File Download

There are no files associated with this item.

  Links for fulltext
     (May Require Subscription)

Article: Self-Administered Acupressure for Caregivers of Older Family Members: A Randomized Controlled Trial

TitleSelf-Administered Acupressure for Caregivers of Older Family Members: A Randomized Controlled Trial
Authors
Keywordscomplementary and alternative medicine
family caregivers
geriatrics
self‐administered acupressure
stress
Issue Date2020
PublisherWiley-Blackwell Publishing, Inc. The Journal's web site is located at http://onlinelibrary.wiley.com/journal/10.1111/%28ISSN%291532-5415
Citation
Journal of the American Geriatrics Society, 2020, v. 68 n. 6, p. 1193-1201 How to Cite?
AbstractOBJECTIVE To test whether self‐administered acupressure reduces stress and stress‐related symptoms in caregivers of older family members. DESIGN In this randomized, assessor‐blind, controlled trial, 207 participants were randomized (1:1) to an acupressure intervention or a wait‐list control group. SETTING Community centers in Hong Kong, China. PARTICIPANTS Primary caregivers of an older family member who screened positive for caregiver stress with symptoms of fatigue, insomnia, or depression. INTERVENTION The 8‐week intervention comprised four training sessions on self‐administered acupressure, two follow‐up sessions for learning reinforcement, and daily self‐practice of self‐administered acupressure. MEASUREMENTS The primary outcome was caregiver stress (Caregiver Burden Inventory). Secondary outcomes included fatigue (Piper Fatigue Scale), insomnia (Pittsburgh Sleep Quality Index), depression (Patient Health Questionnaire), and health‐related quality of life (QoL) (12‐item Short‐Form Health Survey version 2). An intention‐to‐treat analysis was adopted. RESULTS Of 207 participants, 201 completed the study. Caregiver stress in the intervention group was significantly lower than that in the control group after 8 weeks (difference = −8.12; 95% confidence interval [CI] = −13.20 to −3.04; P = .002) and at 12‐week follow‐up (difference = −8.52; 95% CI = −13.91 to −3.12; P = .002). The intervention group, relative to the control group, also had significantly improved secondary outcomes of fatigue (difference = −0.84; 95% CI = −1.59 to −0.08; P = .031), insomnia (difference = −1.34; 95% CI = −2.40 to −0.27; P = .014), depression (difference = −1.76; 95% CI = −3.30 to −0.23; P = .025), and physical health‐related QoL (difference = 3.08; 95% CI = 0.28‐5.88; P = .032) after 8 weeks. CONCLUSION Self‐administered acupressure intervention significantly relieves self‐reported caregiver stress and co‐occurring symptoms in those caring for older family members. Further studies are needed to measure the symptoms objectively and to examine the clinical importance of the observed improvement in caregiver stress. J Am Geriatr Soc 68:1193–1201, 2020.
Persistent Identifierhttp://hdl.handle.net/10722/287166
ISSN
2020 Impact Factor: 5.562
2020 SCImago Journal Rankings: 1.992
ISI Accession Number ID

 

DC FieldValueLanguage
dc.contributor.authorCheung, DST-
dc.contributor.authorTiwari, A-
dc.contributor.authorYeung, WF-
dc.contributor.authorYu, DSF-
dc.contributor.authorSo, MKP-
dc.contributor.authorChau, PH-
dc.contributor.authorWang, XM-
dc.contributor.authorLum, TYS-
dc.contributor.authorYuk Fung, HYK-
dc.contributor.authorNg, BYM-
dc.contributor.authorZhang, ZJ-
dc.contributor.authorLao, L-
dc.date.accessioned2020-09-22T02:56:47Z-
dc.date.available2020-09-22T02:56:47Z-
dc.date.issued2020-
dc.identifier.citationJournal of the American Geriatrics Society, 2020, v. 68 n. 6, p. 1193-1201-
dc.identifier.issn0002-8614-
dc.identifier.urihttp://hdl.handle.net/10722/287166-
dc.description.abstractOBJECTIVE To test whether self‐administered acupressure reduces stress and stress‐related symptoms in caregivers of older family members. DESIGN In this randomized, assessor‐blind, controlled trial, 207 participants were randomized (1:1) to an acupressure intervention or a wait‐list control group. SETTING Community centers in Hong Kong, China. PARTICIPANTS Primary caregivers of an older family member who screened positive for caregiver stress with symptoms of fatigue, insomnia, or depression. INTERVENTION The 8‐week intervention comprised four training sessions on self‐administered acupressure, two follow‐up sessions for learning reinforcement, and daily self‐practice of self‐administered acupressure. MEASUREMENTS The primary outcome was caregiver stress (Caregiver Burden Inventory). Secondary outcomes included fatigue (Piper Fatigue Scale), insomnia (Pittsburgh Sleep Quality Index), depression (Patient Health Questionnaire), and health‐related quality of life (QoL) (12‐item Short‐Form Health Survey version 2). An intention‐to‐treat analysis was adopted. RESULTS Of 207 participants, 201 completed the study. Caregiver stress in the intervention group was significantly lower than that in the control group after 8 weeks (difference = −8.12; 95% confidence interval [CI] = −13.20 to −3.04; P = .002) and at 12‐week follow‐up (difference = −8.52; 95% CI = −13.91 to −3.12; P = .002). The intervention group, relative to the control group, also had significantly improved secondary outcomes of fatigue (difference = −0.84; 95% CI = −1.59 to −0.08; P = .031), insomnia (difference = −1.34; 95% CI = −2.40 to −0.27; P = .014), depression (difference = −1.76; 95% CI = −3.30 to −0.23; P = .025), and physical health‐related QoL (difference = 3.08; 95% CI = 0.28‐5.88; P = .032) after 8 weeks. CONCLUSION Self‐administered acupressure intervention significantly relieves self‐reported caregiver stress and co‐occurring symptoms in those caring for older family members. Further studies are needed to measure the symptoms objectively and to examine the clinical importance of the observed improvement in caregiver stress. J Am Geriatr Soc 68:1193–1201, 2020.-
dc.languageeng-
dc.publisherWiley-Blackwell Publishing, Inc. The Journal's web site is located at http://onlinelibrary.wiley.com/journal/10.1111/%28ISSN%291532-5415-
dc.relation.ispartofJournal of the American Geriatrics Society-
dc.rightsPreprint This is the pre-peer reviewed version of the following article: [FULL CITE], which has been published in final form at [Link to final article using the DOI]. This article may be used for non-commercial purposes in accordance with Wiley Terms and Conditions for Use of Self-Archived Versions. Postprint This is the peer reviewed version of the following article: [FULL CITE], which has been published in final form at [Link to final article using the DOI]. This article may be used for non-commercial purposes in accordance with Wiley Terms and Conditions for Use of Self-Archived Versions.-
dc.subjectcomplementary and alternative medicine-
dc.subjectfamily caregivers-
dc.subjectgeriatrics-
dc.subjectself‐administered acupressure-
dc.subjectstress-
dc.titleSelf-Administered Acupressure for Caregivers of Older Family Members: A Randomized Controlled Trial-
dc.typeArticle-
dc.identifier.emailCheung, DST: denisest@hku.hk-
dc.identifier.emailTiwari, A: tiwari@hku.hk-
dc.identifier.emailYu, DSF: dyu1@hku.hk-
dc.identifier.emailChau, PH: phpchau@hku.hk-
dc.identifier.emailLum, TYS: tlum@hku.hk-
dc.identifier.emailZhang, ZJ: zhangzj@hkucc.hku.hk-
dc.identifier.emailLao, L: lxlao1@hku.hk-
dc.identifier.authorityCheung, DST=rp02526-
dc.identifier.authorityTiwari, A=rp00441-
dc.identifier.authorityYu, DSF=rp02647-
dc.identifier.authorityChau, PH=rp00574-
dc.identifier.authorityLum, TYS=rp01513-
dc.identifier.authorityZhang, ZJ=rp01297-
dc.identifier.authorityLao, L=rp01784-
dc.description.naturelink_to_subscribed_fulltext-
dc.identifier.doi10.1111/jgs.16357-
dc.identifier.pmid32096884-
dc.identifier.scopuseid_2-s2.0-85086417190-
dc.identifier.hkuros314288-
dc.identifier.volume68-
dc.identifier.issue6-
dc.identifier.spage1193-
dc.identifier.epage1201-
dc.identifier.isiWOS:000515453400001-
dc.publisher.placeUnited States-
dc.identifier.issnl0002-8614-

Export via OAI-PMH Interface in XML Formats


OR


Export to Other Non-XML Formats