Evidence map›Paper›PMID 34104574›Full record

ArticleGlobal advances in health and medicine2021

Acupuncture Intervention Protocol: Consensus Process for a Pragmatic Randomized Controlled Trial of Acupuncture for Management of Chronic Low Back Pain in Older Adults: An NIH HEAL Initiative Funded Project.

Arya Nielsen, Laura Ocker, Iman Majd, Jeff A Draisin, Katherine Taromina, Marjorie T Maggenti, Jaimie Long, Mark Nolting, Karen J Sherman

Open access · goldAbstract read
In one paragraph

Article in Global advances in health and medicine, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed
3.3field-weighted citation impact, top 9% 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

14 citing papers in PubMed, 18 citations in OpenAlex.

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  9. Acupuncture intervention for acute pain in the Emergency Department trial: a consensus process.Acupuncture in medicine : journal of the British Medical Acupuncture Society · 2022
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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

9 authors at 6 institutions in 1 country.

Arya NielsenDepartment of Family Medicine & Community Health, Icahn School of Medicine at Mount Sinai, New York, New York.ORCID https://orcid.org/0000-0003-3370-9123
Laura OckerMultnomah County, Integrated Clinical Services, Portland, Oregon.
Iman MajdDepartment of Family Medicine, University of Washington, Seattle, Washington.
Jeff A DraisinInstitute for Health and Healing, San Francisco, California.
Katherine TarominaSeattle Institute of East Asian Medicine, Seattle, Washington.
Marjorie T MaggentiThe Permanente Medical Group, Oakland, California.
Jaimie LongPrivate Practice, Oakland, California.
Mark NoltingTivity Health, Edmonds, Washington.
Karen J ShermanKaiser Permanente Washington Health Research Institute; Department of Epidemiology, University of Washington, Seattle, Washington.
Colorado Permanente Medical Group · USIcahn School of Medicine at Mount Sinai · USKaiser Permanente Washington Health Research Institute · USMultnomah County Health Department · USSeattle Institute of Oriental Medicine · USUniversity of Washington · US

Funding

NIH Health Care Systems Research Collaboratory-Coordinating Center (U24)U24AT009676 · NCCIH · DUKE UNIVERSITY · PI LESLEY H CURTIS, Adrian Hernandez · 2017 to 2026
$21.5M
Pragmatic Trial of Acupuncture for Chronic Low Back Pain in Older AdultsUH3AT010739 · NCCIH · KAISER FOUNDATION RESEARCH INSTITUTE · PI COOK, ANDREA JEAN, DEBAR, LYNN L. · 2020 to 2022
$9.1M
HEAL Collaboratory Resource Coordinating Center (PRISM) (U24): Bioethics SupplementU24AT010961 · NCCIH · DUKE UNIVERSITY · PI CURTIS, LESLEY H, HERNANDEZ, ADRIAN · 2019 to 2021
$6.4M
Pragmatic Trial of Acupuncture for Chronic Low Back Pain in Older AdultsUG3AT010739 · NCCIH · KAISER FOUNDATION RESEARCH INSTITUTE · PI DEBAR, LYNN L., SHERMAN, KAREN J · 2019 to 2019
$1.2M
NCCIH NIH HHS U24 AT009676NCCIH NIH HHS U24 AT010961NCCIH NIH HHS UG3 AT010739NCCIH NIH HHS UH3 AT010739
6 · The paper itself

Abstract

objectiveThe aim of this article is to describe the consensus process used to develop an acupuncture intervention protocol for an NIH-funded pragmatic randomized controlled trial (PRCT) of acupuncture for the management of chronic low back (cLBP) in older adults (BackInAction).

backgroundCLBP is among leading causes of disability worldwide: almost 33% of US adults 65 and older experience LBP. Acupuncture is effective for cLBP but there is no specific data on older adults. The National Institutes for Health (NIH) funded a PRCT of acupuncture needling for this population. An essential trial milestone was development of a consensus intervention protocol.

methodsAn Acupuncture Advisory Panel (AAP) was formed with nine members: two physician-acupuncturists, six licensed acupuncturists representing diverse work backgrounds, and an acupuncture researcher. We used a modified Delphi process that included provision of acupuncture trial data, survey data describing how each expert treats cLBP, three conference calls, and between-call email discussion.

resultsLively and professional discussions led to a consensus intervention protocol for the BackInAction trial that included steps/staging of care, recommendations for parameters of care session length, number of needle insertion sites, insertion depths, needle retention times, recommended types of needles, both local and distal areas of the body to be treated, acupuncture point options, auricular point options, self-care options, and minimum number of sessions considered ideal.

conclusionUsing a modified Delphi process, an expert AAP created a consensus intervention protocol for the PRCT of acupuncture needling for cLBP in patients 65 and older.

Indexed as

acupuncture needlingchronic low back painolder adultstreatment protocol

Identifiers

PMID34104574
PMCPMC8161858
OpenAlexW3164642808

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.