{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,9]],"date-time":"2026-09-09T01:57:28Z","timestamp":1788919048033,"version":"build-2803163510"},"reference-count":43,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2026,1,15]],"date-time":"2026-01-15T00:00:00Z","timestamp":1768435200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Public Health"],"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Insomnia symptoms are common among older adults, and Traditional Chinese Medicine (TCM) techniques have shown benefits in relieving these symptoms. However, real-world evidence on their use, evaluation, and associated factors in community settings remains limited. This study aimed to describe TCM use and user evaluation for insomnia symptoms among community-dwelling older adults and to explore associated factors.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>An exploratory cross-sectional survey was conducted from November 2024 to April 2025 in 15 communities in Changsha, China. Older adults (\u226560\u202fyears) with clinically significant insomnia symptoms (Insomnia Severity Index \u22658) were recruited. Data were collected on TCM use, perceived satisfaction and effectiveness, and predisposing, enabling, and need-related factors based on the Andersen Behavioral Model. Logistic regression was used to identify associated factors.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Among 311 participants, 51.1% reported using at least one TCM technique, most commonly tuina (71.1%) and moxibustion (69.8%). Satisfaction was generally high, though only 20.1\u201328.3% were \u201cvery satisfied\u201d and 22.6% perceived the interventions as \u201chighly effective.\u201d Four factors were significantly associated with TCM use: pre-retirement occupation and awareness of TCM techniques (predisposing), having relatives or friends engaged in TCM-related industries (enabling), and insomnia severity (need).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>This study provides preliminary evidence on the real-world use of TCM techniques for insomnia symptoms among community- dwelling older adults. More than half of participants reported using at least one TCM technique, yet only a minority rated the TCM services as \u201cvery satisfied\u201d or \u201chighly effective.\u201d Pre-retirement occupation, awareness of TCM techniques, having relatives or friends working in TCM-related industries, and insomnia severity were associated with TCM technique use. These findings may inform the design of culturally sensitive interventions to manage insomnia symptoms among community-dwelling older adults in similar contexts. Future research should further examine implementation quality and ways to improve both utilization and user satisfaction.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.3389\/fpubh.2025.1746822","type":"journal-article","created":{"date-parts":[[2026,1,15]],"date-time":"2026-01-15T05:18:30Z","timestamp":1768454310000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":1,"title":["Utilization, user evaluation, and associated factors of Traditional Chinese Medicine techniques for insomnia symptoms among Chinese community-dwelling older adults: a cross-sectional study"],"prefix":"10.3389","volume":"13","author":[{"given":"Yun","family":"Mo","sequence":"first","affiliation":[{"name":"School of Nursing, Hunan University of Chinese Medicine","place":["Changsha, Hunan, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Li","family":"Hu","sequence":"additional","affiliation":[{"name":"The Affiliated Hospital of Guizhou Medical University","place":["Guiyang, Guizhou, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xi","family":"Shen","sequence":"additional","affiliation":[{"name":"School of Nursing, Hunan University of Chinese Medicine","place":["Changsha, Hunan, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yi","family":"Zhang","sequence":"additional","affiliation":[{"name":"School of Nursing, Hunan University of Chinese Medicine","place":["Changsha, Hunan, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Site","family":"Li","sequence":"additional","affiliation":[{"name":"School of Nursing, Hunan University of Chinese Medicine","place":["Changsha, Hunan, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jiaxiu","family":"Peng","sequence":"additional","affiliation":[{"name":"School of Nursing, Hunan University of Chinese Medicine","place":["Changsha, Hunan, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yuping","family":"Long","sequence":"additional","affiliation":[{"name":"School of Nursing, Hunan University of Chinese Medicine","place":["Changsha, Hunan, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xiangrong","family":"Wu","sequence":"additional","affiliation":[{"name":"School of Nursing, Hunan University of Chinese Medicine","place":["Changsha, Hunan, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Binbin","family":"Xu","sequence":"additional","affiliation":[{"name":"School of Nursing, Hunan University of Chinese Medicine","place":["Changsha, Hunan, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1965","published-online":{"date-parts":[[2026,1,15]]},"reference":[{"key":"ref1","first-page":"947-xliv","volume-title":"Diagnostic and statistical manual of mental disorders: 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