Complementary and alternative medicine use of women with breast cancer: Self-help CAM attracts other women than guided CAM therapies

Deborah N. N. Lo-Fo-Wong; Adelita V. Ranchor; Hanneke C. J. M. de Haes; Mirjam A. G. Sprangers; Inge Henselmans

doi:10.1016/j.pec.2012.02.019

Complementary and alternative medicine use of women with breast cancer: Self-help CAM attracts other women than guided CAM therapies

Deborah N. N. Lo-Fo-Wong^*, Adelita V. Ranchor, Hanneke C. J. M. de Haes, Mirjam A. G. Sprangers, Inge Henselmans

^*Corresponding author for this work

Health Psychology Research (HPR)

Research output: Contribution to journal › Article › Academic › peer-review

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Abstract

Objective: Examine stability of use of complementary and alternative medicine (CAM) of breast cancer patients, reasons for CAM use, and sociodemographic, clinical, and psychological predictors of CAM use.

Methods: CAM use was assessed after adjuvant therapy and six months later. Following the CAM Healthcare Model, CAM use was divided into use of provider-directed (guided) and self-directed (self-help) CAM. Stability and reasons for CAM use were examined with McNemar's tests and descriptive statistics. Cross-sectional and longitudinal associations between predictors and CAM use were examined with univariate and multivariate logistical analyses.

Results: Use of provider-directed and self-directed CAM was stable over time (N = 176). Self-directed CAM was more often used to influence the course of cancer than provider-directed CAM. Both were used to influence well-being. Openness to experience predicted use of provider-directed CAM, while clinical distress predicted use of self-directed CAM, after adjusting for other predictors. Perceived control did not predict CAM use.

Conclusion: CAM use is stable over time. It is meaningful to distinguish provider-directed from self-directed CAM.

Practice implications: Providers are advised to plan a 'CAM-talk' before adjuvant therapy, and discuss patients' expectations about influence of CAM on the course of cancer. Distressed patients most likely need information about self-directed CAM. (C) 2012 Elsevier Ireland Ltd. All rights reserved.

Original language	English
Pages (from-to)	529-536
Number of pages	8
Journal	Patient Education and Counseling
Volume	89
Issue number	3
DOIs	https://doi.org/10.1016/j.pec.2012.02.019
Publication status	Published - Dec-2012

Keywords

Complementary and alternative medicine
Breast cancer
Health care use
HEALTH-CARE UTILIZATION
BEHAVIORAL-MODEL
DISCUSSING COMPLEMENTARY
UNITED-STATES
DISTRESS
COMMUNICATION
PERSONALITY
SERVICES
ILLNESS

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@article{0a238595186a418c91f434cba64fd52b,

title = "Complementary and alternative medicine use of women with breast cancer: Self-help CAM attracts other women than guided CAM therapies",

abstract = "Objective: Examine stability of use of complementary and alternative medicine (CAM) of breast cancer patients, reasons for CAM use, and sociodemographic, clinical, and psychological predictors of CAM use.Methods: CAM use was assessed after adjuvant therapy and six months later. Following the CAM Healthcare Model, CAM use was divided into use of provider-directed (guided) and self-directed (self-help) CAM. Stability and reasons for CAM use were examined with McNemar's tests and descriptive statistics. Cross-sectional and longitudinal associations between predictors and CAM use were examined with univariate and multivariate logistical analyses.Results: Use of provider-directed and self-directed CAM was stable over time (N = 176). Self-directed CAM was more often used to influence the course of cancer than provider-directed CAM. Both were used to influence well-being. Openness to experience predicted use of provider-directed CAM, while clinical distress predicted use of self-directed CAM, after adjusting for other predictors. Perceived control did not predict CAM use.Conclusion: CAM use is stable over time. It is meaningful to distinguish provider-directed from self-directed CAM.Practice implications: Providers are advised to plan a 'CAM-talk' before adjuvant therapy, and discuss patients' expectations about influence of CAM on the course of cancer. Distressed patients most likely need information about self-directed CAM. (C) 2012 Elsevier Ireland Ltd. All rights reserved.",

keywords = "Complementary and alternative medicine, Breast cancer, Health care use, HEALTH-CARE UTILIZATION, BEHAVIORAL-MODEL, DISCUSSING COMPLEMENTARY, UNITED-STATES, DISTRESS, COMMUNICATION, PERSONALITY, SERVICES, ILLNESS",

author = "Lo-Fo-Wong, {Deborah N. N.} and Ranchor, {Adelita V.} and {de Haes}, {Hanneke C. J. M.} and Sprangers, {Mirjam A. G.} and Inge Henselmans",

year = "2012",

month = dec,

doi = "10.1016/j.pec.2012.02.019",

language = "English",

volume = "89",

pages = "529--536",

journal = "Patient Education and Counseling",

issn = "0738-3991",

publisher = "ELSEVIER IRELAND LTD",

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}

Complementary and alternative medicine use of women with breast cancer: Self-help CAM attracts other women than guided CAM therapies. / Lo-Fo-Wong, Deborah N. N.; Ranchor, Adelita V.; de Haes, Hanneke C. J. M. et al.
In: Patient Education and Counseling, Vol. 89, No. 3, 12.2012, p. 529-536.

Research output: Contribution to journal › Article › Academic › peer-review

TY - JOUR

T1 - Complementary and alternative medicine use of women with breast cancer

T2 - Self-help CAM attracts other women than guided CAM therapies

AU - Lo-Fo-Wong, Deborah N. N.

AU - Ranchor, Adelita V.

AU - de Haes, Hanneke C. J. M.

AU - Sprangers, Mirjam A. G.

AU - Henselmans, Inge

PY - 2012/12

Y1 - 2012/12

N2 - Objective: Examine stability of use of complementary and alternative medicine (CAM) of breast cancer patients, reasons for CAM use, and sociodemographic, clinical, and psychological predictors of CAM use.Methods: CAM use was assessed after adjuvant therapy and six months later. Following the CAM Healthcare Model, CAM use was divided into use of provider-directed (guided) and self-directed (self-help) CAM. Stability and reasons for CAM use were examined with McNemar's tests and descriptive statistics. Cross-sectional and longitudinal associations between predictors and CAM use were examined with univariate and multivariate logistical analyses.Results: Use of provider-directed and self-directed CAM was stable over time (N = 176). Self-directed CAM was more often used to influence the course of cancer than provider-directed CAM. Both were used to influence well-being. Openness to experience predicted use of provider-directed CAM, while clinical distress predicted use of self-directed CAM, after adjusting for other predictors. Perceived control did not predict CAM use.Conclusion: CAM use is stable over time. It is meaningful to distinguish provider-directed from self-directed CAM.Practice implications: Providers are advised to plan a 'CAM-talk' before adjuvant therapy, and discuss patients' expectations about influence of CAM on the course of cancer. Distressed patients most likely need information about self-directed CAM. (C) 2012 Elsevier Ireland Ltd. All rights reserved.

AB - Objective: Examine stability of use of complementary and alternative medicine (CAM) of breast cancer patients, reasons for CAM use, and sociodemographic, clinical, and psychological predictors of CAM use.Methods: CAM use was assessed after adjuvant therapy and six months later. Following the CAM Healthcare Model, CAM use was divided into use of provider-directed (guided) and self-directed (self-help) CAM. Stability and reasons for CAM use were examined with McNemar's tests and descriptive statistics. Cross-sectional and longitudinal associations between predictors and CAM use were examined with univariate and multivariate logistical analyses.Results: Use of provider-directed and self-directed CAM was stable over time (N = 176). Self-directed CAM was more often used to influence the course of cancer than provider-directed CAM. Both were used to influence well-being. Openness to experience predicted use of provider-directed CAM, while clinical distress predicted use of self-directed CAM, after adjusting for other predictors. Perceived control did not predict CAM use.Conclusion: CAM use is stable over time. It is meaningful to distinguish provider-directed from self-directed CAM.Practice implications: Providers are advised to plan a 'CAM-talk' before adjuvant therapy, and discuss patients' expectations about influence of CAM on the course of cancer. Distressed patients most likely need information about self-directed CAM. (C) 2012 Elsevier Ireland Ltd. All rights reserved.

KW - Complementary and alternative medicine

KW - Breast cancer

KW - Health care use

KW - HEALTH-CARE UTILIZATION

KW - BEHAVIORAL-MODEL

KW - DISCUSSING COMPLEMENTARY

KW - UNITED-STATES

KW - DISTRESS

KW - COMMUNICATION

KW - PERSONALITY

KW - SERVICES

KW - ILLNESS

U2 - 10.1016/j.pec.2012.02.019

DO - 10.1016/j.pec.2012.02.019

M3 - Article

SN - 0738-3991

VL - 89

SP - 529

EP - 536

JO - Patient Education and Counseling

JF - Patient Education and Counseling

IS - 3

ER -

Complementary and alternative medicine use of women with breast cancer: Self-help CAM attracts other women than guided CAM therapies

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