A Multisite, Community Oncology-Based Randomized Trial of a Brief Educational Intervention to Increase Communication Regarding Complementary and Alternative Medicine

作者：Parker Patricia A; Urbauer Diana; Fisch Michael J; Fellman Bryan; Hough Holly; Miller Jessica; Lanzotti Victor; Whisnant Mindy; Weiss Matthias; Fellenz Lori; Bury Martin; Kokx Patricia; Finn Kathleen; Daily Maureen; Cohen Lorenzo^*

来源：Cancer, 2013, 119(19): 3514-3522.

DOI：10.1002/cncr.28240

• cancer
• community-based
• complementary and alternative medicine
• educational intervention

BACKGROUNDThe use of complementary and alternative medicine (CAM) is widespread, yet there is relatively little discussion regarding its use between oncology patients and their health care practitioners. %26lt;br%26gt;METHODSThis multisite randomized trial examined the efficacy of an educational intervention designed to encourage oncology nurses to discuss CAM use with their patients. A total of 175 nurses completed questionnaires about discussing CAM use with patients at baseline and 2 months after the intervention. Patients at baseline (N=699) and different patients at follow-up (N=650) completed questionnaires regarding CAM. %26lt;br%26gt;RESULTSAt the 2-month follow-up, nurses in the intervention reported they were more likely to ask about CAM use than those in the control group (odds ratio, 4.2; P=.005). However, no significant effect was found for the percentage of patients who indicated that they were asked about CAM use (odds ratio, 2.1; P%26gt;.10). Approximately 40% of patients reported using CAM after their cancer diagnosis, yet the majority of nurses estimated that %26lt;25% of their patients were using CAM. %26lt;br%26gt;CONCLUSIONSCAM use in community-based oncology patients is common and is underestimated by oncology nurses. The brief, low-intensity intervention presented herein was found to be sufficiently powerful to change nurses%26apos; perceptions of their behavior but may not have been intensive enough to yield changes that were evident to patients. Cancer 2013;119:3514-3522.. (c) 2013 UT MD Anderson Cancer Center. Cancer published by Wiley Periodicals, Inc. on behalf of American Cancer Society. %26lt;br%26gt;The use of complementary and alternative medicine in community-based oncology is common and is underestimated by oncology nurses. The authors%26apos; brief, low-intensity intervention was found to be sufficiently powerful to change nurses%26apos; perceptions of their behavior but may not have been intensive enough to yield changes that were evident to patients.

• 出版日期2013-10-1