The influence of psychosocial factors on the intention to incorporate complementary and integrative medicine into psychiatric clinical practices

Corinne Schaub,Catherine Bigoni,Quentin Baumeler,Mohamed Faouzi,Kétia Alexandre

doi:10.1016/j.ctcp.2021.101413

Abstract

Complementary and integrative medicine (CIM) can be of great support to individuals suffering from psychiatric conditions; however, it is still rarely incorporated into clinical practice. ObjectiveTo examine the influences of psychosocial and sociodemographic factors on health-care professionals’ intention to use CIM in their psychiatric clinical practice. MethodOne-hundred-and-five participants completed a questionnaire developed from an adapted version of Triandis’ Theory of Interpersonal Behavior (TIB). Intentions to use CIM (yes or no) were analyzed using logistic regression models. ResultsThe multivariate model retained three main factors: affect, perceived social norms, and conditions facilitating CIM. These predicted health-care professionals’ intention to use CIM with an AUC = 94.7%. Resultsunderlined that positive affective attitudes towards CIM, feeling that CIM was congruent with professional and institutional goals, and having sufficient skills in CIM were essential to ensuring that health-care professionals would integrate CIM into their clinical practice.

Highlights

Mental health disorders represent one of the largest parts of the global burden of disease [1,2,3]
The results indicated that most of the factors taken from the adapted Theory of Interpersonal Behavior (TIB) were selected by the principal component analysis (PCA)
general practitioners (GPs) accounted for 27.6% of respondents, paramedical staff represented 47.6%, and psychosocial nursing staff made up 24.8%

Summary

Introduction

Mental health disorders represent one of the largest parts of the global burden of disease [1,2,3]. Mental disorders cause acute suffering and significant loss of autonomy [4]. They are the principal cause of disability globally, gener ating significant social and financial costs [2,5]. Mental health patients often suffer a significant reduction in their quality of life [4,6]. Associating non-medicinal and pharmacological approaches is common [13] This may explain why it is relatively common for psychiatric patients in Western societies to use complementary and integrative medicine (CIM) to supplement conventional treatments [3]. CIM approaches include diverse beliefs and practices, such as spiritual therapies, products derived from plants, animals, or minerals, manipulation-based techniques, and exer cises, none of which are generally considered part of conventional medicine [16,20,21]

Objectives

Methods

Results

Conclusion