The aim of this study is to assess the prevalence, the determinants and the predictors of this use.
MethodsAt the regional oncology center of Beni Mellal, we conducted a descriptive and analytical cross-sectional study with 530 adult cancer patients chosen by quota sampling. A 54-item questionnaire was used to perform the face-to-face survey. The theory of planned behavior (TPB) and a CAM healthcare model were used to create this instrument. Using SPSS software, we performed bivariate and multivariate statistical analyses as well as logistic regression.
ResultsThe prevalence of traditional herbal medicine use was 36.6%. Several variables of the conceptual model were associated with the use of herbal medicine (gender, attitude and belief towards T&CM, nancial resources, clinical characteristics of patients) (p < 0.05). Predictors of traditional herbal medicine use were female gender (OR = 4.687; p < 0.000), social impact of cancer (OR = 2.314; p < 0.05), emotional impact of cancer (OR = 2.314; p < 0. 05), expected bene ts of TM/CAM use (OR = 3.453; p < 0.000), perceived scienti c barriers (OR = 0.580; p < 0.000), perceived socioeconomic barriers (OR = 0.657; p < 0.005), and the use and social norms of relatives (OR = 3.238; p < 0).
ConclusionBecause of the high prevalence of herbal medicine, health care providers should focus on specialized and multidisciplinary therapeutic education that focuses on the psychosocial factors and representations that underpin this use.The model used in this research is the CAM healthcare model (Fouladbakhsh and Stommel 2007) , which extended Anderson's sociobehavioral model. This model examines the concurrent use of conventional medicine and T&CM. Additionally, the separation of the T&CM used from the purpose of use (Treatment or Health promotion) (Fouladbakhsh and Stommel 2007;Lorenc et al. 2009).The CAM Healthcare model aims to improve the understanding of the health phenomenon of T&CM use. to predict use, objectives of use, and outcomes of use. This model includes all of the factors identi ed in the Anderson Sociobehavioral Model and enhances that framework by making it speci c to T&CM. use by adding independent variables to the T&CM. A dependent variable allows for the separation of T&CM practices and products. This allows us to explain the use of T&CM, in this case, herbal medicine, according to the following variables:Predisposing variables: The patient is predisposed to use T&CM; these are sociodemographic and psychological variables such as ethnicity, cultural and community practices, beliefs, and attitudes toward traditional medicine.Enabling variables: Factors that facilitate or limit the use of health services include resources speci c to individuals and families that could in uence this use, such as income, health insurance, occupation, region of residence as well as an urban or rural area of residence, availability of health services such as accessibility and proximity of health services, physician to resident ratio, and litter capacity.Need variables: The individual's ...