title: Patients' perceptions of complementary and alternative medicine in head and neck cancer: a qualitative, pilot study with clinical implications.
abstract: OBJECTIVE
  To describe head and neck cancer (HNC) patients' perceptions of Complementary and Alternative Medicine (CAM) and their attitudes towards a discussion regarding CAM.
  
  
  METHODS
  We interviewed a convenience sample of HNC patients, using a structured interview tool.
  
  
  RESULTS
  The participants' perceptions of CAM can be grouped into three categories: positive; open-minded: needing more input; and negative. Almost all of the 14 participants (93%) report that they would be comfortable having a CAM discussion with their physician, although only 43% of the participants had such a conversation.
  
  
  CONCLUSIONS
  Participants' willingness to discuss CAM suggests that HNC patients might be open to learning about their options for participating in needed CAM-related research. The reported lack of CAM discussions, despite participants expressed comfort with them, and potential harms of interactions between CAM and conventional therapy, support our recommendation that physicians routinely initiate discussion with HNC patients regarding CAM usage.
authors.affiliation: 1365 Clifton Road NE, Building B, Emory School of Medicine, Winship Cancer Institute, Atlanta, GA 30322, USA. Electronic address: kristopher.a.hendershot@emory.edu.
authors.forename: Kristopher A
authors.initials: KA
authors.lastname: Hendershot
authors.affiliation: 1365 Clifton Road NE, Building B, Emory School of Medicine, Winship Cancer Institute, Atlanta, GA 30322, USA. Electronic address: mddixon@emory.edu.
authors.forename: Margie
authors.initials: M
authors.lastname: Dixon
authors.affiliation: 1365 Clifton Road NE, Building B, Emory School of Medicine, Winship Cancer Institute, Atlanta, GA 30322, USA. Electronic address: scott.kono@gmail.com.
authors.forename: Scott A
authors.initials: SA
authors.lastname: Kono
authors.affiliation: 1365 Clifton Road NE, Building B, Emory School of Medicine, Winship Cancer Institute, Atlanta, GA 30322, USA. Electronic address: dmshin@emory.edu.
authors.forename: Dong M
authors.initials: DM
authors.lastname: Shin
authors.affiliation: 1365 Clifton Road NE, Building B, Emory School of Medicine, Winship Cancer Institute, Atlanta, GA 30322, USA. Electronic address: rpentz@emory.edu.
authors.forename: Rebecca D
authors.initials: RD
authors.lastname: Pentz
mesh_terms: D000529:Complementary Therapies / Q000379:methods / Q000523:psychology*; D005260:Female; D006258:Head and Neck Neoplasms / Q000453:epidemiology / Q000523:psychology* / Q000628:therapy*; D006801:Humans; D008297:Male; D008875:Middle Aged; D010865:Pilot Projects; D036301:Qualitative Research
keywords: Complementary and Alternative Medicine; Ethics; Head and neck cancer; Natural compounds