Observational studyPatient education and counseling2015
An exploratory typology of provider responses that encourage and discourage conversation about complementary and integrative medicine during routine oncology visits.
Observational study in Patient education and counseling, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 1 of them a synthesis that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
15 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Communication Between Cancer Patients and Physicians About Complementary and Alternative Medicine: A Systematic Review.Journal of integrative and complementary medicine · 2023Pooled it
- Family Perspectives on Pediatric Complementary and Integrative Medicine Practices in Pediatric Hematology and Oncology.Pediatric blood & cancer · 2026Article
- [Palliative medicine and integrative medicine as complementary approaches in uro-oncological care].Urologie (Heidelberg, Germany) · 2026Review
- Barriers to communication about complementary and alternative medicine between oncology patients and healthcare professionals in Croatia: a cross-sectional study.Korean journal of medical education · 2025Article
- Experiences With Complementary and Integrative Health Among People With Rheumatoid Arthritis and Systemic Lupus Erythematosus: A Qualitative Study.The Journal of rheumatology · 2025Article
- Promoting interactional health equity through (Complementary and Integrative Health) talk during clinical encounters.Patient education and counseling · 2025Article
- Sharing "off-script": A qualitative analysis of providers' empathic self-disclosures during dignity therapy.Palliative & supportive care · 2025Article
- Developing implementation strategies for promoting integrative oncology outpatient service delivery and utilisation: a qualitative study in Hong Kong.Frontiers in public health · 2024Article
- PRIO - a prospective integrative oncology registry: trial protocol.Frontiers in oncology · 2024Article
- Complementary and integrative healthcare communication in Chinese American patient / primary care visits: An observational discourse analysis.PEC innovation · 2022Article
- Patient Communication of Chronic Pain in the Complementary and Alternative Medicine Therapeutic Relationship.Journal of patient experience · 2020Article
- A Multicenter Comparison of Complementary and Alternative Medicine (CAM) Discussions in Oncology Care: The Role of Time, Patient-Centeredness, and Practice Context.The oncologist · 2019Article
- "It's so hard taking pills when you don't know what they're for": a qualitative study of patients' medicine taking behaviours and conceptualisation of medicines in the context of rheumatoid arthritis.BMC health services research · 2017Article
- The Importance Of Integrating Narrative Into Health Care Decision Making.Health affairs (Project Hope) · 2016Article
- Contending Worldviews in the Clinical Encounter: An Empirical Study of Complementary and Alternative Medicine Deliberations in Contemporary Medical Oncology.Journal of alternative and complementary medicine (New York, N.Y.)Article
Corrections and comments
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Authors and funding
4 authors.
Funding
Abstract
objectiveTo characterize how providers respond to patient mentions of complementary and integrative medicine (CIM) during routine oncology visits.
methodsEthnographic methods were used over a two and a half year period with 82 advanced cancer patients and their providers across four oncology clinics. Participant observation fieldnotes were analyzed using Discourse Analysis.
resultsCIM was mentioned in 78/229 (34%) of the total observed visits. Patients initiated talk about CIM (76%) more than providers (24%). Patients mentioning CIM may indicate a preference for or interest in non-pharmacological adjunctive treatment options. Providers' responses inhibited further talk in 44% of observations and promoted talk in 56% of observations.
conclusionHow providers respond may indicate their willingness to discuss a range of treatment options and to collaboratively engage in treatment decision-making. Provider responses that inhibited CIM conversation passed on the opportunity to discuss patient preferences, and responses that promoted further conversation helped counsel patients about appropriate CIM use. Promoting discussion did not require additional time or extensive knowledge about CIM. PRACTICE IMPLICATIONS: Providers can facilitate high quality communication without endorsing CIM to help patients make treatment decisions and to evaluate CIM appropriateness in response to patient values and preferences.
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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.