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dc.contributor.authorMora, Dana Catalina
dc.contributor.authorKristoffersen, Agnete Egilsdatter
dc.contributor.authorJong, Miek
dc.contributor.authorHervik, Jill Angela
dc.contributor.authorStub, Trine
dc.date.accessioned2023-08-22T13:23:14Z
dc.date.available2023-08-22T13:23:14Z
dc.date.issued2023-08-18
dc.description.abstractIntroduction: Although more than 300 000 children and adolescents worldwide are diagnosed with cancer yearly, little research has been conducted investigating how healthcare providers consider risk and patient safety connected with supportive care (including complementary and alternative medicine [CAM]) in this age group. This study aimed to explore how different healthcare providers perceive and evaluate risk when patients combine supportive care and conventional medicine in clinical practice and how they communicate and inform parents about the use of these modalities.<p> <p>Materials and Methods: In-depth semi-structured interviews were conducted with 22 healthcare providers with expertise in treating pediatric oncology patients from 5 countries. Systematic content analysis was conducted using Nvivo 1.61.<p> <p>Results: The analysis resulted in 3 themes and 8 subthemes. Generally, participants were cautious about implementing unproven new modalities or therapies when recommending supporting care modalities to parents of children and adolescents with cancer. The most important criterion when recommending a modality was evidence for safety based on a risk/benefit evaluation. Negative interactions with conventional medicine were avoided by using the half-life of a drug approach (the time it takes for the amount of a drug’s active substance in the body to reduce by half). For patients with severe symptoms, less invasive modalities were used (ear seeds instead of ear needling). To enhance safety, participants practiced open and egalitarian communication with parents.<p> <p>Conclusion: Healthcare providers reported using a variety of approaches to achieve a safe practice when parents wanted to combine supportive care and conventional cancer treatment. They emphasized that these modalities should be foremost safe and not become an extra burden for the patients. Providers highlighted patient-centered care to meet the individual’s specific health needs and desired health outcomes. A lack of national and regional standardized training programs for supportive care in pediatric oncology was considered a hazard to patient safety.en_US
dc.identifier.citationMora, Kristoffersen, Jong, Hervik, Stub. A Qualitative Study Among Healthcare Providers on Risks Associated With the Use of Supportive Care for Cancer Treatment-Related Symptoms in Children and Adolescents. Integrative Cancer Therapies. 2023en_US
dc.identifier.cristinIDFRIDAID 2165645
dc.identifier.doi10.1177/15347354231192959
dc.identifier.issn1534-7354
dc.identifier.issn1552-695X
dc.identifier.urihttps://hdl.handle.net/10037/30184
dc.language.isoengen_US
dc.publisherSAGE Publicationsen_US
dc.relation.ispartofMora, D.C. (2023). Complementary and alternative medicine use for supportive care in childhood cancer - Prevalence of use, effectiveness, safety and clinical practice. (Doctoral thesis). <a href=https://hdl.handle.net/10037/30620>https://hdl.handle.net/10037/30620</a>
dc.relation.journalIntegrative Cancer Therapies
dc.rights.accessRightsopenAccessen_US
dc.rights.holderCopyright 2023 The Author(s)en_US
dc.rights.urihttps://creativecommons.org/licenses/by/4.0en_US
dc.rightsAttribution 4.0 International (CC BY 4.0)en_US
dc.titleA Qualitative Study Among Healthcare Providers on Risks Associated With the Use of Supportive Care for Cancer Treatment-Related Symptoms in Children and Adolescentsen_US
dc.type.versionpublishedVersionen_US
dc.typeJournal articleen_US
dc.typeTidsskriftartikkelen_US
dc.typePeer revieweden_US


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Attribution 4.0 International (CC BY 4.0)
Med mindre det står noe annet, er denne innførselens lisens beskrevet som Attribution 4.0 International (CC BY 4.0)