Evidence map›Paper›PMID 37207810›Full record

ArticleContemporary clinical trials2023

Self-administered acupressure for veterans with chronic back pain: Study design and methodology of a type 1 hybrid effectiveness implementation randomized controlled trial.

Susan L Murphy, Suzanna M Zick, Richard E Harris, Shawna N Smith, Ananda Sen, Neil B Alexander, Jennifer Caldararo, Pia Roman, Elizabeth Firsht, Patrick Belancourt and 4 more

Registry-linked trialOpen access · greenAbstract readClinical Trial Protocol
PubMed Full text at PMC Publisher
In one paragraph

Article in Contemporary clinical trials, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05423145 (Self-Administered Acupressure for Veterans With Chronic Back Pain), which is not on this map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact, top 91% 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.

NCT05423145 nacompletednot on this map

Self-Administered Acupressure for Veterans With Chronic Back Pain: A Multisite Evaluation of Effectiveness and Implementation

TypeinterventionalSponsorVA Office of Research and DevelopmentRan2022 to 2026Enrolled297ConditionsLow Back PainArmsself-administered acupressure
3 · Its place in the literature

Who cites it

0 citing papers in PubMed, 0 citations in OpenAlex.

No citing paper in PubMed yet.

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

14 authors at 3 institutions in 1 country.

Susan L MurphyDepartment of Physical Medicine and Rehabilitation, University of Michigan, Ann Arbor, MI, USA; Department of Internal Medicine, Division of Rheumatology, University of Michigan, Ann Arbor, MI, USA.
Suzanna M ZickDepartment of Family Medicine, University of Michigan, Ann Arbor, MI, USA; Department of Nutritional Sciences, School of Public Health, University of Michigan, Ann Arbor, MI, ISA, USA. Electronic address: szick@umich.edu.
Richard E HarrisDepartment of Anesthesiology, University of Michigan, Ann Arbor, MI, USA; Susan Samueli Integrative Health Institute, School of Medicine, University of California at Irvine, Irvine, CA, USA. Electronic address: richareh@hs.uci.edu.
Shawna N SmithDepartment of Health Management and Policy, School of Public Health, University of Michigan, Ann Arbor, MI, USA. Electronic address: shawnana@med.umich.edu.
Ananda SenDepartment of Family Medicine, University of Michigan, Ann Arbor, MI, USA. Electronic address: anandas@med.umich.edu.
Neil B AlexanderDepartment of Internal Medicine, Division of Geriatric Medicine, University of Michigan, Ann Arbor, MI, USA; VA Ann Arbor Healthcare System, Geriatric Research Education Clinical Center, Ann Arbor, MI, USA. Electronic address: nalexand@med.umich.edu.
Jennifer CaldararoVA Ann Arbor Healthcare System, Center for Clinical Management Research, Ann Arbor, MI, USA. Electronic address: Jennifer.caldararo@va.gov.
Pia RomanVA Ann Arbor Healthcare System, Center for Clinical Management Research, Ann Arbor, MI, USA. Electronic address: patti.roman@va.gov.
Elizabeth FirshtVA Ann Arbor Healthcare System, Center for Clinical Management Research, Ann Arbor, MI, USA. Electronic address: elizabeth.firsht@va.gov.
Patrick BelancourtVA Ann Arbor Healthcare System, Center for Clinical Management Research, Ann Arbor, MI, USA. Electronic address: patrick.belancourt@va.gov.
Rachael MaciaszVA Ann Arbor Healthcare System, Department of Ambulatory Care, Ann Arbor, MI, USA; Department of Internal Medicine, Division of General Medicine, University of Michigan, Ann Arbor, MI, USA. Electronic address: Rachael.Maciasz@va.gov.
Juliette PerzhinskyVA Ann Arbor Healthcare System, Department of Ambulatory Care, Ann Arbor, MI, USA. Electronic address: Juliette.Perzhinsky@va.gov.
Allison MitchinsonVA Ann Arbor Healthcare System, Center for Clinical Management Research, Ann Arbor, MI, USA. Electronic address: allison.mitchinson@va.gov.
Sarah L KreinVA Ann Arbor Healthcare System, Center for Clinical Management Research, Ann Arbor, MI, USA; Department of Internal Medicine, Division of General Medicine, University of Michigan, Ann Arbor, MI, USA. Electronic address: skrein@med.umich.edu.
University of Michigan · USVA Ann Arbor Healthcare System · USUniversity of California, Irvine · US

Funding

Research Career Scientist AwardIK6HX003399 · VA · VETERANS HEALTH ADMINISTRATION · PI KREIN, SARAH · 2023 to 2025
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HSRD VA I01 HX003302HSRD VA IK6 HX003399HSRD VA RCS 11-222
6 · The paper itself

Abstract

backgroundChronic low back pain is prevalent and disabling in Veterans, but effective pain management is challenging. Clinical practice guidelines emphasize multimodal pain management including evidence-based complementary and integrative health treatments such as acupressure as a first line of care. Unfortunately, the ability to replicate interventions, cost, resources, and limited access are implementation barriers. Self-administered acupressure has shown positive effects on pain and can be practiced anywhere with little to no side effects. METHODS/

designThe aims of this Type 1 hybrid effectiveness implementation randomized controlled trial are 1) to determine effectiveness of a self-administered acupressure protocol at improving pain interference and secondary outcomes of fatigue, sleep quality, and disability in 300 Veterans with chronic low back pain, and 2) evaluate implementation barriers and facilitators to scale-up acupressure utilization within Veterans Health Administration (VHA). Participants randomized to the intervention will receive instruction on acupressure application using an app that facilitates daily practice for 6 weeks. During weeks 6 through 10, participants will discontinue acupressure to determine sustainability of effects. Participants randomized to waitlist control will continue their usual care for pain management and receive study materials at the end of the study period. Outcomes will be collected at baseline and at 6- and 10-weeks post baseline. The primary outcome is pain interference, measured by the PROMIS pain interference scale. Using established frameworks and a mixed methods approach, we will evaluate intervention implementation. DISCUSSION: If acupressure is effective, we will tailor strategies to support implementation in the VHA based on study findings. TRIAL REGISTRATION NUMBER: NCT05423145.

Indexed as

AcupressureChronic PainLow Back PainVeteransHumansPain ManagementRandomized Controlled Trials as TopicResearch DesignAcupressureChronic musculoskeletal painComplementary and integrative healthVeterans

Identifiers

PMID37207810
PMCPMC11017920
OpenAlexW4377030117

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Registered trials

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.