Evidence map›Paper›PMID 20530096›Full record

Trial reportAcupuncture in medicine : journal of the British Medical Acupuncture Society2010

Double blinding with a new placebo needle: a further validation study.

Nobuari Takakura, Miho Takayama, Akiko Kawase, Ted J Kaptchuk, Hiroyoshi Yajima

Abstract readRandomized Controlled TrialValidation Study
In one paragraph

Trial report in Acupuncture in medicine : journal of the British Medical Acupuncture Society, 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed, 2 pooled it
9.8field-weighted citation impact, top 3% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

15 citing papers in PubMed, 2 syntheses or guidelines pooled it, 38 citations in OpenAlex.

  1. A systematic review of sham acupuncture validation studies.BMC complementary medicine and therapies · 2024
    Pooled it
  2. Pooled it
  3. Trial
  4. Trial
  5. Trial
  6. Trial
  7. Trial
  8. Article
  9. Review
  10. Article
  11. Is Skin-Touch Sham Needle Not Placebo? A Double-Blind Crossover Study on Pain Alleviation.Evidence-based complementary and alternative medicine : eCAM · 2015
    Article
  12. Article
  13. Does prior acupuncture exposure affect perception of blinded real or sham acupuncture?Acupuncture in medicine : journal of the British Medical Acupuncture Society · 2014
    Article
  14. Placebo acupuncture devices: considerations for acupuncture research.Evidence-based complementary and alternative medicine : eCAM · 2013
    Article
  15. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 3 institutions in 2 countries.

Nobuari TakakuraDepartment of Acupuncture and Moxibustion, Faculty of Health Sciences, Tokyo Ariake University of Medical and Health Sciences, 2-9-1 Ariake, Koto-ku, Tokyo 135-0063, Japan. takakura@t-ariake.ac.jp
Miho Takayama
Akiko Kawase
Ted J Kaptchuk
Hiroyoshi Yajima
Tokyo Ariake University of Medical and Health Sciences · JPHarvard University · USShowa University · JP

Funding

Mentoring and Research in Placebo Studies, Asian Medicine, and CAMK24AT004095 · NCCIH · HARVARD MEDICAL SCHOOL · PI KAPTCHUK, TED · 2007 to 2016
$1.4M
NCCIH NIH HHS K24 AT004095
6 · The paper itself

Abstract

backgroundThe masking properties of a new, non-penetrating, double-blind placebo acupuncture needle were demonstrated. Practitioners correctly identified some of the needles; if they were confident in this opinion, they would be unblinded.

objectiveTo investigate the clues that led to correct identification, and the confidence in this decision.

methodsTen acupuncture practitioners, blindly and randomly, applied 10 each of three types of needle to the shoulder: blunt, non-penetrating needles that pressed the skin ('skin-touch placebo needle'); new non-penetrating needles that penetrated soft material (stuffing) but did not reach the skin ('non-touch control needle'); matching penetrating needles. Afterwards, practitioners were asked to judge the type of needle, their confidence in their decision and what clues led them to their judgements.

resultsOf the 30 judgements made by each practitioner, the mean number of correct, incorrect and unidentifiable answers were 10.4 (SD 3.7), 15.2 (SD 4.9) and 4.4 (SD 6.1), respectively. There was no significant difference in the confidence scores for 104 correct (mean, 54.0 (SD 20.2)%) and 152 incorrect (mean, 50.3 (SD 24.3)%) judgements. Twelve needles were identified with 100% confidence-three correct, and nine incorrect. For needles correctly identified, the proportions of non-touch (p = 0.14) and skin-touch (p = 0.17), needles were no greater than chance, but the proportion of penetrating needles correctly identified exceeded chance (p < 0.01). 53% of judgements were made from the "feeling of needle insertion", but 57% of these were wrong.

conclusionPractitioners had a slight tendency to guess the penetrating needles correctly, but were uncertain about most of their judgments, posing only a very small risk to double blinding.

Indexed as

Clinical CompetenceDouble-Blind MethodNeedlesPlacebosAcupuncture TherapyAdultFemaleHumansMaleMiddle AgedReference ValuesReproducibility of ResultsResearch DesignSurveys and QuestionnairesPlacebos

Identifiers

PMID20530096
PMCPMC2933308
OpenAlexW2171917948

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.