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Article: Self-administered acupressure for symptom management among Chinese family caregivers with caregiver stress: a randomized, wait-list controlled trial

TitleSelf-administered acupressure for symptom management among Chinese family caregivers with caregiver stress: a randomized, wait-list controlled trial
Authors
KeywordsAcupressure
Self-administered acupressure
Family caregivers
Caregiver stress
Fatigue
Insomnia
Depression
Health-related quality of life
Intervention
Chinese
Randomized controlled trial (RCT)
Issue Date2016
PublisherBioMed Central Ltd. The Journal's web site is located at http://www.biomedcentral.com/bmccomplementalternmed/
Citation
BMC Complementary and Alternative Medicine, 2016, v. 16, article no. 424, p. 1-12 How to Cite?
AbstractBackground: Caregiving can be stressful, potentially creating physical and psychological strain. Substantial evidence has shown that family caregivers suffer from significant health problems arising from the demands of caregiving. Although there are programs supporting caregivers, there is little evidence regarding their effectiveness. Acupressure is an ancient Chinese healing method designed to restore the flow of Qi (vital energy) by applying external pressure to acupoints. A randomized, wait-list controlled trial was developed to evaluate the effectiveness of a self-administered acupressure intervention on caregiver stress (primary objective) and stress-related symptoms of fatigue, insomnia, depression, and health-related quality of life (secondary objectives) in Chinese caregivers of older family members. Methods: Two hundred Chinese participants, aged ≥ 21 years, who are the primary caregivers of an older family member and screen positive for caregiver stress and symptoms of fatigue/insomnia/depression will be recruited from a community setting in Hong Kong. Subjects will be randomized to receive either an immediate treatment condition (self-administered acupressure intervention) or a wait-list control condition. The self-administered acupressure intervention will include (i) an individual learning and practice session twice a week for 2 weeks, (ii) a home follow-up visit once a week for 2 weeks, and (iii) 15-min self-practice twice a day for 6 weeks. The wait-list control group will receive the same acupressure training after the intervention group has completed the intervention. We hypothesize that Chinese family caregivers in the intervention group will have lower levels of caregiver stress, fatigue, insomnia, depression, and higher health-related quality of life after completion of the intervention than participants in the wait-list control group. Discussion: This study will provide evidence for the effectiveness of self-administered acupressure in reducing stress and improving symptoms of fatigue, insomnia, depression, and health-related quality of life in Chinese family caregivers. The findings will inform the design of interventions to relieve negative health effects of caregiving. Furthermore, the results can raise community awareness and serve as a basis for policymaking, planning, and allocation of resources regarding empowerment of family caregivers for self-care. Trial registration: Current Controlled Trials NCT02526446. Registered August 10, 2015.
Persistent Identifierhttp://hdl.handle.net/10722/246550
ISSN
2018 Impact Factor: 2.479
2019 SCImago Journal Rankings: 0.741
PubMed Central ID
ISI Accession Number ID

 

DC FieldValueLanguage
dc.contributor.authorTiwari, A-
dc.contributor.authorLao, L-
dc.contributor.authorWang, AXM-
dc.contributor.authorCheung, DST-
dc.contributor.authorSo, MKP-
dc.contributor.authorYu, DSF-
dc.contributor.authorLum, TYS-
dc.contributor.authorYuk, FHYK-
dc.contributor.authorYeung, JWF-
dc.contributor.authorZhang, Z-
dc.date.accessioned2017-09-18T02:30:27Z-
dc.date.available2017-09-18T02:30:27Z-
dc.date.issued2016-
dc.identifier.citationBMC Complementary and Alternative Medicine, 2016, v. 16, article no. 424, p. 1-12-
dc.identifier.issn1472-6882-
dc.identifier.urihttp://hdl.handle.net/10722/246550-
dc.description.abstractBackground: Caregiving can be stressful, potentially creating physical and psychological strain. Substantial evidence has shown that family caregivers suffer from significant health problems arising from the demands of caregiving. Although there are programs supporting caregivers, there is little evidence regarding their effectiveness. Acupressure is an ancient Chinese healing method designed to restore the flow of Qi (vital energy) by applying external pressure to acupoints. A randomized, wait-list controlled trial was developed to evaluate the effectiveness of a self-administered acupressure intervention on caregiver stress (primary objective) and stress-related symptoms of fatigue, insomnia, depression, and health-related quality of life (secondary objectives) in Chinese caregivers of older family members. Methods: Two hundred Chinese participants, aged ≥ 21 years, who are the primary caregivers of an older family member and screen positive for caregiver stress and symptoms of fatigue/insomnia/depression will be recruited from a community setting in Hong Kong. Subjects will be randomized to receive either an immediate treatment condition (self-administered acupressure intervention) or a wait-list control condition. The self-administered acupressure intervention will include (i) an individual learning and practice session twice a week for 2 weeks, (ii) a home follow-up visit once a week for 2 weeks, and (iii) 15-min self-practice twice a day for 6 weeks. The wait-list control group will receive the same acupressure training after the intervention group has completed the intervention. We hypothesize that Chinese family caregivers in the intervention group will have lower levels of caregiver stress, fatigue, insomnia, depression, and higher health-related quality of life after completion of the intervention than participants in the wait-list control group. Discussion: This study will provide evidence for the effectiveness of self-administered acupressure in reducing stress and improving symptoms of fatigue, insomnia, depression, and health-related quality of life in Chinese family caregivers. The findings will inform the design of interventions to relieve negative health effects of caregiving. Furthermore, the results can raise community awareness and serve as a basis for policymaking, planning, and allocation of resources regarding empowerment of family caregivers for self-care. Trial registration: Current Controlled Trials NCT02526446. Registered August 10, 2015.-
dc.languageeng-
dc.publisherBioMed Central Ltd. The Journal's web site is located at http://www.biomedcentral.com/bmccomplementalternmed/-
dc.relation.ispartofBMC Complementary and Alternative Medicine-
dc.rightsThis work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.-
dc.subjectAcupressure-
dc.subjectSelf-administered acupressure-
dc.subjectFamily caregivers-
dc.subjectCaregiver stress-
dc.subjectFatigue-
dc.subjectInsomnia-
dc.subjectDepression-
dc.subjectHealth-related quality of life-
dc.subjectIntervention-
dc.subjectChinese-
dc.subjectRandomized controlled trial (RCT)-
dc.titleSelf-administered acupressure for symptom management among Chinese family caregivers with caregiver stress: a randomized, wait-list controlled trial-
dc.typeArticle-
dc.identifier.emailTiwari, AFY: tiwari@hku.hk-
dc.identifier.emailLao, L: lxlao1@hku.hk-
dc.identifier.emailWang, XMA: xmwang1@hku.hk-
dc.identifier.emailCheung, ST: denisest@hku.hk-
dc.identifier.emailLum, TYS: tlum@hku.hk-
dc.identifier.emailZhang, Z: zhangzj@hkucc.hku.hk-
dc.identifier.authorityTiwari, AFY=rp00441-
dc.identifier.authorityLao, L=rp01784-
dc.identifier.authorityLum, TYS=rp01513-
dc.identifier.authorityZhang, Z=rp01297-
dc.description.naturepublished_or_final_version-
dc.identifier.doi10.1186/s12906-016-1409-1-
dc.identifier.pmid27793197-
dc.identifier.pmcidPMC5084390-
dc.identifier.scopuseid_2-s2.0-84992524669-
dc.identifier.hkuros275649-
dc.identifier.volume16-
dc.identifier.issue1-
dc.identifier.spagearticle no. 424, p. 1-
dc.identifier.epagearticle no. 424, p. 12-
dc.identifier.isiWOS:000386523900001-
dc.publisher.placeUnited Kingdom-
dc.identifier.issnl1472-6882-

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