Ben-Arye Eran, Keshet Yael, Gressel Orit, Tapiro Yehudit, Lavie Ofer, Samuels Noah
Integrative Oncology Program, The Oncology Service, Lin, Carmel, and Zebulun Medical Centers, Clalit Health Services, 35 Rothschild St, Haifa, Israel.
Faculty of Medicine, Technion-Israel Institute of Technology, Haifa, Israel.
Support Care Cancer. 2021 Aug;29(8):4819-4825. doi: 10.1007/s00520-021-06026-x. Epub 2021 Feb 4.
We examined the qualitative impact of an online integrative oncology (IO) treatment program, designed in response to the restrictions created by the current COVID-19 pandemic.
Patients undergoing chemotherapy were seen by an integrative physician (IP), together co-designing an IO treatment program of ≥ 6 weekly treatments to alleviate symptoms and improve quality of life (QoL). IO practitioners guided patients and their caregivers online in self-treatment with manual/touch, movement, and/or mind-body modalities. Narratives of both patients and IO practitioners were analyzed for systematic coding, identifying barriers and advantages of the online treatment program.
Narratives obtained from 30 patients and eight IO-trained practitioners were examined. The patients had undergone 169 online IO sessions with a total of 327 IO interventions during the 3-month study period. Patient narratives included reflections on both non-specific effects (e.g., less of a "sense of isolation") and specific QoL-related outcomes with the online intervention. IO practitioner narratives focused on barriers to providing manual-movement and mind-body modalities, suggesting practical recommendations on how to address specific QoL-related outcomes using the online IO "toolbox."
Effective online IO practitioner-guided treatments are feasible and may induce both specific and non-specific QoL-related effects. Future research needs to explore online IO interventions for additional situations in which access to IO care is limited.
我们研究了一个在线综合肿瘤学（IO）治疗项目的定性影响，该项目是针对当前新冠疫情造成的限制而设计的。
由一名综合医生（IP）对正在接受化疗的患者进行诊治，共同设计一个每周至少进行6次治疗的IO治疗方案，以缓解症状并改善生活质量（QoL）。IO从业者在线指导患者及其护理人员进行手动/触摸、运动和/或身心模式的自我治疗。对患者和IO从业者的叙述进行系统编码分析，确定在线治疗方案的障碍和优势。
对30名患者和8名接受过IO培训的从业者的叙述进行了研究。在3个月的研究期间，患者共进行了169次在线IO治疗，总计327次IO干预。患者的叙述包括对非特异性效果（如“孤独感减轻”）和在线干预带来的与生活质量相关的具体结果的反思。IO从业者的叙述侧重于提供手动运动和身心模式的障碍，并就如何使用在线IO“工具箱”解决与生活质量相关的具体结果提出了实用建议。
有效的在线IO从业者指导治疗是可行的，可能会产生与生活质量相关的特异性和非特异性效果。未来的研究需要探索在IO护理获取受限的其他情况下的在线IO干预措施。
