Cross-sectional and qualitative research to date indicates that motivations for continued CAM use differ from those for initial or trial use .Considering the complexities of factors that might contribute to ongoing use of CAM is therefore important for providing a more comprehensive view of the patterns of CAM use, and for informing both practice and policy.The purpose of the current research was to address this important gap in the research on CAM use by proposing and testing a new model that highlights the factors that contribute to the development of commitment to CAM.
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. 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 ( The findings provide preliminary support for the new model that posits that CAM commitment is a multi-dimensional psychological state with behavioral indicators.
The question of what keeps people using CAM over time and becoming committed to CAM as a health-care choice has not been adequately addressed by previous research.
There are cross-sectional studies that hint at the possible reasons for continued use , but they have not articulated what is meant by commitment to CAM, nor have they tested theoretical models derived from extant research.
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