- Title
- Identifying complementary and alternative medicine recommendations for insomnia treatment and care : a systematic review and critical assessment of comprehensive clinical practice guidelines
- Creator
- Zhao, Fei-Yi. Y.; Xu, Peijie; Kennedy, Gerard; Conduit, Russell; Zhang, Wen-Jing; Wang, Yan-Mei; Fu, Qiang-Qiang; Zheng, Zhen
- Date
- 2023
- Type
- Text; Journal article; Review
- Identifier
- http://researchonline.federation.edu.au/vital/access/HandleResolver/1959.17/194031
- Identifier
- vital:18315
- Identifier
-
https://doi.org/10.3389/fpubh.2023.1157419
- Identifier
- ISSN:2296-2565 (ISSN)
- Abstract
- Background: There is a need for evidence-informed guidance on the use of complementary and alternative medicine (CAM) for insomnia because of its widespread utilization and a lack of guidance on the balance of benefits and harms. This systematic review aimed to identify and summarize the CAM recommendations associated with insomnia treatment and care from existing comprehensive clinical practice guidelines (CPGs). The quality of the eligible guidelines was appraised to assess the credibility of these recommendations. Methods: Formally published CPGs incorporating CAM recommendations for insomnia management were searched for in seven databases from their inception to January 2023. The NCCIH website and six websites of international guideline developing institutions were also retrieved. The methodological and reporting quality of each included guideline was appraised using the AGREE II instrument and RIGHT statement, respectively. Results: Seventeen eligible GCPs were included, and 14 were judged to be of moderate to high methodological and reporting quality. The reporting rate of eligible CPGs ranged from 42.9 to 97.1%. Twenty-two CAM modalities were implicated, involving nutritional or natural products, physical CAM, psychological CAM, homeopathy, aromatherapy, and mindful movements. Recommendations for these modalities were mostly unclear, unambiguous, uncertain, or conflicting. Logically explained graded recommendations supporting the CAM use in the treatment and/or care of insomnia were scarce, with bibliotherapy, Tai Chi, Yoga, and auriculotherapy positively recommended based on little and weak evidence. The only consensus was that four phytotherapeutics including valerian, chamomile, kava, and aromatherapy were not recommended for insomnia management because of risk profile and/or limited benefits. Conclusions: Existing guidelines are generally limited in providing clear, evidence-informed recommendations for the use of CAM therapies for insomnia management due to a lack of high-quality evidence and multidisciplinary consultation in CPG development. More well-designed studies to provide reliable clinical evidence are therefore urgently needed. Allowing the engagement of a range of interdisciplinary stakeholders in future updates of CPGs is also warranted. Systematic review registration: https://www.crd.york.ac.uk/prospero/display_record.php?RecordID=369155, identifier: CRD42022369155. Copyright © 2023 Zhao, Xu, Kennedy, Conduit, Zhang, Wang, Fu and Zheng.
- Publisher
- Frontiers Media SA
- Relation
- Frontiers in Public Health Vol. 11, no. (2023), p.
- Rights
- All metadata describing materials held in, or linked to, the repository is freely available under a CC0 licence
- Rights
- Copyright © 2023 Zhao, Xu, Kennedy, Conduit, Zhang, Wang, Fu and Zheng.
- Rights
- Open Access
- Subject
- 4203 Health services and systems; 4206 Public health; CAM; Clinical practice guidelines; Complementary and alternative medicine; Insomnia; Photo therapeutics; Quality assessment; Sleep medicine; Systematic review
- Full Text
- Reviewed
- Funder
- This work was sponsored by RMIT Research Stipend Scholarship, RMIT University, Australia, and University's Scientific Research Project, Shanghai Sanda University (2021zz02-yj) to F-YZ, National Key R&D Program of China (2021YFC2501500), Traditional Chinese Medicine Research Project, Shanghai Municipal Health Commission (2022CX007), Shanghai Technical Superiority Project of “Preventive Treatment of Disease”, Shanghai Municipal Health Commission [ZY(2021-2023)-0104-02-GF-04] to W-JZ, and Construction of Nonpharmacological TCM Treatment of Insomnia Center, Shanghai Municipal Health Commission [ZY(2021-2023)-0204-06] to Y-MW.
- Hits: 4335
- Visitors: 4063
- Downloads: 59
| Thumbnail | File | Description | Size | Format | |||
|---|---|---|---|---|---|---|---|
| View Details Download | SOURCE1 | Published version | 2 MB | Adobe Acrobat PDF | View Details Download |