Published online Nov 19, 2025. doi: 10.5498/wjp.v15.i11.108630
Revised: June 27, 2025
Accepted: October 9, 2025
Published online: November 19, 2025
Processing time: 199 Days and 1.6 Hours
Core Tip: This medical-sociological interdisciplinary study examines factors influencing insomnia patients’ decisions to engage in acupuncture, utilizing the capability, opportunity, motivation - behavior model and theoretical domain framework. Key facilitators of patients’ pursuit of acupuncture include cultural beliefs, concerns about dependence on hypnotic medications, and encouragement from trusted opinion leaders, whereas barriers include limited knowledge, accessibility challenges, and needle phobia. The findings underscore the multifaceted nature of this decision, which is shaped by treatment efficacy, cultural context, economic factors, and communication dynamics. Recommendations for clinicians and policymakers include enhancing patient education, improving treatment accessibility through public health measures, fostering effective physician-patient communication, and addressing needle phobia through cognitive interventions to optimize treatment adherence and outcomes.
