Emcura Integrative Clinic, Bloomfield Twp, Bloomfield Hills, MI, USA.
Goodapple Wellness, Philadelphia, PA, USA.
BMC Complement Med Ther. 2022 Apr 28;22(1):118. doi: 10.1186/s12906-022-03601-5.
Although the vast majority of cancer patients use natural health products (NHPs), 59% of oncology healthcare providers (HCP) report not receiving any education on NHPs. KNOWintegrativeoncology.org (KNOW) is a web-based educational platform that provides up-to-date evidence on NHPs used in cancer care with a user-friendly interface. KNOW is a database of human studies systematically gathered from MEDLINE and EMBASE. We surveyed HCPs before and after accessing KNOW to identify their information needs regarding NHPs in cancer care, their preferred way to receive information, barriers they face accessing NHP information, and to obtain feedback on the website.
Recruitment was done through Beaumont Health Systems, the Society for Integrative Oncology, and the Andrew Weil Centre for Integrative Medicine, University of Arizona. HCPs who consented completed an initial survey and then a follow-up survey after being given access to KNOW for 4-6 weeks. Participants were required to access KNOW at least three times before completion of the follow-up survey.
A total of 65 participants completed the initial survey, with 60% (n = 39) from the conventional medical community, 33% (n = 21) from the integrative medicine community, and 7% (n = 5) from the research community. The majority of participants (82%; n = 53) preferred educational websites to email updates, podcasts/webinars, in-house experts, PubMed searches and smartphone apps. The most common barriers identified to accessing information on NHPs were time, accessibility at point-of-care, and credibility of sources. A high number of participants were lost to follow up, with 18 participants demographically representative of the initial sample of 65 completing the follow-up survey. Half (n = 9) of participants stated accessing the KNOW website changed their clinical practice. Close to 90% (n = 16) reported they would recommend KNOW to a colleague.
Oncology HCPs reported preferring to use, and already relying on, numerous web-based educational platforms to gather information on NHPs, with time, accessibility, and credibility being common barriers to obtaining information. Our study findings highlight the promise of the KNOW web-based educational platform in reducing barriers to accessing up-to-date information on NHPs in busy cancer care settings.
尽管绝大多数癌症患者都在使用天然保健品（NHPs），但仍有 59%的肿瘤医疗保健提供者（HCP）表示未接受过任何关于 NHPs 的教育。KNOWintegrativeoncology.org（KNOW）是一个基于网络的教育平台，提供关于癌症护理中使用的 NHPs 的最新证据，并附有用户友好的界面。KNOW 是一个从 MEDLINE 和 EMBASE 系统收集的人类研究数据库。我们在 HCP 使用 KNOW 前后对其进行了调查，以确定他们对癌症护理中 NHPs 的信息需求、他们喜欢的信息接收方式、获取 NHP 信息所面临的障碍，并就该网站获得反馈。
通过 Beaumont Health Systems、肿瘤整合医学学会和亚利桑那大学安德鲁·威尔整合医学中心进行招募。同意参与的 HCP 先完成初始调查，然后在获得 KNOW 访问权限 4-6 周后再完成后续调查。参与者在完成后续调查前必须至少访问 KNOW 三次。
共有 65 名参与者完成了初始调查，其中 60%（n=39）来自传统医疗界，33%（n=21）来自整合医学界，7%（n=5）来自研究界。大多数参与者（82%；n=53）更喜欢教育网站而不是电子邮件更新、播客/网络研讨会、内部专家、PubMed 搜索和智能手机应用程序。获取 NHP 信息最常见的障碍是时间、在护理点的可访问性和来源的可信度。有大量参与者未能完成随访，18 名参与者在人口统计学上与 65 名初始样本中的代表性样本完成了后续调查。一半（n=9）的参与者表示访问 KNOW 网站改变了他们的临床实践。近 90%（n=16）的参与者表示会向同事推荐 KNOW。
肿瘤 HCP 报告称，他们更喜欢使用并已经依赖于许多基于网络的教育平台来获取关于 NHPs 的信息，时间、可访问性和可信度是获取信息的常见障碍。我们的研究结果突显了 KNOW 网络教育平台在减少在繁忙的癌症护理环境中获取 NHPs 最新信息的障碍方面的潜力。
