Abstract
Purpose
This research aimed to explore the perceptions and experiences of cancer patients receiving osteopathic treatment as a complementary therapy when it is used in addition to conventional treatment for cancer pain.
Methods
This qualitative study employed semi structured interviews of cancer patients in a palliative care unit in Lyon, France, who received treatment from an osteopath alongside their conventional cancer treatment. We analysed data using grounded theory and qualitative methods.
Results
We interviewed 16 patients. The themes identified through the analysis included a low awareness of osteopathy among the population and an accompanying high level of misconceptions. The benefits of osteopathy were described as more than just the manual treatments with participants valuing osteopathy as a holistic, meditative, and non-pharmaceutical approach. Participants also described the osteopathic treatments as assisting with a range of cancer-related health complaints such as pain, fatigue, and sleep problems. Offering osteopathic treatment at an accessible location at low or no cost were identified by participants as enablers to the continued use of osteopathy.
Conclusions
The findings of this study provides preliminary data which suggests, when delivered alongside existing medical care, osteopathy may have health benefits for patients with complex conditions such as cancer.
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References
Adams J (2007) Introduction. In: Adams J (ed) Researching complementary and alternative medicine. Routeledge, Oxon, pp xiii–xixx
Judson PL, Abdallah R, Xiong Y, Ebbert J, Lancaster JM (2017) Complementary and alternative medicine use in individuals presenting for care at a comprehensive cancer center. Integr Cancer Ther 16(1):96–103
Simon L, Prebay D, Beretz A, Bagot JL, Lobstein A, Rubinstein I, Schraub S (2007) Médecines complémentaires et alternatives suivies par les patients cancéreux en France. Bull Cancer 94(5):483–488
Bontoux D, Couturier D, Menkès C-J (2013) THÉRAPIES COMPLÉMENTAIRES-acupuncture, hypnose, ostéopathie, tai-chi-leur place parmi les ressources de soins. Bull Acad Natl Med 3:717–757
Foley H, Steel A (2017) Patient perceptions of clinical care in complementary medicine: a systematic review of the consultation experience. Patient Educ Couns 100(2):212–223
Foley H, Steel A (2017) Patient perceptions of patient-centred care, empathy and empowerment in complementary medicine clinical practice: a cross-sectional study. Adv Integr Med 4:22–30
Pelzang R (2010) Time to learn: understanding patient-centred care. Br J Nurs 19(14):912–917
Kvåle K, Bondevik M (2008) What is important for patient centred care? A qualitative study about the perceptions of patients with cancer. Scand J Caring Sci 22(4):582–589
Osteopathic International Alliance (2016) Osteopathy and osteopathic medicine: a global view of practice, patients, education and the contribution to healthcare delivery. Osteopathic International Alliance, Chicago
World Health Organization (2010) Benchmarks for training in Osteopathy. In: Traditional Medicine (ed) Geneva. http://apps.who.int/medicinedocs/en/d/Js17555en/
Orrock P (2009) Profile of members of the Australian osteopathic Association: part 1–the practitioners. Int J Osteopath Med 12(1):14–24
Howell J (1999) The paradox of osteopathy. N Engl J Med 341(19):1465–1468
Hamonet C (2003) Andrew Taylor still and the birth of osteopathy (Baldwin, Kansas, USA, 1855). Joint Bone Spine 70(1):80–84
Steel A, Sundberg T, Reid R, Ward L, Bishop FL, Leach M, Cramer H, Wardle J, Adams J (2017) Osteopathic manipulative treatment: a systematic review and critical appraisal of comparative effectiveness and health economics research. Musculoskeletal Science and Practice 27:165–175
Attali TV, Bouchoucha M, Benamouzig R (2013) Treatment of refractory irritable bowel syndrome with visceral osteopathy: short-term and long-term results of a randomized trial. J Dig Dis 14(12):654–661
de Villepin D (2007) Décret n°2007–435 relatif aux actes et aux conditions d'exercice de l'ostéopathie. Paris
French Government (2002) Loi no. 2002-303 du 4 mars 2002-Article 75. Paris
French Government (2015) JO du 9/07/2015 no. 0157. Paris
Kirkova J, Walsh D, Aktas A et al (2010) Cancer symptom clusters: old concept but new data. Am J Hosp Palliat Med 27(4):282–288
Favier N, Guinet A, Nageleisen M, Ceccaldi B, Pujade-Lauraine É, LeFoll C, Soudain-Pineau M, Turlin C, Stubbe L (2006) Évaluation de l’efficacité d’un traitement ostéopathique sur les effets secondaires et la qualité de vie de patients sous chimiothérapie Essai clinique multicentrique randomisé. Nursing 10:247–242
Steel A, Blaich R, Sundberg T, Adams J (2017) The role of osteopathy in clinical care: broadening the evidence-base. Int J Osteopath Med 24:32–36
Oken MM, Creech RH, Tormey DC, Horton J, Davis TE, McFadden ET, Carbone PP (1982) Toxicity and response criteria of the eastern cooperative oncology group. Am J Clin Oncol 5(6):649–656
Strauss AL, Corbin J (1990) Basics of qualitative research: grounded theory procedure and techniques. Sage, London
Birks M, Mills J (2015) Grounded theory: a practical guide. Sage, Thousand Oaks
Charmaz K (2014) Constructing grounded theory. Sage, Thousand Oaks
Strauss A, Corbin JM (1990) Basics of qualitative research: grounded theory procedures and techniques. Sage, Thousand Oaks
Ralph N, Birks M, Chapman Y (2015) The methodological dynamism of grounded theory. Int J Qual Methods 14(4):1609406915611576
Eisenhart AW, Gaeta TJ, Yens DP (2003) Osteopathic manipulative treatment in the emergency department for patients with acute ankle injuries. J Am Osteopath Assoc 103(9):417–422
Van den Beuken-van Everdingen M, De Rijke J, Kessels A et al (2007) Prevalence of pain in patients with cancer: a systematic review of the past 40 years. Ann Oncol 18(9):1437–1449
Kwon JH (2014) Overcoming barriers in cancer pain management. J Clin Oncol 32(16):1727–1733
Bell TJ, Panchal SJ, Miaskowski C, Bolge SC, Milanova T, Williamson R (2009) The prevalence, severity, and impact of opioid-induced bowel dysfunction: results of a US and European patient survey (PROBE 1). Pain Med 10(1):35–42
Kirby ER, Broom AF, Adams J, Sibbritt DW, Refshauge KM (2014) A qualitative study of influences on older women’s practitioner choices for back pain care. BMC Health Serv Res 14(1):131
Dosquet DP, Blanchard N, Couvineau N et al (2006) Étude documentaire sur les professions d’ostéopathe et de chiropracteur en Europe. Belgique, Royaume Uni, Suède, Suisse
Templeman K, Robinson A (2011) Integrative medicine models in contemporary primary health care. Complement Ther Med 19(2):84–92
Gardiner P, Dresner D, Barnett KG, Sadikova E, Saper R (2014) Medical group visits: a feasibility study to manage patients with chronic pain in an underserved urban clinic. Glob Adv Health Med 3(4):20–26
Dresner D, Gergen Barnett K, Resnick K et al (2016) Listening to their words: a qualitative analysis of integrative medicine group visits in an urban underserved medical setting. Pain Med 17(6):1183–1191
Pope C, Mays N (2013) Qualitative research in health care. Blackwell Publishing, Massachusetts
Creswell JW, Clark VLP (2007) Designing and conducting mixed methods research. Sage, Thousand Oaks
O’Connor M, Payne S (2006) Discourse analysis: examining the potential for research in palliative care. Palliat Med 20(8):829–834
Chesebro JW, Borisoff DJ (2007) What makes qualitative research qualitative? Qual Res Rep Commun 8(1):3–14
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The ethics committee approved our study. All participants gave written informed consent before their inclusion in the study. The present article respects the consolidated criteria for reporting qualitative research (COREQ) guidelines (Tong et al. 2007).
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The authors have no conflicts of interest to declare. All raw data is held by the research and deidentified data can be made available upon request.
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Dr. Steel and Tricou are co-first authors for this manuscript.
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Steel, A., Tricou, C., Monsarrat, T. et al. The perceptions and experiences of osteopathic treatment among cancer patients in palliative care: a qualitative study. Support Care Cancer 26, 3627–3633 (2018). https://doi.org/10.1007/s00520-018-4233-y
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DOI: https://doi.org/10.1007/s00520-018-4233-y