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A study on the motivation of Indian patients to consult complementary and alternative medicine practitioners to treat coronary artery disease
Author(s) -
Singh Arti,
Dixit Shikha
Publication year - 2021
Publication title -
the international journal of health planning and management
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.672
H-Index - 41
eISSN - 1099-1751
pISSN - 0749-6753
DOI - 10.1002/hpm.3091
Subject(s) - coronary artery disease , medicine , alternative medicine , family medicine , coronary heart disease , traditional medicine , cardiology , physical therapy , pathology
Background In India, the use of traditional medicine for health problems is a part of the cultural discourse on treatment, but the introduction of Western medicines has adversely affected their popularity. However, with the rapid spread of chronic diseases like coronary artery disease (CAD), many Indians are reverting to complementary and alternative medicine (CAM) treatments. Although previous literature has identified several motivational factors underlying CAM usage, we know little from the perspective of its practitioners. Aim The aim of the present study was to investigate the motivations behind the use of CAM treatments among Indian patients with CAD. Method Using semi‐structured interviews, we collected data from 15 CAM practitioners and 14 CAD patients utilising CAM treatments alongside conventional biomedical (BM) treatment. We used the Clarke and Braun (2006) method of thematic analysis. Result and Conclusion Our findings suggest that the use of CAM treatments depends on various factors working at multiple levels viz., personal factors, disease’ characteristics, perceived treatment characteristics (positive attributes of CAM and negative attributes of BM) and external facilitators. Furthermore, our analysis also identifies the role of two underlining forces—push and pull—in motivating CAD patients to choose CAM treatments. The push force comprises factors that participants found to have a repelling nature, whereas pull forces were regarded as advantageous for CAM usage. Although some reasons behind the usage of CAM treatments according to patients and practitioners were overlapping, both groups also provided many distinct insights into the studied health behaviour.