Health‐care providers’ perspectives on traditional and complementary alternative medicine of childhood cancer in Kenya

Olbara, Gilbert; Parigger, Josta; Njuguna, Festus; Skiles, Jodi; Sitaresmi, Mei Neni; Gordijn, Sanne J.; Ven, Peter van de; Kaspers, Gertjan J. L.; Mostert, Saskia

doi:10.1002/pbc.27309

Cited by 13 publications

(27 citation statements)

References 42 publications

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“…A total of 24 studies (Fig. 1) were included in this review [10,18,, n = 16 surveys [10,18,[28][29][30][31][32][33][34][35][36][37][38][39][40][41], n = 5 expert opinions [42][43][44][45][46], and n = 3 qualitative studies [47][48][49].…”

Section: Searchesmentioning

confidence: 99%

“…Assessment of methodological quality/critical appraisal Five (n = 5) cross-sectional studies were assessed as low risk of bias as they had addressed nine out of nine items in its design, conduct, and analysis [31,34,38,40,41] (see Table 2). Three cross-sectional studies (n = 3) [10,18,28] addressed eight items, six studies (n = 6) [30,32,33,[35][36][37] addressed seven items, one study (n = 1) [29] addressed six items, and one study (n = 1) [39] addressed only four out of nine items.…”

Section: Searchesmentioning

confidence: 99%

“…The health care providers raised the issue of CAM in only four cases. Singendonk et al [38] found that in the majority of the cases the parents initiated the discussion about CAM use. The reactions from the health care providers were impartial or positive, and none had experienced negative reactions.…”

Section: Disclosure Of Cam Use This Review Found That Patientsmentioning

confidence: 99%

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An integrative review on the information and communication needs of parents of children with cancer regarding the use of complementary and alternative medicine

Kristoffersen

Overvåg

Jong

2020

BMC Complement Med Ther

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Background: Parents often choose Complementary and Alternative Medicine (CAM) as a supportive agent with the aim to reduce cancer treatment-related symptoms in their children. Therefore, it is necessary to understand parentsí nformation and communication needs regarding CAM. The aim of the present study was to review the research literature as to identify the information and communication needs of parents of children with cancer, and the children themselves, regarding the use of CAM. Methods: An integrative systematic review design was chosen. Searches were performed in AMED, CAMbase, CINAHL (Ebsco), EMBASE, PubMed and PsycInfo, Theme eJournals and Karger. The search was limited to studies published in English, German, Dutch, and the Scandinavian languages. Using predefined inclusion and exclusion criteria, two reviewers independently screened the title and abstracts of the relevant papers. A data extraction form and critical appraisal checklists were used to extract data for analysis, and a mixed methods synthesis was applied. Results: Out of 24 studies included, 67% were of quantitative and 33% of qualitative study design. Five main themes emerged from the analysis of 21 studies: Information on CAM, sources of CAM information, communication about CAM, informed decision-making on CAM, and Risk/benefit of CAM. The majority of the parents did not disclose the CAM use of their children because they feared negative reactions from the attending oncologist. To make informed treatment decisions for their children, parents wanted unbiased information about CAM and would act accordingly. They demand open communication about these modalities and respect for the family's autonomy when choosing CAM for their children. Conclusion: There is an urgent need for parents of children with cancer for high quality information on CAM from reliable and scientific sources. Development of authoritative evidence-based decision tools is thus warranted to enable health care professionals and parents of children with cancer to make well informed, individual decisions concerning CAM.

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Section: Searchesmentioning

confidence: 99%

Section: Searchesmentioning

confidence: 99%

Section: Disclosure Of Cam Use This Review Found That Patientsmentioning

confidence: 99%

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An integrative review on the information and communication needs of parents of children with cancer regarding the use of complementary and alternative medicine

Kristoffersen

Overvåg

Jong

2020

BMC Complement Med Ther

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“…He is trained in qualitative research and had experience in conducting semi-structured interviews among health professionals and patients in Sierra Leone. We developed the interview guide based on the available scholarship on HCPs knowledge, attitude and practice of T&CM as well as their views regarding its integration with conventional medicine [26][27][28][29][30][34][35][36][37][38]. The guide was pretested among three HCPs, and their response helped to inform the design of the final version of the interview guide.…”

Section: Data Collection Proceduresmentioning

confidence: 99%

“…Such T&CM competency requires HCPs to be knowledgeable about commonly used T&CM. However, studies have shown that HCPs are less knowledgeable about T&CM, which limit their ability to provide appropriate advice to their patient regarding T&CM, use [26][27][28][29][30].…”

Section: Introductionmentioning

confidence: 99%

Traditional and complementary medicine use among Ebola survivors in Sierra Leone: a qualitative exploratory study of the perspectives of healthcare workers providing care to Ebola survivors

James

Wardle

Steel

et al. 2020

BMC Complement Med Ther

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Background: Considerable number of patients, including Ebola survivors, in Sierra Leone, are using traditional and complementary medicine (T&CM). Healthcare providers' (HCPs) views about T&CM is crucial in addressing the increased need for T&CM among patients. However, healthcare providers' views about T&CM in Sierra Leone is unknown. Our study explores healthcare providers' knowledge of and perception towards T&CM and how that influence their personal and professional T&CM use, communication with Ebola survivors about T&CM as well as its integration into the healthcare system in Sierra Leone. Methods: We employed a qualitative exploratory study design using semi-structured interviews to collect data from 15 conveniently sampled HCPs in all four geographical regions of Sierra Leone. We analysed our data using thematic network analysis framework. Results: Healthcare providers perceived their knowledge about T&CM to be low and considered T&CM to be less effective and less safe than conventional medicine as well as not evidence-based. HCPs perception of T&CM as non-scientific and their lack of knowledge of T&CM were the key barriers to HCPs' self-use and recommendation as well as their lack of detailed discussion about T&CM with Ebola survivors. HCPs are open to T&CM integration into mainstream healthcare in Sierra Leone although at their terms. However, they believe that T&CM integration could be enhanced by effective professional regulation of T&CM practice, and by improving T&CM evidenced-based knowledge through education, training and research.

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Perception, attitudes, knowledge of using complementary and alternative medicine for cancer patients among healthcare professionals: A mixed‐methods systematic review

Youn,

Cha,

Cho

et al. 2023

Cancer Medicine

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BackgroundWith the rapid increase in the prevalence of cancer worldwide, the utilization of complementary and alternative medicine (CAM) has increased among cancer patients. This review aimed to understand the perception, attitudes, and knowledge of healthcare professionals toward using CAM for cancer patients.MethodsA mixed‐methods systematic review was undertaken in four databases. Inclusion criteria were primary studies reporting perception, attitudes, and knowledge of healthcare professionals for using CAM for cancer patients were eligible. A mixed‐methods convergent synthesis was carried out, and the findings were subjected to a GRADE‐CERQual assessment of confidence.ResultsForty‐two studies were chosen. The majority of the studies were quantitative and had less than 100 participants. Most publications were from European countries, and oncology was the highest among the specialties. The review found the following themes: feasibility of having negative adverse effects, low expectations of using CAM among HCPs, potential positive effects of using CAM, specific CAM training may be helpful, no concrete regulations to promote CAM practice, and poor physician–patient communication.ConclusionsNurses had more positive views than other professions; oncologists were concerned regarding herb–drug interactions; integration of CAM into the healthcare system was favorable; HCPs felt the need to participate in specific CAM training; and HCPs agreed that CAM education should be provided more regularly. Future studies should explore the studies views of cancer patients and details of in‐depth evidence of CAM in oncology settings.

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Health‐care providers’ perspectives on traditional and complementary alternative medicine of childhood cancer in Kenya

Abstract: HCP need to improve their knowledge of TCAM and facilitate open communication about TCAM with families so parents feel safe to discuss their interest in it.

Cited by 13 publications

References 42 publications

An integrative review on the information and communication needs of parents of children with cancer regarding the use of complementary and alternative medicine

An integrative review on the information and communication needs of parents of children with cancer regarding the use of complementary and alternative medicine

Traditional and complementary medicine use among Ebola survivors in Sierra Leone: a qualitative exploratory study of the perspectives of healthcare workers providing care to Ebola survivors

Perception, attitudes, knowledge of using complementary and alternative medicine for cancer patients among healthcare professionals: A mixed‐methods systematic review

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