Foundation University

College of Nursing
Dumaguete City

KNOWLEDGE, ATTITUDE, AND PRACTICES ON COMPLEMENTARY

AND
ALTERNATIVE MEDICINE AND MODERN MEDICINE
IN RELATION TO HEALTH STATUS

Pangalan (Optional): _________________________

Edad: ______________

Part I: Demographic Profile

Instraksyon:
Palihog butangi og tsek ang blangko na koresponde sa inyong mga tubag
Grado na nahuman:
Elementary Level ( ) Elementary Graduate ( )
High School Level ( ) High School Graduate ( )
Collage Level ( )
College Graduate ( )
Vocational Course( )
PostGraduate( )
Others, please specify: _____________

Relihiyon

Roman Catholic
( )
Islam
( )
Christian-Protestant
( )
Others, please specify: _____________

Net Family Monthly Income:

Part II: Alternative Medicine

A. Knowledge

5,000.00 paubos
5,001.00 - < 10,000.00
10,001.00 - < 15,000.00
15,001.00 - < 20,000.00
20,001.00 pataas

(
(
(
(
( )

)
)
)
)

1. Unsa nga mga kultura og tradisyon nga naka impluwensiya sa

imung desisyon kabahin sa panglawas? (Tseke tanan nga ma
apply)
Chinese
Asian
Thai
American
Others, please specify: ___________
No Influence
2. Unsa nga relihiyon ang naka impluwensiya sa imung desisyon kabahin
sa imung panglawas? (Tseke ang tanan na ma apply)
o Catholic
o Islam
o Christian Protestant
o Jehovahs Witness
o Others, please specify: ___________
o No Influence
o
o
o
o
o
o
o
o
o
o
o
o
o
o

3.
Unsaon nimu pag ranko ang panglawas na kondisyon sa
imung pamilya?

Excellent
( ) - Normal; walai complikado; walai ebidensyang
bisan unsa na sakit; makatrabaho.
Very Good ( ) Makabuhat ra sa pang-adlaw2x nga buluhaton;
naay gamayng gibati.
Good
( ) Makabuhat sa buluhaton pero naay gamayng
gibati;
Fair
( ) - Dili makabuhat ra sa pang-adlaw2x nga buluhaton
Poor
( ) Grabe nah, kinahanglan tambalan daun

4. How much time does it take to reach the following health care
facilities or providers that are closest to your household?
o ( ) 1 hour
( ) 2 hours
others, pls. specify: __________

( ) 3 hours

( ) 4 hours

5. Has anyone in this household been ill in the past two weeks with an
acute illness? An acute illness is a condition that appears suddenly:
the person did not have it immediately before becoming ill.

( ) Yes

( ) No

If No, Skip Questions 6-8

o
o

6. What type of health problems/symptoms did the sick member have

during this illness?
o

7. How serious do you think this illness was?

o ( ) Very Serious
( ) Not Serious

( ) Somewhat Serious

o
o

8. At any point, did you or anybody else your behalf seek care for this
illness outside the home?
o ( ) Yes

( ) No

9. From which of the following sources of care did the sick member
receive care at any time during the illness?
o ( ) Medical doctor (M.D., D.O.) including specialists
o

o ( ) Nurse, Nurse Practitioner, or Physician Assistant

o

o ( ) Chiropractor, Acupuncturist, or Naturopath

o

o Others, pls. specify: _______________

o
o

o B. Practice
o

10.
Did he/she take any medicine during the acute illness,
including medicines taken during hospitalization?
o ( ) Yes

( )No

o
o
o
o

o Part B: Therapies and providers that you have used

11.
Have you used complementary/alternative medicine (CAM)
for: (Check all that apply)

o 1 preventing illness
o 2 treating illness
o 3 promoting health
o 4 I have never used CAM
o 5 Other________________________
12.
C.

If you answered that you have never used CAM, skip to Part

13.
Identify the statement that best describes your health care
practices:
o 1 I use CAM only
o 2 I use CAM with treatments given to me by my medical
doctor
14.
Which natural health products and therapies do you use or
have you used in the past? (Check all that apply)
o

Acupuncture

Acupressure

o
Relaxation/Breathing
technique

Aromatherapy

o Shiatsu

Spiritual Healing

o Traditional Chinese
Medicine

Herbal medicine

Massage

Meditation

o Vitamins and
minerals

Music therapy

o Yoga

o Reflexology

o Therapeutic Touch

Others please
specify;
____________________

15.
Identify the statement that best describes your intake of
natural health products. A natural health product includes vitamins
and minerals. (Check only one box)
1. 1 I do not take natural health products
2. 2 I take natural health products on a daily basis
3. 3 I take natural health products on a weekly basis
4. 4 I take natural health products on a monthly basis
5. 5 I take natural health products once a year
6. 6 I take natural health products less often than once a year
7. 7 Other_________________________________
16.
Identify the statement that best describes your level of
involvement with a CAM provider. (Check only one box)
8. 1 I do not see CAM providers
9. 2 I see CAM providers on a daily basis
10.

3 I see CAM providers on a weekly basis

11.

4 I see CAM providers on a monthly basis

12.

5 I see CAM providers once a year

13.

6 I see CAM providers less than once a year

14.

7 Other_________________________________

15.
16.
17.
18.
19.
20.

21.

Part C: Your Attitude about CAM use

22.
Listed below are a number of statements concerning your
beliefs about CAM use? For each statement you should circle the
number that corresponds most closely to your belief. Circle only
one number. Please do not miss any statements.
23.

26.
Stro
n
gl
y
D
is
a
g
r
e
e

27.
Dis
a
g
r
e
e

28.
Hav
e
n

t
d
e
c
i
d
e
d

29.
A

30.
Str
o
n
g
l
y
a
g
r
e
e

31. 32.
CAM providers
1
give good
information on
maintaining a
healthy lifestyle

33.
1

34.
2

35.
3

36.
4

37.
5

38. 39.
There are less
2
side effects when
taking natural
remedies

40.
1

41.
2

42.
3

43.
4

44.
5

45. 46.
CAM involves
3
natural plant
formulas which are
more healthy than
taking drugs given
by the medical
doctor

47.
1

48.
2`

49.
3

50.
4

51.
5

52. 53.
Young adults
4
would be more likely

54.
1

55.
2

56.
3

57.
4

58.

24.

25.

26.
Stro
n
gl
y
D
is
a
g
r
e
e

27.
Dis
a
g
r
e
e

28.
Hav
e
n

t
d
e
c
i
d
e
d

29.
A

30.
Str
o
n
g
l
y
a
g
r
e
e

59. 60.
Young adults
5
are more
empowered when
using CAM because
CAM providers
involve them in
decisions about
their health care
treatments

61.
1

62.
2

63.
3

64.
4

65.
5

66. 67.
Young adults
6
believe that CAM
builds up the bodys
own defenses and
promotes selfhealing

68.
1

69.
2

70.
3

71.
4

72.
5

73. 74.
The more
7
knowledge a young
adult has about
CAM, the more likely
he/she is to use it

75.
1

76.
2

77.
3

78.
4

79.
5

24.

25.

to use CAM if there

were more CAM
clinics

26.
Stro
n
gl
y
D
is
a
g
r
e
e

27.
Dis
a
g
r
e
e

28.
Hav
e
n

t
d
e
c
i
d
e
d

29.
A

30.
Str
o
n
g
l
y
a
g
r
e
e

80. 81.
Parent(s) and
8
family can influence
a young adults CAM
use by exposing
them to it

82.
1

83.
2

84.
3

85.
4

86.
5

87. 88.
Young adults
9
are more likely to
use CAM if their
friends are using it

89.
1

90.
2

91.
3

92.
4

93.
5

94. 95.
Young adults
1
are more likely to
use CAM if coaches
and teachers
discuss it with them

96.
1

97.
2

98.
3

99.
4

100.
5

101. 102.
Young adults
1
who believe in the
physical, mental
and spiritual aspects
of health are more
likely to use CAM

103.
1

104.
2

105.
3

106. 107.
4
5

108. 109.

110.

111.

112.

113. 114.

24.

25.

Young adults

24.

25.

26.
Stro
n
gl
y
D
is
a
g
r
e
e

27.
Dis
a
g
r
e
e

28.
Hav
e
n

t
d
e
c
i
d
e
d

117.
1

118.
2

119.
3

who fear the

discomfort of
treatments from
medical doctors are
more likely to use
CAM

115. 116.
Young adults
1
believe that taking
CAM therapies is not
harmful
122.

29.
A

30.
Str
o
n
g
l
y
a
g
r
e
e

120. 121.
4
5

Part III: Modern Medicine

123.

124.

Instruction:

125.

126. The following questions will determine the extent of your knowledge,
attitude and degree of use of modern medicine for treating various
illnesses/diseases/conditions. Please indicate your answer by placing a check mark
in the appropriate box.
127.
128.

129.

A. Knowledge

130.

131.

Answer Guide:

1.

Scale

4.

5 (4.21-5)

7.

4 (3.41-4.20)

10. 3

(2.61-3.40)

13. 2

(1.81-2.60)

16. 1

(1-1.80)

Verbal
Description
5. Modern medicine is
6. Extremel
known 81-100% of the
y Aware
time
8. Modern medicine is
9. Moderate
known 61-80% of the
ly Aware
time
11. Modern medicine is
12. Somewh
known 41-60% of the
at Aware
time
14. Modern medicine is
15. Slightly
known 21-40% of the
Aware
time
17. Modern medicine is
18. Not at all
known 0-20% of the
Aware
time
2.

Percentage

3.

132.
133.
134.
135.
136.
137.
138.
139.

140.
Are you aware that there are modern medicines for treating
various illnesses/diseases/conditions?
141.

152.
153.
154.

155.

B. Attitude

156.

Instruction:

157.

142.
5

143. 144. 145. 146.

4
2
1

147.

148.

149.

150.

151.

158. The following question will determine the extent of your belief in the
healing properties of modern medicine. Please indicate your answer by placing a
check mark in the appropriate box.
159.
160.
161.

162.

Answer Guide:
163.
S
164.
Perc
cale
entage
166.
5
167.
Mod
(4.21-5)
ern
medicine is
believed 81100% of the
time
169.
4
170.
Mod
(3.41ern
4.20)
medicine is
believed 6180% of the
time
172.
3
173.
Mod
(2.61ern
3.40)
medicine is
believed 4160% of the
time
175.
2
176.
Mod
(1.81ern
2.60)
medicine is
believed 2140% of the
time
178.
1
179.
Mod
(1-1.80)
ern
medicine is
believed 020% of the
time

165.
Verbal
Description
168.
Strongly
Believe

171.
Moderate
ly Believe

174.
Somewh
at Believe

177.
Slightly
Believe

180.
Dont
believe at all

181.
182.

183.
Do you believe in the ability of modern medicine to cure illnesses
and diseases?
184.

195.

C. Practices

185.
5

186. 187. 188. 189.

4
2
1

190.

191.

192.

193.

194.

196.

Instruction:

197.

198. The following question will determine the extent of your use of modern
medicine. Please indicate your answer by placing a check mark in the appropriate
box.
199.

200.

Answer Guide:
201.
Sc
ale
204.
5
(4.21-5)

207.
4
(3.414.20)

210.
3
(2.613.40)

213.
2
(1.812.60)

216.
1
(1-1.80)

202.
Pe
rcentage
205.
Mo
dern
medicine
is used
81-100%
of the
time
208.
Mo
dern
medicine
is used
61-80%
of the
time
211.
Mo
dern
medicine
is used
41-60% of
the time
214.
Mo
dern
medicine
is used
21-40% of
the time
217.
Mo
dern
medicine
is used 020% of
the time

203.
Verbal
Description
206.
All the
time

209.
Very
often

212.

Often

215.
mes

Someti

218.

Never

219.

220.
How often do you and your family use modern medicine for the
following illnesses or diseases?
221.
Medical
222. 223. 224. 225. 226.
Conditions
5
4
3
2
1
227.
Skin
228. 229.
230.
231.
232.
infections/ allergies

233.
Cough
and
colds
239.
Fever
245.
Stomach pains
251.
Diarrhea
257.
Constipation
263.
Cholesterol
Control
269.
Toothache
275.
Headache
281.
Asthma
287.
Dyspepsia/
Kabag
293.
Boils/ HubagHubag
299.
Disinfect
wounds
305.
Intestinal
worms
311.
Urinary Stones
317.
Gargle
for
stronger teeth and
prevent cavities
323.
Gout/Arthritis/
Rheumatism
329.
Diabetes
335.
High
blood
pressure
341.
Dengue fever
347.

234.

235.

236.

237.

238.

240.
246.
252.
258.
264.

241.
247.
253.
259.
265.

242.
248.
254.
260.
266.

243.
249.
255.
261.
267.

244.
250.
256.
262.
268.

270.
276.
282.
288.

271.
277.
283.
289.

272.
278.
284.
290.

273.
279.
285.
291.

274.
280.
286.
292.

294.

295.

296.

297.

298.

300.

301.

302.

303.

304.

306.

307.

308.

309.

310.

312.
318.

313.
319.

314.
320.

315.
321.

316.
322.

324.

325.

326.

327.

328.

330.
336.

331.
337.

332.
338.

333.
339.

334.
340.

342.

343.

344.

345.

346.