Looking beyond the barriers: Practical and symbolic factors associated with disclosure of complementary and alternative medicine (CAM) use

Sirois, Fuschia M.

doi:10.1016/j.eujim.2014.04.002

Cited by 5 publications

(12 citation statements)

References 29 publications

(48 reference statements)

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“…In one of the two retrieved studies testing this link, attitude towards the benefits of CHA use was a predictor of disclosure of use of natural health products in a sample of 257 outpatients (29). In the other study, perceived control over health, experiencing positive health behavior outcomes from CHA, and patient-centered care, were associated with disclosure of provider-based CHA in a sample of 226 undergraduate students, but not in a sample of 126 adults from the community (25). The use of small non-representative convenience samples, and the focus on specific types of CHA, call into question the generalizability of these findings.…”

Section: Understanding Cha Disclosure: Issues and Prospectsmentioning

confidence: 87%

“…Although these factors may contribute to the necessary conditions for disclosure, they do not necessarily reflect the reasons why people disclose their CHA use. Indeed, qualitative research indicates that the decision to disclose CHA use is often complex and involves not only objective medical and sociodemographic factors, but also subjective patient perspectives and beliefs about the costs and benefits of disclosure (24, 25). …”

Section: Understanding Cha Disclosure: Issues and Prospectsmentioning

confidence: 99%

“…Derived from extant research on the reasons why people continue to use CHA (5, 31, 32), consumer psychology (33) and health behavior theory (27, 34), the CAM consumer commitment model posits that commitment to CHA reflects a psychological state with behavioral indicators (30). According to this model, disclosing CHA use to conventional health-care providers is one of several key CHA-related behaviours that reflect a commitment to continued use of CHA as a health-care option (25, 30). These include using CHA frequently (5, 32, 35), recommending CHA to others, and adhering to CHA recommendations.…”

Section: The Consumer Commitment Model and Disclosure Of Cha Usementioning

confidence: 99%

“…In a sample of undergraduate students and a sample of community adults, select symbolic (taking an active role in treatment decisions) and utilitarian (positive CHA outcomes) values were associated with a greater likelihood of disclosing the use of provider-delivered CHA to conventional health-care providers (25). However, the samples were small and non-representative, CHA use was provider-based only, and a limited set of values from the CAM consumer commitment model were examined.…”

Section: The Consumer Commitment Model and Disclosure Of Cha Usementioning

confidence: 99%

“…Based on the CAM consumer commitment model (30) and previous research applying this model to CHA disclosure (25), we hypothesized that utilitarian and symbolic values would predict disclosure of CHA use after accounting for relevant socio-demographic variables. Specifically, we controlled for a set of factors known to influence disclosure of CHA use, namely age, sex, ethnicity, income, marital status and education (21, 23, 38, 39) in the multivariate analysis of each consumer value.…”

Section: The Present Studymentioning

confidence: 99%

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Implicit Reasons for Disclosure of the Use of Complementary Health Approaches (CHA): a Consumer Commitment Perspective

2017

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Background Disclosure of the use of complementary health approaches (CHA) is an important yet understudied health behaviour with important implications for patient care. Yet research into disclosure of CHA has been atheoretical and neglected the role of health beliefs. Purpose Using a consumer commitment model of CHA use as a guiding conceptual framework, the current study tests the hypotheses that perceived positive CHA outcomes (utilitarian values) and positive CHA beliefs (symbolic values) are associated with disclosure of CHA to conventional-care providers in a nationally representative US sample. Methods From a sample of 33,594 with CHA use information from the 2012 National Health Interview Survey (NHIS), a subsample of 7,348 who used CHA within the past 12 months was analysed. The 2012 NHIS is a cross-sectional survey of the non-institutionalized US adult population, which includes the most recent nationally representative CHA use data. Results The 63.2 % who disclosed CHA use were older, less educated, and had visited a health-care provider in the past year. Weighted logistic regression analyses controlling for demographic variables revealed that those who disclosed were more likely to report experiencing positive psychological (improved coping and well-being) and physical outcomes (better sleep, improved health) from CHA, and hold positive CHA-related beliefs. Conclusions CHA users who perceive physical and psychological benefits from CHA use, and who hold positive attitudes towards CHA are more likely to disclose their CHA use. Findings support the relevance of a consumer commitment perspective for understanding CHA disclosure, and suggest CHA disclosure as an important proactive health behaviour that warrants further attention.

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Section: Understanding Cha Disclosure: Issues and Prospectsmentioning

confidence: 87%

Section: Understanding Cha Disclosure: Issues and Prospectsmentioning

confidence: 99%

Section: The Consumer Commitment Model and Disclosure Of Cha Usementioning

confidence: 99%

Section: The Consumer Commitment Model and Disclosure Of Cha Usementioning

confidence: 99%

Section: The Present Studymentioning

confidence: 99%

See 3 more Smart Citations

Implicit Reasons for Disclosure of the Use of Complementary Health Approaches (CHA): a Consumer Commitment Perspective

2017

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Research – Driving forward integrated medicine

Hoffman¹,

Mackereth

Robinson

2014

European Journal of Integrative Medicine

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Reasons for continuing use of Complementary and Alternative Medicine (CAM) in students: a consumer commitment model

Sirois

Salamonsen

Kristoffersen

2016

BMC Complement Altern Med

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Background: Research on continued CAM use has been largely atheoretical and has not considered the broader range of psychological and behavioral factors that may be involved. The purpose of this study was to test a new conceptual model of commitment to CAM use that implicates utilitarian (trust in CAM) and symbolic (perceived fit with CAM) in psychological and behavioral dimensions of CAM commitment. Methods: A student sample of CAM consumers, (N = 159) completed a survey about their CAM use, CAM-related values, intentions for future CAM use, CAM word-of-mouth behavior, and perceptions of being an ongoing CAM consumer. Results: Analysis revealed that the utilitarian, symbolic, and CAM commitment variables were significantly related, with r's ranging from .54 to .73. A series hierarchical regression analyses controlling for relevant demographic variables found that the utilitarian and symbolic values uniquely accounted for significant and substantial proportion of the variance in each of the three CAM commitment indicators (R 2 from .37 to .57).

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Looking beyond the barriers: Practical and symbolic factors associated with disclosure of complementary and alternative medicine (CAM) use

Cited by 5 publications

References 29 publications

Implicit Reasons for Disclosure of the Use of Complementary Health Approaches (CHA): a Consumer Commitment Perspective

Implicit Reasons for Disclosure of the Use of Complementary Health Approaches (CHA): a Consumer Commitment Perspective

Research – Driving forward integrated medicine

Reasons for continuing use of Complementary and Alternative Medicine (CAM) in students: a consumer commitment model

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