Breast cancer survivors willingness to participate in an acupuncture clinical trial: a qualitative study
| Autor: | Regina Lam, Elizabeth R. Mackenzie, Christina Seluzicki, Marilyn M. Schapira, Frances K. Barg, David Casarett, Jun J. Mao |
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| Rok vydání: | 2013 |
| Předmět: |
Adult
medicine.medical_specialty Pain medicine Decision Making Acupuncture Therapy Alternative medicine MEDLINE Breast Neoplasms White People Article Breast cancer Acupuncture medicine Humans Survivors Aged Neoplasm Staging business.industry Nursing research Middle Aged Patient Acceptance of Health Care medicine.disease Black or African American Clinical trial Oncology Physical therapy Female Neoplasm Recurrence Local business Qualitative research |
| Zdroj: | Supportive Care in Cancer. 22:1207-1215 |
| ISSN: | 1433-7339 0941-4355 |
| DOI: | 10.1007/s00520-013-2073-3 |
| Popis: | 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.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.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.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. |
| Databáze: | OpenAIRE |
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