Jennifer Kawi , Chao Hsing Yeh , Lauren Grant , Xinran Huang , Hulin Wu , Chunyan Hua , Paul Christo
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Participants were randomized into an in-person + app group (<em>n</em> = 8), virtual + app group (<em>n</em> = 7), and a wait-list, education-enhanced control group (<em>n</em> = 8), evaluating our outcomes using standard feasibility measures. The 4-week intervention consisted of virtual sessions, telecommunications, and our APA app, followed by a 3-month follow-up.</p></div><div><h3>Results</h3><p>Data from 22 participants were subsequently analyzed (95.7%). All app participants adhered to the study protocol and used APA at the minimum recommended frequency and duration. The virtual + app group used APA more during the intervention and follow-up periods. All app participants found the intervention to be acceptable and at least 80% overall were satisfied with APA at the 3-month follow-up. There were no adverse events reported.</p></div><div><h3>Conclusions</h3><p>Our digital health intervention was found to be acceptable and sustainable; participants adhered to and were satisfied with the intervention providing support for a larger RCT.</p></div><div><h3>Clinical Trial</h3><p>#: NCT05020470</p></div>","PeriodicalId":10545,"journal":{"name":"Complementary therapies in medicine","volume":"81 ","pages":"Article 103030"},"PeriodicalIF":3.3000,"publicationDate":"2024-03-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S0965229924000189/pdfft?md5=0965e1355678f278e3eb4d3b5f82f23e&pid=1-s2.0-S0965229924000189-main.pdf","citationCount":"0","resultStr":"{\"title\":\"Retention, adherence, and acceptability testing of a digital health intervention in a 3-group randomized controlled trial for chronic musculoskeletal pain\",\"authors\":\"Jennifer Kawi , Chao Hsing Yeh , Lauren Grant , Xinran Huang , Hulin Wu , Chunyan Hua , Paul Christo\",\"doi\":\"10.1016/j.ctim.2024.103030\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div><h3>Objectives</h3><p>Evaluate a digital health intervention using Auricular Point Acupressure (APA) for chronic musculoskeletal pain in terms of participant retention, adherence, acceptability, and satisfaction. 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引用次数: 0
摘要
目标： 评估使用耳穴指压法（APA）治疗慢性肌肉骨骼疼痛的数字健康干预措施的参与者保留率、坚持率、接受率和满意度：评估使用耳穴指压法（APA）治疗慢性肌肉骨骼疼痛的数字健康干预措施在参与者保留率、坚持率、可接受性和满意度方面的效果。慢性肌肉骨骼疼痛是全球关注的问题，在疼痛管理方面一直存在挑战。尽管数字健康干预措施很有价值，但还需要对这些干预措施的可行性进行全面评估：我们进行了一项三组纵向随机对照试验（RCT）。经机构审查委员会批准后，我们在大学、医疗诊所和社区张贴了招募传单。参与者被随机分为面对面+应用程序组（8 人）、虚拟+应用程序组（7 人）和候补名单、教育强化对照组（8 人），我们使用标准的可行性措施对结果进行评估。为期 4 周的干预包括虚拟课程、电信和我们的 APA 应用程序，然后进行为期 3 个月的随访：随后对 22 名参与者（95.7%）的数据进行了分析。所有应用程序参与者都遵守了研究方案，并按照建议的最低频率和持续时间使用了 APA。虚拟 + 应用程序组在干预和随访期间使用 APA 的频率更高。所有应用程序参与者都认为干预是可以接受的，至少有 80% 的参与者在 3 个月的随访中对 APA 表示满意。没有不良事件报告：我们的数字健康干预被认为是可接受和可持续的；参与者坚持并对干预表示满意，这为更大规模的 RCT 临床试验提供了支持：#：NCT05020470。
Retention, adherence, and acceptability testing of a digital health intervention in a 3-group randomized controlled trial for chronic musculoskeletal pain
Objectives
Evaluate a digital health intervention using Auricular Point Acupressure (APA) for chronic musculoskeletal pain in terms of participant retention, adherence, acceptability, and satisfaction. Chronic musculoskeletal pain is a global concern and there are persistent challenges in pain management. Despite the value of digital health interventions, these interventions need to be fully evaluated for feasibility.
Methods
We conducted a 3-group, longitudinal, randomized controlled trial (RCT). After Institutional Review Board approval, we posted recruitment flyers in a university, healthcare clinics, and community settings. Participants were randomized into an in-person + app group (n = 8), virtual + app group (n = 7), and a wait-list, education-enhanced control group (n = 8), evaluating our outcomes using standard feasibility measures. The 4-week intervention consisted of virtual sessions, telecommunications, and our APA app, followed by a 3-month follow-up.
Results
Data from 22 participants were subsequently analyzed (95.7%). All app participants adhered to the study protocol and used APA at the minimum recommended frequency and duration. The virtual + app group used APA more during the intervention and follow-up periods. All app participants found the intervention to be acceptable and at least 80% overall were satisfied with APA at the 3-month follow-up. There were no adverse events reported.
Conclusions
Our digital health intervention was found to be acceptable and sustainable; participants adhered to and were satisfied with the intervention providing support for a larger RCT.
期刊介绍：
Complementary Therapies in Medicine is an international, peer-reviewed journal that has considerable appeal to anyone who seeks objective and critical information on complementary therapies or who wishes to deepen their understanding of these approaches. It will be of particular interest to healthcare practitioners including family practitioners, complementary therapists, nurses, and physiotherapists; to academics including social scientists and CAM researchers; to healthcare managers; and to patients. Complementary Therapies in Medicine aims to publish valid, relevant and rigorous research and serious discussion articles with the main purpose of improving healthcare.
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