title: Reasons for continuing use of Complementary and Alternative Medicine (CAM) in students: a consumer commitment model.
abstract: BACKGROUND
  Research on continued CAM use has been largely atheoretical and has not considered the broader range of psychological and behavioral factors that may be involved. The purpose of this study was to test a new conceptual model of commitment to CAM use that implicates utilitarian (trust in CAM) and symbolic (perceived fit with CAM) in psychological and behavioral dimensions of CAM commitment.
  
  
  METHODS
  A student sample of CAM consumers, (N = 159) completed a survey about their CAM use, CAM-related values, intentions for future CAM use, CAM word-of-mouth behavior, and perceptions of being an ongoing CAM consumer.
  
  
  RESULTS
  Analysis revealed that the utilitarian, symbolic, and CAM commitment variables were significantly related, with r's ranging from .54 to .73. A series hierarchical regression analyses controlling for relevant demographic variables found that the utilitarian and symbolic values uniquely accounted for significant and substantial proportion of the variance in each of the three CAM commitment indicators (R(2) from .37 to .57).
  
  
  CONCLUSIONS
  The findings provide preliminary support for the new model that posits that CAM commitment is a multi-dimensional psychological state with behavioral indicators. Further research with large-scale samples and longitudinal designs is warranted to understand the potential value of the new model.
authors.affiliation: Department of Psychology, University of Sheffield, Sheffield, UK.|Department of Psychology, University of Windsor, Windsor, Canada.
authors.forename: Fuschia M
authors.initials: FM
authors.lastname: Sirois
authors.affiliation: National Research Center in Complementary and Alternative Medicine, Department of Community Medicine, UiT the Arctic University of Norway, Tromsø, Norway.
authors.forename: Anita
authors.initials: A
authors.lastname: Salamonsen
authors.affiliation: National Research Center in Complementary and Alternative Medicine, Department of Community Medicine, UiT the Arctic University of Norway, Tromsø, Norway. agnete.kristoffersen@uit.no.
authors.forename: Agnete E
authors.initials: AE
authors.lastname: Kristoffersen
mesh_terms: D000293:Adolescent; D000328:Adult; D001294:Attitude to Health; D000529:Complementary Therapies / Q000523:psychology / Q000706:statistics & numerical data*; D005260:Female; D006801:Humans; D008297:Male; D008954:Models, Biological; D009042:Motivation; D010342:Patient Acceptance of Health Care / Q000523:psychology*; D010465:Perception; D013334:Students / Q000523:psychology*; D011795:Surveys and Questionnaires; D035502:Trust; D055815:Young Adult