TITLE

Breast cancer survivors willingness to participate in an acupuncture clinical trial: a qualitative study

AUTHOR(S)
Schapira, Marilyn; Mackenzie, Elizabeth; Lam, Regina; Casarett, David; Seluzicki, Christina; Barg, Frances; Mao, Jun
PUB. DATE
May 2014
SOURCE
Supportive Care in Cancer;May2014, Vol. 22 Issue 5, p1207
SOURCE TYPE
Academic Journal
DOC. TYPE
Article
ABSTRACT
Purpose: Acupuncture is a complementary and alternative medicine (CAM) modality that shows promise as a component of supportive breast cancer care. Lack of robust recruitment for clinical trial entry has limited the evidence base for acupuncture as a treatment modality among breast cancer survivors. The objective of this study is to identify key decision-making factors among breast cancer survivors considering entry into an acupuncture clinical trial for treatment of symptoms. Methods: Semistructured interviews were conducted among African-American ( n = 12) and Caucasian ( n = 13) breast cancer survivors. Verbatim transcripts were made and analyzed by two or more independent coders using NVivo software. Major recurring themes were identified and a theoretical framework developed. Results: Six themes emerged reflecting key attributes of the decision to enter a clinical trial: (1) symptom appraisal, (2) practical barriers (e.g., distance and travel), (3) beliefs about the interventions (e.g., fear of needles and dislike of medications), (4) comfort with elements of clinical trial design (e.g., randomization, the nature of the control intervention, and blinding), (5) trust, and (6) altruism. African-American and Caucasian women weighed similar attributes but differed in the information sources sought regarding clinical trial entry and in concerns regarding the use of a placebo in a clinical trial. Conclusions: Our findings contribute to the development of a theoretical model of decision making for breast cancer survivors considering participation in a CAM clinical trial. Insights regarding the decision making process can inform interventions to support informed decision making and robust recruitment to CAM trials among cancer survivors.
ACCESSION #
95124137

 

Related Articles

  • Revised STandards for Reporting Interventions in Clinical Trials of Acupuncture (STRICTA): Extending the CONSORT Statement. MacPherson, Hugh; Altman, Douglas G.; Hammerschlag, Richard; Li Youping; Wu Taixiang; White, Adrian; Moher, David // Journal of Alternative & Complementary Medicine;Oct2010, Vol. 16 Issue 10, pST-1 

    The Standards for Reporting Interventions in Clinical Trials of Acupuncture (STRICTA) were published in five journals in 2001 and 2002. These guidelines, in the form of a checklist and explanations for use by authors and journal editors, were designed to improve reporting of acupuncture trials,...

  • FORM: An Australian method for formulating and grading recommendations in evidence-based clinical guidelines. Hillier, Susan; Grimmer-Somers, Karen; Merlin, Tracy; Middleton, Philippa; Salisbury, Janet; Tooher, Rebecca; Weston, Adele // BMC Medical Research Methodology;2011, Vol. 11 Issue 1, p23 

    Background: Clinical practice guidelines are an important element of evidence-based practice. Considering an often complicated body of evidence can be problematic for guideline developers, who in the past may have resorted to using levels of evidence of individual studies as a quasi-indicator...

  • Current Status of Acupuncture Clinical Research-Challenges and Methodology. Lixing Lao // American Acupuncturist;Summer2008, Vol. 44, p26 

    The article discusses the status, challenges and methodology of acupuncture clinical research in 2008. The two divisions of systematic reviews of acupuncture research are pain conditions and non-pain conditions. Commonly used controls in acupuncture clinical trials in the West are enumerated...

  • Standardization of traditional Chinese medicine and evaluation of evidence from its clinical practice. Peipei Song; Jianjun Gao; Kokudo, Norihiro; Wei Tang // Drug Discoveries & Therapeutics;Dec2011, Vol. 5 Issue 6, p261 

    Traditional Chinese medicine (TCM) is a typical traditional medicine (TM) with a long-standing history of preventing and curing diseases in China and other countries in East Asia. Standardization of TCM has been a topic of discussion over the past few decades in China with the goal of promoting...

  • How Do Homeopaths Reason and Make Decisions? Integrating Theory, Practice, and Education. Levy, David; Ajjawi, Rola; Roberts, Chris // Journal of Alternative & Complementary Medicine;Dec2010, Vol. 16 Issue 12, p1321 

    Background: Homeopathy is a major modality in complementary and alternative medicine. Significant tensions exist between homeopathic practice and education, evident in the diversity of practice styles and pedagogic models. Utilizing clinical reasoning knowledge in conventional medicine and...

  • Towards evidence-based medicine for paediatricians. Phillips, Bob // Archives of Disease in Childhood;Nov2007, Vol. 92 Issue 11, p1036 

    The article focuses on the significance of evidence-based medicine for pediatricians in Great Britain. It offers practical, best evidence-based answers to practical or clinical questions. Pediatricians are suggested to integrate the highest quality scientific evidence with clinical expertise and...

  • Using Evidence-Based Principles to Make Clinical Decisions. Valente, Michael // Journal of the American Academy of Audiology;Nov/Dec2005, Vol. 16 Issue 10, p1 

    Introduces a series of articles on evidence-based principles in supporting clinical decision-making process.

  • Editorial. Harlan Jr., William R. // Journal of Alternative & Complementary Medicine;Dec2001 Supplement 1, Vol. 7 Issue 6, p1 

    Editorial. Focuses on the developments in alternative medicine from Korea and the United States. Information on acupuncture; Efforts to address the practice of traditional and Western approaches to medical practice; Popularity of evidence-based medicine as a result of the public interest in...

  • Contemporary acupuncture in Canada - the McMaster approach. Oomman, Susmita // Acupuncture in Medicine;Mar2006, Vol. 24 Issue 1, p35 

    The article reports on contemporary acupuncture in Canada. The McMaster University has a Contemporary Medical Acupuncture Program. The program is totally skills-based and practical. It uses a dual "problem-solving/evidence-based medicine" approach. The program has been running twice a year since...

Share

Read the Article

Courtesy of THE LIBRARY OF VIRGINIA

Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics