Utilization, user evaluation, and associated factors of Traditional Chinese Medicine techniques for insomnia symptoms among Chinese community-dwelling older adults: a cross-sectional study

This study provides preliminary evidence on the real-world use of TCM techniques for insomnia symptoms among community- dwelling older adults. More than half of participants reported using at least one TCM technique, yet only a minority rated the TCM services as "very satisfied" or "highly effective." Pre-retirement occupation, awareness of TCM techniques, having relatives or friends working in TCM-related industries, and insomnia severity were associated with TCM technique use. These findings may inform the design of culturally sensitive interventions to manage insomnia symptoms among community-dwelling older adults in similar contexts. Future research should further examine implementation quality and ways to improve both utilization and user satisfaction.