CAM USE and Cancer
- Examine the efficacy of an education intervention designed to increase the frequency
with which health providers ask cancer patients about their use of complimentary and
alternative medicine (CAM).
- Examine the frequency with which health providers ask about CAM use and referral for
CAM use by health providers.
- Evaluate whether personal CAM use among health providers is related to the frequency of
asking patients about CAM use.
- Assess the frequency and type of CAM use among patients diagnosed with cancer.
OUTLINE: This is a multicenter study. Stratification is based on the number of health
providers at each CCOP component site (< 3 health providers per component site vs 3 to 6
health providers per component site vs 7 to 9 health providers per component site vs 10 or
more health providers per component site). The CCOP component sites are randomized to 1 of 2
- Arm I (intervention): Health providers receive educational materials comprising a brief
video about communicating with and providing guidance to patients regarding
complimentary and alternative medicine (CAM) and a list of resources they can access to
obtain information about herbs, CAM modalities, and drug/herb interactions.
Approximately 2 weeks after the educational intervention, health providers receive a
follow-up e-mail reminding them to ask patients about CAM use. The e-mail also includes
a brief update regarding current research findings on CAM modalities and drug/herb
- Arm II (wait-list): Health providers are enrolled on a wait-list. After 2 months, the
educational materials in arm I are made available to the wait-list health providers.
Health providers in both arms complete questionnaires at baseline and at 2 months to assess
the effectiveness of the educational intervention, personal CAM use, and level of knowledge
about CAM and to determine if they are asking patients about CAM use. Patients of the health
providers also complete questionnaires at the same time points to assess personal CAM use
before and after cancer diagnosis as well as the level of their interaction with health
providers regarding CAM use.
Allocation: Randomized, Endpoint Classification: Efficacy Study, Intervention Model: Single Group Assignment, Masking: Single Blind (Subject)
Proportion of patients who report that the health provider discussed complimentary and alternative medicine (CAM) use
The Complementary and Alternative Medicine Patient Survey administered to patients to assess personal use of CAM before and after the cancer diagnosis as well as the level of interaction with providers regarding CAM use. Baseline survey assessment at one week and follow up assessment at 2 months.
Baseline to 2 months
Patricia A. Parker, PhD
M.D. Anderson Cancer Center
United States: Institutional Review Board
|Lineberger Comprehensive Cancer Center at University of North Carolina - Chapel Hill||Chapel Hill, North Carolina 27599-7570|
|M. D. Anderson Cancer Center at University of Texas||Houston, Texas 77030-4009|