Models of integrative oncology care in a resource-poor setting: an overview
DOI:
https://doi.org/10.18203/2394-6040.ijcmph20241212Keywords:
Complementary medicine, Holistic care, Supportive care, Cancer care, Integrative medicine, Integrative oncology, Resource-poor settingAbstract
The interest in integrative oncology is growing worldwide. Patients with cancer are seeking traditional complementary and integrative medicine to mitigate the symptoms and enhance their well-being. Though there is supporting evidence for inter-disciplinary team care in oncology, the integrative oncology models in a resource-poor setting have not been explored. The current manuscript provides an overview of the integrative oncology model focusing on how complementary therapies such as psychosocial services, dietetics, yoga, and wellness programs could be integrated in clinical oncology care in a cost-effective way in a resource poor settings. Manuscript also discusses examples where such a model of care has currently been implemented for patients as well as caregivers.
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References
Dash SR, Davey GCL. An experimental investigation of the role of negative mood in worry: the role of appraisals that facilitate systematic information processing. J Behav Ther Exp Psychiatry. 2012;43(2):823–31.
Seely DM, Weeks LC, Young S. A systematic review of integrative oncology programs. Curr Oncol. 2012;19(6):436–61.
Grant SJ, Marthick M, Lacey J. Establishing an integrative oncology service in the Australian healthcare setting—the Chris O’Brien Lifehouse Hospital experience. Support Care Cancer. 2019;27(6):2069–76.
Guerra-Martín MD, Tejedor-Bueno MS, Correa-Casado M. Effectiveness of Complementary Therapies in Cancer Patients: A Systematic Review. Int J Environ Res Public Health. 2021;18(3).
Ben-Arye E, Schiff E, Shapira C, Frenkel M, Shalom T, Steiner M. Modeling an integrative oncology program within a community-centered oncology service in Israel. Patient Educ Couns Internet. 2012;89(3):423–9.
Deng GE, Cassileth BR, Cohen L, Gubili J, Johnstone PAS, Kumar N, et al. Integrative Oncology Practice Guidelines. J Soc Integr Oncol. 2007;5(2):65–84.
Dupuis LL, Sung L, Molassiotis A, Orsey AD, Tissing W, van de Wetering M. 2016 updated MASCC/ESMO consensus recommendations: Prevention of acute chemotherapy-induced nausea and vomiting in children. Support care cancer Off J Multinatl Assoc Support Care Cancer. 2017;25(1):323–31.
Cramer H, Cohen L, Dobos G, Witt CM. Integrative oncology: Best of both worlds - Theoretical, practical, and research issues. Evidence-based Complement Altern Med. 2013; 2013.
Ben-Arye E, Paller CJ, Lopez AM, White S, Pendleton E, Kienle GS, et al. The Society for Integrative Oncology Practice Recommendations for online consultation and treatment during the COVID-19 pandemic. Support Care Cancer. 2021;29(10):6155–65.
Satija A, Bhatnagar S. Complementary therapies for symptom management in cancer patients. Indian J Palliat Care. 2017;23(4):468–79.
Frutos MD, Morales MD, Luján J, Hernández Q, Valero G, Parrilla P. Intragastric balloon reduces liver volume in super-obese patients, facilitating subsequent laparoscopic gastric bypass. Obes Surg. 2007;17(2):150–4.
Deng G, Cassileth B. Integrative Oncology: An Overview. Am Soc Clin Oncol Educ B Internet. 2014;(34):233–42.
Bhargav H, Holla B, Ramakrishna KK, Shivakumar V, Gokulakrishnan K, Varambally S, et al. Yoga and Integrative Healthcare: Lessons from the National Institute of Mental Health and Neurosciences (NIMHANS) in India. Int J Yoga. 2022;15(2):150–7.
Mao JJ, Pillai GG, Andrade CJ, Ligibel JA, Basu P, Cohen L, et al. Integrative oncology: Addressing the global challenges of cancer prevention and treatment. CA Cancer J Clin. 2022;72(2):144–64.
Gronostajska J, Czajka R. Architecture therapy: principles of designing and shaping space in centres for cancer patients, based on the architecture of Maggie’s Centres. Builder. 2021;284(3):64–8.
Mullaney T, Pettersson H, Nyholm T, Stolterman E. Thinking beyond the cure: A case for human-centered design in cancer care. Int J Des. 2012;6(3):27–39.
Carmel-Gilfilen C, Portillo M. Designing with Empathy: Humanizing Narratives for Inspired Healthcare Experiences. HERD. 2016;9(2):130–46.
Michalec S, Dickinson JI, Sullivan K, Machac K, Cline H. Cancer Treatment Facilities: Using Design Thinking to Examine Anxiety and the Patient Experience. J Inter Des. 2018;43(4):3–20.
Adams A. Canadian hospital architecture: how we got here. CMAJ. 2016;188(5):370–1.
Witt CM, Balneaves LG, Carlson LE, Cohen M, Deng G, Fouladbakhsh JM, et al. Education Competencies for Integrative Oncology—Results of a Systematic Review and an International and Interprofessional Consensus Procedure. J Cancer Educ. 2022;37(3):499–507.
Pramesh CS, Badwe RA, Borthakur BB, Chandra M, Raj EH, Kannan T, et al. Delivery of affordable and equitable cancer care in India. Lancet Oncol Internet. 2014;15(6):1–11.
Womack DM, Kennedy R, Chamberlin SR, Rademacher AL, Sliney CD. Patients’ lived experiences and recommendations for enhanced awareness and use of integrative oncology services in cancer care. Patient Educ Couns. 2022;105(7):2557–61.
Joseph R, Hart NH, Bradford N, Agbejule OA, Koczwara B, Chan A, et al. Diet and exercise advice and referrals for cancer survivors: an integrative review of medical and nursing perspectives. Support care cancer Off J Multinatl Assoc Support Care Cancer. 2022;30(10):8429–39.
Kirk D, Kabdebo I, Whitehead L. Prevalence of distress, its associated factors and referral to support services in people with cancer. J Clin Nurs. 2021;30(19–20):2873–85.
Ownby KK. Use of the Distress Thermometer in Clinical Practice. J Adv Pract Oncol. 2019;10(2):175–9.
Ebob-Anya B-A, Bassah N. Psychosocial distress and the quality of life of cancer patients in two health facilities in Cameroon. BMC Palliat Care. 2022;21(1):96.
Tuinman MA, Gazendam-Donofrio SM, Hoekstra-Weebers JE. Screening and referral for psychosocial distress in oncologic practice: Use of the distress thermometer. Cancer. 2008;113(4):870–8.
Buro AW, Crowder SL, Rozen E, Stern M, Carson TL. Lifestyle Interventions with Mind-Body or Stress-Management Practices for Cancer Survivors: A Rapid Review. Int J Environ Res Public Health. 2023;20(4).
Cutillo A, O’Hea E, Person S, Lessard D, Harralson T, Boudreaux E. The Distress Thermometer: Cutoff Points and Clinical Use. Oncol Nurs Forum. 2017;44(3):329–36.
Kroenke K, Spitzer RL, Williams JB. The PHQ-9: validity of a brief depression severity measure. J Gen Intern Med. 2001;16(9):606–13.
Yost KJ, Thompson CA, Eton DT, Allmer C, Ehlers SL, Habermann TM, et al. The Functional Assessment of Cancer Therapy - General (FACT-G) is valid for monitoring quality of life in patients with non-Hodgkin lymphoma. Leuk Lymphoma. 2013;54(2):290–7.
Sadak T, Korpak A, Wright JD, Lee MK, Noel M, Buckwalter K, et al. Psychometric Evaluation of Kingston Caregiver Stress Scale. Clin Gerontol. 2017;40(4):268–80.
Balstad TR, Bye A, Jenssen CR, Solheim TS, Thoresen L, Sand K. Patient interpretation of the Patient-Generated Subjective Global Assessment (PG-SGA) Short Form. Patient Prefer Adherence. 2019;13:1391–400.
Prakash B. Patient satisfaction. J Cutan Aesthet Surg. 2010 Sep;3(3):151–5.
Hunter J, Grant S, Delaney GP, Templeman K, Ussher J, Parton C, et al. Barriers and Facilitators to Integrative Oncology Services in Australia: A Changed Mind Set Required. J Altern Complement Med. 2021;27(S1): S89–98.
Kwong MH, Ho L, Li ASC, Nilsen P, Ho FF, Zhong CCW, et al. Integrative oncology in cancer care - implementation factors: mixed-methods systematic review. BMJ Support Palliat Care; 2023.
Giuliani M, Papadakos T, Papadakos J. Propelling a New Era of Patient Education into Practice-Cancer Care Post-COVID-19. Int J Radiat Oncol Biol Phy. United States; 2020: p. 404–6.
Hunter J, Grant S, Delaney GP, Templeman K, Ussher J, Parton C, et al. Barriers and Facilitators to Integrative Oncology Services in Australia: A Changed Mind Set Required. J Altern Complement Med. 2021;27(S1): S89–98.
Hunter J, Ussher J, Parton C, Kellett A, Smith C, Delaney G, et al. Australian integrative oncology services: a mixed-method study exploring the views of cancer survivors. BMC Complement Altern Med. 2018;18(1):153.
Churruca K, Pomare C, Ellis LA, Long JC, Henderson SB, Murphy LED, et al. Patient-reported outcome measures (PROMs): A review of generic and condition-specific measures and a discussion of trends and issues. Health Expect. 2021;24(4):1015-24.
