ArticleBMC complementary and alternative medicine2017
Prevalence and predictors of complementary and alternative medicine use among people with coronary heart disease or at risk for this in the sixth Tromsø study: a comparative analysis using protection motivation theory.
Article in BMC complementary and alternative medicine, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 1 of them a synthesis that pooled it.
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Who cites it
16 citing papers in PubMed, 1 synthesis or guideline pooled it, 32 citations in OpenAlex.
- Acupoint application therapies for essential hypertension: a systematic review and Meta-analysis.Journal of traditional Chinese medicine = Chung i tsa chih ying wen pan · 2022Pooled it
- Threat appraisal, self-efficacy, and risk information seeking: a study on the behavior of not eating wild mushrooms in China.BMC public health · 2025Article
- Predicting dietary management intention of patients with chronic kidney disease using protection motivation theory.PloS one · 2025Article
- Effectiveness of Protection Motivation Theory on clinical factors, behavior change, and cardiovascular disease: An integrative review.International journal of nursing studies advances · 2024Review
- Using Protection Motivation Theory to develop a survey of over-the-counter decision-making by older adults.Research in social & administrative pharmacy : RSAP · 2024Article
- Impact of nonrandom selection mechanisms on the causal effect estimation for two-sample Mendelian randomization methods.PLoS genetics · 2022Article
- Article
- Patterns and predictors of complementary and alternative medicine use in people presenting with the non-communicable disease in an urban health facility, North India.Journal of public health research · 2021Article
- Determinants of the utilization of allergy management measures among hay fever sufferers: a theory-based cross-sectional study.BMC public health · 2020Article
- Complementary and alternative medicine use in coronary heart disease patients: a cross-sectional study from Palestine.BMC complementary medicine and therapies · 2020Article
- Complementary and alternative medicine use among outpatients during the 2015 MERS outbreak in South Korea: a cross-sectional study.BMC complementary medicine and therapies · 2020Article
- Exploring the causal pathway from body mass index to coronary heart disease: a network Mendelian randomization study.Therapeutic advances in chronic disease · 2020Article
- Self-efficacy, social distancing, and essential worker status dynamics among SGM people.Annals of LGBTQ public and population health · 2020Article
- In Vitro Antiatherothrombotic Effects of Extracts fromEvidence-based complementary and alternative medicine : eCAM · 2019Article
- A dual continuum model of the reasons for use of complementary health approaches among overweight and obese adults: findings from the 2012 NHIS.BMC complementary and alternative medicine · 2018Article
- Prevalence, Pattern, and Predictors of Ever Use of Complementary and Alternative Medicine in Diabetes and Hypertension: A Cross-Sectional Study.Indian journal of community medicine : official publication of Indian Association of Preventive & Social MedicineArticle
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Authors and funding
4 authors at 3 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundEngagement in healthy lifestyle behaviors, such as healthy diet and regular physical activity, are known to reduce the risk of developing coronary heart disease (CHD). Complementary and alternative medicine (CAM) is known to be associated with having a healthy lifestyle. The primary aim of this study was to examine the prevalence and predictors of CAM use in CHD patients, and in those without CHD but at risk for developing CHD, using Protection Motivation Theory (PMT) as a guiding conceptual framework.
methodQuestionnaire data were collected from 12,981 adult participants in the cross-sectional sixth Tromsø Study (2007-8). Eligible for analyses were 11,103 participants who reported whether they had used CAM or not. Of those, 830 participants reported to have or have had CHD (CHD group), 4830 reported to have parents, children or siblings with CHD (no CHD but family risk), while 5443 reported no CHD nor family risk of CHD. We first compared the patterns of CAM use in each group, and then examined the PMT predictors of CAM use. Health vulnerability from the threat appraisal process of PMT was assessed by self-rated health and expectations for future health. Response efficacy from the coping appraisal process of PMT was assessed as preventive health beliefs and health behavior frequency.
resultsUse of CAM was most commonly seen in people with no CHD themselves, but family risk of developing CHD (35.8%), compared to people already diagnosed with CHD (30.2%) and people with no CHD nor family risk (32.1%). All four of the PMT factors; self-rated health, expectations for future health, preventive health beliefs, and the health behavior index - were predictors for CAM use in the no CHD but family risk group.
conclusionThese findings suggest that people use CAM in response to a perceived risk of developing CHD, and to prevent disease and to maintain health.
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