{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,1]],"date-time":"2026-07-01T20:00:50Z","timestamp":1782936050421,"version":"3.54.5"},"reference-count":86,"publisher":"Baishideng Publishing Group Inc.","issue":"5","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["World J Psychiatry"],"abstract":"<jats:p>BACKGROUND<\/jats:p>\n          <jats:p>Acupuncture is emerging as a promising treatment for insomnia. However, the determinants driving patients\u2019 decisions to pursue or adopt this treatment modality remain underexplored.<\/jats:p>\n          <jats:p>AIM<\/jats:p>\n          <jats:p>To identify the key factors shaping the willingness of patients with insomnia to seek and engage in acupuncture from a patient-centered perspective.<\/jats:p>\n          <jats:p>METHODS<\/jats:p>\n          <jats:p>A semi-structured focus group design was used, with a research framework integrating the capability, opportunity, motivation-behavior model, and theoretical domains framework. The results were mapped onto constructs of a behavioral wheel derived from the capability, opportunity, motivation-behavior\/theoretical domains framework matrix. Data analyses employed abductive thematic analysis.<\/jats:p>\n          <jats:p>RESULTS<\/jats:p>\n          <jats:p>Data saturation was achieved after ten focus group sessions, involving a total of 45 participants. Key facilitators for patients with insomnia seeking acupuncture included: (1) Cultural beliefs in ethnic medicine; (2) Concerns about the adverse effects of, and dependence on, hypnotics; (3) Expectations of improvement in comorbid symptoms; (4) Desire for more communication with the clinician; and (5) Incentives from peers and online key opinion leaders. Barriers were: (1) Limited knowledge of acupuncture indications; (2) Accessibility burden; (3) Needle-phobia; and (4) Safety concerns. Additionally, prior acupuncture experiences, family\/friend attitudes, and treatment costs (reimbursement rate in health insurance) served as both facilitators and barriers.<\/jats:p>\n          <jats:p>CONCLUSION<\/jats:p>\n          <jats:p>The interrelated facilitators and barriers underscore that the decision to use acupuncture for insomnia is a complex issue involving efficacy\/safety, culture, economics, information dissemination, and communication factors. Expanding patient education on acupuncture, increasing media exposure, and improving governmental oversight of this process are essential. Investing in high-quality acupuncture services in public hospital nighttime clinics and community health centers is expected to address accessibility challenges. Acupuncturists need to improve doctor-patient communication, including guiding patients to set treatment expectations that are grounded in reality to enhance service quality. For patients with significant needle-phobia, cognitive manipulation or hypnosis techniques may be employed to improve treatment compliance.<\/jats:p>","DOI":"10.5498\/wjp.v15.i5.105802","type":"journal-article","created":{"date-parts":[[2025,4,30]],"date-time":"2025-04-30T06:00:14Z","timestamp":1745992814000},"source":"Crossref","is-referenced-by-count":6,"title":["Why some embrace and others hesitate? 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