Cancer survivors' disclosure of complementary health approaches to physicians: The role of patient‐centered communication

Sohl, Stephanie J.; Borowski, Laurel A.; Kent, Erin E.; Smith, Ashley Wilder; Oakley-Girvan, Ingrid; Rothman, Russell L.; Arora, Neeraj

doi:10.1002/cncr.29138

Cited by 26 publications

(15 citation statements)

References 37 publications

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“… 18 , 21 Given the high prevalence of CAM use among cancer patients, emerging evidence that certain CAM therapies can improve patient quality of life and reduce treatment and disease-related symptoms, and the potential interaction between some CAM therapies and conventional cancer treatment, we encourage oncology providers to discuss CAM use with their patients in an open and nonjudgmental fashion in order to facilitate patient-centered communication as well as participatory patient decision making. 22 …”

Section: Discussionmentioning

confidence: 99%

Complementary and Alternative Medicine Use at a Comprehensive Cancer Center

Luo

Asher

2016

Integr Cancer Ther

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Background. Complementary and alternative medicine (CAM) use is common among cancer patients, but the majority of CAM studies do not specify the time periods in relation to cancer diagnoses. We sought to define CAM use by cancer patients and investigate factors that might influence changes in CAM use in relation to cancer diagnoses. Methods. We conducted a cross-sectional survey of adults diagnosed with breast, prostate, lung, or colorectal cancer between 2010 and 2012 at the Lineberger Comprehensive Cancer Center. Questionnaires were sent to 1794 patients. Phone calls were made to nonrespondents. Log binomial/Poisson regressions were used to investigate the association between cancer-related changes in CAM use and conversations about CAM use with oncology providers. Results. We received 603 (33.6 %) completed questionnaires. The mean age (SD) was 64 (11) years; 62% were female; 79% were white; and 98% were non-Hispanic. Respondents reported the following cancer types: breast (47%), prostate (27%), colorectal (14%), lung (11%). Eighty-nine percent reported lifetime CAM use. Eighty-five percent reported CAM use during or after initial cancer treatment, with category-specific use as follows: mind-body medicine 39%, dietary supplements 73%, body-based therapies 30%, and energy medicine 49%. During treatment CAM use decreased for all categories except energy medicine. After treatment CAM use returned to pretreatment levels for most CAMs except chiropractic. Initiation of CAM use after cancer diagnosis was positively associated with a patient having a conversation about CAM use with their oncology provider, mainly driven by patient-initiated conversations. Conclusions. Consistent with previous studies, CAM use was common among our study population. Conversations about CAM use with oncology providers appeared to influence cessation of mind-body medicine use after cancer diagnosis.

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Section: Discussionmentioning

confidence: 99%

Complementary and Alternative Medicine Use at a Comprehensive Cancer Center

Luo

Asher

2016

Integr Cancer Ther

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“…Although this review suggests that patients with ID or IS do not generally consider their GP as possessing knowledge of self-care options for sleep disturbances, evidence also suggests that patients frequently do not ask about a GP's knowledge and/or advice about self-care options for the treatment of sleep disturbances (Morin et al 2006;Stinson et al 2006). This is also indicated in the wider general literature regarding self-care options-particularly CAM self-care (Thomson et al 2012;Frawley et al 2014;Sohl et al 2015).…”

Section: Discussionmentioning

confidence: 95%

A critical review of self-care for sleep disturbances: prevalence, profile, motivation, perceived effectiveness and medical provider communication

Meredith

Frawley

Sibbritt

et al. 2020

Sleep Science Practice

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Objective: This study aims to undertake the first critical review of self-care use among adults with sleep disturbances by focusing on the prevalence of self-care-the self-determined and self-administered use of products or practices-by adults with sleep disturbances. Methods: A comprehensive search of 2006-2016 international literature in CINAHL, AMED, Medline and EMBASE databases was conducted. The search was confined to empirical research findings regarding sleep disturbances -as indicated by a validated sleep scale/index or clinician diagnosis. Results: Of the 21 articles included in this review, only three reported on sleep disturbances other than insomnia disorder (ID) or insomnia symptoms (IS). Overall, a high prevalence of self-care use is reported among adults with sleep disturbances, particularly for ID and IS. Self-care products and practices are more likely to be used by adults with sleep disturbances, than those without sleep disturbances. Commonly used self-care products and practices include OTC hypnotics, antihistamines, diphenhydramine products, diet, exercise, painkillers, herbal medicines, vitamins, minerals and dietary supplements, yoga, tai chi, Qigong, meditation, exercise and relaxation. Conclusions: Many adults with sleep disturbances-particularly ID or IS-frequently use self-care products and practices. Self-care products are also used concomitantly with conventional prescription medications without disclosure to medical professionals. The current literature is of varied methodological caliber, frequently relies on small sample sizes and low-quality data collection therefore further rigorous health services research is required. There is an especial paucity of data regarding self-care for sleep disturbances such as restless legs syndrome and obstructive sleep apnea. Healthcare providers may find it beneficial to actively ask patients about their use of self-care for sleep disturbances to help avoid harmful drug-drug or drug-herb interactions.

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“…This is the situation with most CAM users [14, 19–21]. It signals that if the public health care wants to be trusted and actually act person-centred [47], it is of crucial importance to focus on well-functioning communication and increased knowledge about CAM users’ perspectives on benefits and risks associated with the use of CAM and conventional treatment [13, 14, 20–24, 48, 49].…”

Section: Discussionmentioning

confidence: 99%

“…They uphold a relationship to public healthcare, and studies show that most CAM users want to discuss possible benefits and risks associated with their CAM use with their conventional healthcare providers [14, 19]. Despite this, an indirect risk related to CAM use is that as many as 50% of CAM users actually do not disclose their use of CAM in clinical settings in public healthcare, often because they fear that raising this issue may negatively affect the patient-doctor relation [14, 20, 21].…”

Section: Introductionmentioning

confidence: 99%

“Then I went to a hospital abroad”: acknowledging implications of stakeholders’ differing risk understandings related to use of complementary and alternative medicine in European health care contexts

Salamonsen

Wiesener

2019

BMC Complement Altern Med

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Background Complementary and alternative medicine (CAM) is a rather novel issue within public healthcare and health policy-making. CAM use in Europe is widespread, patient-initiated, and patient-evaluated, and the regulation across countries has been evaluated as disharmonized. CAM users are left in an uncertain position, and patient safety may be threatened. How “risk” is understood by individuals in health policy-making and clinical encounters involving the use of CAM has not yet been much debated. The aim of this article is to explore and discuss the existence and possible consequences of differing risk understandings among stakeholders maneuvering in the complex landscape of CAM practice and CAM regulation contextualized by European public healthcare systems. Methods Qualitative data were derived from two studies on CAM in European healthcare contexts. Findings from the EU project CAMbrella on legislation and regulation of CAM were mixed with data from an interview study exploring risk understandings, communication, and decision-making among Scandinavian CAM users and their doctors. In a secondary content analysis, we constructed the case Sara as a typology to demonstrate important findings with regard to risk understandings and patient safety involving European citizens’ use of CAM in differing contexts. Results By combining and comparing individual and structural perspectives on risk and CAM use, we revealed underexplored gaps in risk understandings among individuals involved in European CAM regulation and legislation, and between CAM users and their medical doctors. This may cause health risks and uncertainties associated with CAM use and regulation. It may also negatively influence doctor-CAM user communication and CAM users’ trust in and use of public healthcare. Conclusion Acknowledging implications of stakeholders’ differing risk understandings related to CAM use and regulation may positively influence patient safety in European healthcare. Definitions of the concept of risk should include the factors uncertainty and subjectivity to grasp the full picture of possible risks associated with the use of CAM. To transform the findings of this study into practical settings, we introduce sets of questions relevant to operationalize the important question “What is risk?” in health policy-making, clinical encounters and risk research involving European patients’ use of CAM.

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Cancer survivors' disclosure of complementary health approaches to physicians: The role of patient‐centered communication

Cited by 26 publications

References 37 publications

Complementary and Alternative Medicine Use at a Comprehensive Cancer Center

Complementary and Alternative Medicine Use at a Comprehensive Cancer Center

A critical review of self-care for sleep disturbances: prevalence, profile, motivation, perceived effectiveness and medical provider communication

“Then I went to a hospital abroad”: acknowledging implications of stakeholders’ differing risk understandings related to use of complementary and alternative medicine in European health care contexts

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