title: Use of alternative therapies for children with cancer.
abstract: OBJECTIVE
  To compare the use of alternative therapy (AT) in families of children with cancer with its use in those with routine pediatric conditions.
  
  
  OBJECTIVE
  AT refers to healing practices such as therapeutic massage, acupuncture, and use of medicinal herbs that have become increasingly popular with the general public, but are not widely accepted by the medical profession. Although studies have investigated the use of AT in the families of both healthy children and children with cancer, no comparison of the incidence of its use between these two populations has been published. We hypothesized that AT was used more frequently among the families of children with cancer.
  
  
  METHODS
  Using a prevalence survey design, we interviewed 81 parents of children with cancer attending a pediatric hematology/oncology clinic and 80 parents of children attending a continuity care clinic for routine check-ups and acute care. We explored the types of AT being used, the reasons for its use, and the frequency with which it was discussed with the patient's physician.
  
  
  RESULTS
  1) Overall, 65% of the cancer group were using AT, compared with 51% of the control group. This was not statistically significant. 2) Prayer, exercise, and spiritual healing were three AT practices most often used by the cancer group, and prayer, massage, and spiritual healing by the control group. 3) Discussion of AT with the physician varied according to group, with 53% of the cancer patients discussing its use; income level, with 59% of parents in the higher income group discussing its use; and ethnicity, with 47% of whites discussing its use.
  
  
  CONCLUSIONS
  Use of AT is not limited to the families of children with life-challenging illnesses, but is commonly used by those of children with routine pediatric problems. Pediatricians need to be aware that their patients may not tell them about AT practices they are using in addition to prescribed treatment.
authors.affiliation: Department of Pediatrics, University of Florida College of Medicine, Gainesville, Florida 32610-0296, USA.
authors.forename: T
authors.initials: T
authors.lastname: Friedman
authors.forename: W B
authors.initials: WB
authors.lastname: Slayton
authors.forename: L S
authors.initials: LS
authors.lastname: Allen
authors.forename: B H
authors.initials: BH
authors.lastname: Pollock
authors.forename: M
authors.initials: M
authors.lastname: Dumont-Driscoll
authors.forename: P
authors.initials: P
authors.lastname: Mehta
authors.forename: J
authors.initials: J
authors.lastname: Graham-Pole
mesh_terms: D000293:Adolescent; D000328:Adult; D001294:Attitude to Health; D002648:Child; D002675:Child, Preschool; D000529:Complementary Therapies / Q000706:statistics & numerical data*; D003266:Continuity of Patient Care / Q000706:statistics & numerical data; D003430:Cross-Sectional Studies; D005190:Family / Q000523:psychology*; D005260:Female; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D008297:Male; D008405:Massage / Q000706:statistics & numerical data; D008519:Medicine, Traditional; D008602:Mental Healing; D009369:Neoplasms / Q000628:therapy*; D010372:Pediatrics; D012067:Religion; D011795:Surveys and Questionnaires