Factors that shape preference for acupuncture or cognitive behavioral therapy for the treatment of insomnia in cancer patients Journal Article

Authors: Garland, S. N.; Eriksen, W.; Song, S.; Dearing, J.; Barg, F. K.; Gehrman, P.; Mao, J. J.
Article Title: Factors that shape preference for acupuncture or cognitive behavioral therapy for the treatment of insomnia in cancer patients
Abstract: Purpose: Patient preference is an essential component of patient-centered supportive cancer care; however, little is known about the factors that shape preference for treatment. This study sought to understand what factors may contribute to patient preference for two non-pharmacological interventions, acupuncture or cognitive behavioral therapy for insomnia (CBT-I). Methods: We conducted individual, open-ended, semi-structured interviews among cancer survivors who had completed active treatment and met the diagnostic criteria for insomnia disorder. Two forms of codes were used for analysis: a priori set of codes derived from the key ideas and a set of codes that emerged from the data. Results: Among 53 participants, the median age was 60.7 (range 27–83), 30 participants (56.6%) were female, and 18 (34%) were non-white. We identified three themes that contributed to an individual’s treatment preference: perception of the treatment’s evidence base, experience with the treatment, and consideration of personal factors. Participants gave preference to the treatment perceived as having stronger evidence. Participants also reflected on positive or negative experiences with both of the interventions, counting their own experiences, as well as those of trusted sources. Lastly, participants considered their own unique circumstances and factors such as the amount of work involved, fit with personality, or fit with their “type” of insomnia. Conclusions: Knowledge of the evidence base, past experience, and personal factors shaped patient preference regardless of whether they accurately represent the evidence. Acknowledging these salient factors may help inform patient-centered decision-making and care. © 2018, Springer-Verlag GmbH Germany, part of Springer Nature.
Keywords: adult; aged; major clinical study; cancer patient; cancer survivor; insomnia; patient care; acupuncture; semi structured interview; patient preference; comparative effectiveness; cognitive behavioral therapy; cancer; human; male; female; priority journal; article; cognitive behavior therapy; qualitative research methods; treatment preference
Journal Title: Supportive Care in Cancer
Volume: 26
Issue: 7
ISSN: 0941-4355
Publisher: Springer Verlag  
Date Published: 2018-07-01
Start Page: 2407
End Page: 2415
Language: English
DOI: 10.1007/s00520-018-4086-4
PROVIDER: scopus
PUBMED: 29423681
PMCID: PMC6158018
Notes: Article -- Export Date: 2 July 2018 -- Source: Scopus
Citation Impact
MSK Authors
  1. Jun J Mao
    155 Mao