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Knowledge, Attitudes, and Practices Toward Acupuncture Among Patients with Knee Pain: A Cross-Sectional Study
Xing Wan1, Shilong Song1, Yun Chen1
1Jiangsu Province Hospital of Chinese Medicine, Affiliated Hospital of Nanjing University of Chinese Medicine, Nanjing, Jiangsu, People's Republic of China.
Patient Preference and Adherence
|March 2, 2026
Summary
Patients with knee pain have limited knowledge and low practice of acupuncture, despite moderately positive attitudes. Improving patient education is key to increasing acupuncture use for knee pain management.
Area of Science:
- Integrative Medicine
- Pain Management
- Traditional Chinese Medicine
Background:
- Knee pain is a common condition impacting quality of life.
- Acupuncture is a potential therapeutic option for knee pain management.
- Understanding patient perspectives on acupuncture is crucial for its effective implementation.
Purpose of the Study:
- To assess the knowledge, attitudes, and practices (KAP) of acupuncture among individuals with knee pain.
- To identify factors influencing acupuncture utilization for knee pain.
Main Methods:
- A cross-sectional survey was conducted with 337 patients experiencing knee pain.
- Data collected using a structured questionnaire on demographics and KAP regarding acupuncture.
- Structural Equation Modeling (SEM) was employed to analyze relationships between KAP components.
Main Results:
- Patients demonstrated limited knowledge (5.87/12), moderately positive attitudes (34.49/50), and low practice scores (16.75/65) for acupuncture.
- SEM revealed that knowledge directly influenced attitude (β=0.634) and practice (β=0.255).
- Attitude directly influenced practice (β=0.520), and knowledge indirectly affected practice via attitude (β=0.330).
Conclusions:
- Patients with knee pain exhibit insufficient knowledge and low engagement with acupuncture, though attitudes are generally favorable.
- Knowledge is a significant predictor of both attitudes and practices related to acupuncture.
- Targeted educational interventions are recommended to enhance patient understanding and promote acupuncture use for knee pain relief in China.

