{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,12,12]],"date-time":"2025-12-12T12:10:32Z","timestamp":1765541432945,"version":"3.48.0"},"reference-count":43,"publisher":"Walter de Gruyter GmbH","issue":"1","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2016,3,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>\n                    <jats:bold>Background<\/jats:bold>\n                    : Complementary and alternative medicine (CAM) use is widespread and on the increase among cancer patients. Most research to date has involved a cross-sectional snapshot of CAM use rather than an exploration into the longitudinal, nonlinear treatment trajectories that cancer patients develop. Our aim is to explore and describe different treatment and decision-making pathways that individuals develop after receipt of a diagnosis of either breast, colorectal, or prostate cancer.\n                  <\/jats:p>\n                  <jats:p>\n                    <jats:bold>Methods<\/jats:bold>\n                    : The study was part of a larger mixed-methods pilot project to explore the feasibility of conducting a five-year international study to assess cancer patients\u2019 treatment pathways, including health care use and the perceived impact of different patterns of use on health outcomes over the course of one year. The results presented in this paper are based on the analysis of personal interviews that were conducted over the course of 12 months with 30 participants.\n                  <\/jats:p>\n                  <jats:p>\n                    <jats:bold>Results<\/jats:bold>\n                    : Five pathways emerged from the data: passive conventional, self-directed conventional, cautious integrative, aggressive integrative, and aggressive alternative. Factors that shaped each pathway included health beliefs, decision-making role, illness characteristics, and the patient\u2013practitioner relationship.\n                  <\/jats:p>\n                  <jats:p>\n                    <jats:bold>Conclusions<\/jats:bold>\n                    : The results of this examination of the longitudinal treatment and decision-making trajectory provide important information to support health care professionals in their quest for individualized, targeted support at each stage of the patient pathway.\n                  <\/jats:p>","DOI":"10.1515\/jcim-2014-0070","type":"journal-article","created":{"date-parts":[[2015,8,10]],"date-time":"2015-08-10T13:00:57Z","timestamp":1439211657000},"page":"51-64","source":"Crossref","is-referenced-by-count":2,"title":["From the conventional to the alternative: exploring patients\u2019 pathways of cancer treatment and care"],"prefix":"10.1515","volume":"13","author":[{"given":"Andrea L.","family":"Mulkins","sequence":"first","affiliation":[{"name":"Departments of Community Health Sciences and Medicine, University of Calgary, Alberta, Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Emily","family":"McKenzie","sequence":"additional","affiliation":[{"name":"Departments of Community Health Sciences and Medicine, University of Calgary, Alberta, Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lynda G.","family":"Balneaves","sequence":"additional","affiliation":[{"name":"Centre for Integrative Medicine (CIM), University of Toronto, Ontario, Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Anita","family":"Salamonsen","sequence":"additional","affiliation":[{"name":"National Research Center in Complementary and Alternative Medicine (NAFKAM), Department of Community Medicine at the University of Tromsp, Norway"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Marja J.","family":"Verhoef","sequence":"additional","affiliation":[{"name":"Departments of Community Health Sciences and Medicine, University of Calgary, Alberta, Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"374","published-online":{"date-parts":[[2015,8,8]]},"reference":[{"key":"2025121209185792460_j_jcim-2014-0070_ref_001_w2aab2b8c23b1b7b1ab2b1b1Aa","doi-asserted-by":"crossref","unstructured":"1. Boon HS, Olatunde F, Zick SM. Trends in complementary\/alternative medicine use by breast cancer survivors: comparing survey data from 1998 and 2005. BMC Womens Health 2007;7:4.","DOI":"10.1186\/1472-6874-7-4"},{"key":"2025121209185792460_j_jcim-2014-0070_ref_002_w2aab2b8c23b1b7b1ab2b1b2Aa","doi-asserted-by":"crossref","unstructured":"2. Horneber M, Gueschel G, Dennert G, Less D, Ritter E, Zwahlen M. How many cancer patients use complementary and alternative medicine: a systematic review and meta analysis. Integr Cancer Ther 2012;11:187\u2013203.","DOI":"10.1177\/1534735411423920"},{"key":"2025121209185792460_j_jcim-2014-0070_ref_003_w2aab2b8c23b1b7b1ab2b1b3Aa","doi-asserted-by":"crossref","unstructured":"3. Link AR, Gammon MD, Jacobson JS, Abrahamson P, Bradshaw PT, Terry M, et al. Use of self-care and practitioner-based forms of complementary and alternative medicine before and after a diagnosis of breast cancer. Evid Based Complement Alternat Med 2013;2013:301549.","DOI":"10.1155\/2013\/301549"},{"key":"2025121209185792460_j_jcim-2014-0070_ref_004_w2aab2b8c23b1b7b1ab2b1b4Aa","doi-asserted-by":"crossref","unstructured":"4. Stumpf SH, Shapiro SJ, Hardy ML. Divining integrative medicine. Evid Based Complement Alternat Med 2008;5:409\u201313.","DOI":"10.1093\/ecam\/nem104"},{"key":"2025121209185792460_j_jcim-2014-0070_ref_005_w2aab2b8c23b1b7b1ab2b1b5Aa","unstructured":"5. Website: National Centre for Complementary and Alternative Medicine. Definition of Integrative Medicine. Available at: http:\/\/nccam.nih.gov\/sites\/nccam.nih.gov\/files\/D347_05-25-2012.pdf. Accessed: 10 Sept 2014."},{"key":"2025121209185792460_j_jcim-2014-0070_ref_006_w2aab2b8c23b1b7b1ab2b1b6Aa","doi-asserted-by":"crossref","unstructured":"6. Singh H, Maskarinee G, Shumay DM. Understanding the motivation for conventional and complementary\/alternative medicine use among men with prostate cancer. Integr Cancer Ther 2005;4:187\u201394.","DOI":"10.1177\/1534735405276358"},{"key":"2025121209185792460_j_jcim-2014-0070_ref_007_w2aab2b8c23b1b7b1ab2b1b7Aa","doi-asserted-by":"crossref","unstructured":"7. Smithson J, Britten N, Paterson C, Lewith G, Evans M. The experience of using complementary therapies after a diagnosis of cancer: a qualitative synthesis. Health 2012;16:19\u201339.","DOI":"10.1177\/1363459310371081"},{"key":"2025121209185792460_j_jcim-2014-0070_ref_008_w2aab2b8c23b1b7b1ab2b1b8Aa","doi-asserted-by":"crossref","unstructured":"8. Verhoef MJ, Balneaves LG, Boon HS, Vroegindewey A. Reasons for and characteristics associated with complementary and alternative medicine use among adult cancer patients: a systematic review. Integr Cancer Ther 2005;4:274\u201386.","DOI":"10.1177\/1534735405282361"},{"key":"2025121209185792460_j_jcim-2014-0070_ref_009_w2aab2b8c23b1b7b1ab2b1b9Aa","doi-asserted-by":"crossref","unstructured":"9. Wanchai A, Armer JM, Stewart BR. 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Boon H, Brown JB, Gavin A, Kennard A, Stewart M. Breast cancer survivors\u2019 perceptions of complementary\/alternative medicine (CAM): making the decision to use or not to use. Qual Health Res 1999;9:639\u201353.","DOI":"10.1177\/104973299129122135"},{"key":"2025121209185792460_j_jcim-2014-0070_ref_013_w2aab2b8c23b1b7b1ab2b1c13Aa","doi-asserted-by":"crossref","unstructured":"13. Caspi O, Koithan M, Alternative CM. Medicine or \u201calternative\u201d patients: a qualitative study of patient-oriented decision-making processes with respect to complementary and alternative medicine. Med Decis Making 2004;24:64\u201379.","DOI":"10.1177\/0272989X03261567"},{"key":"2025121209185792460_j_jcim-2014-0070_ref_014_w2aab2b8c23b1b7b1ab2b1c14Aa","doi-asserted-by":"crossref","unstructured":"14. Evans MA, Sharp DJ, Thompson EA, Falk S, Turton P, Thompson T. Men with cancer: is their use of complementary and alternative medicine a response to needs unmet by conventional care? Eur J Cancer Care 2007;16:517\u201325.","DOI":"10.1111\/j.1365-2354.2007.00786.x"},{"key":"2025121209185792460_j_jcim-2014-0070_ref_015_w2aab2b8c23b1b7b1ab2b1c15Aa","doi-asserted-by":"crossref","unstructured":"15. Balneaves LG, Truant TL, Kelly M, Verhoef MJ, Davison BJ. Bridging the gap: decision-making processes of women with breast cancer using complementary and alternative medicine (CAM). Support Care Cancer 2007;15:973\u201383.","DOI":"10.1007\/s00520-007-0282-3"},{"key":"2025121209185792460_j_jcim-2014-0070_ref_016_w2aab2b8c23b1b7b1ab2b1c16Aa","doi-asserted-by":"crossref","unstructured":"16. Charles C, Gafni A, Whelan T. Decision-making in the physician-patient encounter: revisiting the shared treatment decision-making model. Soc Sci Med 1999;49:651\u201361.","DOI":"10.1016\/S0277-9536(99)00145-8"},{"key":"2025121209185792460_j_jcim-2014-0070_ref_017_w2aab2b8c23b1b7b1ab2b1c17Aa","doi-asserted-by":"crossref","unstructured":"17. Halkett GKB, Arbon P, Scutter SD, Borg M. The experience of making treatment decisions for women with early stage breast cancer: a diagrammatic representation. Eur J Cancer Care 2005;14:249\u201355.","DOI":"10.1111\/j.1365-2354.2005.00565.x"},{"key":"2025121209185792460_j_jcim-2014-0070_ref_018_w2aab2b8c23b1b7b1ab2b1c18Aa","doi-asserted-by":"crossref","unstructured":"18. Verhoef MJ, Vanderheyden LC, Fonnebo V. A whole systems research approach to cancer care: why do we need it and how do we get started? Integr Cancer Ther 2006;5:287\u201392.","DOI":"10.1177\/1534735406295041"},{"key":"2025121209185792460_j_jcim-2014-0070_ref_019_w2aab2b8c23b1b7b1ab2b1c19Aa","doi-asserted-by":"crossref","unstructured":"19. Kondracki NL, Wellman NS. Content analysis: review of methods and their applications in nutrition education. J Nutr Educ Behav 2002;34:224\u201330.","DOI":"10.1016\/S1499-4046(06)60097-3"},{"key":"2025121209185792460_j_jcim-2014-0070_ref_020_w2aab2b8c23b1b7b1ab2b1c20Aa","doi-asserted-by":"crossref","unstructured":"20. 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Qualitative content analysis: a guide to paths not taken. Qual Health Res 1993;1:112\u201321.","DOI":"10.1177\/104973239300300107"},{"key":"2025121209185792460_j_jcim-2014-0070_ref_025_w2aab2b8c23b1b7b1ab2b1c25Aa","doi-asserted-by":"crossref","unstructured":"25. Morse JM. Qualitative methods: the state of the art. Qual Health Res 1999;9:393\u2013406.","DOI":"10.1177\/104973299129121938"},{"key":"2025121209185792460_j_jcim-2014-0070_ref_026_w2aab2b8c23b1b7b1ab2b1c26Aa","unstructured":"26. Patton M. Qualitative research & evaluation methods, 3rd ed. Thousand Oaks, CA: Sage Publications, 2002:82\u20133."},{"key":"2025121209185792460_j_jcim-2014-0070_ref_027_w2aab2b8c23b1b7b1ab2b1c27Aa","unstructured":"27. Lincoln YS, Guba EG, Guba E. Naturalistic inquiry: the paradigm revolution. London: Sage Publications, 1985:28\u201333."},{"key":"2025121209185792460_j_jcim-2014-0070_ref_028_w2aab2b8c23b1b7b1ab2b1c28Aa","unstructured":"28. 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Complementary and alternative medicine (CAM) use in advanced cancer: a systematic review. J Support Oncol 2013;11:105\u201313.","DOI":"10.12788\/j.suponc.0011"},{"key":"2025121209185792460_j_jcim-2014-0070_ref_032_w2aab2b8c23b1b7b1ab2b1c32Aa","doi-asserted-by":"crossref","unstructured":"32. Broom A. Intuition subjectivity, and Le Bricoleur: cancer patients\u2019 accounts of negotiating a plurality of therapeutic options. Qual Health Res 2009;19:1050\u20139.","DOI":"10.1177\/1049732309341190"},{"key":"2025121209185792460_j_jcim-2014-0070_ref_033_w2aab2b8c23b1b7b1ab2b1c33Aa","doi-asserted-by":"crossref","unstructured":"33. Salamonsen A, Kruse T, Eriksen SH. Modes of embodiment in breast cancer patients using complementary and alternative medicine. Qual Health Res 2012;22:1497\u2013512.","DOI":"10.1177\/1049732312457077"},{"key":"2025121209185792460_j_jcim-2014-0070_ref_034_w2aab2b8c23b1b7b1ab2b1c34Aa","doi-asserted-by":"crossref","unstructured":"34. McClean S, Shaw A. From schism to continuum? The problematic relationship between expert and lay knowledge. An exploratory conceptual synthesis of two qualitative studies. Qual Health Res 2005;15:729\u201349.","DOI":"10.1177\/1049732304273927"},{"key":"2025121209185792460_j_jcim-2014-0070_ref_035_w2aab2b8c23b1b7b1ab2b1c35Aa","doi-asserted-by":"crossref","unstructured":"35. Arora NK. Interacting with cancer patients: the significance of physicians\u2019 communication behaviour. Soc Sci Med 2003;57:791\u2013806.","DOI":"10.1016\/S0277-9536(02)00449-5"},{"key":"2025121209185792460_j_jcim-2014-0070_ref_036_w2aab2b8c23b1b7b1ab2b1c36Aa","doi-asserted-by":"crossref","unstructured":"36. Salamonsen A. Doctor-patient communication and cancer patients\u2019 choice of alternative therapies as supplement or alternative to conventional care. Scan J Caring Sci 2013;27:70\u20136.","DOI":"10.1111\/j.1471-6712.2012.01002.x"},{"key":"2025121209185792460_j_jcim-2014-0070_ref_037_w2aab2b8c23b1b7b1ab2b1c37Aa","doi-asserted-by":"crossref","unstructured":"37. Frenkel M, Ben-Arye E, Cohen L. Communication in cancer care: discussing complementary and alternative medicine. Integr Cancer Ther 2010;9:177\u201385.","DOI":"10.1177\/1534735410363706"},{"key":"2025121209185792460_j_jcim-2014-0070_ref_038_w2aab2b8c23b1b7b1ab2b1c38Aa","doi-asserted-by":"crossref","unstructured":"38. Rowe R, Calnan M. Trust relations in health care \u2013 the new agenda. Eur J Public Health 2006;16:4\u20136.","DOI":"10.1093\/eurpub\/ckl004"},{"key":"2025121209185792460_j_jcim-2014-0070_ref_039_w2aab2b8c23b1b7b1ab2b1c39Aa","doi-asserted-by":"crossref","unstructured":"39. Balneaves LG, Weeks L, Seely D. Patient decision making about complementary and alternative medicine in cancer management: context and process. Integr Oncol 2008;15:S94\u2013S100.","DOI":"10.3747\/co.v15i0.280"},{"key":"2025121209185792460_j_jcim-2014-0070_ref_040_w2aab2b8c23b1b7b1ab2b1c40Aa","doi-asserted-by":"crossref","unstructured":"40. Hack TF, Degner LF, Dyck DG. Relationship between preferences for decisional control and illness information among women with breast cancer: a quantitative and qualitative analysis. Soc Sci Med 1994;39:279\u201389.","DOI":"10.1016\/0277-9536(94)90336-0"},{"key":"2025121209185792460_j_jcim-2014-0070_ref_041_w2aab2b8c23b1b7b1ab2b1c41Aa","doi-asserted-by":"crossref","unstructured":"41. Lupton D. Consumerism reflexivity and the medical encounter. Soc Sci Med 1997;45:373\u201381.","DOI":"10.1016\/S0277-9536(96)00353-X"},{"key":"2025121209185792460_j_jcim-2014-0070_ref_042_w2aab2b8c23b1b7b1ab2b1c42Aa","doi-asserted-by":"crossref","unstructured":"42. Evans M, Sharp D, Shaw A. Developing a model of decision-making about complementary therapy use for patients with cancer: a qualitative study. 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