Predictors of Use of Complementary and Alternative Therapies Among Patients With Cancer
- 1 November 2005
- journal article
- Published by Oncology Nursing Society (ONS) in Oncology Nursing Forum
- Vol. 32 (6), 1115-1122
- https://doi.org/10.1188/05.onf.1115-1122
Abstract
To determine predictors of use of complementary and alternative medicine (CAM) therapies among patients with cancer. Secondary analysis of two federally funded panel studies. Urban and rural communities in the midwestern United States. Patients with lung, breast, colon, or prostate cancer (N = 968) were interviewed at two points in time. 97% received conventional cancer treatment, and 30% used CAM. The sample was divided evenly between men and women, who ranged in age from 28-98; the majority was older than 60. Data from a patient self-administered questionnaire were used to determine CAM users. Responses indicated use of herbs and vitamins, spiritual healing, relaxation, massage, acupuncture, energy healing, hypnosis, therapeutic spas, lifestyle diets, audio or videotapes, medication wraps, and osteopathic, homeopathic, and chiropractic treatment. Dependent variable for analysis was use or nonuse of any of the identified CAM therapies at time of interviews. Independent variables fell into the following categories: (a) predisposing (e.g., gender, age, race, education, marital status), (b) enabling (e.g., income, health insurance status, caregiver presence, geographic location), and (c) need (e.g., cancer stage, site, symptoms, treatment, perceived health need). Significant predictors of CAM use were gender, marital status, cancer stage, cancer treatment, and number of severe symptoms experienced. Patients with cancer are using CAM while undergoing conventional cancer treatment. Nurses need to assess for CAM use, advocate for protocols and guidelines for routine assessment, increase knowledge of CAM, and examine coordination of services between conventional medicine and CAM to maximize positive patient outcomes.Keywords
This publication has 21 references indexed in Scilit:
- Complementary and alternative medicine use among adults: United States, 2002Seminars in Integrative Medicine, 2004
- Long-Term Trends in the Use of Complementary and Alternative Medical Therapies in the United StatesAnnals of Internal Medicine, 2001
- Applied Logistic RegressionPublished by Wiley ,2000
- Use of Complementary/Alternative Medicine by Breast Cancer Survivors in Ontario: Prevalence and PerceptionsJournal of Clinical Oncology, 2000
- Research on Complementary/Alternative Medicine for Patients With Breast Cancer: A Review of the Biomedical LiteratureJournal of Clinical Oncology, 2000
- Use of Alternative Medicine by Women with Early-Stage Breast CancerNew England Journal of Medicine, 1999
- Trends in Alternative Medicine Use in the United States, 1990-1997JAMA, 1998
- The prevalence of complementary/Alternative medicine in cancerCancer, 1998
- Why Patients Use Alternative MedicineJAMA, 1998
- Self‐Care and Illness Response Behaviors in a Frontier AreaThe Journal of Rural Health, 1992