Between Tradition and Modernity: Understanding Public Perceptions of Complementary and Alternative Medicine
Abstract
Purpose of the study: The aim of this study is to determine public perceptions of complementary and alternative medicine.
Methodology: This research is quantitative with a descriptive design. The sample consisted of 88 residents of Pondok Benda Village, RW 013, Pamulang 2, using a random sampling technique. Data collection used a questionnaire developed by the researcher.
Main Findings: The results of the study showed that 53.4% of respondents had a positive perception of complementary and alternative medicine, 62.6% had a positive perception of cupping, 60.2% of respondents had a positive perception of acupuncture and acupressure, the same number of respondents had a positive perception of reflexology, 80.7% of respondents had a positive perception of herbal medicine, 60.2% of respondents had a positive perception of bone fracture experts, 61.4% of respondents had a positive perception of shaman sembur, and 61.4% of respondents had a positive perception of the advantages and disadvantages of complementary and alternative medicine.
Novelty/Originality of this study: The novelty of this research lies in revealing public perceptions of complementary and alternative medicine, a practice rarely studied in depth. This study provides new insights into the social, cultural, and belief factors that influence people's choices in using non-conventional medicine as an alternative or complement to modern medical treatment.
References
E. L. Lee, N. Richards, J. Harrison, and J. Barnes, “Prevalence of Use of Traditional, Complementary and Alternative Medicine by the General Population: A Systematic Review of National Studies Published from 2010 to 2019,” Drug Saf., vol. 45, no. 7, pp. 713–735, 2022, doi: 10.1007/s40264-022-01189-w.
L. Liu, Y. Tang, G. D. Baxter, H. Yin, and S. Tumilty, “Complementary and alternative medicine - practice, attitudes, and knowledge among healthcare professionals in New Zealand: an integrative review,” BMC Complement. Med. Ther., vol. 21, no. 1, pp. 1–11, 2021, doi: 10.1186/s12906-021-03235-z.
P. Phutrakool and K. Pongpirul, “Acceptance and use of complementary and alternative medicine among medical specialists: a 15-year systematic review and data synthesis,” Syst. Rev., vol. 11, no. 1, pp. 1–14, 2022, doi: 10.1186/s13643-021-01882-4.
R. Mirzaeian, F. Sadoughi, S. Tahmasebian, and M. Mojahedi, “The role of herbal medicines in health care quality and the related challenges,” J. HerbMed Pharmacol., vol. 10, no. 2, pp. 156–165, 2021, doi: 10.34172/jhp.2021.17.
J. J. Mao et al., “Integrative Medicine for Pain Management in Oncology: Society for Integrative Oncology-ASCO Guideline,” J. Clin. Oncol., vol. 40, no. 34, pp. 3998–4024, 2022, doi: 10.1200/JCO.22.01357.
R. Hireche, H. Mansouri, and A. S. K. Pathan, “Security and Privacy Management in Internet of Medical Things (IoMT): A Synthesis,” J. Cybersecurity Priv., vol. 2, no. 3, pp. 640–661, 2022, doi: 10.3390/jcp2030033.
T. A. Degu, “Integrating Traditional Medicine into the Healthcare System in Ethiopia: Promoting Research and Avoiding Misappropriation,” Indones. Comp. Law Rev., vol. 6, no. 2, pp. 109–127, 2024, doi: 10.18196/iclr.v6i2.21454.
S. Dubale et al., “Traditional herbal medicine legislative and regulatory framework: a cross-sectional quantitative study and archival review perspectives,” Front. Pharmacol., vol. 16, no. January, pp. 1–22, 2025, doi: 10.3389/fphar.2025.1475297.
A. Kwame, “Integrating Traditional Medicine and Healing into the Ghanaian Mainstream Health System: Voices From Within,” Qual. Health Res., vol. 31, no. 10, pp. 1847–1860, 2021, doi: 10.1177/10497323211008849.
A. Gall, T. L. Butler, S. Lawler, and G. Garvey, “Traditional, complementary and integrative medicine use among Indigenous peoples with diabetes in Australia, Canada, New Zealand and the United States,” Aust. N. Z. J. Public Health, vol. 45, no. 6, pp. 664–671, 2021, doi: 10.1111/1753-6405.13120.
S. F. Zaidi et al., “Public knowledge, attitudes, and practices towards herbal medicines; a cross-sectional study in Western Saudi Arabia,” BMC Complement. Med. Ther., vol. 22, no. 1, pp. 1–15, 2022, doi: 10.1186/s12906-022-03783-y.
E. Setiyorini et al., “Complementary and alternative medicine for glycemic control of diabetes mellitus: A systematic review,” J. Public health Res., vol. 11, no. 3, pp. 1–10, 2022, doi: 10.1177/22799036221106582.
A. Suzer, N. U. Suzer, R. Savkin, and N. Buker, “Popular Complementary and Alternative Therapy Methods in Different Conditions,” Int. J. Tradit. Complement. Med. Res., vol. 3, no. 3, pp. 201–211, 2022, doi: 10.53811/ijtcmr.1197108.
P. V. Farahani and C. Ozturk, “Complementary and Alternative Medicine in Treating Children’s Diseases in Iran: A Systematic Review,” J. Pediatr. Rev., vol. 12, no. 4, pp. 329–342, 2024, doi: 10.32598/jpr.12.4.1136.4.
S. Külekçioğlu, “Traditional and complementary medicine use for knee osteoarthritis,” Eur. Res. J., vol. 8, no. 5, pp. 619–628, 2022, doi: 10.18621/eurj.1055602.
V. Paudyal et al., “Provision of clinical pharmacy services during the COVID-19 pandemic: Experiences of pharmacists from 16 European countries,” Res. Soc. Adm. Pharm., vol. 17, no. 8, pp. 1507–1517, 2021, doi: 10.1016/j.sapharm.2020.11.017.
G. O. Alawode and D. A. Adewole, “Assessment of the design and implementation challenges of the National Health Insurance Scheme in Nigeria: a qualitative study among sub-national level actors, healthcare and insurance providers,” BMC Public Health, vol. 21, no. 1, pp. 1–12, 2021, doi: 10.1186/s12889-020-10133-5.
S. Pirintsos et al., “From Traditional Ethnopharmacology to Modern Natural Drug Discovery: A Methodology Discussion and Specific Examples,” Molecules, vol. 27, no. 13, pp. 1–18, 2022, doi: 10.3390/molecules27134060.
M. Trübner, A. Patzina, J. Lehmann, B. Brinkhaus, C. S. Kessler, and R. Hoffmann, “Health information-seeking behavior among users of traditional, complementary and integrative medicine (TCIM),” BMC Complement. Med. Ther., vol. 25, no. 1, pp. 1–11, 2025, doi: 10.1186/s12906-025-04843-9.
H. Foley, A. Steel, E. McIntyre, J. Harnett, D. Sibbritt, and J. Adams, “Disclosure of conventional and complementary medicine use to medical doctors and complementary medicine practitioners: A survey of rates and reasons amongst those with chronic conditions,” PLoS One, vol. 16, no. 11, pp. 1–16, 2021, doi: 10.1371/journal.pone.0258901.
D. C. Mora et al., “Safety of Complementary and Alternative Medicine (CAM) treatment among children and young adults who suffer from adverse effects of conventional cancer treatment: A systematic review,” Integr. Cancer Ther., vol. 21, pp. 1–22, 2022, doi: 10.1177/15347354221105563.
M. Shahjalal, S. K. Chakma, T. Ahmed, I. Yasmin, R. A. Mahumud, and A. Hossain, “Prevalence and determinants of using complementary and alternative medicine for the treatment of chronic illnesses: A multicenter study in Bangladesh,” PLoS One, vol. 17, no. 1, pp. 1–13, 2022, doi: 10.1371/journal.pone.0262221.
I. A. Kretchy et al., “Utilization of complementary and alternative medicine for the prevention of COVID-19 infection in Ghana: A national cross-sectional online survey,” Prev. Med. Reports, vol. 24, no. August, p. 101633, 2021, doi: 10.1016/j.pmedr.2021.101633.
S. Bankins, P. Formosa, Y. Griep, and D. Richards, “AI Decision Making with Dignity? Contrasting Workers’ Justice Perceptions of Human and AI Decision Making in a Human Resource Management Context,” Inf. Syst. Front., vol. 24, no. 3, pp. 857–875, 2022, doi: 10.1007/s10796-021-10223-8.
M. Jacobs, M. F. Pradier, T. H. McCoy, R. H. Perlis, F. Doshi-Velez, and K. Z. Gajos, “How machine-learning recommendations influence clinician treatment selections: the example of the antidepressant selection,” Transl. Psychiatry, vol. 11, no. 1, pp. 1–9, 2021, doi: 10.1038/s41398-021-01224-x.
N. W. Muyumba, S. C. Mutombo, H. Sheridan, A. Nachtergael, and P. Duez, “Quality control of herbal drugs and preparations: The methods of analysis, their relevance and applications,” Talanta Open, vol. 4, p. 100070, 2021, doi: 10.1016/j.talo.2021.100070.
S. Saggar et al., “Traditional and Herbal Medicines: Opportunities and Challenges,” Pharmacognosy Res., vol. 14, no. 2, pp. 107–114, 2022, doi: 10.5530/pres.14.2.15.
Y. M. Al-Worafi, “Complementary and Alternative Medicine (CAM) in Developing Countries,” in Handbook of Medical and Health Sciences in Developing Countries, Cham: Springer International Publishing, 2024, pp. 1–18. doi: 10.1007/978-3-030-74786-2_301-1.
R. R. Kothinti, “Artificial intelligence in healthcare: revolutionizing precision medicine, predictive analytics, and ethical considerations in autonomous diagnostics,” World J. Adv. Res. Rev., vol. 24, no. 3, pp. 3394–3406, 2024, doi: 10.30574/wjarr.2024.24.3.3675.
F. Y. Zhao et al., “Knowledge about, attitude toward, and practice of complementary and alternative medicine among nursing students: A systematic review of cross-sectional studies,” Front. Public Heal., vol. 10, 2022, doi: 10.3389/fpubh.2022.946874.
A. N. Balegha, A. Yidana, and G. A. Abiiro, “Knowledge, attitude and practice of hepatitis B infection prevention among nursing students in the Upper West Region of Ghana: A cross-sectional study,” PLoS One, vol. 16, no. 10, pp. 1–18, 2021, doi: 10.1371/journal.pone.0258757.
D. Nesime and A. Belgin, “Impact of Education on Student Nurses’ Advocacy and Ethical Sensitivity,” Nurs. Ethics, vol. 29, no. 4, pp. 899–914, Jun. 2022, doi: 10.1177/09697330211050997.
J. Nativi-Nicolau et al., “Best Practices in Specialized Amyloidosis Centers in the United States: A Survey of Cardiologists, Nurses, Patients, and Patient Advocates,” Clin. Med. Insights Cardiol., vol. 15, pp. 1–10, 2021, doi: 10.1177/11795468211015230.
V. A. Nazarova, A. V. Sokolov, V. N. Chubarev, V. V. Tarasov, and H. B. Schiöth, “Treatment of ADHD: Drugs, psychological therapies, devices, complementary and alternative methods as well as the trends in clinical trials,” Front. Pharmacol., vol. 13, no. November, pp. 1–19, 2022, doi: 10.3389/fphar.2022.1066988.
J. Y. Ng et al., “Operational definition of complementary, alternative, and integrative medicine derived from a systematic search,” BMC Complement. Med. Ther., vol. 22, no. 1, pp. 1–39, 2022, doi: 10.1186/s12906-022-03556-7.
T. Ilori, A. D. Akintayo, B. A. Adewale, and E. O. Oyetola, “Knowledge, Attitude and Practice of Nigerian Medical Student Towards Complementary And Alternative Medicine in COVID-19 Management,” Ann. Ibadan Postgrad. Med., vol. 19, no. 1, pp. 22–30, 2021.
F. Firdaus, Z. Zulfadilla, and F. Caniago, “Research methodology: Types in The New Perspective,” Manazhim J. Manaj. dan Ilmu Pendidkan, vol. 3, no. 1, pp. 1–16, 2021.
J. Pyo, W. Lee, E. Y. Choi, S. G. Jang, and M. Ock, “Qualitative Research in Healthcare: Necessity and Characteristics,” J. Prev. Med. Public Heal., vol. 56, no. 1, pp. 12–20, 2023, doi: 10.3961/jpmph.22.451.
S. Raifman, M. A. DeVost, J. C. Digitale, Y.-H. Chen, and M. D. Morris, “Respondent-Driven Sampling: a Sampling Method for Hard-to-Reach Populations and Beyond,” Curr. Epidemiol. Reports, vol. 9, no. 1, pp. 38–47, 2022, doi: 10.1007/s40471-022-00287-8.
S. Noor and J. Golzar, “Simple Random Sampling,” Int. J. Educ. Lang. Stud., vol. 1, no. 2, pp. 78–82, 2022, doi: 10.1016/S0169-7161(88)06006-7.
X. Fang et al., “Soundscape perceptions and preferences for different groups of users in urban recreational forest parks,” Forests, vol. 12, no. 4, pp. 1–18, 2021, doi: 10.3390/f12040468.
S. L. Young, H. J. Bethancourt, Z. R. Ritter, and E. A. Frongillo, “Estimating national, demographic, and socioeconomic disparities in water insecurity experiences in low-income and middle-income countries in 2020–21: a cross-sectional, observational study using nationally representative survey data,” Lancet Planet. Heal., vol. 6, no. 11, pp. e880–e891, 2022, doi: 10.1016/S2542-5196(22)00241-8.
D. Purić et al., “Something Old, Something New, Something Borrowed, Something Green: How Different Domains of Traditional, Alternative, and Complementary Medicine Use Are Rooted in an Irrational Mindset,” Collabra Psychol., vol. 11, no. 1, pp. 1–16, 2025, doi: 10.1525/collabra.129475.
E. Ben-Arye, G. Lopez, M. Rassouli, M. Ortiz, H. Cramer, and N. Samuels, “Cross-Cultural Patient Counseling and Communication in the Integrative Medicine Setting: Respecting the Patient’s Health Belief Model of Care,” Curr. Psychiatry Rep., vol. 26, no. 8, pp. 422–434, 2024, doi: 10.1007/s11920-024-01515-2.
W. F. Todd, C. E. Towne, and J. B. Clarke, “Importance of centering traditional knowledge and Indigenous culture in geoscience education,” J. Geosci. Educ., vol. 71, no. 3, pp. 403–414, 2023, doi: 10.1080/10899995.2023.2172976.
L. L. D. Mallillin, “Teaching and learning intervention in the educational setting: adapting the teacher theory model,” Int. J. Educ. Innov. Res., vol. 1, no. 2, pp. 99–121, 2022, doi: 10.31949/ijeir.v1i2.2493.
S. Siregar, “Understanding the Experiences of Chronic Disease Survivors in Using Herbal Medicines as an Alternative Treatment Approach in the context of rural communities in Indonesia,” PhytoCare J. Pharmacol. Nat. Remedies, vol. 1, no. 2, pp. 79–86, 2025.
A. D. Mwaka, J. Achan, and C. G. Orach, Traditional health practices: A qualitative inquiry among traditional health practitioners in northern Uganda on becoming a healer, perceived causes of illnesses, and diagnostic approaches, vol. 18, no. 4 4. 2023. doi: 10.1371/journal.pone.0282491.
M. R. Snodgrass, M. Y. Chung, J. M. Kretzer, and E. E. Biggs, “Rigorous Assessment of Social Validity: A Scoping Review of a 40-Year Conversation,” Remedial Spec. Educ., vol. 43, no. 2, pp. 114–130, Apr. 2022, doi: 10.1177/07419325211017295.
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