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Efverman, A. (2024). Physical, leisure, and daily living activities in patients before, during, and after radiotherapy for cancer: Which patients need support in activities?. Cancer Nursing, 47(3), 169-179
Open this publication in new window or tab >>Physical, leisure, and daily living activities in patients before, during, and after radiotherapy for cancer: Which patients need support in activities?
2024 (English)In: Cancer Nursing, ISSN 0162-220X, E-ISSN 1538-9804, Vol. 47, no 3, p. 169-179Article in journal (Refereed) Published
Abstract [en]

Background: Avoiding inactivity and staying active during cancer therapy have great health effects.

Objective: The aims of this study were to describe level of daily, leisure, and physical activities before, during, and after radiotherapy and to investigate whether patients who had not restored activity level after radiotherapy differed from patients who had restored activity level regarding different characteristics.

Methods: In this descriptive longitudinal study, 196 patients undergoing pelvic-abdominal radiotherapy reported their activity level at baseline, weekly during radiotherapy, and at 1 month after radiotherapy.

Results: Patients decreased activity level during radiotherapy (P < .001 for all activities): physical activity (34% of patients decreased level), walking (26%), leisure activities (44%), social activities (15%), housework (34%), shopping (28%), and activities in general (28%). Almost half (47%) had not restored activity level after radiotherapy. Patients with colorectal cancer, older than 65 years, who had less education than university, and high capacity in overall daily activities at baseline were more likely than other patients not to restore activity level after radiotherapy. The patients not restoring their activity level after radiotherapy were more likely than others to experience anxious mood (P = .016), depressed mood (P = .003), and poor quality of life (P = .003) after radiotherapy.

Conclusion: Patients’ activity level decreased during radiotherapy, and almost half of patients did not restore activity level after radiotherapy.

Implications for Practice: Given that restored activity level after radiotherapy was less common in certain subgroups and that patients who restored activity level experienced better quality of life and less frequent anxious and depressed mood, cancer nursing professionals should consider supporting these subgroups of patients in performing activities. Guidelines recommend avoiding inactivity and staying active during and after cancer therapy, because of the great health effects of activity.1,2 However, little is known about the characteristics of patients who decrease their activity level during radiotherapy for cancer and do not restore activity level after radiotherapy; this is a subgroup of patients who may need more support from cancer nursing professionals.

Place, publisher, year, edition, pages
Wolters Kluwer, 2024
Keywords
Cancer care; Daily activities; Leisure activities; Lifestyle factors; Nursing; Physical activity; Physiotherapy; Radiotherapy
National Category
Health Sciences
Identifiers
urn:nbn:se:hig:diva-41028 (URN)10.1097/ncc.0000000000001187 (DOI)001153161600001 ()36728442 (PubMedID)2-s2.0-85191565833 (Scopus ID)
Available from: 2023-02-06 Created: 2023-02-06 Last updated: 2024-05-06Bibliographically approved
Lagerstedt, K. & Efverman, A. (2023). A Randomized Sham-Controlled Mixed Methods Pilot Study of the Feasibility of Acupuncture for Chemotherapy-Induced Neuropathy: Lessons Learned From Patient Experiences in Integrative Cancer Care. Integrative Cancer Therapies, 22
Open this publication in new window or tab >>A Randomized Sham-Controlled Mixed Methods Pilot Study of the Feasibility of Acupuncture for Chemotherapy-Induced Neuropathy: Lessons Learned From Patient Experiences in Integrative Cancer Care
2023 (English)In: Integrative Cancer Therapies, ISSN 1534-7354, E-ISSN 1552-695X, Vol. 22Article in journal (Refereed) Epub ahead of print
Abstract [en]

Objective

Since there is a lack of effective pharmacological therapies for chemotherapy-induced neuropathy and many patients ask for integrative cancer therapies such as acupuncture, the objective of this pilot study was to describe patients’ experiences, and to study the feasibility and short-term effects of genuine acupuncture for chemotherapy-induced neuropathic pain and unpleasant sensations compared to sham acupuncture.

Methods:

The pilot study used mixed methods, collecting quantitative and qualitative data. Patients (n = 12) with chemotherapy-induced neuropathy after colorectal cancer were blindly randomized to genuine acupuncture or telescopic sham acupuncture. Individual interviews were conducted, and were analyzed using qualitative content analysis. The patients registered pain and unpleasant sensations (100 mm Visual Analog Scales) before and after n = 120 sessions, n = 60 genuine and n = 60 sham acupuncture sessions.

Results:

Five categories of patient experiences were described. The neuropathy negatively affected life. Physical activity was perceived to be important for health, but neuropathy was a barrier. The neuropathy required symptom-managing strategies. Acupuncture was pleasant and valuable, but some patients presented doubts regarding its effect mechanisms. After the genuine acupuncture sessions, pain (mean −2.0 steps relief during each session) and unpleasant sensations (−2.4) in the face was reduced more than after sham acupuncture (+0.1 steps worse pain, P = .018, +0.1 steps worse unpleasant sensations, P = .036). After genuine acupuncture, unpleasant sensations in the hands were reduced less (−0.23) compared to after sham acupuncture (−5.5, P = .002). Pain or unpleasant sensations in the feet did not change.

Conclusions:

Patients experienced that the neuropathy negatively changed their life and that acupuncture was pleasant and valuable. Patients receiving genuine acupuncture had short-term effects regarding pain and unpleasant sensations in the face compared to patients receiving sham acupuncture, while hands and feet did not improve. The patients were successfully blinded and complied with the acupuncture. We welcome future full-scaled randomized sham-controlled acupuncture studies.

Place, publisher, year, edition, pages
SAGE, 2023
Keywords
acupuncture, pain, neurotoxicity, neuropathy, complementary and alternative therapies, integrative oncology, nursing, physiotherapy, cancer rehabilitation
National Category
Health Sciences
Identifiers
urn:nbn:se:hig:diva-42076 (URN)10.1177/15347354231178877 (DOI)001003798900001 ()37294052 (PubMedID)2-s2.0-85161640886 (Scopus ID)
Available from: 2023-06-12 Created: 2023-06-12 Last updated: 2023-06-26Bibliographically approved
Widgren, Y., Silén, M., Wåhlin, I., Lindberg, M., Fransson, P. & Efverman, A. (2023). Chemotherapy-induced Emesis: Experienced Burden in Life, and Significance of Treatment Expectations and Communication in Chemotherapy Care. Integrative Cancer Therapies, 22
Open this publication in new window or tab >>Chemotherapy-induced Emesis: Experienced Burden in Life, and Significance of Treatment Expectations and Communication in Chemotherapy Care
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2023 (English)In: Integrative Cancer Therapies, ISSN 1534-7354, E-ISSN 1552-695X, Vol. 22Article in journal (Refereed) Epub ahead of print
Abstract [en]

Objective: Because antiemetics have become more effective and integrative therapies such as acupuncture are used in combination with antiemetics, people receiving chemotherapy for cancer today might expect less emesis than in the past. It is not previously described if and how people receiving modern antiemetics during chemotherapy experience emesis. The objective of this study was to describe experiences regarding emesis among persons undergoing emetogenic chemotherapy, and how it affects their quality of life, daily life and work. A further aim was to describe views on the significance of treatment expectations and communication with healthcare personnel while undergoing chemotherapy for cancer.

Method: Fifteen participants (median age 62 years, n = 1 man and n = 14 women, with breast (n = 13) or colorectal (n = 2) cancer) undergoing adjuvant or neo-adjuvant highly or moderately emetogenic chemotherapy were interviewed individually. The data were then analyzed using inductive thematic analysis.

Results: Three themes described the participants’ experiences: “Your whole life is affected, or continues as usual,” covering descriptions of emesis limiting some participants’ everyday lives, while others experienced no emesis at all or had found ways to manage it. Overall, participants described satisfaction with their antiemetic treatment. “Experiences and expectations more important than information”, that is, the participants reported wanting all the information they could get about possible adverse effects of treatment, although they believed previous experiences were more important than information in creating expectations about treatment outcomes. The participants reported that being seen as a unique person was of utmost importance: “Meet me as I am.” This creates trust in healthcare personnel and a feeling of safety and security in the situation.

Conclusions: These findings underline the importance of person-centered care and support in creating positive treatment expectations. Future research is called for regarding the potential antiemetic effects of positive communication regarding strengthening positive treatment expectations during emetogenic chemotherapy.

Place, publisher, year, edition, pages
SAGE, 2023
National Category
Cancer and Oncology
Research subject
Health-Promoting Work, Inkluderande arbetsliv
Identifiers
urn:nbn:se:hig:diva-43484 (URN)10.1177/15347354231217296 (DOI)001125792800001 ()38098295 (PubMedID)2-s2.0-85179678460 (Scopus ID)
Available from: 2023-12-19 Created: 2023-12-19 Last updated: 2024-04-26Bibliographically approved
Widgren, Y., Silén, M., Wåhlin, I., Lindberg, M., Fransson, P. & Efverman, A. (2023). Patients’ experiences of emesis and the significance of treatment expectations and communication during chemotherapy for cancer. Paper presented at MASCC/JASCC/ISOO Annual Meeting 2023. Supportive Care in Cancer, 31(S1), s39, Article ID 399.
Open this publication in new window or tab >>Patients’ experiences of emesis and the significance of treatment expectations and communication during chemotherapy for cancer
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2023 (English)In: Supportive Care in Cancer, ISSN 0941-4355, E-ISSN 1433-7339, Vol. 31, no S1, p. s39-, article id 399Article in journal, Meeting abstract (Refereed) Published
Abstract [en]

Introduction

Since antiemetics have become more effective, it seems plausible that patients nowadays expect less emesis than in the past. To gain a deeper understanding of the patients’ caring needs during emetogenic chemotherapy used today, the aim was to describe patients’ experiences of chemotherapy-induced emesis and how it afects quality of life, daily life, and work. Further, to describe views of the signifcance of their treatment expectations and the communication with the health care personnel when undergoing chemotherapy for cancer.

Methods

Fifteen patients (median age 62 years, n=1 man and n=14 women, with breast (n=13) or colorectal (n=2) cancer), undergoing adjuvantor neo-adjuvant highly or moderately emetogenic chemotherapy were interviewed individually. The data were then analyzed using inductive thematic analysis.

Results

Three themes described the patients’ experiences: ”The whole life gets affected, or goes on as usual”, covering descriptions of how some patients experienced the emesis to limit their everyday lives, while others experienced no emesis at all or had found ways to manage it; ”Information is important for creating expectations, but experiences even more”, i.e., the patients expressed that they wanted all the information they could get about possible adverse efects from the treatment, even though they believed previous experiences to be more important than information for creating expectations about treatment outcomes. Overall, the participants described satisfaction with their antiemetic treatment; and ”Meet me as I am”, including the participants expressed being seen as a unique person to be the of utterly importance. It creates trust in the health care personnel and a feeling of safety and security in the situation.

Conclusions

These findings underline the importance of person-centered care ands upport in creating positive treatment expectations. Future research is welcomed regarding potential antiemetic efects of positive communication, strengthening positive treatment expectations during emetogenic chemotherapy

Place, publisher, year, edition, pages
Springer, 2023
National Category
Health Sciences
Identifiers
urn:nbn:se:hig:diva-43517 (URN)10.1007/s00520-023-07786-4 (DOI)
Conference
MASCC/JASCC/ISOO Annual Meeting 2023
Available from: 2024-01-05 Created: 2024-01-05 Last updated: 2024-01-05Bibliographically approved
Tödt, K., Stake-Nilsson, K., Gustafsson, S., Fransson, P. & Efverman, A. (2023). What does self-care practice look like among patients undergoing radiotherapy in routine radiotherapy care?. Paper presented at MASCC/JASCC/ISOO Annual Meeting 2023. Palliative & Supportive Care, 31(S1), S162, Article ID 399.
Open this publication in new window or tab >>What does self-care practice look like among patients undergoing radiotherapy in routine radiotherapy care?
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2023 (English)In: Palliative & Supportive Care, ISSN 1478-9515, E-ISSN 1478-9523, Vol. 31, no S1, p. S162-, article id 399Article in journal, Meeting abstract (Refereed) Published
Abstract [en]

Introduction

Supporting cancer survivors in practicing evidence-based self-care has a central place in the rehabilitation plan to reduce side-efects of cancer treatment. However, knowledge is needed on the implementation of self-care practice among patients in routine radiotherapy care. Are there diferences in characteristics between self-care practitioners and non-practicing patients?

Methods

A study questionnaire including self-care and symptoms was delivered to 507 eligible patients undergoing radiotherapy at radiotherapy clinics in Sweden. The questions about self-care practice were responded by n=439 (51% women, 49% men) with breast (38%), prostate (33%), or other cancer (29%) types.

Results

Of the responding patients, 43% (n=189) practiced some form of self-care. The 332 self-reported descriptions of self-care were categorized into 14 self-care strategies of which six were practiced by more than 10 patients: physical activity (n=113), increased recovery (n=69), healthy eating (n=66), distraction (n=24), skincare (n=20), and self-medication (n=12). The most common indicators for self-care practice were fatigue (experienced by 72 %), general wellbeing (poor general wellbeing experienced by10%), psychological symptoms (worrying experienced by 44% and feeling sad by 42%), nausea (experienced by 34%), vomiting (experienced by 12%), and improving physical condition. Of the patients reporting experience of the above symptoms, 42%, 46%, 48%, 41%, 53%, and 47% practiced selfcare. Older age, relative risk (RR) 2.62, 95% confdence interval (CI) 1.6-4.28 and lower education i.e., elementary and secondary school, RR 1.75,CI 1.00-3.03 and RR 1.46, CI 1.16-1.85 were independently related with increased likelihood of being non-practitioners.

Conclusions

Roughly 40% of patients undergoing radiotherapy in a routine care setting practiced self-care. The most common indicator was fatigue, and the most common self-care strategy was physical activity. Half of symptomatic patients are non-practitioners who might beneft from evidenced based self-care. Among them, older and those with lower education might need more support in selfcare than others.

Place, publisher, year, edition, pages
Springer, 2023
National Category
Health Sciences
Identifiers
urn:nbn:se:hig:diva-43516 (URN)10.1007/s00520-023-07786-4 (DOI)
Conference
MASCC/JASCC/ISOO Annual Meeting 2023
Available from: 2024-01-05 Created: 2024-01-05 Last updated: 2024-01-05Bibliographically approved
Stake-Nilsson, K., Gustafsson, S., Tödt, K., Fransson, P. & Efverman, A. (2022). A Study of Self-Care Practice in Routine Radiotherapy Care: Identifying Differences Between Practitioners and Non-Practitioners in Sociodemographic, Clinical, Functional, and Quality-of-Life-Related Characteristics. Integrative Cancer Therapies, 21, 1-13
Open this publication in new window or tab >>A Study of Self-Care Practice in Routine Radiotherapy Care: Identifying Differences Between Practitioners and Non-Practitioners in Sociodemographic, Clinical, Functional, and Quality-of-Life-Related Characteristics
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2022 (English)In: Integrative Cancer Therapies, ISSN 1534-7354, E-ISSN 1552-695X, Vol. 21, p. 1-13Article in journal (Refereed) Published
Abstract [en]

Objectives:

The objective of this study was to describe self-care practice during radiotherapy for cancer and to identify potential differences between practitioners and non-practitioners of self-care regarding sociodemographic, clinical, functional, and quality-of-life-related characteristics.

Methods:

In this descriptive study, 439 patients (87% response rate) undergoing radiotherapy responded to a study questionnaire regarding self-care, sociodemographic, clinical (eg, experienced symptoms), functional, and quality-of-life-related characteristics.

Results:

Of the 439 patients, 189 (43%) practiced at least one self-care strategy, while 250 (57%) did not. In total, the patients described 332 self-care practices, resulting in 14 different categories of self-care strategies. The 5 most common indicators of practicing self-care were fatigue, general wellbeing, psychological symptoms, nausea, vomiting and improving physical condition. The 5 most common self-care strategies were physical activity, increased recovery, healthy eating, distraction, and skincare. Patients who were married, were older than 69, patients with less education than university education, patients undergoing a combination of internal and external radiotherapy, patients experiencing fewer than 8 symptoms, and better quality of life, practiced self-care to a lower extent than did other patients. Functional capacity did not differ between self-care practitioners and non-practitioners.

Conclusion and Implications for Practice:

Of the patients undergoing radiotherapy, slightly less than half practiced self-care during an ordinary week of radiotherapy. Because older and less-educated patients were less likely to practice self-care, cancer care practitioners should consider paying particular attention to helping such patients with their self-care practice.

Place, publisher, year, edition, pages
SAGE, 2022
Keywords
cancer care; category scale; complementary and alternative medicine; effect moderators; Numeric Rating scale; nursing; oncology care; rehabilitation; treatment expectations; Visual Analog scale
National Category
Health Sciences
Identifiers
urn:nbn:se:hig:diva-40297 (URN)10.1177/15347354221130301 (DOI)000869772200001 ()36245274 (PubMedID)2-s2.0-85139885844 (Scopus ID)
Available from: 2022-10-20 Created: 2022-10-20 Last updated: 2023-03-21Bibliographically approved
Widgren, Y., Fransson, P. & Efverman, A. (2022). Acupuncture in patients undergoing cancer therapy: few users although high interest and belief in acupuncture. Paper presented at MASCC/ISOO Annual Meeting on Supportive Care in Cancer, 23-25 June 2022. Supportive Care in Cancer, 30(S1), 118
Open this publication in new window or tab >>Acupuncture in patients undergoing cancer therapy: few users although high interest and belief in acupuncture
2022 (English)In: Supportive Care in Cancer, ISSN 0941-4355, E-ISSN 1433-7339, Vol. 30, no S1, p. 118-Article in journal, Meeting abstract (Refereed) Published
Abstract [en]

Introduction

Since patients ask for acupuncture for cancer-therapy induced side-effects, and pre-existing expectations, i.e. beliefs, in a treatment may modify outcomes, the aim of this study was to investigate the use of acupuncture, interest, and belief in acupuncture effects among patients undergoing cancer therapy.

Methods

The study participants (n=457 of 507, 90% responded) cross-sectionally during radiotherapy answered a questionnaire regarding their use of, interest and belief in acupuncture treatment.

Results

Of the patients (mean age 65 years, 48% men, 37% had breast cancer, 32% prostate cancer), four (1%) patients used acupuncture during cancer therapy, while 368 (83%) expressed an interest in receiving acupuncture and (63%) believed acupuncture to be effective for at least one of 17 requested symptoms, most commonly pain (56% of the patients) and muscle tension(40%). They believed acupuncture to be effective for mean value 3 of 17 requested symptoms. Women (p<0.001), and patients 41-65 years (p<0.001), expressed a stronger belief in acupuncture effects than others.

Conclusions

Men and older patients expressed weaker beliefs in acupuncture effects than others, indicating the importance of collecting expectancy data in future acupuncture efficacy studies. The high interest and beliefs in acupuncture indicate that acupuncture should be available for side effects where acupuncture has proven effects. Older men might need more encouragement on positive expected outcomes of the acupuncture treatment than others.

Place, publisher, year, edition, pages
Springer, 2022
National Category
Health Sciences
Identifiers
urn:nbn:se:hig:diva-40865 (URN)
Conference
MASCC/ISOO Annual Meeting on Supportive Care in Cancer, 23-25 June 2022
Available from: 2023-01-23 Created: 2023-01-23 Last updated: 2023-01-23Bibliographically approved
Widgren, Y., Fransson, P. & Efverman, A. (2022). Acupuncture in patients undergoing cancer therapy: Their interest and belief in acupuncture is high, but few are using it. Integrative Cancer Therapies, 21, 1-11
Open this publication in new window or tab >>Acupuncture in patients undergoing cancer therapy: Their interest and belief in acupuncture is high, but few are using it
2022 (English)In: Integrative Cancer Therapies, ISSN 1534-7354, E-ISSN 1552-695X, Vol. 21, p. 1-11Article in journal (Refereed) Published
Abstract [en]

Objectives: Since pre-existing expectations, that is, beliefs, in a treatment may modify outcomes, and acupuncture studies often fail to measure expectations, we wanted to investigate the use of acupuncture, interest, and belief in acupuncture effects among patients undergoing cancer therapy.

Method: A cross-sectional design, where the participants answered a study-specific questionnaire with questions regarding their use of, interest and belief in acupuncture treatment.

Results: A total of 457 patients with cancer (48% men, mean age 65 years) answered the questionnaire. Acupuncture was used by 4 (1%) patients during their cancer therapy, and 368 (83%) expressed an interest in receiving acupuncture. Of the 457 patients, 289 (63%) believed acupuncture to be effective for at least 1 of 17 requested symptoms, most commonly pain (56% of the patients) and muscle tension (40%). They believed acupuncture to be effective for a mean value 3 of the 17 requested symptoms. Women (P < .001), and patients 41 to 65 years (P < .001), expressed a stronger belief in acupuncture effects than others.

Conclusions: Men and older patients expressed weaker beliefs in acupuncture effects than other patients, indicating the importance of collecting expectancy data in future randomized sham-controlled acupuncture studies to be able to treat expectancy as an effect-modifier. The high interest and beliefs in acupuncture effects found also indicate that acupuncture should be available for patients with cancer, for side effects where acupuncture has shown to be effective. In a clinical setting, older men might need more encouragement regarding positive expected outcomes of the acupuncture treatment than younger women.

Place, publisher, year, edition, pages
Sage, 2022
Keywords
acupuncture therapy; attitudes; cancer survivors; complementary and alternative medicine; expectations; oncology nursing
National Category
Health Sciences
Identifiers
urn:nbn:se:hig:diva-38046 (URN)10.1177/15347354221077277 (DOI)000765880900001 ()35212241 (PubMedID)2-s2.0-85125358001 (Scopus ID)
Available from: 2022-03-07 Created: 2022-03-07 Last updated: 2023-03-21Bibliographically approved
Tödt, K., Engström, M., Ekström, M. & Efverman, A. (2022). Fatigue during cancer-related radiotherapy and associations with activities, work ability and quality of life: Paying attention to subgroups more likely to experience fatigue. Integrative Cancer Therapies, 21
Open this publication in new window or tab >>Fatigue during cancer-related radiotherapy and associations with activities, work ability and quality of life: Paying attention to subgroups more likely to experience fatigue
2022 (English)In: Integrative Cancer Therapies, ISSN 1534-7354, E-ISSN 1552-695X, Vol. 21Article in journal (Refereed) Published
Abstract [en]

Background: Having knowledge of which patients are more likely to experience fatigue during radiotherapy and the relationship between fatigue and health-related quality of life (HRQL) is important to improve identification and care of patients experiencing burdensome fatigue.

Objective: To identify subgroups of patients, varying in situational, physiological, and psychological factors, who are more likely to experience fatigue an ordinary week of radiotherapy, and to compare patients experiencing and not experiencing fatigue regarding perceived HRQL and functional performance, that is, daily and physical activity and work ability.

Methods: Cross-sectional study of 457 patients (52% women) undergoing radiotherapy (38% breast, 32% prostate cancer), using self-reported questionnaire data on fatigue, HRQL and functional performance analyzed using multivariable regression models.

Results: Of the 448 patients who answered the fatigue question, 321 (72%) experienced fatigue. Patients reporting any comorbidity or depressed mood were more likely to experience fatigue, relative risk (RR) 1.56 ([95% confidence interval (CI)] 1.13-2.16) and RR 2.57 (CI 1.73-3.83), respectively. Patients with fatigue reported worse HRQL and performed less physical activity, including daily (P = .003), vigorous (P = .003) and moderate (P = .002) activity. Patients with and without fatigue reported 60% versus 40% sickness absence.

Conclusion: Patients with depressed mood or comorbidity were more likely to experience fatigue an ordinary week of radiotherapy than other patients were. Patients experiencing fatigue perceived worse HRQL and performed less daily and physical activity compared to patients not experiencing fatigue. Cancer care practitioners may consider paying extra attention to these subgroups of patients.

Place, publisher, year, edition, pages
Sage, 2022
Keywords
activities of daily living; cancer survivors; fatigue; oncology nursing; physical activity; quality of life; radiotherapy; work ability
National Category
Health Sciences
Identifiers
urn:nbn:se:hig:diva-40547 (URN)10.1177/15347354221138576 (DOI)000905190300081 ()36444775 (PubMedID)2-s2.0-85142872542 (Scopus ID)
Available from: 2022-12-02 Created: 2022-12-02 Last updated: 2024-02-13Bibliographically approved
Efverman, A. (2022). Implementation of acupuncture in routine oncology care: A comparison of physicians’, nurses’, physiotherapists’ and acupuncturists’ practice and beliefs. Integrative Cancer Therapies, 21, 1-10
Open this publication in new window or tab >>Implementation of acupuncture in routine oncology care: A comparison of physicians’, nurses’, physiotherapists’ and acupuncturists’ practice and beliefs
2022 (English)In: Integrative Cancer Therapies, ISSN 1534-7354, E-ISSN 1552-695X, Vol. 21, p. 1-10Article in journal (Refereed) Published
Abstract [en]

Background:

It is important to investigate beliefs in acupuncture in professionals because professionals’ expectations may affect treatment outcomes.

Aim:

To document the type, number, and education of professionals practicing acupuncture. Further, to compare beliefs about the effectiveness of acupuncture for common cancer related symptoms in the different types of professionals.

Methods:

This cross-sectional study employed a questionnaire on practice and beliefs regarding acupuncture effects for symptoms that commonly occur in patients treated within oncology care settings. The respondents (n = 555) consisted of oncology professionals that is, physicians (n = 133), nurses (n = 172), and physiotherapists (n = 117). Additional respondents consisted of acupuncturists (n = 133), working outside approved health care.

Results:

Of the respondents, acupuncture was practiced by 4% of the physicians, 6% of the nurses, 58% of the physiotherapists, and 90% of the acupuncturists. The professionals believed acupuncture to be effective for pain (of the physicians, nurses, physiotherapists, and acupuncturists, 94%, 98%, 89%, and 99% respectively believed in the effectiveness), chemotherapy-induced nausea (corresponding figures: 74%, 89%, 89%, and 93%), and vasomotor symptoms (corresponding figures: 71%, 81%, 80%, and 97%). The physicians believed acupuncture to be effective in a mean of 5 symptoms, nurses in 6 symptoms, physiotherapists in 6 symptoms, and acupuncturists in 10 symptoms (P < .001).

Conclusions:

Since the professionals varied substantially regarding practice, education and beliefs in acupuncture, oncology clinics may consider delivering patient preferred acupuncture according to evidence-informed guidelines rather than on varying preferences among the professionals, since professionals’ treatment expectations may modify treatment outcomes.

Place, publisher, year, edition, pages
SAGE, 2022
Keywords
acupuncture; attitudes; evidence-based care; expectations; integrative medicine; integrative oncology; nursing; physiotherapy
National Category
Health Sciences
Identifiers
urn:nbn:se:hig:diva-40520 (URN)10.1177/15347354221132834 (DOI)000905190300016 ()36398874 (PubMedID)2-s2.0-85142191451 (Scopus ID)
Available from: 2022-11-25 Created: 2022-11-25 Last updated: 2023-02-02Bibliographically approved
Projects
The Intervention CAN-Work-S: Facilitating Work Participation among Cancer Survivors During their Entire Professional Career [2021-01546_Forte]; University of Gävle
Organisations
Identifiers
ORCID iD: ORCID iD iconorcid.org/0000-0002-3668-3857

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