Development of an integrative medicine program for breast cancer patients at the largest tertiary referral center in Thailand

Background: Studies have shown several benefits of combining complementary and alternative medicine (CAM) with conventional treatment in cancer therapy. This combined therapeutic approach is referred to as integrative medicine (IM). CAM has not yet gained acceptance by clinicians at several large hospitals in Thailand, and some cancer patients are using CAM without informing their physician. Objective: The aim of this study was to investigate CAM-related opinions, interests, knowledge, and practices of Thai breast cancer patients for the purpose of developing an IM program at Siriraj Hospital, the largest referral center in Thailand. Materials and Methods: Data relating to interest and frequency of participation in the following activities (both before and after cancer diagnosis) were collected: acupuncture, massage, tai chi, aerobic dance, herbal medicine use, aerobic exercise, detox, and meditation. Results: Our results showed a decrease in frequency in all activities, except for tai chi, herbal medicine use, and meditation, after cancer diagnosis. The activities with the highest level of participation were massage, herbal medicine use, aerobic dance, aerobic exercise, and meditation. Regarding interests, 81% and 54% of patients expressed interest in joining meditation and exercise programs, respectively. Conclusion: The results of this study support and will guide the establishment of an IM program in order to improve quality of life for breast cancer patients in Thailand.