Evidence map›Paper›PMID 39987065›Full record

SynthesisBMC complementary medicine and therapies2025

Barriers and facilitators for patients' acceptance and adherence to auriculotherapy: A qualitative systematic review using the theoretical domains framework.

Ying Zhang, Kun Li, Siyuan Wu, Keping Zhu, Fuchao Xie, Binbin Zhu, Lijun Wang, Wei Wang

Abstract readSystematic Review
In one paragraph

Synthesis in BMC complementary medicine and therapies, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Trial
  3. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Ying ZhangThe First Affiliated Hospital, Zhejiang University School of Medicine, Shangcheng District, 79 Qingchun Road, Hangzhou, Zhejiang, 310003, China.ORCID http://orcid.org/0000-0002-3182-2758
Kun LiThe First Affiliated Hospital, Zhejiang University School of Medicine, Shangcheng District, 79 Qingchun Road, Hangzhou, Zhejiang, 310003, China.
Siyuan WuThe First Affiliated Hospital, Zhejiang University School of Medicine, Shangcheng District, 79 Qingchun Road, Hangzhou, Zhejiang, 310003, China.
Keping ZhuThe First Affiliated Hospital, Zhejiang University School of Medicine, Shangcheng District, 79 Qingchun Road, Hangzhou, Zhejiang, 310003, China.
Fuchao XieLaw School, Huazhong University of Science and Technology, Hongshan District, Wuhai, Hubei, China.
Binbin ZhuThe First Affiliated Hospital, Zhejiang University School of Medicine, Shangcheng District, 79 Qingchun Road, Hangzhou, Zhejiang, 310003, China.
Lijun WangThe First Affiliated Hospital, Zhejiang University School of Medicine, Shangcheng District, 79 Qingchun Road, Hangzhou, Zhejiang, 310003, China.
Wei WangThe First Affiliated Hospital, Zhejiang University School of Medicine, Shangcheng District, 79 Qingchun Road, Hangzhou, Zhejiang, 310003, China. wangw2005@zju.edu.cn.ORCID http://orcid.org/0000-0003-1468-2746

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAuriculotherapy has become a promising complementary therapy and is widely used to manage various symptoms and diseases. However, little is known about patients' knowledge and attitudes. This study aimed to identify and synthesize the factors that influence acceptance and adherence related to auriculotherapy from patients' perspectives.

methodsThe thematic synthesis developed by Thomas and Harden was applied to guide this review. Six common English databases (PubMed, Web of Science, Embase, Cochrane Library, CINAHL, and PsycINFO) and four common Chinese databases (CNKI, VIP, WangFang, and Sinomed) were searched in December 2023. The quality of the included studies was assessed using the Critical Appraisal Skills Programme. Data synthesis was conducted using the theoretical domains framework.

resultsTen studies with eleven publications were included. Twenty-four barriers and fourteen facilitators on patients' acceptance and adherence to auriculotherapy were identified under nine of the theoretical domains framework domains. Among these domains, "knowledge (n = 2)", "memory, attention and decision processes (n = 2)", and "environmental context and resources (n = 5)" reported only barriers. Besides, the most frequently mentioned domains in the included studies were "beliefs about consequences (n = 10)" and "emotions (n = 6)".

conclusionsOur findings provide a comprehensive overview of the factors affecting the patients' behavior in receiving and complying with auriculotherapy, which may help healthcare professionals deeply understand the factors that influence patients' intentions to use auriculotherapy and better interact with them. Further research that addresses these modifiable factors and develops relevant interventions may aid in meeting the growing use of auriculotherapy by patients.

trial registrationThis study was registered with PROSPERO in Dec 2023 (Registration number: CRD42023488856).

Indexed as

AuriculotherapyHealth Knowledge, Attitudes, PracticePatient Acceptance of Health CarePatient ComplianceHumansQualitative ResearchAuriculotherapyBarrierFacilitatorFactorsPatientsQualitative researchSystematic review

Identifiers

PMID39987065
PMCPMC11847334

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.