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<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">Acupuncture for hot flashes: Decision making by breast cancer survivors</title><author><name sortKey="Mao, Jun J" sort="Mao, Jun J" uniqKey="Mao J" first="Jun J." last="Mao">Jun J. Mao</name><affiliation><nlm:aff id="A1">Department of Family Medicine and Community Health, University of Pennsylvania School of Medicine, Philadelphia PA</nlm:aff></affiliation><affiliation><nlm:aff id="A2">Center for Clinical Epidemiology and Biostatistics, University of Pennsylvania School of Medicine, Philadelphia PA</nlm:aff></affiliation><affiliation><nlm:aff id="A3">Abramson Cancer Center, University of Pennsylvania School of Medicine, Philadelphia PA</nlm:aff></affiliation></author><author><name sortKey="Leed, Rana" sort="Leed, Rana" uniqKey="Leed R" first="Rana" last="Leed">Rana Leed</name><affiliation><nlm:aff id="A1">Department of Family Medicine and Community Health, University of Pennsylvania School of Medicine, Philadelphia PA</nlm:aff></affiliation></author><author><name sortKey="Bowman, Marjorie A" sort="Bowman, Marjorie A" uniqKey="Bowman M" first="Marjorie A." last="Bowman">Marjorie A. Bowman</name><affiliation><nlm:aff id="A1">Department of Family Medicine and Community Health, University of Pennsylvania School of Medicine, Philadelphia PA</nlm:aff></affiliation><affiliation><nlm:aff id="A4">Center for Public Health Initiatives, University of Pennsylvania School of Medicine, Philadelphia PA</nlm:aff></affiliation></author><author><name sortKey="Desai, Krupali" sort="Desai, Krupali" uniqKey="Desai K" first="Krupali" last="Desai">Krupali Desai</name><affiliation><nlm:aff id="A1">Department of Family Medicine and Community Health, University of Pennsylvania School of Medicine, Philadelphia PA</nlm:aff></affiliation></author><author><name sortKey="Bramble, Manuel" sort="Bramble, Manuel" uniqKey="Bramble M" first="Manuel" last="Bramble">Manuel Bramble</name><affiliation><nlm:aff id="A1">Department of Family Medicine and Community Health, University of Pennsylvania School of Medicine, Philadelphia PA</nlm:aff></affiliation></author><author><name sortKey="Armstrong, Katrina" sort="Armstrong, Katrina" uniqKey="Armstrong K" first="Katrina" last="Armstrong">Katrina Armstrong</name><affiliation><nlm:aff id="A3">Abramson Cancer Center, University of Pennsylvania School of Medicine, Philadelphia PA</nlm:aff></affiliation><affiliation><nlm:aff id="A5">Department of Medicine, University of Pennsylvania School of Medicine, Philadelphia PA</nlm:aff></affiliation></author><author><name sortKey="Barg, Frances" sort="Barg, Frances" uniqKey="Barg F" first="Frances" last="Barg">Frances Barg</name><affiliation><nlm:aff id="A1">Department of Family Medicine and Community Health, University of Pennsylvania School of Medicine, Philadelphia PA</nlm:aff></affiliation><affiliation><nlm:aff id="A5">Department of Medicine, University of Pennsylvania School of Medicine, Philadelphia PA</nlm:aff></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PMC</idno><idno type="pmid">22570396</idno><idno type="pmc">3490193</idno><idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3490193</idno><idno type="RBID">PMC:3490193</idno><idno type="doi">10.3122/jabfm.2012.03.110165</idno><date when="2012">2012</date><idno type="wicri:Area/Pmc/Corpus">003514</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Corpus" wicri:corpus="PMC">003514</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">Acupuncture for hot flashes: Decision making by breast cancer survivors</title><author><name sortKey="Mao, Jun J" sort="Mao, Jun J" uniqKey="Mao J" first="Jun J." last="Mao">Jun J. Mao</name><affiliation><nlm:aff id="A1">Department of Family Medicine and Community Health, University of Pennsylvania School of Medicine, Philadelphia PA</nlm:aff></affiliation><affiliation><nlm:aff id="A2">Center for Clinical Epidemiology and Biostatistics, University of Pennsylvania School of Medicine, Philadelphia PA</nlm:aff></affiliation><affiliation><nlm:aff id="A3">Abramson Cancer Center, University of Pennsylvania School of Medicine, Philadelphia PA</nlm:aff></affiliation></author><author><name sortKey="Leed, Rana" sort="Leed, Rana" uniqKey="Leed R" first="Rana" last="Leed">Rana Leed</name><affiliation><nlm:aff id="A1">Department of Family Medicine and Community Health, University of Pennsylvania School of Medicine, Philadelphia PA</nlm:aff></affiliation></author><author><name sortKey="Bowman, Marjorie A" sort="Bowman, Marjorie A" uniqKey="Bowman M" first="Marjorie A." last="Bowman">Marjorie A. Bowman</name><affiliation><nlm:aff id="A1">Department of Family Medicine and Community Health, University of Pennsylvania School of Medicine, Philadelphia PA</nlm:aff></affiliation><affiliation><nlm:aff id="A4">Center for Public Health Initiatives, University of Pennsylvania School of Medicine, Philadelphia PA</nlm:aff></affiliation></author><author><name sortKey="Desai, Krupali" sort="Desai, Krupali" uniqKey="Desai K" first="Krupali" last="Desai">Krupali Desai</name><affiliation><nlm:aff id="A1">Department of Family Medicine and Community Health, University of Pennsylvania School of Medicine, Philadelphia PA</nlm:aff></affiliation></author><author><name sortKey="Bramble, Manuel" sort="Bramble, Manuel" uniqKey="Bramble M" first="Manuel" last="Bramble">Manuel Bramble</name><affiliation><nlm:aff id="A1">Department of Family Medicine and Community Health, University of Pennsylvania School of Medicine, Philadelphia PA</nlm:aff></affiliation></author><author><name sortKey="Armstrong, Katrina" sort="Armstrong, Katrina" uniqKey="Armstrong K" first="Katrina" last="Armstrong">Katrina Armstrong</name><affiliation><nlm:aff id="A3">Abramson Cancer Center, University of Pennsylvania School of Medicine, Philadelphia PA</nlm:aff></affiliation><affiliation><nlm:aff id="A5">Department of Medicine, University of Pennsylvania School of Medicine, Philadelphia PA</nlm:aff></affiliation></author><author><name sortKey="Barg, Frances" sort="Barg, Frances" uniqKey="Barg F" first="Frances" last="Barg">Frances Barg</name><affiliation><nlm:aff id="A1">Department of Family Medicine and Community Health, University of Pennsylvania School of Medicine, Philadelphia PA</nlm:aff></affiliation><affiliation><nlm:aff id="A5">Department of Medicine, University of Pennsylvania School of Medicine, Philadelphia PA</nlm:aff></affiliation></author></analytic><series><title level="j">Journal of the American Board of Family Medicine : JABFM</title><idno type="ISSN">1557-2625</idno><imprint><date when="2012">2012</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><sec id="S1"><title>Purpose</title><p id="P1">Hot flashes (HFs) are a particularly common and distressing symptom in breast cancer survivors (BCS). Given its low rate of side effects, acupuncture shows promise as a therapeutic approach for HFs but little is known about BCS’s decision-making about use of acupuncture. This study seeks to identify attitudes and beliefs about using acupuncture for HFs by BCS.</p></sec><sec id="S2"><title>Methods</title><p id="P2">Using the Theory of Planned Behavior (TPB) as a conceptual framework, we conducted semi-structured interviews among women with stage I–III breast cancer who had finished primary treatment and were currently experiencing HFs. Interviews were taped, transcribed, and coded. We used a modified grounded theory approach to analyze the data.</p></sec><sec id="S3"><title>Results</title><p id="P3">Twenty-five BCS (13 Caucasian/12 African American) participated in the study. Respondents stated that their intended use of acupuncture for HFs would be dependent on: 1) Expected therapeutic effects (e.g. pain relief, energy); 2) Practical concerns (e.g. fear of needles, practitioner experience, time commitment); and 3) Source of decision support/validation (e.g. family members, physicians, self). Although constructs in the TPB accounted for many decision factors, respondents identified two major themes outside of the TPB: 1) Viewing acupuncture as a natural alternative to medications, and 2) Assessing the degree of HFs as bothersome enough in the context of other medical co-morbidities to trigger the need for therapy.</p></sec><sec id="S4"><title>Conclusion</title><p id="P4">BCS expressed varied expected therapeutic benefits, practical concerns, and decision support, emphasizing the “natural appeal” and symptom appraisal as key determinants in using acupuncture for HFs. Incorporating these factors in counseling BCS may promote patient-centered communication leading to improved hot flash management and quality of life.</p></sec></div></front></TEI><pmc article-type="research-article"><pmc-comment>The publisher of this article does not allow downloading of the full text in XML form.</pmc-comment>
<pmc-dir>properties manuscript</pmc-dir>
<front><journal-meta><journal-id journal-id-type="nlm-journal-id">101256526</journal-id><journal-id journal-id-type="pubmed-jr-id">32794</journal-id><journal-id journal-id-type="nlm-ta">J Am Board Fam Med</journal-id><journal-id journal-id-type="iso-abbrev">J Am Board Fam Med</journal-id><journal-title-group><journal-title>Journal of the American Board of Family Medicine : JABFM</journal-title></journal-title-group><issn pub-type="ppub">1557-2625</issn></journal-meta><article-meta><article-id pub-id-type="pmid">22570396</article-id><article-id pub-id-type="pmc">3490193</article-id><article-id pub-id-type="doi">10.3122/jabfm.2012.03.110165</article-id><article-id pub-id-type="manuscript">NIHMS386248</article-id><article-categories><subj-group subj-group-type="heading"><subject>Article</subject></subj-group></article-categories><title-group><article-title>Acupuncture for hot flashes: Decision making by breast cancer survivors</article-title></title-group><contrib-group><contrib contrib-type="author"><name><surname>Mao</surname><given-names>Jun J.</given-names></name><degrees>MD, MSCE</degrees><xref ref-type="aff" rid="A1">1</xref><xref ref-type="aff" rid="A2">2</xref><xref ref-type="aff" rid="A3">3</xref></contrib><contrib contrib-type="author"><name><surname>Leed</surname><given-names>Rana</given-names></name><degrees>MPH</degrees><xref ref-type="aff" rid="A1">1</xref></contrib><contrib contrib-type="author"><name><surname>Bowman</surname><given-names>Marjorie A.</given-names></name><degrees>MD, MPA</degrees><xref ref-type="aff" rid="A1">1</xref><xref ref-type="aff" rid="A4">4</xref></contrib><contrib contrib-type="author"><name><surname>Desai</surname><given-names>Krupali</given-names></name><degrees>MD (Ayu), MPH</degrees><xref ref-type="aff" rid="A1">1</xref></contrib><contrib contrib-type="author"><name><surname>Bramble</surname><given-names>Manuel</given-names></name><degrees>BA</degrees><xref ref-type="aff" rid="A1">1</xref></contrib><contrib contrib-type="author"><name><surname>Armstrong</surname><given-names>Katrina</given-names></name><degrees>MD, MSCE</degrees><xref ref-type="aff" rid="A3">3</xref><xref ref-type="aff" rid="A5">5</xref></contrib><contrib contrib-type="author"><name><surname>Barg</surname><given-names>Frances</given-names></name><degrees>PhD, Med</degrees><xref ref-type="aff" rid="A1">1</xref><xref ref-type="aff" rid="A5">5</xref></contrib></contrib-group><aff id="A1"><label>1</label>Department of Family Medicine and Community Health, University of Pennsylvania School of Medicine, Philadelphia PA</aff><aff id="A2"><label>2</label>Center for Clinical Epidemiology and Biostatistics, University of Pennsylvania School of Medicine, Philadelphia PA</aff><aff id="A3"><label>3</label>Abramson Cancer Center, University of Pennsylvania School of Medicine, Philadelphia PA</aff><aff id="A4"><label>4</label>Center for Public Health Initiatives, University of Pennsylvania School of Medicine, Philadelphia PA</aff><aff id="A5"><label>5</label>Department of Medicine, University of Pennsylvania School of Medicine, Philadelphia PA</aff><author-notes><corresp id="cor1"><bold>CORRESPONDING AUTHOR</bold>. Jun J. Mao, MD, MSCE, Department of Family Medicine and Community Health, University of Pennsylvania, 3400 Spruce Street / 2 Gates, Philadelphia, Pennsylvania 19104, Phone: 215-615-4330; Fax: 215-662-3591; <email>maoj@uphs.upenn.edu</email></corresp></author-notes><pub-date pub-type="nihms-submitted"><day>18</day><month>10</month><year>2012</year></pub-date><pub-date pub-type="ppub"><season>May-Jun</season><year>2012</year></pub-date><pub-date pub-type="pmc-release"><day>06</day><month>11</month><year>2012</year></pub-date><volume>25</volume><issue>3</issue><fpage>323</fpage><lpage>332</lpage><abstract><sec id="S1"><title>Purpose</title><p id="P1">Hot flashes (HFs) are a particularly common and distressing symptom in breast cancer survivors (BCS). Given its low rate of side effects, acupuncture shows promise as a therapeutic approach for HFs but little is known about BCS’s decision-making about use of acupuncture. This study seeks to identify attitudes and beliefs about using acupuncture for HFs by BCS.</p></sec><sec id="S2"><title>Methods</title><p id="P2">Using the Theory of Planned Behavior (TPB) as a conceptual framework, we conducted semi-structured interviews among women with stage I–III breast cancer who had finished primary treatment and were currently experiencing HFs. Interviews were taped, transcribed, and coded. We used a modified grounded theory approach to analyze the data.</p></sec><sec id="S3"><title>Results</title><p id="P3">Twenty-five BCS (13 Caucasian/12 African American) participated in the study. Respondents stated that their intended use of acupuncture for HFs would be dependent on: 1) Expected therapeutic effects (e.g. pain relief, energy); 2) Practical concerns (e.g. fear of needles, practitioner experience, time commitment); and 3) Source of decision support/validation (e.g. family members, physicians, self). Although constructs in the TPB accounted for many decision factors, respondents identified two major themes outside of the TPB: 1) Viewing acupuncture as a natural alternative to medications, and 2) Assessing the degree of HFs as bothersome enough in the context of other medical co-morbidities to trigger the need for therapy.</p></sec><sec id="S4"><title>Conclusion</title><p id="P4">BCS expressed varied expected therapeutic benefits, practical concerns, and decision support, emphasizing the “natural appeal” and symptom appraisal as key determinants in using acupuncture for HFs. Incorporating these factors in counseling BCS may promote patient-centered communication leading to improved hot flash management and quality of life.</p></sec></abstract><funding-group><award-group><funding-source country="United States">National Center for Complementary and Alternative Medicine : NCCAM</funding-source><award-id>K23 AT004112 || AT</award-id></award-group></funding-group></article-meta></front></pmc></record>Pour manipuler ce document sous Unix (Dilib)
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