Learning Objective #1: Identify the prevalence of the use of herbs in rural ambulatory clients

Learning Objective #2: Identify selected potential interactions between herbs and conventional medications

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Herbs are frequently used in conjunction with conventional and over the counter (OTC) medications. In this study, conducted in a rural southern state, two research questions were addressed: (1) What is the prevalence of the use of herbs by clients attending rural primary care clinics? and (2) What are the potential interactions between herbs and an over the counter or prescribed medications. The theoretical freqmework was based on Pender's work focusing upon the interaction of clients with the environment in pursuing health. The descriptive design involved a non-probability sample of 150 subjects enrolled in three rural southern clinics. Inclusion criteria were: male and female clients above 18 years of age who spoke English, had regular clinical appointments, and came to the clinic voluntarily. IRB approval and site permission were obtained. At the study's conclusion, the names of participants taking herbs which had potential interactions with medications were given to their respective health providers. The interview tool, developed by Marcy and Brown, was adapted with permission. The sample of 150 subjects ranged in age from 18-91. Seventy one percent (N=106) were female while 29 percent (n=44) were male. Thirty two percent (N=48) were African American, 65% (n=97)were Caucasian, 1% (n=1) were Native American and 3%(n=4) were Hispanic. Findings revealed that 59% (n=89) of the 150 participants reported using herbs. Of those who reported using herbs, 92% (n=82) used herbs with concurrent prescribed or OTC medications. Forty-four percent(n=36) of the clients who took herbs along with current medications used herbs having the potential to interact with these medications. Health providers were not aware that their clilents were using herbs. In functioning as health educators, nurse practitioners can increase awareness of potential interactions between herbs and prescribed and OTC medications.