The University of Southampton
University of Southampton Institutional Repository
Warning ePrints Soton is experiencing an issue with some file downloads not being available. We are working hard to fix this. Please bear with us.

Herbal medicine for acute bronchitis: A qualitative interview study of patients’ and health professionals’ views

Herbal medicine for acute bronchitis: A qualitative interview study of patients’ and health professionals’ views
Herbal medicine for acute bronchitis: A qualitative interview study of patients’ and health professionals’ views
Background
Antibiotics are widely prescribed for acute bronchitis in the UK. Herbal medicine could be used instead to provide symptom relief.

Aim
To explore the views of patients and health professionals on using herbal medicine for acute bronchitis instead of antibiotics.

Design and Setting
This was a nested qualitative study, conducted alongside a feasibility randomised clinical trial which ran from July 2018 to May 2019 in 20 GP practices in Wessex, UK.

Method
We conducted telephone semi-structured interviews with patients and with health professionals. The interview data were transcribed and analysed thematically.

Results
Overall, 40 interviews were conducted with 29 patients, six GPs and five nurses. While some patients believed antibiotics are more effective, most were aware of resistance and were keen to try an alternative, including herbal medicine. Several patients believed herbals would be “less intrusive” than antibiotics, whereas a few disliked the taste or experienced side-effects after taking a herbal. Professionals were concerned about potential interactions with conventional medicines. Many patients trusted herbals because of their long history of use, while some did not understand them. Availability of herbals without a prescription enables patients to use them for self-care, but their cost was a barrier for some. Many patients were willing to take a herbal if advised by their GP. Most GPs were happy to recommend a herbal, if endorsed by evidence-based guidelines.

Conclusion
Many patients and health professionals would consider using herbal medicine for acute bronchitis, if based on trustworthy advice and evidence-based guidelines respectively.
Acute bronchitis, Adults, Antimicrobial resistance, Herbal medicine, Primary care, Qualitative
0965-2299
Soilemezi, Dia
74f20da9-6646-419a-bec3-d34348bfaa3c
Leydon, Geraldine
c5cdaff5-0fa1-4d38-b575-b97c2892ec40
Yan, Ruiyang
823bfdca-f9ba-481e-9108-6a26ff10527c
Simpson, Catherine
60c008cf-9ba0-4c41-815c-ad66a04aaed2
Bell, Margaret
836c2c8e-4f09-41a8-878a-f7f7620ca119
Bostock, Jennifer
bdb3d9f2-9e5a-4d33-bb38-94bf6298db75
Moore, Michael
1be81dad-7120-45f0-bbed-f3b0cc0cfe99
Willcox, Merlin
dad5b622-9ac2-417d-9b2e-aad41b64ffea
Soilemezi, Dia
74f20da9-6646-419a-bec3-d34348bfaa3c
Leydon, Geraldine
c5cdaff5-0fa1-4d38-b575-b97c2892ec40
Yan, Ruiyang
823bfdca-f9ba-481e-9108-6a26ff10527c
Simpson, Catherine
60c008cf-9ba0-4c41-815c-ad66a04aaed2
Bell, Margaret
836c2c8e-4f09-41a8-878a-f7f7620ca119
Bostock, Jennifer
bdb3d9f2-9e5a-4d33-bb38-94bf6298db75
Moore, Michael
1be81dad-7120-45f0-bbed-f3b0cc0cfe99
Willcox, Merlin
dad5b622-9ac2-417d-9b2e-aad41b64ffea

Soilemezi, Dia, Leydon, Geraldine, Yan, Ruiyang, Simpson, Catherine, Bell, Margaret, Bostock, Jennifer, Moore, Michael and Willcox, Merlin (2020) Herbal medicine for acute bronchitis: A qualitative interview study of patients’ and health professionals’ views. Complementary Therapies in Medicine, 55, [102613]. (doi:10.1016/j.ctim.2020.102613).

Record type: Article

Abstract

Background
Antibiotics are widely prescribed for acute bronchitis in the UK. Herbal medicine could be used instead to provide symptom relief.

Aim
To explore the views of patients and health professionals on using herbal medicine for acute bronchitis instead of antibiotics.

Design and Setting
This was a nested qualitative study, conducted alongside a feasibility randomised clinical trial which ran from July 2018 to May 2019 in 20 GP practices in Wessex, UK.

Method
We conducted telephone semi-structured interviews with patients and with health professionals. The interview data were transcribed and analysed thematically.

Results
Overall, 40 interviews were conducted with 29 patients, six GPs and five nurses. While some patients believed antibiotics are more effective, most were aware of resistance and were keen to try an alternative, including herbal medicine. Several patients believed herbals would be “less intrusive” than antibiotics, whereas a few disliked the taste or experienced side-effects after taking a herbal. Professionals were concerned about potential interactions with conventional medicines. Many patients trusted herbals because of their long history of use, while some did not understand them. Availability of herbals without a prescription enables patients to use them for self-care, but their cost was a barrier for some. Many patients were willing to take a herbal if advised by their GP. Most GPs were happy to recommend a herbal, if endorsed by evidence-based guidelines.

Conclusion
Many patients and health professionals would consider using herbal medicine for acute bronchitis, if based on trustworthy advice and evidence-based guidelines respectively.

This record has no associated files available for download.

More information

Accepted/In Press date: 2 November 2020
e-pub ahead of print date: 9 November 2020
Published date: December 2020
Keywords: Acute bronchitis, Adults, Antimicrobial resistance, Herbal medicine, Primary care, Qualitative

Identifiers

Local EPrints ID: 445385
URI: http://eprints.soton.ac.uk/id/eprint/445385
ISSN: 0965-2299
PURE UUID: 1f85d249-f028-42e1-8395-4f1705de93f5
ORCID for Geraldine Leydon: ORCID iD orcid.org/0000-0001-5986-3300
ORCID for Michael Moore: ORCID iD orcid.org/0000-0002-5127-4509
ORCID for Merlin Willcox: ORCID iD orcid.org/0000-0002-5227-3444

Catalogue record

Date deposited: 07 Dec 2020 17:31
Last modified: 10 Jan 2022 03:09

Export record

Altmetrics

Contributors

Author: Dia Soilemezi
Author: Ruiyang Yan
Author: Catherine Simpson
Author: Margaret Bell
Author: Jennifer Bostock
Author: Michael Moore ORCID iD
Author: Merlin Willcox ORCID iD

Download statistics

Downloads from ePrints over the past year. Other digital versions may also be available to download e.g. from the publisher's website.

View more statistics

Atom RSS 1.0 RSS 2.0

Contact ePrints Soton: eprints@soton.ac.uk

ePrints Soton supports OAI 2.0 with a base URL of http://eprints.soton.ac.uk/cgi/oai2

This repository has been built using EPrints software, developed at the University of Southampton, but available to everyone to use.

We use cookies to ensure that we give you the best experience on our website. If you continue without changing your settings, we will assume that you are happy to receive cookies on the University of Southampton website.

×