Patients' perceptions of Complementary and Alternative Medicine in head and neck cancer: A qualitative, pilot study with clinical implications

Hendershot, Kristopher A; Dixon, Margie D.; Kono, Scott A.; Shin, Dong M.; Pentz, Rebecca D.

doi:10.1016/j.ctcp.2013.10.005

Cited by 16 publications

(13 citation statements)

References 18 publications

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“…Regarding dissatisfaction with CM, being ineffective and/or causing side effects were the most frequently reported reasons in both general and condition-specific populations for their lack of satisfaction [ 29 , 36 , 40 , 54 , 81 , 87 , 91 – 107 ]. Some patients wanted to use CAM in order to either avoid side effects resulting from CM or to decrease the number of conventional medicines taken [ 49 , 92 , 103 , 108 – 112 ]. A lack of trust in CM as the reason for using CAM was reported in three publications from Asia, two from the Middle East and one from Europe [ 61 , 94 , 113 – 116 ].…”

Section: Resultsmentioning

confidence: 99%

Potential factors that influence usage of complementary and alternative medicine worldwide: a systematic review

Tangkiatkumjai

Boardman

Walker

2020

BMC Complement Med Ther

142

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Objectives To determine similarities and differences in the reasons for using or not using complementary and alternative medicine (CAM) amongst general and condition-specific populations, and amongst populations in each region of the globe. Methods A literature search was performed on Pubmed, ScienceDirect and EMBASE. Keywords: ‘herbal medicine’ OR ‘herbal and dietary supplement’ OR ‘complementary and alternative medicine’ AND ‘reason’ OR ‘attitude’. Quantitative or qualitative original articles in English, published between 2003 and 2018 were reviewed. Conference proceedings, pilot studies, protocols, letters, and reviews were excluded. Papers were appraised using valid tools and a ‘risk of bias’ assessment was also performed. Thematic analysis was conducted. Reasons were coded in each paper, then codes were grouped into categories. If several categories reported similar reasons, these were combined into a theme. Themes were then analysed using χ2 tests to identify the main factors related to reasons for CAM usage. Results 231 publications were included. Reasons for CAM use amongst general and condition-specific populations were similar. The top three reasons for CAM use were: (1) having an expectation of benefits of CAM (84% of publications), (2) dissatisfaction with conventional medicine (37%) and (3) the perceived safety of CAM (37%). Internal health locus of control as an influencing factor was more likely to be reported in Western populations, whereas the social networks was a common factor amongst Asian populations (p < 0.05). Affordability, easy access to CAM and tradition were significant factors amongst African populations (p < 0.05). Negative attitudes towards CAM and satisfaction with conventional medicine (CM) were the main reasons for non-use (p < 0.05). Conclusions Dissatisfaction with CM and positive attitudes toward CAM, motivate people to use CAM. In contrast, satisfaction with CM and negative attitudes towards CAM are the main reasons for non-use.

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Section: Resultsmentioning

confidence: 99%

Potential factors that influence usage of complementary and alternative medicine worldwide: a systematic review

Tangkiatkumjai

Boardman

Walker

2020

BMC Complement Med Ther

142

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“…13 There is an increasing demand for rigorous integrative medicine data and clinical trials in cancer in order for physicians to provide better recommendations to their patients. 14 …”

Section: Discussionmentioning

confidence: 99%

“…38 Head and neck cancer therapies are often associated with significant local and systemic morbidity; thus, patients may be drawn to integrative therapies that may ameliorate or temporize bothersome side effects. 14 …”

Section: Discussionmentioning

confidence: 99%

Integrative Medicine in Head and Neck Cancer

Matovina

Birkeland

Zick

et al. 2016

Otolaryngol.--head neck surg.

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Objective Complementary and alternative medicine (CAM), or integrative medicine, has become increasingly popular among patients with head and neck cancer. Despite its increasing prevalence, many patients feel uncomfortable discussing such therapies with their physicians, and many physicians are unaware and underequipped to evaluate or discuss their use with patients. The aim of this manuscript is to use recent data to outline the decision-making inherent to integrative medicine utilization among patients with head and neck cancer, to discuss the ethical implications inherent to balancing integrative and conventional approaches to treatment, and to highlight available resources to enhance head and neck cancer providers’ understanding of integrative medicine. Data Sources Randomized controlled trials involving integrative medicine or CAM treatment for cancer patients. Review Methods Trials were drawn from a systematic PubMed database search categorized into cancer prevention, treatment, and symptom management. Conclusions Integrative medicine is gaining popularity for the management of cancer and is most commonly used for symptom management. A number of randomized controlled trials provide data to support integrative therapies, yet physicians who treat head and neck cancer may be faced with ethical dilemmas and practical barriers surrounding incorporation of integrative medicine. Implications for Practice In the management of head and neck cancer, there is an increasing demand for awareness of, dialogue about, and research evaluating integrative medicine therapies. It is important for otolaryngologists to become aware of integrative therapy options, their risks and benefits, and resources for further information in order to effectively counsel their patients.

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“…Somit kann die Gruppe der Nichtanwender in 1 Untergruppe mit Informationsbedarf und 1 Untergruppe ohne Informationsbedarf unterteilt werden. Auch in der Studie von Hendershot et al [22], die sich jedoch auf die allgemeine Einstellung zu Komplementär- und Alternativmedizin von Kopf- und Halstumor-Patienten bezog, konnten diese 2 Gruppen von Nichtanwendern identifiziert werden.…”

Section: Diskussion Und Schlussfolgerungenunclassified

Beweggründe von Krebspatienten für und gegen die Inanspruchnahme der Misteltherapie

2016

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Einleitung: Die Misteltherapie ist im deutschsprachigen Raum ein häufig angewandtes komplementärmedizinisches Verfahren (KM) in der Onkologie. Diese Studie hatte das Ziel, die Beweggründe für oder gegen eine Inanspruchnahme der Misteltherapie zu untersuchen und Themenfeldern zuzuordnen. Patienten und Methoden: Es wurden qualitative leitfadengestützte Interviews mit Krebspatienten geführt. Der Interviewleitfaden fragte nach der Inanspruchnahme von KM, der Motivation zur Inanspruchnahme, Informationsverhalten und -bedürfnissen zu KM sowie nach der Krebserkrankung. Um die Beweggründe für die Inanspruchnahme oder Nichtinanspruchnahme der Misteltherapie zu verstehen, wurden die Interviews inhaltsanalytisch ausgewertet. Ergebnisse: Insgesamt wurden Interviews mit 88 Krebspatienten geführt, davon nutzen 18 (20,5%) die Misteltherapie. Die Beweggründe für oder gegen eine Inanspruchnahme der Misteltherapie ließen sich den 2 Themenfeldern «Wahrgenommene Indikation» und «Abwägungen bei der Entscheidungsfindung» zuordnen. Diskussion und Schlussfolgerungen: Mit der Misteltherapie wird sowohl ein Einfluss auf das Tumorwachstum als auch eine supportive Wirkung assoziiert. Anwender sehen die Misteltherapie als sicheres Verfahren; Nichtnutzer befürchten eher Neben- oder Wechselwirkungen. Die Empfehlung von Fachpersonal spielt eine wichtige Rolle bei der Inanspruchnahme. Zum Teil waren die Nichtnutzer interessiert an der Anwendung der Misteltherapie, befanden sich jedoch noch im Klärungsprozess.

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Patients' perceptions of Complementary and Alternative Medicine in head and neck cancer: A qualitative, pilot study with clinical implications

Cited by 16 publications

References 18 publications

Potential factors that influence usage of complementary and alternative medicine worldwide: a systematic review

Potential factors that influence usage of complementary and alternative medicine worldwide: a systematic review

Integrative Medicine in Head and Neck Cancer

Beweggründe von Krebspatienten für und gegen die Inanspruchnahme der Misteltherapie

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