Complementary and alternative medicine modality use and beliefs among African American prostate cancer survivors.

PURPOSE/OBJECTIVES To examine the cultural beliefs and attitudes of African American prostate cancer survivors regarding the use of complementary and alternative medicine (CAM) modalities. RESEARCH APPROACH Mixed methods with primary emphasis on a phenomenology approach. SETTING In-person interviews in participants' homes and rural community facilities. PARTICIPANTS 14 African American men diagnosed with and treated for prostate cancer. METHODOLOGIC APPROACH Personal interviews using a semistructured interview guide. MAIN RESEARCH VARIABLES Prostate cancer, CAM, African American men's health, culture, herbs, prayer, spirituality, and trust. FINDINGS All participants used prayer often; two men used meditation and herbal preparations. All men reported holding certain beliefs about different categories of CAM. Several men were skeptical of CAM modalities other than prayer. Four themes were revealed: importance of spiritual needs as a CAM modality to health, the value of education in relation to CAM, importance of trust in selected healthcare providers, and how men decide on what to believe about CAM modalities. CONCLUSIONS Prayer was a highly valued CAM modality among African American prostate cancer survivors as a way to cope with their disease. Medical treatment and trust in healthcare providers also were found to be important. INTERPRETATION Most participants were skeptical of CAM modalities other than prayer. Participants expressed a strong belief in spirituality and religiosity in relationship to health and their prostate cancer. Participants' trust in their healthcare providers was important. Healthcare providers must understand how African Americans decide what to believe about CAM modalities to improve their health. This research provided valuable information for future development of culturally sensitive communication and infrastructural improvements in the healthcare system.