{"title":"顺势疗法作为非转移性乳腺癌患者赋权和支持性治疗的积极途径:一项定性研究(TOUCAN)","authors":"Clair-Antoine Veyrier , Guillaume Roucoux , Laurence Baumann-Coblentz , Jacques Massol , Jean-Claude Karp , Jean-Philippe Wagner , Olivier Chassany , Martin Duracinsky","doi":"10.1016/j.eujim.2023.102308","DOIUrl":null,"url":null,"abstract":"<div><h3>Introduction</h3><p>Breast cancer is the leading cause of death among French women, although the survival rate is increasing thanks to therapy and supportive care. Homeopathy is one of most widely used non-conventional supportive approaches in this context. This article aims to describe the ways women with non-metastatic breast cancer integrate homeopathy as supportive care into their conventional therapy regimen.</p></div><div><h3>Methods</h3><p>Qualitative semi-structured interviews and focus groups were conducted using interview guides. They were audio-recorded and first, partially transcribed to elicit emerging themes to revise the interview guide, and later word-for-word for in-depth analysis using Grounded Theory. Sampling, interviewing, transcription and coding occurred iteratively. The study has been reported according to COREQ guidelines.</p></div><div><h3>Results</h3><p>Fifty people participated: 28 patients, 13 oncologists, 6 homeopaths, 2 gynecologists and 1 nurse. Homeopathy was rarely present in the conventional patient care pathway. Turning to homeopathy was often the patient's initiative. Homeopathy was included to prevent or deal with adverse events from cancer treatments, while attempting to maximize clinical outcomes. Homeopathy was often used early in the care path if the patient had already consulted a homeopath. For others, the fear of chemotherapy triggered an active search for solutions. Homeopathic use was a form of empowerment and engagement, not only limited to patients who habitually used homeopathy. Most patients were treated by a general practitioner specialized in homeopathy, which was acknowledged by their oncologist.</p></div><div><h3>Conclusion</h3><p>Homeopathy acted as a gateway toward supportive care in tandem with conventional treatment.</p></div>","PeriodicalId":11932,"journal":{"name":"European Journal of Integrative Medicine","volume":null,"pages":null},"PeriodicalIF":1.9000,"publicationDate":"2023-10-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Homeopathy as patient empowerment and an active path toward supportive care for non-metastatic breast cancer: A qualitative study (TOUCAN)\",\"authors\":\"Clair-Antoine Veyrier , Guillaume Roucoux , Laurence Baumann-Coblentz , Jacques Massol , Jean-Claude Karp , Jean-Philippe Wagner , Olivier Chassany , Martin Duracinsky\",\"doi\":\"10.1016/j.eujim.2023.102308\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div><h3>Introduction</h3><p>Breast cancer is the leading cause of death among French women, although the survival rate is increasing thanks to therapy and supportive care. Homeopathy is one of most widely used non-conventional supportive approaches in this context. This article aims to describe the ways women with non-metastatic breast cancer integrate homeopathy as supportive care into their conventional therapy regimen.</p></div><div><h3>Methods</h3><p>Qualitative semi-structured interviews and focus groups were conducted using interview guides. They were audio-recorded and first, partially transcribed to elicit emerging themes to revise the interview guide, and later word-for-word for in-depth analysis using Grounded Theory. Sampling, interviewing, transcription and coding occurred iteratively. The study has been reported according to COREQ guidelines.</p></div><div><h3>Results</h3><p>Fifty people participated: 28 patients, 13 oncologists, 6 homeopaths, 2 gynecologists and 1 nurse. Homeopathy was rarely present in the conventional patient care pathway. Turning to homeopathy was often the patient's initiative. Homeopathy was included to prevent or deal with adverse events from cancer treatments, while attempting to maximize clinical outcomes. Homeopathy was often used early in the care path if the patient had already consulted a homeopath. For others, the fear of chemotherapy triggered an active search for solutions. Homeopathic use was a form of empowerment and engagement, not only limited to patients who habitually used homeopathy. Most patients were treated by a general practitioner specialized in homeopathy, which was acknowledged by their oncologist.</p></div><div><h3>Conclusion</h3><p>Homeopathy acted as a gateway toward supportive care in tandem with conventional treatment.</p></div>\",\"PeriodicalId\":11932,\"journal\":{\"name\":\"European Journal of Integrative Medicine\",\"volume\":null,\"pages\":null},\"PeriodicalIF\":1.9000,\"publicationDate\":\"2023-10-05\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"European Journal of Integrative Medicine\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://www.sciencedirect.com/science/article/pii/S1876382023000847\",\"RegionNum\":4,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q3\",\"JCRName\":\"INTEGRATIVE & COMPLEMENTARY MEDICINE\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"European Journal of Integrative Medicine","FirstCategoryId":"3","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S1876382023000847","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"INTEGRATIVE & COMPLEMENTARY MEDICINE","Score":null,"Total":0}
Homeopathy as patient empowerment and an active path toward supportive care for non-metastatic breast cancer: A qualitative study (TOUCAN)
Introduction
Breast cancer is the leading cause of death among French women, although the survival rate is increasing thanks to therapy and supportive care. Homeopathy is one of most widely used non-conventional supportive approaches in this context. This article aims to describe the ways women with non-metastatic breast cancer integrate homeopathy as supportive care into their conventional therapy regimen.
Methods
Qualitative semi-structured interviews and focus groups were conducted using interview guides. They were audio-recorded and first, partially transcribed to elicit emerging themes to revise the interview guide, and later word-for-word for in-depth analysis using Grounded Theory. Sampling, interviewing, transcription and coding occurred iteratively. The study has been reported according to COREQ guidelines.
Results
Fifty people participated: 28 patients, 13 oncologists, 6 homeopaths, 2 gynecologists and 1 nurse. Homeopathy was rarely present in the conventional patient care pathway. Turning to homeopathy was often the patient's initiative. Homeopathy was included to prevent or deal with adverse events from cancer treatments, while attempting to maximize clinical outcomes. Homeopathy was often used early in the care path if the patient had already consulted a homeopath. For others, the fear of chemotherapy triggered an active search for solutions. Homeopathic use was a form of empowerment and engagement, not only limited to patients who habitually used homeopathy. Most patients were treated by a general practitioner specialized in homeopathy, which was acknowledged by their oncologist.
Conclusion
Homeopathy acted as a gateway toward supportive care in tandem with conventional treatment.
期刊介绍:
The European Journal of Integrative Medicine (EuJIM) considers manuscripts from a wide range of complementary and integrative health care disciplines, with a particular focus on whole systems approaches, public health, self management and traditional medical systems. The journal strives to connect conventional medicine and evidence based complementary medicine. We encourage submissions reporting research with relevance for integrative clinical practice and interprofessional education.
EuJIM aims to be of interest to both conventional and integrative audiences, including healthcare practitioners, researchers, health care organisations, educationalists, and all those who seek objective and critical information on integrative medicine. To achieve this aim EuJIM provides an innovative international and interdisciplinary platform linking researchers and clinicians.
The journal focuses primarily on original research articles including systematic reviews, randomized controlled trials, other clinical studies, qualitative, observational and epidemiological studies. In addition we welcome short reviews, opinion articles and contributions relating to health services and policy, health economics and psychology.