Pub Date : 2022-06-24eCollection Date: 2022-01-01DOI: 10.1089/imr.2021.0004
Jennifer S Mascaro, Almira Catic, Meha Srivastava, Maggie Diller, Shaheen Rana, Cam Escoffery, Viraj Master
Purpose: The use of integrative approaches for symptom management is highly prevalent among patients undergoing cancer treatment and among cancer survivors and is increasingly endorsed by clinical practice guidelines. However, access to and implementation of integrative oncology (IO) approaches are hindered by barriers at multiple levels, including logistic, geographic, financial, organizational, and cultural barriers. The goal of this mixed-method study was to examine oncology provider and patient knowledge, beliefs, and preferences in IO to identify facilitators, barriers, and recommendations for implementation of IO modalities.
Materials and methods: Data sources included patient surveys and provider semistructured interviews. Patients were in active treatment (n = 100) and survivors (n = 100) of heterogeneous cancer types. Patient and survivor surveys interrogated: (1) interest in types of IO approaches; and (2) preferences for delivery modality, frequency, and location. Providers (n = 18) were oncologists and nurse navigators working with diverse cancer types. Interviews queried their knowledge of and attitudes about IO, about their patients' needs for symptom management, and for recommendations for implementation of IO approaches in their clinic. We used the Consolidated Framework for Implementation Research framework to systematically analyze provider interviews.
Results: The primary interests reported among actively treated patients and survivors were massage therapy, acupuncture, and wellness/exercise. Most patients expressed interest in both group and individual sessions and in telehealth or virtual reality options. Emergent themes from provider interviews identified barriers and facilitators to implementing IO approaches in both the internal and external settings, as well as for the implementation process.
Conclusion: The emphasis on mind-body interventions as integrative rather than alternative highlights the importance of interventions as evidence-based, comprehensive, and integrated into health care. Gaining simultaneous perspectives from both patients and physicians generated insights for the implementation of IO care into complex clinical systems within a comprehensive cancer center.
{"title":"Examination of Provider and Patient Knowledge, Beliefs, and Preferences in Integrative Oncology at a National Cancer Institute-Designated Comprehensive Cancer Center.","authors":"Jennifer S Mascaro, Almira Catic, Meha Srivastava, Maggie Diller, Shaheen Rana, Cam Escoffery, Viraj Master","doi":"10.1089/imr.2021.0004","DOIUrl":"10.1089/imr.2021.0004","url":null,"abstract":"<p><strong>Purpose: </strong>The use of integrative approaches for symptom management is highly prevalent among patients undergoing cancer treatment and among cancer survivors and is increasingly endorsed by clinical practice guidelines. However, access to and implementation of integrative oncology (IO) approaches are hindered by barriers at multiple levels, including logistic, geographic, financial, organizational, and cultural barriers. The goal of this mixed-method study was to examine oncology provider and patient knowledge, beliefs, and preferences in IO to identify facilitators, barriers, and recommendations for implementation of IO modalities.</p><p><strong>Materials and methods: </strong>Data sources included patient surveys and provider semistructured interviews. Patients were in active treatment (<i>n</i> = 100) and survivors (<i>n</i> = 100) of heterogeneous cancer types. Patient and survivor surveys interrogated: (1) interest in types of IO approaches; and (2) preferences for delivery modality, frequency, and location. Providers (<i>n</i> = 18) were oncologists and nurse navigators working with diverse cancer types. Interviews queried their knowledge of and attitudes about IO, about their patients' needs for symptom management, and for recommendations for implementation of IO approaches in their clinic. We used the Consolidated Framework for Implementation Research framework to systematically analyze provider interviews.</p><p><strong>Results: </strong>The primary interests reported among actively treated patients and survivors were massage therapy, acupuncture, and wellness/exercise. Most patients expressed interest in both group and individual sessions and in telehealth or virtual reality options. Emergent themes from provider interviews identified barriers and facilitators to implementing IO approaches in both the internal and external settings, as well as for the implementation process.</p><p><strong>Conclusion: </strong>The emphasis on mind-body interventions as <i>integrative</i> rather than <i>alternative</i> highlights the importance of interventions as evidence-based, comprehensive, and integrated into health care. Gaining simultaneous perspectives from both patients and physicians generated insights for the implementation of IO care into complex clinical systems within a comprehensive cancer center.</p>","PeriodicalId":73395,"journal":{"name":"Integrative medicine reports","volume":"1 1","pages":"66-75"},"PeriodicalIF":0.0,"publicationDate":"2022-06-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9372903/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9083429","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
M. Shokrani, J. Lukaszuk, David A. Walker, Heidi McCann, Elim Kim
{"title":"Assessment of Intake of Cinnamon Supplements on Hemoglobin A1c Levels in Prediabetics","authors":"M. Shokrani, J. Lukaszuk, David A. Walker, Heidi McCann, Elim Kim","doi":"10.1089/imr.2021.0018","DOIUrl":"https://doi.org/10.1089/imr.2021.0018","url":null,"abstract":"","PeriodicalId":73395,"journal":{"name":"Integrative medicine reports","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48625988","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Em V. Adams, B. Crowe, M. Van Puymbroeck, A. Schmid
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K. Ishimaru, Takuma Nakajima, Sinji Kashiki, Kenji Ryotokuji
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K. Kalaimathi, J. Rani, P. Manogar, S. Vijayakumar, N. Prakash, K. Karthikeyan, G. Thiyagarajan, K. Bhavani, S. Prabhu
{"title":"In Vitro and In Silico Strategies for the Assessment of Fungicidal Compounds from the Bark of Bauhinia racemosa Against Dermatitis: Clinical Isolates","authors":"K. Kalaimathi, J. Rani, P. Manogar, S. Vijayakumar, N. Prakash, K. Karthikeyan, G. Thiyagarajan, K. Bhavani, S. Prabhu","doi":"10.1089/imr.2021.0022","DOIUrl":"https://doi.org/10.1089/imr.2021.0022","url":null,"abstract":"","PeriodicalId":73395,"journal":{"name":"Integrative medicine reports","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48131868","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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Lisa Thaniel, S. Majumdar, Anqing Zhang, D. Darbari
{"title":"Complementary and Integrative Medicine Use in Pediatric Patients with Sickle Cell Disease","authors":"Lisa Thaniel, S. Majumdar, Anqing Zhang, D. Darbari","doi":"10.1089/imr.2022.0041","DOIUrl":"https://doi.org/10.1089/imr.2022.0041","url":null,"abstract":"","PeriodicalId":73395,"journal":{"name":"Integrative medicine reports","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47856245","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Parent's Experience with and Desire to Use Complementary and Alternative Medicine After Stillbirth: Findings from an Online Survey","authors":"S. Fogarty, J. Huberty, P. Hay","doi":"10.1089/imr.2021.0010","DOIUrl":"https://doi.org/10.1089/imr.2021.0010","url":null,"abstract":"","PeriodicalId":73395,"journal":{"name":"Integrative medicine reports","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42451870","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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J. D. de Carvalho, M. Torales, Laiane Paula Silva Santos, R. Jesus
{"title":"Migraine Successfully Treated with a Milk-Gluten-Sugar-Free Diet: A Case Report","authors":"J. D. de Carvalho, M. Torales, Laiane Paula Silva Santos, R. Jesus","doi":"10.1089/imr.2021.0026","DOIUrl":"https://doi.org/10.1089/imr.2021.0026","url":null,"abstract":"","PeriodicalId":73395,"journal":{"name":"Integrative medicine reports","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45529006","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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