Needs Assessment of Cancer Patients With Complementary and Alternative Medicines

Study Overview
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Brief Summary
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The chronic cancer status, multidisciplinary and ambulatory care, as well as the cumbersome effects of the disease and treatments, lead patients to consider other options than those offered by traditional medicine, such as alternative medicine and complementary (CAM)

Detailed Description
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In order to put in place a policy on CAM based on the knowledge held by the patient and the health professionals, it is imperative to obtain and analyze the following information: why this type of medicine is used, what are its benefits, how does the patient get information and what are his sources, who practices them and how the patient perceives the place of the hospital and the various health professionals to develop and secure the use of CAM. Our study will focus on CAM that can bring iatrogenic risk (phytotherapy, food supplements, acupuncture, traditional Chinese medicine, homeopathy, essential oils), and the following techniques: hypnosis and sophrology. The study is carried out in two successive phases: the interview phase which will make it possible to obtain results to carry out the questionnaires phase. Patients who will be included in the interview phase will not participate in the questionnaire phase. Finally, patients who participate in the questionnaire phase will not have semi-structured interviews. They will only have to answer the questionnaire.

Official Title
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Needs Assessment of Cancer Patients With Complementary and Alternative Medicines

Conditions
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Cancer, Chemotherapy Effect

Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Woman and man over 18 Francophone (speaking and reading French) Patient followed for the management of cancer, hospitalized or not, receiving or having already received a treatment cancer administered orally and / or systemically. Exclusion Criteria: Patient who has not been treated for cancer with anticancer treatment Support in a palliative care service Refusal to participate in the study Patient under tutorship or curatorship Patient deprived of liberty

Ages Eligible for Study
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Minimum Age: 18 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| semi-structured interview<br>Screening and inclusion of patients hospitalized or seen in day hospital to conduct semi-structured interviews according to the interview grid. This interview schedule was established after review of the literature and identification of primary and secondary objectives. Identification of key ideas through content analysis of the interviews conducted and based of the anchored theory. This step is performed until the results are saturated (approximately 15 patients). The principle of saturation is based on the fact that from a threshold, the diversity of the elements collected decreases. Much more than an end signal, this principle is a methodological guarantee since it allows the possibility of comparing divergent or contradictory data and thus validating the data. | |
| questionnaires<br>From the previous results: elaboration of a written questionnaire built according to the results obtained thanks to the previous interviews. In order to apply the simple correspondence factor analysis method, this questionnaire will be constructed on a Likert scale. The objective is twofold: to reduce the observer's bias by considering both the literature reviews but also the points of view of patients to develop the questionnaire; reach a larger patient population (more than 100 patients) compared to the previous qualitative analysis (15 patients planned), in order to generalize the results. This methodology combines both qualitative and quantitative study to minimize bias induced by both types of study. Dissemination of the questionnaire and filling by the patient independently. The health professional who submitted the questionnaire will remain available to answer any questions the patient may have. | |

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Evaluation of the perception of patients regarding complementary and alternative medicines (CAM) in the management of cancer or its complications but also the place of different health professionals. | This evaluation is carried out using a semi-directed interview, then a questionnaire | Time of inclusion | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Prevalence of CAM used in cancer patients | Number of cancer patients that use CAM | Time of inclusion | 
| Number of factors influencing the consumption of CAM | e.g. age, sex, type of cancer, perpeptions of the CAM | Time of inclusion | 
| Number of iatrogenic risks related to CAM and chemotherapy | CAM used by cancer patients and their chemotherapy | Time of inclusion | 
| Number of the CAM supply sources | e.g community pharmacies, supermarket, internet) | Time of inclusion | 
| Number of the information sources used by patients | questionnaire (eg internet, health professionals, TV) | Time of inclusion | 
| Identification of the roles of health professionals in the patient's treatment process to help secure information about CAM | questionnaire (eg health professionals,roles) | Time of inclusion | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Complementary and Alternative Medicines