Factors influencing the usage of complementary and alternative medicine by patients with cancer

Complement Ther Clin Pract. 2021 Aug:44:101389. doi: 10.1016/j.ctcp.2021.101389. Epub 2021 Apr 15.

Abstract

Introduction: The interest in CAM among cancer patients is constantly growing and about 50% already used CAM alongside cancer therapy. Little is known on the factors influencing patients' choice of type of CAM used.

Methods: A questionnaire consisting of two validated instruments (the ASKU (Allgemeine Selbstwirksamkeit Kurzskala), the PAM 13-D (Patient Activation Measure) and the structured AKKOM questionnaire on CAM usage was distributed at a German university hospital.

Results: 639 patients (male 32.9%, female 63.2%; gynecological cancer 41%, gastrointestinal 19.2%, urogenital 15.6%) took part. 60% had used CAM in the last 3 months (biological 73%, holistic 63%, mind-body-methods 62%). Participants up to 30 years preferred biologically (p = 0.001), while women with gynecological cancer favored holistic based methods (p < 0.0001). There was no association between patients' beliefs on cancer causes and the chosen CAM method.

Conclusion: Improving knowledge in patients on cancer etiology and treatments could facilitate the understanding of additional complementary treatments.

Keywords: Complementary and alternative medicine; Health behavior; Information sources; Satisfaction; patients’ needs.

MeSH terms

  • Complementary Therapies*
  • Female
  • Humans
  • Male
  • Neoplasms* / therapy
  • Surveys and Questionnaires