Assessing the Role of Evidence in Patients' Evaluation of Complementary Therapies: A Quality Study

Verhoef, Marja J.; Mulkins, Andrea; Carlson, Linda E.; Hilsden, Robert J.; Kania, Anna

doi:10.1177/1534735407309482

Cited by 50 publications

(51 citation statements)

References 23 publications

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“…information may encourage their exploration of promising CAM therapies or their withdrawal from products or practices suggested to be ineffective or potentially harmful 14,38 .…”

Section: S28mentioning

confidence: 99%

“…The type of evidence privileged by cancer patients in making CAM decisions varies widely and includes professional advice, the scientific literature, anecdotes about CAM use from social networks, the Internet, and previous personal experiences with CAM 14,35,38 . As a result, patients seek information about CAM from a multitude of sources, although there is a preference to seek assistance from trusted individuals who are perceived as being credible, such as oncologists, family physicians, or regulated CAM practitioners (a naturopathic physician, for instance) 14,16,39 .…”

Section: 22mentioning

confidence: 99%

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Patient Decision-Making about Complementary and Alternative Medicine in Cancer Management: Context and Process

2008

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ObjectiveIn this paper, we set out to describe the personal and social contexts of treatment decisions made by cancer patients concerning complementary and alternative medicine (CAM) and also the process through which cancer patients reach CAM decisions throughout the cancer trajectory. MethodsWe selected and reviewed a variety of CAM decisionmaking models published in the past 10 years within the Canadian health literature. ResultsThe CAM decision-making process is influenced by a variety of sociodemographic, disease-related, psychological, and social factors. We reviewed four main phases of the CAM decision-making process:• Taking stock of treatment options • Gathering and evaluating CAM information • Making CAM decisions • Revisiting the CAM decision Immediately following diagnosis, cancer patients become interested in taking stock of the full spectrum of conventional and CAM treatment options that may enhance the effectiveness of their treatment and mediate potential side effects. Information about CAM is then gathered from numerous information sources that vary in terms of credibility and scientific legitimacy, and is evaluated. When making a decision regarding CAM options, patients attempt to make sense of the diverse information obtained, while acknowledging their beliefs and values. The CAM decision is often revisited at key milestones, such as the end of conventional treatment and when additional information about disease, prognosis, and treatment is obtained. ConclusionsThe CAM decision-making process is a dynamic and iterative process that is influenced by a complex array of personal and social factors. Oncology health professionals need to be prepared to offer decision support related to CAM throughout the cancer trajectory.

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“…information may encourage their exploration of promising CAM therapies or their withdrawal from products or practices suggested to be ineffective or potentially harmful 14,38 .…”

Section: S28mentioning

confidence: 99%

Section: 22mentioning

confidence: 99%

Patient Decision-Making about Complementary and Alternative Medicine in Cancer Management: Context and Process

2008

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“…To be more consistent with evidence-based medicine injunctions, leaflets could comment on the quality of the evidence that supports different claims for effectiveness. However, such information might not be particularly valued by patients themselves, 38 disclosing a fundamental tension between the desire to communicate accurate information and ensuring that information leaflets meet the needs of the target audience.…”

Section: Discussionmentioning

confidence: 99%

Advertising, Expectations and Informed Consent: The Contents and Functions of Acupuncture Leaflets

Bishop

Salmon

2013

Acupunct Med

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“…52,53 Many patients hope to improve their chances for survival, 54 even though there's little evidence that CAM therapies can accomplish this. 55 Many are trying to strengthen a sense of control over their lives and health, which they may feel has been compromised by an illness or diagnosis. 56 Others try to "boost their immune system," 57 hoping to affect the course of their illness.…”

Section: Increasing Use Of Complementary and Alternative Medicinementioning

confidence: 99%

Integrative Oncology for the Whole Person: A Multidimensional Approach to Cancer Care

Geffen

2010

Integr Cancer Ther

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Today, more than ever before, millions of people are seeking an approach to medicine and health care that is more comprehensive, more holistic and integrative, and more compassionate and sensitive to their needs as a whole person. This is particularly true for those dealing with cancer. Changing patient demographics, heightened consumer demand for complementary and alternative medicine (CAM) products and services, advances in medical science and technology, expanding access to the Internet and health information, and other factors have contributed to a wave of transformation that is unprecedented in its impact on the entire health care system. These trends have fueled the emerging fields of integrative medicine and oncology, which are growing rapidly. As these fields continue to evolve, they will move beyond the present integrative model to a broader vision of whole-person, multidimensional care that will more fully and coherently address and embrace all dimensions of the human experience. This article describes 6 major driving forces behind the wave of transformation presently under way in medicine and health care. It provides a brief, historical overview of integrative medicine and oncology and summarizes the present status of these emerging fields. It discusses the future of integrative medicine and oncology, including a multidimensional approach to care, and highlights 5 key elements that underlie this approach. Finally, it describes The Seven Levels of Healing-a model of multidimensional care-and concludes with a discussion of 3 important challenges and opportunities for medicine and health care that lie on the horizon.

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Assessing the Role of Evidence in Patients' Evaluation of Complementary Therapies: A Quality Study

Cited by 50 publications

References 23 publications

Patient Decision-Making about Complementary and Alternative Medicine in Cancer Management: Context and Process

Patient Decision-Making about Complementary and Alternative Medicine in Cancer Management: Context and Process

Advertising, Expectations and Informed Consent: The Contents and Functions of Acupuncture Leaflets

Integrative Oncology for the Whole Person: A Multidimensional Approach to Cancer Care

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