693 Participants Needed

Auricular Point Acupressure for Chronic Pain

Recruiting at 2 trial locations
JK
JM
Overseen ByJungkyung Min, PhD, MS, RN
Age: 18+
Sex: Any
Trial Phase: Academic
Sponsor: The University of Texas Health Science Center, Houston
No Placebo GroupAll trial participants will receive the active study treatment (no placebo)

What You Need to Know Before You Apply

What is the purpose of this trial?

This trial tests a new method for managing chronic muscle and joint pain using Auricular Point Acupressure (APA), which involves applying pressure to points on the ear. Participants will learn to self-manage their pain using a smartphone app and may receive either remote or in-person training. The trial aims to determine if this approach can reduce pain intensity and improve daily activities compared to standard pain education. It is ideal for those who have experienced chronic pain in areas like the neck, back, or knees for at least three months and are already receiving some form of pain management. As an unphased trial, this study provides a unique opportunity to explore innovative pain management techniques.

Do I need to stop my current medications for the trial?

The trial information does not specify whether you need to stop taking your current medications. It seems focused on adding acupressure as a self-management tool for pain, so you may not need to stop your current meds.

Is there any evidence suggesting that this trial's treatments are likely to be safe?

Studies have shown that Auricular Point Acupressure (APA) is a safe and noninvasive treatment option. This method resembles acupuncture but does not use needles. Research indicates that individuals can learn and apply APA themselves with the help of a smartphone app, which has been successfully tested for managing long-term pain.

Specifically, previous patients demonstrated that APA can reduce pain and improve physical ability. Another study found that training healthcare providers to use APA is feasible, suggesting that individuals can effectively learn and incorporate this technique into their care routines. Overall, APA is well-tolerated, with no major side effects reported in these studies.12345

Why are researchers excited about this trial?

Researchers are excited about Auricular Point Acupressure (APA) for chronic pain because it offers a novel, non-invasive approach to pain management. Unlike typical treatments that often involve medication like opioids or NSAIDs, APA uses specific points on the ear to potentially alleviate pain without the side effects associated with drugs. The trial explores two unique delivery methods: remote self-management training and in-person sessions, which could provide flexible options for patients. This approach not only empowers patients to manage their pain actively but also has the potential to reduce reliance on traditional pain medications.

What evidence suggests that this trial's treatments could be effective for chronic pain?

Studies have shown that Auricular Point Acupressure (APA) can help manage chronic pain by reducing its intensity and impact on daily life. In this trial, participants will receive either remote APA-SM training, in-person APA-SM training, or pain education as a control. Research on a self-managed APA app found that it improved physical function and reduced pain by up to 45% immediately after use. Both online and in-person APA training have shown promise in aiding pain management. Previous studies suggest that APA can also lead to lasting pain relief and better physical function over time. These findings indicate that APA could be a useful tool for managing chronic musculoskeletal pain.13678

Who Is on the Research Team?

JK

Jennifer Kawi, PhD, MSN, FNP-BC, CNE, FAAN

Principal Investigator

The University of Texas Health Science Center, Houston

Are You a Good Fit for This Trial?

This trial is for rural individuals with chronic musculoskeletal pain, such as back/neck pain, joint pain, knee pain, or arthritis. Participants should be interested in managing their pain through a self-guided program using a smartphone app.

Inclusion Criteria

I am receiving pain management for chronic pain in my neck, back, shoulder, hands, hips, knees, or feet.
I have had chronic pain in my muscles or bones for at least 3 months.

Exclusion Criteria

Inability or unwillingness to provide informed consent
Use of a hearing aid where size may obstruct seed placement
Not living in a rural area
See 1 more

Timeline for a Trial Participant

Screening

Participants are screened for eligibility to participate in the trial

2-4 weeks

Treatment

Participants undergo a 4-week Auricular Point Acupressure Self-Management (APA-SM) program

4 weeks
Remote and in-person training sessions

Follow-up

Participants are monitored for safety and effectiveness after treatment

6 months
Follow-up assessments at 1, 3, and 6 months

What Are the Treatments Tested in This Trial?

Interventions

  • Auricular Point Acupressure (APA) - Self Management (SM)
Trial Overview The study tests an Auricular Point Acupressure Self-Management (APA-SM) program delivered via an app. It compares three groups: one with remote training, another with in-person training for APA-SM, and a control group receiving education only.
How Is the Trial Designed?
3Treatment groups
Experimental Treatment
Active Control
Group I: Remote APA-SM TrainingExperimental Treatment1 Intervention
Group II: In-person APA-SM TrainingExperimental Treatment1 Intervention
Group III: Pain EducationActive Control1 Intervention

Find a Clinic Near You

Who Is Running the Clinical Trial?

The University of Texas Health Science Center, Houston

Lead Sponsor

Trials
974
Recruited
361,000+

Citations

Exploring the Feasibility of Virtually Delivered Auricular ...This study focuses on the use of Auricular Point Acupressure (APA) to assist patients in the self-management of their pain. APA is based on the ...
Personalized Auricular Point Acupressure for Chronic Pain ...The primary outcome is a composite score of pain intensity and interference in daily life and function, and the secondary outcomes include the NIH HEAL ...
Evaluating the Auricular Point Acupressure-Self ...The investigators will evaluate the clinical effectiveness of our 4-week APA-SM intervention compared to control in primary outcomes (pain ...
Personalized Auricular Point Acupressure for Chronic Pain ...Prior research supports the use of auricular point acupressure to reduce pain intensity and pain interference and improve physical function.
Testing a Self-Managed Auricular Point Acupressure App ...The in-person mAPA participants also reported improved physical function (32% immediate post and 29% at 1M) and pain intensity (45% immediate post and 42% at 1M) ...
Nurse-Administered Auricular Point Acupressure for Cancer ...It is feasible to provide 8-hour training to oncology nurses for mastering APA skill and then integrating APA into their daily nursing care for patients with ...
Auricular point acupressure for older adults with chronic low ...Efficacious modalities are limited in chronic low back pain (cLBP). We determined the efficacy of auricular point acupressure (APA) in older ...
Evaluating Auricular Point Acupressure for Chronic Low ...Our study findings indicated that using the app as a self-guided tool to learn and self-administer APA for cLBP self-management is a feasible intervention.
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