The Society for Integrative Oncology Practice Recommendations for online consultation and treatment during the COVID-19 pandemic
Open accessAbstract
Objective: The Society for Integrative Oncology (SIO) Online Task Force was created in response to the challenges facing continuity of integrative oncology care resulting from the COVID-19 pandemic. The Task Force set out to guide integrative oncology practitioners in providing effective and safe online consultations and treatments for quality-of-life-concerns and symptom management. Online treatments include manual, acupuncture, movement, mind-body, herbal, and expressive art therapies. Methods: The SIO Online Practice Recommendations employed a four-phase consensus process: (1) literature review and discussion among an international panel of SIO members, identifying key elements essential in an integrative oncology visit; (2) development, testing, and refinement of a questionnaire defining challenges and strategies; (3) refinement input from integrative oncology experts from 19 countries; and (4) SIO Executive Committee review identifying the most high-priority challenges and strategies. Results: The SIO Online Practice Recommendations address ten challenges, providing practical suggestions for online treatment/consultation. These include overcoming unfamiliarity, addressing resistance among patients and healthcare practitioners to online consultation/treatment, exploring ethical and medical-legal aspects, solving technological issues, preparing the online treatment setting, starting the online treatment session, maintaining effective communication, promoting specific treatment effects, involving the caregiver, concluding the session, and ensuring continuity of care. Conclusions: The SIO Online Practice Recommendations are relevant for ensuring continuity of care beyond the present pandemic. They can be implemented for patients with limited accessibility to integrative oncology treatments due to geographic constraints, financial difficulties, physical disability, or an unsupportive caregiver. These recommendations require further study in practice settings.
The claims and statistics of this paper haven’t been checked yet.
Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.
Integrity signals
Registry
Cites
Statistics
Claims the paper makes
The claims and statistics of this paper haven’t been checked yet.
Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.
Claims other papers make about this one
Each is checked against this paper’s own text: does it say what the citing paper says it does?
The online practice recommendations address 10 specific challenges, providing practical suggestions for online treatment and consultation.
“These online practice recommendations address 10 specific challenges, providing practical suggestions for online treatment and consultation.”
From Psychosocial and Integrative Oncology: Interventions Across the Disease Trajectory. (2023) · cites this paper as Ben-Arye et al. 2021
The SIO surveyed members and developed practice recommendations for delivering a range of integrative therapies online.
“the SIO was quick to survey members and develop practice recommendations for delivering a range of integrative therapies online”
From Psychosocial and Integrative Oncology: Interventions Across the Disease Trajectory. (2023) · cites this paper as Ben-Arye et al. 2021
Self-check
Percentages, sums and reported differences re-computed from the paper’s own numbers.
The self-check needs the paper’s full text.
Cites
Greenlee, H., DuPont‐Reyes, M. J., Balneaves, L. G., Carlson, L. E., Cohen, M. R., Deng, G., Johnson, J. A., Mumber, M., Seely, D., Zick, S. M., et al. (2017) · CA A Cancer Journal for Clinicians · doi:10.3322/caac.21397 · Cited by 768 · see citing works
Meta-Analysis of Psychosocial Interventions to Reduce Pain in Patients With Cancer
Sheinfeld Gorin, S., Krebs, P., Badr, H., Janke, E. A., Jim, H. S. L., Spring, B., Mohr, D. C., Berendsen, M. A., & Jacobsen, P. B. (2012) · Journal of Clinical Oncology · doi:10.1200/jco.2011.37.0437 · Cited by 292 · cited 1× · see citing works
“In recent years, integrative oncology clinical practice has been supported by evidence arising from high-quality randomized controlled trials that indicate many integrative oncology modalities are both effective and safe for the management of issues that impinge on patients’ quality of life (QoL), such as cancer-relat…”
BackgroundKubo, A., Kurtovich, E., McGinnis, M., Aghaee, S., Altschuler, A., Quesenberry, C., Kolevska, T., & Avins, A. L. (2019) · Integrative Cancer Therapies · doi:10.1177/1534735419850634 · Cited by 167 · see citing works
Mikolasek, M., Berg, J., Witt, C. M., & Barth, J. (2018) · International Journal of Behavioral Medicine · doi:10.1007/s12529-017-9679-7 · Cited by 105 · see citing works
Ng, D. W. L., Chan, F. H. F., Barry, T. J., Lam, C., Chong, C. Y., Kok, H. C. S., Liao, Q., Fielding, R., & Lam, W. W. T. (2020) · Psycho-Oncology · doi:10.1002/pon.5437 · Cited by 64 · see citing works
Russell, L., Ugalde, A., Orellana, L., Milne, D., Krishnasamy, M., Chambers, R., Austin, D. W., & Livingston, P. M. (2019) · Supportive Care in Cancer · doi:10.1007/s00520-018-4574-6 · Cited by 61 · see citing works
Zernicke, K. A., Campbell, T. S., Speca, M., McCabe-Ruff, K., Flowers, S., Dirkse, D. A., & Carlson, L. E. (2013) · BMC Complementary and Alternative Medicine · doi:10.1186/1472-6882-13-34 · Cited by 55 · see citing works
Flagged first, then by citations
Research works printed but not linked: 29
- [1]Witt CM, Balneaves LG, Cardoso MJ et al (2017) A comprehensive definition for integrative oncology. J Natl Cancer Inst Monogr 2017(15). 10.1093/jncimonographs/lgx012 29140493 · DOI
- [3]Rithirangsriroj K Manchana T Akkayagorn L Efficacy of acupuncture in prevention of delayed chemotherapy induced nausea and vomiting in gynecologic cancer patients Gynecol Oncol 2015 136 82 86 10.1016/j.ygyno.2014.10.025 25449310 · DOI
- [4]Molassiotis A Bardy J Finnegan-John J Acupuncture for cancer-related fatigue in patients with breast cancer: a pragmatic randomized controlled trial J Clin Oncol 2012 30 4470 4476 10.1200/JCO.2012.41.6222 23109700 · DOI
- [5]Lesi G Razzini G Musti MA Acupuncture as an integrative approach for the treatment of hot flashes in women with breast cancer: a prospective multicenter randomized controlled trial (AcCliMaT) J Clin Oncol 2016 34 1795 1802 10.1200/JCO.2015.63.2893 27022113 · DOI
- [6]Cassileth BR Deng GE Gomez JE Complementary therapies and integrative oncology in lung cancer: ACCP evidence-based clinical practice guidelines (2nd edition) Chest 2007 132 340S 354S 10.1378/chest.07-1389 17873179 · DOI
- [8]Lyman GH Greenlee H Bohlke K Integrative therapies during and after breast cancer treatment: ASCO endorsement of the SIO clinical practice guideline J Clin Oncol 2018 36 2647 2655 10.1200/JCO.2018.79.2721 29889605 PMC13123314 · DOI
- [9]Ben-Arye E Schiff E Zollman C Integrating complementary medicine in supportive cancer care models across four continents Med Oncol 2013 30 1 7 10.1007/s12032-013-0511-1 23435989 · DOI
- [10]Al-Shamsi HO Alhazzani W Alhuraiji A A practical approach to the management of cancer patients during the novel Coronavirus Disease 2019 (COVID -19) pandemic: an international collaborative group Oncologist 2020 25 e936 10.1634/theoncologist.2020-0213 32243668 PMC7288661 · DOI
- [11]Kutikov A Weinberg DS Edelman MJ A war on two fronts: cancer care in the time of COVID-19 Ann Intern Med 2020 172 11 756 758 10.7326/M20-1133 32219410 PMC7133056 · DOI
- [12]Shankar A Saini D Roy S Cancer care delivery challenges amidst coronavirus disease -19 (covid-19) outbreak: specific precautions for cancer patients and cancer care providers to prevent spread Asian Pac J Cancer Prev 2020 21 569 573 10.31557/APJCP.2020.21.3.569 32212779 PMC7437319 · DOI
- [13]Archer S Holch P Armes J “No turning back” psycho-oncology in the time of COVID-19: insights from a survey of UK professionals Psychooncology 2020 29 1430 1435 10.1002/pon.5486 32691451 PMC7404944 · DOI
- [16]Goode AD Lawler SP Brakenridge CL Telephone, print, and Web-based interventions for physical activity, diet, and weight control among cancer survivors: a systematic review J Cancer Surviv 2015 9 4 660 682 10.1007/s11764-015-0442-2 25757733 · DOI
- [17]Newton RU Hart NH Clay T Keeping patients with cancer exercising in the age of COVID-19 JCO Oncol Pract 2020 16 656 664 10.1200/op.20.00210 32603253 PMC7564134 · DOI
- [18]Narayanan S Lopez G Powers-James C Integrative oncology consultations delivered via telehealth in 2020 and in-person in 2019: paradigm shift during the COVID-19 world pandemic Integr Cancer Ther 2021 20 153473542199910 10.1177/1534735421999101 PMC7934055 33655797 · DOI
- [20]Murphy E Black N Lamping D Consensus development methods, and their use in clinical guideline development Health Technol Assess 1998 2 3 i iv 10.3310/hta2030 9561895 · DOI
- [21]Hwang N-K Jung Y-J Park J-S Information and communications technology-based telehealth approach for occupational therapy interventions for cancer survivors: a systematic review Healthcare 2020 8 355 10.3390/healthcare8040355 PMC7712965 32977651 · DOI
- [23]Freeman LW White R Ratcliff CG A randomized trial comparing live and telemedicine deliveries of an imagery-based behavioral intervention for breast cancer survivors: reducing symptoms and barriers to care Psychooncology 2015 24 910 918 10.1002/pon.3656 25146413 PMC4379121 · DOI
- [24]Huberty J Eckert R Dueck A Online yoga in myeloproliferative neoplasm patients: results of a randomized pilot trial to inform future research BMC Complement Altern Med 2019 19 121 10.1186/s12906-019-2530-8 31174535 PMC6556039 · DOI
- [28]Kelleher SA Winger JG Dorfman CS A behavioral cancer pain intervention: a randomized noninferiority trial comparing in-person with videoconference delivery Psychooncology 2019 28 8 1671 1678 10.1002/pon.5141 31162756 PMC10141528 · DOI
- [29]Chung WW Agbayani C-JG Martinez A Improving children’s cancer pain management in the home setting: development and formative evaluation of a web-based program for parents Comput Biol Med 2018 101 146 152 10.1016/j.compbiomed.2018.08.014 30138775 · DOI
- [30]Zick SM Sen A Hassett AL Impact of self-acupressure on co-occurring symptoms in cancer survivors JNCI Cancer Spectr 2018 2 4 pky064 10.1093/jncics/pky064 30687806 PMC6334818 · DOI
- [31]Molassiotis A Bardy J Finnegan-John J A randomized, controlled trial of acupuncture self-needling as maintenance therapy for cancer-related fatigue after therapist-delivered acupuncture Ann Oncol 2013 24 1645 1652 10.1093/annonc/mdt034 23436910 · DOI
- [32]Grégoire C Faymonville ME Vanhaudenhuyse A Effects of an intervention combining self-care and self-hypnosis on fatigue and associated symptoms in post-treatment cancer patients: a randomized-controlled trial Psychooncology 2020 29 1165 1173 10.1002/pon.5395 32297396 · DOI
- [33]World Health Organization (2019) WHO guideline: recommendations on digital interventions for health system strengthening. Geneva: World Health Organization. Licence: CC BY-NC-SA 3.0 IGO. https://www.who.int/publications/i/item/9789241550505. Accessed 10 March, 2021 31162915
- [35]Passaro A Addeo A Von Garnier C ESMO Management and treatment adapted recommendations in the COVID-19 era: lung cancer ESMO Open 2020 5 Suppl 3 e000820 10.1136/esmoopen-2020-000820 32581069 PMC7319703 · DOI
- [36]Sierpina V Kreitzer MJ Rakel D Innovations in integrative healthcare education: the AMSA CAM education projects and the University of New Mexico Integrative Medicine Program Explore (NY) 2006 2 4 368 370 10.1016/j.explore.2006.05.018 16846829 · DOI
- [37]Sutherland AE Stickland J Wee B Can video consultations replace face-to-face interviews? Palliative medicine and the Covid-19 pandemic: rapid review BMJ Support Palliat Care 2020 10 271 275 10.1136/bmjspcare-2020-002326 32457086 PMC7295858 · DOI
- [38]Ben-Arye E, Keshet Y, Gressel O et al (2021) Being in touch: narrative assessment of patients receiving online integrative oncology treatments during COVID-19. Support Care Cancer. 10.1007/s00520-021-06026-x PMC7859467 33538895 · DOI
- [39]Brouwers MC Kho ME Browman GP AGREE II: Advancing guideline development, reporting and evaluation in health care J Clin Epidemiol 2010 63 1308 1311 10.1503/cmaj.090449 20656455 · DOI · Paper page
Cited by
Sorted by citations
Psychosocial and Integrative Oncology: Interventions Across the Disease Trajectory.
Carlson, L. E. (2023) · Annual Review of Psychology · doi:10.1146/annurev-psych-032620-031757 · Cited by 56 · see citing works
“Within an IO context, the SIO was quick to survey members and develop practice recommendations recommendations for delivering a range of integrative therapies online (Ben-Arye et al. 2021).”
Background
- Authors
- Ben-Arye, E., Paller, C. J., Lopez, A. M., White, S., Pendleton, E., Kienle, G. S., Samuels, N., Abbawaajii, N., & Balneaves, L. G.
- Affiliations
- Johns Hopkins University (US)
- University of Utah (US)
- Memorial Sloan Kettering Cancer Center (US)
- Witten/Herdecke University (DE)
- Tel Aviv University (IL)
- University of Manitoba (CA)
- ORCID
- Venue
- Supportive Care in Cancer
- Published
- 2021-04-14
- Volume
- 29
- Issue
- 10
- Pages
- 6155-6165
- ISSN
- 0941-4355 (ISSN-L)
- 1433-7339
- PMC
- PMC8044504
- OpenAlex
- W3154188046
- Cited by
- 34
- References
- 7
- Citations by year
- 2026: 1 · 2025: 3 · 2024: 6 · 2023: 12 · 2022: 6 · 2021: 6
- FWCI
- 1.34
- Type
- journal article
- Language
- en
- Open access
- hybrid
- doi.org
- Locations
- Supportive Care in Cancer (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Telemedicine and Telehealth Implementation
- Health Sciences › Medicine › Complementary and alternative medicine › Complementary and Alternative Medicine Studies
- Health Sciences › Medicine › Oncology › Cancer survivorship and care
- Keywords
- integrative oncology, teleconsultation, telemedicine, COVID-19 pandemic, continuity of care, symptom management, quality of life, acupuncture, mind-body interventions, herbal medicine, expressive arts therapy, movement therapy, legal and ethical issues, caregiver involvement
- MeSH terms
- Integrative Oncology, COVID-19, SARS-CoV-2, Humans, Neoplasms, Referral and Consultation, Pandemics
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
Are you an author, or do you see a problem with this page? Request a review