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Complementary and Alternative Medicine and Fertility Treatment
            Patient Attitudes and Usage Survey Results




                       Patricia M. Stull
              Vice President , Strategic Development
                   Shady Grove Fertility Centers
Research and Survey Partners
Important Definitions
 Complementary Medicine

   Refers to using CM together with conventional medicine. Most use of CAM by
     Americans is complementary.

 Alternative Medicine

   Refers to use of CAM in place of conventional medicine.

 Integrative or Integrated Medicine

   Combines treatments from conventional medicine and CAM for which there is
     some high-quality evidence of safety and effectiveness.
What Is Included Under the Complementary and
Alternative Treatment Umbrella?
         Natural Products
         • Dietary supplements to improve condition
         • Probiotics



         Mind Body Practices
         • Meditation
         • Yoga
         • Acupuncture


         Manipulative and Body Based Practices
         • Spinal manipulation
         • Massage
Patient Survey Methods
 Shady Grove Fertility, Resolve & Attain Fertility

 Prospective, Current and Past Patients

 Used email and social media to promote survey

 701 responses

 Additional Patient Survey Via Pulling Down the Moon

 81 responses

 Complementary and Alternative Medicine and Fertility Treatment
 Patient Attitudes and Usage Survey Results 10/21/12
Who Responded: By Age
400
                                                                  357


300                                               275


200



100
                                                                           40
                     4                                                                    1
  0
                 18-24                           25-34            35-44   45-55   Older than 55


 Complementary and Alternative Medicine and Fertility Treatment
 Patient Attitudes and Usage Survey Results 10/21/12
                                                                                  677 out of 701 respondents
Who Responded: Ethnicity


                          73%                                           14%       Caucasian
                                                                                  African American
                                                                                  Asian
                                                                             6%   Hispanic
                                                                        5%        Middle Eastern
                                                                      1%          Other
                                                                 1%




Complementary and Alternative Medicine and Fertility Treatment
Patient Attitudes and Usage Survey Results 10/21/12
                                                                                   667 out of 701 respondents
86% earned College or Graduate Degree
                                                       10%
                                         1%3%



                                                                 36%   High School Degree
                                                                       Some College
                                                                       College Degree
                           50%                                         Graduate Degree
                                                                       Other




Complementary and Alternative Medicine and Fertility Treatment
Patient Attitudes and Usage Survey Results 10/21/12
                                                                          670 out of 701 respondents
62% Reported Household Income of$100K plus
125

100

 75

 50

 25

  0
          <$50,000              $50,000 -              $75,000 -   $100,000 -   $125,000 -   $150,000 -    $200,000+
                                 $74,999                $99,999     $124,999     $149,999     $199,999


 Complementary and Alternative Medicine and Fertility Treatment
 Patient Attitudes and Usage Survey Results 10/21/12
                                                                                                     589 out of 701 respondents
Who Responded: Fertility Status
                                                 13%
                                 7%                              5%
                                                                            Trying to Conceive Naturally

                                                                            In treatment with an OB/GYN
               25%                                                          or PCP
                                                                            In treatment at a Fertility
                                                                            Center
                                                                            Successfully Completed
                                                                      50%   Treatment (had a baby)
                                                                            Stopped Treatment




Complementary and Alternative Medicine and Fertility Treatment
Patient Attitudes and Usage Survey Results 10/21/12
                                                                                        628 out of 701 respondents
What CAM Have You Used for General Health?
450
400
350
300
250
200
150
100
 50
  0
          Vitamins         Diet/Nutrition Acupuncture             Yoga   Massage   Herbs    Counseling /      Other
                                                                                           Group Support

 Complementary and Alternative Medicine and Fertility Treatment
 Patient Attitudes and Usage Survey Results 10/21/12
                                                                                                  611 out of 701 respondents
survey respondents have used
                        CAMspecifically to
                       improve their fertility
Complementary and Alternative Medicine and Fertility Treatment
Patient Attitudes and Usage Survey Results 10/21/12
                                                                 679 out of 701 respondents
Which CAM have you used to improve fertility?
450
400
350
300
250
200
150
100
 50
  0
            Vitamins        Diet/Nutrition Acupuncture                 Yoga   Massage   Herbs    Counseling /      Other
                                                                                                Group Support



      Complementary and Alternative Medicine and Fertility Treatment
      Patient Attitudes and Usage Survey Results 10/21/12                                              449 out of 484 respondents
Type of CAM Used for General Health vs. Fertility
                                                               General Health            Fertility
100%



75%



50%



25%



 0%
             Vitamins       Diet/Nutrition Acupuncture                  Yoga   Massage        Herbs
                                                                                                Counseling / Group Support
                                                                                                                       Other   None

       Complementary and Alternative Medicine and Fertility Treatment
       Patient Attitudes and Usage Survey Results 10/21/12
believe CAM treatment
                                                   helped them conceive



        69%
thought CAM treatment helped
                                                                    49%
                                                                   say CAM treatment
                                                                                            10%
         them reduce                                                  gave them a       didn’t think CAM treatment
         stress & relax                                              sense of control     provided any benefits

  Complementary and Alternative Medicine and Fertility Treatment
  Patient Attitudes and Usage Survey Results 10/21/12
                                                                                                   449 out of 484 respondents
64% of Patients Self-Referred to Their CAM Provider
                                                                 21%

                                                                       11%

                                                                             4%
                                                                                          Self/Online
                                                                                          Friend
                                                                                          Doctor
                                                                                          Nurse

                                               64%




Complementary and Alternative Medicine and Fertility Treatment
Patient Attitudes and Usage Survey Results 10/21/12
                                                                                  378 out of 484 respondents
survey respondents said they would be MORE
                                                                 LIKELY
                                      to pursue CAM treatment
                                      if recommended by their
                                           physician or nurse
Complementary and Alternative Medicine and Fertility Treatment
Patient Attitudes and Usage Survey Results 10/21/12                       180 out of 217 respondents answered
How long have you been in using CAM?
200



150



100



 50



  0
             1 month or less                            2-4 months   5-6 months   6 months or more


 Complementary and Alternative Medicine and Fertility Treatment
 Patient Attitudes and Usage Survey Results 10/21/12
                                                                                     448 out of 484 respondents
What is preventing you from seeking
CAM?
                                   3%                                  Not covered by
                            6%
                                                                 38%   insurance/cost
                 9%                                                    Skeptical it will work

                                                                       Unsure how to evaluate a
                                                                       provider
              17%                                                      Not recommended by my
                                                                       physician
                                                                       Concerned about an adverse
                                                                       affect
                                                        27%            Inconvenient




Complementary and Alternative Medicine and Fertility Treatment
Patient Attitudes and Usage Survey Results 10/21/12
                                                                                      205 out of 217 respondents
Optimal location for your CAM provider?

                                                       20%


                                                                 11%

                                                                       Close to Home
                                                                       Close to Work
                                                                       In or near my doctor's office

                            69%




Complementary and Alternative Medicine and Fertility Treatment
Patient Attitudes and Usage Survey Results 10/21/12
                                                                                   643 out of 701 respondents
Additional Survey Responses

 Pulling Down the Moon also shared a modified survey with
  active clients
 82 respondents
 Similar demographic group as previous respondents
 Additional questions offered new insights




Complementary and Alternative Medicine and Fertility Treatment
Patient Attitudes and Usage Survey Results 10/21/12
How Did CAM Impact on Your Fertility Treatment?
40%


30%


20%


10%


0%
        Enabled me to stay in    Helped me find         Enabled me to       Helped me initiated
          fertility treatment closure after a failed transition to a more       treatment
                  longer              cycle          advanced treatment


 Complementary and Alternative Medicine and Fertility Treatment
 Patient Attitudes and Usage Survey Results 10/21/12
                                                                                  71 out of 74 respondents
How Important Are the Following Criteria?
                                             Spa-like Environment



                                                All-inclusive center



      Medical, scientific or professional credibility



                      Specialized training in fertility care


                                                                       0   1   2   3          4            5

Complementary and Alternative Medicine and Fertility Treatment
Patient Attitudes and Usage Survey Results 10/21/12
                                                                                       75 out of 82 respondents
In Summary
 Increasing reliance on self-care and wellness will raise usage of
  CAM therapies over the next decade.

 Integrating CAM services into the REI practice can help reduce
  stress for patients enabling them to complete a course of
  treatment instead of dropping out due to emotional exhaustion.

 Finding the right ‘fit’ and developing coordinated and evolving
  communication systems is a fundamental key to integration.

 A united front among medical and CAM providers will maximize
  patient support and satisfaction.
Complementary Medicine and Acupuncture and Infertility

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Complementary Medicine and Acupuncture and Infertility

  • 1. Complementary and Alternative Medicine and Fertility Treatment Patient Attitudes and Usage Survey Results Patricia M. Stull Vice President , Strategic Development Shady Grove Fertility Centers
  • 3. Important Definitions  Complementary Medicine Refers to using CM together with conventional medicine. Most use of CAM by Americans is complementary.  Alternative Medicine Refers to use of CAM in place of conventional medicine.  Integrative or Integrated Medicine Combines treatments from conventional medicine and CAM for which there is some high-quality evidence of safety and effectiveness.
  • 4. What Is Included Under the Complementary and Alternative Treatment Umbrella? Natural Products • Dietary supplements to improve condition • Probiotics Mind Body Practices • Meditation • Yoga • Acupuncture Manipulative and Body Based Practices • Spinal manipulation • Massage
  • 5. Patient Survey Methods  Shady Grove Fertility, Resolve & Attain Fertility  Prospective, Current and Past Patients  Used email and social media to promote survey  701 responses  Additional Patient Survey Via Pulling Down the Moon  81 responses Complementary and Alternative Medicine and Fertility Treatment Patient Attitudes and Usage Survey Results 10/21/12
  • 6. Who Responded: By Age 400 357 300 275 200 100 40 4 1 0 18-24 25-34 35-44 45-55 Older than 55 Complementary and Alternative Medicine and Fertility Treatment Patient Attitudes and Usage Survey Results 10/21/12 677 out of 701 respondents
  • 7. Who Responded: Ethnicity 73% 14% Caucasian African American Asian 6% Hispanic 5% Middle Eastern 1% Other 1% Complementary and Alternative Medicine and Fertility Treatment Patient Attitudes and Usage Survey Results 10/21/12 667 out of 701 respondents
  • 8. 86% earned College or Graduate Degree 10% 1%3% 36% High School Degree Some College College Degree 50% Graduate Degree Other Complementary and Alternative Medicine and Fertility Treatment Patient Attitudes and Usage Survey Results 10/21/12 670 out of 701 respondents
  • 9. 62% Reported Household Income of$100K plus 125 100 75 50 25 0 <$50,000 $50,000 - $75,000 - $100,000 - $125,000 - $150,000 - $200,000+ $74,999 $99,999 $124,999 $149,999 $199,999 Complementary and Alternative Medicine and Fertility Treatment Patient Attitudes and Usage Survey Results 10/21/12 589 out of 701 respondents
  • 10. Who Responded: Fertility Status 13% 7% 5% Trying to Conceive Naturally In treatment with an OB/GYN 25% or PCP In treatment at a Fertility Center Successfully Completed 50% Treatment (had a baby) Stopped Treatment Complementary and Alternative Medicine and Fertility Treatment Patient Attitudes and Usage Survey Results 10/21/12 628 out of 701 respondents
  • 11. What CAM Have You Used for General Health? 450 400 350 300 250 200 150 100 50 0 Vitamins Diet/Nutrition Acupuncture Yoga Massage Herbs Counseling / Other Group Support Complementary and Alternative Medicine and Fertility Treatment Patient Attitudes and Usage Survey Results 10/21/12 611 out of 701 respondents
  • 12. survey respondents have used CAMspecifically to improve their fertility Complementary and Alternative Medicine and Fertility Treatment Patient Attitudes and Usage Survey Results 10/21/12 679 out of 701 respondents
  • 13. Which CAM have you used to improve fertility? 450 400 350 300 250 200 150 100 50 0 Vitamins Diet/Nutrition Acupuncture Yoga Massage Herbs Counseling / Other Group Support Complementary and Alternative Medicine and Fertility Treatment Patient Attitudes and Usage Survey Results 10/21/12 449 out of 484 respondents
  • 14. Type of CAM Used for General Health vs. Fertility General Health Fertility 100% 75% 50% 25% 0% Vitamins Diet/Nutrition Acupuncture Yoga Massage Herbs Counseling / Group Support Other None Complementary and Alternative Medicine and Fertility Treatment Patient Attitudes and Usage Survey Results 10/21/12
  • 15. believe CAM treatment helped them conceive 69% thought CAM treatment helped 49% say CAM treatment 10% them reduce gave them a didn’t think CAM treatment stress & relax sense of control provided any benefits Complementary and Alternative Medicine and Fertility Treatment Patient Attitudes and Usage Survey Results 10/21/12 449 out of 484 respondents
  • 16. 64% of Patients Self-Referred to Their CAM Provider 21% 11% 4% Self/Online Friend Doctor Nurse 64% Complementary and Alternative Medicine and Fertility Treatment Patient Attitudes and Usage Survey Results 10/21/12 378 out of 484 respondents
  • 17. survey respondents said they would be MORE LIKELY to pursue CAM treatment if recommended by their physician or nurse Complementary and Alternative Medicine and Fertility Treatment Patient Attitudes and Usage Survey Results 10/21/12 180 out of 217 respondents answered
  • 18. How long have you been in using CAM? 200 150 100 50 0 1 month or less 2-4 months 5-6 months 6 months or more Complementary and Alternative Medicine and Fertility Treatment Patient Attitudes and Usage Survey Results 10/21/12 448 out of 484 respondents
  • 19. What is preventing you from seeking CAM? 3% Not covered by 6% 38% insurance/cost 9% Skeptical it will work Unsure how to evaluate a provider 17% Not recommended by my physician Concerned about an adverse affect 27% Inconvenient Complementary and Alternative Medicine and Fertility Treatment Patient Attitudes and Usage Survey Results 10/21/12 205 out of 217 respondents
  • 20. Optimal location for your CAM provider? 20% 11% Close to Home Close to Work In or near my doctor's office 69% Complementary and Alternative Medicine and Fertility Treatment Patient Attitudes and Usage Survey Results 10/21/12 643 out of 701 respondents
  • 21. Additional Survey Responses  Pulling Down the Moon also shared a modified survey with active clients  82 respondents  Similar demographic group as previous respondents  Additional questions offered new insights Complementary and Alternative Medicine and Fertility Treatment Patient Attitudes and Usage Survey Results 10/21/12
  • 22. How Did CAM Impact on Your Fertility Treatment? 40% 30% 20% 10% 0% Enabled me to stay in Helped me find Enabled me to Helped me initiated fertility treatment closure after a failed transition to a more treatment longer cycle advanced treatment Complementary and Alternative Medicine and Fertility Treatment Patient Attitudes and Usage Survey Results 10/21/12 71 out of 74 respondents
  • 23. How Important Are the Following Criteria? Spa-like Environment All-inclusive center Medical, scientific or professional credibility Specialized training in fertility care 0 1 2 3 4 5 Complementary and Alternative Medicine and Fertility Treatment Patient Attitudes and Usage Survey Results 10/21/12 75 out of 82 respondents
  • 24. In Summary  Increasing reliance on self-care and wellness will raise usage of CAM therapies over the next decade.  Integrating CAM services into the REI practice can help reduce stress for patients enabling them to complete a course of treatment instead of dropping out due to emotional exhaustion.  Finding the right ‘fit’ and developing coordinated and evolving communication systems is a fundamental key to integration.  A united front among medical and CAM providers will maximize patient support and satisfaction.