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Communication and integration: a qualitative analysis of perspectives among Middle Eastern oncology healthcare professionals on the integration of complementary medicine in supportive cancer care

Abstract

Context and objectives

The use of complementary and traditional medicine (CTM ) in Middle Eastern countries is widespread, including among patients with cancer. Perspectives of oncology healthcare professionals (HCPs) in this region regarding the integration of CTM within conventional supportive cancer care were explored.

Methods

An 11-item questionnaire with an open-ended question asking respondents to comment about the integration of CTM within supportive cancer care was sent to Middle Eastern oncology HCPs, using snowball sampling methodology. The narratives provided were examined using thematic analysis.

Results

A total of 339 oncology HCPs completed and returned the study tool (80.3 % response rate ), of which 178 from 15 Middle Eastern countries responded to the open-ended question. The majority of respondents are in favor of the integration of CTM within supportive cancer care, though ideas on how this should be implemented varied. Thematic analysis identified multifactorial barriers to integration, which focused on HCPs’ perspectives (e.g., a lack of knowledge and training; a skeptical approach to CTM), attitudes of patients and caregivers (e.g., unrealistic expectations regarding the outcomes of CTM treatments) and HCP–patient communication. In order to overcome these barriers, respondents suggested education and training programs for oncology HCPs which would focus on improving patients’ quality-of-life-related outcomes.

Conclusions

Middle Eastern oncology HCPs support the integration of CTM within supportive cancer care, while recognizing the need for education and training in this field. A better understanding of CTM would provide the knowledge and skills which would promote a non-judgmental, evidence-based approach, fostering better communication with patients.

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Acknowledgments

We would like to thank Dr. Jamal Dagash for his contribution in study design. We would also like to thank the following for their contribution in the monitoring of data acquisition: Dr. Orit Gressel-Raz, Ms. Ronit Leibowitz, Ms. Shimrit Roni, Mr. Shmuel Attias and Ms. Sarah Ben Shlush. This study was supported in part by the Middle East Cancer Consortium.

Author information

Correspondence to Eran Ben-Arye.

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Conflict of interest

All authors declare no financial and personal relationships with other people or organizations that could inappropriately influence our work.

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Ben-Arye, E., Popper-Giveon, A., Samuels, N. et al. Communication and integration: a qualitative analysis of perspectives among Middle Eastern oncology healthcare professionals on the integration of complementary medicine in supportive cancer care. J Cancer Res Clin Oncol 142, 1117–1126 (2016). https://doi.org/10.1007/s00432-016-2120-9

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Keywords

  • Integrative medicine
  • Complementary medicine
  • Doctor–patient communication
  • Traditional medicine
  • Palliative care
  • Supportive cancer care