Shamblen Stephen R, Atwood Katharine, Scarbrough William, Collins David A, Rindfleisch Adam, Kligler Benjamin, Gaudet Tracy
1 Pacific Institute for Research and Evaluation, Louisville, KY, USA.
2 University of Wisconsin-Madison, Madison, WI, USA.
J Evid Based Integr Med. 2018 Jan-Dec;23:2515690X18801581. doi: 10.1177/2515690X18801581.
The purpose of the present study was to identify the factors that are the strongest predictors of intentions and use of integrative medicine approaches in clinical practice. Ajzen's theory of planned behavior was used to guide our examination of these questions. Health care professionals exposed to a Veterans Health Administration program (N = 288) who completed survey instruments prior to and immediately after the program and 3 months later were the participants for this study. Findings suggest that the theory of planned behavior performs reasonably well in explaining our data showing the integration of integrative medicine approaches into clinical practice. We found that self-efficacy to use integrative health approaches and perceived preparedness to discuss nonpharmaceutical approaches with patients were the strongest predictors of intentions to use integrative health approaches and self-reported change in clinical practice. The implications of these findings are discussed.
本研究的目的是确定在临床实践中，哪些因素是使用整合医学方法的意图和实际使用情况的最强预测指标。本研究采用艾森的计划行为理论来指导我们对这些问题的研究。参与本研究的是参与退伍军人健康管理局项目（N = 288）的医疗保健专业人员，他们在项目开始前、项目结束后立即以及3个月后完成了调查问卷。研究结果表明，计划行为理论在解释我们的数据方面表现良好，这些数据显示了整合医学方法在临床实践中的应用。我们发现，使用整合健康方法的自我效能感以及与患者讨论非药物治疗方法的感知准备情况，是使用整合健康方法的意图和临床实践中自我报告变化的最强预测指标。本文讨论了这些发现的意义。
