prevalence for inclusion in the review. All included studies had a low risk of bias. Meta-analysis of the included studies by world region found the 12-month prevalence of history of naturopathy consultations ranged from 1% in the Region of the Americas to 6% in the European and Western Pacific Regions.Conclusions There are up to sixfold differences in the prevalence of naturopathy consults over 12 months between and within world regions, which may be driven by a range of policy, legislative and social factors.PROSPERO registration number CRD42020145529.https://bmjopen.bmj.com/content/12/7/e056075.full
spellingShingle Amie Steel
Jon Adams
Brenda Leung
Holger Cramer
Matthew J Leach
Jon Wardle
Joshua Goldenberg
Janet Schloss
Rebecca Redmond
Joanna Elizabeth Harnett
Claudine Van de Venter
Andy McLintock
Ryan Bradley
Jason Hawrelak
Kieran Cooley
International prevalence of consultation with a naturopathic practitioner: a systematic review and meta-analysis
BMJ Open
title International prevalence of consultation with a naturopathic practitioner: a systematic review and meta-analysis
title_full International prevalence of consultation with a naturopathic practitioner: a systematic review and meta-analysis
title_fullStr International prevalence of consultation with a naturopathic practitioner: a systematic review and meta-analysis
title_full_unstemmed International prevalence of consultation with a naturopathic practitioner: a systematic review and meta-analysis
title_short International prevalence of consultation with a naturopathic practitioner: a systematic review and meta-analysis
title_sort international prevalence of consultation with a naturopathic practitioner a systematic review and meta analysis
url https://bmjopen.bmj.com/content/12/7/e056075.full
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