Barriers and facilitators for patients' acceptance and adherence to auriculotherapy: A qualitative systematic review using the theoretical domains framework.

IF 3.3 2区医学 Q1 INTEGRATIVE & COMPLEMENTARY MEDICINE BMC Complementary Medicine and Therapies Pub Date : 2025-02-22 DOI:10.1186/s12906-025-04814-0

Ying Zhang, Kun Li, Siyuan Wu, Keping Zhu, Fuchao Xie, Binbin Zhu, Lijun Wang, Wei Wang

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Abstract

Background: Auriculotherapy has become a promising complementary therapy and is widely used to manage various symptoms and diseases. However, little is known about patients' knowledge and attitudes. This study aimed to identify and synthesize the factors that influence acceptance and adherence related to auriculotherapy from patients' perspectives.

Methods: The thematic synthesis developed by Thomas and Harden was applied to guide this review. Six common English databases (PubMed, Web of Science, Embase, Cochrane Library, CINAHL, and PsycINFO) and four common Chinese databases (CNKI, VIP, WangFang, and Sinomed) were searched in December 2023. The quality of the included studies was assessed using the Critical Appraisal Skills Programme. Data synthesis was conducted using the theoretical domains framework.

Results: Ten studies with eleven publications were included. Twenty-four barriers and fourteen facilitators on patients' acceptance and adherence to auriculotherapy were identified under nine of the theoretical domains framework domains. Among these domains, "knowledge (n = 2)", "memory, attention and decision processes (n = 2)", and "environmental context and resources (n = 5)" reported only barriers. Besides, the most frequently mentioned domains in the included studies were "beliefs about consequences (n = 10)" and "emotions (n = 6)".

Conclusions: Our findings provide a comprehensive overview of the factors affecting the patients' behavior in receiving and complying with auriculotherapy, which may help healthcare professionals deeply understand the factors that influence patients' intentions to use auriculotherapy and better interact with them. Further research that addresses these modifiable factors and develops relevant interventions may aid in meeting the growing use of auriculotherapy by patients.

Trial registration: This study was registered with PROSPERO in Dec 2023 (Registration number: CRD42023488856).

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背景：极光疗法已成为一种前景广阔的辅助疗法，被广泛用于治疗各种症状和疾病。然而，人们对患者的知识和态度知之甚少。本研究旨在从患者的角度出发，确定并综合影响接受和坚持耳穴疗法的因素：方法：采用托马斯和哈登开发的主题综合法来指导本综述。2023年12月，检索了6个常用英文数据库（PubMed、Web of Science、Embase、Cochrane Library、CINAHL和PsycINFO）和4个常用中文数据库（CNKI、VIP、WangFang和Sinomed）。采用 "批判性评估技能计划 "对纳入研究的质量进行了评估。采用理论领域框架进行数据综合：结果：共纳入了 10 项研究，发表了 11 篇论文。在理论领域框架的九个领域中，确定了患者接受和坚持耳穴疗法的二十四个障碍和十四个促进因素。在这些领域中，只有 "知识（2 个）"、"记忆、注意力和决策过程（2 个）"和 "环境背景和资源（5 个）"报告了障碍。此外，在纳入的研究中最常提及的领域是 "对后果的信念（10 项）"和 "情绪（6 项）"：我们的研究结果全面概述了影响患者接受和遵从耳穴疗法行为的因素，有助于医护人员深入了解影响患者使用耳穴疗法意愿的因素，并更好地与患者互动。针对这些可改变的因素开展进一步研究并制定相关干预措施，可能有助于满足患者对耳穴疗法日益增长的使用需求：本研究于 2023 年 12 月在 PROSPERO 注册（注册号：CRD42023488856）。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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