Integrating Auricular Point Acupressure Into Real-world Nursing Practice to Manage Cancer-related Pain

NCT04040140 | Terminated

• 1 other identifier: IRB00183805
• Study Type: interventional
• Target: 31
• Locations: 1 country
• Sites: 1

Brief Summary

The aims of this proposal are to (1) examine the feasibility of providing a training course of Auricular Point Acupressure (APA) for clinical oncology nurses who can integrate APA into real-world nursing care settings and (2) examine the effectiveness of APA on cancer-related pain (CRP) under the usual conditions.

Conditions

Cancer-related Pain; Acupressure

Keywords

Auricular Point Acupressure; Cancer-related Pain; Acupressure; Nursing education

Outcome Measures

Primary Outcomes (3)

• Change in Pain Intensity as assessed by the Brief Pain Inventory (BPI) short form

  Pain intensity in the last 24 hours (1) at its worst and (2) on average will both be measured on a scale of 0 (no pain) to 10 (pain as bad as you can imagine).

  Baseline (pre-treatment), APA Intervention (one session, 1 day), Follow-up (3 consecutive days after treatment, starting the first day treatment is given).

• Change in Pain Interference as assessed by the Brief Pain Inventory (BPI) short form

  Pain interference with general activity, mood, walking ability, normal work, relationships with other people, sleep and enjoyment of life will be measured on a scale of 0 (does not interfere) to 10 (completely interferes).

  Baseline (pre-treatment), APA Intervention (one session, 1 day), Follow-up (3 consecutive days after treatment, starting the first day treatment is given).

• Change in Dose of Analgesic Use

  Dose of analgesic use will be collected in electronic health record (EHR) as part of routine nursing assessments for patient care.

  Baseline (pre-treatment), APA Intervention (one session, 1 day), Follow-up (3 consecutive days after treatment, starting the first day treatment is given).

Secondary Outcomes (2)

• Change in Fatigue as assessed by a 0 to 10 scale

  Baseline (pre-treatment), APA Intervention (one session, 1 day), Follow-up (3 consecutive days after treatment, starting the first day treatment is given).

• Change in Quality of Sleep as assessed by a 0 to 10 scale

  Baseline (pre-treatment), APA Intervention (one session, 1 day), Follow-up (3 consecutive days after treatment, starting the first day treatment is given).

Study Arms (1)

APA Treatment

EXPERIMENTAL

Oncology patients with a pain rating of four or greater will receive APA treatment for patients' cancer-related pain. The ear points will be determined by the corresponding body points related to the patient's specific pain. Pain data will be tracked by electronic surveys and Electronic Health Records.

Other: APA Treatment

Interventions

APA Treatment OTHER

Light touch using vaccaria seeds on corresponding ear points related to patient's pain.

APA Treatment

Eligibility Criteria

• Age: 18 Years+
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• Cancer patients with worst pain rated as 4 or more on a 0-10 numeric rating scale in the last 24 hours, which will use the EPIC pain scale
• Able to read and write English
• Able to apply pressure to the seeds taped to the ears. Patients with any cancer type will be eligible for this study so long as the patients are experiencing cancer-related pain
• Owns a smartphone

You may not qualify if:

• Is delirious
• Has ear skin disease
• Non-English speaker
• Has latex allergy to the tape used for this study
• Women who are pregnant

Sponsors & Collaborators

• Johns Hopkins University: lead

Study Sites (1)

Sidney Kimmel Comprehensive Cancer Center at Johns Hopkins

Baltimore, Maryland, 21231, United States

Location

Related Publications (1)

• Van de Castle B, Lukkahatai N, Billing BL, Huang X, Wu H, Zhang J, Abdi S, Kameoka J, Smith TJ. Nurse-Administered Auricular Point Acupressure for Cancer-Related Pain. Integr Cancer Ther. 2023 Jan-Dec;22:15347354231198086. doi: 10.1177/15347354231198086.

  PMID: 37706457 DERIVED

MeSH Terms

Conditions

Cancer Pain

Condition Hierarchy (Ancestors)

Pain; Neurologic Manifestations; Signs and Symptoms; Pathological Conditions, Signs and Symptoms

Study Officials

• Chao Hsing Yeh, PhD

  Johns Hopkins University

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: NA
• Masking: NONE
• Purpose: TREATMENT
• Intervention Model: SINGLE GROUP
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: July 30, 2019
• First Posted: July 31, 2019
• Study Start: October 8, 2019
• Primary Completion: January 30, 2021
• Study Completion: January 30, 2021
• Last Updated: August 13, 2021

Record last verified: 2021-08

Locations

US (1)