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":3,"journal":{"name":"ACS Applied Electronic Materials","volume":null,"pages":null},"PeriodicalIF":4.3000,"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.
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