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Knowledge of and attitudes toward complementary and alternative therapies; a national multicentre study of oncology professionals in Norway

Authors: Risberg T, Kolstad A, Bremnes Y, Holte H, Wist E A, Mella O, Klepp O, Wilsgaard T, Cassileth B RJournal: European journal of cancer (Oxford, England : 1990)Published: March 1, 2004
Limited EvidenceCross Sectionaln=828 participants

In Plain Language: cancer pain, explained

This study reports on oncology professionals' knowledge and attitude toward complementary and alternative medicines (CAM), classified according to their primary application as complementary or alternative methods. In June 2002, we conducted a national, multicentre survey of 828 Norwegian oncologists, nurses, clerks and therapeutic radiographers. A response rate of 61% was achieved. Only a few physicians (4%) described their reactions to alternative medicine as positive compared with nurses (33%), therapeutic radiographers (32%) and clerks (55%) (P<0.0001). Females showed a more positive view than males (33% versus 14%, P<0.0001). More participants expressed a positive attitude to complementary versus alternative medicines. Most respondents regarded healing by hand or prayer, homeopathy, and Iscador (mistletoe) as alternative therapies. In contrast, most respondents classified acupuncture, meditation, reflexology, music/art-therapy, aromatherapy and massage as complementary therapies. This survey demonstrates major differences, by gender as well as oncology health profession in views about and the classification of various CAM methods.

Key Findings: what this cross-sectional study found about cancer pain

  • ✓Only 4% of physicians held positive attitudes toward alternative medicine, compared with 33% of nurses, 32% of therapeutic radiographers, and 55% of clerks.
  • ✓Female oncology professionals demonstrated significantly more positive views toward alternative medicine than males (33% versus 14%).
  • ✓Norwegian oncology professionals classified reflexology as a complementary therapy rather than an alternative therapy.

What This Means for You

This survey shows that reflexology is generally viewed as a complementary therapy by cancer care professionals in Norway, though their acceptance varies widely by profession and gender.

What This Means for Practitioners

Understanding that oncology professionals classify reflexology as complementary rather than alternative may help reflexologists better position their practice when working with cancer care teams.

Study Design: how this cross-sectional study was run

Sample Size
828 participants
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Cancer pain: common questions

What does this study say about cancer pain?

This survey shows that reflexology is generally viewed as a complementary therapy by cancer care professionals in Norway, though their acceptance varies widely by profession and gender.

What did this study find?

Only 4% of physicians held positive attitudes toward alternative medicine, compared with 33% of nurses, 32% of therapeutic radiographers, and 55% of clerks. Female oncology professionals demonstrated significantly more positive views toward alternative medicine than males (33% versus 14%). Norwegian oncology professionals classified reflexology as a complementary therapy rather than an alternative therapy.

How strong is this evidence?

This is a cross-sectional study and we rate its evidence limited. It covers 828 participants. It was published in European journal of cancer (Oxford, England : 1990). This study is indexed here for context; it did not test reflexology itself.

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