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dc.contributor.authorMulkins, Andrea
dc.contributor.authorMcKenzie, Emily
dc.contributor.authorBalneaves, Lynda
dc.contributor.authorSalamonsen, Anita
dc.contributor.authorVerhoef, Marja
dc.date.accessioned2022-09-13T10:18:49Z
dc.date.available2022-09-13T10:18:49Z
dc.date.issued2015-08-08
dc.description.abstractBackground: Complementary and alternative medicine (CAM) use is widespread and on the increase among cancer patients. Most research to date has involved a cross-sectional snapshot of CAM use rather than an exploration into the longitudinal, nonlinear treatment trajectories that cancer patients develop. Our aim is to explore and describe different treatment and decision-making pathways that individuals develop after receipt of a diagnosis of either breast, colorectal, or prostate cancer.<p> <p>Methods: The study was part of a larger mixed-methods pilot project to explore the feasibility of conducting a five-year international study to assess cancer patients’ treatment pathways, including health care use and the perceived impact of different patterns of use on health outcomes over the course of one year. The results presented in this paper are based on the analysis of personal interviews that were conducted over the course of 12 months with 30 participants. <p>Results: Five pathways emerged from the data: passive conventional, self-directed conventional, cautious integrative, aggressive integrative, and aggressive alternative. Factors that shaped each pathway included health beliefs, decision-making role, illness characteristics, and the patient–practitioner relationship. <p>Conclusions: The results of this examination of the longitudinal treatment and decision-making trajectory provide important information to support health care professionals in their quest for individualized, targeted support at each stage of the patient pathway.en_US
dc.identifier.citationMulkins A, McKenzie E, Balneaves L, Salamonsen A, Verhoef M. From the conventional to the alternative: Exploring patients' pathways of cancer treatment and care. Journal of Complementary and Integrative Medicine. 2016;13(1):51-64en_US
dc.identifier.cristinIDFRIDAID 1259699
dc.identifier.doi10.1515/jcim-2014-0070
dc.identifier.issn1553-3840
dc.identifier.urihttps://hdl.handle.net/10037/26781
dc.language.isoengen_US
dc.publisherDe Gruyteren_US
dc.relation.journalJournal of Complementary and Integrative Medicine
dc.rights.accessRightsopenAccessen_US
dc.rights.holderCopyright 2016 de Gruyteren_US
dc.titleFrom the conventional to the alternative: Exploring patients' pathways of cancer treatment and careen_US
dc.type.versionpublishedVersionen_US
dc.typeJournal articleen_US
dc.typeTidsskriftartikkelen_US
dc.typePeer revieweden_US


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