scholarly journals Thinking magically or thinking scientifically: Cognitive and belief predictors of complementary and alternative medicine use in women with and without cancer diagnosis

2021 ◽  
Author(s):  
Vladimíra Čavojová ◽  
Zuzana Kaššaiová ◽  
Jakub Šrol ◽  
Eva Ballová Mikušková
Keyword(s):  
Locus Of Control ◽  
Alternative Medicine ◽  
Complementary And Alternative Medicine ◽  
Health Beliefs ◽  
Cancer Diagnosis ◽  
External Locus ◽  
Positive Attitudes ◽  
Cam Use ◽  
External Locus Of Control ◽  
Magical Beliefs

Abstract Background Complementary and alternative medicine (CAM) is popular among the general population and patients with various diseases, but our understanding of the predictors of CAM use for the population of women with or without cancer diagnosis is still quite limited. This paper examines predictors of attitudes toward and use of CAM, including cognitive factors (scientific reasoning, health literacy, locus of control), beliefs (holistic and magical health beliefs pseudoscientific beliefs, and trust in doctors), sociodemographic factors, and cancer diagnosis. Methods The sample consisted of 177 women (103, 58.2% without cancer, 74, 41.8% with cancer diagnosis; Mage = 38.81, SD = 11.43). Results Pseudoscientific/magical beliefs and external locus of control were the strongest predictors of positive attitudes toward CAM and its higher use, as well as preference for CAM instead of conventional treatment. Cancer diagnosis predicted only higher CAM use, but not more positive attitudes to CAM, nor preference for CAM instead of conventional medicine. There was no difference between women with and without cancer diagnosis in using CAM after we controlled for age and education. Women in our sample had a similar level of magical beliefs, holistic health beliefs, and attitudes toward CAM regardless of their cancer diagnosis. However, women with cancer had significantly more pseudoscientific beliefs than women without cancer and a higher external locus of control over their health. Conclusion Women who have an inclination toward holistic and magical beliefs about health tend to favor CAM treatments independently of the cancer diagnosis, although the diagnosis of cancer also contributes to their higher use of CAM. In other words, it seems improbable that women would turn toward CAM treatment only after being diagnosed with cancer.

scholarly journals Patient Motivations for Using Complementary and Alternative Medicine

2004 ◽  
Vol 9 (2) ◽  
pp. 81-92 ◽  
Author(s):  
John K. Testerman ◽  
Kelly R. Morton ◽  
Rachel A. Mason ◽  
Ann M. Ronan
Keyword(s):  
Alternative Medicine ◽  
Complementary And Alternative Medicine ◽  
Functional Status ◽  
Health Beliefs ◽  
Personal Control ◽  
Explanatory Models ◽  
Holistic Health ◽  
Conventional Care ◽  
Cam Use ◽  
Complementary And Alternative

Although use of complementary and alternative medicine (CAM) is widespread, the underlying reasons patients choose CAM are not clearly understood. Several explanatory models have been suggested, including desire for personal control, compatibility with holistic beliefs, and dissatisfaction with conventional care. Methods: The relationship between CAM use and health functional status, desire for personal control over health, holistic beliefs, spirituality, and patient satisfaction were assessed in a mailed survey of 230 family practice outpatients using validated, multi-item measures. Patients with osteoarthritis, depression, or both were compared to healthy patients. Results: Holistic health beliefs, higher spirituality scores, and lower health functional status were predictive of more CAM use. Personal control over health and satisfaction with physicians were not. Conclusion: Patients use CAM when it is consistent with their worldview and conventional care is not relieving their symptoms.

scholarly journals Complementary and alternative medicine use in patients before and after a cancer diagnosis

2018 ◽  
Vol 25 (4) ◽  
Author(s):  
C.A. Buckner ◽  
R.M. Lafrenie ◽  
J.A. Dénommée ◽  
J.M. Caswell ◽  
D.A. Want
Keyword(s):  
Alternative Medicine ◽  
Complementary And Alternative Medicine ◽  
Cancer Diagnosis ◽  
Treatment Team ◽  
Medical Systems ◽  
Northern Ontario ◽  
Number Of Patients ◽  
Before And After ◽  
Cam Use ◽  
Complementary And Alternative

Background Cancer patients are increasingly seeking out complementary and alternative medicine (cam) andmight be reluctant to disclose its use to their oncology treatment team. Often, cam agents are not well studied, andlittle is known about their potential interactions with chemotherapy, radiation therapy, or biologic therapies, and their correlations with outcomes. In the present study, we set out to determine the rate of cam use in patients receiving treatment at a Northern Ontario cancer centre.Methods Patients reporting for treatment at the Northeast Cancer Centre (necc) in Sudbury, Ontario, were asked to complete an anonymous questionnaire to assess cam use. Changes in cam use before, compared with after, diagnosiswere also assessed.ResultsPatients in Northern Ontario reported significant cam use both before and after diagnosis. However, as a function of the cam type, cam use was greatly enhanced after cancer diagnosis. For example, the number of patients who reported use of biologic products increased to 51.8% after a cancer diagnosis from 15.6% before a cancer diagnosis. Patients reported much smaller changes in the use of alternative medical systems or spiritual therapy after diagnosis. Vitamin use was reported by 66% of respondents, and the number of different cams used correlated significantly with the reported number of vitamins used.ConclusionsUse of cam, particularly biologic products, increased significantly after a cancer diagnosis. Further studies are required to examine the effect of cam use on the efficacy and safety of cancer therapies. 

scholarly journals Patterns of Complementary and Alternative Medicine Use Following a Cancer Diagnosis in Malaysia

2018 ◽  
Vol 4 (Supplement 2) ◽  
pp. 104s-104s ◽  
Author(s):  
N.T. Bhoo Pathy ◽  
Y.C. Kong ◽  
S. Subramaniam ◽  
P.P. Goh ◽  
C.W. Ng ◽  
...  
Keyword(s):  
Breast Cancer ◽  
Alternative Medicine ◽  
Complementary And Alternative Medicine ◽  
Cancer Patients ◽  
Cancer Diagnosis ◽  
Hematologic Malignancies ◽  
Economic Hardship ◽  
Reproductive Cancers ◽  
Cam Use ◽  
One Year

Background: Worldwide surveys suggest that the use of CAM is becoming increasingly popular among the general population as well as among cancer patients. Aim: We determined the patterns of complementary and alternative medicine (CAM) use in cancer patients, and the associated factors in a multiethnic Asian setting. Methods: Through the Asean CosTs In ONcology (ACTION) prospective cohort study, 1662 newly diagnosed cancer patients were recruited from 12 public and 2 private hospitals in Malaysia. In the current study, we only included 1328 patients who were alive and completed one-year of follow-up. Using questionnaires and cost diaries, patients' sociodemographic factors and disease related factors were measured at baseline, whereas details on CAM use were measured at 12 months. Results: Median age at cancer diagnosis was 53 years. Patients comprised those with breast cancer (33%), gastrointestinal cancers (27%), hematologic malignancies (22%), female reproductive cancers (6%), respiratory cancers (5%), and other types. At one-year, 175 patients reported using CAM (14%), of which 53 comprised patients reporting inability to make necessary household payments (economic hardship) at initial diagnosis. Most CAM users took food or nutritional supplements (75%), spending between RM150 to RM7500 in a year, followed by traditional local medicine (43%), where expenditures ranged between RM50 to RM20,000. A minority practiced homeopathy, and mind-body practices. Fifty-one patients used more than one type of therapy. In CAM users with economic hardship at baseline, median expenditure on CAM was RM1500, with some spending as much as RM10,000. Compared with other cancer types, patients with hematologic malignancies and women with breast cancer were most likely to use CAM. In a multivariable analysis, baseline factors that were associated with CAM use were economic hardship, higher anxiety scores, having female reproductive cancers, or hematologic malignancies, receipt of surgery, and nonreceipt of radiotherapy. Sex, education status, marital status, health insurance status, cancer stage, and systemic cancer therapy do not appear to be associated with CAM use. Conclusion: While the proportion of patients reporting CAM use following a cancer diagnosis appear low in this study, the finding that patients with initial economic hardship were independently more likely to use CAM, warrants attention.

Complementary and alternative medicine and other health behaviors.

2013 ◽  
Vol 31 (31_suppl) ◽  
pp. 23-23
Author(s):  
Donna M. Graham ◽  
Osvaldo Espin-Garcia ◽  
Catherine Brown ◽  
Oleksandr Halytskyy ◽  
Mary Mahler ◽  
...  
Keyword(s):  
Physical Activity ◽  
Alternative Medicine ◽  
Complementary And Alternative Medicine ◽  
Support Groups ◽  
Cancer Diagnosis ◽  
Smoking Status ◽  
Healthy Weight ◽  
Physical Activity Guidelines ◽  
Cam Use ◽  
Complementary And Alternative

23 Background: Complementary and alternative medicine (CAM) use in patients with cancer has increased. A patient’s decision to seek CAM alongside conventional cancer treatment is complex. We evaluated whether patients who sought CAM were also more likely to engage in other healthy behaviours such as exercise, smoking cessation, alcohol reduction, and maintaining a healthy weight. Methods: As part of a larger survey of cancer survivors, 551 cancer patients across Princess Margaret Cancer Centre (Canada) were queried on clinico-demographic information, their use of CAM and other health-related behaviors (smoking, alcohol use, healthy weight, etc.). Multivariable logistic regression assessed each health behavior, adjusting for clinical factors associated with CAM use. Results: Females: 53%; median age: 54 years; Caucasian: 83%. Primary tumor sites: breast/gynecologic 22%; gastrointestinal/genitourinary 28%; hematologic 23%; lung/head and neck 12%. Following their cancer diagnosis, 43% used CAM. Being female (odds ratio=2.55, 95% CI [1.8-3.7], having higher education (2.08 [1.4-3.1]) or higher income (1.80 [1.2-2.7]), and having breast/gynaecological cancers (vs. all others; 2.82 [1.8-4.3]) were associated with greater CAM use. These factors served as adjustment variables for the analysis of behaviors. Behaviors associated with increased use of CAM included: use of CAM prior to diagnosis (10.6 [6.5-17.2]), participation in support groups (3.39 [2.1-5.6]), not being overweight or obese one year prior to diagnosis (1.82 [1.2-2.7]), and meeting Canadian physical activity guidelines either before diagnosis (1.80 [1.2-2.8]) or currently (1.70 [1.0-2.8]). No association was observed between CAM use and smoking status or cessation, alcohol intake or reduction, self-described diet habits prior to cancer diagnosis or dietary changes after diagnosis. Conclusions: Some behaviors such as baseline and current physical activity, participation in support groups, not being overweight, and prior use of CAM were each associated with greater CAM use. Smoking, alcohol and diet were not associated with CAM use. Improved understanding of the reasons for CAM use can an improve patient-physician communication, decision-making, and treatment planning.

scholarly journals Rural Older Adults’ Beliefs and Behavior Related to Complementary and Alternative Medicine Use

2005 ◽  
Vol 10 (1) ◽  
pp. 33-44 ◽  
Author(s):  
Thomas A. Arcury ◽  
Ronny A. Bell ◽  
Mara Z. Vitolins ◽  
Sara A. Quandt
Keyword(s):  
Older Adults ◽  
Native Americans ◽  
Alternative Medicine ◽  
Complementary And Alternative Medicine ◽  
Health Beliefs ◽  
Community Dwelling ◽  
Cam Use ◽  
And Behavior ◽  
Rural Elders ◽  
Complementary And Alternative

Little research has considered older adults’ health beliefs related to the use of complementary and alternative medicine (CAM). Based on a conceptual model of health selfmanagement, this analysis delineates health beliefs and behaviors related to CAM use among community-dwelling rural elders. In-depth interviews were conducted with 145 female and male African Americans, Native Americans, and Whites aged 70 and older residing in two rural, central North Carolina counties. CAM therapies are widely used but are largely limited to folk and home remedies and vitamin and mineral supplements. These rural elders integrate CAM use with conventional health care, and they are concerned that remedies they use not interfere with prescribed conventional treatment. They justify CAM use in terms of advice from their physician or nurse or from published sources. Most rural elders state that their knowledge of CAM therapies is limited.

LOCUS OF CONTROL AND STUDENT ACHIEVEMENT

2020 ◽  
Vol 2 (01) ◽  
pp. 52-58
Author(s):  
Eko Sujadi
Keyword(s):  
Locus Of Control ◽  
Intervention Program ◽  
Negative Relationship ◽  
External Locus ◽  
Learning Achievement ◽  
Grade Point ◽  
Internal Locus ◽  
Internal Locus Of Control ◽  
External Locus Of Control ◽  
Academic Information

Abstract. Locus of control is one of the personality characteristics possessed by humans. Locus of control can be divided into two, namely internal locus of control and external locus of control. Locus of control is a predictor of several other variables, such as learning achievement. The purpose of this study was to determine the relationship of locus of control with learning achievement. This research uses descriptive and correlational methods. The instrument filling is done online by using the google form application considering the increasing spread of COVID-19. Finally, as many as 36 students participated in filling this instrument. In this study, researchers used the Rotters Internal-External Locus of Control (IE Scale) inventory consisting of 29 items, of which there were 6 filler items, so that the total number of items that could be processed was 23 items, while to see learning achievement using the Grade Point Average (GPA) that researchers get from the Academic Information System (SIAKAD). Research findings show that locus of control has a strong negative relationship with student learning achievement. We advise students to have an internal locus of control while continuing to believe in God; The counselor is expected to be able to arrange an intervention program for students who have an external locus of control and have low learning achievement.

scholarly journals Complementary and Alternative Medicine Use in Breast Cancer Patients at a Medical Center in Taiwan: A Cross-Sectional Study

2020 ◽  
Vol 19 ◽  
pp. 153473542098391
Author(s):  
Chieh-Ying Chin ◽  
Yung-Hsiang Chen ◽  
Shin-Chung Wu ◽  
Chien-Ting Liu ◽  
Yun-Fang Lee ◽  
...  
Keyword(s):  
Breast Cancer ◽  
Alternative Medicine ◽  
Complementary And Alternative Medicine ◽  
Cancer Patients ◽  
Medical Center ◽  
Cancer Center ◽  
Breast Cancer Patients ◽  
Cross Sectional ◽  
Cam Use ◽  
Complementary And Alternative

Background Complementary and alternative medicine (CAM) is becoming more common in medical practice, but little is known about the concurrent use of CAM and conventional treatment. Therefore, the aim was to investigate the types of CAM used and their prevalence in a regional patient cohort with breast cancer (BC). Methods BC patients were interviewed with a structured questionnaire survey on the use of CAM in southern Taiwan at an Integrative Breast Cancer Center (IBCC). The National Centre for Complementary and Integrative Health (NCCIH) classification was used to group responses. Over a period of 8 months, all patients receiving treatment for cancer at the IBCC were approached. Results A total of 106 BC patients completed the survey (response rate: 79.7%). The prevalence of CAM use was 82.4%. Patients who were employed, were receiving radiotherapy and hormone therapy, and had cancer for a longer duration were more likely to use CAM ( P < .05). Multivariate analysis identified employment as an independent predictor of CAM use (OR = 6.92; 95% CI = 1.33-36.15). Dietary supplementation (n = 69, 82.1%) was the type of CAM most frequently used, followed by exercise (n = 48, 57.1%) and traditional Chinese medicine (n = 29, 34.5%). The main reason for using CAM was to ameliorate the side effects of conventional therapies. Almost half (46.4%) of these CAM users did not disclose that they were using it in medical consultations with their physicians. Most chose to use CAM due to recommendations from family and friends. Conclusion A large portion of BC patients at the IBCC undergoing anti-cancer treatment courses used CAM, but less than half discussed it with their physicians. Given the high prevalence of CAM, it would be justifiable to direct further resources toward this service so that cancer patients can benefit from a holistic approach to their treatment.

scholarly journals DIPG-84. COMPLEMENTARY AND ALTERNATIVE MEDICINE IN DIFFUSE INTRINSIC PONTINE GLIOMA

2020 ◽  
Vol 22 (Supplement_3) ◽  
pp. iii303-iii304
Author(s):  
Fatma El-Khouly ◽  
Syed Adil ◽  
Harry Hendrikse ◽  
Gertjan Kaspers ◽  
Christof Kramm ◽  
...  
Keyword(s):  
Alternative Medicine ◽  
Complementary And Alternative Medicine ◽  
Online Survey ◽  
Diffuse Intrinsic Pontine Glioma ◽  
Survey Study ◽  
Pontine Glioma ◽  
Anticancer Effects ◽  
Significant Difference ◽  
Cam Use ◽  
Complementary And Alternative

Abstract INTRODUCTION Diffuse intrinsic pontine glioma (DIPG) is a rare and aggressive childhood brainstem malignancy with a two-year survival rate of ≤10%. In this international survey study we aim to evaluate the use of complementary and alternative medicine (CAM) in this patient population. METHODS Parents of-, and physicians treating DIPG patients were asked to participate in a retrospective online survey with questions regarding CAM use during time of illness. RESULTS 120 parents and 75 physicians contributed to the online survey between January and May 2020. Physicians estimated that &lt;50% of their patients used CAM, whereas 69% of the parents reported to have used CAM to treat their child during time of illness. Cannabis was the most widely used form of CAM, followed by vitamins and minerals, melatonin, curcumin and boswellic acid. CAM was mainly used to actively treat the tumor. Other motivations were to treat side effects of chemotherapy, or to comfort the child. Children diagnosed ≥2016 were more likely to use CAM (χ2=6.08, p=0.014). No significant difference was found between CAM users and non-users based on ethnicity (χ2=4.18, p=0.382) and country of residence (χ2=9.37, p=0.154). Almost 50% of the physicians do not frequently ask their patients about possible CAM use. CONCLUSION This survey demonstrates that worldwide a considerable number of DIPG patients use CAM. Physicians should be more aware of potential CAM use and more actively discuss the topic. More research is needed to gain knowledge about possible anticancer effects of CAM and their interactions with conventional therapies.

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