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Understanding the use and disclosure of natural products by cancer patients

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TitleInfo
Title
Understanding the use and disclosure of natural products by cancer patients
Name (type = personal)
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Kotfila
NamePart (type = given)
Joshua M.
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Joshua M. Kotfila
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author
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Gould-Fogerite
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Susan
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Susan Gould-Fogerite
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Advisory Committee
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chair
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Eubanks
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Robin
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Robin Eubanks
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Advisory Committee
Role
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internal member
Name (type = personal)
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Parrott
NamePart (type = given)
J. Scott
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J. Scott Parrott
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Advisory Committee
Role
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internal member
Name (type = personal)
NamePart (type = family)
Perlman
NamePart (type = given)
Adam
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Adam Perlman
Affiliation
Advisory Committee
Role
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outside member
Name (type = corporate)
NamePart
Rutgers University
Role
RoleTerm (authority = RULIB)
degree grantor
Name (type = corporate)
NamePart
School of Health Professions
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school
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Text
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theses
OriginInfo
DateCreated (qualifier = exact)
2016
DateOther (qualifier = exact); (type = degree)
2016-05
CopyrightDate (encoding = w3cdtf); (qualifier = exact)
2016
Place
PlaceTerm (type = code)
xx
Language
LanguageTerm (authority = ISO639-2b); (type = code)
eng
Abstract (type = abstract)
Background: Although cancer patients frequently use natural products (NP) to complement conventional oncology treatments and often do not disclose NP use to their healthcare providers, NP use initiated after diagnosis and the biopsychosocial determinants of NP use and disclosure have not been investigated. Purpose: The study purpose was to determine prevalence, patterns, and disclosure of NP use by cancer patients, and apply the Self-Regulation Model (SRM) to understand these behaviors. Methods: Analysis of a sub-set of the data from a cross-sectional survey of 1,226 cancer patients at a NCI–designated comprehensive cancer center within a 12-month period. Descriptive statistics were used for patterns of NP use and disclosure. Survey results were assigned to categories within the SRM and sequential bivariate correlations were performed through the model's dual-arm structure. Results: Among patients with a cancer diagnosis (64.6% female, 87% white, 72.8% married, 75.3% age 50+), 74.1% reported current use of 1 or more NP and 28.2% (n=346) indicated they initiated NP use after being diagnosed with cancer. Female sex (χ2=20.00, p<.001) and higher level of education (χ2=22.41, p=.004) were significantly associated with current NP use. Of the 28.2% (n=346) who initiated NP use post-diagnosis, 55.8% listed one or more NP among the top five CAM therapies that provided the most benefit. Green tea (EGCG, pills)(n=65), multivitamin/mineral (n=56), and selenium (n=18) were most commonly reported to be most beneficial. SRM Illness Representations (IR) dimensions Consequences (rs =.176, p=.014) and Desire to Avoid Suffering (rs =.157, p=.030) were very weakly positively correlated with the coping strategy of Continuation of NP Use. Consequences (rs =.214, p=.003) and Cure/Control (rs =.226, p=.002) positively correlated with disclosure of NP use. Negative (scared, afraid) (rs =-.435, p<.001) and Neutral (rs =-.548, p<.001) emotional IR dimensions and Disclosure were negatively correlated. Disclosure and Illness Outcomes (Treatment and Cancer Status) (rs =-.173, p=.016) were negatively correlated. Conclusions: NP use, post diagnosis initiation of use, and belief of benefit, were high among cancer patients surveyed. Multiple aspects of the SRM were found to be predictive of NP use and disclosure.
Subject (authority = RUETD)
Topic
Health Sciences
Subject (authority = ETD-LCSH)
Topic
Oncology
Subject (authority = ETD-LCSH)
Topic
Cancer--Alternative treatment
RelatedItem (type = host)
TitleInfo
Title
Rutgers University Electronic Theses and Dissertations
Identifier (type = RULIB)
ETD
RelatedItem (type = host)
TitleInfo
Title
School of Health Professions ETD Collection
Identifier (type = local)
rucore10007400001
Identifier
ETD_7124
Identifier (type = doi)
doi:10.7282/T3XS5XH6
PhysicalDescription
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electronic resource
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application/pdf
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text/xml
Extent
1 online resource (199 p. : ill.)
Note (type = degree)
Ph.D.
Note (type = bibliography)
Includes bibliographical references
Note (type = statement of responsibility)
by Joshua M. Kotfila
Location
PhysicalLocation (authority = marcorg); (displayLabel = Rutgers, The State University of New Jersey)
NjNbRU
Genre (authority = ExL-Esploro)
ETD doctoral
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The author owns the copyright to this work.
RightsHolder (type = personal)
Name
FamilyName
Kotfila
GivenName
Joshua
MiddleName
B.
Role
Copyright Holder
RightsEvent
Type
Permission or license
DateTime (encoding = w3cdtf); (qualifier = exact); (point = start)
2016-04-06 14:13:43
AssociatedEntity
Name
Joshua Kotfila
Role
Copyright holder
Affiliation
Rutgers University. School of Health Related Professions
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License
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Author Agreement License
Detail
I hereby grant to the Rutgers University Libraries and to my school the non-exclusive right to archive, reproduce and distribute my thesis or dissertation, in whole or in part, and/or my abstract, in whole or in part, in and from an electronic format, subject to the release date subsequently stipulated in this submittal form and approved by my school. I represent and stipulate that the thesis or dissertation and its abstract are my original work, that they do not infringe or violate any rights of others, and that I make these grants as the sole owner of the rights to my thesis or dissertation and its abstract. I represent that I have obtained written permissions, when necessary, from the owner(s) of each third party copyrighted matter to be included in my thesis or dissertation and will supply copies of such upon request by my school. I acknowledge that RU ETD and my school will not distribute my thesis or dissertation or its abstract if, in their reasonable judgment, they believe all such rights have not been secured. I acknowledge that I retain ownership rights to the copyright of my work. I also retain the right to use all or part of this thesis or dissertation in future works, such as articles or books.
Copyright
Status
Copyright protected
Availability
Status
Open
Reason
Permission or license
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