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Article: Patient‐centred, self‐administered acupressure for Chinese advanced cancer patients experiencing fatigue and co‐occurring symptoms: A pilot randomised controlled trial

TitlePatient‐centred, self‐administered acupressure for Chinese advanced cancer patients experiencing fatigue and co‐occurring symptoms: A pilot randomised controlled trial
Authors
Keywordsacupressure
advanced cancer
fatigue
insomnia
pain
Issue Date2020
PublisherWiley-Blackwell Publishing Ltd. The Journal's web site is located at https://onlinelibrary.wiley.com/journal/13652354
Citation
European Journal of Cancer Care, 2020, Epub 2020-09-07, p. article no. e13314 How to Cite?
AbstractObjectives: To evaluate the feasibility and potential effects of patient‐centred self‐administered acupressure for alleviating fatigue and co‐occurring symptoms among Chinese advanced cancer patients receiving treatment. Methods: Thirty advanced cancer patients who screened positive for moderate/severe fatigue with symptoms of insomnia and/or pain were recruited from a hospital in Hong Kong. They were randomly assigned (1:1) to receive a 4‐week patient‐centred self‐administered acupressure intervention or health education. Fatigue (primary outcome) and secondary outcomes (sleep quality, pain, fatigue–sleep disturbance–pain symptom cluster severity, anxiety, depression and quality of life) were measured by questionnaires and actigraphy. Results: Twenty‐four participants (80%) completed the study. Adherence to self‐administered acupressure practice was satisfactory, with all retained participants attending all sessions and 90.9% practising acupressure daily. All completers rated the class as very enjoyable or quite enjoyable. Fatigue, pain, symptom cluster severity, anxiety, depression and quality of life appeared to improve from baseline to post‐intervention in the intervention group. Among these outcomes, only the between‐group difference in anxiety post‐intervention was significant. The group × time interaction effect was nonsignificant for all outcomes. Conclusions: Patient‐centred self‐administered acupressure appears to be feasible and acceptable among advanced cancer patients. A fully powered trial is warranted to confirm the intervention effect.
Persistent Identifierhttp://hdl.handle.net/10722/290227
ISSN
2023 Impact Factor: 1.8
2023 SCImago Journal Rankings: 0.586
ISI Accession Number ID

 

DC FieldValueLanguage
dc.contributor.authorCheung, DST-
dc.contributor.authorYeung, WF-
dc.contributor.authorChau, PH-
dc.contributor.authorLam, TC-
dc.contributor.authorYang, M-
dc.contributor.authorLai, K-
dc.contributor.authorIp, CY-
dc.contributor.authorLao, L-
dc.contributor.authorLin, CC-
dc.date.accessioned2020-10-22T08:23:48Z-
dc.date.available2020-10-22T08:23:48Z-
dc.date.issued2020-
dc.identifier.citationEuropean Journal of Cancer Care, 2020, Epub 2020-09-07, p. article no. e13314-
dc.identifier.issn0961-5423-
dc.identifier.urihttp://hdl.handle.net/10722/290227-
dc.description.abstractObjectives: To evaluate the feasibility and potential effects of patient‐centred self‐administered acupressure for alleviating fatigue and co‐occurring symptoms among Chinese advanced cancer patients receiving treatment. Methods: Thirty advanced cancer patients who screened positive for moderate/severe fatigue with symptoms of insomnia and/or pain were recruited from a hospital in Hong Kong. They were randomly assigned (1:1) to receive a 4‐week patient‐centred self‐administered acupressure intervention or health education. Fatigue (primary outcome) and secondary outcomes (sleep quality, pain, fatigue–sleep disturbance–pain symptom cluster severity, anxiety, depression and quality of life) were measured by questionnaires and actigraphy. Results: Twenty‐four participants (80%) completed the study. Adherence to self‐administered acupressure practice was satisfactory, with all retained participants attending all sessions and 90.9% practising acupressure daily. All completers rated the class as very enjoyable or quite enjoyable. Fatigue, pain, symptom cluster severity, anxiety, depression and quality of life appeared to improve from baseline to post‐intervention in the intervention group. Among these outcomes, only the between‐group difference in anxiety post‐intervention was significant. The group × time interaction effect was nonsignificant for all outcomes. Conclusions: Patient‐centred self‐administered acupressure appears to be feasible and acceptable among advanced cancer patients. A fully powered trial is warranted to confirm the intervention effect.-
dc.languageeng-
dc.publisherWiley-Blackwell Publishing Ltd. The Journal's web site is located at https://onlinelibrary.wiley.com/journal/13652354-
dc.relation.ispartofEuropean Journal of Cancer Care-
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.subjectacupressure-
dc.subjectadvanced cancer-
dc.subjectfatigue-
dc.subjectinsomnia-
dc.subjectpain-
dc.titlePatient‐centred, self‐administered acupressure for Chinese advanced cancer patients experiencing fatigue and co‐occurring symptoms: A pilot randomised controlled trial-
dc.typeArticle-
dc.identifier.emailCheung, DST: denisest@hku.hk-
dc.identifier.emailChau, PH: phpchau@hku.hk-
dc.identifier.emailLam, TC: lamtc03@hku.hk-
dc.identifier.emailLin, CC: lincc@hku.hk-
dc.identifier.authorityCheung, DST=rp02526-
dc.identifier.authorityChau, PH=rp00574-
dc.identifier.authorityLam, TC=rp02128-
dc.identifier.authorityLin, CC=rp02265-
dc.description.naturelink_to_subscribed_fulltext-
dc.identifier.doi10.1111/ecc.13314-
dc.identifier.pmid32896014-
dc.identifier.scopuseid_2-s2.0-85090314584-
dc.identifier.hkuros317375-
dc.identifier.volumeEpub 2020-09-07-
dc.identifier.spagearticle no. e13314-
dc.identifier.epagearticle no. e13314-
dc.identifier.isiWOS:000566654900001-
dc.publisher.placeUnited Kingdom-
dc.identifier.issnl0961-5423-

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