Williams-Piehota Pamela A, Sirois Fuschia M, Bann Carla M, Isenberg Karen B, Walsh Edith G
RTI International, Research Triangle Park, North Carolina, USA.
Altern Ther Health Med. 2011 Jan-Feb;17(1):22-30.
Recent investigations indicate that complementary and alternative medicine (CAM) use may be conducive to health behavior change.
The goal of this study was to investigate how this change occurs.
Using Social Cognitive Theory and Self-determination Theory as guiding frameworks, we surveyed a convenience sample of 216 CAM consumers abouttheir CAM therapy and iors and conducted focus groups with 36 CAM consumers.
Consumers reported encouragement from providers and improved energy resulting from treatments as reasons for making health behavior changes. Multivariate analysis showed that increased odds of self-reported dietary change were significantly associated with increasing body awareness as a result of therapy, endorsing the statement that sustained improvement for their health conditions required self-care, using an acupuncturist, and being 44 years or younger. Comparable results were found for exercise change, except using an acupuncturist was a significant negative predictor and age was not significant. Focus group findings echoed these themes.
This initial investigation into how CAM providers may play a role in health behavior change suggests that provider support, increased responsibility for one's health, and the CAM treatments themselves contribute to behavior change, although additional research in this area is warranted.
近期调查表明，使用补充和替代医学（CAM）可能有助于健康行为的改变。
本研究的目的是调查这种改变是如何发生的。
以社会认知理论和自我决定理论为指导框架，我们对216名补充和替代医学使用者的便利样本进行了关于其补充和替代医学治疗及行为的调查，并与36名补充和替代医学使用者进行了焦点小组访谈。
消费者报告称，来自提供者的鼓励以及治疗后精力的改善是他们做出健康行为改变的原因。多变量分析表明，自我报告的饮食改变几率增加与治疗后身体意识增强显著相关，认同持续改善健康状况需要自我护理这一观点，使用针灸师，以及年龄在44岁及以下。运动改变方面也发现了类似结果，只是使用针灸师是一个显著的负向预测因素，年龄不显著。焦点小组的调查结果呼应了这些主题。
这项关于补充和替代医学提供者如何在健康行为改变中发挥作用的初步调查表明，提供者的支持、对自身健康责任的增加以及补充和替代医学治疗本身都有助于行为改变，尽管该领域还需要更多研究。
