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http://dx.doi.org/10.14456/apjcp.2016.81/APJCP.2016.17.7.3235

Health-Care Providers' and Parents' Perspectives on Complementary Alternative Medicine in Children with Cancer in Indonesia  

Susilawati, Dwi (Department of Psychology, Dr Sardjito Hospital, Gadjah Mada University)
Sitaresmi, Mei (Department of Social Pediatrics, Dr Sardjito Hospital, Gadjah Mada University)
Handayani, Krisna (Department of Pediatric Oncology-Hematology, Dr Sardjito Hospital, Gadjah Mada University)
Ven, Peter van de (Department of Epidemiology and Biostatistics, VU University Medical Center)
Sutaryo, Sutaryo (Department of Pediatric Oncology-Hematology, Dr Sardjito Hospital, Gadjah Mada University)
Kaspers, Gertjan (Department of Pediatric Oncology-Hematology, VU University Medical Center)
Mostert, Saskia (Department of Pediatric Oncology-Hematology, VU University Medical Center)
Publication Information
Asian Pacific Journal of Cancer Prevention / v.17, no.7, 2016 , pp. 3235-3242 More about this Journal
Abstract
Background: Complementary alternative medicine (CAM) use in children with cancer is widespread. Health-care providers (HCP) need to acknowledge and address this need. This study explored and compared perspectives on CAM of HCP and parents of young patients with cancer in Indonesia. Materials and Methods: We conducted a cross-sectional study using semi-structured questionnaires in HCP and parents of childhood cancer patients at an Indonesian academic hospital. Results: A total of 351 respondents participated: 175 HCP (response rate 80%) and 176 parents (response rate 80%). Parents were more likely than HCP to think that chemotherapy can cure cancer (80% compared to 69%, P=0.013). Nearly half of all parents (46%) and HCP (45%) doubted whether CAM can cure cancer. Parents were more likely than HCP to think that CAM can be helpful in childhood cancer treatment (54% compared to 35%, P=0.003). The most recommended CAM by HCP was self-prayer (93%). Reasons for recommending CAM were: hope for improvement of the child's condition (48%), patient wants to stop treatment (42%). Most discouraged CAM by HCP was by old-smart people (70%), the reasons being: lack of evidence for usefulness (77%), lack of CAM knowledge (75%). The proportion thinking that patients were unlikely to raise the CAM topic if they perceived that doctors were skeptical was higher in parents than in HCP (52% versus 1%) (P<0.001). Most HCP (71%) and parents (77%) acknowledged that their knowledge about safety and efficacy of CAM was inadequate (P=ns). The proportion that wanted to learn or read more about CAM was higher among parents than HCP (48% compared to 31%, P=0.002). Conclusions: HCP and parents have different perspectives on CAM use in children with cancer. HCP should enhance their CAM knowledge and encourage open communication about CAM with parents. If doctors' skepticism is perceived, parents are unlikely to raise CAM as a topic.
Keywords
Complementary alternative medicine; cancer; health-care providers; parents; perspectives;
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  • Reference
1 Kemper KJ, Vohra S, Walls R (2008). American academy of pediatrics, task force on complementary and alternative medicine; provisional section on complementary, holistic, and integrative medicine. the use of complementary and alternative medicine in pediatrics. Pediatrics, 122, 1374-86.   DOI
2 Ladas EJ, Rivas S, Ndao D, et al (2014). Use of traditional and complementary/alternative medicine (TCAM) in children with cancer in guatemala. Pediatr Blood Cancer, 61, 687-92.   DOI
3 Laengler A, Spix C, Seifert G, et al (2008). Complementary and alternative treatment methods in children with cancer: a population-based retrospective survey on the prevalence of use in Germany. Eur J Cancer, 44, 2233-40.   DOI
4 Langer A, Zuzak TJ (2013). Complementary and alternative medicine in paediatrics in daily practice: A European perspective. Complement Ther Med, 21, 26-33.   DOI
5 Maha N, Shaw A (2007). Academic doctors' views of complementary and alternative medicine (CAM) and its role within the NHS: an exploratory qualitative study. BMC Complement Alternat Med, 7, 17.   DOI
6 McCann LJ, Newell SJ (2006). Survey of paediatric complementary and alternative medicine use in health and chronic illness. Arch Dis Child, 91, 173-4.
7 Milden SP, Stokols D (2004). Physicians' attitudes and practices regarding complementary and alternative medicine. Behav Med, 30, 73-82.   DOI
8 Mostert S, Arora RS, Arreola M, et al (2011). Abandonment of treatment for childhood cancer: position statement of a SIOP PODC Working Group. Lancet Oncol, 12, 719-20.   DOI
9 National Center for Complementary and Integrative Health (NCCIH) (2015). Cancer and complementary health approaches.
10 Neergheen-Bujun VS (2013). Underestimating the toxicological challenges associated with the use of herbal medicinal products in developing countries. Biomed Res Int, 2013, 804-13.
11 Njuguna F, Mostert S, Seijffert A, et al (2015). Parental experiences of childhood cancer treatment in Kenya. Support Care Cancer, 23, 1251-9.   DOI
12 O'Keefe M, Coat S, Jones A (2009). The medical education priorities of parents who use complementary and alternative medicine. Complement Health Practice Review, 14, 70-83.   DOI
13 Scencer SF, Kelly KM (2006). Bringing evidence to complementary and alternative medicine for children with cancer. J Pediatr Hematol Oncol, 28, 186-9.   DOI
14 Sitaresmi MN, Mostert S, Schook R, et al (2010). Treatment refusal and abandonment in childhood acute lymphoblastic leukaemia in Indonesia: an analysis of causes and consequences. Psychooncol, 19, 361-7.   DOI
15 Stanford Encyclopedia of Philosophy (2015). Ancient theories of soul.
16 Surette S, Vohra S (2013). The PedCAM network: past, present and future. Complement Ther Med, 21, 70-2.   DOI
17 Ben-Arye E, Frenkel M, Klein A, Scharf M (2008). Attitudes toward integration of complementary and alternative medicine in primary care: perspectives of patients, physicians and complementary practitioners. Patient Educ Couns, 70, 395-402.   DOI
18 Xue CC (2008). Traditional, complementary and alternative medicine: policy and public health perspectives. Bull WHO, 86, 1-80.
19 Al-Qudimat MR, Rozmus CL, Farhan N (2011). Family strategies for managing childhood cancer: using complementary and alternative medicine in Jordan. J Advanced Nursing, 67, 591-7.   DOI
20 Astin JA, Marie A, Pelletier KR, et al (1998). A review of the incorporation of complementary and alternative medicine by mainstream physicians. Arch Int Med, 158, 2303-10.   DOI
21 Ben-Arye E, Traube Z, Schachter L, et al (2011). Integrative Pediatric Care: Parents' Attitudes Toward Communication of Physicians and CAM Practitioners. Pediatrics, 1, 84-95
22 Bishop FL, Prescott P, Chan YK, et al (2010). Prevalence of complementary Eden T, Pui CH, Schrappe M, et al (2004). All children have a right to full access to treatment for cancer. Lancet, 364, 1121-2.
23 Botting DA, Cook R (2000). Complementary medicine: knowledge, use and attitudes of doctors. Complement Ther Med, 6, 41-7.
24 Brinkhaus B, Witt CM, Jena S, et al (2011). Integration of complementary and alternative medicine into medical schools in Austria, Germany and Switzerland-results of a cross-sectional study. Wien Med Wochenschr, 161, 32-43.   DOI
25 Adler SR (2003). Relationships among older patients, CAM practitioners, and physicians: the advantages of qualitative inquiry. Altern Ther Health Med, 9, 104-10.
26 Fountain-Polley S, Kawai G, Goldstein A, Ninan T (2007). Knowledge and exposure to complementary and alternative medicine in paediatric doctors: a questionnaire survey. BMC Complement Altern Med, 7, 38.   DOI
27 Chen B, Bernard A, Cottrell R (2000). Differences between family physicians and patients in their knowledge and attitudes regarding traditional Chinese medicine. Integrative Med, 2, 45-5.   DOI
28 Cheng CW, Fan W, Ko SG, Bian ZX (2010). Evidencebased management of herb-drug interaction in cancer chemotherapy. Explore (NY), 6, 324-9   DOI
29 CIA The World Factbook (2016). People and Society of Indonesia.
30 Davis EL, Oh B, Butow PN, et al (2012) Cancer patient disclosure and patient-doctor communication of complementary and alternative medicine use: a systematic review. Oncologist, 17, 1475-81   DOI
31 Genc RE, Senol S, Turgay AS, Kantar M (2009). Complementary and alternative medicine used by pediatric patients with cancer in western Turkey. Oncol Nurs Forum, 3, 159-64.
32 Gunawan S, Arnoldussen M, Gordijn MS, et al (2016). Comparing health-care providers' perspectives on complementary alternative treatment in childhood cancer between the netherlands and indonesia. Pediatr Blood Cancer, 63, 118-23.   DOI
33 Hamidah A, Rustam ZA, Tamil AM, et al (2009). Prevalence and parental perceptions of complementary and alternative medicine use by children with cancer in multi-ethnic Southeast Asian population. Pediatr Blood Cancer, 52, 70-4.   DOI
34 Kellie SJ, Howard SC (2008). Global health priorities: what role for pediatric oncologists? Eur J Cancer, 44, 2388-96.   DOI
35 Handayani K, Sitaresmi MN, Susilawati D, et al (2016). Delays in diagnosis and treatment of childhood cancer in Indonesia. Pediatr Blood Cancer, In press.