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Related Experiment Videos

Problem-solving and decision-making preferences: no difference between complementary and alternative medicine users

H Boon1, K Westlake, R Deber

  • 1Leslie Dan Faculty of Pharmacy, University of Toronto, Ont., Canada. heather.boon@utoronto.ca

Complementary Therapies in Medicine
|September 10, 2005
PubMed
Summary
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Complementary and alternative medicine (CAM) use in prostate cancer patients did not correlate with increased autonomy in decision-making. This study found no significant difference in preferred decision-making roles between CAM users and non-users.

Area of Science:

  • Oncology
  • Health Services Research
  • Behavioral Science

Background:

  • Complementary and alternative medicine (CAM) use is prevalent among cancer patients.
  • Patient autonomy in decision-making is a key aspect of patient-centered care.
  • Previous research has not definitively established a link between CAM use and patient decision-making autonomy.

Purpose of the Study:

  • To investigate whether men with prostate cancer who use CAM exhibit greater autonomy in their preferred decision-making role compared to non-users.
  • To assess the relationship between CAM usage and preferences for autonomous, shared, or passive roles in medical decision-making.

Main Methods:

  • A survey was administered to a random sample of 696 men diagnosed with prostate cancer in Ontario.
  • The Problem-Solving Decision-Making (PSDM) scale was used to measure preferred decision-making roles.

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  • Response rate was 72.1% (489 respondents), with data analyzed for CAM usage and PSDM scores.

    • Main Results:

    • Less than 5% of respondents preferred an autonomous decision-making role.
    • Nearly one-third of prostate cancer patients reported using CAM.
    • No statistically significant difference was found in preferred decision-making roles between CAM users and non-users.

    Conclusions:

    • The hypothesis that CAM users are more autonomous decision-makers is not supported by this study's findings.
    • The study suggests that CAM use in prostate cancer patients is not associated with a preference for a more autonomous role.
    • Limitations include a relatively older male population, restricting generalizability.