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Results: From 666 questionnaires 119 were answered giv-ng a rate of return of 17.87%. The interviewed occupationalherapists show predominantly positive attitudes towards natur-pathy and complementary medicine or are of the opinion thathese treatments should be integrated to an adequate extentnto the occupational therapy. Naturopathy and complemen-ary medicine are most frequently used in neurology. The mostrequently used natural and complementary treatments are relax-tion techniques, acupressure or acupuncture and homeopathy.urthermore questions relating to continuing professionalevelopment and master’s degree programs were answeredositively.

Discussion: In order to achieve a better representationf the results, this investigation should be carried out andompleted again with a larger sample and over a longereriod.

In a subsequent study it also should be clarified how andnder what specific conditions the natural and complementaryreatments can be applied by occupational therapists. Moreoverhe cooperation with the German association of the occupationalherapists would be conceivable.

Conclusion: The contents of the naturopathy and comple-entary medicine are definitely suitable and reasonable as a

ew field of occupational therapy.

oi:10.1016/j.eujim.2010.09.188

P-098

s there evidence for using acupuncture in neonatology?

. Thiel

Community Hospital Witten/Herdecke, Department for Child-nd Adolescent Medicine, Herdecke, Germany

Background: Despite great efforts in the past 20 years, theres still a need for more suitable therapeutic options in neonatol-gy. Complementary and alternative medicine could offer suchpportunities. The aim of the study was to determine the presenttate of knowledge on the use of acupuncture in neonates.

Methods: A systematic search in Medline, BIOSYS Pre-iews, DAHTA, Deutsches Ärzteblatt, EMBASE, EMBASElert, gms, gms-Meetings, Karger-Verlagsdatenbank, Krause

Pachernegg Verlagsdatenbank, SciSearch, Thieme-erlagsdatenbank PrePrint, Thieme-Verlagsdatenbank haseen performed. The keywords were: neonatology, newborn,reterm, acupuncture, laser acupuncture.

Results: There is one randomised controlled study about thisopic, one observational study, 2 case reports and 2 reviews. Arotocol for a Cochrane Review has been published.

Discussion: This topic has not yet really been evaluated scien-ifically. According to international literature, acupuncture doesot play a significant role in the treatment of children so far, andhis not only in neonatology. The results of the Cochrane review

ould provide an assessment and lead maybe to a better under-tanding of acupuncture in neonates. The other papers representome interesting ideas which need further research.

Mlei

tive Medicine 2 (2010) 217–265

Conclusion: Acupuncture in neonates needs further evalua-ion.

oi:10.1016/j.eujim.2010.09.189

P-099

hould not we start to practice integrative medicine?

. Porzsolt a,∗, M. Eisemann b, M. Habs c

University of Ulm, Clinical Economics, Ulm, GermanyUniversity of Tromsö, Psychology, Tromsö, NorwayUniversity of Munich/Wilmar Schwabe GmbH, Medical Fac-lty/Management, Munich/Karlsruhe, Germany

There are only few studies that compare methods of Com-lementary Alternative Medicine (CAM) and methods ofonventional Medicine (CM). Economic constraints in healthare require innovative solutions which are not confined to newolecules or new techniques but may also include ‘new’ con-

epts. A rather simple innovation would be to look beyond one’swn nose when considering health care services. This does notean that CM should be replaced by CAM and vice versa. It

ust means accepting concepts other than one’s own if a partic-lar health problem cannot be solved by traditionally appliedethods. It is the readiness to test other concepts which reflect

he quantum leap in health care, not the desperate application ofnew’ concepts.

The comparison of two concepts, CAM and CM, is possiblender day-to-day conditions. It will be necessary to define indvance the clinical problem to be investigated. It is also nec-ssary to describe a limited number of treatment options whichhould be studied. Furthermore, the patients’ baseline risks haveo be classified to avoid the comparison of ‘apples and oranges’.he patients’ and the therapists’ should discuss their preferencesnd select the most appropriate treatment.

An approach resulting in two important effects will be pre-ented in detail. As this approach includes the psychologicalffects that influence the outcomes under day-to-day conditionsut excludes other effects which are induced by blinding andandomization, it might represent a useful tool for the compar-son of CAM and CM and to describe the effectiveness ratherhan the efficacy of the treatments under investigation.

oi:10.1016/j.eujim.2010.09.190

P-100

anguage as key in the implementation of Integrativeedicine

. Bongers a,∗, I. von Rosenstiel a,b, W. Schats a,b, J. Meijer a

NIKIM, Amsterdam, NetherlandsSlotervaartziekenhuis, Pediatrics, Amsterdam, Netherlands

Background: Inspired by the Consortium of Integrative

edicine in the United States, IM was introduced in the Nether-

ands in 2003. In the Dutch healthcare system much resistancexists especially against the integration of CAM and the idea ofnvolving spirituality into medical practice.