The role of complementary and alternative medicine (CAM) routines and rituals in men with cancer and their significant others (SOs): A qualitative investigation
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Complementary and alternative medicine (CAM) is frequently used in cancer patients, often with contribution of the significant others (SOs), but without consultation of healthcare professionals. This research explored how cancer patients integrate and maintain CAM use in their everyday life, and how SOs are involved in it.
In this qualitative study, male participants were selected from a preceding Australian survey on CAM use in men with cancer (94 % response rate and 86 % consent rate for follow-up interview). Semistructured interviews were conducted with 26 men and 24 SOs until data saturation was reached. Interview transcripts were coded and analyzed thematically, thereby paying close attention to participants’ language in use.
A major theme associated with high CAM use was “CAM routines and rituals,” as it was identified that men with cancer practiced CAM as (1) functional routines, (2) meaningful rituals, and (3) mental/spiritual routines or/and rituals. Regular CAM use was associated with intrapersonal and interpersonal benefits: CAM routines provided men with certainty and control, and CAM rituals functioned for cancer patients and their SOs as a means to create meaning, thereby working to counter fear and uncertainty consequent upon a diagnosis of cancer. SOs contributed most to men’s uptake and maintenance of dietary-based CAM in ritualistic form resulting in interpersonal bonding and enhanced closeness.
CAM routines and rituals constitute key elements in cancer patients’ regular and satisfied CAM use, and they promote familial strengthening. Clinicians and physicians can convey these benefits to patient consultations, further promoting the safe and effective use of CAM.
KeywordsComplementary and alternative medicine Oncology Cancer Qualitative research Supportive care Men Relatives Caregivers Family Australia
The authors acknowledge Prof Michael P. Brown, Prof Dorothy Keefe, Prof Eric Yeoh, A/Prof Dusan Kotasek, Dr Martin Borg, Dr Nick Murray, Dr Sid Selva-Nayagam, Dr Michael Penniment, Dr Nimit Singhal, Dr Thean Hsiang TAN, and Dr Anne Taylor for their support of this study. This study was undertaken with support of The International Postgraduate Research Scholarship and The University of Adelaide Scholarship (funded by The University of Adelaide), the Florey Medical Research Foundation Postgraduate Cancer Research Top Up Scholarship (funded by the Florey Medical Research Foundation, The University of Adelaide), and The Freemasons Masonic Club Travelling Scholarship (funded by the Freemasons Foundation, Adelaide, Australia). The authors have no conflict of interest to declare, have full control of all primary data and agree to give Supportive Care in Cancer permission to review the data if requested.
- 1.Massie MJ (2004) Prevalence of depression in patients with cancer. J Natl Cancer Inst Monogr 57–71Google Scholar
- 3.National Center for Complementary and Alternative Medicine (2013) What is complementary and alternative medicine? http://nccam.nih.gov/health/whatiscam/. Accessed April 2013
- 6.Pirri C (2012) Complementary and alternative medicine used by patients with cancer: evidence for efficacy and safety. In: Olver I, Robotin M (eds) Perspectives on complementary and alternative medicine. Imperial College Press, London, pp 31–78Google Scholar
- 10.Klafke N, Eliott J, Olver I, Wittert G (2012) Men with cancer using complementary and alternative medicine (CAM): variations in significant others’ involvement. Asia-Pac J Clin Oncol (S3)8:237Google Scholar
- 11.Eliott J, Klafke N (2011) Family and complementary and alternative medicine. CancerForum 35:40–43Google Scholar
- 13.Zhang AY, Siminoff LA (2003) The role of the family in treatment decision making by patients with cancer. Oncol Nurs For 30:1022–1028Google Scholar
- 19.Hedderson MM, Patterson RE, Neuhouser ML, Schwartz SM, Bowen DJ, Standish LJ, Marshall LM (2004) Sex differences in motives for use of complementary and alternative medicine among cancer patients. Alt Ther Health Med 10:58–64Google Scholar
- 22.Broom A, Tovey P (2008) Therapeutic pluralism. Exploring the experiences of cancer patients and professionals. Routledge, LondonGoogle Scholar
- 24.Patton MQ (2002) Qualitative evaluation and research methods. Sage, Newbury ParkGoogle Scholar
- 25.Gillham B (2000) The research interview. Continuum, LondonGoogle Scholar
- 26.Braun V, Clarke V (2006) Using thematic analysis in psychology. Qual Health Res 3:77–101Google Scholar
- 31.Durkheim E (1971) The elementary forms of the religious life. Allen, LondonGoogle Scholar
- 37.Goffman E (1972) Interaction ritual. Essays on face-to-face behaviour. Penguin Press, LondonGoogle Scholar
- 38.Potter J (1996) Representing reality, discourse, rhetoric and social constructionism. Sage, LondonGoogle Scholar
- 45.Babschuk N (1978) Aging and primary relationships. Int J Aging Hum Dev 9:186–193Google Scholar